Australian Dental Council Exam Prep Podcast

Épisodes

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  Case 28 - A very painful mouth 07.08.2026 12min

  A 20-year-old patient presents with fever, swollen lymph nodes, and multiple painful oral ulcers that are preventing him from eating or drinking. What is your diagnosis? Would you reassure, investigate, or urgently refer?In this episode, we explore the high-risk OSCE scenario of "Case 28: A very painful mouth" to optimize your diagnostic readiness. Drawing directly from the clinical framework of Odell's Clinical Problem Solving in Dentistry, we dissect the acute onset of widespread oral ulceration in a young adult.Listeners will learn how to systematically navigate the differential diagnosis, specifically contrasting Primary Herpetic Gingivostomatitis (PHG) with Erythema Multiforme (EM) and Stevens-Johnson Syndrome. We explain the critical anatomical and systemic clues expected by examiners, demonstrating why ulceration of the attached, keratinized gingiva strongly points to a viral etiology. We discuss why taking the patient's temperature (revealing a 38°C pyrexia) is a vital indicator of primary infection, helping to exclude uncomplicated EM. Finally, we cover investigations—such as smears for light microscopy and viral antibody titers—and outline step-by-step management focused on pain relief, strict hydration monitoring, and crucial patient safety warnings to prevent autoinoculation of the eyes. Tailored for dentists, oral health therapists, hygienists, and dental students globally, this episode highlights high-yield exam tips to prevent common pitfalls, such as mistakenly prescribing steroids to a patient with an active viral infection.This content is for educational purposes only and does not constitute clinical advice.“For more ADC clinical case discussions, subscribe to our Spotify and YouTube channels and share this episode.”#PrimaryHerpes #PrimaryGingivostomatitis #ErythemaMultiforme #OralPathology #OdellsDentistry #DentalStudents #AustralianDentalCouncil
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  Therapeutic Guidelines Oral and Dental Version 4 - Overview 06.07.2026 57min

  What is the most common reason ADC candidates fail clinical scenarios despite having strong dental knowledge? The answer: A lack of understanding of Australian standards, legislation, and prescribing guidelines.In this masterclass-style episode, we provide a complete, end-to-end breakdown of the Modern Australian Dental Standards and Therapeutic Guidelines Version 4 (TG4). We bridge the gap between clinical theory and everyday Australian practice to ensure your treatment plans are compliant, safe, and exam-ready.What you will learn in this episode: • The Foundation of Australian Practice: Understanding Dental Board standards, AHPRA, and your professional obligations. • TG4 Deep Dive: How to navigate and apply the latest Therapeutic Guidelines (Version 4) in real-world scenarios. • Clinical Mastery: Best practices for Infection Prevention and Control, comprehensive medical risk assessments, and managing medically complex patients. • Safe Prescribing & Antimicrobial Stewardship: Australian requirements for prescribing analgesics, antibiotics, and avoiding common prescribing errors. • ADC Exam Focus: High-yield topics, real clinical scenarios, common candidate mistakes, and the top 20 rules every Australian dental practitioner must know. Whether you are an overseas-qualified dentist preparing for the ADC examinations, a current Australian practitioner, a dental student, or an oral health therapist, this evidence-based guide is your ultimate resource for clinical reasoning and patient safety.🎧 Listen now to ensure your clinical decisions comply with the latest Australian standards!Disclaimer: This content is intended for educational purposes only and does not constitute clinical, legal, regulatory, or professional advice. Clinicians should always consult the latest Australian regulations, Therapeutic Guidelines, Dental Board standards, and relevant legislation before making clinical decisions.
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  Case 21 - Trauma to an immature incisor 05.07.2026 20min

