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302 - Pursuit of Clinical Excellence, Anxiety and Social Media – IC053
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- 302 - Pursuit of Clinical Excellence, Anxiety and Social Media – IC053
“Defensive Dentistry and the fear culture is the number 1 cause of anxiety amongst Dentists”
How can we instead foster a culture where we can focus on growth and supporting each other?
Does Dentistry have a social media problem?
https://youtu.be/wsiENbuIXcE
Watch IC053 on Youtube
Join us on this episode with Dr Mehy Lo-Presti as we navigate dentistry and social media, the pros and cons of using the online world as part of our portfolio and how we can remove anxiety through effective communication.
2 Events to Attend:
DentoRama 18th October
Treatment Planning Symposium (Hybrid Event) 16th Nov
Highlights of this Episode:02:05 Introduction - Dr Mehy Lo-Presti06:42 Mehy Early On12:04 Dento-Rama15:30 Social Media in Dentistry20:35 Life Before Social Media21:25 Social Media is a Business 23:40 What Causes Anxiety for Dentists?29:45 Overcoming the Fear Factor34:45 Fast Tracking to Success41:20 Wrapping Up47:14 Booking the Event and Getting in Touch
This episode is eligible for 0.75 CE credit via the quiz on Protrusive Guidance.
GDC LEARNING OUTCOMES: A
AGD Code 770 (Self Improvement)
Dentists will be able to:
* Gain insights into how social media affects clinical practice, patient perceptions, and professional image, learning how to use these platforms responsibly.
* Manage the pressures of online validation, minimising the impact on their mental health and maintaining a healthy work-life balance.
* Develop stronger communication methods both online and offline, ensuring clearer patient education, reducing complaints, and fostering better relationships within the dental team.
For the full educational experience, our Ultimate Education Plan gives you access to all our courses, webinars, and exclusive monthly content. This includes videos on Overlay preps and the famous 'Vertipreps for Plonkers' series.
If you liked this episode, check out IC035 - Best Practices in Social Media for Dentists
Wed, 25 Sep 2024 - 51min - 301 - Treatment Planning Bridges vs Dentures – The Art and Science – PDP198
JOIN US on 16th November for Treatment Planning Symposium 2024 - Online Event OR In-Person - you decide!
https://youtu.be/G5ebbUl0sDg
Watch PDP198 on Youtube
Implants are great but they are not always the best solution for our patient.
There are many times a bridge or denture may serve the patient’s goals, aesthetics and budget better.
So how do we decide between bridges and dentures?
Is it acceptable to use root filled tooth as a bridge abutment?
Are single tooth posterior dentures risky? Or do patients love them?
How do we begin to communicate aspects of replacing teeth with our patients?
Join me with our guest Dr Michael Frazis as we discuss the art form of communication with our patients and some outlandish cases including roundhouse bridges. This will really help upskill you on dealing with patients with missing teeth.
Protrusive Dental Pearl: Failure is inevitable for our Dentistry, but try to set yourself up for smaller failures and not giant catastrophes! The real magic is in proper case selection. Practise at the EDGE of your comfort zone, but NOT out of your depth.
20% OFF Guaranteed on RipeGlobal Fellowship Programs + Free access to their portal - Click here to register for this! protrusive.co.uk/rg20
Follow Dr Michael Frazis on Instagram
This episode is eligible for 1 CE credit via the quiz on Protrusive Guidance.
This episode meets GDC LEARNING OUTCOMES: A and C
AGD Subject Code: 610 Fixed Prosthodontics
Dentists will be able to:
* Demonstrate improved decision-making skills in treatment planning, particularly regarding non-implant tooth replacement options.
* Apply communication strategies to better explain treatment options, manage patient expectations, and gain informed consent, especially in high-risk cases involving implants, bridges, or challenging restorations.
* Recognize red flags and understanding the risks involved in specific dental procedures (such as implant failure or the use of root-filled teeth as abutments) and how to mitigate these risks through careful case selection and patient education.
For the full educational experience, our Ultimate Education Plan gives you access to all our courses, webinars, and exclusive monthly content. This includes videos on Overlay preps and the famousFri, 20 Sep 2024 - 1h 07min - 300 - [OCCLUSION MONTH] Vertical Dimension – Don’t Be Scared! – PDP197
Treatment Planning Symposium 16th November Hybrid event: https://www.protrusive.co.uk/rx
Are you still afraid of raising the Vertical Dimension? You cannot break free from the shackles of single tooth Dentistry if you don’t get comfortable with vertical dimensions changes in Restorative Dentistry.
https://youtu.be/Nb-LTyzRKuU
Watch PDP197 on Youtube
In this episode, Dr. Jaz Gulati and Dr. Mahmoud Ibrahim simplify the complex topic of increasing vertical dimension.
What is a safe limit of increasing the vertical dimension?
They cover the essentials of joint health, muscle stability, and the importance of centric relation (does it actually matter?)
Protrusive Dental Pearl: Use Duralay copings for guide planes to ensure stable dentures with a single path of insertion. While eyeballing the prep can be challenging, he suggests requesting acrylic copings from the lab for precise preparation. He explains that technicians survey models to identify undercuts and determine the path of insertion, and instead of manual prepping, he advises using lab-created reduction copings and acrylic jigs to simplify and accurately guide the preparation process.
Need to Read it? Check out the Full Episode Transcript below!
Highlights of this episode:
* 02:05 Protrusive Dental Pearl Acyrlic Copings for Guide Planes
* 03:57 Dr. Mahmoud Ibrahim’s Introduction
* 06:05 Personal Experiences with Vertical Dimension
* 08:45 Challenges and Techniques in Vertical Dimension
* 14:17 Clinical Considerations (Restorative Dentistry) and Research
* 21:15 How to Assess OVD Loss?
* 24:35 Factors to Consider in Increasing the Vertical Dimension
* 28:41 Treatment Planning: Orthodontics vs. Restorative Management
* 32:21 Assessing Cases for Vertical Dimension
* 34:39 Joint Position and Vertical Dimension
* 39:47 Occlusal Appliances Prior to Increasing Vertical Dimension
* 45:26 Joint Relationship
* 50:49 Reproducibility and Stability in Occlusal Planning
* 53:00 Summary and Final Thoughts on Vertical Dimension
This episode is eligible for 1 CE credit via the quiz on Protrusive Guidance.
AGD code: 180 Occlusion (Occlusal therapy)
This episode meets GDC Outcomes A and C.
Dentists will be able to:
1. Explore key clinical considerations and current research in restorative dentistry related to vertical dimension, enhancing your ability to make informed decisions.
2. Understand the relationship between joint position and vertical dimension, and how to assess and manage this relationship effectively.
3. Recall the guidelines for assessing the vertical dimension and the safe limit for this in dentate patients.
If you liked this, you will also like Functionally Generated Path T...Tue, 17 Sep 2024 - 59min - 299 - [Occlusion Month] Indirect Restorations For Guiding Teeth – PDP196
Plant it low and watch it grow? Is that serving our patients?
Should we keep our crowns flat to avoid ‘interferences’?
How about guiding teeth - how can we recreate and build in guidance and the correct cuspal inclination in our indirect work?
https://youtu.be/b2KA84dXhnI
Watch PDP196 on Youtube
As part of Occlusion month I am joined by my dental technician Graham Entwistle and Occlusion geek Dr Mahmoud Ibrahim. We discuss foundational occlusal concepts relevant to our daily indirect restorations.
Protrusive Dental Pearl: Bleeding papilla? Use the HOW technique to QUICKLY stop bleeding - insert a Wedge obliquely (Haemostasis with Oblique Wedge technique) as taught by Dr Sunny Sadana from Drecomposite.com
Treatment Planning Symposium 16th November HYBRID EVENT
Basics of Occlusion Live 2 Day Hands-On Course with Jaz and Mahmoud
Need to Read it? Check out the Full Episode Transcript below!
Highlights of this Episode: 0:00 Introduction 03:31 Protrusive Dental Pearl 05:16 Introduction - Graham Entwistle + Mahmoud Ibrahim 08:25 Guiding Teeth 11:40 Why is Guidance important? 16:35 What information should we provide our technicians? 20:00 Excursions and Patient Case 28:00 Complex crown creation 33:33 To Facebow or not to Facebow? 34:40 A Technician’s POV 49:50 What is the Technician aiming for? 51:06 Perfect Contacts - technician perspective 53:23 Final Thoughts
This episode is eligible for 1 CE credit via the quiz on Protrusive Guidance.
This episode meets GDC Outcomes B and C.
AGD Subject code: 180 Occlusion (Occlusal functional concepts)
Dentists will be able to:
1. Understand the importance of guidance and occlusion in crown design, ensuring restorations contribute positively to occlusal function and patient well-being. 2. Improve communication strategies with dental technicians, including providing crucial details such as shim holds and occlusal plane guidance, to ensure optimal restorations. 3. Make informed decisions about the distribution of occlusal forces to prevent damage and maintain functional integrity in prosthetic designs.
If you liked this episode, you’ll love PDP137 - Q&A with a Dental Technician
Click below for full episode transcript:
Teaser: If there's one thing people take away from this podcast, it's this point right here, which can easily be missed, okay? When we send a bite to our technician, whether it's a physical bite or a digital bite, more often than not, okay, it's wrong.
Jaz's Introduction:Welcome to Occlusion Month on Protrusive Dental Podcast 2024. I've just been a little bit excited for this theme. It's one of my favorite themes to discuss because it was Occlusion, learning Occlusion. It's what allowed my dentistry to become more fun. Allow me to move away from single tooth dentistry and through a series of episodes this month, we're going to help you do the same. Ultimately occlusion is just really good restorative dentistry.
It's part of the package, but It's perceived as it's like this dark art, this incredibly confusing thing. I think sometimes it's pitched that way to sell more courses, etc. But me and Mahmoud want to convince you that occlusion is easy.Tue, 10 Sep 2024 - 58min - 298 - Removable Pros for Students – PS009
There is something very satisfying about a well fitting denture.
I am joined by our resident Dental Student, Emma Hutchison, to demystify removable prosthetics.
https://youtu.be/1hQGjKUa6MU
Watch PS009 on Youtube
Which joint position should we use for dentures? Is this important?
How do you calculate the freeway space?
What are we actually recording during a Wax Jaw Registration for complete dentures?
Don’t miss the special exam revision notes on Removable Pros available exclusively in the Protrusive Guidance app! (Join the free Students Section)
Need to Read it? Check out the Full Episode Transcript below!
