Podcasts about mandibular

Join me for a summary of CBCT use inorthodontics, where I look into the current risk of cancer with CBCT use, the differenceit can make to treatment planning, and the 3 most common incidental findingsorthodontists should be aware of. This was one my highlight lectures from lastyears British Orthodontic Conference by Consultant Dental Radiologist, SimonHarvey.    How much radiation comes from dentalCBCT, medicine?Effective dose of modern machines:·      Dose from full DPT with adigital system = 20-25µSv·      KAVO, MoritaX800 4 x 4cm =16uSv·      FDA values of CT scans acrossthe boy from Lubar 1500uSv – Heart 16000uSvFACT 1 – effective dose in dental imagingare far below the rest of medicine Background radiation·      Terrestrial radiation·      Cosmic radiationo  Flight London – New York 56uSv– cancer UK ‘does not effect risk of cancer, even for frequent flyers', 4uSvper houro  Pilots do not have an increasedrisk of cancerUK 3000 uSv annuallyFACT 2 – EFFECTIVE DOSES IN DENTAL IMAGINGARE FAR BELOW THE NATURAL BACKGROUND RADIATION American Association of Physicist inMedicine AAPM“evidence supporting increased cancerincidence or mortality from radiation doeses below 100mSv is inconclusive” –cancer incidence and mortality from the use of diagnostic imaging are highlyspeculative, discourage these prediction of hypothetical harmFACT 3 EFFECTIVE DOSES IN DENTAL IMAGINGARE SO LOW, THEY DO NOT CAUSE CANCER Clinicians improved confidence andconsistency in treatment planning decisions.Impacted canine:·      3 radiographs -  namely occlusal view, opg , periapical  = still not confident about prognosis.·      CBCT = clear follicle and impactedcanine proximity to adjacent tooth, = easily make up the decision estimatingprognosis o  22%-44% change of plans Hodges 2013 Stoustrup 2024  change in treatment plans ofimpacted teeth. The majority related to change in planning, with approximately10-20% a change in exposure Vs extraction. Keener 2023  ·      Cleft – quantification of bonedefect volume for grafting and localisation of ectopic teeth·      Surgery – location of importantanatomical structures 3 Commonincidental findings for orthodontists·      Dense bone island- o  Radiopacity with no radiolucenthaloo  Mandibular premolar regiono  Harmless, may resorb roots ifcontact it·      Sinus mucosal thickeningo  Antrum floor intacto  Only concern if 5mm+·      Trabecular patterno  Around inferior dento-alveolarcanalo  No corticated boardero  normal in children, technicalreason is physiologic response as more RBC's are developing surrounding thatarea. Pregnant women –yes as not irridating pelvic reason, CBCT beam is horizontal so no risk Conclusion1.    CBCT superior for resorption,material change to treatment plans and improve confidence of the orthodontists2.    No recommendation for takingfull mouth CBCT instead of DPT ahead of starting every orthodontic treatment asroutine and x rays should never go hand in hand3.    Small volume CBCT does is solow it doesn't cause cancer

As part of the April issue, the European Respiratory Journal presents the latest in its series of podcasts. Deputy Chief Editor Don Sin interviews Dr Fernanda Almeida about the CHOICE multicentre, open-label randomised clinical trial.

In this episode of the Award-winning PRS Journal Club Podcast, 2025 Resident Ambassadors to the PRS Editorial Board – Christopher Kalmar, Ilana Margulies, and Amanda Sergesketter- and special guest, Evan Matros, MD, discuss the following articles from the May 2025 issue:   “The Financial Impact of a Cosurgeon in Breast Microsurgery” by DeVito, Ke, Park, et al.   “Legislative Impact and Persistent Disparities: Postmastectomy Breast Reconstruction Rates in the United States among 224,506 Patients” by Schafer, Ho, Potoczak, et al.   “Computer-Aided Design and Manufacturing in Free Fibula Reconstruction of the Mandible: Comparison of Long-Term Outcomes with the Conventional Technique” by Bengur, Humar, Saadoun, et al.   Special guest, Evan Matros, MD is an attending surgeon, Vice Chair of Health Information Technology in the Department of Surgery, and the program director of the microsurgery fellowship at the Memorial Sloan Kettering Cancer Center in New York City. He completed his General Surgery and Plastic Surgery Residencies at Harvard Medical School followed by a microsurgery fellowship at Memorial Sloan Kettering Cancer Center. He also has received his MPH at Columbia University and Master of Medical Science degree from Harvard Medical School. Among his many accomplishments, Dr. Matros is the current vice president of the American Society for Reconstructive Microsurgery Council, he currently serves on the editorial board of the PRS Journal, and he is widely published in reconstructive microsurgery.   READ the articles discussed in this podcast as well as free related content: https://bit.ly/JCMay25Collection   The views expressed by hosts and guests are their own and do not necessarily reflect the official policies or positions of ASPS.

Our facial plastic and reconstructive surgeons continue their roundtable discussion on osteoradionecrosis (ORN). They emphasize the significance of multidisciplinary, coordinated care at Cleveland Clinic and delve deeper into their recent publication on ORN management, highlighting how this approach leads to superior patient outcomes.

Join our team of facial plastic and reconstructive surgeons, led by Michael Fritz, MD, for a deep dive into mandibular osteoradionecrosis management. Listen as we explore the historical treatment of this condition, and discuss the newest findings and practice-changing treatment paradigms that are revolutionizing patient care.

In this episode of the Award-winning PRS Journal Club Podcast, 2024 Resident Ambassadors to the PRS Editorial Board – Rami Kantar, Yoshi Toyoda, and Amanda Sergesketter- and special guest, Scott Bartlett, MD, discuss the following articles from the November 2024 issue: “Loop-Neurorrhaphy Technique for Preventing Bone Resorption and Preserving Lower Lip Sensation in Mandibular Reconstruction Using Vascularized Iliac Bone Flap: A Single-Center Randomized Clinical Trial” Shi, Zhang, Zhang, et al. Read the article for FREE: https://bit.ly/MandReconLoop Special guest, Dr. Scott Bartlett, is the former chair of Plastic Surgery at the Children's Hospital of Philadelphia and is the director of the craniofacial program at CHOP where he also holds The Mary Downs Endowed Chair in Pediatric Craniofacial Treatment and Research, in addition to being a Professor of Plastic Surgery at The Perelman School of Medicine at The University of Pennsylvania. He obtained his medical degree at Washington University in St. Louis followed by plastic surgery training at The Massachusetts General Hospital, Harvard Medical School, and pediatric and craniomaxillofacial surgery fellowship at The Children's Hospital of Philadelphia. Dr. Bartlett is an international authority in craniofacial surgery and won the AAPS Clinician of the Year award in 2023. READ the articles discussed in this podcast as well as free related content: https://bit.ly/JCNov24Collection

The buccal fat pad flap is a wonder for oral surgeons thanks to its versatility and multiple possible applications. Today, Dr. Ben Hechler reassumes his position as one of our favorite guests as he explains how the buccal fat pad can be used in oral reconstructions. After detailing the many possible applications for the buccal fat pad in oral reconstructions and explaining why this particular flap is a dream for oral surgeons, Dr. Hechler shares his technique for retrieving and securing buccal fat, the best tools to use for this process, the sutures that work best for securing buccal fat, and other examples that highlight the unique versatility of the buccal fat pad flap. We end with buccal pad contraindications to be aware of, with more advice on how to use this particular flap responsibly and effectively.Key Points From This Episode:Why the buccal fat pad is pure gold for oral surgeons. Expanded indications for using the buccal fat pad in oral reconstructions. Dr. Ben Hechler's technique for retrieving and securing the buccal fat pad. The best tools and instruments to use for buccal fat extraction. What to consider when securing buccal fat; the types of sutures to gravitate towards. Contraindications to using the buccal fat pad. More ways to use the buccal fat pad flap (that highlight its versatility).Links Mentioned in Today's Episode:Dr. Ben Hechler on LinkedIn — https://www.linkedin.com/in/ben-hechler/ AAOMS — https://www.aaoms.org/ Everyday Oral Surgery Website — https://www.everydayoralsurgery.com/ Everyday Oral Surgery on Instagram — https://www.instagram.com/everydayoralsurgery/ Everyday Oral Surgery on Facebook — https://www.facebook.com/EverydayOralSurgery/Dr. Grant Stucki Email — grantstucki@gmail.comDr. Grant Stucki Phone — 720-441-6059

