Author Bryan McLelland

EP118: Antibiotics resistance and Poop Transplants.


In this episode, I start by discussing antibiotic resistance and its implications in society as well as the reasons for this increase in antibiotic resistance.  We discussed the causes including easy access in developing nations over administration prescription by healthcare providers as well as providing antibiotics to prophylactically livestock.  I then transition nicely into clostridium difficile infections and discussed the most likely antibiotics and the odds ratio of developing a C. difficile infection from antibiotics and then treatment for a C. difficile infection.  This includes an FMT or poop transplant.

Continue Reading

EP117: Malignant Hyperthermia and Tuberosity Implants

In this episode a review malignant hyperthermia.  I start with the initial diagnosis and then go step-by-step on the treatment protocols for malignant hyperthermia.  I also provided in the interesting case is section is a document that all planes what each person is to do when a case of malignant hyperthermia should happen in your facility.  This is available for download.  I then show an interesting case when placing implants in the tuberosity and an all on 6 restorations along with some mandibular implants.  For this patient.  She had a denture converted into a screw-retained provisional at the time of the surgical procedure and did quite well.

Resources

Malignant Hyperthermia Packet

Interesting Case Button

Continue Reading

EP116: Increase Case Acceptance and Section 179

In this episode, I go over 10 tips on how to increase your case acceptance and make your bottom line explode in 2018.  Following these few simple ideas will radically change your bottom line in 2018.  Remember that right now overhead is covered and any increase in collections goes into your personal bank account.  I also discuss what Section 179 is, the limits for 2017, and limitations and advantages of Section 179.

Interesting Case Button

Continue Reading

EP115: Dental News to Abuse

In this episode we talk about a wall mounted tooth cleaning system for the shower.  It sounds like a fire hydrant for your mouth but you be the judge.  I go off a bit on tooth whitening and who should provide the service and then transition quickly to StellaLife and their all natural oral products to help reduce pain and increase healing rates.  I talk about Quick-Stat Free, a new hemostatic agent and a scalpel handle with an ejectable blade!  Yikes!  I also chat about BoTox for facial pain too!  Man what an episode!

Interesting Case Button

Continue Reading

EP114: Incidence of Head and Neck Cancer, The best antibiotic for Odontogenic infections and accuracy of 3D printers in office


In this episode we discuss a number of different articles Would You Begin by discussing the use of third molar informed consent videos and how much patience remember after watching the video. We also discuss a rear complication of osteomyelitis following mandibular dental implants that required resection and a free flap reconstruction. We also discuss how accurate pre implant surgical guides produced within office 3D printers are and discovered that they are similar to and just as accurate as lab or manufacturer produced surgical guides. I also the incidence of head and neck cancer in the United States and the use of antibiotics with a Donna genic infections and what is the best choice of antibiotics based on a systematic review of the literature and a meta-analysis analyzing / 16 articles in 2197 Dental infection cases. This is an action-packed episode that you don’t want to miss.

Continue Reading

Laws For Teeth Whitening

There are different perceptions as to why some of these laws are in place, some believing dental professionals are aiming to capture a greater share of the whitening market by banning anyone else from offering these services. Others feeling strongly that limiting this service offering to licensed dental professionals eliminate potential issues that can occur when non-dental parties perform these procedures.
The purpose of this post is to start an open discussion regarding your thoughts on the subject – should teeth whitening services be provided by licensed dental professionals only? Should teeth whitening be considered a form of practicing dentistry and therefore be restricted to those with the proper oral health training? Or, should non-dental cosmetic business owners be able to use the same OTC whitening products on clients that consumers can buy and use freely without a dentist’s supervision anyway?
What do YOU think?

Continue Reading

EP113: Prebiotics, Probiotic, Synbiotics and C. Diff infections from Antibiotics


This episode discussed the difference between probiotics, synbiotics and prebiotics as well as information on probiotics.  I also discuss antibiotic induced Clostridium difficile infections also known as C. Diff infections.  Remember that the toxin produced by this bacteria is what causes the symptoms and issues with this infection.  It can be severe and extreme and require antibiotic therapy to eliminate the infection and if not successful colectomy!  This is a great episode and quite informative!

Continue Reading

EP112: Dental News To Abuse : Two new codes, Electric Cavity Detector, Treatment Planning Tips, Dental code for HbA1C, Intranasal Pain Medicine

In this episode I will discuss an electronic cavities detector, several new dental codes to be aware of and bill for including HbA1c for diabetes screening.  I will discuss a sleep appliance that will allow for the patient to wear orthodontic aligners or Invisalign at the same time.  Opioid epidemic will help increase the acceptance of intranasal ketorolac or Sprix as well.  There is a new way of buffer local anesthetics chairside that will decrease the time required to have local anesthetic take effect.

Interesting Case Button

Continue Reading

EP111: Digital Impression Accuracy, Intra Operative CT with Orbital Fractures, More Complications with Age in 3rd molar surgery?

In this episode, I discuss a study that compares digital impressions with traditional PVS impression with dental implants.  They use an open tray impression technique and compare accuracy.  The second article I review is on Intra Operative CT scans with Orbital Fractures.   This is a great article showing that in this retrospective analysis they change the management 44% of the time.  I also review an article that supports the knowledge and what you probably assumed; taking 3rd molars out on people over the age of 65 has more complications than those between 15-20 years of age.

Continue Reading

EP110: Practical Management of Leukoplakia 2017


This weeks episode discusses white patches and their presentation in the oral cavity. We discussed hereditary sources we discussed the who definition of a leukoplakia and frictional chemical and other sources of white patches on the oral mucosa. We discussed the incidence of conversion into a dysplasia or carcinoma in situ or Frank cancer. This review and this podcast episode is directly applicable and useful in your day-to-day practice whether a general dentist a periodontist and oral surgeon or anyone that deals with a routine evaluation and examination of the oral cavity. A brief discussion about the treatment of actinic keratosis as well as lichen planus also ensues. You will not be disappointed!

Continue Reading