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Showing episodes and shows of
Dr. Bryan McLelland
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Dentist Brain Candy
S2EP34: How JetVC Works, Part VIII—The Financial Implications of Using JetVC.ai
Want to make your dental practice more profitable? Maybe even enough to retire early? On this episode of Dentist Brian Candy, I share the mind-blowing financial implications of using JetVC.ai to do virtual consults. I explain how much I money I save on room turnover and how much staff and doctor time I save with Jet Virtual Consults. Listen in to understand how the app can help you earn an additional $1M per year and learn how investing that extra money might translate to $13.5M in the bank for early retirement!
2024-01-19
06 min
Dentist Brain Candy
S2EP33: How JetVC Works, Part VII—How to Bill for Virtual Consults
Due to the amount of time and effort I save doing virtual consults versus in-person consults, I would literally do virtual consults for nothing—and still be way farther ahead financially. But you can bill and collect just as much for virtual consults as you do for in-person consults. How does that work? On this episode of Dentist Brian Candy, we continue our series on JetVC.ai, discussing billing and the financial implications of doing virtual consults. I share where to find the billing codes for virtual consults and explain why yo...
2024-01-18
02 min
Dentist Brain Candy
S2EP32: How JetVC Works, Part VI—Virtual vs. In-Person Consults
So, you’ve sold a patient on doing a virtual consult. What does the process look like? How does it differ from an in-person consult? On this episode of Dentist Brian Candy, I walk you through the process of doing a virtual consult, explaining how we collect the data we need through the JetVC app onboarding process. I share an example of a virtual consult for wisdom teeth extractions, describing what to do if the patient needs a radiograph and why I use a Sharpie to fill out paperwork for virtual consults. ...
2024-01-17
08 min
Dentist Brain Candy
S2EP31: How JetVC Works, Part V—Texting, Geolocation & Making Appointments
How do you sell a virtual consult to a reluctant patient? Maybe someone who’s technologically challenged? In my practice, when a patient calls to make an appointment, we walk them through the advantages of using the JetVC app, encouraging even the most resistant patients to say YES to a virtual consult. So, what does our call center script look like? And how do we communicate with patients once we’ve sold them on JetVC? On this episode of Dentist Brian Candy, we continue our discussion of JetVC.ai, looking at the texting, geol...
2024-01-15
06 min
Dentist Brain Candy
S2EP30: How JetVC Works, Part IV—Reputation Management
One of the best ways to market your dental practice is to collect positive online reviews. But how do you develop a system for asking patients to leave Google or Facebook reviews? And how do you ensure that their comments will be favorable? On this episode of Dentist Brian Candy, I’m discussing another important feature of Jet Virtual Consults, reputation management. I explain how JetVC automates the process of requesting online reviews, describing how the app encourages patients to leave 5-star reviews but notifies you first if they had a negative experience....
2023-12-18
05 min
Dentist Brain Candy
S2EP29: How JetVC Works, Part III—Virtual Coach
Imagine being able to coach your patients one-on-one through recovery after oral surgery. No doubt your patients would be much more likely to comply with post-op instructions. You’d have fewer calls to your office and fewer incidents of dry sockets or infections. On this episode of Dentist Brian Candy, my explanation of Jet Virtual Consults continues with an overview of the app’s virtual coach. I discuss the videos and PDFs of post-op instructions JetVC emails to patients and describe how the virtual coach helps them irrigate extraction sites correctly. List...
2023-12-15
09 min
Dentist Brain Candy
S2EP28: How JetVC Works, Part II—Educational Videos
How much time would you save if patients came into a consult with a basic understanding of the dental procedure they are considering? With Jet Virtual Consults in-app videos, you can educate patients and answer many of their questions before their initial appointment. On this episode of Dentist Brian Candy, I continue my explanation of how Jet Virtual Consults works, discussing the educational videos available through the app. I walk you through the list of procedures that have in-app informed consent and post-op instructional videos, describing how you...
2023-12-13
06 min
Dentist Brain Candy
S2EP27: How JetVC Works, Part I—Digital Forms
It’s much easier for a dental practice to stick to a schedule when patients do their paperwork at home prior to an appointment. But how do you get patients to work through a digital onboarding process before they come into your office? On this episode of Dentist Brian Candy, I explain how Jet Virtual Consults works, beginning with the forms available through the app. I discuss how JetVC sends automated reminders to patients to complete their paperwork and describe how patients sign and submit forms to you digitally. Listen in fo...
2023-12-08
06 min
Dentist Brain Candy
S2EP26: Framing the Conversation on the Pros and Cons of a Coronectomy
When you have a patient who would benefit from a coronectomy, how do you frame the conversation? How do you help them understand the pros and cons of leaving the roots behind and make the decision that’s right for them? On this episode of Dentist Brian Candy, I share my thoughts on a 10-year study exploring the low incidence of late complications associated with third-molar coronectomy. I also discuss an article in the Journal of Oral and Maxillofacial Surgery around the reliability and quality of YouTube content on facial trauma and why we...
2023-11-01
10 min
Dentist Brain Candy
S2EP25: Strategies for Extraction Pain Control & Practice Efficiency
What is the best way to reduce pain, swelling and tenderness in wisdom teeth extractions? A recent study compared the use of EXPAREL versus standard bupivacaine and found ‘no significant difference.’ But what if there’s a way to combine the two for optimal pain control? On this episode of Dentist Brian Candy, I explain why and how I use standard bupivacaine along with EXPAREL for pain control with my patients. I discuss the topics covered at our upcoming Cutting Edge Dental Implant Symposium, including a lecture around using the HITECH Act to...
