*PODCAST EXCLUSIVE* - 9.24.25

- An audio elaboration of this Threads/X thought or idea I just posted:

“As surgeons, while in training we’re ‘marshmallow kids’—we delay gratification. After graduation, you need a window to ‘eat your marshmallow’ or you’ll miss it.”

- from Dose of Dental Podcast #178, U.S. Doctors Podcast #4 with @doctor.hanna

#podcast #dentalpodcast #doctor #dentist #dentistry #oralsurgery #dental #dentalschool #dentalstudent #dentistlife #oralsurgeon #doctorgallagher

Top 5 Topics:

- Jawlines, Implants, and Aesthetic Surgery in Manhattan

- Life After Residency: Surviving the 6-Month Storm

- From Marshmallows to Mastery: Lessons in Delayed Gratification

- AI vs. Surgeons: The Future of Medicine

- Watches, Cybertrucks, and Success: What Hard Work Buys

Quotes & Wisdom:

“In training we’re marshmallow kids—we delay gratification. After graduation, you need a window to ‘eat your marshmallow’ or you’ll miss it.”

“I don’t look at the specialty label; I look at the individual—training, vision, safety, and results.”

“Find colleagues whose treatment philosophy matches yours. The patient experience is best when like-minded people care for them.”

“I’m obsessive about details. If something isn’t perfect, it irks me—and everyone on the team buys into that standard.”

“Derms are great at skin; surgeons are great at surgery. The patient wins when each expert does what they do best.”

“As you reduce orbital volume, the globe moves forward; fix position and the lid often improves from support alone.”

“I define myself as a surgeon. The medical and dental degrees gave me foundations—the identity is surgical.”

“A rising tide lifts all ships. More fellowships and growth help everyone in OMFS.”

“If you don’t grow, you die.”

“Time is important. Hard work should buy you the freedom to enjoy the things that make you smile.”

— Success is time well spent.

Questions:

“How did studying sculpture in Florence shape how you see facial anatomy today?” — 07:53

“Which face & jaw procedures excite you most right now—and why?” — 12:34

“When you hire or collaborate, what matters more—specialty label or the individual’s philosophy and standards?” — 27:12–29:43

“If not OMFS, which medical and dental specialties would you choose—and why?” — 46:37–48:14

“Biggest issue OMFS faces today (dual vs single degree, fellowships, growth) and how do we move forward?” — 53:45–55:46

Now available on:

- Dr. Gallagher’s Podcast & YouTube Channel

- Dose of Dental Podcast #178

- U.S. Doctors Podcast #4

My watch in this episode = Citizen Promaster Diver Day Date

Dr. Hanna’s watch = Rolex Daytona

- 9.2025

#podcast #dentalpodcast #doctor #dentist #dentistry #oralsurgery #dental #dentalschool #dentalstudent #dentistlife #oralsurgeon #doctorgallagher

Quick Review #285 - #surgery #surgeon #doctorgallagher #oralsurgery #oralsurgeon #omfs #dentist #dentistry #dental #orthognathics

When evaluating the complications of a bilateral sagittal split osteotomy (BSSO) for mandibular setback, it is important to distinguish between what residents often recall first—relapse—and what examiners emphasize as the single most significant complication: temporomandibular joint (TMJ) disc displacement.

TMJ Disc Displacement occurs when the condyle is improperly seated during fixation or when excessive manipulation of the proximal segment alters joint mechanics. Patients present with preauricular pain, deviation on opening, joint sounds, and limited motion. This makes it the “red flag” complication of BSSO setback on board exams. Prevention relies on precise condylar positioning, meticulous split technique, and avoiding torque across the joint during fixation.

Relapse, although common, is more of a long-term skeletal adaptation rather than an acute postoperative complication. After setback, the suprahyoid musculature (genioglossus, geniohyoid, digastrics) tends to pull the mandible forward, causing gradual drift. Relapse is most pronounced in large setbacks (>7 mm) and in patients with high mandibular plane angles. Rigid fixation provides short-term stability but increases risk if condyles are not perfectly seated. On exams, relapse is tested as a stability issue, not the “biggest complication.”

Inferior alveolar nerve (IAN) injury is another known complication, presenting as numbness or paresthesia of the lower lip and chin. However, this is generally considered a frequent but expected risk rather than the most serious complication.

Finally, airway considerations play an important role in orthognathic planning. Setbacks reduce oropharyngeal airway space, which can worsen sleep apnea risk. Yet, this is viewed more as a long-term functional consequence than the immediate intraoperative complication tested.