This episode is not eligible for CPD/CE points, but never fear, there are hundreds of hours of CPD for Dentists waiting for you on the Protrusive App!
For the full educational experience, our Ultimate Education Plan gives you access to all our courses, webinars, and exclusive monthly content.
If you love this episode, check out PDP162 - Occlusion for Complete Dentures
Click below for full episode transcript:
Jaz's Introduction: I think we all remember that phase at dental school where we were just confused by everything related to dentures. It was especially confusing because dentures are kind of like one of the first things you do as you're a dental student. So to you it felt like being thrown in the deep end anyway.
Jaz's Introduction:For many of us the denture confusion lives on and continues throughout our career. Hopefully with some of the older episodes in Protrusive we managed to make dentures more tangible. And I myself have been enjoying doing some cobalt chrome dentures, something I didn't get to do much during dental school. But today in this Protrusive Students Section, and I mean students lightly because this whole segment, the Protrusive Students Series, whilst we release some revision notes for students every time we release an episode, what we discover here is revision.
Sometimes good to revise topics, go back to basics, so if you're a young dentist or revisiting back into dentistry, or at any stage of being a dental student, this episode and all of the series of protrusive students should be relevant to you. Especially one we did a while ago about adhesive dentistry for beginners.
Lots of qualified dentists said how much they enjoyed that one because it was nice to just go back to basics. In this one, once again with our protrusive student Dr. Emma Hutchison, she asked me about all things that confuse her as a student when it comes to dentures. And because she's relatively new to clinic, Most of the questions he asked was related to complete dentures.
So I hope you enjoyed this recap and this revision on the different stages of complete dentures. What are we actually trying to achieve in the various stages and what is important and what's not important? Hope you enjoy and I'll catch you in the outro.
Sun, 01 Sep 2024 - 32min - 297 - I Interviewed a New Grad 7 Months Apart (First Year of Practice) – IC052
The first EVER ‘Prospective’ episode of Protrusive - I interviewed new-grad Dr Triman Ahluwalia in 2023, then again 7 months later in 2024 to see how he gets on with his first year as a *real* Dentist ;)
We uncover what it feels to be a freshly qualified Dentist, the pressures and fears that come with procedures such as endo and surgical extractions, but what we can do as growing clinicians to overcome these hurdles.
https://youtu.be/9NtKCIVfMLs
Watch IC052 on Youtube
This episode is packed with lots of top tips to help you in your journey from the ground up, or as a reminder for those that have been there and done that, that we are forever learning on our journey and there’s always something out there to help us become better Dentists.
Need to Read it? Check out the Full Episode Transcript below!
Highlights of this Episode:02:02 Introduction to Dr Triman (2023)03:32 Experiences at Dental School07:15 Procedures You Fear + Sectioning Teeth11:25 Thoughts on Social Media in Dentistry15:26 Documenting Work16:30 Future Career Plans18:00 Additional Comments from Triman19:03 Back to the Future: 2024 Triman Update21:50 Dental Photography Progress23:08 Tricky Dental Procedures Update27:46 The Good and the Bad of DFT32:26 Career Path in Dentistry34:49 Triman’s Top Tips37:06 Wrapping Up
Don’t forget to check out the Protrusive App where you can find more awesome tutorials on becoming a more efficient and effective practitioner.
If you liked this episode, you will also like IC029 - Young Dentist Thrival Guide
This episode is not eligible for CPD/CE points, but never fear, there are hundreds of hours of CPD waiting for you on on the Ultimate Eduction Plan, including Premium clinical workthroughs and Masterclasses.
Click below for full episode transcript:
Jaz's Introduction: Welcome to the first ever Protrusive Prospective episode. You see, I interviewed Dr. Triman Ahluwalia in his first month of being a real dentist, i. e. newly qualified. I then interviewed him again seven months later to see how he got on.
Jaz's Introduction:Hello Protruserati, I'm Jaz Gulati, and welcome back to your favorite dental podcast. Every year we make an episode to help those who are in their first year, i. e. they've just qualified and they're entering the big bad world dentistry. And this is a interesting one because I've never done a prospective episode whereby I've told the guest to wait six, seven months and then we'll continue the recording.
Just to see if the perspective has changed. I think this is essential listening and watching for those who are literally about to enter the first year of dental school, or maybe you're returning to work again after some time off, or maybe you just want to gain some insight into the mind of the newly qualified dentist.
Maybe you mentor some dentists, by the way, speaking of mentorships and big things, Intaglio is almost out. For those of you who don't know, Intaglio is a new platform we're making to allow ...Tue, 27 Aug 2024 - 42min - 296 - Digital Dentures for Every Dentist – The Death of Impressions? – PDP195
Is this the death of impressions for Dentures?
Are digital dentures predictable? Time saving? Cost saving?
Are all types of dentures suitable for the digital workflow?
Even if you don’t use an intra-oral scanner, your lab may be utilising a digital workflow, so it’s a great time to dive deep into this area.
Impression Club’s Dr Rupert Monkhouse joins us for another removable prosthetics themed episode where we discuss how digital dentistry is changing the way we make partial dentures and complete dentures.
https://youtu.be/P8XBEU5I6kc
Watch PDP195 on Youtube
Check out Impression Club courses
This episode is eligible for 1 CE credit via the quiz on Protrusive Guidance.
This episode meets GDC Outcomes A and C.
Dentists will be able to:
1. Understand the key differences between traditional impression techniques and digital workflows in denture creation, including the benefits and limitations of both methods.
2. Evaluate the accuracy and efficiency of digital dentures compared to traditional methods and implement best practices for integrating digital workflows into their clinical practice.
3. Effectively collaborate with dental technicians using digital tools, fostering better communication and teamwork to achieve optimal patient outcomes in denture fabrication.
AGD code 670 Removable Prosthodontics (Emerging technology or techniques)
Need to Read it? Check out the Full Episode Transcript below!
Highlights of this Episode:03:18 Protrusive Dental Pearl - Understand the Why05:38 Introduction to Dr Rupert Monkhouse8:11 What kind of Dentures can we do Digitally?13:33 What work still requires Impressions?17:05 Which Scanners?19:55 How Accurate?28:24 Should Digital be the Gold Standard?30:55 Immediate Dentures38:55 Cobalt Chromes47:55 Finding great technicians58:08 Impression Club
If you liked this, you will also like GF018 Intra-Oral Scanner
Click below for full episode transcript:
Episode Teaser: For the workflows where we scan the lab work or we did the reference denture, eight out of eight preferred- When I've got the macro flash on it and my 4G megapixel camera. Yeah. I can see the difference minorly aesthetically in the teeth and things. Beyond that, there's no real downsides from my perspective. So clinically for me-
Jaz's Introduction:Is this the end of impressions for dentures? Have we finally reached a time whereby we can scan the tissues and we don't need any of that mucocompressive nonsense. Is digital dentistry there yet when it comes to dentures? For our clinical steps, the design and the manufacture of our dentures.
Our guest today, Dr. Rupert Monkhouse, back again on the podcast, does a wonderful job of giving us an overview of how digital denture is employed within dentures, not only by us clinicians, but also the lab side and the manufacturer side.Sat, 24 Aug 2024 - 1h 03min - 295 - Periodontics for Beginners – PS008
How are periodontal diseases managed in general practice?
Join us for an engaging conversation with Emma Hutchison, our Protrusive student, as we explore Periodontology (Perio) in the real world.
This conversation delves deep into the practical protocols, patient communication strategies, and real-life scenarios every dental student and practicing dentist should be aware of.
https://youtu.be/X5ahZ9bzsc4
Watch PS008 on Youtube
Need to Read it? Check out the Full Episode Transcript below!
Highlights of this Episode:
* 0:37 Emma's Dental School Experience: Special Care Dentistry
* 03:02 Emma’s Denture Adjustment Case
* 06:11 Periodontics Month
* 06:54 Communicating with Patients about Gum Disease
* 10:15 Managing Non-Engaging Patients
* 15:04 The Psychology of Habits
* 17:13 Referral Protocols in Dental Practice
* 20:00 Risk Factors in Periodontal Treatment
* 25:03 Genetic Factors in Periodontal Disease
Don't miss the special notes on An Introduction to Periodontal Diseases available exclusively in the Protrusive Guidance app!
This episode is not eligible for CPD/CE points, but never fear, there are hundreds of hours of CPD for Dentists waiting for you on the Protrusive App!
For the full educational experience, our Ultimate Education Plan gives you access to all our courses, webinars, and exclusive monthly content.
If you love this episode, be sure to recap PS007 - Basics of Indirection Restorations Part 2 - The Crown Fit
Click below for full episode transcript:
Jaz's Introduction: Welcome to another episode of Protrusive Students. We're joined by Emma Hutchison, our Protrusive Student, to talk about Perio. Look, I'm no periodontist. I'm no specialist, but I can share a few pearls of wisdom for treating Perio in the real world.
[Jaz]Emma had some absolutely fantastic questions about protocols, communication, and what to do if you have a non engaging patient. Because let's face it, that's what happens in the real world. Our patients don't floss and they don't brush how well we want them to. So how do you manage that? Here at Protrusive Students we try and cover the themes just for you guys. And of course, if you're a dentist watching this, then it's also relevant to you. We just go back to basics. Let's get to the main part of the interview and I'll catch you in the outro.
Main Episode:Emma Hutchison, our Protrusive Student. It's now perio month, so it's great to have you back. Just give us an update, basically, in terms of what new things have you learned at dental school? What are the interesting experiences that you've had? Any ups or downs that you'd like to share with us?
Tue, 20 Aug 2024 - 31min - 294 - Trials and Tribulations of Maxillofacial DCT/SHO/Residency – PDP194
It’s your first night on-call and you are bleeped at 3am - there’s a nasty facial laceration waiting for your urgent attention. You have never sutured the face before…”who you gonna call?” - well sometimes even the Ghostbusters will be more helpful than the on-call trainee!
https://youtu.be/3RKZG3yy2sU
Watch PDP194 on Youtube
Our good friend Dr Ameer Allybocus joins us again for another episode where he gives us a lowdown of his experience when he was a DCT trainee many years ago. There is a lot to learn in this podcast from Ameer as he dives into the Trials and Tribulations of being an Oral and MaxilloFacial Surgery DCT during the early years of his career.
