Dr. Wahan Experiment

Guests: OM3 Oral Surgery- Dr. Peter Kim, Serv Wahan, Dan Brady, Dustin Altmann, Michael Gross
https://om3surgery.com/
 
Host: Dr. Serv Wahan
https://www.drwahan.com/
 
Keywords:
Om3 Oral Surgery, Oral Surgeons Snohomish, Mill Creek oral surgeon, Dental Implants Snohomish, Bisphosphonates and dental, dental podcast, oral surgery podcast, Seattle oral surgeons, University of Washington Dental School
 
Community and Expertise: Behind the Scenes of a Private Surgical Practice
Discover how a dedicated team of oral surgeons and dental professionals uphold community service, continuous education, and patient-centered care in a private practice setting. In this episode, they share insights on hospital privileges, wisdom teeth removal, board certification, and innovative procedures like All-on-X, emphasizing the importance of experience, collaboration, and ongoing learning.
 
Key Topics
The history and mission of a longstanding private practice in Washington
Advantages of maintaining hospital privileges for complex cases
The significance of board certification in oral surgery
Strategies for safe wisdom teeth extraction across age ranges
Use of PRF (platelet-rich fibrin) to enhance healing and reduce complications
Managing patients on bisphosphonates and addressing osteonecrosis risks
Approaches to full-mouth implants and All-on-X procedures
The value of teaching and volunteering at the University of Washington Dental School
How private practices differ from corporate centers in personalized patient care
Collaboration with general dentists and supporting complex cases
Timestamps
00:00 - Introduction and overview of the practice’s community roots02:00 - Benefits of hospital privileges and ER call responsibilities06:00 - The importance of board certification and continuing education09:00 - Insights into the oral certification process and exam experiences13:00 - The role of volunteering and teaching at UW Dental School16:00 - Techniques for wisdom teeth removal: age, development, and risks22:00 - Using PRF for healing in different patient populations25:00 - Managing complications with impacted wisdom teeth and cysts30:00 - Addressing osteonecrosis risks in patients on bisphosphonates37:00 - Protocols for treating osteoradionecrosis and preventive measures43:00 - Strategies for implant placement in medically complex patients50:00 - The growing importance of private practice in comprehensive care56:00 - Full-arch and All-on-X solutions: team effort and patient outcomes62:00 - Differentiating private practices from corporate centers and post-op follow-up66:00 - Opportunities for general dentists to collaborate on surgical cases69:00 - Future topics: biopsies, oral lesions, impacted canines, and more70:00 - Closing remarks and appreciation for staying community-focused
Resources & Links
PRF (Platelet-Rich Fibrin)
All-on-X Procedures
Parkland Dental School
Bisphosphonate-Related Osteonecrosis Management
Understanding Osteoradionecrosis
Connect with the Team
Serv Wahan  
Peter Kim 
Dan Brady  
Dustin Altmann  
Michael Gross 
This episode highlights the dedication of a private practice committed to community service, ongoing education, and providing comprehensive surgical care. Whether you're a general dentist or a new oral surgeon, there's valuable insight into collaboration, patient management, and maintaining practice integrity.

