Full Podcast Title: “When To Refer To A Specialist? Oral Surgery in Hospitals, MD or Not For OMFS, When To Start Looking For A Job”

Top 3 Viewers on this Episode on TikTok LIVE Q&A #28:

1st - @yousef

2nd - @ampd up shawty

3rd – @layth.dmd

Podcast Link:

YouTube Link:

https://youtu.be/IF2JDvNo7bM

1. Questions Asked:

00:28 - Vadim asked, "How long do you have left in the hospital?"

05:25 - Yusef asked, "Why didn't you take the MD degree?"

15:28 - Johnny asked, "Do you respect the work ENT does with jaw fractures?"

21:12 - Yusef asked, "Why are OMF specialists not in all hospitals?"

32:14 - Johnny asked, "Any tips for managing patients with lingual nerve anesthesia after third molar extraction?"

44:10 - Lathe DMD asked, "Favorite medical school show?"

55:33 - Anta-pshori asked, "When did you start looking for a job? How did you find the job market?"

2. Topics & Stories:

00:00 - Introduction and Remaining Time in Residency

01:34 - Complications and Considerations in Wisdom Tooth Extraction

04:21 - Challenges in the Dental Profession

08:32 - Finding the Right Job After Residency

12:51 - The Importance of Collaboration in Dentistry

16:40 - The Differences Between Oral Surgery and General Dentistry

21:12 - OMF Specialists in Hospitals

27:56 - Transitioning from Undergrad to Dental School

32:14 - Managing Lingual Nerve Anesthesia After Third Molar Extraction

44:10 - Favorite Medical School Show and Avoiding Medical Dramas

48:50 - Signing a Contract and Working in Private Practice

55:33 - Starting to Look for a Job After Residency

1:09:02 - Advice on Choosing a Career Path in Dentistry

1:15:48 - Transitioning Goals and Professional Expectations

3. Quotes & Wisdom:

"You can't do it for the money. Obviously, you want to make a living, and healthcare is changing a lot... Money doesn't go as far as it did in the 90s." (06:45)

"We need to come together as a profession and start making a difference and change things for the better of this career path because this is not the career path I started." (10:45)

"It's always about thinking a couple of years ahead and setting yourself up for success down the road." (23:10)

"You need to set your own goals for yourself and you need to be realistic with those goals that you're being set." (1:21:52)

"Don't let other people set goals for you." (1:22:10)

"You have to understand that job... because that job, when you get there, that's the thing that's gonna potentially be 30 give or take years." (56:05)

"Enjoy your time now. I would enjoy the summer." (1:26:25)

Now available on:

- Dr. Gallagher’s Podcast & YouTube Channel

- TikTok LIVE #28

Watch worn in this episode = Jack Mason Hydrotimer

8.19.24

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

8.19.24

Quick Review #208 - #pathology #oralpathology #doctorgallagher #oralsurgery #oralsurgeon #dentist #dentistry #dental #TMJ #condyle

1. Synovial Chondromatosis: A benign condition involving the formation of cartilaginous nodules within the synovial membrane, which can become loose bodies in the joint space. Clinically, it presents with progressive joint pain, swelling, crepitus, and sometimes mechanical blockage of movement.

2. Osteochondroma: A benign tumor arising from bone and cartilage, commonly affecting the mandibular condyle. It may cause painless swelling, altered occlusion, joint deformity, and occasionally pain or dysfunction.

3. Osteoma: A benign, slow-growing bone tumor that is often asymptomatic unless it reaches a size that interferes with joint function, potentially leading to painless, hard swelling, limited movement, and facial asymmetry.

4. Aneurysmal Bone Cyst (ABC): A benign, expansile cystic lesion filled with blood, typically seen in younger individuals. It can cause rapid expansion, pain, swelling, and sometimes facial deformity.

5. Giant Cell Tumor: Typically benign but locally aggressive, this tumor involves multinucleated giant cells and stromal cells. It can cause significant bone destruction, leading to pain, swelling, and potential pathological fractures.

6. Chondrosarcoma: A malignant tumor of cartilaginous origin that invades the TMJ, often presenting as a slow-growing but destructive mass, with progressive pain, swelling, facial deformity, and difficulty in joint movement.