There are laughs and tears in this one, so hold on to your seats for an emotional podcast that will leave you wanting more.
Need to Read it? Check out the Full Episode Transcript below!
Highlights of this Episode: 00:00 Introduction01:37 Protrusive Dental Pearl03:26 Introduction to Dr Ameer Allybocus19:40 The MaxFax Beginnings24:00 MaxFax at UCL29:37 MaxFax isn’t all bad36:05 DCT Oral Surgery 42:16 On Call 48:26 Book Recommendations49:15 Working at the Queen Elizabeth Hospital54:13 A Life Changing Experience59:57 MaxFax: Benefits, Tips & Tricks65:26 Tips from Ameer66:25 Trauma and Accidents70:56 MaxFax Puts Dentistry Into Perspective74:33 Closing Words
For the full educational experience, our Ultimate Education Plan gives you access to all our courses, webinars, and exclusive monthly content.
If you liked this episode, you will also like: Getting Ahead after Dental School 2023 – IC042 – Protrusive Dental Podcast
Click below for full episode transcript:
Jaz's Introduction: Is a maxillofacial surgery post right for you? Maybe you've already done one before and you want to like reminisce about your time as a DCT, as a part of a residency or any post and standalone post you've done in a maxillofacial department.
Jaz's Introduction:Now my colleagues who've done it tell me that it gives you thick skin, it's character building, it's these amazing experiences and they have no regrets. Whereas I have other colleagues who have major regrets about doing a maxillofacial post.
My guest today, returning again, Dr. Ameer Allybocus, does absolutely fantastic job of summarizing the highs and the lows of working in a maxillofacial position as a dentist. Now in the UK, we have these DCT, Dental Core Training positions, but around the world, being attached to a hospital in the maxfax department and helping the registrars and consultants with everything from trauma to cancer and sometimes not always exodontia. And we'll talk about all these themes with Ameer.
I actually really wish I had an episode just like this when I was considering whether to do a maxfax position or not. There's actually a bit where Ameer actually cries in this, and I'm just respecting so much for making himself vulnerable and sharing those feelings. It was related to a patient story, and there's so many great tips and different characters and different personalities that he describes in his stories of working in these different posts. There's so much incredible value provided in this episode. It's a longer one, and I didn't want to split it into two. So you might need a couple of commutes or lots of onions to get...Tue, 13 Aug 2024 - 1h 22min - 293 - Basics of Indirect Restorations Part 2 – The Crown Fit – PS007
What makes us reject crowns and send them back to the technician? What are the standards/guidelines to consider before accepting and luting indirect restorations?
Join us as we explore the key factors that determine the quality of a crown. From the initial lab communication to the final occlusal checks, we cover it all. This episode is packed with essential tips that are perfect for dental students and professionals alike.
https://youtu.be/ftafglxcBbM
Watch PS007 on Youtube
Need to Read it? Check out the Full Episode Transcript below!
Highlights of the episode:
* 1:33 Emma Hutchison: Student Life and OSCEs
* 06:44 Handling Lab Work and Fitting Crowns
* 14:15 Crown Rejections
* 18:12 Understanding Occlusal Tolerance
* 20:09 The Importance of Occlusal Precision
* 22:24 Building a Strong Dentist-Lab Technician Relationship
* 24:17 Tips for Dental Students
* 27:46 Microbiology in Dentistry
Don't miss the special notes on Microbial Ecology and Infection Transmission available exclusively in the Protrusive Guidance app! (Join the free Students Section)
This episode is not eligible for CPD/CE points, but never fear, there are hundreds of hours of CPD for Dentists waiting for you on the Protrusive App!
For the full educational experience, our Ultimate Education Plangives you access to all our courses, webinars, and exclusive monthly content.
If you love this episode, be sure to recap PS006 - Basics of Indirect Restorations Part 1 - Decision Making
Click below for full episode transcript:
Jaz's Introduction: Welcome to Part Two of Indirect Restorations for Dental Students, but it's actually suitable for all dentists. But the person who's asking all the questions is our Protrusive Student, Emma Hutchison. Students are so curious and so great at asking questions. I want to make sure that we tailor these more basic episodes to what actually students, young dentists, and those returned to dentistry actually need.
Jaz's Introduction:In part one of this series, we covered what are the different types of crowns that we might go through. In part one of the series, we discussed direct versus indirect, and when we are choosing indirect, which materials can we opt for? Especially focusing on all ceramic restorations, which from my time, were not done that much.
As a student, we did PFMs, and it sounds like PFMs are still being done in dent schools. Let me tell you, PFMs are not done that much in the real world. So that's why we focus a lot on all ceramics. We also discussed on crowns versus onlays. That was in part one. In today's part two, we're talking about the clinical details.
When you get the crown back, how you assess if this is a good crown or a bad crown? When should you reject? What are the different parameters that we tick off? And how can we avoid? Mistakes from happening so you never have to reject lab work. I'll give you a clue involves communicating with your lab technicians, so,Tue, 06 Aug 2024 - 32min - 292 - Replacing Premolars with Wisdom Teeth – Autotransplantation by a GDP! – PDP193
Clinician Development Tool: https://protrusive.co.uk/cdt
Did you know, there’s a cheaper, quicker and more natural treatment option than using Dental Implants, WITHOUT compromising on longevity? Sounds too good to be true right?
You already know about it. You most likely studied it already at Dental School and just haven’t given it much thought in a clinical scenario.
Meet Dr Lukas Huber who will remind us of the power of Autotransplantation for such cases, which in turn can massively help our patients who have missing or hopeless teeth, all while keeping laboratory costs down and success rates up.
https://youtu.be/CjUdDsuCWQA
Watch PDP193 on Youtube
Need to Read it? Check out the Full Episode Transcript below!
Highlights of this Episode:02:10 Clinician Development Tool03:34 Introduction - Dr Lukas Huber07:40 Autotransplantation Procedure12:45 Example Autotransplantation18:40 Step by Step Autotransplantation26:35 Placing the Donor Tooth30:15 Transplant Restorative Augmentation35:00 Learn more from Lukas
I thought that Dr Lukas is an inspiration to all the general Dentists and am so grateful he is part of our Protrusive Community - thanks for sharing your entire protocol!
Don't forget to claim CE Credits on Protrusive Guidance by completing the quiz.
Check out Dr Lukas Huber’s Instagram!
If you liked this episode, you will also like Atraumatic Extractions
Click below for full episode transcript:
Jaz's Introduction: You may already be familiar with an auto transplantation. Essentially, it's a scenario whereby, for example, you remove a pre molar from a patient, and on that same patient, you put that pre molar and you re implant that pre molar in to the central incisor socket. So for example, you've got a central incisor of poor prognosis, you remove that, and then you put this recently freshly extracted pre molar in to the central incisor.
Jaz's Introduction:And essentially you let nature do its thing, you let it heal. And literally you've kind of given this patient the best implant there is. You've given them a human tooth, their own human tooth. Another common scenario is replacing a premolar, for example, an upper premolar, with an upper wisdom tooth that's potentially over rupted or non functional.
That's another common indication. But all these things, we've all seen it in like an orthodontic lecture at dental school. And then it lives somewhere at the very far back of our minds. And it's not really an option that we discuss with our patients very much. Or when we're treating planning, we kind of have it in our blind spot.
It's just not something that we see a lot of, which is why I'm very excited to welcome to you, Dr. Lukas Huber, a general dentist, ladies and gents, who has a few of these procedures up his sleeve and is happy to share the full protocol. Look, some of you will go away today and the stage of your career, where you're at, you will probably be able to offer this treatment to your patients.
And you'll actually remember that, ah, yes, this is an option. And if I follow the steps, I can get a good result. In fact,Mon, 29 Jul 2024 - 37min - 291 - Which Generation Bonding Agent is the Best? 2024 Adhesive Systems – PDP192
What is the best bonding agent to use?
Does it actually matter? Spoiler: it does!
How do you get the best bond to dentine and enamel with the adhesive system you are using?
Dr Sam Sherif joins us in this episode, where he discusses bond strength in detail as well as sharing his top tips in achieving long lasting adhesion for our daily adhesive Dentistry. There's a lot to learn in this one so get ready those onions ready!
https://youtu.be/FICDBVljsGw
Watch PDP192 on Youtube
Protrusive Dental Pearl: Always read the directions for use - ESPECIALLY for your adhesive systems!
Need to Read it? Check out the Full Episode Transcript below!
Did you know? Paid members on Protrusive Guidancecan access the PDF summary notes as part of theProtrusive Vault. Oh and be sure to answer the quiz for 1 CE credit!
If you liked this episode, you will also like Immediate Dentine Sealing Part 2
Click below for full episode transcript:
Jaz's Introduction: Did you know that the strength in which enamel binds to dentine at the DEJ is approximately 50 megapascals? So when we're looking at the literature for which adhesive system or which bonding agent we should be using. Do we actually need more than 50 megapascals?
Jaz's Introduction: A lot of adhesive systems will easily give you 20 megapascals. Is that good enough? It probably is. We know that adhesive density in the right environment, done skillfully, can work, and sometimes all you're achieving is 10 to 20 megapascals. However, if there are a few things that you could do in your practice, in your protocols, to reach the higher ends, 50 and even beyond, then perhaps we should consider and learn these techniques.
For me, it depends on how complicated it makes your procedure. Like if it becomes really technique sensitive, so that only 10 percent of the time you're getting 70 megapascals and then 80 percent of the time you're getting like 10 megapascals, that's not predictable. That's not a predictable way of doing it. So how can we make our bonding protocols more predictable so we get a higher bond strengths more consistently.
That's what today's episode is about because I asked Dr. Sam Sharif, which is the best adhesive system, which is the best bonding agent, and to tell us which generation or generations on bonding agents should we be buying.
Hello Protruserati, I'm Jaz Gulati and welcome back to your favorite dental podcast. Today's a very geeky one we go into science behind the bonding and I love how Sam will break down the different generations which we've all come across a different generations of bonding systems and we fell asleep in that lecture and there's just far too many generations. But actually we make it clinically relevant and I love that he actually gives you sound advice on which generations to avoid and which generations to go for, and which bonding agents he believes in and what the literature is saying.
If you're a new listener, welcome to Protrusive. It's great to have you here. If you're a returning listener or watcher on YouTube or on the Protrusive Guidance app, it is so great to have you back. You've picked a good one to re engage back into.Wed, 24 Jul 2024 - 55min - 290 - Basics of Indirect Restorations Part 1 – Decision Making – PS006
Is Shillingburg’s textbook irrelevant?
