keywords flap reflection, coronectomy, wisdom teeth, extraction techniques, dental surgery, post-operative care, complications, dental instruments, patient management, oral surgery

summary In this conversation, Dr. Serv Wahan and Dr. Jaclyn Tomsic discuss various aspects of dental surgery, focusing on flap reflection techniques, the decision-making process between coronectomy and extraction, and the instruments used in wisdom teeth removal. They emphasize the importance of documentation in avoiding litigation and share insights on managing complications and post-operative care. The discussion also covers the indications and contraindications for performing a coronectomy, highlighting the need for careful patient assessment and surgical technique.

takeaways Small hole, big problem is a key principle in flap reflection. Always aim to extract the tooth if possible. Documentation is crucial to protect against litigation. Understanding the anatomy is vital to avoid nerve damage. Post-operative care is essential for patient recovery. Coronectomy can be a safer option in certain cases. Instruments should be chosen based on the specific case needs. Monitoring healing is important to identify complications early. Patient comfort and understanding are key during consultations. Indications for coronectomy include teeth close to nerves.

titles Mastering Flap Reflection Techniques

Sound Bites "Small hole, big problem." "It's a valid procedure, honestly." "You have to remove more bone."

Chapters 00:00 Flap Reflection Tips and Techniques

01:48 Coronectomy vs Extraction: Decision Making

05:58 Instruments and Techniques for Wisdom Teeth Removal

10:01 Managing Complications and Post-Operative Care

13:50 Indications and Contraindications for Coronectomy

keywords coronectomy, oral surgery, mandibular third molars, nerve injury, post-operative pain, surgical techniques, patient communication, dental procedures, oral health, wisdom teeth

summary In this conversation, Dr. Serv Wahan and Dr. Jaclyn Tomsic discuss the intricacies of coronectomies, a surgical procedure primarily performed on mandibular third molars. They delve into the definition, indications, risks, and post-operative outcomes associated with coronectomies. The discussion highlights the importance of patient communication, surgical techniques, and the evolving understanding of this procedure within the dental community. Through various studies and personal experiences, they emphasize the need for careful decision-making to minimize complications and enhance patient care.

takeaways Coronectomies involve the intentional retention of tooth roots. The procedure is primarily indicated for patients over 25 years old. Post-operative pain can vary between coronectomies and extractions. Efficiency in surgery can reduce recovery time and pain. Patient education is essential to avoid misunderstandings about risks. The risk of nerve injury increases with age and complexity of the case. Studies show that root migration can occur but is often manageable. Using PRF can aid in healing, though its necessity is debated. Communication with patients about potential outcomes is crucial. Coronectomies are becoming more accepted in dental practice.

titles Exploring Coronectomies: A Comprehensive Guide The Art of Coronectomies in Oral Surgery

Sound Bites "Post-op pain is a significant finding." "The goal is to prevent a nerve issue." "Patient communication is crucial in surgery." "Do no harm is our guiding principle."

Chapters 00:00

Introduction and Overview of Coronectomies 00:57 Understanding Coronectomies: Definition and Indications 03:13 Risks and Complications of Coronectomies 06:07 Post-Operative Outcomes and Studies 09:52 Surgical Techniques and Considerations 14:07 Patient Communication and Decision Making 17:49 Future of Coronectomies and Conclusion

• Perioperative emergencies are relatively rare but can be serious.
• Daylight savings time can increase the risk of cardiac events.
• Real-life experiences in emergencies highlight the need for preparedness.
• AEDs are essential in any medical or dental office.
• Training and simulation improve emergency response skills.
• Managing blood pressure in patients requires careful consideration.
• Allergic reactions can escalate quickly and require immediate action.
• Epinephrine is crucial for treating anaphylaxis.
• Experience and training are vital in handling emergencies.
• Emergencies can happen to anyone, regardless of experience.

• Navigating Perioperative Emergencies
• The Hidden Dangers of Daylight Savings

• "Daylight savings time causes heart attacks."
• "AEDs save lives. That's a thing."
• "You need this. Nobody could find an AED."
• "You have to have reps, right?"

• Medical emergencies in dental offices are common and require preparedness.
• Syncope is the most frequent emergency, often caused by fainting.
• Proper monitoring equipment, like pulse oximeters, is essential in dental practices.
• Laryngospasm can occur during sedation and requires immediate attention.
• Understanding the difference between laryngospasm and bronchospasm is crucial for management.
• Efficient management of emergencies can reduce patient risks and improve outcomes.
• Anesthesiologists play a vital role in complex dental procedures.
• Training and experience in anesthesia can vary significantly among dental professionals.
• Patient safety protocols should be in place for all sedation procedures.
• Communication and teamwork are key in managing medical emergencies in dental settings.