Key distinctions for exams:

- Most significant complication: TMJ disc displacement

- Most common neurosensory deficit: IAN injury

- Most common skeletal consequence: Relapse (due to suprahyoids, large setback, high angle cases)

Stability hierarchy studies by Proffit & Turvey also remind us that mandibular setbacks are among the least stable procedures, reinforcing the need for surgical precision and careful patient selection.

References:

1. Pocket Dentistry. (n.d.). Correction of dentofacial deformities (Chapter 30). Pocket Dentistry. Retrieved September 22, 2025, from https://lnkd.in/eN6Y8D6h

2. Proffit, W. R., & Turvey, T. A. (2003). Stability of surgical treatment for mandibular prognathism. Seminars in Orthodontics, 9(1), 2–9.

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.2025

- 9.23.25

#podcast #dentalpodcast #doctor #dentist #dentistry #oralsurgery #dental #dentalschool #dentalstudent #dentistlife #oralsurgeon #doctorgallagher

*PODCAST EXCLUSIVE* - 9.23.25

- An audio elaboration of this Threads/X thought or idea I just posted:

“If it isn’t documented, it didn’t happen.”

- from Malpractice Case #4 ; Dose of Dental Podcast #178 - a malpractice case review with Dr. Marc Leffler of MedPro

#podcast #dentalpodcast #doctor #dentist #dentistry #oralsurgery #dental #dentalschool #dentalstudent #dentistlife #oralsurgeon #doctorgallagher

📍It’s the 2nd half of 2025, I just graduated residency in Oral & Maxillofacial Surgery in June, now starting to work at All County Oral Surgery in Melville on Long Island, NY. I’ll be an associate surgeon here & working toward a personal goal of becoming a partner one day. Outside of dentistry, I have side projects & companies to bring my passions to life, including mentorship, education, and life strategy, and I obnoxiously share a lot of content on it all as I go hahahaha

👉 Keep an eye out for my weekly TikTok LIVE Q&A Session (usually Sunday evenings) and the monthly Q&A session on Instagram (end of every month). Let me know how I can help you

🌎 *** 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.

🙋🏼‍♂️ If you’re an organization or club at a school 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

❤️ MOST importantly: THANK 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 #dentalpodcast #doctor #dentist #dentistry #oralsurgery #dental #dentalschool #dentalstudent #dentistlife #oralsurgeon #doctorgallagher

Top 5 Topics:

- BSSO setback relapse – why mandibular setbacks fail and how to prevent them

- TMJ complications & nerve injuries during orthognathic surgery

- Airway risks after maxillary advancement

- Major intraoperative bleeding control in orthognathic surgery (pterygomaxillary junction, internal maxillary artery)

- Stability hierarchy in orthognathic surgery – Proffit & Turvey’s landmark findings

*** These are live recordings of my review sessions for the oral OMFS boards that I’ll be taking in January 2025 - I can get answers and concepts wrong! Please comment, DM me, or text me with any corrections, additions, or your own board prep tips on these topics so we can learn from my mistakes. ***

- Wanna sponsor these episodes? Let me know in my LinkedIn DM or Instagram DM.

Questions & Topics:

00:00 – First step in the preoperative workup for skeletal Class III malocclusion

03:15 – Most common cephalometric finding in Class III (Angle vs Steiner analysis)

06:40 – Surgical options for true skeletal Class III correction (Le Fort I vs BSSO setback)

09:20 – Biggest complication of BSSO setback and prevention strategies

12:05 – Airway structure to check before maxillary advancement

15:10 – Management of major bleeding at the pterygomaxillary junction

18:45 – Landmark stability studies in orthognathic surgery (Proffit & Turvey)

22:30 – What to do if a Le Fort cut drifts superior toward the cranial base

26:00 – Vertical dimension problem in long-face Class III patients

30:10 – Muscle group responsible for relapse after BSSO setback (suprahyoid complex)

34:20 – Signs of impending airway obstruction post maxillary advancement

Now available on:

- Dr. Gallagher’s Podcast & YouTube Channel

My watch in this episode = Citizen Promaster Diver Day Date

- 9.2025

#podcast #dentalpodcast #doctor #dentist #dentistry #oralsurgery #dental #dentalschool #dentalstudent #dentistlife #oralsurgeon #doctorgallagher

*PODCAST EXCLUSIVE* - 9.22.25

- An audio elaboration of this Threads/X thought or idea I just posted:

“On interviews, you connect on like-minded stuff. One of mine turned into a conversation about basketball—and that mattered to the interviewer. I was accepted to that program later!”

