Topic - General Dentistry INBDE Boards Questions

#questionoftheday for @studentsofdentistry on Instagram.

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Quick Review #81 - #surgery #preauricular #plasticsurgery #doctorgallagher #oralsurgery #oralsurgeon #dentist #dentistry #dental #surgeon #doctor

The preauricular incision is a surgical technique primarily utilized in oral and maxillofacial surgery, especially for accessing the temporomandibular joint (TMJ) and surrounding structures. The specific indications and details of this approach are as follows:

Indications:

1. Upper Condylar Process and TMJ Compartments: The preauricular approach is ideally used for managing problems in these areas. It’s commonly employed in TMJ ankylosis cases.

2. High Condylar Fractures: This incision is also utilized in the treatment of high condylar fractures of the mandible.

3. Limited Exposure: It’s important to note that the exposure offered by the preauricular approach is limited to a portion of the condylar neck region.

Surgical Design:

• The incision is typically made in a preauricular skin crease, extending from the level of the helix above the tragus to the lobule. This placement is chosen for both functional and aesthetic reasons.

• The dissection involves navigating through neurovascular structures, including branches of the facial nerve and the superficial temporal artery and vein.

• The approach also involves dissecting down to the temporalis fascia and further to expose the capsule of the TMJ.

Pros:

• Aesthetic Considerations: One of the main advantages of a preauricular approach is the minimal visibility of scars.

• Access to the Superior Part of the TMJ: It provides good access to the superior portion of the TMJ and the anteromedially displaced mandibular condyle.

Cons:

• Limited Access to Lower Portion: The preauricular approach does not provide access to the lower portion of the condylar process.

• Difficulty in Rigid Fixation: Rigid fixation of mandibular condyle fractures can be challenging with this approach.

• Risk of Facial Nerve Damage: There’s a significant risk of damaging the facial nerve, which is a major concern in this surgical technique.

Additional Considerations:

• Careful planning and execution are essential to minimize risks, especially regarding nerve damage.

• The technique requires a thorough understanding of the anatomy and careful handling of the neurovascular structures.

References:

1. AO Foundation. (n.d.). Preauricular approach. AO Surgery Reference. https://lnkd.in/eeRnQve4.

2. Davies, R. O. H., Cascarini, L., Coombes, D., & Warburton, G. (2020). Two New Surgical Techniques to Refine Surgery Around the Ear: “The Inviscision” and the External Auditory Meatus Suture. Journal of Oral and Maxillofacial Surgery. https://lnkd.in/ettnH4cA.

3. ChatGPT. 2023.

Topic - General Dentistry INBDE Boards Questions

#questionoftheday for @studentsofdentistry on Instagram.

#dentistmap #predentmentormap #dentistry #dentist #dentists #dentista #doctor #dental #pathology #oralpathology #teeth #dentalcare #oralhealth #tooth #viral

#doctorgallagher #elitedentists #studentsofdentistry #dentalstudent #topdentalpractices #topprofessionals #dentistsofinsta #dentalclinic #surgery #oralsurgery #dentalimplants #orthodontics #cosmeticdentistry #dentalimplants #podcast

👉 Today’s selected quote for “Mhango Motivation.” I believe waking up with optimism is key a powerful day ahead, and so I decided that waking up a little earlier every morning to select the top, recent quote from ppl we know is inspiring. Let’s make it a great day 🫡🤜🤛

🥭 I created the brand “mhango” to both wear & promote a message I believe in: the “mha” in mhango stands for Mental Health Awareness.

We all know someone and/or have experienced mental health and society is just starting to talk about it more; I want to take action. I’m building this with a close team to bring realize and action on this dream - and to wear this like a heart on my sleeve because I believe in this endeavor.

#mhango #motivation #motivationalquote #quote #mhangomotivation #quoteoftheday #doctorgallagher

12.14.23

Quick Review #80 - #syncope #vasovagal #doctorgallagher #oralsurgery #oralsurgeon #dentist #dentistry #dental #faint

Key symptoms of a vasovagal episode:

1. Lightheadedness or Dizziness: Feeling faint or unsteady.

2. Nausea: A sensation of unease and discomfort in the stomach.

3. Pale Skin: Notable paleness compared to the individual’s usual complexion.

4. Blurred Vision: Visual disturbances or temporary vision loss.

5. Sweating: Cold, clammy sweats.

6. Weakness: A general feeling of physical weakness or unsteadiness.

7. Tunnel Vision: Narrowing of the visual field.

8. Feeling Warm: A sudden sensation of being overheated.

9. Slow or Weak Pulse: A notable decrease in heart rate; sometimes a minor drop in BP can be noticed as well.

10. Loss of Consciousness: Fainting or passing out, usually brief.

These symptoms can vary in intensity and may not all be present in every episode. Recognizing them early can help manage the situation effectively.

When a patient experiences a vasovagal episode, the best steps to take include:

1. Stop Dental Treatment.

2. Position Patient Properly: Lay the patient flat on their back. If possible, elevate the legs slightly to increase blood flow to the brain.

3. Monitor Vital Signs: Check and continuously monitor the patient’s pulse and blood pressure.

4. Ensure Airway is Open: Make sure the patient’s airway is clear. Remove everything from the mouth.

5. Calm and Reassure the Patient: Speak calmly to the patient, reassuring them that they are in a safe environment and that help is at hand.

