7.10.24

Quick Review #173 - #surgery #surgeon #doctorgallagher #oralsurgery #oralsurgeon #omfs #dentist #dentistry #dental #maxillofacial #trauma

1. Harold Gillies (1882-1960):

• World War I (1914-1918): Gillies, based in Sidcup, England, is often considered the father of modern plastic surgery.

• He served in the Royal Army Medical Corps and established the first dedicated facial injury treatment center at Queen’s Hospital in Sidcup.

• Gillies developed groundbreaking techniques for facial reconstruction, focusing on both functional and aesthetic outcomes.

• His pioneering work treated over 5,000 soldiers with severe facial injuries, emphasizing meticulous surgical planning and innovative use of skin grafts and local flaps.

2. Varaztad Kazanjian (1879-1974):

• World War I: Known as the “father of plastic surgery in America,” Kazanjian served with the First Harvard Unit at the General Hospital in France.

• He made significant contributions to the development of maxillofacial surgery, particularly in techniques for repairing complex mandibular fractures.

• His innovative approaches in bone grafting and reconstructive surgery greatly improved outcomes for soldiers with severe facial trauma.

3. Archibald McIndoe (1900-1960):

• World War II (1939-1945): A protégé of Harold Gillies, McIndoe further advanced the field of maxillofacial surgery during World War II.

• Working at the Queen Victoria Hospital in East Grinstead, England, he specialized in treating severe burn injuries and complex facial trauma among Royal Air Force personnel.

• McIndoe’s holistic approach included not only pioneering surgical techniques but also comprehensive rehabilitation and psychological support.

• He founded the “Guinea Pig Club,” comprising airmen who underwent multiple reconstructive surgeries, and fostered a supportive community that helped patients recover both physically and emotionally.

4. Sir William Kelsey Fry (1889-1963):

• World War II: Fry was a prominent British surgeon who made significant contributions to the treatment of facial injuries during the Second World War.

• Working alongside McIndoe at the Queen Victoria Hospital, he played a crucial role in developing and refining techniques for facial reconstruction and rehabilitation.

• Fry’s work emphasized the importance of an interdisciplinary approach, integrating dental and surgical expertise to achieve better patient outcomes.

References:

1. Weebly. (n.d.). Dr. Harold Gillies: The father of plastic surgery. Retrieved July 9, 2024, from https://lnkd.in/eFfpfHc8

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. 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

7.9.24 - 👉 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

7.9.24

Quick Review #172 - #pathology #oralpathology #doctorgallagher #oralsurgery #oralsurgeon #dentist #dentistry #dental

Clinically:

Primordial Cyst:

• Rarely diagnosed clinically because they are often discovered incidentally on radiographs.

• Generally asymptomatic unless secondarily infected.

• Found in areas where a tooth failed to develop, often in the third molar region.

Odontogenic Keratocyst (OKC):

• May present with swelling, pain, or drainage if infected.

• Can cause displacement of teeth or resorption of adjacent bone.

• Often associated with a high recurrence rate and may require long-term follow-up.

• Frequently seen in the posterior mandible.

Radiographically:

Primordial Cyst:

• Appears as a well-defined, unilocular radiolucency in the area of a missing tooth.

• The absence of the involved tooth is a key radiographic feature.

Odontogenic Keratocyst (OKC):

• Can appear as unilocular or multilocular radiolucencies.

• Well-defined, often with scalloped borders.

• Tendency to grow in an anteroposterior direction without causing significant bone expansion.

• May be associated with unerupted teeth.

Histopathologically:

Primordial Cyst:

• Initially considered to be a cyst that arises from the degeneration of the dental lamina before any tooth development.

• Histopathologically, the lining is similar to that of a dental follicle or reduced enamel epithelium.

Odontogenic Keratocyst (OKC):

• Characterized by a parakeratinized stratified squamous epithelium lining.

• The epithelial lining is typically 6-10 cell layers thick.

• Basal cells show a palisaded arrangement with a hyperchromatic appearance.

• Presence of a corrugated surface layer of parakeratin.

• May exhibit satellite cysts or daughter cysts in the cyst wall.

• High mitotic activity and epithelial proliferation are often observed, contributing to the aggressive nature and recurrence rate of OKCs.

Summary:

• Primordial cysts are primarily identified where a tooth did not develop and are histologically similar to a dental follicle or reduced enamel epithelium.

• OKCs are more aggressive, have a higher recurrence rate, and are histologically distinct with a parakeratinized stratified squamous epithelium, palisaded basal layer, and potential for satellite cysts.

References:

1. Inspired Pencil. (2023). Primordial cyst. Retrieved from https://lnkd.in/eMeAZUQz

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

3. Miloro, M., Ghali, G. E., Larsen, P. E., & Waite, P. (Eds.). (2012). Peterson’s Principles of Oral and Maxillofacial Surgery (3rd ed.). PMPH-USA.

4. Shear, M., & Speight, P. (2007). Cysts of the Oral and Maxillofacial Regions (4th ed.). Wiley-Blackwell.

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:

💀 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

7.8.24 from June 2024 Insta Story Q&A Session - 👉 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

7.8.24 - 👉 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 #oralsurgeon #dentist #doctorgallagher #doctor #dentistry #oralsurgery #dental #viral #dentalschool #dentalstudent #omfs #surgeon #doctorlife #dentistlife #residency

7.8.24

Quick Review #171 - #pathology #oralpathology #doctorgallagher #oralsurgery #oralsurgeon #dentist #dentistry #dental

1. Clinical Differences:

Primordial Cyst:

• Definition: A primordial cyst arises from a tooth germ that fails to develop into a tooth.

