- 10.10.24

Quick Review #244 - #dental #dentist #dentistry #dentalstudent #dentalschool #teeth #cavity #wisdomteeth #extraction #oralsurgery #oralsurgeon #dentalimplant #dentalimplant #implants

In immediate dental implant placement following tooth extraction, both apical and coronal bone play crucial roles, but apical bone is typically considered more critical for initial stability.

Apical bone provides primary stability by engaging the implant in denser, untouched bone beyond the extraction socket. Coronal bone (at the crest of the alveolus) is essential for long-term success, particularly for soft tissue support and preventing marginal bone loss, but may not contribute as significantly to initial mechanical stability.

Regarding the specific measurements:

• Apical bone: It is generally recommended that there be at least 3-5 mm of apical bone beyond the extraction socket to ensure sufficient stability and primary fixation of the implant.

• Coronal bone: A minimum of 1.5-2 mm of buccal (facial) bone thickness is often advised to maintain proper soft tissue support and prevent bone resorption over time. Inadequate coronal bone may increase the risk of marginal bone loss or gingival recession.

Sources like Peterson’s Principles of Oral and Maxillofacial Surgery and implant literature emphasize the need for good primary stability through apical bone engagement while also recognizing the importance of coronal bone for long-term peri-implant tissue health.

References:

1. Bishara, M., & Kurtzman, G. M. (2017). Surgical and prosthetic considerations with immediate implant placement. Compendium of Continuing Education in Dentistry, 38(7). Retrieved from https://lnkd.in/easBdCrM

2. Miloro, M., Ghali, G. E., Larsen, P. E., & Waite, P. (Eds.). (2022). Peterson’s Principles of Oral and Maxillofacial Surgery (4th ed.). Springer

3. Kademani, D., & Tiwana, P. (2015). Atlas of Oral and Maxillofacial Surgery. W.B. Saunders Co.

4. ChatGPT. 2024.

#podcast #podcasts #dentalpodcast #dentalpodcasts #doctorgallagherpodcast #doctorgallagherspodcast #doctor #dentistry #oralsurgery #dental #viral #dentalschool #dentalstudent #omfs #surgeon #doctorlife #dentistlife #residency #oralsurgeon #dentist #doctorgallagher

Topics:

💀 Oral & Maxillofacial Surgery

📖 CBSE Exam Material

🔬Oral Pathology

🫀Anatomy

💉Anesthesia

🚑 ATLS (Advanced Trauma Life Support)

🔗 Links to my platforms: https://linktr.ee/doctorgallagher/

#questionoftheday for @studentsofdentistry on Instagram. #predentmentormap #dentistmap #dentistry #dentist #dentists #dentista #doctor #dental #pathology #oralpathology #teeth #dentalcare #oralhealth #tooth #viral #doctorgallagher #elitedentists #studentsofdentistry #dentalstudent #topdentalpractices #topprofessionals #dentistsofinsta #dentalclinic #surgery #oralsurgery #dentalimplants #orthodontics #cosmeticdentistry #dentalimplants #dentistsoflinkedin

👉 Do you have questions about applying to Oral & Maxillofacial Surgery residency or dental school? Keep an eye out for my next Q&A session on Instagram at the end of every month, for my live & personalized mentoring. I can answer every question for you there!

🌎 *** PreDent Mentor Map is now LIVE, at predentmentormap.org ! *** it’s a free resource for predental students to use for data on every dental school, and to connect with current dental students for personalized mentoring.

🏆 PARTNER WITH US & SPONSOR THE PreDent Mentor Map BY EMAILING ME AT: [email protected]

🙋🏼‍♂️ If you’re a club or organization and you’d like to discuss a partnership, event or conference, DM me on Instagram or LinkedIn- that is the best way to contact me directly

👨‍💻 Do you need website revision, marketing, branding, content creation, editing, and posting for your practice? Send me a DM or comment to notify me and we’ll set up a call with my marketing agency team

❤️ MOST importantly: THANK YOU for watching and being on my team- I do this for YOU. Mentoring is what got me here, and it is how I’ll help you achieve your dream goals as best I can. You are a MASSIVE part of this journey to me, more than you know

🤠 Sincerely, Brendan @doctorgallagher

🔗 Links to my platforms: https://linktr.ee/doctorgallagher/

#podcast #podcasts #dentalpodcast #dentalpodcasts #doctorgallagherpodcast #doctorgallagherspodcast #doctor #dentistry #oralsurgery #dental #viral #dentalschool #dentalstudent #omfs #surgeon #doctorlife #dentistlife #residency #oralsurgeon #dentist #doctorgallagher