What materials are used in the real world?
Is it right that dental students are primarily taught PFM crown preps?
When to Onlay and when to go full crown?
The Direct vs Indirect debate continues, too!
In this two-part journey, we'll dive into the world of crowns, bridges, and ceramics, exploring their applications, benefits, and the science behind these crucial dental materials.
Join Emma and Jaz as they guide you through the fascinating world of indirect restorations.
https://youtu.be/7J5S2ThC8AI
Watch PS006 on Youtube
Need to Read it? Check out the Full Episode Transcript below!
Highlights of this Episode:
* 01:46 Welcoming Emma back
* 02:07 Emma's Learning Progress
* 05:57 Crowns: Material Choices and Real-World Applications
* 09:41 Onlays and Overlays
* 11:33 Direct vs Indirect Restorations
* 18:40 Onlays vs Crowns: Decision-Making
* 22:18 Conclusion and Next Steps
Don't miss the special notes on Indirect Restorations available exclusively in the Protrusive Guidance app in the ‘Crush Your Exams’ space!
This episode is not eligible for CPD/CE points, but never fear, there are hundreds of hours of CPD for Dentists waiting for you on the Protrusive App!
For the full educational experience, our Ultimate Education Plan gives you access to all our courses, webinars, and exclusive monthly content.
If you love this episode, be sure to recap PS005 - Should our Restorations Follow Textbook Anatomy? Tooth Morphology
Click below for full episode transcript:
Jaz's Introduction: Welcome to this two part episode on the basics of indirect restorations. If you're wondering why I sound different, or if you're looking around thinking, hmm, this isn't Jaz's usual studio, it's because my studio is a conservatory, and it is absolutely roasting right now.
Jaz's Introduction:So, to spare you my sweat patches, I am recording in my living room, and I've got about three minutes before my wife and kids come home, so let's crack on.
Look, crowns and bridges, anything indirect is a big steep learning curve when you're a student. But what I'm hoping to cover today will not only help guide students, but also is like a basic revision of indirect restorative. I remember being taught PFM, porcelain fused to metal crowns, and speaking to Emma, our Protrusive student, she's also learning porcelain fused to metal.
Let me tell you, in the real world, many of our restorations are all ceramic. So Emma really was interested in learning more about this. So remember,Wed, 17 Jul 2024 - 25min - 289 - Discoloured Centrals Incisors with Jason Smithson – PDP191
The secret to success with non-vital bleaching is knowing when it’s not going to work.
Dr Jason Smithson shares his decision making in discoloured incisors AND the protocols he uses in their management.
When is a purely restorative approach more appropriate than bleaching?
When is ceramic preferred to composite?
What is the best way to mask a metal post?
https://youtu.be/r59gt8g1niU
Watch PDP191 on Youtube
Listen/Watch this episode which reveals all! This episode is eligible for 1 CE credit via the Protrusive Guidance platform.
Protrusive Dental Pearl:
To help achieve great shade selection, take pictures sequentially during your assessment and throughout the procedure, then edit the pictures to show as black and white. By analysing the shade match through a black and white process and in steps throughout the treatment, the shade selection will be far more accurate than just attempting this once at the beginning, especially without using the black and white technique, as this will emphasise the value of the shade
Need to Read it? Check out the Full Episode Transcript below!
Highlights of this Episode: 01:56 Protrusive Dental Pearl03:15 Introduction - Dr Jason Smithson05:30 Biomimetic Dentistry14:50 Non Vital Bleaching24:55 Calcific Metamorphosis28:30 Ceramic or Composite Resin31:17 Deeper Dive into Ceramic Use32:55 Composite veneers40:35 Perfecting Shade43:40 Jason’s Courses
Access the CPD quiz either on your browser or by downloading our mobile app. For the full educational experience, our Ultimate Education Plan gives you access to all our courses, webinars, and exclusive monthly content.
If you liked this episode, you will also like The ‘Anti-Biomimetic Dentist’ – Restorative Lessons from Pasquale Venuti Part 1 – PDP152 – Protrusive Dental Podcast
Click below for full episode transcript:
Jaz's Introduction: One of the most common questions we get on Protrusive is how do you manage the discoloured central incisor? Now, we already have episodes on the non vital bleaching technique.
Jaz's Introduction:In fact, it's a two part absolute ripper. But sometimes we experience relapse or we find a case where perhaps it's too risky to try non vital bleaching and we want to manage this restoratively.
So I brought on once again, Dr Jason Smithson you probably already know who this is If you don't you probably live under a rock somewhere. He's one of the greatest dentists ever and he's taught me so much of what I know. I'm constantly learning more and more from him. In fact, even in this episode, he taught me so, so much. I know you're going to gain so much from this.
Hello, Protruserati. I'm Jaz Gulati, recording at my in law's place at the moment, in the loft, because it is half term. The kids are off, but I so badly wanted to record this. So my wife has given me a permit to do this podcast with Dr. Jason Smithson. The kind of themes you cover are when do you know not to even attempt non lethal bleaching, and perhaps a restorative technique will be better?
When to veneer versus when we should actually be crowning.Wed, 10 Jul 2024 - 49min - 288 - Should our Restorations Follow Textbook Anatomy? Tooth Morphology – PS005
When restoring molars, should we ALWAYS try to recreate textbook anatomy? (spoiler: NO WAY!)
What preventive measures can we use for toothwear?
Tooth Morphology in the Real world!
In this episode, Emma Hutchison and I explored the nuances of practical tooth morphology. Textbooks provide us with idealized versions of dental structures, but how do these perfect images translate into real-life practice? Can and should we aim to replicate these diagrams exactly in our dental work?
https://youtu.be/OcdQRTV7jpY
Watch PS005 on Youtube
Need to Read it? Check out the Full Episode Transcript below!
Highlights of this episode:
* 1:38 Introducing Emma Hutchison
* 01:53 First Denture Experience - What is an Overdenture?
* 03:13 The Importance of Complete Dentures in Aesthetic Dentistry
* 8:26 Understanding Tooth Morphology in Practice
* 11:25 Changing the Morphology of the Tooth
* 15:56 Difference Between Morphology of Premolars
* 20:31 Preserving Natural Tooth Morphology
* 27:26 Real-World Application of Tooth Anatomy
Don't miss the special notes on tooth morphology available exclusively in the Protrusive Guidance app!
This episode is not eligible for CPD/CE points, but never fear, there are hundreds of hours of CPD for Dentists waiting for you on the Protrusive App!
For the full educational experience, our Ultimate Education Plangives you access to all our courses, webinars, and exclusive monthly content.
If you love this episode, be sure to recap PS004 - Learning Can Be Stressful!
Click below for full episode transcript:
Jaz's Introduction: One of the most common questions I get, and also I used to think of, is when we're doing a composite, let's say you're doing it under rubber dam, posterior composite, are you supposed to make the anatomy look like what that tooth is supposed to look like in a textbook? I. e. are you supposed to basically recreate the textbook in the patient's mouth?
Jaz's Introduction:Well, do you know what happens when you do that? Well, this is what happens. The patient bites together and you have to rub it all away. You have to adjust all that hard work away and now it looks like a flat white version of amalgam. So what's happening there? How can we be smarter? How can we use the textbook as inspiration but also just not end up making all our restorations flat?
It's a real fundamental and basic question in a way but I think it is so real world. So we are covering today tooth morphology with our protrusive student Emma Hutchison. This is PS005. Remember there's a series we're making with Emma throughout the year to cover themes which are relevant to young dentist students and those who are perhaps re engaging back into dentistry.
And also for all dentists who just want to dip into the basics again. I think there's a real beauty in seeing how far you've come and how much you've progressed by going through the basics one more time.Fri, 05 Jul 2024 - 36min - 287 - Does Air Particle Abrasion ACTUALLY Improve Clinical Outcomes? – PDP190
Air Particle Abrasion!
Images of Sandblasted teeth look cool but does it ACTUALLY improve clinical outcomes?
What are the indications? When is it genuinely critical to use?
More pragmatically, are there any decent alternatives eg. roughening with a bur?
Air particle abrasion, a technique used to prepare tooth surfaces for bonding, has sparked considerable debate among professionals. This episode discussed its effectiveness, implications, and best practices with Dr. Veronica Pereira de Lima.
https://youtu.be/oTGQBTyuY-k
Watch PDP190 on Youtube
Protrusive Dental Pearl:
Two advantages of slicing off a corner of the rubber dam are:
* Anterior Dam Stabilization: By flossing the cut piece through the front teeth, it acts as a makeshift wedge, securely fastening the dam in place without the need for traditional wedjet.
* Simplified Orientation: This technique aids in aligning the rubber dam properly, streamlining the entire setup process for more efficient dental work.
Check out ‘Quick and Slick Rubber Dam’ online course (on-demand) only available via the Ultimate Education Plan on Protrusive Guidance
Need to Read it? Check out the Full Episode Transcript below!
Highlights of this episode:
* 00:44 Protrusive Dental Pearl
* 04:16 Dr. Verônica Pereira de Lima Introduction
* 07:07 Journey of Dentistry in Brazil
* 08:34 Academia vs Clinical Practice
* 09:20 Journey about PhD and Work Surrounding Air Particle Abrasion
* 11:12 Importance of Air Particle Abrasion to Clinical Dentistry
* 15:57 Health Concerns Regarding Air Abrasion Particles
* 18:10 Air Abrasion Contraindication
* 20:13 Size of the Microns - Clinical Guidelines
* 22:25 Pragmatic Approaches in Clinical Practice
* 24:28 Cojet as an Air Abrasion Particle
* 27:37 Improper Use of Air Abrasion
* 30:07 Air Abrasion Guidelines Regarding Different Ceramics
* 31:40 Alternatives to Air Abrasion
* 33:29 Dr. Veronica’s Personal Guidelines - Air Abrasion Protocol and Unit
* 40:27 Learning with Dr. Veronica
Access the CPD quiz either on your browser or by downloading our mobile app. For the full educational experience, our Ultimate Education Plan gives you access to all our courses, webinars, and exclusive monthly content.