- from TikTok LIVE #77 Podcast

#podcast #dentalpodcast #doctor #dentist #dentistry #oralsurgery #dental #dentalschool #dentalstudent #dentistlife #oralsurgeon #doctorgallagher

🎙️ Clip from TikTok LIVE #77

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

🏆 Top 5 Longest Viewers of the TikTok LIVE get a shoutout in the caption!

🗓️ I do TikTok LIVE’s usually on Sunday evenings randomly between 6:00-9:30pm EST (or Monday evenings, if I’m in the OR or presenting early Monday morning) so stay tuned on my TikTok @doctorgallagher_

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

#podcast #dentalpodcast #doctor #dentist #dentistry #oralsurgery #dental #dentalschool #dentalstudent #dentistlife #oralsurgeon #doctorgallagher

Top 5 Topics:

- Getting Into Dental School & OMFS (Foreign Trained Dentists + Residency Secrets)

- Life in Residency (The Harsh Reality of Call Shifts & Burnout)

- AI & the Future of Surgery (Will AI Replace Surgeons?)

- The DAT Controversy (Why Physics Makes No Sense + Hand Skills Debate)

- Building a Career & Community (Networking, Hospital Privileges, and Taking Call)

Top 8 Viewers on this Episode on TikTok LIVE #77 Q&A:

1st - G, @gurjot.0

2nd – ZACHKALNIZ, @zachkalniz

3rd – Nicolas Rodriguez, @_nico_rod_

4th – Lesly Soriano, @leslysoriano1

5th – Jed, @jeddaplaymaker

6th - Roise Lee, @zariarose5

7th - Hazzy, @therealhamza23

8th - John Jay, @jj1234327

Quotes & Wisdom:

[10:17] “There were months I took call five times a month as a second-year. It sucked—but it taught me exactly what I want my career to look like.”

[15:57] “On interviews you connect on like-minded stuff. One of mine turned into a conversation about basketball—and that mattered.”

[18:58] “Add a hand-skills portion to the DAT. These are future dentists; they need to be good with their hands.”

[18:58] “Who decided physics belongs on the DAT? Hand skills would predict clinical success better.”

[19:00] “Minimize your commute. When you’re sleep-deprived and getting paged nonstop, long drives are a dangerous recipe.”

[22:08] “I love surgery—but I won’t take call for free. Surgeons should be compensated for the value they bring.”

[23:14] “Before dental school I worked as an OMFS surgical assistant. Learning the lingo helped me crush interviews.”

[25:43] “If you’re bleeding after extractions: don’t panic—compress with gauze for 30 minutes at a time.”

[31:00] “AI won’t replace surgeons- yet; it’ll be an adjunct. The human-to-human connection in surgery matters.”

[32:09] “If you can’t manage the complications of IV sedation, you shouldn’t be doing IV sedation.”

[34:30] “Thirty minutes of study before work—when your mind is sharp—can change your trajectory.”

[35:17] “Interviews are conversations. Be early, be presentable, be succinct. Connect like a human.”

[36:00] “Pay residents fairly and a lot of systemic problems will disappear!”

[41:00] “Community matters. I’m born and raised on Long Island—I want to do great work with and for this community.”

Questions:

[00:00] “As a foreign-trained dentist, can I get into OMFS without an advanced-standing program?”

[05:04] “Do you still perform jaw surgery in private practice?”

[10:17] “How much free time did you actually have during residency?”

[15:57] “What advice would you give someone applying to dental school?”

[18:58] “Should the DAT add physics—or should it test hand skills instead?”

[29:00] “Is specializing (e.g., orthodontics) truly ‘worth it’ if my D2 grades are strong?”

[32:09] “Can providers safely do IV sedation without full anesthesia training—how do you think about complications?”

[35:17] “Best tips for OMFS residency interviews—how should I present without freezing up?”

Now available on:

- Dr. Gallagher’s Podcast & YouTube Channel

My watch in this episode = Citizen Grand Touring Sport, Leather Clasp Band from Amazon

- 9.2025

#podcast #dentalpodcast #doctor #dentist #dentistry #oralsurgery #dental #dentalschool #dentalstudent #dentistlife #oralsurgeon #doctorgallagher

🎙️ Clip from the April 2025, Monthly 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/

#podcast #dentalpodcast #doctor #dentist #dentistry #oralsurgery #dental #dentalschool #dentalstudent #dentistlife #oralsurgeon #doctorgallagher