2023-10-27
07 min
Dentist Brain Candy
S2EP24: The Origin of Jet Virtual Consults
I am always asking myself what we can do as a dental practice to level up. And in 2019, I got curious about using virtual consults to save time and see more patients. But the applications on the market at the time had issues. They were difficult to use, and few were secure and HIPAA-compliant. On this episode of Dentist Brian Candy, I describe how I worked with a talented programmer to fill that gap in the market and develop the custom Jet Virtual Consults app for oral and maxillofacial surgeons. I explain why we...
2023-05-01
02 min
Dentist Brain Candy
S2EP23: TRIPLE WIN Tip #7—A Virtual Coach for Your Surgical Patients
When patients follow instructions in the days after dental surgery, they have fewer complications. And that’s a win for your practice and the patient. But how do you make sure surgical patients know how to take care of their teeth post-op? On this episode of Dentist Brian Candy, I explain why I provide all my surgical patients with a virtual coach and walk you through the series of automated emails they receive post-op. I discuss how my post-op infection rate and incidence of dry sockets decreased dramatically when I started using a vi...
2023-04-24
04 min
Dentist Brain Candy
S2EP22: TRIPLE WIN Tip #6—Protect Your Practice with Informed Consent Videos
Getting sued is a horrible emotional experience. But it’s also financially devastating. And that’s why it’s absolutely crucial to protect your dental practice through informed consent videos. On this episode of Dentist Brian Candy, I explain how I use software to automate and document the process of providing patients with informed consent videos for our most common procedures. I discuss the benefits of having patients fill out their health history forms online prior to a consult and describe how Jet Virtual Consults sends reminders to that end and reschedules appointments as nec...
2023-04-17
05 min
Dentist Brain Candy
S2EP21: TRIPLE WIN Tip #5—Communicating with Patients Via Text
Patient engagement and retention hinges on effective communication. But it can be challenging for a busy dental practice to keep in touch with patients between appointments. So, what if you could automate the process? On this episode of Dentist Brian Candy, I discuss why it’s important to have a HIPAA-compliant text message system for your dental practice. I walk you through the benefits of communicating with patients via text, describing its potential to increase practice efficiency, decrease no-show rates and help patients follow important post-op instructions. Listen in for insight on...
2023-04-10
02 min
Dentist Brain Candy
S2EP20: TRIPLE WIN Tip #4—Build Your Reputation Online with Positive Reviews
We know a dental practice attracts business through positive online reviews. But do you have a system for building your reputation online? How do you encourage patients to leave a good review on Google, Yelp, Healthgrades, or one of the many other review sites? On this episode of Dentist Brian Candy, I explain why it’s crucial to have an automated way of obtaining patient reviews. I discuss how to encourage patients who had a positive experience at your practice to leave a review and describe how to build up your reviews on on...
2023-04-03
02 min
Dentist Brain Candy
S2EP19: TRIPLE WIN Tip #3—Save Time with Jet Virtual Consults
One way to survive and thrive through a recession is to increase the efficiency of your dental practice. And I leverage the Jet Virtual Consults app to do just that. Virtual consults provide yet another TRIPLE WIN for your team, your patients and your bottom line by saving time for all involved. So, what are the benefits of virtual consults? How do they save your practice both time and money? On this episode of Dentist Brian Candy, I walk you through my third TRIPLE WIN tip, explaining how Jet Virtual Consults saves my...
2023-03-27
04 min
Dentist Brain Candy
S2EP18: TRIPLE WIN Tip #2—Give Patients Peace of Mind with Dental Warranty
My TRIPLE WIN approach to growing your dental practice involves increasing the bottom line in a way that serves your patients and team members. So, what if you could add a revenue stream to your business and give your dental implant patients peace of mind at the same time? On this episode of Dentist Brian Candy, I share my second TRIPLE WIN tip, explaining why I offer Dental Warranty as a kind of extended warranty for my dental implant patients. I discuss how Dental Warranty pays you 90% of the cost to replace dental...
2023-03-20
02 min
Dentist Brain Candy
S2EP17: TRIPLE WIN Tip #1—Make EXPAREL a Revenue Source for Your Dental Practice
Are you concerned about your dental practice surviving the recession? What if I told you that your practice could grow and thrive through an economic downturn, provided you adopt what I call a TRIPLE WIN mindset? The TRIPLE WIN is about identifying strategies that support your patients and team members while increasing the bottom line for your business. On this episode of Dentist Brian Candy, I walk you through my first TRIPLE WIN tip, sharing the workflow I developed for using encapsulated bupivacaine or EXPAREL on every patient in your practice.
2023-03-16
03 min
Dentist Brain Candy
S2EP16: Orbital Trauma, TiUltra Implants, & Head Injuries in Martial Arts
Is it better to use patient-specific implants in orbital reconstruction? Or should you use preformed titanium mesh? Which method is more accurate in terms of oral volume reconstruction? And which method boasts fewer complications? On this episode of Dentist Brian Candy, I share the findings of a recent study comparing preformed versus patient-specific implants to address orbital trauma and explain what kind of implants I use for mild, moderately complex and complex fractures. I go on to discuss another study in the Journal of Oral and Maxillofacial Surgery comparing the frequencies, types and...