If you love this episode, be sure to watch Immediate Dentine Sealing Tutorial Part 1 – PDP173
Click below for full episode transcript:
Jaz's Introduction: Air particle abrasion for the restorative dentist.Wed, 03 Jul 2024 - 43min - 286 - Associate Contracts FINALLY Made Sense! From Holidays to Retention Fees – IC051
Paying through the nose for your indemnity? You may get better protection with insurance AND it has saved Dentists £1000s - get a quote today from PDI / AllMedPro and get an additional £100 off (this is a promotional link that will save you money)
Associate contracts are actually a HUGE deal that we do not give enough attention to...
How long can your principal keep your retention for?
Is it really true you cannot work within a certain radius?
How principals and associates may be getting screwed over by the poor contract!
Finding the right principal/associate is very exciting, so much so that we sometimes forget how important it is to read through the small print of our contract.
This can prove very costly in the future in our industry where mistakes do happen, so it is extremely important to be aware of what we are signing up for.
https://youtu.be/lC_POxlmL_U
Watch IC051 on Youtube
Join us today with Neel Jaiswal and Sarah Buxton for a breakdown of how to negotiate the right contract for you, the power of being an Associate in this day and age, and the importance of Insurance. There’s a lot more in this episode so don’t miss out…’Court is in session!’
Need to Read it? Check out the Full Episode Transcript below!
Highlights of this Episode:02:08 Sarah Buxton and Dr Neel Jaiswal 08:40 Associate Contracts11:15 Who Checks the Contract?13:50 Contract Bias towards Principals?18:50 Getting Contracts Checked21:28 Retention of Fees30:48 Annual Leave35:00 Exclusion Zones43:04 Vicarious Liability52:18 How to get in touch
For the full educational experience, our Ultimate Education Plan gives you access to all our courses, webinars, and exclusive monthly content. This includes Vertipreps for Plonkers and clinical videos demonstrating Onlay Preps.
If you liked this episode, you will also like GF019 - Indemnity vs Insurance
Click below for full episode transcript:
Jaz's Introduction: If you're an associate, when you joined the practice, did you read and did you understand your contract? And if you're a principal, do you actually understand the contract that you're giving to your associate?
Jaz's Introduction:Look, something I make very clear in this episode is that I'm a man of trust. I'm not the biggest fan of forms and contracts.
I don't really think any of us are, right? My biggest currency is trust. However, in this day and age, unfortunately Protruserati, trust is not enough. We need everything backed by writing and unfortunately a huge takeaway of this podcast will be that contracts are super super important to the letter. So it is my duty to make contracts tangible.
In this episode joined by Sarah Buxton and Dr. Neel Jaiswal. Sarah is representing the legal side and Neil's representing the medical legal side. So together we're going to make dental contracts tangible for you. Everything from what is a fair retention fee to withhold from an associate after they stop working to who should be paying to get a contract checked.
This one actually might surprise you actually. So who should be paying? Should your contracts be checked?Fri, 28 Jun 2024 - 55min - 285 - Dental Aid Work – Ditching the Rat Race for a Charitable Cause – IC050
Have you ever considered Dental Aid Work?
Imagine giving up your morning starbucks and your air conditioned dental surgery to work in a developing country that has just 7 dentists.
Fellow Protruserati, Dr James Hunter and his young family will be doing just this - they are preparing for a four-year mission to Liberia, Africa, to dedicate themselves to dental aid work.
Follow along as we delve into their story of skill, passion, and humanitarianism.
https://youtu.be/lzKVmuuUvBI
Watch IC050 on Youtube
Need to Read it? Check out the Full Episode Transcript below!
Highlights of this Episode:00:00 Introduction2:52 From Theology to Dentistry5:35 Dr. James on Dentistry06:44 The Decision to Move to Liberia for Aid Work09:52 Understanding Liberia's History and Needs15:28 The Future Plans for Dental Aid in Liberia18:37 Motivations Behind the Mission20:04 The Challenge of Committing to Charity Work20:57 Financial Planning, Schooling and Adaptation for Children Abroad26:40 Sharing Experiences and Encouraging Aid Work28:13 Raising Awareness and Support for the Mission32:09 Closing Thoughts and Encouragement
Be sure to visit https://www.thehuntersinliberia.co.uk/ for details on supporting charity work in Liberia. Additionally, explore other charity websites in your country for more ways to make a difference locally.
This episode is not eligible for CPD/CE points, but never fear, there are hundreds of hours of CPD waiting for you on the Protrusive App!
For the full educational experience, our Ultimate Education Plan gives you access to all our courses, webinars, and exclusive monthly content. This includes Vertipreps for Plonkers and clinical videos demonstrating Onlay Preps.
If you enjoyed this episode, don't miss out on watching "The International Dental Student – From Ukraine to Egypt to Slovakia – IC047”
Click below for full episode transcript:
Jaz's Introduction: As dentists, we are in a privileged position. I know it's sometimes hard to fathom that and hard to come to terms with that because of all the doom and gloom that we sometimes like to focus on.
Jaz's Introduction:But really, we are in a beautiful profession, and we can actually mold our profession how we want to. Now, there might come a time in your life, if you're that way inclined, to take your career towards dental aid.
This could be at the start, the middle, or even towards the end of your career, which is quite popular, to donate yourself, donate your skills to charity. This could be in a refugee camp, this could be in a third world country, to provide a much needed dental service. So on today's episode, I've got Dr. James Hunter, who, with his family, so him, his two kids, his wife, are moving to Liberia, which is a small country in Africa, and he's going to be, hopefully, working there for about four years.
That's his provisional plan, along with his family, providing dental aid, which I just think it's so so noble. So, what this episode wants to do is basically let you know about the different aid opportunities out there.Tue, 25 Jun 2024 - 37min - 284 - Onlays Vs Full Crowns – Decision Making 2024 – PDP189
Have we fully shifted towards lithium disilicate overlays and onlays?
Are full crowns considered a sin in 2024? (Maybe just on Instagram then!)
Spoiler: Crowns TOTALLY have a place, and so do large direct composite restorations!
Dr Alan Burgin and I share our decision making trees for indirect restorations as part of ‘Crowns and Onlays Month’ on Protrusive Dental Podcast.
Find out which clinical factors sway us more towards a Overlay vs a Vertiprep - and the rationale for each type of restoration.
https://youtu.be/Gntb083yUOQ
Watch PDP189 on Youtube
Protrusive Dental Pearl: Use Vaseline on the gingivae when carrying out a ‘smile trial’ or bis-acryl mock-up - will result in an easier clean up!
Need to Read it? Check out the Full Episode Transcript below!
Highlights of this Episode:01:54 Protrusive Dental Pearl02:44 Introduction - Dr Alan Burgin18:20 Types of Indirect Restorations31:16 From Onlay to Crown44:40 Crowns - Traditional vs Verti-Preps54:00 Reflection57:48 Alan’s Prep Course
For the full educational experience, our Ultimate Education Plan gives you access to all our courses, webinars, and exclusive monthly content. This includes Vertipreps for Plonkers and clinical videos demonstrating Onlay Preps.
Join us on Protrusive Guidance, our own platform for dental professionals. No need for Facebook anymore!
If you liked this episode, you will also like PDP089 - Vertiprep Revision
Click below for full episode transcript:
Jaz's Introduction: Overlays and onlays have become very popular. So is there still a place for full crowns? I still place full crowns because I use vertical crowns, i.e. vertipreps. Even then, if a tooth has enough enamel, my indirect restoration of choice will very likely be an overlay restoration. Something like lithium disilicate.
[Jaz]The other modern consideration that we have is composite. We can actually go really far with composites and I know the bigger the composite the less predictable it can be but sometimes with modern techniques and looking after the occlusion you can get a long time out of a large composite and often due to budgetary reasons or otherwise the large composite is what we may be opting for in many scenarios.
So where do we draw the line? What's the limit of a large posterior composite? These are all the real world questions we'll be discussing today with my guest Dr. Alan Burgin as part of crowns and onlays month in June 2024. So remember in February we did Adhesive Dentistry, then in March we did Documentation, April we did Mental Health, in May we did may the Force Be With You Orthodontics, and now we're doing Crowns and Onlays. And I hope you agree that this is big enough to deserve its own month. It's our daily decision making. It's our bread and butter daily restorative dentistry.
Hello Protruserati, I'm Jaz Gulati and welcome back to your favorite dental podcast. Every PDP episode, I give you a Protrusive Dental Pearl, except this time I've actually just run out. There's no more pearls out there. There's no more tips. In all the episodes we've done in the last six years, we've covered every single tip in Dentistry. And so, there we are. There's no more tips, guys.
Mon, 17 Jun 2024 - 1h 03min - 283 - Studying Dentistry Can Be Stressful! – PS004
Clinical Dentistry is a steep learning curve - it can be frustrating, frightening and quite frankly exhilarating.
This episode (better late than never! My wife finished her MSc so now I’m back on track!) picks up the theme of Stress Awareness and I discuss with Emma Hutchinson, our Protrusive Student, how students can manage stress effectively, prioritize their studies, and identify their unique learning styles.
We also address imposter syndrome and the various difficulties encountered while learning something as complex as dentistry.
https://youtu.be/EIXeUvlTams
Highlights of this episode:00:00 Introduction03:25 Welcoming Emma Back04:16 Protrusive Students06:30 Dentistry Students vs Other Courses08:24 Hobbies and Activities Outside of Dental School12:50 Communication Style14:48 Student-Life Balance19:01 Past Papers during Exam Time21:00 Networking in Dentistry28:51 Burnout and Mental Health Perspective33:45 Next Month - Orthodontics
This episode is not eligible for CPD/CE points, but never fear, there are hundreds of hours of CPD waiting for you on the Protrusive App!
For the full educational experience, our Ultimate Education Plan gives you access to all our courses, webinars, and exclusive monthly content. Join us on Protrusive Guidance, our own platform for dental professionals. No need for Facebook anymore!
If you love this episode, be sure to watch Adhesive Dentistry for Beginners – PS002
Wed, 12 Jun 2024 - 282 - Implant Failed After 6 Months – Surgeon vs Restorative Dentist Medicolegal Considerations – GF022
Implants can fail - we all know that…but what are the medico-legal implications when they fail at 6 months after restoring them…
Is it all the restoring Dentists’ problem? ‘He who touched it last’? Or does the implant placing surgeon also need to be involved in the ‘post-mortem’?
How can we handle the upset patient (and prevent this in the first place!)
https://youtu.be/1CSE9J1w-Pw
Watch GF022 on Youtube
In the latest podcast episode, we introduced Dr. Joe Bhat and Neel Jeiswal, both prominent figures in Dentistry. Neel, representing PDI, has a rich background in clinical dentistry and medico-legal matters, while Dr Joe Bhat is a dual specialist in Oral Surgery and Prosthodontics. Joe established a pioneering multi-disciplinary clinic 20 years ago, which continues to thrive with numerous referrals.