• Navigating Medical Emergencies in Dental Practices
• The Role of Anesthesia in Dental Emergencies

• "I've seen dental students faint."
• "If you see someone pass out, lay them down."
• "Laryngospasm is a cough gone haywire."
• "Halcion has a little amnesia with it."

• The Journal of Oral Maxillofacial Surgery published significant findings.
• CT scans are not routinely necessary for wisdom teeth extractions.
• 17% of patients may experience nerve issues post-extraction.
• Chiseling teeth increases the risk of nerve injuries.
• Age and gender are important risk factors for nerve complications.
• Steroids can help mitigate nerve issues after surgery.
• Nerve injuries can be temporary or permanent.
• Certain supplements can aid in nerve recovery post-surgery.
• Patient management is crucial for minimizing long-term nerve issues.
• Experience of the surgeon plays a vital role in outcomes.

• The Role of Supplements in Nerve Recovery
• Navigating Wisdom Teeth: Risks and Recovery

• "I don't routinely get CT scans for wisdom teeth."
• "17% of patients had some nerve issue after surgery."
• "Chisels had more nerve issues than drills."

• Dry mouth, or xerostomia, is a common condition that can be caused by medications and can lead to dental issues and bad breath.
• Candidiasis is an opportunistic fungal infection that can occur in the mouth due to an imbalance in the oral cavity.
• Canker sores, or aphthous ulcers, are the most common oral lesion and can be caused by nutritional deficiencies and certain toothpaste ingredients.
• Treatment options for these oral lesions include medications, natural remedies, and lifestyle changes.

• Understanding and Managing Dry Mouth
• Preventing and Treating Candidiasis in the Mouth

• "What is fricking spit? What is saliva? It's really water."
• "Dry mouth can lead to fungal infections, dental caries, dysphagia, and bad breath."
• "Fungal infections in the mouth are opportunistic and require an imbalance in the oral cavity to occur."

Summary

In this conversation, Dr. Serv Wahan and Dr. Peter Pfeiffer discuss the challenges of anesthesia and sedation for redheads and marijuana users in dentistry. Redheads have a different way of experiencing pain and may require more medication for sedation and local anesthesia. Marijuana use can affect anesthesia and sedation, as well as post-operative pain and nausea. However, there is a lack of research due to the federal illegality of marijuana. The conversation highlights the need for individualized protocols and patient education in these cases.

Keywords

redheads, anesthesia, sedation, dentistry, marijuana, local anesthesia, IV sedation, general anesthesia, pain management

Takeaways

Redheads may require more medication for sedation and local anesthesia due to their different pain perception.

Marijuana use can affect anesthesia and sedation, as well as post-operative pain and nausea.

There is a lack of research on the effects of marijuana in dentistry due to its federal illegality.

Individualized protocols and patient education are important in managing anesthesia and sedation for redheads and marijuana users.

Titles

Navigating the Lack of Research on Marijuana in Dentistry

Challenges of Anesthesia and Sedation for Redheads in Dentistry

Sound Bites

"Redheads have a different way of experiencing pain and cold temperatures, they will notice more, but it hurts less."

"Patients that are 16, 17 years old now are raised differently than they were when I was 16 and 17. You know, I think every generation kind of does."

"Marijuana is legal in a lot of states. Okay, that's fine. But technically it's still illegal federally."

Chapters

00:00 Introduction and Background

01:51 Challenges of Anesthesia and Sedation for Redheads

13:05 The Impact of Marijuana Use on Anesthesia and Sedation

23:23 Difficulties in Managing Anesthesia and Sedation for Redheads and Marijuana Users

26:36 Individualized Protocols and Patient Education

#redheads #redhead #marijuana #marijuanaanddentistry #dentalanesthesia

• Shadow bans can result in a sudden decrease in reach and engagement on social media platforms like TikTok and Instagram.
• To avoid shadow bans, give your account a break, remove flagged content, and check for banned hashtags.
• Community guideline violations can include posting dismemberment, sadistic comments, or celebrating suffering or humiliations.
• Personal content tends to have the highest engagement on social media platforms.
• Having a large social media following can improve search engine optimization (SEO) and increase visibility on search engines like Google.

• The Impact of Social Media Following on SEO
• The Power of Personal Content on Social Media

• "A shadow ban has a sudden decrease in your reach and engagement."
• "Give your account a complete break and let the algorithm reset."
• "Hashtags can go from being used a lot to being banned."