7.26.24 - *PODCAST EXCLUSIVE* - #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

#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, 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

🍷@topwineries

🎀 BAE Marketing Agency

👨‍⚕️@doseofdentalpodcast

👀

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

LinkedIn: https://www.linkedin.com/in/brendan-gallagher-dds-bb8848a1

TikTok: https://www.tiktok.com/@doctorgallagher_?_t=8WfqIHAlDEE&_r=1

Podcast: https://open.spotify.com/show/6OaweNluu3Y36uTcqlTBkK?si=_EMcxf12R9ex1Hxwg9N99A

YouTube Shorts: https://youtube.com/channel/UCNqbFjVctSWlACMB-8wxymg

Twitter: @drgallagher_

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

7.24.24

Quick Review #187 - #dental #dentist #dentistry #dentalstudent #dentalschool #teeth #cavity #wisdomteeth #extraction #oralsurgery #oralsurgeon

The overall incidence of third molars causing resorption or caries on the distal of the second molar varies across studies:

1. Ericson and Kurol (1988) found that in a sample of 1,498 patients, approximately 7% of the second molars exhibited distal resorption due to the pressure from an impacted third molar.

2. Van der Linden et al. (1998) reported in their study that the prevalence of distal cervical resorption of the second molar due to impacted third molars was around 4% in a sample of 2,000 patients.

3. Hattab and Rawashdeh (2011) observed a higher incidence rate, reporting that 24% of second molars showed evidence of distal root resorption when associated with impacted third molars in a retrospective review of panoramic radiographs of 1,000 patients.

4. Nance et al. (2006) in a longitudinal study found that approximately 5% of second molars adjacent to impacted third molars experienced some degree of resorption over time.

5. Sameshima and Asgarifar (2001) conducted a retrospective study on panoramic radiographs of orthodontic patients and found that 6% of second molars exhibited distal resorption due to impacted third molars.

6. Kugelberg et al. (1991) reported that approximately 8% of the second molars adjacent to impacted third molars experienced some degree of resorption, based on their evaluation of 2,400 patients.

References:

1. Tsveitov, D. Y. (n.d.). Three common problems caused by wisdom teeth. Temecula Facial Oral Surgery. Retrieved July 24, 2024, from https://lnkd.in/e93ydNE7

2. Ericson, S., & Kurol, J. (1988). Resorption of maxillary second molars caused by ectopically erupting maxillary third molars. American Journal of Orthodontics and Dentofacial Orthopedics, 94(6), 483-491.

3. Van der Linden, W. J., Cleaton-Jones, P., & Lownie, M. (1998). Distal cervical resorption in mandibular second molars associated with impacted third molars. International Journal of Oral and Maxillofacial Surgery, 27(1), 27-29.

4. Hattab, F. N., & Rawashdeh, M. A. (2011). Root resorption of second molars associated with impacted third molars in young Jordanians. Quintessence International, 42(8), 679-685.

5. Sameshima, G. T., & Asgarifar, K. O. (2001). Assessment of root resorption and root shape: Periapical vs panoramic films. Angle Orthodontist, 71(3), 185-189. https://lnkd.in/etXZT7Bp<0185:AORRAR>2.0.CO;2

6. Kugelberg, C. F., Ahlström, U., Ericson, S., & Hugoson, A. (1991). Periodontal healing after impacted lower third molar surgery in adolescents and adults. A prospective study. International Journal of Oral and Maxillofacial Surgery, 20(1), 18-24. https://lnkd.in/emXA8szq

5. ChatGPT. 2024.

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

7.24.24 - *PODCAST EXCLUSIVE* - 👉 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

🍷@topwineries

🎀 BAE Marketing Agency

👨‍⚕️@doseofdentalpodcast

👀

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

LinkedIn: https://www.linkedin.com/in/brendan-gallagher-dds-bb8848a1

TikTok: https://www.tiktok.com/@doctorgallagher_?_t=8WfqIHAlDEE&_r=1

Podcast: https://open.spotify.com/show/6OaweNluu3Y36uTcqlTBkK?si=_EMcxf12R9ex1Hxwg9N99A