• Location: Commonly found in the area of a missing tooth, typically in the posterior mandible.

• Age Group: Usually identified in younger individuals as it develops early in life.

Residual Cyst:

• Definition: A residual cyst is a type of radicular cyst that remains after the extraction of a tooth.

• Location: Found at the site of a previously extracted tooth, most commonly in the anterior maxilla.

• Age Group: Typically found in older adults, following the extraction of a tooth with a periapical lesion.

2. Radiographic Differences:

Primordial Cyst:

• Appearance: Presents as a well-defined, unilocular radiolucency at the site where a tooth has failed to develop.

• Location: Usually observed in the posterior mandible, at the site of a missing third molar.

Residual Cyst:

• Appearance: Appears as a well-defined radiolucency at the site of a previously extracted tooth. The borders may be corticated.

• Location: Often found in the area of previously treated or extracted teeth, commonly in the maxilla.

3. Histological Differences:

Primordial Cyst:

• Lining: Lined by stratified squamous epithelium, similar to an odontogenic keratocyst.

• Contents: May contain keratin debris and cholesterol clefts. There is typically a fibrous connective tissue wall.

Residual Cyst:

• Lining: Lined by non-keratinized stratified squamous epithelium, which can vary in thickness.

• Contents: The cystic cavity may contain inflammatory cells, and the cyst wall may exhibit fibrosis and chronic inflammation.

References:

1. Avril, L., Lombardi, T., Ailianou, A., & Becker, M. (2013). Radiolucent lesions of the mandible: A pattern-based approach to diagnosis [Figure 2]. ResearchGate.

2. Neville, B. W., Damm, D. D., Allen, C. M., & Chi, A. C. (2016). Oral and Maxillofacial Pathology (4th ed.). Elsevier.

3. Shear, M., & Speight, P. (2007). Cysts of the Oral and Maxillofacial Regions (4th ed.). Wiley-Blackwell.

4. Regezi, J. A., Sciubba, J. J., & Jordan, R. C. K. (2016). Oral Pathology: Clinical Pathologic Correlations (7th ed.). Elsevier.

5. ChetGPT. 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 #oralsurgeon #dentist #doctorgallagher #doctor #dentistry #oralsurgery #dental #viral #dentalschool #dentalstudent #omfs #surgeon #doctorlife #dentistlife #residency

7.7.24

Quick Review #170 - #surgery #surgeon #doctorgallagher #oralsurgery #oralsurgeon #omfs #dentist #dentistry #dental #BSSO #orthognathic #orthognathicsurgery

1. Preoperative Planning:

• Cephalometric Analysis: Detailed analysis to determine the extent of setback required.

• Model Surgery: Creating mock surgeries on dental models to plan the osteotomy and final occlusion.

2. Patient Positioning:

• Proper patient positioning to ensure access and visibility, typically in a supine position with head extended.

3. Incision and Soft Tissue Management:

• A careful mucosal incision is made to minimize tissue trauma.

• Ensuring adequate exposure of the ramus and body of the mandible while preserving vital structures.

4. Osteotomy Technique:

• The osteotomy is initiated at the buccal cortex of the ramus, extending anteriorly to the second molar region.

• A vertical cut is made at the buccal cortex, followed by a horizontal cut along the inferior border.

• The medial aspect of the ramus is also osteotomized, connecting the buccal cut with a lingual cut to complete the split.

5. Splitting the Mandible:

• Careful splitting of the mandible using osteotomes and a mallet. The split should be gradual to avoid fracturing the lingual cortex.

6. Handling the Inferior Alveolar Nerve:

• Extreme caution to avoid damaging the inferior alveolar nerve during the split and subsequent manipulation.

Techniques and Key Movements:

1. Osteotomy Cuts:

• Horizontal Cut: Made above the inferior alveolar nerve, typically starting from the anterior border of the ramus and extending posteriorly.

• Vertical Cut: Extending from the buccal aspect to the medial aspect of the ramus.

• Oblique Cut: This cut connects the horizontal and vertical cuts, facilitating a controlled split.

2. Mobilization and Positioning:

• Controlled Mobilization: Gentle manipulation of the distal segment to ensure a clean separation.

• Setback Movement: The distal segment is moved posteriorly to the predetermined position.

3. Fixation:

• Rigid Fixation: Typically achieved using plates and screws to ensure stability of the segments.

• Intermaxillary Fixation (IMF): Temporary fixation to maintain occlusion during the healing period.

4. Postoperative Care:

• Monitoring for Complications: Including nerve damage, infection, and malocclusion.

• Diet and Activity Restrictions: Soft diet and limited physical activity to promote healing.

References:

1. AO Foundation. (n.d.). BSSO (Hunsuck). AO Surgery Reference. Retrieved July 6, 2024.

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. Ellis, E., Hupp, J. R., Tucker, M. R. (2018). Contemporary Oral and Maxillofacial Surgery (7th ed.). Elsevier.

4. Fonseca, R. J., Marciani, R. D., & Turvey, T. A. (Eds.). (2017). Oral and Maxillofacial Surgery (3rd ed.). Elsevier.

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