Both guests provided deep insights into implant failures, patient management, and the importance of effective communication and collaboration in dental practices.
Need to Read it? Check out the Full Episode Transcript below!
Check out Dr Joe Bhat’s place of practice - Moor Park Specialists
Due a renewal for your indemnity/insurance? Get a quote and special discount from PDI
If you liked this episode, you will also like 4 Ways to Boost Osseointegration of Your Implants – PDP155 – Protrusive Dental Podcast
Click below for full episode transcript:
Jaz's Introduction: Imagine you have a patient and you refer him to the implantologist, who proceeds to place an implant for the upper right molar. Some months later, you then restore that implant. But unfortunately, this one doesn't go to plan and six months later, you make a diagnosis of peri implantitis and the implant has officially failed.
[Jaz]You potentially have an upset patient on your hands. This patient is potentially pointing some fingers. Now who should the finger go towards? Should the finger go towards the implant placing dentist? or the implant restoring dentist. It's a bit of a medical legal minefield. So I'm joined today by Dr. Joe Bhat, who's both an oral surgeon and a prosthodontist, so he's in a great position to be our expert today, as well as Dr. Neel Jeiswal, who I rely on so much when anything, when it comes to medical legal, and indemnity
This episode is CPD eligible on the Protrusive app called Protrusive Guidance. I think you'll learn a lot about communication, consent, and a proper medical legal management when things go wrong, how they work with each other. So we can benefit and really help our patients because ultimately everything we do is It's for the benefit of our patients.
Dr. Joe Bhat, welcome to the Protrusive Dental Podcast for the first time. And Neel Jeiswal, welcome again, my friend. Neel, you are the representative of PDI and a clinical dentist that we love having on because your medical legal perspectives are absolutely fantastic, and also your years of clinical experience. But Joe, I don't think we've met before properly, so it's great to be introduced by Neel. Joe, tell us about yourself as a practicing dentist. What are your interests?
[Joe]Thank you so much for the invite. I know it came via Neel, but I've heard a lot about you, Jaz. So good to be e-connected finally. I am a dentist.Thu, 06 Jun 2024 - 281 - ‘Just in Time Learning’ and Career Development – AJ008
More brilliant questions from dental students as Jaz is joined by Dhruti Mysore from Plymouth University.
https://youtu.be/APKMX2qdDQg
Watch AJ008 on Youtube
We covered themes of student-life balance and professional development. Jaz shared the powerful technique of ‘Just-in-Time’ learning to gain structure and purpose to post-graduate development.
Jaz gave his top tips for preventing burnout and the power of a supportive network.
And of course, we discussed Occlusion and Facebows!
Need to Read it? Check out the Full Episode Transcript below!
For the full educational experience, our Ultimate Education Plan gives you access to all our courses, webinars, and exclusive monthly content. Join us on Protrusive Guidance, our own platform for dental professionals. No need for Facebook anymore!
If you liked this episode, you will also like Occlusion Questions from Students – AJ005
Click below for full episode transcript:
Jaz's Introduction: Hello and welcome back to another episode of Ask Jaz, part of the Protrusive Dental Podcast. My name is Jaz Gulati and I'll be your host and today we have a dental student, a fourth year dental student, Dhruti Mysore, who's got some questions for me, both clinical and non clinical. For example, what things did I learn during dental school that I still use today?
[Jaz]And you know what? The answer just might shock you. The other thing that Dhruti asked is what happens when you qualify? Like when you qualify, what are the kind of courses and education that we should be seeking? We also discussed a little bit of the clinical stuff like occlusion, obviously, but there's once again a lot more in there about the work life balance and the journey of the career that we're in. So I hope you enjoy it and I'll catch you in the outro.
Dhruti Mysore, welcome to the student's edition of the Protrusive Dental Podcast. How are you?
[Dhruti]I'm good. It's nice that you could have me on. I've been such a big fan of you, I've been listening to you for the last two years. And yeah, we just finished final exams for fourth year now. So we have about a month of clinics left and then we're done for the year.
[Jaz]But so if you finish your final exam, so this is at Plymouth by the way, right? So that means fifth year, is it a chilled year at your uni? Is that relatively, you can't say that now, you're shaking your head. Okay.
[Dhruti]No, no.
[Jaz]What have you got in store fifth year then?
[Dhruti]So fifth year we have OSCEs and we have like three sets of MCQ exams. And we have sort of the SJT for our foundation year as well.
[Jaz]And that's around the corner, right? That's probably September, October, November time, I think.
[Dhruti]Yeah. Yeah. It's quite soon. And then we have other little modules, critical appraisal essays. It's sort of all powered on in fifth year. So, yeah.
[Jaz]But do you feel a sense of relief getting fourth year out of the way? Cause it sounds like it's quite exam heavy, right?
[Dhruti]Yeah. So actually our fourth year was a little bit different. So we, do you know Truro in Cornwall?
Mon, 03 Jun 2024 - 57min - 280 - From Scared to Confident in Oral Surgery – A Young Dentist’s Journey – IC049
Hear how Aidan went from anxious about exodontia to now feeling confident and enjoying his oral surgery list.
https://youtu.be/cYl6zYMsRY8
Watch IC049 on Youtube
We cover the themes of career progression, overcoming procedural fears and decision making early in our careers.
At the end, Aidan shares a clever way to deliver saline when washing out sockets!
Need to Read it? Check out the Full Episode Transcript below!
Highlights of this Episode:00:00 Intro 01:47 Imposter Syndrome02:45 Aiden’s Story05:16 Daunting Experiences with Stubborn Canine06:48 How Aiden would approach things now07:33 Dental Pearl - 6 second rule09:56 What happened during COVID?18:08 After the Ipswich post, what happened?25:04 Aiden’s advice for young dentists 29:53 Lesson about photography35:13 Whole tooth extraction vs. sectioning?36:26 Sectioning School39:31 Outro
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Click below for full episode transcript:
Jaz's Introduction: Naturally when we qualify as dentists, we're not the most confident in a lot of procedures, especially oral surgery. It's a common theme, and obviously it depends on where you qualified from and how much surgical experience you had, but a common theme is being scared of extractions. Like, I've definitely been through it, I've talked about it a lot in terms of the power of sectioning teeth.
[Jaz]But today I speak to a young dentist, Aidan, who went from being scared to now being really confident. And he's still a young dentist, about five years out, and he's found himself in an environment where maybe 50 percent of his diary is extractions. And this is what he wanted. This is what he designed.
So listen to this interference cast today to explore Aidan's journey. There's a few little exodontia tips thrown in there and a really cool tip right at the end about how to actually get saline into your socket a really clever way, which I didn't know about, and I think is going to blow your mind. So if you want to hear that tip, you have to go all the way to the end.
Hello, Protruserati, I'm Jaz Gulati, and welcome back to an interference cast. This is kind of like the non clinical arm of the podcast, although this is probably one of the most clinical ones that we've done. This one doesn't have premium notes. It doesn't have CPD, but this is a really warm episode when it comes to being inspired about someone's journey and the steps they take and learning about how someone came to a decision.
Like I love something that Aidan says that he recognizes that he's not the best at multitasking and he really enjoys the idea of having focus and oral surgery ended up becoming a focus of his and this young dentist is now pursuing an implant masters and how one thing leads to another. So this is a really cool journey to unpack.Thu, 30 May 2024 - 279 - Class II Composites WITHOUT a Wedge + Contact Opening Technique – PDP188
Class II’s are only easy when they are small (but not too small), supragingival, easily accessible with straight-forward anatomy.
In other words, about 1% of the Class IIs we encounter - because the vast majority I see are subgingival, wide, with awkward root concavities and tricky access.
I went from using sectional matrices 97% of the time to now just using them 30% of the time - this is thanks to a circumferential matrix I started to use last year which is a game changer.
I now do not need to use a wedge in most scenarios (something I used to think was a crime!) and have been using the ‘contact opening technique’.
Meet Dr Sunny Sadana, who has brought the Greater Curve system to the UK and taught me a lot about efficiency with direct restorations.
We also discuss fee-setting and patient communication - this part of the video is only available for those on our Protrusive Guidance network.
https://youtu.be/QF3b8V_29Vw
Watch PDP188 on Youtube
Protrusive Dental Pearl
Pre-wedging; use this technique before beginning any restorative work on the tooth you are working on, this will allow a greater field of view to work in. It also helps suppress the papilla to get better access to the caries. This can all be achieved by numbing the area first and wedging with adequate enough pressure for there to be separation. It also reduced iatrogenic damage and is also worthwhile considering using a wedge-guard/fender wedge.
Check out the DRE Composite Course
Need to Read it? Check out the Full Episode Transcript below!
Access the CPD quiz through our app on https://www.protrusive.app, either on your browser or by downloading our mobile app.
For the full educational experience, our Ultimate Education Plan gives you access to all our courses, webinars, and exclusive monthly content. Join us on Protrusive Guidance, our own platform for dental professionals. No need for Facebook anymore!
If you liked this episode, you will also like PDP104 Back to Back Class II Secrets (Sectional Matrix Troubleshooting)
Click below for full episode transcript:
Jaz's Introduction: The humble wedge gives us so many benefits when it comes to class II. Like, going back to basics, you put a wedge in for your class II, and it ensures that the matrix is right up against that cavity margin. So, wedging is important.
Jaz’s Introduction:The other benefit, of course, is that it gives you some separation. And this helps to accommodate for the actual width of the matrix span, so that once you finish your restoration, you remove the wedge and hopefully the teeth will rebound and you'll have a contact.
Another benefit of wedges is actually suppressing or depressing that papilla. It allows you to manage those deeper cavities with much more ease. So as you can see, I'm a fan of wedging and I even invest in all sorts of different types of wedges and those low profile diamond wedges for those trickier and deeper scenarios. So why is this episode on doing your class two restorations without a wedge? Isn't that a little bit crazy?
Tue, 28 May 2024 - 278 - The Semi-Indirect Technique for Toothwear Cases – PDP187
Check out the ‘semi-indirect’ technique to restore toothwear cases - including palatal backings made chairside and bonded at the same time.
Join Jaz as he geeks out with Dr Zohaib Khwaja to extract the nuances of this clever technique.