Quick Summary: In this episode of the Vet Dental Show, Dr. Brett Beckman shares practical advice for veterinary dental teams. Topics covered include using mouth gags during surgery, managing incisor extractions, handling complex tooth extractions, and using tools like the Vetome. Dr. Beckman also discusses the importance of choosing appropriate methods for specific malocclusions and the pros and cons of referrals versus in-house procedures.     Guest, Cast, and Crew Information: Host: Dr. Brett Beckman, Board Certified Veterinary Dentist Guest: None Sponsored by: IVDI      Main Talking Points: Using syringe barrels as mouth gags in different-sized animals. Tips for incisor extractions and dealing with difficult suture closures. Managing extraction of complex teeth, especially lateral incisors. The value of the Vetome tool for easy extractions. Treating class II malocclusion with mandibular canine extractions. Why the mandibular second molar extraction can be particularly challenging.     Interesting Quotes: "When it comes to extractions, slow, deliberate movements ensure better control and prevent fractures." "The Vetome has been a game-changer in how we approach extractions—efficient, precise, and effective."     Timestamps: [00:00] – Introduction and overview. [01:10] – Discussion on using mouth gags and practical techniques. [04:05] – Tips and tricks for incisor extractions and managing dehiscence. [07:30] – Importance of the Vetome tool for easy and efficient extractions. [10:20] – Treating class II malocclusions and mandibular canine extractions. [12:50] – Managing the mandibular second molar extraction challenges.     (Veterinary dentistry, mouth gags, tooth extraction, incisor extraction, Vetome, dental surgery tools, class II malocclusion, canine tooth extraction, veterinary dental procedures, periodontal disease)     Key Points Summary: Use syringe barrels as mouth gags for different animal sizes, ensuring comfort. Avoid flaps in simple incisor extractions; they often lead to dehiscence. The Vetome is an invaluable tool for efficient extractions in challenging cases. Class II malocclusions can be treated with mandibular canine extractions if other treatments are not viable. The mandibular second molar presents specific extraction challenges due to its deep placement and thick bone structure.     Affiliate & Sponsor Links: Link: IVDI.org/inv  

Send us a textDive into the publication "Combined immediate loading of zygomatic and mandibular implants: a preliminary 2-year report of 19 patients" with Dr. Caesar Butura published in the International Journal of Maxillofacial Implants. 2014 Jan-Feb, 29(1):e22-9.Check the complete publication on the relevant databases:doi: 10.11607/jomi.te38PMID: 24451884Learn more about the ZAGA Centers by browsing our website: zagacenters.comOr engage directly with our ZAGA Community by joining the ZAGA Circle, our WhatsApp group, where knowledge and experience in full mouth rehabilitation are shared daily: https://chat.whatsapp.com/HAA4vAj6nl4ApY02m9zMgS

This episode dives into techniques for ensuring safe extractions and optimal recovery in veterinary dentistry."     Quick Summary: In this episode, Dr. Brett Beckman discusses essential strategies for preventing fractures during canine tooth extractions, particularly in cases with significant bone loss. He addresses common issues such as cyst involvement, dehiscence, and post-operative care, providing practical advice for veterinary professionals. The episode also includes insights into specific tools and techniques for managing cyst repairs and complex extractions.     Guest, Cast, and Crew Information: Host: Brett Beckman, Board Certified Veterinary Dentist Guest: None Sponsored by: Veterinary Dental Practitioner Program     Main Talking Points: Preventing mandibular fractures during extractions with compromised bone. Addressing cysts in canine patients and the risks of bone loss. Techniques to manage dehiscence in brachycephalic breeds. Using jugular blood samples for defect healing post-extraction. Breed predisposition to dentigerous cysts (brachycephalic breeds like Boxers, Boston Terriers, and Pugs).     Interesting Quotes: "Slow, deliberate, sustained extraction force with an luxator elevator allows us to have control and prevent mandible fractures." "When we have a large bone defect, using a jugular sample helps fill the defect and promote healing."     Timestamps: [00:00] – Introduction and overview. [01:30] – Allison Marie's question: Preventing mandibular fractures during extractions with significant bone loss. [05:15] – Dehiscence in brachycephalic breeds and managing post-operative healing. [08:40] – Amelia Jane's question: Using jugular blood samples for improved healing in dental procedures. [11:10] – Morgan de Schell's question: Breeds most prone to dentigerous cysts.     Call to Action: For more information on veterinary dental procedures and to request an invitation to the Veterinary Dental Practitioner Program, visit IVDI.org/INV. Don't forget to subscribe, leave a rating on iTunes, and share a review on the Vet Dental Show Facebook page to receive a free Instrument Use Essentials course!     (Veterinary dentistry, canine tooth extraction, mandibular fracture, dental cyst repair, brachycephalic breeds, dehiscence in dental procedures, jugular blood sample, dentigerous cysts, veterinary dental tools, veterinary dental techniques)     Key Points Summary: Take precautions during canine extractions to prevent fractures, especially with compromised bone. Brachycephalic breeds are prone to dehiscence post-surgery due to tissue pressure. Using jugular blood samples helps promote healing in larger bone defects. Dentigerous cysts are common in brachycephalic breeds and require early detection for effective management.     Affiliate & Sponsor Links: Sponsored by: IVDI Link: IVDI.org/inv  

In this episode of the PRS Global Open Keynotes podcast, Dr. Ruben Kannan discusses facial nerve anatomy. His paper outlines a technique for finding the marginal mandibular branch of the facial nerve. Facial nerve reconstruction and the treatment of dyskinesia is also discussed. This episode discusses the following PRS Global Open article: M-Point: A Landmark for Locating the Marginal Mandibular Branch of the Facial Nerve by Ruben Kannan. Read the article for free on PRSGlobalOpen.com: https://bit.ly/FacialNerver Dr. Ruben Kannan is a consultant plastic surgeon at Queen Victoria Hospital in East Grinstead United Kingdom. Your host, Dr. Damian Marucci, is a board-certified plastic surgeon and Associate Professor of Surgery at the University of Sydney in Australia. #PRSGlobalOpen #KeynotesPodcast #PlasticSurgery

In this episode Mauz Asghar, a medical student at the University of Saskatchewan, is joined by his colleague Muaaz Asghar to discuss mandibular fractures.   By the end of this podcast learners should be able to: ● Outline the etiology and epidemiology of mandibular fractures. ● Identify the key clinical features of a mandibular fracture. ● List the key investigations for mandibular fractures. ● Formulate a management plan for a patient with a mandibular fracture. ● Detail the various complications that patients with mandibular fractures may encounter.

Description: PDF Notes for Surgery 101 episode on Mandibular Fractures  

Drs. Nicholas Callahan and Michael Miloro discuss the recent JOMS article on nerve reconstruction. The purpose of this study was to evaluate functional sensory recovery of immediate IAN allograft reconstruction performed during ablative mandibular resection at one year following surgery.