2022-09-12
10 min
Dentist Brain Candy
S2EP15: Computerized Systems vs. Traditional Anesthesia in Dental Procedures
Administering anesthesia prior to a dental procedure is bound to cause patients some pain and anxiety. But does the delivery system make a difference? Do patients experience more or less discomfort when the practitioner uses a computer-assisted device as opposed to traditional anesthesia? On this episode of Dentist Brian Candy, I walk you through a recent study published in the Journal of Oral and Maxillofacial Surgery comparing computerized delivery systems with conventional local anesthesia. I share the study’s findings that less pain and anxiety is associated with computerized techniques but ra...
2022-09-05
08 min
Dentist Brain Candy
S2EP14: How to Prevent Dental Implant Failure
In the last couple of weeks, I’ve seen multiple cases of dental implant failure, all of which were entirely preventable. So, what’s behind these failures? What can we do to identify and treat implant failures? And prevent similar problems moving forward? On this episode of Dentist Brian Candy, I share several cases of implant failure that have come through my office recently, explaining how dental labs are compromising the health of patients in the interest of price savings. I discuss why It's problematic to use non-authentic components in dental implants and chal...
2022-05-30
11 min
Dentist Brain Candy
S2EP13: Online Ratings & Hacks for Improving Your Memory
‘There is no such thing as a good memory or a bad memory. There's only a trained memory and an untrained memory.’ —Jim Kwik The brain acts like a muscle: If you don’t use it, you lose it. But the rote memorization most of us were taught is not the best way to learn and remember information for the long term. So, what can we do to unlimit our memories? And how does having a trained memory serve us as dental professionals? On this episode of Dentist Brian Candy, I...
2022-05-23
16 min
Dentist Brain Candy
S2EP12: How Music Plays a Part in Learning
On this episode of Dentist Brain Candy, we continue our discussion of the book, Limitless by Jim Kwik. Today I'm discussing Part IV: Limitless Methods. Chapter 11 of the book is devoted to the discussion of focus. We all have so many things competing for our attention; it can cause anxiety and, worse yet, loss of focus, leaving us scattered and in a place where we accomplish less. I walk you through Dr. Andrew Weil's method for breathing to recenter yourself. Then we'll look at your to-do list, and how you might use some anti-procrastination tools to complete...
2022-05-02
19 min
Dentist Brain Candy
S2EP11: Milestone Contributions to Jaw Surgery
On this episode of Dentist Brain Candy, I cover two thought-provoking articles from the October 2021 edition of the Journal of Oral and Maxillofacial Surgery. The first one, by Jeffrey C. Posnick, DMD, MD, discusses in depth the milestone contributions of notable surgeons and orthodontist pioneers in orthognathic surgery (OGS). This article discusses the history of innovative care solutions for treating jaw deformities and how they’ve led to new treatment options, including the impact of technology in dramatically reducing the barriers to treatment. I also discuss an article by Jordan S. Elmowitz, DMD et al. that shares the...
2022-04-25
11 min
Dentist Brain Candy
S2EP10: Cultivate ‘Limitless’ Brain Energy & Find Your Flow
To do our best work as oral surgeons, it's important to keep our brains functioning at an optimal level. But what actionable steps can we take to improve our brain health? On this episode of Dentist Brian Candy, I discuss chapters 8, 9 and 10 of Limitless: Upgrade Your Brain, Learn Anything Faster and Unlock Your Exceptional Life, sharing Jim Kwik's top ten strategies for energizing your brain. I explain what superfoods we need for optimal cognitive ability, how exercise enhances brain function and why it's crucial to get quality sleep. Listen in for insight on...
2022-04-18
13 min
Dentist Brain Candy
S2EP9: Complexities of Virtual Interviews and How to Set Achievable Goals
Since the beginning of the Covid-19 pandemic, we’ve seen society adapt to virtual settings for nearly everything. Of course, there will always be a debate on if virtual environments are better or worse for working, socializing, or even grocery shopping, but how does a virtual society interview medical students? Better yet, how can medical students truly vet the programs they’re applying for without seeing them in person? On this episode of Dentist Brain Candy, I discuss a few more interesting studies from the February 2022 edition of the Journal of Oral and Maxillofacial Surgery. First...
2022-04-11
18 min
Dentist Brain Candy
S2EP8: How to Upgrade Your “BS” Filter and Dismantle the Lies of Learning
Are you struggling with news overload Information about topics like COVID, politics, and war flood our feeds and inboxes, but not everything that is being communicated to us is the truth. That is why being able to think for ourselves is such a critical skill. So, how can we get better at detecting “BS”? On this episode of Dentist Brain Candy, I cover two thought-provoking articles from the February 2022 edition of the Journal of Oral and Maxillofacial Surgery. The first one by Jeffrey C. Posnick, DMD, MD looks at what is needed to separ...
2022-03-21
14 min
Dentist Brain Candy
S2EP7: Innovations in Dental Surgery and Combatting Limiting Beliefs
It’s been proven that both positive and negative thinking have effects on our mental, emotional, and physical health. It can be hard to be the cheerleaders in our own lives, but it’s true that positive emotions broaden our attention and thinking, seed human flourishing, and trigger upward spirals towards greater well-being. The book Limitless by Jim Kwik is all about “limiting beliefs” and how they might be holding us back from achieving our biggest dreams. On this episode of Dentist Brain Candy, I dive into the Limitless book and discuss the article R...
