*PODCAST EXCLUSIVE* - 9.19.24 - a theory I’m developing based upon my limited observations of educational systems, specifically in healthcare ie. Dentistry. Lmk what your thoughts are pls!

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- 9.18.24

Quick Review #229 - #dental #dentist #dentistry #dentalstudent #dentalschool #teeth #cavity #wisdomteeth #extraction #oralsurgery #oralsurgeon #anesthesia #IVS #sedation #IV #macsedation

Among the commonly ued IV sedation medications — propofol, fentanyl, ketamine, midazolam (versed), and dexmedetomidine (precedex) — adverse effects vary in frequency and severity.

1 - Propofol has a well-documented association with significant adverse effects, especially respiratory depression (up to 60.7% in some studies), hypotension, and in rare cases, propofol infusion syndrome (PRIS), a potentially fatal condition . These effects are dose-dependent and can escalate with prolonged use or in critically ill patients.

2 - Fentanyl, a potent opioid, also presents serious risks, including respiratory depression (which can occur in up to 30% of cases), bradycardia, and hypotension . However, compared to propofol, it is less likely to cause hypotension but has a high risk of hypoxemia when used for deep sedation .

3 - Ketamine, while generally safer regarding respiratory function, can induce emergence reactions (e.g., hallucinations) in 10-20% of cases and cause mild increases in blood pressure and heart rate .

4 - Midazolam (versed) is often used for anxiolysis and sedation but can cause respiratory depression in around 10-20% of patients when combined with other sedatives or opioids like fentanyl.

5 - Dexmedetomidine (precedex) is favored for its lower risk of respiratory depression but can still cause bradycardia and hypotension, with reported incidences up to 30-40% depending on the dosage and duration .

While all medications have significant adverse effects, propofol tends to show a higher incidence of serious complications like respiratory depression compared to others like dexmedetomidine or ketamine, especially in higher doses or prolonged use.

References:

1. TahoeDoc. (2022, August 18). What is Propofol? The “Michael Jackson drug” in anesthesia. HealthProAdvice. https://lnkd.in/egurfdji

2. Miner, J. R., et al. (2009). Procedural sedation with propofol and fentanyl. Academic Emergency Medicine.

3. Godambe, S. A., et al. (2003). Comparison of propofol/fentanyl vs. ketamine/midazolam for sedation. Pediatrics.

4. Jokelainen, J., et al. (2017). Sedation-related adverse events in ERCP. BMC Anesthesiology.

#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

- 9.17.24

Quick Review #228 - #surgery #surgeon #doctorgallagher #oralsurgery #oralsurgeon #omfs #dentist #dentistry #dental #gunningsplint #jaw #jawfracture

A Gunning splint is a type of prosthetic dental appliance used in maxillofacial surgery, primarily for managing fractures of the maxilla or mandible. It is named after the American dentist Dr. Thomas Brian Gunning, who pioneered this technique during the 19th century.

Uses in Facial Trauma Surgery:

1. Maxillary or Mandibular Fractures:

• Gunning splints are used in the treatment of fractures, especially when there is edentulism (partial or complete absence of teeth), as these patients lack the natural teeth that would otherwise provide a stable occlusion for fracture reduction.

• It can stabilize comminuted (highly fragmented) or displaced fractures of the jaws, especially when the patient cannot undergo open reduction and internal fixation (ORIF) due to medical reasons or when a non-invasive method is preferred.

2. Immobilization of Jaw Fractures:

• Gunning splints help immobilize fractured segments of the jaw, particularly in atrophic edentulous mandibles where bone density is low, making it hard to use standard fixation techniques like plates or screws.

3. Intermaxillary Fixation (IMF):

• The splint is often combined with intermaxillary fixation (IMF), where the upper and lower jaws are wired together to allow proper healing of fractures.

• This ensures that the fractured segments are aligned in a functional and stable position, promoting bone healing.

Design and Construction:

• A Gunning splint resembles a dental prosthesis or denture, but it is customized to fit over the patient’s gums. It may be fabricated with acrylic material and has spaces where elastic bands or wires can be attached to assist with the fixation.

• For edentulous patients, the splint functions as a temporary prosthesis that helps align the mandible or maxilla.

• It covers the alveolar ridges, providing stability to fractured bones by allowing the jaws to remain in a closed position while they heal.

References:

1. Sharma, B., Sharma, P., Samra, R. K. (2020). Construction of a gunning splint; Case report on the handling of mandibular fractures in edentulous patients. Indian Journal of Dental Sciences.

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. Saunders.

4. ChatGPT.2024

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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

👉 From the Insta Story Q&A sessions I do at the end of every month- stay tuned the last week of the month on my Instagram @doctorgallagher 🙌

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

- 9.14.24 from 8/2024

#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

*PODCAST EXCLUSIVE* - 9.14.24

Some outstanding, fun and insightful conversations I had with:

• CEO of USOSM - Rick Hall

• CEO of OMS360 - Trevor Maurer

• Vice President of Aspen Dental - Dr. Dez Brown

*PODCAST EXCLUSIVE* - 9.13.24 - day 3 of AAOMS meeting, recap of day 2, shoutouts