7. Osteosarcoma: A highly malignant bone tumor that can involve the TMJ or mandibular condyle, characterized by the production of osteoid by malignant cells. It presents as a rapidly enlarging mass with pain, swelling, and potential metastasis, often carrying a poor prognosis if not treated early.

8. Synovial Sarcoma: A rare, aggressive soft tissue sarcoma originating from the synovial membrane, which can invade local structures. It presents with pain, swelling, and potential joint dysfunction, often requiring aggressive surgical management.

9. Chondroma: A benign tumor composed of mature cartilage, rare in the TMJ but similar to other benign cartilaginous tumors. It typically causes painless swelling and may interfere with joint function if large.

10. Epidermoid and Dermoid Cysts: These uncommon cysts in the TMJ region are lined with epithelial cells and can cause slowly enlarging, painless masses, potentially affecting TMJ function depending on their size and location.

References:

1. Kamble, V., Rawat, J., Kulkarni, A., Pajnigara, N., & Dhok, A. (2016). Osteochondroma of bilateral mandibular condyle with review of literature. Journal of Clinical and Diagnostic Research, 10(8), TD01-TD02.

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

3. 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)

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

8.18.24

Quick Review #207 - #pathology #oralpathology #doctorgallagher #oralsurgery #oralsurgeon #dentist #dentistry #dental #oraldiseases #oralmanifestions #systemicdiseases

Systemic diseases can manifest in the oral cavity in various ways, often serving as an early indicator of underlying systemic issues.

Common Oral Manifestations:

1. Mucosal Changes:

• Ulcerations: Systemic diseases like Crohn’s disease, Behçet’s syndrome, and lupus erythematosus can cause recurrent oral ulcers, which are often painful and may resemble aphthous ulcers.

• Pigmentation: Addison’s disease and Peutz-Jeghers syndrome can lead to hyperpigmentation of the oral mucosa, presenting as brown to black macules, particularly on the gingiva and buccal mucosa.

2. Gingival and Periodontal Disease:

• Gingival Enlargement: Conditions such as leukemia can cause significant gingival enlargement due to infiltration of malignant cells or secondary infections.

• Periodontitis: Systemic diseases like diabetes mellitus significantly increase the risk of periodontal disease, characterized by bone loss, tooth mobility, and eventually tooth loss.

3. Salivary Gland Disorders:

•Xerostomia (Dry Mouth): Commonly associated with Sjögren’s syndrome and certain medications, xerostomia can lead to difficulties in swallowing, speaking, and increased susceptibility to dental caries and oral infections.

4. Oral Lesions:

• Candidiasis: Immunosuppressive conditions such as HIV/AIDS often present with oral candidiasis, manifesting as white plaques that can be wiped away to reveal a red, raw surface.

• Hairy Leukoplakia: Another manifestation commonly seen in immunocompromised patients, particularly those with HIV/AIDS, presenting as white, corrugated plaques on the lateral borders of the tongue.

5. Neoplastic Lesions:

• Kaposi Sarcoma: This is a vascular neoplasm commonly associated with HIV/AIDS, presenting as red to purple macules or nodules on the oral mucosa, particularly the palate and gingiva.

6. Dental and Skeletal Changes:

• Osteoporosis: Systemic conditions affecting bone metabolism, like osteoporosis, can result in increased susceptibility to fractures of the jawbone and may be detected through radiographic examination showing decreased bone density.

• Dental Anomalies: Systemic diseases during tooth development, such as congenital syphilis, can lead to dental anomalies like Hutchinson’s incisors or mulberry molars.

7. Oral Malignancies:

• Lymphoma and Leukemia: These hematologic malignancies can present as diffuse, non-tender, and often rapidly expanding gingival masses or ulcerations.

References:

1. Alagappan, R. (2009). Oral manifestations in systemic disorders (2nd ed.). In Medicine for dental students (Chapter 5). Jaypee Brothers Medical Publishers.

2. Neville, B. W., Damm, D. D., Allen, C. M., & Chi, A. C. (2015). Oral and Maxillofacial Pathology (4th ed.). Saunders.

3. ChatGPT.2024

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

8.17.24

Quick Review #206 - #pathology #oralpathology #doctorgallagher #oralsurgery #oralsurgeon #dentist #dentistry #dental #tumor #oralcancer #salivagland #salivaryglandtumor

7. Canalicular Adenoma

• Incidence: Approximately 4-5%

• Description: Benign, commonly found in the upper lip and minor salivary glands, particularly in older adults.