Guest: Andrew Baker DDS MD
https://www.instagram.com/andyomfs/
 
Guest: Jaclyn Tomsic DMD MD
https://www.jaclyntomsic.com/about-jacci
 
Host: Serv Wahan DMD MD
https://www.drwahan.com/
 
Keywords
local anesthesia, dental techniques, oral surgery, anesthesia management, patient comfort, dental education, anesthesia challenges, dental procedures, pain management, dental injections, Jacci Tomsic, Andrew baker, Dr. Wahan, IAN block
Summary
In this conversation, oral surgeons Andy Baker and Jacci Tomsic discuss the importance of local anesthesia techniques in dental procedures. They share their personal experiences and methods for administering anesthesia, including the use of topical anesthetics, buffering solutions, and various injection techniques. The discussion also covers challenges faced during inferior alveolar nerve blocks, managing patient anxiety, and addressing common questions about local anesthesia. The conversation emphasizes the significance of effective pain management and the need for continuous learning in the field of oral surgery.
Takeaways
Local anesthesia is crucial for effective dental procedures.Topical anesthetics can significantly improve patient comfort.Buffering local anesthetics may reduce pain during injections.Injection techniques vary among practitioners but should prioritize patient comfort.Managing patient anxiety is essential for successful anesthesia administration.Infections can complicate anesthesia effectiveness due to pH levels.Communication with patients about their comfort is vital during procedures.Using a variety of techniques can enhance anesthesia success rates.Understanding individual patient anatomy is key to effective anesthesia.Continuous education and adaptation of techniques are important in oral surgery.
Titles
Mastering Local Anesthesia TechniquesThe Art of Pain Management in Dentistry
Sound bites
"I think it makes a difference.""I do a lot more local because...""I always aspirate no matter what."
Chapters
00:00 Introduction and Guest Reintroduction01:10 The Importance of Local Anesthesia Techniques04:32 Local Anesthesia Techniques for Maxilla and Mandible10:06 Injection Techniques and Tools Used19:34 Managing Anesthesia for Anterior Teeth28:07 Challenges with Inferior Alveolar Nerve Blocks39:12 Addressing Patient Anxiety and Pain Management51:35 Common Questions About Local Anesthesia

Guest: Samir Singh DMD
https://www.instagram.com/ssingh_dmd_facs/
https://northpittsburghoralsurgery.com/meet-our-team/dr-samir-singh/
 
Host: Serv Wahan MD DMD
https://www.drwahan.com/
 
Summary
In this engaging episode, Dr. Serv Wahan welcomes Dr. Samir Singh, an oral surgeon from Pittsburgh, Pennsylvania. The conversation begins with a light-hearted exchange about their shared experiences in Pittsburgh, including their backgrounds and love for hip-hop culture. Dr. Singh shares his journey from being born in Texas to moving to Pittsburgh, where he developed a passion for dentistry influenced by his family's positive experiences with dental care. As the discussion progresses, they delve into Dr. Singh's path to oral surgery, highlighting the importance of mentorship and the discovery of his passion for the specialty during dental school. 
The episode transitions into a deeper exploration of Dr. Singh's professional life, including his experiences in residency, the challenges of oral surgery, and the significance of patient care. They discuss the complexities of managing patients with diabetes and the importance of thorough medical histories in surgical planning. Dr. Singh also shares insights into his practice's operations, work-life balance, and the evolving landscape of oral surgery, including the integration of technology in treatment planning. The conversation wraps up with reflections on personal health, fitness, and the rewarding aspects of their profession, emphasizing the importance of community involvement and mentorship in the field.
Keywords
oral surgery, Dr. Samir Singh, Pittsburgh, dental health, work-life balance, mentorship, diabetes management, technology in dentistry, community service, fitness, North Pittsburgh Oral Surgery, OM3 Oral Surgery, Dr. Wahan, work-life balance, oral surgeon, dental, dental student
Takeaways
"I always tell people that my love for hip-hop... came from Miami.""If you don't rise to the level of your goals, you'll fall to the level of your systems.""We as OMSs don't really have that instant gratification thing always in our profession.""It's a lot of sensory overload, man.""You want to just take little steps to establish good systems."
Titles
From Hip-Hop to Oral Surgery: Dr. Samir Singh's JourneyNavigating Oral Surgery: Insights from Dr. Samir Singh
Sound bites
"My love for hip-hop... came from Miami.""If you don't rise to the level of your goals, you'll fall to the level of your systems.""There's no substitute for that."
Chapters
00:00 Introduction and Background05:01 Journey into Dentistry10:52 Experiences in Oral Surgery15:35 Teaching and Mentorship20:58 Managing Diabetes in Surgery25:11 Anesthesia Protocols and Patient Care27:44 Work-Life Balance in Oral Surgery30:10 Practice Management and Community Involvement39:05 Fitness and Health Journeys45:00 Managing Stress and Patient Safety55:51 Charity Work and Giving Back