YouTube Shorts: https://youtube.com/channel/UCNqbFjVctSWlACMB-8wxymg

Twitter: @drgallagher_ #Podcast #podcasts #dentalpodcast #dentalpodcasts #doctorgallagherpodcast #doctorgallagherspodcast #oralsurgeon #dentist #doctorgallagher #doctor #dentistry #oralsurgery #dental #viral #dentalschool #dentalstudent #omfs #surgeon #doctorlife #dentistlife #residency

7.23.24 - 👉 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

🍷@topwineries

🎀 BAE Marketing Agency

👨‍⚕️@doseofdentalpodcast

👀

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

LinkedIn: https://www.linkedin.com/in/brendan-gallagher-dds-bb8848a1

TikTok: https://www.tiktok.com/@doctorgallagher_?_t=8WfqIHAlDEE&_r=1

Podcast: https://open.spotify.com/show/6OaweNluu3Y36uTcqlTBkK?si=_EMcxf12R9ex1Hxwg9N99A

YouTube Shorts: https://youtube.com/channel/UCNqbFjVctSWlACMB-8wxymg

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

7.22.24 - 👉 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

🍷@topwineries

🎀 BAE Marketing Agency

👨‍⚕️@doseofdentalpodcast

👀

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

LinkedIn: https://www.linkedin.com/in/brendan-gallagher-dds-bb8848a1

TikTok: https://www.tiktok.com/@doctorgallagher_?_t=8WfqIHAlDEE&_r=1

Podcast: https://open.spotify.com/show/6OaweNluu3Y36uTcqlTBkK?si=_EMcxf12R9ex1Hxwg9N99A

YouTube Shorts: https://youtube.com/channel/UCNqbFjVctSWlACMB-8wxymg

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

7.22.24

Quick Review #186 - #pathology #oralpathology #doctorgallagher #oralsurgery #oralsurgeon #dentist #dentistry #dental #MRONJ #osteonecrosis

The incidence of osteonecrosis of the jaw (ONJ) in patients undergoing treatment with zoledronate and denosumab, particularly in relation to tooth extractions, has been extensively studied.

1. Zoledronate: Zoledronic acid, a bisphosphonate, has been associated with ONJ, with an incidence rate that increases over time. Studies indicate that the risk of ONJ with zoledronic acid is about 1% after one year, 2% after two years, and up to 3% after three years of treatment. This risk varies depending on the type of cancer being treated and the patient’s dental health status.

2. Denosumab: Denosumab, a RANKL inhibitor, has also been linked to ONJ. The incidence rates for ONJ with denosumab are similar to those seen with zoledronate, particularly when denosumab is used for metastatic cancer patients. One study highlighted that tooth extractions are a significant risk factor for developing ONJ in patients treated with denosumab, with up to 66% of ONJ cases associated with dental extractions .

3. Comparative Incidence: A multi-institutional retrospective cohort study found that the risk of developing ONJ was comparable between patients treated with zoledronate and those treated with denosumab. The study emphasized that both medications pose a similar risk for ONJ development, particularly following invasive dental procedures such as tooth extractions .

4. Prevention and Management: Preventive measures are crucial for patients receiving these treatments. Recommendations include dental assessments before starting therapy, maintaining good oral hygiene, and avoiding invasive dental procedures during treatment whenever possible. When dental extractions are necessary, implementing preventive protocols and close monitoring can help mitigate the risk of ONJ .

References:

1. Marciano, A., Ieni, A., Mauceri, R., & Oteri, G. (2021). Radiologic appearance of focal MRONJ lesion in left mandible. In CD34 and CD105 Microvessels in Resected Bone Specimen May Implicate Wound Healing in MRONJ. ResearchGate.