If you suffer from sleep apnea, you may well be dreading the thought of having to use an unwieldy CPAP machine each night. Denver Dentistry (303-988-6118) has another option with its ProSomnus mandibular advancement device! Learn more at https://www.denverdentistry.com Denver Dentistry City: Littleton Address: 5920 S Estes St #200 Website: https://www.denverdentistry.com/ Phone: +1 303 988 6118 Email: frontdesk@denverdentistry.com

Thank you for joining us for our 2nd Cabral HouseCall of the weekend! I'm looking forward to sharing with you some of our community's questions that have come in over the past few weeks…   Dionna: Hi, Dr. Cabral. After completing the Big 5, my coach advised that I was absent of Vitamin B's, I needed Balanced Zinc, Magnesium, Omega 3's, 5,000 iu's of Vitamin D, and a Thyroid Support (for 3 months). I am currently using the DNS each morning & it was my understanding that would cover my B's and Zinc. I get the DNS and all the remaining necessary supplements on a monthly subscription with Equilife, plus Digestive Enzymes. Because I need two jars of the DNS to get through a month, I'm wondering what benefits I lose if I switch to the Daily Activated Multi-Vitamin. Do you recommend one over the other, or are they the same? Also, do I really need a Collagen supplement if I'm using either one of those products? As always, I appreciate you so much and all that you do! Dionna   Jennifer: Hi Dr Cabral! I've listened to all your podcasts on UTI and am wondering what your thoughts are on UTIs in relation to hormones? Could low estrogen be a cause of recurring UTI. I'm asking especially since d mannose, GSE and Vitamin C seem to not be working? I had 9 UTIs in 2022 and then zero for an entire 9 month stretch during pregnancy. Wondering what can be done if indeed it's a hormone issue. I had my levels tested pre-pregnancy through equilife and my progesterone was low, but estrogen seemed fine. I've had UTI issues ever since I can remember. But only in recent years has it gotten this frequent! Any insight helps!!Thank you!!   Nathalie: I allowed for moderate v**c of my first three children. Other than your heavy metal detox protocol, what other protocols do you recommend for me to give them so I can offset any potential future effects they will have from having been v**c as toddlers? Thank you   Lynda: Hi Dr Cabral, As you are a fountain of knowledge on all subjects, I was wondering if you have any thoughts on the possibility of reversing mandibular tori. I was recently told I have them at a dentist appointment, and now I'm obsessed with getting rid of them as I suspect they have made my teeth progressively crooked. Do you think proteolytic enzymes could reduce them? Any other thoughts? You're the best. :)   Abby: Hi Dr. Cabral, I workout in the morning before my 12 hr fast is up. Since working out raises my blood sugar, am I technically breaking my fast? And If so, is holding off on eating until the 12 hr mark still benefiting me if my fast is broken with raised blood sugar? Also am I preserving muscle in a fasted state? Thanks   Thank you for tuning into this weekend's Cabral HouseCalls and be sure to check back tomorrow for our Mindset & Motivation Monday show to get your week started off right! - - - Show Notes and Resources: StephenCabral.com/3040 - - - Get a FREE Copy of Dr. Cabral's Book: The Rain Barrel Effect - - - Join the Community & Get Your Questions Answered: CabralSupportGroup.com - - - Dr. Cabral's Most Popular At-Home Lab Tests: > Complete Minerals & Metals Test (Test for mineral imbalances & heavy metal toxicity) - - - > Complete Candida, Metabolic & Vitamins Test (Test for 75 biomarkers including yeast & bacterial gut overgrowth, as well as vitamin levels) - - - > Complete Stress, Mood & Metabolism Test (Discover your complete thyroid, adrenal, hormone, vitamin D & insulin levels) - - - > Complete Food Sensitivity Test (Find out your hidden food sensitivities) - - - > Complete Omega-3 & Inflammation Test (Discover your levels of inflammation related to your omega-6 to omega-3 levels) - - - Get Your Question Answered On An Upcoming HouseCall: StephenCabral.com/askcabral - - - Would You Take 30 Seconds To Rate & Review The Cabral Concept? The best way to help me spread our mission of true natural health is to pass on the good word, and I read and appreciate every review!  

Interview with Jay F. Piccirillo, MD, and Azadeh Afshari, DDS, authors of Mandibular Advancement vs Combined Airway and Positional Therapy for Snoring: A Randomized Clinical Trial. Hosted by Paul C. Bryson, MD, MBA. Related Content: Mandibular Advancement vs Combined Airway and Positional Therapy for Snoring

Interview with Jay F. Piccirillo, MD, and Azadeh Afshari, DDS, authors of Mandibular Advancement vs Combined Airway and Positional Therapy for Snoring: A Randomized Clinical Trial. Hosted by Paul C. Bryson, MD, MBA. Related Content: Mandibular Advancement vs Combined Airway and Positional Therapy for Snoring

Emma is joined by Dr. Clare Simon, a dentist offering mandibular advancement devices to patients in the UK. In this episode: * Clare shares how she discovered dental sleep medicine after around 10 years of general dentistry. * Clare's husband's snoring and how he became her first patient. * Why Clare decided to leave general dentistry to set up The London Dental Sleep Clinic. * How patients access mandibular advancement devices in the UK via the NHS and paying privately. * Clare explains how she uses home sleep tests for her patients. * Increasing awareness around sleep health and sleep apnea. Connect with Dr. Clare Simon https://www.londondentalsleepclinic.com/ https://www.instagram.com/drclaresimon/ Connect with Emma:⁠⁠⁠ Follow the podcast on Instagram:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ https://www.instagram.com/sleepapneastories⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Email Emma at ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠sleepapneastories@gmail.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ https://www.sleepapneastories.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Order "The 6-Week CPAP Solution Workbook" by Emma Cooksey Click here: ⁠⁠⁠⁠⁠⁠https://a.co/d/1KUzY0O⁠⁠⁠⁠⁠⁠ in the US or search your Amazon store for the title in your country. Disclaimer: This podcast episode includes people with sleep apnea discussing their experiences with medical procedures and devices.  This is for information purposes only and you should consult with your medical professionals before starting or stopping any medication or treatment. Suicide prevention resources: https://988lifeline.org/ --- Support this podcast: https://podcasters.spotify.com/pod/show/emma-cooksey/support

Commentary by Dr. Valentin Fuster

ACC.24: MAD vs CPAP in OSA

Welcome to the age old debate of should we or shouldn't we use articaine for mandibular blocks from a pharmacologist's perspective! Be sure to check out what Tom Viola is up to by visiting Tomviola.com or email him - Tom@Tomviola.com Our partners on this episode Aquoral - Www.aquoralspray.com  

Welcome to the age old debate of should we or shouldn't we use articaine for mandibular blocks from a pharmacologist's perspective! Be sure to check out what Tom Viola is up to by visiting Tomviola.com or email him - Tom@Tomviola.com Our partners on this episode Aquoral - Www.aquoralspray.com  

In this episode of the Award-winning PRS Journal Club Podcast, 2024 Resident Ambassadors to the PRS Editorial Board – Rami Kantar, Yoshi Toyoda, and Amanda Sergesketter- and special guest Seenu Susarla, DMD, MD, MPH, discuss the following articles from the February 2024 issue: “Long-Term Outcomes after Pediatric Mandibular Reconstruction Using Vascularized Free Fibula Flap” by Liu, Zhang, Wang, et al.  Read the article for FREE: https://bit.ly/MandibularRecon Special guest Seenu Susarla, DMD, MD, MPH, from the University of Washington. Dr. Susarla is a craniofacial surgeon at Seattle Children's Hospital and one of the few craniofacial surgeons in the country who is double board-certified in both plastic surgery and oral and maxillofacial Surgery. He specializes in cleft and craniofacial surgery along with craniomaxillofacial trauma and oral maxillofacial surgery.  READ the articles discussed in this podcast as well as free related content: https://bit.ly/JCFeb24Collection