  An 8-year-old child presents after a bicycle accident with a fractured upper central incisor. The tooth is immature with an open apex. What would you do next? Would your treatment plan be different if the pulp was exposed?In this highly technical and evidence-based episode, we explore the high-yield OSCE scenario of "Case 21: Trauma to an immature incisor". We dissect the unique treatment challenges of managing dental trauma in pediatric patients. Listeners will learn the critical differences between treating mature versus immature permanent teeth, where preserving pulp vitality is the absolute primary objective to ensure continued root maturation.We systematically break down the classification of dental trauma and the required clinical examinations, from assessing mobility to identifying luxation injuries and root fractures. We explain the limitations of pulp sensibility testing immediately after trauma and guide you through the ADC-style diagnostic approach. Finally, we provide a step-by-step breakdown of cause-based management, contrasting vital pulp therapy (such as a Cvek partial pulpotomy for apexogenesis) with regenerative endodontic procedures and apexification (using MTA or calcium hydroxide) for non-vital teeth. Tailored specifically for ADC candidates, oral health therapists, dentists, hygienists, and dental students globally, this episode highlights common exam mistakes, such as unnecessarily treating immature teeth with standard root canal therapy.This content is for educational purposes only and does not constitute clinical advice or commercial endorsement.“For more dental examination preparation tips and clinical deep-dives, subscribe to our Spotify and YouTube channels and share this episode.”#DentalTrauma #PaediatricDentistry #Apexogenesis #OdellsDentistry #DentalStudents #AustralianDentalCouncil
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  Case 20 - A lump in the neck 02.07.2026 14min

  A patient attends your dental practice complaining of a painless lump in the neck that has been present for six weeks. What is your initial differential diagnosis? Would you reassure, review, investigate, or urgently refer?In this highly technical and evidence-based episode, we explore the high-risk OSCE scenario of "Case 20: A lump in the neck" to optimize your diagnostic readiness. Drawing directly from the clinical framework of Odell's Clinical Problem Solving in Dentistry, we emphasize why a persistent, painless neck lump in an older adult should never be ignored and must be treated as a potential malignancy.Listeners will learn how to systematically categorize differential diagnoses, distinguishing between inflammatory causes (such as a dental infection or reactive lymphadenopathy), salivary gland conditions, congenital cysts, and severe systemic or malignant diseases (like lymphoma, leukemia, or metastatic squamous cell carcinoma). We map out the relevant anatomy of cervical lymph node levels and drainage patterns to help you accurately localize the source of the pathology. You will learn how to conduct a thorough clinical examination, looking for red flags such as a hard consistency, a fixed mass, rapid enlargement, or an underlying smoking and alcohol history.Furthermore, we outline essential investigations, detailing the critical role of Fine Needle Aspiration Cytology (FNAC) as a fast, minimally invasive method to obtain a microscopic diagnosis without risking tumor seeding into the fascial planes of the neck. Tailored specifically for ADC candidates, Australian oral health therapists, dentists, hygienists, and dental students globally, this episode will help you avoid common exam mistakes, such as assuming all lumps are reactive nodes or failing to perform a comprehensive intraoral examination to identify the primary tumor.This content is for educational purposes only and does not constitute clinical advice or commercial endorsement."For more dental exam preparation tips and clinical deep-dives, subscribe to our Spotify and YouTube channels and share this episode.”#NeckMass #OralCancer #FNAC #OdellsDentistry #DentalStudents #AustralianDentalCouncil
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  Case 16 - A numb lip 27.06.2026 19min

  In this episode, we explore "Case 16: A numb lip" to optimize your diagnostic readiness for the ADC OSCE exam. Drawing directly from the authoritative source, Odell's Clinical Problem Solving in Dentistry, we dissect the critical clinical presentation of a 68-year-old man experiencing sudden numbness of the lower right lip, accompanied by a long-standing jaw ache and a recently extracted, non-healing socket. We guide you through the anatomy of the inferior alveolar and mental nerves, demonstrating how to clinically localize neurological deficits. Listeners will learn how to systematically navigate the differential diagnosis for labial paraesthesia, differentiating between common local causes (like dental infection or iatrogenic trauma) and severe red-flag conditions, such as chronic osteomyelitis or malignancy (including metastatic adenocarcinoma or primary oral squamous cell carcinoma). We cover the necessary clinical examination steps, including cranial nerve testing and assessing the skin below the chin (nerve to mylohyoid), alongside crucial investigations like panoramic radiography (OPG), CBCT, and the absolute necessity of urgent biopsy for non-healing, destructive radiolucent lesions. This episode will strengthen your clinical reasoning for recognizing and urgently referring suspected orofacial malignancies. For more dental exam preparation tips and clinical deep-dives, subscribe to our Spotify and YouTube channels and share this episode.#OralPathology #NumbLip #OralCancer #OdellsDentistry #DentalStudents #AustralianDentalCouncil
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  4 Failed Socket Cases You Must Know: Dry Socket, OAF, & MRONJ 20.06.2026 45min

