DrWahan
@drwahan instagram/tiktok/threads
02/07/2024
A tooth with a root fracture was removed simply and the post-op course was uneventful for 5 weeks. A buccal fistula formed with surrounding friable and inflamed tissue at 6 weeks post-op.
How do you manage this?
29/05/2024
Xray’s and even cat scans don’t tell the whole story
27/03/2024
Spontaneous Torus Osteonecrosis Related to Bisphosphonates
This has been managed for 7 months with chlorhexidine rinses. With a cotton swab and simple pressure, purulence is expressed from the area. How would you manage this situation?
23/01/2024
Zoom in… do you see hyphae?
Incisional biopsy shows:
📌Hyperparakeratosis with SEVERE superficial candidal colonization
📌Don’t always expect to see obvious white patches with oral candidiasis. Denuded areas on the tongue can be signs of it as well.
📌My favorite treatment that works and is well-tolerated and has the most patient compliance is:
Clotrimazole troches: Dissolve five lozenges during the day in the mouth for 14 days.
21/07/2023
So I received over 200 messages from my story the other day and I think I replied to all of them. Thank you so much for reaching out. We have a great community here and most of us want to learn and keep learning. Some just like the sensitive content lol. I rarely show my face so here ya go and back to more content next post.
25/03/2023
30,000 strong!! I want to thank you all for helping keep this thing going. If my stuff has helped you even a little bit, share it and let me know here or just message anytime.
11/11/2022
People say I should show my face more so here it is (for those people). Happy Friday.
Question:
📌Would you want to see videos with me freezing the frame and explaining what’s happening and what I am doing? Or is that stupid, lol.
📌Also, what would you want to see more of..?!
Basic, everyday stuff… incomplete split and the tooth doesn’t want to elevate out…
📌Made a ledge on the mesial root to elevate from and it didn’t move so I made it deeper and got it to move out some…
📌Then made a purchase point and got it all out. Three roots was the reason it didn’t elevate out initially.
Usually, infected teeth with abscess formation come out in one piece. But, not always.
📌 A little tip when using a hand-piece to go after a root fragment is to slow the speed down by letting up on the foot pedal. The increased vibration of the bur can sometimes dislodge and pop the root tip out. Might as well try, right?
#फोटोग्राफी #농구
This goes over two ways to keep Tranexamic Acid in your office for hemostasis.
Canine Exposure + Bracket Placement
😊This will also be up on my youtube💀
📌Age over 25 ➡️➡️ More Complications post-surgery. Take your time and use all your tricks you’ve stockpiled.
📌I usually have a plan going-in on what I’m going to do. But, that can change many times during the procedure.
📌The instruments I used are:
(77R elevator)
Find them or wherever you get your goods
(follow this hashtag for all my extraction step-by-steps)
The goal is to keep every tooth but sometimes that’s not in the cards.
📌These are two facially impacted canines that were sectioned and removed with two small incisions.
Step-by-Step: Four Wisdom Teeth
Lots of ways to remove them…Try different ways and you will find what works in your hands.
Hemostatic management of a pesky bleed 5 days after extraction.
Collateral Damage from a partially impacted wisdom tooth.
📌Nevoid basal cell carcinoma syndrome (NBCCS) is a rare autosomal dominant, multisystem, tumor-predisposing disorder caused by germline pathogenic variants in the PTCH1 or SUFU tumor suppressor genes.
📌Odontogenic kerarocysts are cystic lesions of the bone that are lined with keratinized epithelium and thought to originate from the dental lamina.
📌Despite their bland histology, these lesions are locally destructive, possibly due to their heparanase expression, which is upregulated.
📌They are neoplastic rather than developmental in origin and are characterized by aggressive clinical behavior, including involvement of the teeth and a high recurrence rate.
📌The cysts usually develop after the age of seven and peak during the second or third decades.
21/07/2022
I had over 100 responses in 12 hours from this story so I’m making it a post about….. Ni****ne
The deleterious effect on wound healing is multi-factorial.
📌Vasoconstriction causes ischemia, a decreased inflammatory response, lowered bactericidal mechanisms, and an alteration of collagen metabolism.
📌All that can lead to wound dehiscence and impaired wound healing.
Post-Operative Complications (like this case) were looked at in 4 randomized trials. Patients stopped smoking 4-8 weeks before surgery and there was a significant drop in post-op infections.
📌Ni****ne causes up to a 40% drop in blood flow for the next 45 minutes💀
📌Most tissues can tolerate this fluctuation but surgical flaps have a limited blood supply. That added with any pre-existing conditions can cause things like this or much worse.
The debridement video of this case is up on my youtube if you haven’t seen it as of yet and it’s in my pathology highlights here on my page as well.
****ne
📌This one has a tip on keeping that wondering tongue out of the field when sectioning an upper molar. ✌️
📌Follow this hashtag for all these vids
Trough & Split
12/07/2022
💀😊20 Thousand!!😊💀
I feel that I started this page late on Instagram and not only that, my first 20 or so posts were about homemade soaps (second pic)😆.
After the pandemic started in 2020 is when I really started to share more of what I thought was helpful material.
Not gonna lie, it’s a grind at times but I genuinely like teaching which is why I still volunteer as faculty at dental school as well.
Everything has shifted to online learning and there is so much material out there..
I want to thank the great people that I work with and all of you for sharing my stuff and interacting and asking questions 😊
Here’s to more of the good stuff and every little pearl we can get.
Sometimes the plan is coronectomy or removal of the tooth…
📌If the tooth is immobile, I section the crown… be sure to remove all the enamel portion of the tooth so there is less of an inflammatory response…
📌After the crown is gone, I try and luxate and if there is no movement and access requires more bone removal, I break out the coronectomy bur..
📌In this case, the tooth moved so I went ahead with trying to remove it.
07/07/2022
Atrophic Glossitis is an interesting finding…
Characterized by atrophy of the filiform papillae. This gives a smooth, glossy appearance. Many experience a burning sensation.
Differential Dx:
📌Nutritional deficiencies such as B12, folate, and iron can cause this. Therefore, a workup of anemia may be indicated.
📌Candidiasis
📌Protein-Calorie Malnutrition Disorder
📌Celiac Disease
📌Lichen Planus
Just a Lateral Wall Sinus Lift. There are many ways to access and graft this area. This is a simple technique that works well and is easy to perform under local anesthesia.
Videos (show all)
