What’s the best way to reduce post-op pain after extractions? And why should we never use the term “painkiller” with patients? What to do when you hear the dreaded *crack* of a tuberosity?

In this episode we talk about all things post-operative extraction complications! And I’m joined by one of the nicest guys in dentistry - Dr. Nekky Jamal 

Complications are something we ALL experience, so this episode is great for any dentist. Whether you're brushing up on dry socket prevention, mastering post-op communication, or just curious about advanced healing hacks, tune in for real-world advice to make extractions smoother - for both you and your patients

https://youtu.be/BvB3hDESYDY

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Protrusive Dental Pearl: The "Niche Kebab" concept encourages dentists to narrow their focus by reducing the variety of procedures they perform and prioritizing those they genuinely enjoy. By evaluating every new skill or treatment added and strategically dropping less-loved procedures, dentists can avoid overextension and the "jack of all trades, master of none" pitfall. 

Learn how to Extract Impacted 3rd Molars, don't miss out on Third Molars Online and use the coupon code ‘protrusive’ to get 15% off!

Key Takeaways

Pain management is about setting realistic expectations.

Dexamethasone can be beneficial but must be used cautiously.

Dry socket is often overhyped; proper care can prevent it.

Effective communication can alleviate patient anxiety and prevent misunderstandings and complaints.

Preoperative care can help manage pain expectations.

Understanding the signs of infection is essential for diagnosis.

Chlorhexidine rinses can significantly reduce dry socket risk.

Patients appreciate being informed about their unique dental situations. PRF can significantly reduce the incidence of dry socket.

Dentists should embrace new techniques like PRF to enhance patient care.

Patient involvement in post-surgical care is crucial for healing.

Dentists should not hesitate to refer complex cases to specialists.

Need to Read it? Check out the Full Episode Transcript below!

Highlights of this episode:

02:54 Protrusive Dental Pearl

04:05 Dr. Nekky Jamal 

08:39 Managing Post-Extraction Pain and Swelling

21:37 Infection

25:02 Identifying Dry Socket and How to Prevent it

28:30 Case Selection and Communication

37:13 Mitigating Dry Socket with Platelet-Rich Fibrin (PRF)

39:47 The Importance of Nicheing in Dentistry

43:19 Cryotherapy and Post-Surgery Care

47:32 Handling Tuberosity Fractures

55:08 Patient Consent 

57:55 Litigation and Patient Communication

This episode is eligible for 1 CE credit via the quiz on Protrusive Guidance. 

This episode meets GDC Outcomes A, C and D.

AGD Subject Code: 310 ORAL AND MAXILLOFACIALSURGERY (Exodontia)

Dentists will be able to:

Identify and differentiate common postoperative complications, and recognise the  key symptoms associated

Evaluate the ethical and clinical considerations of case selection for extractions

Communicate effectively with patients regarding potential complications

If you loved this episode, be sure to check out another epic episode with Dr. Nekky Jamal - Wisdom Teeth Extractions – SURGICAL TOP TIPS

Click below for full episode transcript:

Teaser: Overexplain and then have them on your page, have them take ownership for their anatomy before you even start. You know what I mean? Dentistry is about talking to patients and Jaz, you've seen how I talk to my patients. I keep everything light, but after I joke around, I say, okay, but seriously, do you understand that this is a risk like this could actually happen and in this case scenario I don't want that to happen for you.

Teaser:I'll do everything I can for you. But there's things that are out of our control. Do you understand? And patients have to take ownership of it? Otherwise, I'm not doing work.