  Struggling to differentiate post-extraction emergencies for your Australian Dental Council (ADC) 2026 examinations? In this comprehensive episode, we break down 4 high-yield, failed-healing socket scenarios straight out of Odell's Clinical Problem Solving in Dentistry (Cases 15, 16, 18, and 23). We unpack the complex pathophysiology, critical diagnostic markers, and Australian treatment protocols that examiners look for to separate a passing candidate from a failing one.🔥 What we cover in this episode:• Case 15: Alveolar Osteitis (Dry Socket) – The biochemistry of premature clot fibrinolysis (TPA, plasminogen, and plasmin). Why the OCP increases risk, why you should irrigate with warm saline instead of chlorhexidine, and the exact protocol for placing Alveogyl contextually in the coronal third.• Case 18: Oroantral Fistula (OAF) & Sinusitis – Differentiating maxillary complications by timeline (2 weeks post-op). Diagnosing via a Waters' view radiograph, managing acute sinusitis with Amoxicillin + Clavulanic Acid, and a step-by-step look at the buccal advancement flap (von Rehrmann technique) under zero tension.• Case 16: The Malignancy Trap – When a "non-healing socket" is actually Squamous Cell Carcinoma (SCC). Spotting the red flags: irregular tissue proliferation, easy bleeding, and unexplained lip paresthesia that mandates an urgent incisional biopsy.• Case 23: MRONJ/BRONJ – How bisphosphonates (Alendronate/Zoledronate) disrupt the mevalonate pathway to cause osteoclast apoptosis and avascular necrosis. Why a 3-month "drug holiday" fails due to the 10-year skeletal half-life, and how to manage early stages conservatively.#Dentistry #DrySocket #MRONJ #OroantralFistula #OralPathology #AustralianDentalCouncil
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  Case 13 - Sudden Collapse 16.06.2026 20min

  In this highly technical and evidence-based episode, we explore "Case 13 - Sudden collapse". Drawing directly from the authoritative source, Odell's Clinical Problem Solving in Dentistry, we dissect the critical medical emergency of a 55-year-old male patient—an insulin-dependent diabetic with hypertension—who suddenly complains of chest pain, becomes breathless, and collapses in the dental chair. We explain the clinical reasoning behind managing a sudden collapse using Odell's framework. Listeners will learn how to formulate a rapid differential diagnosis, distinguishing between a vasovagal attack (faint), hypoglycaemia, steroid crisis, and cardiac arrest. We explain why the presence of chest pain, combined with atheromatous risk factors (diabetes, hypertension, smoking), strongly points to myocardial infarction and subsequent cardiac arrest, rather than a simple faint or insulin-related crisis. Because brain hypoxia begins within 3 to 4 minutes of a cardiac arrest, we provide a step-by-step breakdown of the initial emergency response using the Resuscitation Council guidelines for Basic Life Support (BLS). Tailored specifically for ADC candidates, Australian oral health therapists, and dental students across the world, this episode will strengthen your emergency diagnostic and management skills.For more Dental examination prep tips and clinical deep-dives, please subscribe our Spotify and YouTube channel and share this episode.“ #MedicalEmergency #CardiacArrest #OdellsDentistry #DentalStudents #AustralianDentalCouncil #BasicLifeSupport #BLS
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  Case 12 - A defective denture base 16.06.2026 5min

  Drawing directly from Odell's Clinical Problem Solving in Dentistry, we dissect the clinical presentation of prosthetic defects in both heat-processed poly(methylmethacrylate) (acrylic) denture bases and cobalt-chromium castings.We guide you through the cognitive architecture of formulating a differential diagnosis for acrylic porosity. Listeners will learn how to clinically distinguish between contraction porosity (caused by insufficient material packing or inadequate flasking pressure), gaseous porosity (caused by the vaporization of monomer during processing, typically found in thicker sections), and granular porosity (which gives thin sections a "white and frosty" appearance). Furthermore, we evaluate common casting defects in cobalt-chromium frameworks, specifically diagnosing extensive perforating gas bubbles caused by the use of an incorrect investment material. Tailored specifically for ADC candidates, Australian oral health therapists, and dental students across the world, this episode will strengthen your diagnostic problem-solving skills in prosthodontics.“For more Dental examination prep tips and clinical deep-dives, please subscribe our Spotify and YouTube channel and share this episode.“#Prosthodontics #DentureDefects #Porosity #OdellsDentistry #DentalStudents
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  Case 9 - A large carious lesion 02.06.2026 24min

