Dentist Brain Candy

This week I announce the YOUTUBE channel IN YOUR FACE which you just have to check out!  In addition we talk about decreasing inflammatory complications after third molar removal with postoperative antibiotics.  There was a 40% decrease in those complication with the use of post operative oral antibiotics with only marginal statistical significance.  I also talk about using tramadol as a local anesthetic and compare that to Lidocaine without epi

In this episode I discuss a recent trauma case were a young man riding his motorcycle took a beating to his premaxilla fracturing tooth numbers eight causing a maxillary dental alveolar fracture a partial lefort fracture and an avulsed tooth numbers 11 up into the maxillary vestibule lateral to the nose.

This week I start off with our Dental News to Abuse discussing periodontal disease and the oral systemic connection and what we know, what we need to think about and what we don't know. I then go into 6 ways that your website sucks and discuss what these pitfalls are and what you can do to correct these pitfalls. I have an have a snazzy little discussion about social media practices for dental offices and we talked about a dental insurance audit and the fact that the big three dental supply companies have been sued by the FTC for violating antitrust laws. Hu-Friedy also launch AdvantaClear surface disinfectant.

This week I pick out the best articles from the Spring 2018 ASDA Journal and discuss them.  I start with the editorial on Check lists 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.

In this episode, I discuss office lease renew and negotiation, critical areas for compliance in the dental office, promoting new technology in the practice, changes in dentistry in the next year or two, and a lozenge that is being sold to reduce cavities and populate the mouth with good bacteria.

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.

This week I discuss facial infections and antibiotics and the indications for hospital admission and antibiotic resistance.

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

In this episode I discuss the appropriate timing of a wisdom tooth consult and timing of extractions when they are necessary. I discuss anatomical guidelines and parameters and then go into depth on what my third molar consult is like including a description of the logistics from beginning to end with each team members role.

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.

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.

This week’s podcast is dedicated to the Pleomorphic Adenoma I was introduced to and treated over the last 3-4 weeks.  I go over the history of this lesion, the initial treatment and definitive treatment and if you go to www.dentistbraincandy.com episode 120 Interesting Cases Section you will find some killer photos of the lesion. 

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. R

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.

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

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.

In this episode I discuss the appropriate timing of a wisdom tooth consult and timing of extractions when they are necessary. I discuss anatomical guidelines and parameters and then go into depth on what my third molar consult is like including a description of the logistics from beginning to end with each team members role.

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.

This episode discussed the difference between probiotics, synbiotic 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!

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.