2. Nicolatou-Galitis, O., Schiødt, M., Mendes, R. A., Ripamonti, C., Hope, S., Drudge-Coates, L., … & Campisi, G. (2019). Medication-related osteonecrosis of the jaw: Definition and best practice for prevention, diagnosis, and treatment. Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology, 127(2), 117-135. https://lnkd.in/e73HX5aX

3. McClung, M. R., Wagman, R. B., Miller, P. D., Wang, A., & Lewiecki, E. M. (2017). Observations following discontinuation of long-term denosumab therapy. Osteoporosis International, 28(5), 1723-1732. https://lnkd.in/er_rr6h2

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:

🦷 General Dentistry INBDE Boards Question Concepts

🔬Oral Pathology

🫀Anatomy

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

7.21.24

Quick Review #185 - #pathology #oralpathology #doctorgallagher #oralsurgery #oralsurgeon #dentist #dentistry #dental #insulin #potassium

Insulin and Potassium:

Insulin plays a crucial role in regulating potassium levels in the body. It promotes the uptake of potassium into cells by stimulating the activity of the Na+/K+ ATPase pump. This process helps maintain normal serum potassium levels. In patients with diabetes, particularly those who are insulin-deficient or resistant, the following effects on potassium levels can be observed:

1. Hyperkalemia: In the absence of sufficient insulin (as seen in uncontrolled diabetes or diabetic ketoacidosis), potassium tends to accumulate in the extracellular space, leading to hyperkalemia. This occurs because the Na+/K+ ATPase pump activity is reduced without insulin, impairing potassium uptake into cells.

2. Hypokalemia: When insulin therapy is initiated, it can cause a rapid shift of potassium into cells, potentially leading to hypokalemia. This is a critical consideration in the management of diabetic ketoacidosis or hyperglycemic hyperosmolar state, where aggressive insulin therapy can cause a significant drop in serum potassium levels.

Clinical Implications in Inpatients with Diabetes

1. Monitoring and Management: Inpatients with diabetes, especially those undergoing treatment for hyperglycemic emergencies, require close monitoring of potassium levels. Insulin therapy should be carefully titrated to avoid rapid shifts in potassium that can lead to dangerous arrhythmias.

2. Potassium Supplementation: During the treatment of diabetic ketoacidosis, potassium supplementation is often necessary even if initial serum potassium levels are normal or high. This is because insulin therapy will drive potassium into cells, reducing serum levels and potentially leading to hypokalemia.

3. Glucagon Administration: In cases of severe hypoglycemia, glucagon administration is a lifesaving measure. However, the potential for a subsequent increase in serum potassium should be recognized, particularly in patients with pre-existing hyperkalemia or renal impairment.

References:

1. Smith, Y. (n.d.). Insulin’s Role in the Human Body. News Medical. Retrieved July 20, 2024, from https://lnkd.in/eR2QP3if

2. Palmer, B. F., & Clegg, D. J. (2017). Electrolyte and Acid-Base Disturbances in Patients with Diabetes Mellitus. The New England Journal of Medicine, 377(6), 548-559. https://lnkd.in/e3hgTA-5

3. Kamel, K. S., & Halperin, M. L. (2018). Fluid, Electrolyte and Acid-Base Physiology: A Problem-Based Approach (5th ed.). Elsevier.

4. Gennari, F. J. (1998). Hypokalemia. The New England Journal of Medicine, 339(7), 451-458. https://lnkd.in/eYvy6NPq

5. ChatGPT. 2024 - #podcast #podcasts #dentalpodcast #dentalpodcasts #doctorgallagherpodcast #doctorgallagherspodcast #doctor #dentistry #oralsurgery #dental #viral #dentalschool #dentalstudent #omfs #surgeon #doctorlife #dentistlife #residency #oralsurgeon #dentist #doctorgallagher