  In this episode, we explore "Case 9: A large carious lesion" to optimize your preparation for the ADC OSCE exam. Drawing directly from the authoritative source, Odell's Clinical Problem Solving in Dentistry, we dissect the clinical presentation of a 30-year-old patient suffering from severe, short-lasting attacks of pain triggered by hot, cold, and sweet stimuli in a maxillary second molar. We guide you through the cognitive architecture of formulating a differential diagnosis, confirming acute pulpitis and excluding periapical periodontitis based on a lack of pain on biting and positive, hypersensitive vitality testing (such as with ethyl chloride).Listeners will learn how to clinically evaluate radiographic evidence, including assessing the dentine bridge and reactionary (tertiary) dentine formation obliterating the pulp horns. We conduct a technical deep-dive into caries excavation protocols under rubber dam isolation. You will learn how to identify the histological zones of dentine, specifically distinguishing between the superficial, wet, and highly infected dentine that must be removed, and the deeper, dry, "scratchy" affected dentine that can be safely preserved over the pulp to prevent exposure. Finally, we analyze definitive restorative material choices, discussing the biomechanical trade-offs between resin composites, glass ionomer cements, and amalgam for achieving an optimal peripheral seal and promoting remineralization. "This content is purely educational and not a commercial endorsement. For more Dental examination prep tips and clinical deep-dives, please subscribe our Spotify and YouTube channel and share this episode.“#AcutePulpitis #OdellsDentistry #AustralianDentalCouncil #CariesManagement
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  Case 8 - Painful trismus 29.05.2026 16min

  In this highly technical and evidence-based episode, we explore "Case 8: Painful trismus" to optimize your preparation for the ADC OSCE exam. Drawing directly from the authoritative source, Odell's Clinical Problem Solving in Dentistry, we dissect the clinical presentation of a 27-year-old female patient presenting with acute, painful limitation of mouth opening (restricted to 23mm interincisal distance) and mandibular deviation to the right. We guide you through the cognitive architecture of formulating a differential diagnosis, defining true trismus as a spasm of the muscles of mastication, while distinguishing between extra-articular causes (like myofascial pain or tetanus) and intra-articular causes. Listeners will learn how to clinically evaluate temporomandibular joint (TMJ) movements, including translation and lateral excursions, to confidently diagnose an internal derangement of the right TMJ presenting as a closed lock (anterior disc displacement without reduction). Tailored specifically for ADC candidates, Australian oral health therapists, and dental students across the world, this episode will strengthen your diagnostic problem-solving skills for complex TMJ presentations.For more Dental examination prep tips and clinical deep-dives, please subscribe our Spotify and YouTube channel and share this episode.#Trismus #TMJDisorders #OdellsDentistry #DentalStudents #AustralianDentalCouncil #InternalDerangement
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  Case 5 - A missing incisor 26.05.2026 23min

  In this highly technical and evidence-based episode, we explore "Case 5: A missing incisor" to optimize your preparation for the ADC OSCE exam. Drawing directly from the authoritative source, Odell's Clinical Problem Solving in Dentistry, we dissect the clinical presentation of a 9-year-old boy presenting with an unerupted upper left permanent central incisor and a pale swelling high in the labial sulcus. We guide you through the cognitive architecture of formulating a comprehensive differential diagnosis, evaluating causes of eruption failure such as dilaceration from previous trauma, late-forming tuberculate supernumerary teeth, odontomes, and alveolar scar tissue. Listeners will learn how to technically interpret multi-angle radiographic evidence; including panoramic, periapical, and lateral views—to confirm a diagnosis of a dilacerated incisor caused by the intrusion of a deciduous predecessor in infancy. Tailored specifically for Overseas-trained dentists (OTDs), ADC candidates, Australian oral health therapists, and dental students across the world, this episode also details the multidisciplinary treatment plan, from space regaining (extracting primary canines and laterals) to the localized surgical exposure and orthodontic extrusion of the dilacerated crown.Disclaimer: This content is purely educational and not a commercial endorsement.“For more Dental examination prep tips and clinical deep-dives, please subscribe our Spotify and YouTube channel and share this episode.“#MissingIncisor #Dilaceration #PediatricDentistry #AustralianDentalCouncil #Orthodontics #dentists
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  Infection Control and Record-Keeping in Australian Dentistry: Lessons from the Strathfield Health Alert 18.05.2026 23min