6. Provide Fresh Air: If possible, ensure fresh air is circulating. You can open a window or use a fan or put on a nasal cannula or oxygen mask. You can also monitor the patient’s oxygen saturation.

7. Wait for Recovery: Most vasovagal episodes resolve within a few minutes. Wait for the patient to regain consciousness and color.

8. Assess Patient’s Condition: Once the patient is alert, assess their condition. Ask how they are feeling and if they have any discomfort or lingering symptoms.

9. Seek Medical Assistance if Needed: If the patient does not quickly recover, or if their condition worsens, seek immediate medical assistance.

10. Post-Recovery Care: Once the patient has recovered, advise them to rest before standing up slowly to prevent a recurrence. It’s also important to discuss the episode with the patient and consider any triggers that may have contributed to the episode. If the patient has other preexisting conditions, checking their blood sugar may provide insight to other causes of the episode.

References:

1. Hutse, I., Coppens, M., Herbelet, S., Seyssens, L., & Marks, L. (2021). Syncope in Dental Practices: A Systematic Review on Aetiology and Management. Journal of Evidence-Based Dental Practice, 21(3), 101581. https://lnkd.in/em5TZGXY

2. ChatGPT. 2023.

Topic - General Dentistry INBDE Boards Questions

A 35 year old male patient presents with a 3-day history of fever, severe headache, and a rash. The rash started on the wrists and ankles and then spread to the trunk.

The patient recently returned from a camping trip. Laboratory tests show normal white blood cell count and elevated liver enzymes. Based on these findings, what is the most likely diagnosis?

A) Lyme disease

B) Measles

C) Meningococcal meningitis

D) Rocky Mountain Spotted fever

#questionoftheday for @studentsofdentistry on Instagram.

#dentistmap #predentmentormap #dentistry #dentist #dentists #dentista #doctor #dental #pathology #oralpathology #teeth #dentalcare #oralhealth #tooth #viral

#doctorgallagher #elitedentists #studentsofdentistry #dentalstudent #topdentalpractices #topprofessionals #dentistsofinsta #dentalclinic #surgery #oralsurgery #dentalimplants #orthodontics #cosmeticdentistry #dentalimplants #dentistsonpodcast #podcast

Topic - Oral & Maxillofacial Surgery

👉 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, Tik Toks & 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

🎙 Podcast

🍷@topwineries

👨‍⚕️@doseofdentalpodcast

🦁@movesandmindset

🥭 coming soon!

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

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Twitter: @drgallagher_

12.10.23

12.11.23 | 👉 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, Tik Toks & 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

🎙 Podcast

🍷@topwineries

👨‍⚕️@doseofdentalpodcast

🦁@movesandmindset

🥭 coming soon!

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

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Twitter: @drgallagher_

Quick Review #79 - #surgery #doctorgallagher #oralsurgery #oralsurgeon #dentist #dentistry #dental #oralandmaxillofacialsurgery #maxillofacial #maxillofacialsurgery

The Gillies and Keen approaches are 2 surgical techniques used for zygomatic arch reduction:

Gillies Approach

1. Technique: involves making an incision in the temporal region, usually above the hairline. An elevator is used to indirectly manipulate and reposition the zygomatic arch through a dissection in the temporal area.

2. Pros:

•Minimal Scarring: The incision is hidden within the hair, leading to less visible scarring.

•Lower Risk of Nerve Damage: As the approach is indirect, it generally has a lower risk of damaging facial nerves.

3. Cons:

•Limited Access and Visibility: Offers limited direct access to the zygomatic arch, which can be a drawback in complex cases.

•Potential for Inaccurate Repositioning: Due to limited visibility, there’s a higher risk of improper alignment of the arch.

Keen (Intraoral/Transoral) Approach

1. Technique: involves making an incision inside the mouth, in the maxillary vestibule, to directly access the zygomatic arch.

2. Pros:

•Direct Access and Visibility: Allows for better visualization and manipulation of the zygomatic arch, leading to precise repositioning.

•No Visible External Scarring: Since the incision is inside the mouth, there are no visible external scars.

3. Cons:

•Risk of Infection: The intraoral approach has a higher risk of infection due to the bacteria present in the oral cavity.

•Potential for Nerve Damage: There’s a risk of damaging the infraorbital nerve.

Comparison

•Indications: The Gillies approach is typically preferred for simpler cases where less extensive manipulation is required. The Keen approach is chosen for more precise and direct repositioning.

•Scarring: The Gillies approach results in minimal but potentially visible scarring above the hairline, whereas the Keen approach avoids visible scarring entirely.

•Surgical Risks: The Keen approach has a slightly higher risk of infection and nerve damage, while the Gillies approach may have issues with precise positioning due to limited access.

•Recovery and Outcomes: Recovery may be different for each approach, with the Keen approach potentially having a longer recovery time due to the risk of oral infection.

References:

1. Kim, J., Hwang, W. (2018). Delayed Reduction of Zygomatic Arch Fracture: Effectiveness of the Rowe Zygoma Elevator. Journal of Craniofacial Surgery, 29(7), e639-e640.

2. Ha, S. I., Kim, J. B., Choi, J. K., Ahn, D. K. (1998). A long term follow up of reduced isolated zygomatic arch fracture by Gillies’ approach. e-APS.

3. AO Foundation. (n.d.). Indirect approaches to the zygomatic arch (temporal and transoral approaches).

4. ChatGPT. 2023.