- 10.9.24

Quick Review #243 - #surgery #surgeon #doctorgallagher #oralsurgery #oralsurgeon #omfs #dentist #dentistry #dental #TMJ

Arthrocentesis and arthroscopy are both minimally invasive surgical procedures used to treat temporomandibular joint (TMJ) disorders, but they differ in technique and application:

1. Arthrocentesis:

• Procedure: Involves the insertion of two needles into the TMJ space. One needle is used to inject a sterile solution (usually saline) to lavage or wash out the joint, while the other needle is used to remove the solution along with any inflammatory byproducts or debris.

• Indications: Typically used for patients with less severe TMJ dysfunction, particularly when there is joint pain, inflammation, or limited movement, often associated with disc displacement without reduction.

• Advantages: It is less invasive, usually performed under local anesthesia, with a quick recovery time. It is often effective for managing pain and improving mobility, especially in cases of acute or early-stage disorders.

• Limitations: It doesn’t allow for direct visualization of the joint structures, so it’s more of a therapeutic lavage than a diagnostic tool.

2. Arthroscopy:

• Procedure: Involves inserting a small camera (arthroscope) into the joint space through a small incision, which allows the surgeon to directly visualize the joint and perform more complex procedures if needed, such as removing adhesions, smoothing the joint surfaces, or repositioning the disc.

• Indications: Recommended for patients with more severe or persistent TMJ disorders, including chronic disc displacement, adhesions, or degenerative joint diseases. It’s both diagnostic and therapeutic since the surgeon can directly assess the joint’s condition and address specific issues.

• Advantages: Allows direct visualization of the joint structures and can be used for a broader range of interventions beyond lavage.

• Limitations: It is slightly more invasive than arthrocentesis, usually performed under general anesthesia, and may have a longer recovery time.

References:

1. ScienceDirect. (2007). Temporomandibular joint arthrocentesis. International Journal of Oral and Maxillofacial Surgery.

2. Fernández Sanromán, J., Gómez, G., Pascual, A., & Hernández, G. (2013). Arthroscopic surgery for temporomandibular joint disorders: an update. Medicina Oral, Patología Oral y Cirugía Bucal, 18(1), e52-e58.

3. Guarda-Nardini, L., Manfredini, D., Ferronato, G., & Favero, L. (2012). Arthrocentesis versus arthroscopy: A comparison of two techniques for treating temporomandibular joint dysfunction. Journal of Oral and Maxillofacial Surgery, 70(4), 761-766.

4. Dimitroulis, G. (2018). Temporomandibular joint arthroscopy versus arthrocentesis: Indications and evidence. Journal of Oral and Maxillofacial Surgery, 76(9), 1839-1843.

5. ChatGPT. 2024.

#podcast #podcasts #dentalpodcast #dentalpodcasts #doctorgallagherpodcast #doctorgallagherspodcast #doctor #dentistry #oralsurgery #dental #viral #dentalschool #dentalstudent #omfs #surgeon #doctorlife #dentistlife #residency #oralsurgeon #dentist #doctorgallagher

Topics:

🦷 General Dentistry INBDE Boards Question Concepts

🔬Oral Pathology

🫀Anatomy

🧾Dental Insurance

🔗 Links to my platforms: https://linktr.ee/doctorgallagher/

#podcast #podcasts #dentalpodcast #dentalpodcasts #doctorgallagherpodcast #doctorgallagherspodcast #doctor #dentistry #oralsurgery #dental #viral #dentalschool #dentalstudent #omfs #surgeon #doctorlife #dentistlife #residency #oralsurgeon #dentist #doctorgallagher

👉 Do you have questions about applying to Oral & Maxillofacial Surgery residency or dental school? Keep an eye out for my next Q&A session on Instagram at the end of every month, for my live & personalized mentoring. I can answer every question for you there!

🌎 *** PreDent Mentor Map is now LIVE, at predentmentormap.org ! *** it’s a free resource for predental students to use for data on every dental school, and to connect with current dental students for personalized mentoring.