  Join me for a summary of direct to print aligners. This lecture explores the application of a relatively new resin material which can be used for aligner fabrication, without the need of a 3D printed model. The lecture was given by Simon Graf who expertly compared the differences between conventional and direct to print aligners, as well as the clinical application of specific features of direct to print aligners.   Limitations of current aligner material: 1.         Only small undercuts 2.         Limited aligner thickness to sheet thickness / no selective thickness 3.         During the manufacturing process material can get thinner or thicker depending on heat distribution and stretch, 54% change in thickness of the aligner Lee 2022 4.         Plastic and resin waste, (122 million aligners and models in 2022 Slaymaker 2024) Advantages of direct to print aligners ·       Select thickness, 0.5-0.7mm, conventional aligners 0.75mm+ ·       Gingival margin ·       Dentist in charge of design, not company   Manufacturing steps of Direct to Print aligners (Tera Harz ‘Graphy') 1.         3D printing of resin aligner 2.         Centrifuge: Spin remove excess resin 3.         UV Light cure in Nitrogen chamber 4.         Washed twice, hot distilled water Characteristics of Direct to print aligners ·       Greater accuracy: (Zendura, Essix Ace and DTP were compared and DTP were 20-30% more accurate Koenig 2022) ·       Less with DTP (Hertan 2022) o   DTP 50% less still (2.59 Vs 5.26 N) o   DTP Less force as strain increases Shape memory effect ·       DTP Polymer chains crosslinked, not case in conventional aligners o   The shape recovers in DTP when strain is removed, which does not occur to the same degree in conventional aligners Lee 2022 o   Accelerated by placing in water Unknowns ·       How effective shape memory is remains unclear ·       Cytotoxicity – not enough data, although manufacturer protocols, lack of studies ·       Changing thickness, unclear how much of a difference in force it makes   Clinical points Teeth extrusion Lateral incisors ·       Difficult to do with conventional aligners, ·       Create ‘wedging' gingival pressure columns to squeeze the teeth to cause an extrusive force. Elastic Hooks without loss of force delivery on single tooth ·       Hook printed into aligner with DTP, instead of cut out which alters the force of the aligner instantly, maintain tooth control ·       Tip aligners and elastics: Still add attachment to tooth to prevent aligner displacing   Mandibular advancement ·       Problem of mandibular advancement with aligners o   Wings soft and not maintaining the AP position o   Hard block many breakages ·       DTP choice of thickness of block   Bite ramps Conventional bite ramps: limited length and often too short DTP no limit to size and thickness, and can be designed to not contact upper palatal surfaces, maintaining full tooth control    In the Transverse o   Palatal coverage can be added as feature, similar to a TPA o   Still being researched how much force can be delivered with palatal coverage   Concluding statement Enjoy the variability of direct printed aligners.   Contributions Contents: Abdallah Sharafeldin Edited and produced: Farooq Ahmed

Join me for a summary looking at gingival recession in orthodontics, and whether it is detrimental or beneficial. This lecture was given by James Andrews, he explored the effect of orthodontics on the periodontium, an area under increasing interest within aesthetics to achieve the ideal ‘pink aesthetics' with the increasing adult population receiving orthodontic treatment. His lecture was based on, is orthodontics good or bad for the gingiva? What is the starting point ? Increase in adult orthodontics from 1970 by 800% 50% of adults have some element of periodontal disease Untreated adult population 51% dehiscence 37% areas of fenestration Evangelista 2010 Facial type and bone morphology Tunis 2021 Dolichocephalic = narrow alveolus and elongated to compensate for vertical growth Brachycephalic = larger alveolus Dolichocephalic - Red flag patients Tooth movement:  What happens when teeth move buccally? facial tooth movement Wennström 1996 Reduced bucco lingual width Therefore, reduced free gingiva Increased risk only if tooth is moved out of the alveolar housing What type of movement Tipping (uncontrolled) increase likelihood of recession Condo 2017 Proclination causes recession, but inconclusive  Thickness more relevant than final inclination Yared 2006 How to decide what to do? WALA line – Will Andrews Larry Andrews ridge Andrews 2000 Limit of labial bone – shape is coincident with the mucogingival junction, coincident with centre of resistance Upper incisors – located anterior 1/3 of alveolus Mandibular incisors – cantered within the alveolus  Gingival recession did not increase in treatment orthodontic population with segmental mechanics Melsen 2005 Aligners any different? Association between non-extraction clear aligner therapy and alveolar bone deficiency and fenestration Presence of both fenestration and dehiscence What do we do to correct extra-alveolar teeth? If teeth pushed outside of cortical plate then retracted, what happens Monkey – moved teeth outside of bone for 8 months, then reposition within bone with appliances =  repair bony dehiscence and fenestration Morten  Laursen and Melsen 12 consecutive patients 2020 Teeth moved towards the centre of the cortical plate = improvement in gingival height of depth decrease of 23%, the width with 38% Intrusion Use of intrusion arch increases the thickness of the periodontal fibres 0.7 to 2.3 mm  Melsen 1988 Gingival graft when to move teeth Free gingival graft – 6 weeks Connective tissue graft – 12 weeks “Diagnose and treat each tooth no miracles shortcuts for good orthodontics” Peck 2017 

Hablamos con Marta Buiza, de Fisioterapia Alcobendas, para hablar de Fisioterapia Cérvico-cráneo-mandibular

In the past 12 to 18 months, there has been an abundance of dental surgery innovations that are bound to be the new base of learning and understanding to carry us forward. One such case is the innovation in dental implant placement on mandibular fibula reconstruction. We are joined today by Daniel Hammer, DDS, FACD, and FACS, to gain a better understanding of what this change means for the future of dental surgery. After Dr. Dan explains why he's so passionate about oral and maxillofacial surgery, he then details which patients are suitable for dental implants, common surgical challenges and how to overcome them, innovations worth noting from the past 18 months, and his graft-to-implant placement process. We also explore the paradigm shifts that have recently occurred in the industry, how successful mandibular fibula reconstructions generally are, how guided-operations systems will lead us to a better future, and everything you need to know about navigating implant failure.  Key Points From This Episode:A warm welcome to today's returning guest, Dr. Dan Hammer. Why Dr. Dan is so passionate about oral and maxillofacial surgery.Assessing which patients are suitable for dental implants. Surgical challenges and other things to be aware of in mandibular fibula reconstructions. Recent changes in surgical trends, and current innovations worth noting. The time Dr. Dan takes between the graft and the implant placement. The tissue level of the implants that he uses.  Exploring the success rate of mandibular fibula reconstructions.Navigating implant failure. How Dr. Dan spends his downtime. Links Mentioned in Today's Episode:Dr. Dan Hammer on LinkedIn — https://www.linkedin.com/in/dan-hammer-488809167/ Dr. Dan Hammer on Instagram — https://www.instagram.com/drdanhammer Dr. Dan Hammer on Facebook — https://www.facebook.com/dan.hammer.31  Naval Medical Center San Diego — https://sandiego.tricare.mil/ University of the Pacific, Arthur A. Dugoni School of Dentistry — https://dental.pacific.edu/dental Uniformed Services University — https://www.usuhs.edu/  ‘Episode 83: Dan Hammer' — https://www.buzzsprout.com/1404670/9631043-dr-dan-hammer-experience-as-a-single-degree-fellowship-trained-head-and-neck-surgeon-in-the-armed-forces.mp3 The Subtle Art of Not Giving a F*ck — https://www.amazon.com/Subtle-Art-Not-Giving-Counterintuitive/dp/0062457713 KLS Martin — https://www.klsmartin.com/en/  KLS Martin 35% Discount Code — StuckiFavs Everyday Oral Surgery Website — https://www.everydayoralsurgery.com/ Everyday Oral Surgery on Instagram — https://www.instagram.com/everydayoralsurgery/ Everyday Oral Surgery on Facebook — https://www.facebook.com/EverydayOralSurgery/Dr. Grant Stucki Email — grantstucki@gmail.comDr. Grant Stucki Phone — 720-441-6059