2022-03-14
16 min
Dentist Brain Candy
S2EP6: Treatment Options for ONJ, Complications in Mandible Fractures, and Are Weekend Dental Emergencies a Hazard?
On this episode of Dentist Brain Candy, I cover two articles from the Journal of Oral and Maxillofacial Surgery on the treatment of osteonecrosis of the jaw (ONJ). The first one delves into a new treatment option for medication-related osteonecrosis of the jaw while the second one explores the risk factors involved in recurrence and treatment outcomes. Plus, I also share what I’ve found to be helpful for patients who present with dizziness when taking Pentoxifylline. I also share a useful article from the Journal of Oral and Maxillofacial Surgery about inflammatory complications from the management of mandible fra...
2022-03-07
12 min
Dentist Brain Candy
S2EP5: Retire Anytime with Multifamily Real Estate—featuring Chris Salazar
I love my work as an oral and maxillofacial surgeon and have no plans to retire anytime soon. But there’s something freeing about having the option to go into work on Monday—or not. And that’s why I’m an advocate for building wealth with cashflowing real estate. So, what does it look like to invest in a multifamily deal? How do experienced operators like my friend Chris Salazar add value to a property and earn significant returns for investors? Chris is Founder and CEO of Archstone Capital Partners, and he’s back on Den...
2022-02-28
21 min
Dentist Brain Candy
S2EP4: RVU Reimbursement & MNA Surgery for Sleep Apnea
Maxillomandibular advancement (MMA) surgery is highly effective in curing moderate to severe obstructive sleep apnea (OSA). But how does that surgery impact a patient’s facial profile? Are we inadvertently beating people with an ugly stick in the name of better breathing? On this episode of Dentist Brain Candy, I cover two thought-provoking articles from recent editions of the Journal of Oral and Maxillofacial Surgery, sharing the findings from a study on the impact of MMA surgery for OSA on facial profile esthetics. I also discuss a paper identifying the trends in work relative value un...
2022-02-21
17 min
Dentist Brain Candy
S2EP3: Create Passive Income with Real Estate—featuring Chris Salazar
As dentists and oral surgeons, we’re dependent on our hands to make money. And if something prevents us from working, we lose that income—and the security that goes with it. That’s why I’m working with Chris Salazar to invest in real estate and create an additional income stream separate from my oral surgery practice. Chris is the Founder and CEO of Archstone Capital Partners, a vertically integrated real estate investment firm headquartered in Dallas. Chris and his team focus on value-add multifamily properties in the Midwest and Texas, and Archstone currently operates a portfoli...
2022-02-14
31 min
Dentist Brain Candy
S2EP2: Trigeminal Neuralgia & the World’s First Successful Face & Hand Transplant
In 2018, Joe DiMeo fell asleep at the wheel. In the resulting accident, he suffered third-degree burns over 80% of his body. He was left without eyelids, ears and fingertips. But in August of 2021, a team at NYU Langone Health performed a face and double hand transplant on Joe. Was the procedure successful? How has his life changed since the surgery? On this episode of Dentist Brain Candy, I share two journal articles that piqued my interest this week, beginning with the recent Journal of Oral and Maxillofacial Surgery feature on trigeminal neuralgia that describes the symptoms of this...
2022-02-07
23 min
Dentist Brain Candy
S2EP1: Cognitive Bias Hazards, Minimizing Frailty Preoperatively and Is Penicillin Allergy a Risk Factor for Infection?
With oral operations, negative outcomes are bound to arise from time to time. Though, when we take the time to continue to stay informed of possible hazards and complications, we can better avoid these possible outcomes. On this episode of Dentist Brain Candy, I share three interesting articles from the the Journal of Oral & Maxillofacial Surgery, including my experience and judgment regarding each topic. I explain what cognitive and negative bias is and how to avoid it, my experience with frailty and oral surgeries, and my personal insight on penicillin and allergy evaluations. ...
2022-01-31
25 min
Dentist Brain Candy
EP177: What Nerve Block Technique is Easiest to Learn, Jaw Fractures and Impacted Wisdom Teeth, BMP for Alveolar Cleft Grafting and more
This week we discuss some pretty interesting articles from the Journal of Oral & Maxillofacial Surgery the first one discussing the Akinosi nerve block technique versus the inferior alveolar nerve block technique for beginners to see whether there's an ease in learning and decrease complication rates for beginners. I didn't ask us the use of recombinant human bone morphogenetic protein for use in grafting of the Alveolar cleft. I then proceeded on to discuss where there's a correlation between an impacted mandibular third molar, the type of impaction and mandible fractures and then the type of mandible fractures and believe me...
2019-09-16
11 min
Dentist Brain Candy
EP176: Dental News - Win Back Lost Patients, Xerostomia Cured, Post Op Dental Implant Care System
This week in Dental news to abuse will start off by discussing how dental offices can win back lost patience as well we'll talk about a new retraction paste that's made out of a combination of 15% aluminum chloride and kaolin Clay will also discuss a new product available called Moisyn they can help patients with xerostomia or dry mouth. I will also talk about an implant post-operative care system and a handheld intraoral x-ray system and a new water line filter guaranteed to keep your water lines clean and bacteria free.