We also deep dive into the Dahl technique.
https://youtu.be/tIRfmJL1qpw
Watch PDP187 on Youtube
Protrusive Guidance members with access to the Protrusive Vault can check our Semi-Indirect Composite infographic with a step by step visual protocol for semi-indirect palatal backings.
Protrusive Dental Pearl: Practice finding centric relation on your general patients, even if they are just attending for a routine examination. It is a great way to get practice!
Check out Dr Khwaja’s Instagram page
Need to Read it? Check out the Full Episode Transcript below!
Highlights of this Episode:02:48 - Protrusive Dental Pearl - Finding CR05:15 - Dr. Zohaib Khwaja Introduction11:14 - What is the Dahl Technique? 17:41 - Restoring Worn Posterior Teeth 28:37 - Restoring Anterior Teeth39:23 - Dr. Zohaib - The Teacher
Access the CPD quiz through our app on https://www.protrusive.app, either on your browser or by downloading our mobile app.
For the full educational experience, our Ultimate Education Plan gives you access to all our courses, webinars, and exclusive monthly content. Join us on Protrusive Guidance, our own platform for dental professionals. No need for Facebook anymore!
If you liked this episode, you will also like Why do some Dentists find Dahl Distasteful? – PDP016
Click below for full episode transcript:
Jaz's Introduction: In this episode, we're going to discuss something called the Semi Indirect Technique that can be so helpful when you're managing tooth wear cases. So because we're talking about tooth wear cases and the actual treatment of them, i. e. usually increasing the vertical dimension, aka opening the bite and how you fill in that space.
Jaz’s Introduction:So if you are earlier in your dental and occlusion journey, or maybe you're not yet comfortable going beyond single tooth dentistry, then this episode may be difficult to grasp, but you should use these experiences as motivation and inspiration. It's a bit like when you go to a conference and some of the stuff that's being presented is so far beyond and above you at that moment in time in your journey where you are, but it's still really important to pay respect and listen because that can be the spark that you need in your career sometimes.
But of course, if you're into occlusion and tooth wear. And you love restorative dentistry, then this could be a really geeky discussion that you're going to be able to apply on Monday morning if you've never used this technique before. Like,Fri, 24 May 2024 - 277 - Best Dental Softwares for Principals and Associates? – AJ007
From softwares to enhance communication with prospective patients, and clever ones that utilise AI for radiographs and note taking, Prav Solanki and I deep dive into some products we currently like to use or have heard good things about.
https://youtu.be/50GNVjVHJQg
Watch AJ007 on Youtube
In this episode, we discuss the many ways that AI is now streamlining things in our workplace and ensuring that we are able to protect ourselves from a medico-legal perspective, as well as providing the patient with confidence in their treatment plans. Get ready to get techy!
Softwares mentioned in this episode:
LeadFlo - CRM System for Dentists
DigitalTCO - AI and Voice Assisted Dental Notes [Affiliate Link]
Dental Audio Notes - Secure Audio Recording
CareStack - Cloud Based Dental Software
Software of Excellence Exact - Practice Management
Loom - Async Video Messages
SmileCloud Smile Design
Chairsyde - Consultation Platform
Pearl AI - Radiographs in Colour
MakeMeClear - Treatment Plans that Explain Themselves (25% off using 'protrusive' - Affiliate Program]
Need to Read it? Check out the Full Episode Transcript below!
Highlights of this Episode:00:00 - Intro03:22 - Protrusive Dental Pearl04:53 - Introducing Dr. Prav Solanki05:35 - Skillset Enhancement07:45 - CRM Introduction09:02 - LeadFlo12:52 - Follow-up Strategy18:20 - Building Trust20:33 - Lifetime Value Focus23:45 - Simplify Plans30:40 - Communication Tools42:27 - Best Patient Management Systems58:10 - Visual Communication59:40 - Video Disclaimers64:54 - More Software Options80:10 - Final Words
Access the CPD quiz through our app on https://www.protrusive.app, either on your browser or by downloading our mobile app.
For the full educational experience, our Ultimate Education Plan gives you access to all our courses, webinars, and exclusive monthly content. Join us on Protrusive Guidance, our own platform for dental professionals. No need for Facebook anymore!
If you liked this episode, you will also like NEVER Write Notes Again! How I Use AI for Awesome and Efficient Dental Records – PDP181 – Protrusive Dental Podcast
Click below for full episode transcript:
Jaz's Introduction: Recently I made an episode about how to never write notes again. So using some clever software on your web browser that listens to your audio consultation with you and your patient and uses AI to actually make your notes. So you don't have to then be there typing away or your nurse doesn't have to type every risk and benefit that you discuss as part of the consultation.
Jaz's Introduction:You can also create letters to referring dentists a...Thu, 16 May 2024 - 1h 13min - 276 - Your Ortho Questions Answered – Root Resorption, Retention, Interceptive and More! – PDP186
How long should you wait after a root canal before starting Orthodontics?
Should we be scared of orthodontic movement in those taking bisphosphonates?
How do you decide if diastemas should be closed restoratively or orthodontically?
Dr Daniel Neves answers every one of the questions and several more sent in from the Protrusive Community
These questions are the tricky case-specific ones we ponder about and crave guidelines for - straight talking Dr Neves makes it all tangible.
https://youtu.be/ZufVChjEJk4
Watch PDP186 on Youtube
Protrusive Dental Pearl: Retention is not a ‘one and done’ process. It should be customised for the individual and maintained appropriately - including at every routine check up.
Need to Read it? Check out the Full Episode Transcript below!
Highlights of this Episode:04:40 Protrusive Dental Pearl05:53 Introduction to Dr Daniel Neves 12:16 Reducing the Risk of Relapse17:20 Anterior Diastema21:47 Temporary Anchorage Devices (TADs)26:20 Jaw Issues in Adults29:20 Root Resorption34:25 Recession Cases38:00 Timing of Orthodontics after Root Canal Treatment39:39 Bisphosphonates and Orthodontics40:16 Aligners around Implants42:22 Final Thoughts
If you liked this episode, you will also like GDP Alignment vs Specialist Orthodontics [STRAIGHTPRIL] – PDP068
Click below for full episode transcript:
Jaz's Introduction: It's May 2024. May the force be with you. That's the theme of this month. Whilst I've got episodes on all different sorts of topics like we usually do on Protrusive, we're starting off with this orthodontics podcast. And let me tell you, if there's one episode you've listened to on Protrusive around the theme of orthodontics, make it that.
Jaz's Introduction:This one, we cover such a great breadth of topics with my guest, Dr. Daniel Neves. We were actually recording. We actually sat on a sofa watching the sunset in Valencia, Spain, while we were recording this podcast. It's a special one is a great energy, great wisdom from our guests. So I'm really excited to share this with you.
Look, the kind of themes that we cover is get my notebook out. The kind of themes you cover are anterior crossbites in children. This is actually what stemmed this podcast. Me and my colleague Suzy, we were feeling pretty bummed because we saw this kid, I think he was like eight or nine years old, and he had an anterior crossbite.
And we thought, wow, this is really suitable. We think this would be a great case for an orthodontist within our publicly funded system in the UK to do some interceptive treatment for this anterior crossbite. And we were bummed because the orthodontist declined it. The orthodontist said, let's wait until age 12.
Let's wait for all the teeth to come through and then refer this back. And I was really left scratching my head like, Hmm, hang on a minute. I'm pretty sure an anterior crossbite is an indication for early treatment. So let's find out what Dr. Daniel Neves had to say about that.
We also at the end talk about root resorption. What if you have root resorption? How big of a problem actually is that for our patients? And then what if they experience some relapse and they want to have some aligners? Is it safe to do aligners and little minor movements on patients who have suffered with root resorption?
Another one we covered. Again,Fri, 10 May 2024 - 44min - 275 - Mental Health in Dentistry – PDP185
We need to talk about the ‘S’ word and our mental health.
I never, EVER want to lose a colleague again due to the pressures within Dentistry.
This is why I interviewed Dr Mahrukh Khwaja, a positive psychologist and Dentist, to help us with strategies to improve our mental health.
Why is it that we have so many support channels during a crisis, but no structured pathways to help us AVOID burnout, crisis and stress in Dentistry?
https://youtu.be/3JKwoO_nEeo
Watch PDP185 on Youtube
Protrusive Dental Pearl: What are you doing on a daily, weekly and monthly basis to look after your Mental Health? Do not wait until a crisis, as we already know that prevention is better than the cure.
Take the first steps in looking after your mental health with Mahrukh and her Mind Flossing Toolkit
Buy Mahrukh's new Book on Resilience and Well-being for Dental Professionals
Need to Read it? Check out the Full Episode Transcript below!
Highlights of this Episode:3:01 Protrusive Dental Pearl4:22 Dr. Mahrukh Khwaja Introduction7:34 Seeking Professional Help12:10 Helping Dental Professionals17:08 Suicide Issue within Dentistry20:02 Reducing Suicidal and Burnout Rate24:24 Inner Voice29:51 Cognitive Reframing36:31 Toxic Work Cultures42:24 Signs to Look Out For49:30 Learn more from Mind Ninja
If you liked this episode, you will also enjoy IC036 - The Secrets to Finding a Passion in Dentistry
Click below for full episode transcript:
Jaz's Introduction: April was Mental Health Month on Protrusive Dental Podcast. And you're thinking, wait, hang on a minute, Jaz. We're in May. Why are you telling us about April? Well, I had a stressful month myself, actually, my youngest son was on and off sick and like nothing too serious, thankfully. Like it was antibiotics.
Jaz's Introduction:It was tonsillitis. It was a couple of bugs. It was a night in A&E. And it really made me grateful in a way, in the sense that look, yes, my son was sick and I hated it and I felt really bad for him. And it can take your toll when your children are not sleeping very well. But it really made me feel bad for parents who had children with chronic illnesses, think, I don't know, leukemia, or parents with children who have severe learning disabilities, and having to care for those children, it really takes its toll on a parent.
Or someone maybe with a child's got cleft lip and palate, feeding issues. Or of course Nafisa, the little girl in Tanzania that we're supporting, which Protrusive are supporting as a charity to help her raise money to fight her SMA type 1 so she can get genetic therapy. If you've been reading my emails, I put a donation link there and we're pretty much there to raising enough money to help this little girl.
