Episodios
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keywords medical emergencies, dental office, anesthesia, airway issues, syncope, laryngospasm, bronchospasm, patient safety, sedation, anesthesiology summary In this conversation, Dr. Serv Wahan and Dr. Peter Pfeiffer discuss critical medical emergencies that can occur in dental settings, focusing on anesthesia-related issues. They explore common emergencies such as syncope, the differences between laryngospasm and bronchospasm, and the protocols for managing these situations effectively. The discussion emphasizes the importance of preparedness in dental offices, including the necessity of monitoring equipment and understanding patient safety during sedation procedures. takeawaysMedical 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.titlesNavigating Medical Emergencies in Dental PracticesThe Role of Anesthesia in Dental EmergenciesSound Bites"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."Chapters 00:00 Introduction to Medical Emergencies in Dental Settings04:23 Common Medical Emergencies: Syncope and Fainting10:08 Understanding Airway Complications: Laryngospasm vs. Bronchospasm16:12 Managing Laryngospasm: Techniques and Protocols
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keywords: wisdom teeth, nerve injury, dental surgery, oral surgery, risk factors, patient management, supplements, recovery, dental health, oral maxillofacial surgery summary: In this conversation, Dr. Serv Wahan discusses the findings from a recent study on the risk factors associated with inferior alveolar nerve injury during the extraction of impacted lower mandibular third molars. He emphasizes the importance of understanding these risks, the management of potential nerve issues post-surgery, and the role of certain supplements in aiding nerve recovery. The discussion is rooted in practical insights from his extensive experience in oral and maxillofacial surgery.takeawaysThe 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.titlesThe Role of Supplements in Nerve RecoveryNavigating Wisdom Teeth: Risks and RecoverySound Bites"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."Chapters 00:00 Introduction and Overview of the Journal03:02 Understanding Nerve Injuries in Wisdom Tooth Extractions05:50 Risk Factors for Nerve Injuries During Extractions08:59 Management of Nerve Issues Post-Extraction11:49 Supplementation for Nerve Recovery
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Summary This conversation discusses common oral lesions, specifically dry mouth, candidiasis (fungal infection of the mouth), and canker sores (aphthous ulcers). The prevalence, causes, symptoms, and treatment options for each condition are explored. Dry mouth can be caused by medications and can lead to dental issues and bad breath. Candidiasis is an opportunistic infection that can be triggered by an imbalance in the oral cavity. Canker sores are the most common oral lesion and can be caused by nutritional deficiencies and certain toothpaste ingredients. Treatment options include medications, natural remedies, and lifestyle changes. Keywords oral lesions, dry mouth, xerostomia, candidiasis, fungal infection, canker sores, aphthous ulcers, prevalence, causes, symptoms, treatment options. TakeawaysDry 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. TitlesUnderstanding and Managing Dry MouthPreventing and Treating Candidiasis in the MouthSound Bites"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."Chapters 00:00 Introduction and Overview02:15 Dry Mouth: Causes, Symptoms, and Effects08:02 Candidiasis: Opportunistic Fungal Infection11:18 Canker Sores: Common Oral Lesion
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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
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Serv Wahan MD, DMD discusses shadow bans, community guideline violations, and hacks to get around algorithm blocking on TikTok and Instagram. He shares his experience with social media and how he started posting surgical content after the pandemic. Serv explains what a shadow ban is and how it affects reach and engagement. He also provides tips on avoiding shadow bans, such as giving your account a break, removing flagged content, and checking banned hashtags. Serv discusses community guideline violations and the importance of striking a balance between informative and sensitive content. He also shares insights from a study on content and engagement among plastic surgeons on Instagram. Keywordsshadow bans, community guideline violations, algorithm blocking, TikTok, Instagram, surgical content, reach, engagement, banned hashtags, personal content, social media following, SEO TakeawaysShadow 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.TitlesThe Impact of Social Media Following on SEOThe Power of Personal Content on Social MediaSound Bites"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."Chapters00:00 Introduction and Background02:53 Understanding Shadow Bands07:12 Tips to Avoid Shadow Bans10:05 Banned Hashtags and Community Guideline Violations31:13 Engagement and Social Media Following
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In this episode, Dr. Serv Wahan discusses the management of patients on anticoagulants in the dental setting. He addresses common questions and concerns related to blood thinners, tranexamic acid, and the management of bleeding in dental procedures. Dr. Wahan emphasizes the importance of not stopping blood thinners and provides insights into the use of tranexamic acid for local hemostasis. anticoagulation, blood thinners, dental procedures, tranexamic acid, local hemostasis, patient managementTakeawaysThe importance of managing patients on blood thinners in the dental settingThe use of tranexamic acid for local hemostasis in dental proceduresThe risks and benefits of managing patients on anticoagulants during dental surgeryTitlesTranexamic Acid for Local Hemostasis in Dental SurgeryManaging Patients on Anticoagulants in Dental ProceduresSound Bites"This topic is for everyone. It's not for doctors, dentists. It's for patients, it's for your family, it's for your friend.""The answer is no. I do not. We just manage any risk of bleeding locally because that's still safer than taking someone off blood thinners.""And they can use it on any cut. I just tell them, you keep it in your fridge, you can use it on any cut. You know, it's a topical. And so it does help."Chapters00:00Introduction to Anticoagulation Management in Dentistry03:23Local Management of Bleeding in Dental Procedures
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I have been able to successfully reduce 80% of TMJ dislocations this way. The other 20% have needed general anesthesia or IV sedation. It doesn't matter if you are a patient, doctor, assistant, or if your friend dislocated their TMJ, you will get something from this episode.
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My 17 years of oral surgery experience combined with relevant literature makes this a go-to for patients, doctors, and your mom.
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