Author Bryan McLelland

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?

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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!

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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

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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.

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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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