2019-09-09
15 min
Dentist Brain Candy
EP175: Weight Loss with Jaw Fractures, OSA with Mandibular Setback and More
This week we go over weight loss with jaw fractures and whether or not doing a closed reduction or an open reduction makes a difference in this weight loss. The average patient with a mandibular fracture loses approximately 5% of their body weight but if it made it to the ICU they lose up to 9% of their body weight. We also will discuss obstructive sleep apnea and whether there's an increased incidence of obstructive sleep apnea with a mandibular setback surgery using a vertical ramus osteotomy. We will also discuss the use of dental implants to facilitate jaw surgery in...
2019-08-30
13 min
Dentist Brain Candy
EP174: Nobel Biocare Does it Again
This week I discussed the latest release and new materials and implant and abutment surface from Nobel Biocare. This includes Xeal and TiUltra.
2019-08-02
06 min
Dentist Brain Candy
EP173: Dental News to Abuse Part 2
This week we are going to talk about enhancing your dental teams communication as well as using salivary diagnostics for your dental practice to assist in bacterial identification for Paragon it is as well as caries risk assessment and oral cancer screening. We'll also talk about how you can borrow Ritz-Carlton and their famous Empire for outstanding customer service to up your game in serving your patience.
2019-06-10
08 min
Dentist Brain Candy
EP172: Dental News to Abuse
This week in Dental news to Abuse I discuss changes with coding occlusal night guards and how to bill them and make sure you get reimbursed for these little critters. In addition, I discuss the ins and outs of emailing patient dental records and making sure you protect Patient Healthcare information or PHI. I also discuss six patient retention strategies and how to use social media to find your next hire.
2019-06-06
10 min
Dentist Brain Candy
EP171: Does Topical Work? Spontaneous Face and Airway Swelling- Be AFRAID!
This week I discussed two interesting articles the first one is a discussion about the use of topical benzocaine and that's 20% benzocaine gel in the maxilla and specific of the anterior maxilla to decrease pain of injection and entry of the needle and deposition of the fluid as well I discuss hereditary angioedema for oral surgery patients which is the spontaneous facial swelling data can occur because of this rare genetic disease.
2019-04-29
06 min
Dentist Brain Candy
EP170: Dental News to Abuse
This week I have some dental news for you including what the US Congress has been up to in regards to dental bills what the projected size of the dental implant Market is by 2028 a little chit chat about an electronic syringe called dental pain as well as a new line of products for dry mouth and xerostomia how to wrap things out 4 little tips on ways of finding hidden costs and stemming the tide increasing your profitability.
2019-04-26
11 min
Dentist Brain Candy
EP169: Spike Your Local, Plavix and Dental Implant
In this episode I discussed three interesting articles the first article discusses the quality of life of patients with jaw and facial deformities before and after jaw surgery and the notable unremarkable quality of life improvements from both a psychological and functional component. I also discuss whether antiplatelet drugs need to be stopped and whether the increase the risk of bleeding after dental implant surgery and a very good crossover study supporting the conclusions of this and I talked about spiking your local anesthetic with dexmedetomidone in an attempt to increase the onset of action the total length of...
2019-04-08
08 min
Dentist Brain Candy
EP168: Predictors of ICU Admission for Dental Infections, Treatment of MRONJ, IntraOperative Imaging
In this episode, I discuss the increasing use of the Intensive Care Unit for a. Digenic infections over the last decade in Australia. I also discuss the conservative treatment of medication-related osteonecrosis of the Jaws and the success rates and spontaneous resolution of this process that you can expect from this modality and this treatment course. I also discussed the use of a C-Arm intraoperatively vs CT scans for complex facial fractures.
2019-03-25
08 min
Dentist Brain Candy
EP167: Perio and Coronectomy and IV Ibuprofen vs IV Tylenol
In this episode, I start by discussing the periodontal stability on the distal of the mandibular second molar after a coronectomy on mandibular third molars. This is a three-year study and over the last several years the popularity of a coronectomy for high-risk third molar situations with close proximity to the inferior alveolar nerve begs the question as to success and possible risks. This study aims to discuss whether or not there is peridontal pocketing on the distal of the second molar when you leave the roots behind with the extraction of third molars. I also discuss the use...
2019-03-19
10 min
Dentist Brain Candy
EP166: Most Accurate Way of Placing Implants, Clone Abutments Suck (maybe), Medications to Avoid in Elderly
This week I discuss navigation vs lab guides vs free hand implant bbn placment accuracy, medications to consider avoiding in those 65 years old or more and whether clone abutments are the same as branded parts in a lab.
2019-02-18
12 min
Dentist Brain Candy
EP165: History of Jaw Surgery
This week I go through an article from the Journal of Oral & Maxillofacial Surgery written by Bryan Bell that discusses the history of jaw surgery. Orthognathic surgery has an interesting progression through time that any dentist or surgeon should know about and will find well summarized in this podcast.
2019-02-11
26 min
Dentist Brain Candy
EP164: COPD and Dentistry, Oral Surgery and Sedation Part 1
In this episode, I discussed an article titled office-based sedation and general anesthesia for COPD patients part 1. This is a good review of COPD it's pathophysiology its epidemiology and issues with IV sedation and general anesthesia with Dental patients.
