Author Bryan McLelland

EP128: ADSA Journal Review Spring 2018 What? YUP!

This week I pick out the best articles from the Spring 2018 ASDA Journal and discuss them.  I start with the editorial on Checklists and then slide on over to patterns of Dental Anesthesiologist on practice.  I then answer the age-old question of one carpule or two for a block and finish with a meaty discussion on Antidepressants and anesthesia considerations.

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EP126: Acquired Hemophilia and Two Bone Grafting Techniques

This week I begin our discussion with a review of a case report of a 64 year old lady who acquired hemophilia A.  This lady went in with no known bleeding disorders and had a mandibular third molar removed and found herself intubated for 5 days and near death but survived and was released from the hospital 10 days after admission. I also discuss two bone grafting techniques that you will want to consider to solve the failed implant in the esthetic zone as well as for the atrophic maxilla or mandible 3 tunneling approach.

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EP124: Dental news to abuse and brush your teeth in 10 seconds and oral health and colon cancer link

In this week’s episode we discussed Dental news and we start off with a new barrier device for tablets and then go into common ways that insurance companies deny Dental claims Heparin your bottom line then discuss a new automated toothbrush that cleans the entire dentition in 10 seconds and then a nice all-around discussion about using LinkedIn as your latest social media platform to increase your business

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EP123: Articaine vs Lidocaine for palatal anesthesia, VSP vs CSP, Orbital Mirroring for Reconstruction?

In this episode, I discuss some excellent articles.  We will look at the relative concentration of lidocaine vs articaine in the rabbit model to see if there is a reason why palatal anesthesia is better with buccal infiltration with Articaine.  We also look at orbital fractures in the elderly vs the young and compare and contrast.  We also look at virtual mirror to assist with orbital reconstruction and virtual surgical planning vs conventional surgical planning for orthognathic surgery.

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EP122: A Weekend of Call

This weekend I was on call and so I discuss three cases that I came across. The first case had a history of a dental extractions approximately 3 weeks ago that did not resolve and was admitted with gas in the pterygomandibular and the buccal space. The second case was a trauma case of someone that was assaulted with fists and had oss of consciousness and a small subdural bleed. This patient was taken to the main operating room and had open reduction internal fixation of a lefort 1, lefort two and right side zygoma fracture. The third case that I discuss is a young man that tripped and fell on a cable and broke his jaw in two places and was taken to the operating room where he was wired closed and then fixated with plates and screws. Please go to the interesting cases section at wwwdentistbraincandy.com to see pictures of these cases.

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EP121: Osteoradionecrosis Prevention, Diagnosis and Management for the General Dentist

In this episode, I discuss the pathogenesis of Osteoradionecrosis (ORN) and the staging of ORN and the treatment modalities available including surgery, hyperbaric oxygen therapy, pentoxifylline and tocopherol as well as dental management with these cases.  21 days should pass from the time of the last dental surgery before radiation is started, 14 days at a bare minimum.

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EP119: Getting Paid for Being Opioid Sparing and Trefoil

In this episode, I start by discussing briefly the existence of the AAOMS white paper on prescribing opioids responsibly. Specifically, I discuss an article in the AAOMS  Today publication that goes over CPT and CDT coding guidelines.

Using an opioid-sparing technique in your office is expensive and has a significant financial impact. Knowing the proper codes and the ins and outs of these codes from both a medical dental and hcpcs perspective will help you realize when you can get reimbursement and how you can get reimbursement for using things such as Dexamethasone Toradol and Exparel. I then deviate sharply to briefly discuss the Trefoil system introduced by Nobel Biocare at the AAOMS meeting this fall. I think you will find this episode enlightening, helpful and financially rewarding.

I also chat about a new business on Amazon that my daughter and I started.  Search BWM VENTURE to see these products are what we are selling and if you feel so inclined feel free to purchase them and leave an honest review. Reviews are incredibly difficult to obtain on Amazon and a very important for the algorithm.  It would be incredibly helpful for her to have these reviews. I would love some feedback so please feel free to email me at info@dentistbraincandy.com

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