Contributor: Travis Barlock MD Educational Pearls: When might you need to apply a painful stimulus in a medical setting? The main reason is to assess the patient's level of consciousness, such as when they are waking up from anesthesia or have potentially suffered a brain injury. It can be part of the Glasgow Coma Scale (GCS) if patients are not responding to auditory stimuli. Possible levels of consciousness include Alert, Lethargic, Obtunded, and Comatose (ALOC) What are the approved ways to apply a painful stimulus to assess central nervous system function? Trapezius squeeze. Grab the trapezius muscle and twist (contraindicated in clavicle fractures). Supraorbital rim pressure. Find the notch in the supraorbital rim of the patient and push hard with your thumb (contraindicated in facial fractures). Mandibular pressure (not mentioned). Press hard at the angle of the jaw on the mandibular nerve (contraindicated in mandible fractures). Sternal rub. Push down with your knuckles into the patient's sternum and rub vigorously (contraindicated in chest injury/surgery). Each technique should be done for between 15 and 30 seconds. If skin damage is observed in one location, move to a different location. This is especially true of the sternal rub. Important note: Peripheral techniques such as nail tip pressure should only be used to evaluate spinal nerve reflexes and not as a method of assessing the level of consciousness. References Lower J. Using pain to assess neurologic response. Nursing. 2003 Jun;33(6):56-7. doi: 10.1097/00152193-200306000-00047. PMID: 12799591. Middleton PM. Practical use of the Glasgow Coma Scale; a comprehensive narrative review of GCS methodology. Australas Emerg Nurs J. 2012 Aug;15(3):170-83. doi: 10.1016/j.aenj.2012.06.002. Epub 2012 Aug 3. PMID: 22947690. Mistovich JJ, Krost W, Limmer DD. Beyond the basics: patient assessment. Emerg Med Serv. 2006 Jul;35(7):72-7; quiz 78-9. PMID: 16878751. Naalla R, Chitirala P, Chittaluru P, Atreyapurapu V. Sternal rub causing presternal abrasion in a patient with capsuloganglionic haemorrhage. BMJ Case Rep. 2014 Apr 7;2014:bcr2014204028. doi: 10.1136/bcr-2014-204028. PMID: 24711478; PMCID: PMC3987201. Summarized by Jeffrey Olson, MS2 | Edited by Jorge Chalit, OMSII

Did you know Cleveland Clinic has a Section of Dentistry and Oral Surgery? Todd Coy, DMD, joins to discuss how this group collaborates with multidisciplinary teams across the enterprise, and some of the advancements used to treat a growing issue in our patient populations - obstructive sleep apnea.

To know more about The COCOON Veterinary Dental Handheld X-Ray Gun click here -  https://drbrettspets.com/products/cocoon-veterinary-dental-handheld-x-ray-gun To know more about our Live Wetlabs , click here - https://veterinarydentistry.net/

This month we begin with the first of our 'In Conversations With' sessions, where Dr. Sam Taylor talks with Professor Clare Rusbridge about neuropathic pain. We're also featuring our monthly JFMS clinical spotlight interview in which we discuss feline mandibular fractures with Dr. Alix FreemanISFM's own Dr. Sam Taylor is joined by Professor Clare Rusbridge at our Rhodes Congress to discuss neuropathic pain. We ask what exactly is it? How can we tell when a cat is suffering from neuropathic pain and how do we distinguish it from emotional distress? Are there treatment options for neuropathic pain?Nathalie then sits down with Dr. Alix Freeman to discuss her JFMS clinical spotlight article Mandibular fracture repair techniques in cats: a dentist perspective and Alix shares her top tips for those of us in GP practice.For further reading material please visit:https://journals.sagepub.com/doi/10.1177/1098612X231152521https://icatcare.org/event/isfm-vet-and-nurse-webinar-free-access-o-tubes-or-no-tubes-inappetence-and-feeding-tubes-in-cats/Tune in next month for more interviews recorded at ISFM in Rhodes, and next month's clinical spotlight interview.Host:Nathalie Dowgray, BVSc, MANZCVS, PgDip, MRCVS, PhD, Head of ISFM,, International Society of Feline Medicine, International Cat Care, Tisbury, Wiltshire, UK Speakers:Samantha Taylor, BVetMed(Hons) CertSAM DipECVIM-CA MANZCVS FRCVS, Feline Medicine Specialist and ISFM Academy LeadProfessor Clare Rusbridge BVMS PhD DipECVN FRCVS, RCVS and European Specialist in Veterinary NeurologyAlix Freeman,  BA MA BVSc MRCVS, Clinician in Dentistry, Oral and Maxillofacial Surgery at Eastcott Veterinary ReferralsFor ISFM members, the full recording of this discussion is available for you to listen to at portal.icatcare.org. To become an ISFM member, or find out more about our Cat Friendly schemes, visit icatcare.org

Dr. Stanley Malamed! The man, the myth, the legend. Few names in dentistry reign with bigger impact and recognition in the field of pain management and anesthetics. As personable as he is a prolific researcher, the Emeritus professor at USC School of Dentistry provides a multi-tier approach to effectively distinguish the proverbial "hot mandibular molar" in one breath and displays his Madden-like sports trivia in the next. Tap into this episode to learn which factors decrease the chances of a missed block and whether one of them could be the type of anesthetic used.Dr. Malamed provides literary bricks erecting a foundational nuanced perspective on articaine allowing the listener to critically discern its safety in mandibular block anesthesia. Ever wonder which anesthetic is best indicated for pregnant patients, nursing mothers, pediatric and geriatric patients? This episode is a validating scientific platform for listeners and delivers an authentic shot at eradicating the nuisance of the "hot mandibular molar" on a consistent basis.Episodes of Endo Voices may include opinion, speculation and other statements not verifiable in the scientific method and do not necessarily reflect the views of AAE or the sponsor(s). Listeners should use their best judgment in evaluating the merits of any content.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

In this episode of the PRS Global Open Keynotes Podcast, Dr. Peter Cordeiro and Dr. Farooq Shahzad discuss free flap mandibular reconstruction in children, with a special emphasis on long term outcomes. This episode discusses the following PRS Global Open article: “Long-term Growth, Functional, and Aesthetic Outcomes after Fibula Free Flap Reconstruction for Mandibulectomy Performed in Children” by Farooq Shahzad, Peter W. Henderson, Evan Matros and Peter G. Cordeiro. Read the article for free on PRSGlobalOpen.com: https://bit.ly/PediatricReconstruction Dr. Peter Cordiero is the William G. Cahan Chair in Surgery at Memorial Sloan Kettering Cancer Center. Dr. Farooq Shahzad is an Assistant Professor at Memorial Sloan Kettering Cancer Center. Your host, Dr. Damian Marucci, is a board-certified plastic surgeon and Associate Professor of Surgery at the University of Sydney in Australia. #PRSGlobalOpen #KeynotesPodcast #PlasticSurgery

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Una fractura o luxación mandibular generalmente sana bien después del tratamiento.