2019-02-04
18 min
Dentist Brain Candy
EP163: Call Google Now, Vaping Hamper Healing? ABOMS Changes Coming, ACS Fellowship
This week I discuss the need for all of us to call Google at 1-844-491-9665 to get them to add the category of “dental implants” instead of the only option being “dental implants periodontist”. I also discuss how our National Association will help with an application for the American College of Surgeons fellowship and the requirements for that. I also discuss the changes in the American Board of Oral & Maxillofacial Surgery certification process and for maintenance of that board certification which is profound and significant. I also discuss the significant impact that vaping has on healing and the ratio...
2019-01-28
15 min
Dentist Brain Candy
EP162: 3rd molars Damage 2nd Molars and Lasers Decrease Paresthesia and Surgery First is good for the Brain
In this episode, I start with a discussion about low-level laser light therapy and helping nerve recovery after a bilateral sagittal split osteotomy. There is a significant risk of permanent numbness after jaw surgery particularly lower jaw surgery and this study looks at a novel therapy of low-level laser light therapy to see if recovery can be optimized for patients I also discuss the fact that the impacted third molars can damage and cause external root resorption of mandibular second molars and what those risk factors are. I also discuss the incidence of this occurring in the study. Finally...
2019-01-21
11 min
Dentist Brain Candy
EP161: Misdiagnosis of a Palatal Mass, OSA and Carotid Calcifications, dental implants in erosive lichen planus
In this episode, I discuss the misdiagnosis of a swelling on the roof of the mouth that turned out to be cancer. This was misdiagnosed twice and can have serious implications for patients. In addition, we talked about the incidental radiographic finding with a panorex showing calcifications in the Carotid artery and its association with obstructive sleep apnea heart attacks and strokes. We also discuss using dental implants to help a patient with severe erosive lichen planus. Lichen planus can be a painful mucosal condition making Dentures very difficult or impossible to wear. Dental implants offers the opportunity to...
2019-01-18
21 min
Dentist Brain Candy
EP160: Larva Infestation in Your Mouth, Preventing Perio Defects after 3rds
This week I discuss articles out of the Journal of Oral & Maxillofacial Surgery in December of 2018. We will discuss a pork larvae infestation of the oral mucosa in three separate patients including both the clinical presentation and management of these lesions. We shall discuss how to prevent periodontal defects distal to mandibular third molars after the extraction of wisdom teeth as well as how to predict the recurrence of regional disease after primary resection of oral squamous cell carcinoma. In addition to this, we shall also discuss the utility of viewing a third molar video particularly a third molar i...
2019-01-10
18 min
Dentist Brain Candy
EP159: Botox In Dentistry
This episode is a must-listen for every dentist and the team. Botox originally was used for noncosmetic purposes for 13 years and then transitioned into cosmetic uses for lines and wrinkles of the face particularly in the glabella frontalis and crow's-feet areas on the face to eliminate wrinkling and specifically Dynamic wrinkles. There are many other uses within dentistry in every dentist should be aware of these uses and ideally Implement an offer these services to your patients. The administration of Botox is well within the scope of practice and I think dentist, in general, are fantastic with giving shots...
2018-12-10
16 min
Dentist Brain Candy
EP158: All On 4 Validated!
In this episode, I discuss the all on four concepts and exactly what that means and review an article from the International Journal of Oral & Maxillofacial implants 2018 titled the biomechanical comparison of different implant inclinations and cantilever links in All-on-4 treatment concept by three-dimensional finite element analysis. I don't want you to worry, I do get into this article but I will promise not to bore you to death and make this too heavy but more clinical in nature.
2018-12-04
11 min
Dentist Brain Candy
EP157: Opioid Consumption After Jaw Surgery
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.
2018-11-14
07 min
Dentist Brain Candy
EP156: Fred Joyal Summary Notes
In this episode, I discuss the full-day presentation and the high points from Fred Joyal's book and presentation on becoming remarkable. He did a fantastic job and there's some great high points and I also go through and just give a breakdown of the different chapters that he has in his book. Everyone that came to the presentation received the free book as well. Our next continuing education event is February 8th 2019 when we will have OSHA HIPAA CPR renewal as well as a one-hour talk on Botox and fillers as well as the opportunity to receive Botox and f...
2018-11-07
11 min
Dentist Brain Candy
EP155: Day Of Oral Surgery
In this episode, I talk about my Friday that I had today. I think you'll find it interesting and hopefully stimulating. And maybe there are some pearls in there for you and your practice.
2018-10-29
06 min
Dentist Brain Candy
EP154: Fixed Restoration using Locator F-Tx System
There is now an alternative fixed restoration that is not a hybrid restoration. Zest International has developed an abutment and a system called the locator FTX system. In this episode we discuss using four or more implants in either the maxilla or mandible and specifically 13 cases that were studied for 3 years showing that this is a successful and reasonable treatment modality. Anybody treating patients with fixed full Arch Restorations needs to be aware of this treatment concept. Resources Fixed Attachment System Fixed-Hybrid Emergency Seating and Removal Tool Fixed Attachment...