🏆 PARTNER WITH US & SPONSOR THE PreDent Mentor Map BY EMAILING ME AT: [email protected]

🙋🏼‍♂️ If you’re a club or organization and you’d like to discuss a partnership, event or conference, DM me on Instagram or LinkedIn- that is the best way to contact me directly

👨‍💻 Do you need website revision, marketing, branding, content creation, editing, and posting for your practice? Send me a DM or comment to notify me and we’ll set up a call with my marketing agency team

❤️ MOST importantly: THANK YOU for watching and being on my team- I do this for YOU. Mentoring is what got me here, and it is how I’ll help you achieve your dream goals as best I can. You are a MASSIVE part of this journey to me, more than you know

🤠 Sincerely, Brendan @doctorgallagher

🔗 Links to my platforms: https://linktr.ee/doctorgallagher/

#podcast #podcasts #dentalpodcast #dentalpodcasts #doctorgallagherpodcast #doctorgallagherspodcast #doctor #dentistry #oralsurgery #dental #viral #dentalschool #dentalstudent #omfs #surgeon #doctorlife #dentistlife #residency #oralsurgeon #dentist #doctorgallagher

- 10.8.24

Quick Review #242 - #dental #dentist #dentistry #dentalstudent #dentalschool #teeth #cavity #wisdomteeth #extraction #oralsurgery #oralsurgeon

1. Envelope Flap:

• Design: A straight horizontal incision along the gingival margin without vertical releasing incisions.

• Use: Widely used for simple extractions, implant placements, and small cyst removal.

• Advantages: Minimal disruption to blood supply and easier to close with fewer sutures.

• Disadvantages: Limited access, especially for posterior or deeper structures.

2. Triangular Flap (Three-cornered Flap):

• Design: A horizontal incision along the gingiva with one vertical releasing incision.

• Use: Common for impacted third molar surgery or apicoectomy.

• Advantages: Provides wider access than the envelope flap while preserving good blood supply.

• Disadvantages: Slightly more difficult to close and can cause more postoperative swelling.

3. Trapezoidal Flap (Four-cornered Flap):

• Design: A horizontal incision with two vertical releasing incisions.

• Use: Often used for more complex surgical procedures requiring wide exposure, such as bony impaction surgery or jaw cyst removal.

• Advantages: Provides excellent access to surgical sites.

• Disadvantages: Greater tissue dissection, which can result in increased swelling and postoperative discomfort.

4. Semilunar Flap:

• Design: A curved incision made in the mucosa above the surgical site without involving the gingival margin.

• Use: Often used for apicoectomy or accessing periapical lesions without disturbing the attached gingiva.

• Advantages: Minimal disruption to gingival tissue, making it ideal for esthetic areas.

• Disadvantages: Limited access, especially for larger surgical sites.

5. Y-shaped Flap:

• Design: An incision shaped like a “Y,” often used in the palate or areas where a circular lesion or access is needed.

• Use: Typically employed for palatal surgery or excision of large lesions like torus palatinus.

• Advantages: Provides good access to midline palatal areas.

• Disadvantages: More complex to close and can result in increased postoperative discomfort

References:

1. whizdental. (2024, June 24). Different Flap Designs [Image]. Instagram.

2. Hupp, J. R., Ellis, E., & Tucker, M. R. (2014). Contemporary Oral and Maxillofacial Surgery (6th ed.). Elsevier.

3. Miloro, M., Ghali, G. E., Larsen, P. E., & Waite, P. (Eds.). (2022). Peterson’s Principles of Oral and Maxillofacial Surgery (4th ed.). Springer.

4. ChatGPT. 2024.

#podcast #podcasts #dentalpodcast #dentalpodcasts #doctorgallagherpodcast #doctorgallagherspodcast #doctor #dentistry #oralsurgery #dental #viral #dentalschool #dentalstudent #omfs #surgeon #doctorlife #dentistlife #residency #oralsurgeon #dentist #doctorgallagher

Topics:

💀 Oral & Maxillofacial Surgery

📖 CBSE Exam Material

🔬Oral Pathology

🫀Anatomy

💉Anesthesia

🚑 ATLS (Advanced Trauma Life Support)

🔗 Links to my platforms: https://linktr.ee/doctorgallagher/

#podcast #podcasts #dentalpodcast #dentalpodcasts #doctorgallagherpodcast #doctorgallagherspodcast #doctor #dentistry #oralsurgery #dental #viral #dentalschool #dentalstudent #omfs #surgeon #doctorlife #dentistlife #residency #oralsurgeon #dentist #doctorgallagher

TikTok LIVE #34

Full Podcast Title: “Oral Surgeon Salaries, Avoiding Burnout in Dentistry, Relationships in Dental School & Residency, Dentistry > Medicine”

Top 3 Viewers on this Episode on TikTok LIVE #34 Q&A:

1st - Aaron @aaaminoo

2nd - Future_Dr_Dani @future_dr_dani

3rd – el3rofi @el3rofi

1. Questions Asked:

(00:00) How much do oral surgeons make?