Guest: Dan Brady DDS
https://om3surgery.com/
 
Host: Serv Wahan MD DMD
https://www.drwahan.com/
 
Keywords
impacted teeth, oral surgery, dental techniques, canine extraction, dental education, surgery tips, patient care, orthodontics, dental practice, dental referrals, mesiodens, orthodontist, pedodontist, dental crowding, om3 oral surgery, mill creek wisdom teeth, Snohomish dental implants, wisdom teeth, Dan Brady DDS, Seattle oral surgery, Serv Wahan MD DMD, braces, orthodontic treatment
Takeaways
OM3 oral surgery has been around for over 50 years, focusing on full-scope oral surgery.Impacted teeth can include canines, laterals, premolars, and molars, not just wisdom teeth.The journey to dentistry can be influenced by various experiences, including humanitarian trips.Oral surgery often requires a balance between patient care and surgical techniques.Timing is crucial for managing impacted teeth, especially in adolescents.Open exposure techniques can help in the eruption of impacted canines.Adult patients present unique challenges in managing impacted teeth.Long-term implications of untreated impacted teeth can lead to more complex surgeries later.Surgical techniques vary based on the position of the impacted tooth and surrounding structures.Safety measures, such as using protective shields during procedures, are essential.
Summary
In this conversation, Dr. Serv Wahan and Dr. Dan Brady discuss the complexities of managing impacted teeth, including the various types of impacted teeth, surgical techniques, and the importance of timing in treatment. They share personal journeys into dentistry, the challenges of treating adult patients, and the long-term implications of untreated impacted teeth. The discussion also emphasizes safety measures in oral surgery and the referral process for managing these cases effectively.
Titles
Navigating the World of Impacted TeethOral Surgery Insights with Dr. Dan Brady
Sound bites
"The practice has been around for almost 50 years.""Timing is crucial for managing impacted teeth.""Safety measures in oral surgery are essential."
Chapters
00:00 Introduction to the Practice and Partners01:58 Understanding Impacted Teeth05:51 Journey into Dentistry12:01 Surgical Techniques and Tools17:56 The Importance of Timing in Treatment23:50 Approaches to Exposing Impacted Canines27:53 Understanding Tooth Eruption Dynamics30:24 Challenges of Treating Adult Patients33:09 The Importance of Timing in Referrals35:31 Surgical Approaches to Tooth Extraction39:32 Managing Impacted Canines44:14 Surgical Techniques for Complex Cases50:20 Safety Protocols in Dental Procedures

Guest: Dr. Brady Smith 
https://www.drbradysmith.com/
 
Host: Dr. Serv Wahan
https://www.drwahan.com/
 
Keywords
dentistry, comedy, dental insurance, social media, charity, Washington, dental school, stand-up, patient care, dental health, Doctor Brady Smith, Doctor Serv wahan, Dr. Wahan, Brady Smith comedy, floss bitch, dentist comedian, dental humor, dental podcast, om3 oral surgery
Summary
In this engaging conversation, Dr. Brady Smith, known as 'The Floss Bitch', shares his journey from a directionless young adult to a successful dentist and comedian. He discusses the beauty of Washington state, his unique path to dentistry, and how he blends his dental practice with comedy. The conversation touches on the challenges of dental insurance, the dynamics of performing live comedy, and his charitable work through the Halo Dental Network. Dr. Smith emphasizes the importance of humor in healthcare and the joy of connecting with audiences through laughter.
Takeaways
Dr. Smith's journey to dentistry was influenced by his mother's suggestion.He initially aimed to be an endodontist but found joy in general dentistry.Social media has played a significant role in his career growth.He performs stand-up comedy at dental conferences, blending humor with healthcare.Dr. Smith's unique approach includes using laughing gas during interviews with comedians.He emphasizes the challenges of dental insurance and its limitations.Charity work is a significant part of his life, particularly through the Halo Dental Network.The 'Tats for Teeth' initiative combines tattoos with fundraising for dental care.Live comedy is an essential experience that everyone should try.Dr. Smith balances his dental practice with comedy and social media content creation.
Titles
From Dentistry to Comedy: The Floss Bitch's JourneyLaughing Gas and Laughter: A Unique Dental Experience
Sound bites
"I started doing TikTok.""It's a weird crowd.""It's so much fun to do it."
Chapters
00:00 Welcome to Washington: A Scenic Overview02:47 The Journey to Dentistry: A Personal Story05:52 From Dental School to Comedy: A Unique Path09:00 The Rise of a Social Media Dentist11:59 Laughing Gas and Comedy: A Unique Concept15:00 The Art of Stand-Up: Experiences and Insights17:54 Connecting Comedy and Dentistry: A New Approach21:03 The Importance of Live Comedy: An Experience to Cherish23:24 Navigating Comedy in Dental Settings25:28 Hecklers and Audience Dynamics26:38 The Challenge of Dental Conferences27:39 Viral Content and Patient Interactions30:31 The Humor in Everyday Dental Scenarios32:43 Merchandising and Community Engagement34:11 Innovative Techniques in Dental Procedures39:17 The Reality of Dental Insurance42:44 Charity Initiatives in Dentistry