2018-10-22
08 min
Dentist Brain Candy
EP153: Salvage that Fixed Hybrid
We've all had or soon to have a patient with a fixed restoration on four more implants and one of those key implant fails. In the past the only choice and option available was to toss out the final restoration and place a new implant and make a brand new fixed hybrid restoration. In this episode, I discussed a novel new treatment approach that is a salvage procedure so that the final restoration does not need to be remade. Resources Fixed Attachment System Fixed-Hybrid Emergency Seating and Removal Tool Fi...
2018-10-12
17 min
Dentist Brain Candy
EP152: Antibiotics Complications and can Central Lines get Infected from Dental Cleanings?
This week I, first of all, discussed survival skills in a jungle environment which is super interesting and fun. And then discuss whether or not we need to be concerned about our cancer patients that have central venous catheters or Central lines and whether or not a dental cleaning can lead to infection of these catheters within go into a discussion on oral mandibular dystonia both the recognition and treatment of that and we discuss a severe complication of prescribing a tetracycline antibiotic to a 14-year-old boy.
2018-10-08
15 min
Dentist Brain Candy
EP151: Dental News and Probiotics
In this episode I discuss SmileSIM which is a new dental simulation service for communicating complex treatment plans and before and after simulations with patients as well as a Prebiotic lozenge called smartmints and these things are protective Anne from Carrie and improve your oral health.
2018-10-01
05 min
Dentist Brain Candy
EP150: Dental News to Abuse
This week I discussed teledentistry in-depth as well as easy sales tools and tips for Implant case acceptance and how to respond to negative reviews online
2018-09-24
15 min
Dentist Brain Candy
EP149: Post Operative Instructions Matter and Drinking Water To Survive
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.
2018-09-17
12 min
Dentist Brain Candy
EP148: Solar Navigation and iVR for Surgical Training
This week I start the discussion off talking about solar navigation and three different ways that you can determine Direction based on the Sun. This expands app on last week's discussion of celestial navigation I didn't go into whether there's a link between kidney stones and salivary Stones we discussed virtual reality in surgical training and a group out of England that has created a virtual surgical training program we also discuss the use of intraoperative computed tomography or basically a CT scan in facial trauma surgery and whether or not an abnormal swallow pattern sometimes called an infantile s...
2018-09-10
15 min
Dentist Brain Candy
EP147: The Invincible Dental Practice
First of all I announce how you and your team can learn how to have an invincible dental practice which is vitally important in today's world of Rapid change including decrease reimbursements and competition from corporate Dentistry. Sign up for this CE event at the Davenport on eventbrite.com. I didn't go in and discuss some articles including how are Dental training assist us with surgical procedures and gives us an advantage and I discuss the three different periods of Imaging an advantage over the last 100 years in imaging in dentistry and oral surgery I round out this week's d...
2018-09-06
19 min
Dentist Brain Candy
EP146: Triggers of Oral Lichen Planus and Jaw Surgery Tips
This week we discuss the triggers for oral lichen planus and list out what those triggers are and whether trigger avoidance actually helps patients or not. Anybody that sees or treats patients with oral lichen planus will find huge benefits from this discussion and with knowing what these possible triggers are. In addition will discuss with her surgery first reduce his total treatment time in your class 3 skeletal profile patients and we will discuss whether incisions made using a surgical Blade versus an electrocautery unit heal any better when compared to each other. This episode is going to be...
2018-08-13
10 min
Dentist Brain Candy
EP145: Triggers of Oral Lichen Planus and Plate Removal after Jaw Surgery
In this episode I break down to interesting topics. The first is discussing triggers with oral lichen planus. Patience with biopsy proven oral lichen planus we're given a questionnaire in this Prospect of study to see what the triggers were and if avoidance of the triggers was helpful for these patients. A list of the typical and most common triggers is also given for your review. I also discuss the odds and likelihood and reasons for plate removal with jaw surgery. This discussion will help you have a better feel for when patients will have plates removed and if...
2018-08-06
07 min
Dentist Brain Candy
EP144: Update On Concussion Diagnosis and Management
In this episode I discuss different review papers on the topic of concussions. We discuss the diagnosis of a concussion, the management of a concussion, the return to life and return to sports requirements for concussive patients as well as medications and indications for different medications with the concussed patient.
2018-08-02
17 min
Dentist Brain Candy
EP143: Prism Glasses and Dental Implant History
This week we discuss a novel method to circumvent posture related musculoskeletal disorders in dentistry and oral surgery using prism glasses. We also discussed the history of dental implants over the last 100 years which is timely since this is the 100 year anniversary of the American Association of oral and Maxillofacial Surgeons as well the 75th anniversary of the Journal of Oral & Maxillofacial Surgery.
2018-07-26
10 min
Dentist Brain Candy
EP142: Predict Diplopia and Articaine Neurotoxicity
In this episode I discuss what the prognostic factors are for persistent diplopia after orbital blowout fractures. I also discuss an article that did a benchtop study on the neurotoxicity of articaine versus lidocaine and found that there was no difference in toxicity which would suggest that Articaine may be acceptable for inferior alveolar or mandibular nerve blocks
2018-07-24
04 min
Dentist Brain Candy
EP141: Opioid Use and Oral Surgeons
This week I discuss an interesting survey that was done by the American Association of oral and Maxillofacial Surgeons that is the second annual survey. Their survey asks questions about prescribing patterns and attitudes of oral surgeons. Over 300 people responded to the survey and the results are quite interesting.