News 'Demon ducks of doom' laid melon-size eggs in prehistoric Australia Why so many Australians are feeding native birds Main Topic: Cheek teeth removal in Rabbits Toothy time this week - tackling a tough tooth topic: removal of cheek teeth in rabbits. Also see our previous podcasts on rabbit dental disease: Episodes 26 and 35: Dental Disease in Rabbits Part 1 and 2 84: Complex Rabbit Dental Cases 132: Mandibular fractures in Rabbits 142: Marsupialisation of tooth abscesses in rabbits VetGurus Merchandise - VetGurus Etsy Store VetGurus Shop Checkout the VetGurus range of quirky, distinctive branded items. All purchases help support our podcast , helping pay for our production costs. So the bonus for you is that you get some great merchandise and you feel good inside for supporting us - win:win. So click on this link and get shopping. Order now: VetGurus Shop. Say Hi! Send us an email: VetGurus@Gmail.com. We love hearing from our listeners - give us a yell now! Become a Patron Become a Patron of VetGurus: Support us by 'throwing a bone' to the VetGurus - a small regular donation to help pay for our production costs. It's easy; just go to our Patreon site. You can be a rabbit.. or an echidna.. one day we are hoping for a Guru level patron! https://www.patreon.com/VetGurus Support our Sponsors Specialised Animal Nutrition. Specialised Animal Nutrition is the Australian distributor of Oxbow Animal Health products. Used and recommended by top exotic animal veterinarians around the globe,  the Oxbow range comprises premium life-staged feeds and supportive care products for small herbivores. Chemical Essentials. Cleaning and disinfection products and solutions for a wide variety of industries throughout Australia, as well as specific markets in New Zealand, Singapore and Papua New Guinea. The sole importer of the internationally acclaimed F10SC Disinfectant and its related range of advanced cleaning, personal hygiene and animal skin care products. Microchips Australia: Microchips Australia is the Australian distributor for: Trovan microchips, readers and reading systems; Lone Star Veterinary Retractor systems and Petrek GPS tracking products. Microchips Australia is run by veterinarians experienced in small and large animal as well as avian and exotic practice, they know exactly what is needed for your practice. About Our Podcast The veterinary podcast about veterinary medicine and surgery, current news items of interest, case reports and anecdotes. Wait: It's not all about veterinary matters! We also discuss other areas we are passionate about, including photography and wildlife. Thanks for joining us - Brendan and Mark. Our podcast is for veterinarians, veterinary students and veterinary nurses/technicians. If you are at pet owner please search elsewhere - there are lots of great podcasts aimed specifically at pet owners. Disclaimer Any discussion of medical or veterinary matters is of a general nature. Consult a veterinarian with experience in the appropriate field for specific information relating to topics mentioned in our podcast or on our website.

In this episode we explore the 5th cranial nerve, CNV aka The Trigeminal nerve, discussing the function and route of its three major branches. We will also discover what happens when we damage one of these branches, and SPOILERS it has nothing to do with facial palsy or facial weakness. Terms explored this episode; Trigeminal nerve, Ophthalmic branch V1, Maxillary branch V2, Mandibular branch V3. Superior orbital fissure, Foramen rotundum, Foramen Ovale and finally Trigeminal neuralgia.

Join me for a summary of early treatment lectures from this years AAO meeting from May 2022. Topics will cover trauma, airway diagnosis and orthodontic treatment, and optimal timing of class 2 correction Lectures: Dental Trauma Eustaquio A. Araujo Airway-centered Orthodontic Diagnosis & Treatment for Pediatric Patients Hong He Predictors of Success for Early Mixed Dentition Treatment Heesoo Oh Dental Trauma Eustaquio A. Araujo Trauma protocol Reposition with firm grip 16x22NT Bite props to eliminate occlusal interference Soft diet Recall 2 weeks Re-implantation of avulsion success Less than 1hour 75% Up to 24 hours 25% Conclusion – look at the neighbours Airway-centered Orthodontic Diagnosis & Treatment for Pediatric Patients Hong He Nasal breathing Vs mouth breathing NB = Tongue rests on the palate. MB = Tongue floor of the mouth NB = Pressure of the cheeks is balanced with the tongue. MB Pressure of the cheeks is unopposed by tongue NB = U shape upper arch (normal). MB = V shaped arch Tonsillar hypertrophy Oropharynx obstruction Ventilation impaired Occlusal effects Tongue and mandible forwards Iwasaki 2017 Mandibular protrusion Class 3 malocclusion He's study n=1776 Greater tonsillar hypertrophy in children with class 3 Caution as limited studies pre-pubertal and controls also improved in scores Predictors of Success for Early Mixed Dentition Treatment Heesoo Oh When is it best to treat class 2 cases Study: optimal timing of the effectiveness and efficiency Early class 2 equally effective not as efficient BUT Mean changes = mask individual response Philosophy – correct some / all features of malocclusion Reduce / eliminate need for phase 2 Angle orthodontist Oh 2017 Treatment protocol 7-9 years Headgear night wear 11 hours RME 2 x 4 fixed appliances Lingual arch Greater 33 months = unsuccessful (time only marker of success, as occlusal and skeletal the same at the end) Results 15/54 (28%) phase 1 only Comparison No differences in occlusal and skeletal outcomes Time Total treatment times (phase 1 + phase 2): 67% less than 18 months in treatment active treatment 20% 4-5 years of total treatment time

Join me for a summary of Dalia El-Bokle's lecture looking at disarticulation, and how they can be utilised to correct malocclusions in 3 planes of space. In this summary a novel use of disarticulation is described for class 2 and class 3 correction. This lecture follows Dalia's publication in the AJODO 2020. Definition: disocclusion by using bite turbos or so the teeth has freedom to move in the three planes of space Indications: Vertical 1. Deep bite: Anterior bite block to enable posterior eruption 2. AOB: Posterior bite blocks to enable posterior intrusion a. 1mm intrusion posterior 4mm OB increase Hernandez et al 2017 Transverse 1. Correction of functional displacement / shift : Posterior bite block in conjunction with expansion appliance – bite blocks preventing inteference 2. Pseudo class III: With a Catlan's appliance or resin blocks Kravitz 2019, mindful when using on lower arch to include multiple teeth as it may result in mobility of the lower incisors f placed an 2 only. Using an anterior bite block will help in the clockwise rotation of the mandible that will help in Class III correction Liou et al 2018 APOS Other 1. Anchorage reinforcement, large amounts of bite block create deep intercuspation between upper and lower teeth, preventing mesial movement of the posterior segment Georgio Fiorelli et al 2013 2. Unlocking the occlusion. New methods 1. D-BIBRE AP correction AlBokle 2020 2. Transverse correction Georgio Fiorelli 2013 Bonded inclined bite raisers elastics D- BIBRE . Use of disarticulation as a functional appliance for class 2 correction What is it? Flowable composite Triad Gel placed on the upper and lower 1stpremolar How does it work? · 45 degree Inclined planes are formed from the RMGIC which disarticulate the patient in a forward direction. · Activation 2mm · Indirectly made on models, transferred by transfer tray · Reactivate chairside with Triad gel · Removed after 7 months · Night time class 2 elastics guide the patient into a forwards position Occlusal cant and Asymmetries Mild mod cases, Georgio Fiorelli 2013 · Mandibular repositioning with triad gel, full coverage bonded in the lower arch buccal cusps group guidance · Results 22/32 stable TMJ 2 years after treatment follow up. Recommend CBCT for condyle assessment Bite turbos: Anterior bite turbos: · Bonded Resin or Metal turbos (High incidence of Debonding) · Acrylic plane with modified Nance · Digitally designed – even occlusion Increased overjet · Bite turbo extended = increase fracture and trauma · Apply turbo to caninex Placement tip · Use Articulating paper to mark contact (so minimize the area covered by turbo) · Don't etch the fossa so easily removed · Bite turbos need to be planned based on the estimated CR and the movement required, Link to full lecture The Art of Disarticulation in Orthodontic Therapy - YouTube Content by AbdAllah Sharafeldin Edited and produced by Farooq Ahmed