  An evidence-based discussion on infection control and record-keeping requirements in Australian dentistry, following the recent Strathfield health alert. Designed to support practitioners in meeting regulatory and professional standards.
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  Case 3 - An unpleasant surprise 14.05.2026 21min

  Managing Sudden Amoxicillin Anaphylaxis in DentistryIn this highly technical and evidence-based episode, we explore "Case 3: An unpleasant surprise" to optimize your preparation for the ADC OSCE exam. Drawing directly from the authoritative source, Odell's Clinical Problem Solving in Dentistry, we dissect a critical medical emergency scenario: a 30-year-old female patient with a history of asthma and eczema who develops acute shortness of breath, feeling hot, and generally unwell 45 minutes after taking a 3g oral dose of amoxicillin for antibiotic prophylaxis.We guide you through the cognitive architecture of formulating a differential diagnosis under pressure, distinguishing between an acute asthmatic attack, anaphylaxis, and other adverse systemic reactions. Listeners will learn the immediate clinical management protocols, including allowing the patient to adopt a comfortable breathing position and the administration of oxygen (5 litres per minute) by facemask. This episode is tailored specifically for Overseas-trained dentists (OTDs), ADC candidates, Australian oral health therapists, and dental students across the world.This content is purely educational and not a commercial endorsement.“For more Dental examination prep tips and clinical deep-dives, please subscribe our Spotify and YouTube channel and share this episode.“Keywords: #ADCExam #OSCE #MedicalEmergencies #Anaphylaxis #OdellsDentistry #DentalStudents #OTD #AustralianDentalCouncil
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  Case 63 - A child with a swollen face 14.05.2026 21min

  In this highly technical and evidence-based episode, we explore "Case 63: A child with a swollen face" to optimize your preparation for the ADC OSCE exam. Drawing directly from the authoritative source, Odell's Clinical Problem Solving in Dentistry, we examine the clinical presentation of a 5-year-old boy presenting with painless bilateral facial swellings affecting the mandibular rami. We guide you through the cognitive architecture of formulating a differential diagnosis for pediatric facial enlargement, evaluating soft tissue, salivary gland, and mandibular causes. Listeners will learn how to technically interpret panoramic radiographs demonstrating multilocular radiolucencies with internal radiopaque septa, gross displacement of developing permanent molars, and premature tooth exfoliation. Ultimately, we unpack the diagnostic criteria for Cherubism and discuss its autosomal dominant inheritance pattern. This episode is tailored specifically for Overseas-trained dentists (OTDs), ADC candidates, Australian oral health therapists, and dental students across the world.This content is purely educational and not a commercial endorsement.“For more Dental examination prep tips and clinical deep-dives, please subscribe our Spotify and YouTube channel and share this episode.Keywords: #ADCExam #OSCE #Cherubism #PediatricDentistry #OdellsDentistry #OralPathology #OTD
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  Case 2 - A Multilocular Radiolucency 12.05.2026 19min

  In this highly technical and evidence-based episode, we conduct a deep-dive into "Case 2: A multilocular radiolucency" to optimize your preparation for the ADC OSCE exam. Drawing directly from the authoritative source, Odell's Clinical Problem Solving in Dentistry, we examine the clinical presentation of a 45-year-old patient with a painless, bony-hard enlargement of the posterior mandible and displaced, highly mobile teeth.We technically evaluate the classical radiographic "soap bubble" appearance and guide you through the cognitive architecture of formulating a definitive differential diagnosis. Listeners will learn how to clinically distinguish an ameloblastoma from a central giant cell granuloma, odontogenic keratocyst, and odontogenic myxoma. Tailored specifically for Overseas-trained dentists (OTDs), ADC candidates, Australian oral health therapists, and dental students across the world, this episode also covers the necessity of representative biopsy and the surgical management protocols for a solid/multicystic ameloblastoma.Disclaimer: This content is purely educational and not a commercial endorsement.“For more Dental examination prep tips and clinical deep-dives, please subscribe and share this episode.”Keywords: #ADCExam #OSCE #Ameloblastoma #OralPathology #OdellsDentistry #DentalStudents #OTD #AustralianDentalCouncil #Radiolucency
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  Case 54 - A Gap Between the Front Teeth 10.05.2026 19min