6. Warthin Tumor (Papillary Cystadenoma Lymphomatosum)

• Incidence: Approximately 5-7%

• Description: Benign, mostly in the parotid but can occur in oral minor salivary glands; associated with smoking.

5. Adenoid Cystic Carcinoma (ACC)

• Incidence: Approximately 8-10%

• Description: Malignant, known for perineural invasion, often found in minor salivary glands of the oral cavity.

4. Basal Cell Adenoma

• Incidence: Approximately 10%

• Description: Benign, found in minor salivary glands; slow-growing.

3. Mucoepidermoid Carcinoma

• Incidence: Approximately 15-20%

• Description: The most common malignant salivary gland tumor, with a wide range of biological behavior.

2. Polymorphous Adenocarcinoma (PAC)

• Incidence: Approximately 20%

• Description: Malignant, arises almost exclusively in minor salivary glands; indolent course.

1. Pleomorphic Adenoma

• Incidence: Approximately 40-50%

• Description: The most common benign tumor of the salivary glands, found in both major and minor salivary glands, with potential for malignant transformation.

References:

1. Eisele, D. (n.d.). Salivary gland cancer. Johns Hopkins Medicine. Retrieved August 14, 2024, from https://lnkd.in/d4SCw_un

2. Neville, B. W., Damm, D. D., Allen, C. M., & Chi, A. C. (2015). Oral and Maxillofacial Pathology (4th ed.). Saunders.

3. ChatGPT.2024.

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

8.16.24

Quick Review #205 - #pathology #oralpathology #doctorgallagher #oralsurgery #oralsurgeon #dentist #dentistry #dental #oralcancer

1. Epithelial Pathology

• Benign Epithelial Lesions

- Examples: Papilloma, verruca vulgaris, and keratoacanthoma.

• Premalignant and Malignant Epithelial Lesions

- Examples: Leukoplakia, erythroplakia, and squamous cell carcinoma.

2. Soft Tissue Tumors

• Benign Soft Tissue Tumors

- Includes fibrous tissue, nerve, muscle, and adipose tissue tumors.

- Examples: Fibroma, lipoma, and neurofibroma.

• Malignant Soft Tissue Tumors

- Examples: Rhabdomyosarcoma, malignant peripheral nerve sheath tumor.

3. Odontogenic Cysts and Tumors

• Odontogenic Cysts

- Examples: Dentigerous cyst, odontogenic keratocyst (OKC), and radicular cyst.

• Odontogenic Tumors

- Benign Odontogenic Tumors: Examples: Ameloblastoma, adenomatoid odontogenic tumor (AOT), odontoma.

- Malignant Odontogenic Tumors: Examples: Ameloblastic carcinoma, primary intraosseous carcinoma.

4. Bone Pathology

• Benign Fibro-Osseous Lesions

- Examples: Fibrous dysplasia, cemento-osseous dysplasia, and ossifying fibroma.

• Bone and Cartilage Tumors

- Benign Bone Lesions: Examples: Osteoma, chondroma.

- Malignant Bone Lesions: Examples: Osteosarcoma, chondrosarcoma.

- Other Bone Lesions: Examples: Central giant cell granuloma, aneurysmal bone cyst.

5. Cysts of the Oral and Maxillofacial Regions

• Developmental Cysts

- Examples: Nasopalatine duct cyst, thyroglossal duct cyst, dermoid cyst.

• Inflammatory Cysts

- Examples: Periapical cyst, residual cyst.

6. Salivary Gland Pathology

• Benign Salivary Gland Tumors

- Examples: Pleomorphic adenoma, Warthin tumor.

• Malignant Salivary Gland Tumors

- Examples: Mucoepidermoid carcinoma, adenoid cystic carcinoma.

• Non-neoplastic Salivary Gland Diseases

- Examples: Sialadenitis, sialolithiasis, Sjögren syndrome.

7. Hematologic Disorders

• Benign Hematologic Disorders

- Examples: Anemia, neutropenia.

• Malignant Hematologic Disorders

- Examples: Leukemia, lymphoma.

8. Infectious Diseases

• Bacterial Infections

- Examples: Tuberculosis, actinomycosis.