(03:15) What did you get your four-year degree in?

(04:15) How can I decide if I want to do general dentistry or OMFS?

(04:45) Do schools look down on community college prerequisites?

(05:30) Tips for not getting burnt out in grad school?

(07:45) Do you think becoming an OS is worth it or stay a dentist?

(09:20) Do schools look down on community college prerequisites (repeated)?

(11:00) How to decide between general dentistry and OMFS?

(11:23) When would you recommend starting studying for the CBSE?

(15:17) How to maintain a relationship in OMFS residency?

(16:45) How did you decide between dentistry and medicine?

(18:30) Is it true that OMFS residency causes a lot of divorces?

(19:45) How to project revenue as an oral surgeon?

(22:20) How do you feel about general dentists using CBCT technology?

(24:15) Can a wisdom tooth be used to make a bridge?

(27:02) What's your average daily production?

(30:20) Do OMFS residency positions go unmatched and how can those get filled?

(33:30) Tips for maintaining romantic relationships in dental school or residency?

(36:50) What are the pros and cons of OMFS residency?

(40:35) How do you maintain a work-life balance in OMFS?

(41:45) Should I focus on paying off loans early or invest in a practice?

(47:30) How to manage stress or burnout in dental school?

(52:12) Have you ever farted during surgery?

2. Topics & Stories:

(00:00) Introduction and Personal Insights (including references to Swedish House Mafia)

(00:52) Understanding Dental Salaries and Contracts (base salary vs. percentage of collections)

(02:52) Choosing Between General Dentistry and Specialization (shadowing and observing to make decisions)

(05:52) Managing Burnout in Graduate School (balancing work with personal life)

(07:45) Navigating Dental School Challenges (grades, shadowing, and personal experience)

(09:50) Personal Experience with CBSE Preparation (study timeline, scores)

(15:17) The Importance of Relationships in Residency (balancing residency with relationships)

(16:45) Career Choices: Dentistry vs. Medicine (why dentistry was chosen)

(30:12) Funny Story About Beer Chugging Contest on a Cruise (competitive personality and humor)

(34:00) Reflecting on Student Loan Repayments vs. Investing in a Practice (debating where to put early earnings)

(40:35) Balancing Work-Life in OMFS Residency (work-life balance, future practice plans)

(45:50) Perspectives on Learning from Smart People (influence of Elon Musk and self-education through podcasts)

3. Quotes & Wisdom:

(06:45) "Make sure you're doing what you're happy doing. If you're not happy, reevaluate."

(08:10) "Don't let grades get you down. Dentistry is a lot more than grades."

(15:45) "Your significant other should be a rock, not paper or scissors."

(16:30) "Relationships are a collaboration. They help you, and you help them."

(19:45) "Money will follow good work. Focus on treating patients right."

(40:35) "It's not about making as much money as possible—it's about building a reputation."

(45:50) "Learn from the smartest people in the world; it's all free online—why wouldn't you?"

(47:30) "Burnout happens, but you need to find joy in what you're doing, whether it's running or a podcast."

Now available on:

- Dr. Gallagher’s Podcast & YouTube Channel

- TikTok LIVE #34

Watch worn in this episode = Citizen Black Chrono H500-S078199

10.2024

#podcast #podcasts #dentalpodcast #dentalpodcasts #doctorgallagherpodcast #doctorgallagherspodcast #doctor #dentistry #oralsurgery #dental #viral #dentalschool #dentalstudent #omfs #surgeon #doctorlife #dentistlife #residency #oralsurgeon #dentist #doctorgallagher

🎙️ From Dose of Dental Podcast #106

👉 Full episode on Dr. Gallagher’s Podcast on Spotify, Apple Podcasts and YouTube Channel

🔗 Links to my platforms: https://linktr.ee/doctorgallagher/

#podcast #podcasts #dentalpodcast #dentalpodcasts #doctorgallagherpodcast #doctorgallagherspodcast #doctor #dentistry #oralsurgery #dental #viral #dentalschool #dentalstudent #omfs #surgeon #doctorlife #dentistlife #residency #oralsurgeon #dentist #doctorgallagher