Author Bryan McLelland

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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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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.

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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

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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.

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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!

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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.

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