***DISCLAIMER: So, this was bound to happen at some point, but we experienced some technical difficulties and the audio quality of this episode is less than what I pride myself in providing you. But! The content quality hasn’t wavered, and I trust you’ll enjoy all the same 😉 Thanks for understanding.
We start off with a double quote for today and then dig into the second part of the book review of Rework by Jason Fried and David Heinemeier Hansson. There are some really good tips in this book that I know will help your business. We want to make sure we don’t call out other dental practices. Do birth control pills increase the incidence of dry socket? We will review a meta analysis that summarizes the current literature. The interesting case we have today is an Odontogenic Keratocyst, which has been renamed by the WHO as Odontogenic Keratotumor, in a young lady with basal cell nevus syndrome.
In this episode we begin with a snappy quote from Oscar Wilde which was inspired after watching Point Break in the theatre. I then review an article that compare the quality of life (QOL) prospectively for two implants or four implants in the mandible. They made each patient experience two implants and an overdenture and then four implants and an overdenture and vice versa. REWORK by Jason Fried and David Heinemeier Hansson was then started with over ⅓ of the book reviewed and summarized. The case presentation today was about a really sweet lady that had been in a severe car accident. She was repaired before originally by another surgeon and came to me for evaluation and reconstruction. I repaired the facial deformities by reconstruction the orbital vault first for the enophthalmos and vertical dystopia. I then used a CT to mirror image the unaffected side and make a custom facial implant out of PEEK. The patient also required a BSSO for the mandible deformity.
In this episode medication related osteonecrosis of the jaws is discussed in detail. Based on the latest position paper by AAOMS, a detailed discussion of the medications that can cause this necrotic bone, the diagnosis and staging and then treatment of the disease is reviewed. I think anyone doing dentistry today needs to be aware of this material, especially developing a risk profile and treatment protocol in your office.
Marilyn Monroe starts us off with a profound quote. We then talk about and conclude our book review of Good to Great by Jim Collins. We discuss momentum and the flywheel. How to achieve massive success and change through Kaizen is touched upon as well. There are some disturbing photos of a very large ulcer on the soft palate and a discussion of the work up and final diagnosis.
We start off with two quotes from American proverbs and then continue on the breakdown of Good to Great by Jim Collins digging deeper on the Hedgehog Concept. Chapter 6 is focused on a culture of discipline on how to create that environment in your practice. Create a STOP DOING list. Technology accelerators are also discussed. How do you evaluate tech? 960 B dollars of debt has gone up greatly since the last survey and this review goes through student debt and the influence this debt has on choices for new dentists. The case review is on a case of excess gingival tissue around an anterior dental implant and resolution using the CO2 laser.
We start the episode with quote from JRR Tolkien. Good to Great book review goes into the importance of addressing the brutal facts honestly and having leadership that allows for transparency. The Hedgehog concept may be the most important concept of the book and we dive deep into this. Central Giant Cell Granulomas can be treated with Interferon and this article review goes into this modality along with characteristics of CGCG. The interesting case is a case of CGCG and video of the actual curettage and a discussion ensue.
Jack Canfield supplies a juicy quote about FEAR to start this episode. We then break into the last paper in the ITI consensus group and discuss Peri implantitis Treatment Guidelines. We continue on our book review of Good to Great by Jim Collins. Pay systems are discussed in the context of attaining the best out of people. Being rigorous but not ruthless is important and minimize churn. Details on how to know if you have the correct person are highlighted. The interesting case goes over a long term implant failure secondary to cement retention.
In this episode, we begin a new book review which will be the best to date. Jim Collins and his book Good to Great will be discussed in the upcoming episodes starting with this one. We’ll also discussed implant complications and management of those complications. The interesting case will be a cleft lip and palate patient that has an alveolar bone graft using bone morphogenic protein. Pictures during the surgery will show the size of the defect, the anatomy of the defect and filling of the defect. This show will not disappoint!
In this episode we finish our review of 80/20 Sales and Marketing by Perry Marshall. In addition we go over the ITI Consensus Statements on implant loading protocols and review a case of ankoglossia. This tongue tied patient had the frenulum released using a CO2 laser in the office. You will find a video showing the procedure in real-time with a giggling 11 year old!
Most days in the dental office are pretty routine with drill and fill but every now and then the emergency demons come out to play. This is episode one of this five part series on emergencies that can and will happen in your office and how to plan ahead so that you can effectively deal with these situations as a team. I recommend that you have all of your team members watch and listen to these five episodes and when on boarding ANY new team member have them watch the series at www.dentistbraincandy.com