Guest: Jason Auerbach (Bloody Tooth Guy)
https://bloodytoothguy.com/
 
Host: Serv Wahan
https://www.drwahan.com/
 
keywords
 
oral surgery, social media, dentistry, patient care, dental education, sedation techniques, corporate dentistry, private practice, dental instruments, dental technology, bloody tooth guy, Jason Auerbach, Dr. Wahan, Serv Wahan, Max surgical specialty management, riverside oral surgery, om3surgery, Seattle oral surgeon, new jersey oral surgeon
 
 
summary
 
In this engaging conversation, Serv Wahan MD, DMD, and Jason Auerbach, known as Bloody Tooth Guy, delve into the evolution of social media in dentistry, the challenges posed by algorithms and censorship, and the importance of documentation for dental professionals. They discuss teaching methodologies, ergonomics in practice, and the role of technology in modern dentistry. Auerbach shares his journey to becoming a dentist, the shift from private practice to corporate dentistry, and the evolution of sedation techniques. The conversation concludes with personal insights and reflections on the future of dentistry.
 
 
takeaways
Social media has transformed how dental professionals share knowledge.
Documentation is crucial for self-assessment and improvement in dentistry.
Teaching is a vital part of the dental profession, enhancing learning for all.
Ergonomics and patient positioning are essential for long-term health in practice.
The right instruments can significantly impact surgical outcomes.
Technology, like CBCT, has revolutionized dental procedures.
The journey to becoming a dentist is often influenced by key individuals.
Corporate dentistry is on the rise, affecting private practices.
Sedation techniques have evolved, improving patient care.
Oral maxillofacial surgery is a rewarding specialty that can inspire future generations.
 
titles
The Rise of Bloody Tooth Guy
Navigating Social Media in Dentistry
 
Sound Bites
"I started Bloody Tooth Guy February 20th."
"People love to see it, so I'm happy to do it."
"A bite block is 101."
 
Chapters
00:00 Introduction to Bloody Tooth Guy
03:03 The Evolution of Social Media in Dentistry
06:00 The Importance of Documentation in Dental Practice
09:04 Teaching and Learning in Dentistry
12:00 Ergonomics and Patient Positioning
15:03 Instruments and Techniques for Extractions
17:53 Personal Journey to Dentistry
28:55 Early Days in Dentistry
34:41 Advancements in Imaging Technology
39:50 Evolution of Sedation Practices
46:45 The Shift Towards Corporate Dentistry
52:25 The Future of Private Practice
56:24 Reflections on Oral Surgery and Music

