Author Bryan McLelland

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!

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EP109: 36-hour local anesthetic, Omni Grip Screw and more

This week I discussed the success of the Gordon Christensen meeting that was held last Friday and the upcoming February event that is guaranteed to be fantastic. In addition, we discuss in Ultra long-lasting local anesthetic that lasts 36 to 72 hours and the opioid crisis and its impact. I also touch base again and remind everybody about the Omni grip screw and more.

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EP108: AAOMS 2017 Part 2

In part 2 of my review of the AAOMS annual meeting highlights, I discuss more anesthetic issues including pediatric tips and suggestions on laryngeal spasm for both how to decrease the incidence and manage the occurrence. We talked about a really good resource at to help with pediatric calculations for doses of medications as well as the Igel as a second-generation LMA.  There are two cases that were discussed and were excellent learning cases and then the grand finale was an excellent lecture and presentation by a doctor Andrew Kolodny. He discussed the opioid epidemic in the United States and strategies as well as some stunning statistics. You don’t want to miss this episode.

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EP107: AAOMS 2017 Annual Meeting Highlights

This week I start reviewing the AAOMS 2017 annual meeting information. Wednesday was my first day at the meeting and it was a dedicated to Anesthesia update and there was a discussion by a doctor Jeff Bennett by a doctor Bob Bozack that will be discussed on this week’s episode. Information was very good very pertinent very accurate and I think I’ll get a lot of value out of hearing on with this information is so buckle up and enjoy this week’s episode and keep in mind over the next several weeks I’ll continue to digest and process and present what I learned at this year’s meeting.

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Why do team meetings at a dental office have to suck?

Turns out that this book is actually really good to help you take your meetings from meetings suck to like meetings are beneficial, good, knowing what their purpose is, knowing what their value is, how to run, create, organize, and execute a meeting, so that you’re getting your money’s worth, basically, you’re getting your value out of these things. So part one of Meetings Suck by Cameron Herold begins now. So meetings suck because of us. They don’t have to suck, but most do. They have the potential to drive alignment, to give direction, and to generate any energy, focus, and creativity, and to inspire your people, but attention dwindles. People are resentful and distracted, and their time is wasted. No wonder meetings suck. It’s because we suck at running meetings. Are meetings really necessary?

The quick answer is, of course, is yes. They are expensive, so let’s get the most out of them if we have to do these things. First of all, an agenda. This is key to understand the flow, to stay on topic, and to save time. Everyone in meetings has a responsibility to speak up and must be heard, regardless of rank. Rank does not matter in a meeting, sort of. Types of meetings. There are yearly and quarterly retreats, which are essential for leadership teams, and they happen off-site and need to be free of distractions. There are quarterly board of advisor meetings where you discuss the vision over the next three years. There are monthly financial meetings where you do profit and loss reviews and discuss how to make more money and cut costs. Number four, there are Weekly Action Review or WAR meetings. These are 90-minute meetings, and each business area holds it for its team. Everyone is informed, discusses problems, and is held accountable, and builds, unify, raise, and helps prevent divisions within your organization.

Number five, weekly strategic meetings, or biweekly. The leadership team discusses opportunities, six to 12 months out. This keeps everyone thinking in a strategic mindset. Number six, weekly goal setting and review meeting. This is a one-on-one between the leaders and their direct reports. This is perhaps the most consequential meeting that you will hold and have. Number seven, daily huddles and adrenaline meetings. They’re seven to 10 minutes long, typically good news. You post and discuss key metrics. Each business area updates everyone on top three items for the quarter incoming week. You share potential hazards or frustrations, and someone volunteers to solve these, and for companies under 20 people, each person reads the top three priorities for the day. Number eight, or the eighth kind of meeting that’s out there, ad hoc debriefing meetings. These are informal meetings to debrief on important events. CEOs, managers, and employees. These are the three different levels of employees that may or may not attend at these different meetings. First of all, we need a hierarchy review, so people, time, and money are resources that a business has to deploy.