• Viral Infections

- Examples: Herpes simplex, Epstein-Barr virus.

• Fungal Infections

- Examples: Candidiasis, histoplasmosis.

9. Immunologic Diseases

• Mucocutaneous Disorders

- Examples: Lichen planus, pemphigus vulgaris, mucous membrane pemphigoid.

• Connective Tissue Disorders

- Examples: Systemic lupus erythematosus, scleroderma.

Unable to include in this post due to character limit:

10. Oral Manifestations of Systemic Diseases

11. Developmental Conditions

12. Pigmented Lesions

References:

1. Oral and Maxillofacial Surgery Center of Lafayette. (n.d.). Oral pathology. Lafayette Oral Surgery. https://lnkd.in/dzt3_YSs

2. Neville, B. W., Damm, D. D., Allen, C. M., & Chi, A. C. (2015). Oral and Maxillofacial Pathology (4th ed.). Saunders.

3. 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)

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

1. 8.15.24

Quick Review #204 - #pathology #oralpathology #doctorgallagher #oralsurgery #oralsurgeon #dentist #dentistry #dental #oralcancer #cancer #tumor

The top 5 most common malignant tumors of the oral cavity, listed from least common to most common incidence, along with their approximate percentage of incidence, are as follows:

​ Adenoid Cystic Carcinoma (ACC)

​ Incidence: Approximately 1-2% of malignant oral cavity tumors.

​ Description: Adenoid cystic carcinoma is a rare malignant tumor typically found in the minor salivary glands within the oral cavity. It is known for its slow growth but aggressive behavior, including perineural invasion.

• ​ Mucoepidermoid Carcinoma
• ​ Incidence: Approximately 2-3% of malignant oral cavity tumors.

​ Description: This is the most common malignant salivary gland tumor, which can also occur within the oral cavity. It exhibits a wide range of biological behavior, from low-grade to high-grade malignancy.

1. ​ Lymphoma

• ​ Incidence: Approximately 3-5% of malignant oral cavity tumors.
• ​ Description: Lymphomas in the oral cavity are usually non-Hodgkin types and can arise from lymphoid tissue within the oral mucosa. They are relatively uncommon but represent a significant portion of oral malignancies.

​ Verrucous Carcinoma

1. ​ Incidence: Approximately 5-10% of malignant oral cavity tumors.

• ​ Description: Verrucous carcinoma is a low-grade variant of squamous cell carcinoma that typically presents as a slow-growing, warty lesion. It has a good prognosis with a low tendency for metastasis.
• 


​ Squamous Cell Carcinoma (SCC)

​ Incidence: Approximately 90-95% of malignant oral cavity tumors.

1. ​ Description: Squamous cell carcinoma is by far the most common malignant tumor of the oral cavity, accounting for the vast majority of cases. It can arise from various sites within the oral cavity, including the tongue, floor of the mouth, and buccal mucosa. SCC has a variable prognosis depending on the stage at diagnosis and treatment response.

• 

• These percentages are approximate and can vary slightly depending on the specific population or study referenced.

References:

1. ​ Moreno-García, C. (2016). Elective neck dissection in early oral squamous cell carcinoma: Necessary? Plastic and Aesthetic Research, 3(167-174). https://lnkd.in/d2MKh_DG

• ​ Barnes, L., Eveson, J. W., Reichart, P., & Sidransky, D. (2005). World Health Organization classification of tumours: Pathology and genetics of head and neck tumours (3rd ed.). IARC Press.
• ​ Neville, B. W., Damm, D. D., Allen, C. M., & Chi, A. C. (2015). Oral and maxillofacial pathology (4th ed.). Saunders.

​ Johnson, N. W., Jayasekara, P., & Amarasinghe, A. A. H. K. (2011). Squamous cell carcinoma and precursor lesions of the oral cavity: Epidemiology and aetiology. Periodontology 2000, 57(1), 19-37. https://lnkd.in/dmQCZ_Sj.

​ ChatGPT.2024.