Guest: Jaclyn Tomsic MD DMD FACS
https://www.instagram.com/doctorjacci/
 
Host: Serv Wahan MD DMD
https://www.drwahan.com/
 
Keywords
extractions, dental surgery, complications, tooth mobility, dental techniques, patient comfort, dry sockets, anticoagulation, dental tools, oral surgery, Serv Wahan, Jaclyn Tomsic, Dental Influencer, Dental Podcast
Summary
In this conversation, Dr. Serv Wahan and Dr. Tomsic discuss the intricacies of dental extractions, focusing on techniques, tools, and complications. They explore various approaches to tooth removal, the importance of patient comfort, and the management of complications such as dry sockets and infections. The discussion also touches on the protocols for patients on anticoagulation therapy and the significance of proper communication in dental referrals.
Takeaways
There's no one way to take teeth out; different techniques work for different practitioners.Mobility of the tooth is crucial before extraction; it helps in the process.Using bite blocks is essential for patient comfort during extractions.Anticoagulation therapy should not be stopped for single tooth extractions.Dry sockets can be managed with specific pastes and follow-up care.Communication with patients about their dental history is vital for successful extractions.Understanding the anatomy of the tooth and surrounding structures is key to successful extractions.Using the right tools and techniques can minimize complications during extractions.Patient education on post-operative care can prevent complications like dry sockets.Experience and adaptability in techniques improve extraction outcomes. 
Titles
Mastering Dental Extractions: Techniques and TipsNavigating Complications in Tooth Removal
Sound bites
"You have to have all the sizes.""It's not a race.""I don't like fracturing teeth."
Chapters
00:00 Introduction to Extractions and Complications03:01 Approaching Extractions: Techniques and Tools06:03 Understanding Tooth Mobility and Elevation09:02 Sectioning Techniques for Difficult Extractions11:54 Managing Adjacent Teeth and Crowns15:04 The Importance of Assistant Support17:47 Advanced Techniques for Challenging Canines20:54 Final Resort Techniques for Root Extraction23:59 Extraction of Anterior Teeth30:00 Exploring Extraction Techniques and Tools41:58 Understanding Complications in Dental Extractions54:01 Managing Post-Extraction Care and Patient Concerns

Guest: Giacomo Fabbri
https://www.giacomofabbri.com/en/
 
Host: Serv Wahan
https://www.drwahan.com/
 
 
keywords
dentistry, implants, prosthodontics, biological width, surgical factors, immediate placement, N1 implant system, soft tissue integration, dental education, implant success, Nobel Biocare, TiUltra, Xeal, Giacomo Fabbri, Serv Wahan, prosthetic implant failure, Osseointegration
 
 
summary
In this engaging conversation, Dr. Giacomo Fabbri shares his journey into dentistry, focusing on prosthodontics and implant dentistry. He discusses the importance of both surgical and prosthetic factors in achieving implant success, emphasizing the need for collaboration between surgeons and prosthodontists. The discussion delves into the concept of biological width, the significance of emergence profiles, and innovative strategies for immediate implant placement. Dr. Fabbri also introduces the N1 implant system, highlighting its advantages in modern implant dentistry.
 
 
takeaways
The success of implants is influenced by both surgical and prosthetic factors.
Biological width is crucial for maintaining healthy soft tissue around implants.
Emergence profiles should be designed with the soft tissue in mind.
Immediate implant placement requires careful planning and execution.
The N1 implant system offers innovative solutions for deep placements.
Collaboration between surgeons and prosthodontists is essential for optimal outcomes.
Understanding the biological room is key to successful implant integration.
Implant diameter and connection design play significant roles in treatment planning.
Patient-related factors can greatly affect implant success.
Continuous education and adaptation are vital in the evolving field of dentistry.
 
titles
Exploring the Future of Implant Dentistry
The Art and Science of Prosthodontics
 
Sound Bites
"Game-changers in a lot of ways."
"Emergence profile has to flare out gently."
"The N1 system is a game changer."
 
Chapters
00:00Introduction and Background
02:49Journey into Dentistry
03:59Prosthodontics and Implant Dentistry
09:22Surgical and Prosthetic Factors in Implant Success
22:45Connection Design and Emergence Profile
28:46Biological Width and Connective Tissue Zone
29:45Revisiting Implant Depth and Emergence Profile
32:12Understanding Biological Width and Soft Tissue Integration
36:50Immediate Implant Placement Strategies
38:22Utilizing Intermediate Abutments for Aesthetic Cases
43:29Impact of Healing Cap Disconnections on Soft Tissue
48:28Innovations in Implant Design and Planning
54:19N1 System: A New Approach to Implant Dentistry
56:28Implant Diameter Considerations in Molar Cases