2018-07-09
05 min
Dentist Brain Candy
EP140: Use Facebook Live to Promote Your Practice
This week I discussed Facebook live and successes other businesses have had with Facebook live and ways and tips and tricks on how you can implement this into your dental practice to increase patient engagement brand awareness in the bottom line generate more patients so you do not want to miss this one.
2018-07-02
10 min
Dentist Brain Candy
EP139: Google My Business Listing Best Practices
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.
2018-06-25
13 min
Dentist Brain Candy
EP138: Office Manager Tips
This week we talked about office managers and the goal of the office manager and some daily and weekly checklist for the office manager. If your office manager can complete these tasks and duties you will have one well-honed machine of a dental office.
2018-06-13
09 min
Dentist Brain Candy
EP137: JOMS Mediastinitis and Dual Degree OMS
This weekend discuss two articles from the most recent Journal of Oral & Maxillofacial Surgery and the first one is on the risk factors affecting the prognosis of descending necrotizing mediastinitis from a dental infection the second article that I discuss is a discussion about the development of the Dual degree program in oral maxillofacial surgery
2018-06-08
09 min
Dentist Brain Candy
EP136: A discussion of 3 relevant dental implant articles
In this episode, I go over last month's International Journal of Oral & Maxillofacial implants and discuss three articles that I thought were relevant. One article was on the effectiveness of platform switching to preserve bone levels. Another article was on whether or not bone levels and success rate of implants were affected by moderately controlled diabetics and the third article was on two different sized elevation techniques one using a trephine and one using an osteotome and bone grafting material to see if there was a difference in success rates and the amount of bone that was generated.
2018-06-01
08 min
Dentist Brain Candy
EP135: Dental News to Abuse
In Your Face Oral Surgery channel has gone live with vids that are sure to delight! This week I go over the first dental VR company, Google Adwords 101 tutorial among many other things that you do not want to miss!
2018-05-25
30 min
Dentist Brain Candy
EP134: Financial and Tax Planning with Patrick Jenkins P2
This is the second part of a 2-part episode where I have a very lively discussion with Patrick Jenkins from wealth advocates. Patrick Jenkins is a friend of mine and a fantastic financial planner with a wealth of knowledge and today he will eliminate the changes in the tax code as well as Financial investment options and a discussion on 529 plans and planning for your children's education. I know you will find this insightful educational and I would encourage you all to contact Patrick to enlist him for his services.
2018-05-14
11 min
Dentist Brain Candy
EP133: Financial and Tax Planning with Patrick Jenkins P1
This is the first part of a 2-part episode where I have a very lively discussion with Patrick Jenkins from wealth advocates. Patrick Jenkins is a friend of mine and a fantastic financial planner with a wealth of knowledge and today he will eliminate the changes in the tax code as well as Financial investment options and a discussion on 529 plans and planning for your children's education. I know you will find this insightful educational and I would encourage you all to contact Patrick to enlist him for his services
2018-05-11
22 min
Dentist Brain Candy
EP132: Text Message from your Practice Phone Number Increasing Efficiency
This week I talked to the founder of Clario I thought their new offering taking their product to the next level using text messages. This change is so revolutionary that it comes with the rebranding and name change to Kinect. Now with one sweet you can increase the number of reviews that you get for your practice as well as communicate with your patients decreasing no-shows and increasing appointments made even after hours
2018-04-30
19 min
Dentist Brain Candy
EP131: IN YOUR FACE YOUTUBE; 3rd Molars and Antibiotics, Tramadol for Local
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
2018-04-26
11 min
Dentist Brain Candy
EP130: MOTO CROSS VS MAXILLA
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.
2018-04-16
10 min
Dentist Brain Candy
EP129: Dental News to Abuse: Floss or Die, Your Website Sucks
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...
2018-04-12
17 min
Dentist Brain Candy
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 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.
2018-04-04
11 min
Dentist Brain Candy
EP127: Renew Your Lease, Compliance, Promote Your Tech, Bacteria Candy
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.
2018-03-29
11 min
Dentist Brain Candy
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.
2018-03-21
10 min
Dentist Brain Candy
EP125: Maxillofacial Infections
This week I discuss facial infections and antibiotics and the indications for hospital admission and antibiotic resistance.
2018-03-14
07 min
Dentist Brain Candy
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
2018-03-09
23 min
Dentist Brain Candy
EP123: Articaine vs Lidocaine for palatal anesthesia, VSP vs CSP, Orbital Mirroring for Reconstruction?
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.
2018-03-01
06 min
Dentist Brain Candy
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...
2018-02-21
07 min
Dentist Brain Candy
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.
2018-02-12
14 min
Dentist Brain Candy
EP120: Pleomorphic Adenoma in the Palate
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.
2018-02-07
10 min
Dentist Brain Candy
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 t...
2018-01-30
13 min
Dentist Brain Candy
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.
2018-01-22
11 min
Dentist Brain Candy
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 su...
2018-01-17
17 min
Dentist Brain Candy
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.
2018-01-10
10 min
Dentist Brain Candy
EP115: Dental News to Abuse
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.
2017-12-18
09 min
Dentist Brain Candy
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...
2017-12-12
11 min
Dentist Brain Candy
EP113: Prebiotics, Probiotic, Synbiotics and C Diff infections from Antibiotics
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!
2017-12-04
09 min
Dentist Brain Candy
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.
2017-11-27
15 min