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8.14.24 - 👉 Do you have questions about applying to Oral & Maxillofacial Surgery residency 💀 or dental school 🦷? Keep an eye out for my next Q&A session, held on Instagram at the end of every month, for my live & personalized mentoring. This is for YOU 🤜🤛

🙋🏼‍♂️ These are clips from Instagram LIVE Q&A sessions, TikToks & Reels, and zoom events that I’ve hosted both individually and with our company Top Professionals 🙌 If you’re a club or organization and you’d like me to host your zoom event or conference, DM me on insta that is the best way to contact me directly 👌

*** 👉 PreDent Mentor Map is now live btw, at predentmentormap.org ! ***

⛈ If you have questions, thoughts or ideas that you’d like to discuss involving my other ventures, including entrepreneurship (Top Professionals LLC 🏔, Vé Club 🍷), our products/services (PreDent Mentor Map, Dentist Map, Winery Map), NFTs 🖼(@feelings.nft 🎨, or my NFTs story highlight) workouts 💪, music producing/performing 🎶 (SoundCloud, violin 🎻 ), DM me and let’s talk 🤙

❤️ 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 🙌🙏🙌

🤠 @doctorgallagher

https://www.instagram.com/doctorgallagher/

🦷 Oral & Maxillofacial Surgery Resident

🏔 Top Professionals Cofounder

🗺️ PreDent Mentor Map

🗺️ predentmentormap.org

🎙 Dr. Gallagher’s Podcast

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Instagram: https://www.instagram.com/doctorgallagher/

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Twitter: @drgallagher_

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

Full Podcast Title: “Choosing Oral Surgery, Tips for Acing Exams, Work-Life Balance, Botox for TMJ/TMD, 4-Year vs 6-Year Oral Surgery Residency”

Top 3 Viewers on this Episode on TikTok LIVE Q&A #27:

1st - @hhm1229

2nd - @maryrichardson91

3rd - @ronald.chennn

1. Questions Proposed:

02:42 - Did you know in dental school you'd want to go to OMFS?

06:43 - What were your biggest factors that played a role in your dental school admissions?

07:59 - What are some last-minute tips for taking the DAT, especially the day before the exam?

08:30 - Were you ever between medical and dental school after discovering your interest in surgery?

08:45 - Is there a difference between research hours and shadowing hours?

08:59 - What would you do study-wise the day before the exam?

09:11 - Tips for OMFS interviews this fall?

10:01 - Thoughts on using Botox for TMJ/TMD?

10:45 - Does paid assisting count as shadowing hours, or are they separate?

11:03 - Are four-year dental programs more competitive than six-year programs?

12:03 - How did you study in dental school?

12:40 - Is Quizlet better than Anki?

2. Topics Discussed & Stories Told:

02:01 - Preparing for Dental School Admissions and the DAT.

02:42 - Choosing Oral Surgery as a Specialty.

06:43 - Tips for Exam Preparation.

07:59 - Interviewing for OMFS Programs.

09:11 - Using Botox for TMJ/TMD.

11:03 - Competitiveness of Four-Year vs. Six-Year Dental Programs.

12:03 - Work-Life Balance in the Dental Profession.

12:15 - Study Techniques in Dental School: Quizlet vs. Anki.

3. Quotes & Inspiration, Motivation, and Wisdom

02:42 - "I shadowed an oral surgeon prior to starting dental school, and I knew I was very interested... During dental school, it solidified it 100%."

06:43 - "The day before the exam, definitely get a lot of carbs in, store up some energy, and get a great night's sleep... You're going to want to get up and your mind be in it."

08:30 - "It was disappointing that I felt like I let [my mentor] down, but I can't feel comfortable in going into a DSO. I need to get into private practice prior to exploring DSO and corporate options."

09:11 - "Botox is a conservative measure, a non-surgical approach, that can help relieve pressure and stress... but remember Botox doesn't last forever; it lasts about three to four months."

11:03 - "With rising tuition and loans, people don't want to spend extra years getting their MD when they're not going to use it 99% of the time in oral surgery."

12:03 - "Work-life balance is serious... You have to be intentional about how you manage it."

12:40 - "Quizlet was extremely helpful for me... That's how you remember it, by seeing the photo."

Now available on:

- Dr. Gallagher’s Podcast & YouTube Channel

- TikTok LIVE Q&A Session #27

Watch worn in this episode = Citizen Caliber 2100 Limited Edition Panda

8.14.24

#podcast #podcasts #dentalpodcast #dentalpodcasts #doctorgallagherpodcast #doctorgallagherspodcast #oralsurgeon #dentist #doctorgallagher