EPISODE · Sep 16, 2025 · 46 MIN
BackTeeth Boys Podcast Ep. 2 - Dose of Dental Podcast #176 x Dr. Gallagher's Podcast
from Dr. Gallagher's Podcast · host Brendan Gallagher, DDS
Top 5 Topics:- Dental Insurance Reimbursement Shock- Sedation Secrets- Coronectomy Case Selection and Complications- Social Media Reality Check- Nerve Damage & ParesthesiaBackTeeth Boys Team:- Dr. Serv Wahan - Seattle, Washington- Dr. Amir Tahmasebpour - Toronto, Canada- Dr. Joe Doctora - Nashville, Tennessee- Dr. Brendan Gallagher - Long Island, New YorkQuotes & Wisdom:03:40 — “As I got older, saying no was a superpower—knowing when to say yes and when to say no.”• 08:20–09:15 — “It can take years to really figure out your ‘technique.’ Volume and experience shape your decisions.”• 09:15–09:28 — “Year one to year two, your efficiency and the way you see cases change. That’s normal growth.”• 20:04–21:12 — “CBCT doesn’t always change the approach; it’s about informed consent and communicating real risk.”• 23:36–24:03 — “Social media is a highlight reel. We don’t post the everyday grind—and sometimes the audio is off because it was a tough case.”• 23:08–23:22 — “Permanent nerve damage is rare; most cases are transient and improve.”• 41:31–42:10 — “More important than when to refer is meticulous documentation and serial neurosensory exams—the real standard of care.”• 42:20–42:46 — “Paresthesia can happen on the most benign cases; you can’t always predict it.”• 44:31–45:23 — “Raising lingual flaps is a classic cause of lingual nerve injury—protect the nerve with minimal manipulation.”• 38:15–38:32 — “Consistency wins: lock a weekly recording night, set topics, and keep building.”Questions:03:34 — “Have you ever used Brevital? How did it compare to propofol?”04:23 — “Serv, what’s the per-patient cost and dilution math for Precedex?”06:30 — “What’s your go-to sedation cocktail in practice?”12:15 — “Did you do many coronectomies in residency, and how did you learn them?”13:05 — “Coronectomy playbook: indications, contraindications, and which burs?”17:39 — “Would you still do a coronectomy if there’s caries but no pulpal symptoms?”18:02 — “Wisdom teeth imaging: CBCT for everyone, or pano/PA unless red flags?”35:22 — “What’s your post-op med regimen? Any pre-op steroids or antiemetics?”39:26 — “Paresthesia management: when do you call it persistent and refer?”42:11 — “Technique check: anything you did intra-op that may have caused the paresthesia?”Now available on:- Dr. Gallagher’s Podcast & YouTube Channel- BackTeeth Boys Podcast - Ep. 2- Dose of Dental Podcast #176My watch in this episode = Citizen Promaster Diver Day Date- 9.2025#podcast #dentalpodcast #doctor #dentist #dentistry #oralsurgery #dental #dentalschool #dentalstudent #dentistlife #oralsurgeon #doctorgallagher
What this episode covers
Top 5 Topics:- Dental Insurance Reimbursement Shock- Sedation Secrets- Coronectomy Case Selection and Complications- Social Media Reality Check- Nerve Damage & ParesthesiaBackTeeth Boys Team:- Dr. Serv Wahan - Seattle, Washington- Dr. Amir Tahmasebpour - Toronto, Canada- Dr. Joe Doctora - Nashville, Tennessee- Dr. Brendan Gallagher - Long Island, New YorkQuotes & Wisdom:03:40 — “As I got older, saying no was a superpower—knowing when to say yes and when to say no.”• 08:20–09:15 — “It can take years to really figure out your ‘technique.’ Volume and experience shape your decisions.”• 09:15–09:28 — “Year one to year two, your efficiency and the way you see cases change. That’s normal growth.”• 20:04–21:12 — “CBCT doesn’t always change the approach; it’s about informed consent and communicating real risk.”• 23:36–24:03 — “Social media is a highlight reel. We don’t post the everyday grind—and sometimes the audio is off because it was a tough case.”• 23:08–23:22 — “Permanent nerve damage is rare; most cases are transient and improve.”• 41:31–42:10 — “More important than when to refer is meticulous documentation and serial neurosensory exams—the real standard of care.”• 42:20–42:46 — “Paresthesia can happen on the most benign cases; you can’t always predict it.”• 44:31–45:23 — “Raising lingual flaps is a classic cause of lingual nerve injury—protect the nerve with minimal manipulation.”• 38:15–38:32 — “Consistency wins: lock a weekly recording night, set topics, and keep building.”Questions:03:34 — “Have you ever used Brevital? How did it compare to propofol?”04:23 — “Serv, what’s the per-patient cost and dilution math for Precedex?”06:30 — “What’s your go-to sedation cocktail in practice?”12:15 — “Did you do many coronectomies in residency, and how did you learn them?”13:05 — “Coronectomy playbook: indications, contraindications, and which burs?”17:39 — “Would you still do a coronectomy if there’s caries but no pulpal symptoms?”18:02 — “Wisdom teeth imaging: CBCT for everyone, or pano/PA unless red flags?”35:22 — “What’s your post-op med regimen? Any pre-op steroids or antiemetics?”39:26 — “Paresthesia management: when do you call it persistent and refer?”42:11 — “Technique check: anything you did intra-op that may have caused the paresthesia?”Now available on:- Dr. Gallagher’s Podcast & YouTube Channel- BackTeeth Boys Podcast - Ep. 2- Dose of Dental Podcast #176My watch in this episode = Citizen Promaster Diver Day Date- 9.2025#podcast #dentalpodcast #doctor #dentist #dentistry #oralsurgery #dental #dentalschool #dentalstudent #dentistlife #oralsurgeon #doctorgallagher
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BackTeeth Boys Podcast Ep. 2 - Dose of Dental Podcast #176 x Dr. Gallagher's Podcast
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