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 units (or RVUs) among oral and maxillofacial surgeons participating in Medicare from 2013 to 2017.

Listen in to understand why I find the RVU system so frustrating and learn why the free market is a far better way of determining reimbursement rates for a given dental procedure.

How the physician fee schedule based on relative value units or RVUs came to be

Why I find the RVU system incredibly frustrating and offensive

Why so few maxillofacial surgeons participate in the Medicare system

How a recent study uncovered an increase in productivity of OMSs and a decrease in the number of Medicare patients served by OMSs in the period from 2013 to 2017

Why the free market is a far better way of determining reimbursement rates for a given dental procedure than the RVU system

The high success rate of maxillomandibular advancement (MMA) surgery in curing obstructive sleep apnea (OSA)

How a recent study found that MMA surgery for OSA does not have a negative impact on facial profile esthetics

Why I'm an advocate of building wealth through cashflowing real estate

How I earn cashflow from owning a portion of the building my practice occupies

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About Dr. Bryan McLelland

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Email [email protected]

Call (509) 922-2273

Liberty Oral Surgery February Event

Nobel Biocare

'Trends in Work Relative Value Unit Production in Oral and Maxillofacial Surgery' in the Journal of Oral and Maxillofacial Surgery

Omnibus Budget Reconciliation Act of 1989

American Medical Association RVS Update Committee

'Evaluation of Facial Profile Esthetics After Maxillomandibular Advancement Surgery for the Treatment of Obstructive Sleep Apnea' in the Journal of Oral and Maxillofacial Surgery

Chris Salazar on DBC S2EP3

Arsenal Capital

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 portfolio of 500 doors.

On this episode of Dentist Brain Candy, Chris joins me to discuss the advantages of investing in multifamily over single family properties and describe how his value-add deals make a positive impact on the community.

Chris walks us through the tax benefits of investing in multifamily and explains why he likes deals in a tertiary market like the Quad Cities.

Listen in to understand how Chris' conservative underwriting protects investors and learn how real estate can help dentists and oral surgeons achieve our financial goals!

What Chris likes about investing in the Quad Cities market

The advantages of investing in multifamily over single family homes

Chris' goal to build a 1,000-door portfolio in 2022

How returns differ in primary vs. secondary or tertiary markets

How real estate can help a dentist or oral surgeon achieve their financial goals

The tax benefits of investing in multifamily real estate

How Chris' value-add deals make a positive impact on the community

What investors should ask about the sponsor, the market and the deal itself

Why Chris' buy-improve-hold approach generates healthy returns

How Chris' conservative underwriting protects investors

Archstone Capital Partners

Arsenal Capital Partners

Email: [email protected]

Dentist Brain Candy

Dentist Brain Candy Podcast

Dentist Brain Candy App

Dentist Brain Candy Continuing Education

About Dr. Bryan McLelland

Dr. Jawbreaker on YouTube

Email [email protected]

Limitless: Upgrade Your Brain, Learn Anything Faster and Unlock Your Exceptional Life by Jim Kwik

Liberty Oral Surgery February Event

Archstone Before Photos

Archstone After Photos

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 long-term facial pain disorder as well as its treatment options.

I go on to discuss the world's first successful face and double hand transplant surgery, explaining what's involved in the patient selection process, why 22-year-old Joe DiMeo was a good candidate for the procedure and how he's doing now.

Listen in for insight into what was involved in the 23-hour face and hand transplant and learn about Dr. Eduardo Rodriguez, the pioneering oral and maxillofacial surgeon who led the surgical team.

The symptoms of long-lasting facial pain disorder trigeminal neuralgia

What causes trigeminal neuralgia and how it's triggered

The surgical and non-surgical treatment options for trigeminal neuralgia

How Dr. Eduardo Rodriguez led the world's first successful face and double hand transplant

The team of 140 healthcare professionals who conducted the 23-hour surgery

What made Joe DiMeo a good candidate for the procedure and how he's doing now

A brief history of human face transplants

The patient selection process for face transplant surgery

Connect with Dr. Bryan McLelland

Dentist Brain Candy

Dentist Brain Candy Podcast

Dentist Brain Candy App

Dentist Brain Candy Continuing Education

About Dr. Bryan McLelland

Dr. Jawbreaker on YouTube

Email [email protected]

Liberty Oral Surgery February Event

Email [email protected]

Nobel Biocare

Ken Parish at Nobel Biocare

Ian McNickle of WEO Media

Jet Virtual Consults

'Trigeminal Neuralgia' in the Journal of Oral and Maxillofacial Surgery

NYU's Press Release on the World's First Successful Face and Double Hand Transplant

Photos of Joe DiMeo

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.

Listen in for insight on cognitive bias hazards after operative complications, how to minimize frailty preoperatively through prehabilitation and whether or not penicillin allergy is a risk factor for surgical site infection.

What cognitive and negative cognitive bias is

Positive responses that a surgeon can take regarding a cognitive bias hazard

Cognitive bias tendencies that can occur

Complications to avoid after a complication or an adverse event

Minimizing frailty preoperatively through prehabilitation and improving surgical outcomes

Dr. Bryan's oral surgery experience with a frail 90 year old patient

Important things to take into account when dealing with a frail patient

A study on penicillin allergy and if it is a risk factor for surgical site infection after oral and maxillofacial surgery

Dr. Bryan's insight on penicillin allergy and allergy evaluations

Sneak peek of upcoming episode with Chris Salazar, all about using real estate to create other sources of income outside of dentistry and oral surgery

Dentist Brain Candy

Dentist Brain Candy Podcast

Dentist Brain Candy App

Dentist Brain Candy Continuing Education

Dr. Bryan McLelland

Dr. Jaw Breaker on Youtube

Email [email protected]

Journal of Oral and Maxillofacial Surgery

Cognitive Bias Hazards After an Operative Complication

Minimizing Frailty Preoperatively Through Prehabilitation: Improving Surgical Outcomes

Is Penicillin Allergy a Risk Factor for Surgical Site Infection After Oral and Maxillofacial Surgery?

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 when I tell you there is. You're going to have to listen to this episode to find out what that correlation is.

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.

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 a complex restorative case in an edentulous maxilla.

This week I discussed the latest release and new materials and implant and abutment surface from Nobel Biocare. This includes Xeal and TiUltra.

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.

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.