Join me for Neal Kravitz's lecture on canine substitution and the clinical management of it. Focusing on bracket selection and canine recontouring Case selection · 2 key factors o Profile o Mandibular crowding Bracket selection · Goal: o Canine substitution: § Reduce canine root prominence o Premolar substitution: § Hide palatal cusp o Molar interdigitation: § class 2 cases 4 bracket choices for canine · UR1 (+17 tq, + 4 tip) · Achieves ideal torque · Requires flattening of canine labial face = plasty · UR2 (+10 tq, + 8 tip) o plasty and step out · UR3 inverted (+7tq, +8 tip) o Flipped U3 o Likely require addional torque · LL5 inverted (+17 tq, +2 tip) o Suggested by Marco Rosa o Same torque but no reduction labial face – compound contour Upper 1st premolar bracket selection · U3 or U4 slightly distal – palatal cusp hidden · See orthoinsummary blog on Premolar substitution Upper molar tube selection for class 2 finish · Achieve good interdigitation, the U6s tubes have 10 degree rotation labially, which does not interdigitate with the lower 5/6 embrasure space well, the 0 degree offset on lower 6s / 7s (-20 / -10 torque) · No change in tip and torque Tooth reshaping · Canine morphology frequently triangular, more so mesial then distal · Reduction – frequently underdone o Mesial IPR – Kailasam 2021 1.2mm enamel mesial o Incisal reduction o Palatal reduction Interproximal reduction for Bolton's discrepancy Class 1 · Canine substitution with lower extractions = maxillary excess o = IPR uppers to correct Bolton's discrepancy (U 1, 3, 4) Class 2 · Canine substitution, lower non-ext = Mandibular excess o = IPR lower anterior to correct Bolton excess (U 1, 3, 4) Cosmetic bonding · Step 1: Mesial step out o Improve marginal ridge with central o Reduce occlusal interference lower arch · Step 2: Mesial build up o Mesial incisal o Line angle not that I practice it but they are essentially § Transition between proximal and labial face § Can make canine look narrower through altering this transition, ie the shallower gradient narrower the tooth Retention and review · Group function and lateral clearance · Long term fixed retention 4-4 o Length of bonded retainer § Lower canine mid to distal lateral incisor labial measurement = lingual 3-3 measurement o Material – memotain Custom NiTi References Rosa, M.A.R.C.O. and Zachrisson, B.U., 2001. Integrating esthetic dentistry and space closure in patients with missing maxillary lateral incisors. Journal of Clinical Orthodontics, 35(4), pp.221-238 Kokich Jr, V.O. and Kinzer, G.A., 2005. Managing congenitally missing lateral incisors. Part I: Canine substitution. Journal of esthetic and restorative dentistry, 17(1), pp.5-10. Kravitz, N.D. and Shirck, J.M., 2017. Measuring Bonded Lingual Retainers. Journal of clinical orthodontics: JCO, 51(5), pp.294-294. Kravitz, N.D., Miller, S., Prakash, A. and Eapen, J.C., 2017. Canine bracket guide for substitution cases. J Clin Orthod, 51, pp.450-453.

Expert Interview with Dr. Kasey Li Dr. Park Interviews world renowned expert on maxillomandibular advancement surgery, Dr. Kasey Li. During this 60 minute call, Dr. Li shares his wealth of experience and knowledge about this procedure. Discover: The real truth about sleep apnea surgery and if the MMA procedure is right for you How to avoid the #1 mistake many sleep apnea patients make when undergoing surgery The one thing you must consider prior to having any surgery for sleep apnea, including the MMA procedure The do's and don'ts of finding the right surgeon

This episode will cover the class traits, arch trait, and specific tooth type traits associated with the permanent mandibular molars. Emphasis will be placed on unique features that clinicians can use to identify specific tooth types in the clinical setting. We will review tooth morphology that relates to periodontal and caries risk associated with these teeth. This information should be well understood when applying instrumentation techniques in the clinical setting. Major character traits and clinical considerations will be reviewed. Take a look at a recent product I tried and recommend. BRIO https://bit.ly/thehappyflosser Promo Code: HAPPYFLOSSER --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app --- Send in a voice message: https://anchor.fm/billie43/message

A complete review of the Maxillary and Mandibular premolars. Class traits will be reviewed. Major character traits and clinical application will be reviewed. Specific premolar tooth type traits will be covered in the next episode. Resources: Textbook: Clinical Practice of the Dental Hygienist. Wilkins, 13th edition. Jones and Bartlett Learning, 2021. Textbook: Illustrated Dental Embryology, Histology, and Anatomy. Fehrenbach & Popowics, 5th edition. Elseveir, 2020. Take a look at a recent product I tried and recommend. BRIO https://bit.ly/thehappyflosser Promo Code: HAPPYFLOSSER --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app --- Send in a voice message: https://anchor.fm/billie43/message

In this episode Sal, Adam & Justin speak with Dr. Michael Ruscio about some unusual ways to improve your sleep. 1637:  5 Weird Tricks to Improve Your Sleep Sleep, the #1 thing that can impact your health. (2:09) Why your suboptimal respiration quality may be affecting your sleep. (4:07) The subtle health effects of poor suboptimal sleep. (6:30) Dr. Ruscio's Order of Operations to improve your suboptimal respiration quality. (10:52) 5 Weird Tricks to Improve Your Sleep.  #1 – Positional change device. (17:08) #2 – Oura Ring. (21:37) #3 - Mandibular advancement device. (25:24) #4 – Mouth taping. (33:30) #5 – Didgeridoo instrument. (36:52) Is modern life contributing to poor sleep? (38:23) Are men more prone to poor sleep? (41:42) The culture of caffeine and the impact on your sleep. (42:52) Is there a correlation between poor sleep and being a light/deep sleeper? (47:10) An option for women to balance out hormones. (51:44) Related Links/Products Mentioned September Promotion: MAPS Performance and MAPS Suspension 50% off!   **Promo code “SEPTEMBER50” at checkout** Visit Vuori Clothing for an exclusive offer for Mind Pump listeners! Ruscio Institute for Functional Medicine Healthy Gut, Healthy You What's Going On With Sleep Medicine? Smart Nora Snoring Solution Oura Ring WatchPAT  PRIORITIZE YOUR SLEEP: HOW TO FIX POOR SLEEP HYGIENE HABITS Didgeridoos The effect of playing a wind instrument or singing on risk of sleep apnea: a systematic review and meta-analysis Visit Chili Sleep for an exclusive offer for Mind Pump listeners! 6 STRATEGIES TO MAXIMIZE SLEEP EFFICIENCY AND REDUCE DAYTIME SLEEPINESS The Surprising Connection Between Coffee and Gut Health Epworth Sleepiness Scale | NIOSH | CDC Vitex: Benefits, Side Effects, Dosage, and Interactions Mind Pump Podcast – YouTube Mind Pump Free Resources Featured Guest/People Mentioned Michael Ruscio (@drruscio) on Instagram Matt Walker PhD

Join me as I describe Jassin Arnold's lecture describing lower incisor extraction, its indications and management Why should we use it? o Reduces anchorage demand, entact posterior segments o Improve dental occlusion in a shorter time frame o Profile improves in mandibular protrusion cases Levin 1964 When should we use it? Systematic review Zhylich 2011 o Mild-moderate class 3 o Edge to edge anterior occlusion o Crossbite with mild anterior mandibulae excess o 4.5mm tooth size discrepancy of lower to upper Matsumoto 2010 When should we not use it? o Severe OB o Bimaxillary crowding o Triangular lower incisor and minimal crowding 3mm less o High insertion of labial frenum = gingival recession I removed Risks of lower incisor extraction o Black triangle o Increased overjet and overbite o Tendency for spaces to reopen an aesthetic zone o Create tooth size discrepancy Bolton's anterior analysis o Anterior ratio 77% 3-3 lower Vs 3-3 upper Cases: o Class 1 o 4mm of crowding of the lower incisors o Bolton's anterior analysis 87% - excess lower incisor tissue § = Extraction 1 lower incisor = 74.8% – TOO LOW (ideal 77%) · = Solution strip upper 2-2 by 2mm = 78% Bolton' ratio o Case 2 o Molars ½ II, increased overjet 6mm, lower incisors 4mm of crowding o Bolton's anterior analysis 87% - excess lower incisor tissue § = Extraction 1 lower incisor and stripping of upper incisors = 77% § = Extraction of 2 upper premolars as well · Stripping upper 2-2 to achieve ideal occlusion in the anterior 3-3 segment · Extraction of Upper 4s to correct the increased overjet References Zhylich, D. and Suri, S., 2011. Mandibular incisor extraction: a systematic review of an uncommon extraction choice in orthodontic treatment. Journal of Orthodontics, 38(3), pp.185-195.

