BackTeeth Boys Podcast Ep. 2 - Dose of Dental Podcast #176 x Dr. Gallagher's Podcast

Top 5 Topics:

- Dental Insurance Reimbursement Shock

- Sedation Secrets

- Coronectomy Case Selection and Complications

- Social Media Reality Check

- Nerve Damage & Paresthesia

BackTeeth Boys Team:

- Dr. Serv Wahan - Seattle, Washington

- Dr. Amir Tahmasebpour - Toronto, Canada

- Dr. Joe Doctora - Nashville, Tennessee

- Dr. Brendan Gallagher - Long Island, New York

Quotes & 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 #176

My watch in this episode = Citizen Promaster Diver Day Date

- 9.2025

#podcast #dentalpodcast #doctor #dentist #dentistry #oralsurgery #dental #dentalschool #dentalstudent #dentistlife #oralsurgeon #doctorgallagher