If you go to a meeting and you add or take away value, then the above has not been wasted. If you go to a meeting and you neither add or take away value, then you’ve wasted time. You’ve wasted resources. You’ve wasted money. You’ve wasted people’s time and people’s resources, so you want to treat meetings like a job interview. You want to be prepared and be on time, obviously. So as a CEO, you want to talk less and listen more. This is an information-gathering session for you. You don’t want to just hear yourself talk, hear your own opinions. You’re gathering other opinions, other ideas, and other insights. The next chapter discusses introverts versus extroverts.

They discuss four different personality types. Dominant, and expressive, and analytical, and an amiable, and we should have a primary and a secondary personality trait, and understanding the different personality traits will help us, or you, manage and engage everyone that’s at the meeting. A dominant personality is, you’re extrovert, you’re assertive, you’re verbose, forceful, strong, type A and driven personalities. Your expressive type is your extroverts. They’re animated. They talk with their hands and think out loud. They are excitable, emotional, and eager to jump in to speak. Analyticals think through their answers before they speak and tend to be introverts. They like to avoid conflict and say things like, “Well, and whatever, and that’s fine.” They have the hardest time of being heard out of the four different personality types, so dominant and expressive tend to overrun analyticals and amiables in meetings.

We need leaders to allow our analyticals and allow our amiables to be heard, so every box of the organization chart, you need to select the number of people you need to get the job done, but no more for these meetings. Everyone is expected to contribute and add value and to do their job right. You want to include front-line team members or staff who should add and receive value. This concludes part one of Meetings Suck by Cameron Herold, and stay tuned for next time, where we’ll go through part two.

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EP106: Dental News to Abuse

In this episode we talk about decreasing PPO reliance and insurance dependence which can often feel like a crack addict looking for the next hit.  A dental museum has opening in Nebraska and fluoride varnish has hit a new level in ease of application.   I discuss changes in the CDT 2018 and a unique bone grafting option by OsteoGen.  Did you know that SQUID INK can and is used in a new test for periodontal disease?  Well, ya heard it here first!

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EP105: Dental News to Abuse

In this episode, I discuss 8 ways to reduce dental practice expenses, 3 tips for reputation management, Zest Dental Solutions announcement of their entry in the dental implant market adding to their Locator abutment options.  We discuss Loupe options, Color Code options for organization of instruments, Entrainment music which helps patients relax and then six steps to becoming Chartless in the office.

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EP104: Epic Laser Pro – The Latest in Diode Laser Tech

I purchased a new toy for the office and you may have guessed it is an  Epic Laser Pro.  This is not your mother’s laser and it quite the piece of techno and I discuss the laser and the differences and uses of this machine.  It is surprisingly small and lightweight and very useful for surgical applications in dentistry.  I also discovered that these lasers can scorch your retina from 15 feet away if you don’t follow the rules and wear the safety glasses!

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EP103: Dental News to Abuse

This week I chat about a robot that performs oral cancer surgery, new and improved intraoral sensors for digital xrays, Custom Healing abutments pre-manufactured, the Dry Shield, Sprix, an intranasal toradol helping patients avoid opioid prescriptions and way to avoid bad production months.  There is also an interesting discussion about GERD and dentistry.

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EP102: Part 4 of Beat the Heart Attack Gene, CO2 Laser Gingivectomy Post Ortho, Galen Review

I start off with a QOD that is quite good if I do say so myself and then we go straight into Part 4 of Beat the Heart Attack Gene by Bale and Doneen.  Key tests are discussed and then the top Myths of cholesterol are shattered!  You will be surprised by what you thought you knew and what is accurate.  I then discuss the life and works of Galen, an early century physician, and surgeon to the Gladiators.  This guy has an influence on medicine and surgery for over 1200 years!  I then discuss a case of hypertrophic gingival and CO2 laser ablation and crown lengthening and you can see before and after pictures at the interesting cases section online.

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