  In this highly technical and evidence-based episode, we break down "Case 54: A gap between the front teeth" to help you prepare for the ADC OSCE. Drawing directly from Odell's Clinical Problem Solving in Dentistry, we explore the clinical scenario of a 35-year-old patient presenting with a newly formed diastema and labial drifting of crowned upper incisors. We systematically evaluate the clinical signs—including grade 2 to 3 mobility, deep probing depths, profuse bleeding, and loss of gingival stippling—to formulate a definitive diagnosis of advanced periodontitis exacerbated by traumatic occlusion from bulky crown margins. Tailored for Overseas-trained dentists (OTDs), ADC candidates, Australian oral health therapists, and dental students across the world, this episode walks you through the comprehensive periodontal care plan. You will learn the indications for root planing versus extraction for teeth with hopeless prognoses, and the step-wise approach to stabilizing the dentition and providing immediate replacement prostheses.Disclaimer: This content is purely educational and not a commercial endorsement.“For more Dental examination prep tips and clinical deep-dives, please subscribe and share this episode.”
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  Case 1 - A high caries rate 10.05.2026 12min

  In this episode, we explore the clinical management of a high-caries-risk patient alongside detailed diagnostic frameworks for Oral Medicine and Pathology, essential for the ADC exam OSCE. Drawing directly from authoritative sources such as Odell's Clinical Problem Solving in Dentistry, we break down "Case 1: A high caries rate" in an adolescent presenting with a nonvital lower first molar and a periapical abscess. We discuss the step-wise prioritization of treatment from initial caries removal, drainage, and temporary restoration to stabilize the occlusion, to the critical role of dietary analysis, including evaluating the Stephan curve and hidden sugar attacks. Furthermore, we delve into complex oral pathology OSCE topics, detailing the differential diagnosis for multilocular radiolucencies (evaluating ameloblastomas versus odontogenic cysts) and conducting a clinical assessment for potentially malignant oral white patches and squamous cell carcinoma. This comprehensive review is tailored specifically for Overseas-trained dentists (OTDs), ADC candidates, Australian oral health therapists, and dental students across the world to sharpen their diagnostic acumen.Disclaimer: This content is purely educational and not a commercial endorsement.“For more Dental examination prep tips and clinical deep-dives, please subscribe and share this episode.”
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  Case 10 - A lump on the Gingiva 09.05.2026 25min

  In this episode, we provide a highly technical and evidence-based analysis of Oral Medicine and Pathology topics for the ADC exam OSCE, with a specific focus on "Case 10: A lump on the gingiva." Drawing from Odell's Clinical Problem Solving in Dentistry, we explore the diagnostic framework for assessing fleshy, vascular gingival nodules. Listeners will learn how to formulate a differential diagnosis encompassing pyogenic granulomas, fibrous epulides, and peripheral giant cell granulomas. We detail the histological features critical for diagnosis, such as identifying ulcerated maturing granulation tissue, endothelial linings, and inflammatory cell infiltrates. Tailored for Overseas-trained dentists (OTDs), ADC candidates, Australian oral health therapists, and dental students across the world, this episode also covers the clinical management protocols, including excision biopsies and the removal of local irritants like subgingival calculus.Disclaimer: State clearly that this content is purely educational and not a commercial endorsement.“For more Dental examination prep tips and clinical deep-dives, please subscribe and share this episode.”
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  Case 51 - Pediatric Crossbites and Oral Dysplasia Diagnostics 27.04.2026 19min

  In this episode we learn Case 51 from Odelle's Clinical Problem-Solving Dentistry.Disclaimer: This content is purely educational and not a commercial endorsement.“For more Dental examination prep tips and clinical deep-dives, please subscribe and share this episode.”
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  Brief review of Odell's Clinical Problem Solving in Dentistry 27.04.2026 37min

  In this episode we will listen about everything you need to know before reading the Odell's Clinical Problem Solving in Dentistry book.Disclaimer: This content is purely educational and not a commercial endorsement.“For more Dental examination prep tips and clinical deep-dives, please subscribe and share this episode.”