Welcome to Teeth & Titanium Episode 8! On this episode we cover a number of topics including: -Current Events -NDSE Exam results -Wendall recaps a number of challenging fellowship cases -An amazing interview with Dr. Mark Engelstad from OHSU on everything you didn't realize you needed to know about Mandible fractures! -Resident Reminder on the indications for adjuvant XRT or chemotherapy for oral SCC -Our viewing recommendations And more! Be sure to hit subscribe on your podcast app so you never miss an episode! Thanks to the CAOMS for their continued support. https://www.caoms.com If you would like to contact us, or would like to submit a topic for Resident Reminder or Journal club, please email us at: teethandtitaniumOMFS@gmail.com Dr. Mark Engelstad's IAOMS Mandible Fracture lecture can be found on the IAOMS website: https://learning.iaoms.org Articles cited in this episode: 1) Ward BB. Time to Start Asking the Right Question or at Least Admit We Do Not Have the Answer-Indications for Elective Neck Dissection in Early-Stage Oral Cavity Cancer. J Oral Maxillofac Surg. 2020 Dec;78(12):2108-2109. doi: 10.1016/j.joms.2020.07.011. Epub 2020 Jul 16. PMID: 32771445. 2) Feng Z, Cheng A, Alzahrani S, Li B, Han Z, Ward BB. Elective Neck Dissection in T1N0M0 Oral Squamous Cell Carcinoma: When Is It Necessary? J Oral Maxillofac Surg. 2020 Dec;78(12):2306-2315. doi: 10.1016/j.joms.2020.06.037. Epub 2020 Jul 4. PMID: 32730759. 3) Suhaym O, Miloro M. Does early repair of trigeminal nerve injuries influence neurosensory recovery? A systematic review and meta-analysis, Int J Oral Maxillofac Surg (2020), https://doi.org/10.1016/j.ijom.2020.10.002 Hosted by Dr. Wendall Mascarenhas and Dr. Oscar Dalmao

Nelson describes 4 cases of alternative approaches to conventional orthognathic surgery processes. 1. Facial asymmetry due to condylar hypoplasia: a. Genioplasty Propella i. 2 cuts, 1 horizontal, 1 angular and rotate the middle component 2. Class 2 due to retrognathic mandible a. Corrected by 4 stages i. Genioplasty ii. Start anterior subapical osteotomy iii. BSSO advancement iv. Complete subapical and inferior repositioning = prevent lateral openbites 3. Class 3 due to maxillary hypoplasia AP and vertical. a. 3 Stage process with segmental maxillary osteotomy i. Maxillary advancement ii. Extraction of U4s, anterior subapical osteotomy, retracting and rotation to surgically decompensate iii. Mandibular set back 4. Class 2 due to maxilla hyperplasia a. Maxillary osteotomy 2 part: horse shoe shaped osteotomy i. Separating dental and skeletal components ii. Allow set back of dentoalveolar component and upward positioning of the maxilla

I summarise Cesare's lecture looking at Class 2 subdivision cases with treatment options classification: · Type 1: Mandibular midline deviated from facial midline, Maxillary correct: 56-62% · Type 2: Maxillary midline deviated facial midline, Mandibular correct 29% Cassidy 2014 Aetiology · Type 1 subdivision: shorter mandible on affected side: Sanders 2010 Interceptive management · RME = improved mandibular asymmetry by a mandibular rotation: Evangelista 2020: Treatment: Non extraction: 1. Asymmetric Class 2 corrector / functional appliance o Type 1 case (mandibular asymmetry) o Single sided class 2 corrector, e.g. Monoscope · Address aetiology: of a shorter mandible 2. Asymmetric distalisation with modified pendulum + TAD · Type 2 case (maxillary asymmetry) · Palatal finger spring active on the 1stmolar to distalise · Pendulum appliance with occlusal rest on U4s · TADs o Placed: buccal 5-6 o Ligation: Indirectly ligated to premolars Extraction: 3. 1 premolar extraction · Type 1 and type 2 cases · Extract on the unaffected side o Distalisation, Unilaterally activated TPA o No cant Janson 2004 4. 3 premolar extractions · Type 1 (mandibular asymmetry) · 3 units: o 2 upper units to manage class 2, o 1 unit in the lower arch on unaffected side · Outcome: Coincident CL and predicable Turpin 2005 References Distalisation of intra-oral appliances + TADs da Costa Grec, R.H., Janson, G., Branco, N.C., Moura-Grec, P.G., Patel, M.P. and Henriques, J.F.C., 2013. Intraoral distalizer effects with conventional and skeletal anchorage: a meta-analysis. American Journal of Orthodontics and Dentofacial Orthopedics, 143(5), pp.602-615. Class 2 subdivision CBCT Sanders, D.A., Rigali, P.H., Neace, W.P., Uribe, F. and Nanda, R., 2010. Skeletal and dental asymmetries in Class II subdivision malocclusions using cone-beam computed tomography. American Journal of Orthodontics and Dentofacial Orthopedics, 138(5), pp.542-e1. Class 2 subdivision classification Cassidy, S.E., Jackson, S.R., Turpin, D.L., Ramsay, D.S., Spiekerman, C. and Huang, G.J., 2014. Classification and treatment of Class II subdivision malocclusions. American Journal of Orthodontics and Dentofacial Orthopedics, 145(4), pp.443-451. Extraction of 2 units Vs 1 for class 2 subdivision Janson, G., Cruz, K.S., Woodside, D.G., Metaxas, A., de Freitas, M.R. and Henriques, J.F.C., 2004. Dentoskeletal treatment changes in Class II subdivision malocclusions in submentovertex and posteroanterior radiographs. American journal of orthodontics and dentofacial orthopedics, 126(4), pp.450-462.

CONCLUSIONS FROM DISTALISATION (AND CLASS 2 ELASTICS) AND MANDIBULAR ADVANCEMENT (MA) No significant changes in inclination upper or lower Mandibular growth enhanced 3-4mm No adverse vertical changes CRITIQUE: No controls No reporting on buccal segment movements Skeletal and dentoalveolar effects produced by Aligners and Elastics in Class II growing patients Federico Migliori WHO · 14 pts 13.6 years old · Co-Go-Me 125 – hypodivergent · Cervical spine C3 WHAT DID THEY DO IT · Invisalign protocols for distalisation o Sequential distalisation, ½ distalised, following tooth distalised - anchorage o Class 2 elastics WHAT DID THEY FIND · Distalisation achieved in 15 months · proclination of lowers did not occure IMPA: -2.2 – reduction · Vertical control proportions FMA -1.7 · Co-Gn increased by 3mm Correction of Class II malocclusion in growing patients with Aligners Dr. Simona Dianiskova WHO · Age 12, OJ 4mm, ANB 3 WHAT DID THEY DO IT · De-rotate upper 1st molars – up to 2mm o 85% of class 2 cases have rotated upper 1st molars · Expansion – usually required · Distalisation -2.5mm predictable Simon 2014 87% · Class 2 from outset, no IPR · Overcorrect upper inc by 5 degrees of palatal root torque – prevent undertorquing analysis dolphin – Mcnamama WHAT DID THEY FIND Duration of tx 16-21 months · Results no change ANB, · Co-Gn 4 – stat sign · Witts stat improve -1.8 · Ui and lLi 1-2 degrees change · No vertical change FMA II malocclusion treated with Invisalign with Mandibular advancement feature and twin block appliance compared with historical controls Dr. Sandra Tai WHO N32 Age 13 WHAT DID THEY DO IT Outcome Ceph study WHAT DID THEY FIND SNB - stat sign for invisalign Ui and Li procline 3.5 - stat sign t/b No difference in vertical change both