Guest: Justin Middleton DMD MD
https://www.instagram.com/justin_middleton_/?hl=en
 
Host: Serv Wahan DMD MD
https://www.drwahan.com/
 
 
keywords
dentistry, oral surgery, dental education, residency, anesthesia, COVID-19, dental school, surgical procedures, career in dentistry, dental techniques, Justin Middleton, Serv Wahan, Dr Wahan, Dental Podcast, oral surgery podcast, Dental influencer, Boston, Seattle
 
 
summary
In this conversation, Justin Middleton, a fifth-year oral maxillofacial surgery resident, shares his journey through dental school and residency, discussing his experiences, challenges, and aspirations in the field of oral surgery. He reflects on the impact of COVID-19 on his education, the importance of teamwork in surgical settings, and his future plans to open a practice with his brother. The discussion also covers anesthesia practices, studying techniques, and the significance of recording procedures for learning and sharing knowledge.
 
 
takeaways
Justin has been passionate about oral surgery since middle school.
He fell in love with Boston during his dental school interview.
Good roommates made dental school easier for Justin.
COVID-19 significantly impacted dental education and patient interactions.
Justin completed a year of oral surgery intern year with hands-on experience.
He is currently training in anesthesia and sedation practices.
Justin prefers quick and efficient study methods over traditional textbooks.
Recording procedures helps in learning and sharing knowledge.
Long surgical procedures require teamwork and effective communication.
Justin and his brother plan to open their own practice after residency.
 
titles
From Dental School to Oral Surgery: Justin's Journey
Navigating Dental Residency: Insights from Justin Middleton
 
Sound Bites
"I had good roommates."
"I learned a lot."
"I think it's great."
 
Chapters
00:00Introduction and Background
03:01Dental School Journey
05:57Experiences During the Pandemic
08:51Oral Surgery Residency Insights
11:56Life Beyond Dentistry
14:45Training and Study Methods
22:04Recording Techniques in Surgery
24:58Experiences in Long Surgical Procedures
27:49Residency Challenges and Learning
29:54The Importance of Patient Assessment
31:54Sedation Practices in Oral Surgery
37:54Career Aspirations and Future Plans

Guest: Alfonso Pineyro DDS 
https://pdtdental.com/pages/pineyro
 
Host: Serv Wahan MD DMD
https://www.drwahan.com/
 
keywords
 
prosthodontics, full arch restorations, dental implants, patient care, dental technology, maintenance, complications, patient education, trends in dentistry, dental failures, all-on-x, dental influencer, dental podcast, Serv Wahan. Dr Wahan, Alfonso Pineyro, Pineyro arch kit
 
 
summary
 
In this conversation, Dr. Serv Wahan and Dr. Alfonso Pineyro discuss their experiences in prosthodontics, focusing on full arch restorations, patient management, and the evolution of dental practices. They explore the importance of maintenance, patient education, and the challenges faced in complex cases. The discussion also touches on the role of technology in modern dentistry and the trends shaping the future of the field.
 
 
takeaways
Experience helps in understanding patient needs.
Patient education is crucial for successful outcomes.
Maintenance is key to long-term success in prosthodontics.
Understanding patient expectations can prevent dissatisfaction.
Technology is changing the landscape of dental practices.
Complications can arise from both implants and prosthetics.
Zygomatic and pterygoid implants should be used judiciously.
Patient selection is critical for successful treatments.
The importance of adapting to patient physiology and habits.
Long-term follow-up is essential for monitoring patient health.
 
titles
Navigating the World of Prosthodontics
Full Arch Restorations: Insights and Innovations
 
Sound Bites
"You have to take classes."
"You have to come back every year."
"You have to lower the expectations."
 
Chapters
00:00Introduction to Prosthodontics and Personal Journeys
02:48The Evolution of Full Arch Restorations
05:52Training and Experience in Dentistry
08:21Challenges in Full Arch Cases
11:03The Importance of Maintenance in Prosthodontics
13:55Patient Education and Expectations
16:49Trends in Implant Dentistry
19:31Managing Complications and Failures
22:33The Role of Technology in Modern Dentistry
25:17Final Thoughts and Future Directions