But anyway, going back on topic, it's been a stressful month, which is why this episode has spilled over into May. A few years ago, I probably would have been stressing about this, like, oh my god, it was supposed to be out in April and that would have eaten me alive. But my mindset has shifted a bit.
It's a silly little story, actually, in terms of this mindset shift. Okay, the story goes that my son was on a playdate. It was like an early afternoon thing. And children nowadays, they have better social lives than their parents. So after this playdate,Sun, 05 May 2024 - 53min - 274 - Stress in Dentistry 2024 – Life Changing Decisions – IC048
THIS is the most impactful interview podcast I have published in almost 6 years of podcasting.
Do you resent bringing your work home with you (treatment plans, letters, CT scans)?
Do you struggle with work-life balance?
Do you have days where you feel unfulfilled?
The honest advice and mindset from Jorge Andre Cardoso might just change your career and YOUR LIFE. This is the real deal, Protruserati!
https://youtu.be/GJExz_vEH2w
Watch IC048 on Youtube
As Stress Awareness Month continues, we're taking a close look at the challenges dentists encounter, from making clinical choices to achieving work-life harmony.
Protrusive Dental Pearl: Explore Jorge Andre Cardoso'sCementation Guide. This resource allows you to access specific protocols tailored to your needs by simply selecting the type of abutment, retention type, and the cement restorative material you plan to use.
Need to Read it? Check out the Full Episode Transcript below!
Highlights of this episode:
* 02:39 Protrusive Dental Pearl
* 03:41 Catching Up with Jorge Andre Cardoso
* 05:50 Jorge Andre Cardoso’s Introduction
* 08:32 Practice Ownership: From Stress to Success in Dentistry
* 13:17 Balancing Clinical Work and Life
* 19:38 Education and Work-Life Balance
* 22:34 Embracing Diversity in Dental Practices
* 24:19 The Importance of Foundational Knowledge in Dentistry
* 30:27 Maximizing Practice Efficiency and Personal Fulfillment
* 37:44 Learning More with Jorge Andre Cardoso
For those interested in attending the Conscious Leadership Course this October or November, please act quickly.
Visit Soft Bites onlineto learn more from Andre and Manuela and secure your spot.
If you are interested in joining a Protruserati cohort - please indicate your interest in Protrusive Guidance.
Got stress management tips of your own? Share them in the comments! just tell us about what was the most impactful thing that you gained from Andre in this episode.
Access the CPD quiz through our app on https://www.protrusive.app, either on your browser or by downloading our mobile app.
For the full educational experience, our Ultimate Education Plan gives you access to all our courses, webinars, and exclusive monthly content. Join us on Protrusive Guidance, our own platform for dental professionals. No need for Facebook anymore!
If you love this episode, be sure to watchDentistry is STRESSFUL with Manuela Rodrigues
Click below for full episode transcript:
Jaz's Introduction: Protruserati, this might be the most important episode I've ever, ever, ever made. I'm not exaggerating. It is Stress Awareness Month and what me and my guest, Jorge Andre Cardoso, what we cover is just amazing. Mostly him,Wed, 01 May 2024 - 43min - 273 - ‘The Routine Check-Up’ – The Breakdown – PS003
I remember being a dental student and a simple 'check up' could take HOURS! Then the tutor would come along and complete the observation in 30 seconds...
‘How does a routine general dental examination work in the real world?’, asks Emma, our Protrusive student.
The humble ‘check-up’ - as far as you can get from sexy before and after cases. The stuff no one is posting about on socials…until now!
https://youtu.be/AutQvQBlg4o
Watch PS003 on Youtube
Jaz and Emma dissect a ‘routine oral health exam’ and Jaz even includes a full video of a standard check-up, complete with the banter, bitewings and bad explanations! ;)
Be sure to check out this additional video freely accessible on our platform, Protrusive Guidance!
Need to Read it? Check out the Full Episode Transcript below!
HIGHLIGHTS OF THIS EPISODE:04:28 - Emma's Dive into Dentures05:45 - Pop Quiz Time: Testing Dental Composite Knowledge06:30 - Success in Dentistry: It's in the Details 08:13 - What Does a Check-Up Look Like?09:20 - Personal Touch: Jaz's Check-up Style10:50 - Defining a Healthy Mouth14:55 - Neck Lumps Discovery16:33 - Masseter Muscle Insights18:29 - TMJ Movement Evaluation21:21 - Temporalis Muscle Assessment38:27 - Patient History39:10 - Soft Tissue Evaluation39:28 - Basic Periodontal Exam40:25 - Magnification Importance51:10 - Confidence
Access the CPD quiz through our app on https://www.protrusive.app, either on your browser or by downloading our mobile app. For the full educational experience, our Ultimate Education Plan gives you access to all our courses, webinars, and exclusive monthly content.
Join us on Protrusive Guidance, our own platform for dental professionals. No need for Facebook anymore!
If you liked this episode, you will also like PS002 - Adhesive Dentistry for Beginners
Click below for full episode transcript:
Jaz's Introduction: When I was a dental student, I remember being on clinic and doing an examination, and it would just take me so long. And it's overwhelming when you're learning and you realize, oh my goodness, there's so much to check. You try and remember the oral medicine lectures. They tell you to check every single lymph node under the sun.
Jaz's Introduction:And then of course, you remember the occlusion, the very few occlusion lectures you had, and you get the patient to bite together and you don't know what you're doing. You don't know what you're checking for, but you're just checking that the bite exists. And then to try and compute all the things you're seeing and try and put it in some sort of diagnosis and explanation, when you're a student, it's tricky.
Which is why I've got Emma, our Protrusive Student on today to talk about routine, just routine, gold standard, daily examinations, something that you will see in general practice in the future. Whilst I am recording with Emma Hutchinson, the student, this is suitable for anyone who wants to learn, any dentist at any stage of career, who just wants to get back to basics, back to foundations.
For a, what I call a Real World Examination. The reason I call it a real world examination is because the things that I'll be discussing today and what I'll be sharing video form on the Pr...Thu, 25 Apr 2024 - 1h 03min - 272 - Stop Being a Perfectionist – it’s OK to Fail – PDP184
When the patient feels pain during an ID block. When a matrix does not seal the cavity perfectly. When the shade of your crown doesn’t blend as well as you would like. When the endo you did last year failed.
All of these cause us anxiety. All of these are failures in some form, and as Dentists, it eats at us.
Let’s admit it: we are perfectionists.
Life isn’t about being perfect, but it is all to do with the effort we apply to better ourselves day to day. Failure is a major part of success, but being hung up on our shortcomings will only lead to a downward spiral, which in turn will affect our results and general practice. In this episode we are joined by Dr Marco Maiolino, all the way from beautiful Sicily, Italy.
One of the biggest takeaways from my chat with Marco was the abolishment of the ‘gold standard’ or the standard of perfection - but rather, let’s aim for the ‘daily standard’
https://youtu.be/jRbgvgSpqLk
Watch PDP184 on Youtube
Protrusive Dental Pearl: We cannot be depressed AND grateful at the same time. Let us find moments in our day and in our Dentistry to be grateful.
Need to Read it? Check out the Full Episode Transcript below!
Highlights of the Episode:01:43 DENTAL PEARL - Be Grateful!02:37 - Dr. Marco Maiolino05:13 - The Technician's Perspective 08:15 - Beating Imposter Syndrome10:55 - Ideal vs. Real: Marco's Take on Dental Perfection13:00 - Lessons from Aviation17:48 - Embracing Imperfection31:00 - From Failures to Standards42:08 - How to Bounce Back from Failure
Learn more from Dr Marco Maiolino
Access the CPD quiz through our app on https://www.protrusive.app, either on your browser or by downloading our mobile app.
For the full educational experience, our Ultimate Education Plan gives you access to all our courses, webinars, and exclusive monthly content. Join us on Protrusive Guidance, our own platform for dental professionals. No need for Facebook anymore!
If you liked this episode, you will also like IC030 - Toxic Work Cultures in Dentistry
Click below for full episode transcript:
Jaz's Introduction: Let's face it, no one really enjoys failure, but nothing teaches you as well as failure does. Failure really is the best educator in any discipline, especially in dentistry.
Jaz’s Introduction:Of all the clinical educators that I know, the kind of people that I have the most time for are those who are happy and willing to share their failures with us.
This next guest we have on today, Dr. Marco Maiolino from Siracusa in Sicily. Apparently on his three-day course on VertiPreps, the last day, like the half day is just dedicated to all his failures. And I really, really respect that. I try and emulate that. I love sharing. Well, I say love is a strong word, but I like to share my failures so we can all learn together.
And with Marco, like, what he writes on his blog, it's just brilliant. There's a blog he had titled The Imperfect Dentist. And now we need to stop chasing perfection. Perfection should not be the standard. And so it's with great pleasure as part of Mental Health Month. April is Mental Health Month and so at least half the episodes...Fri, 19 Apr 2024 - 54min - 271 - The International Dental Student – From Ukraine to Egypt to Slovakia – IC047
Dental Student in THREE different countries?!
This is a story of grit and determination. I hope that it will allow us all to reconnect with that burning desire we once had to enter our profession.
In this episode, we meet Nav, AKA the_stu_Dent who has had the craziest journey as a Dental Student. Not only defined as a mature student, but as a British born overseas one now working his way to qualifying in Slovakia, with hopes of eventually returning to the UK where he wants to practice full time in the near future.
https://youtu.be/wK1INeI_gdQ
Watch IC047 on Youtube
Check out this entertaining episode, where we uncover what makes the_stu_Dent tick and why he ended up pursuing Dentistry with such determination, the highs and lows, and how he ended up trying at 3 different Universities in 3 different countries, just to fulfill his dreams.
Need to Read it? Check out the Full Episode Transcript below!
Highlights01:35 - Nav, the-stu-dent Introduction 04:25 - Why Ukraine and what year did The-stu-dent enter?09:18 - How did Egypt come about?14:16 - Failure was not an option16:24 - What happened when The-stu-dent visited Egypt first-time around?19:14 - 3rd STOP - Slovakia.21:54 - What are the fees like in Slovakia?25:13 - What was the decision behind choosing Slovakia over alternative countries in the EU?27:15 - What has The-Students experience of Slovakia been like, and how much clinical exposure do you get?30:58 - Are you working part-time to fund your dentistry?35:17 - What are The-Stu-dents final words of Wisdom?
Access the CPD quiz through our app on https://www.protrusive.app, either on your browser or by downloading our mobile app.
For the full educational experience, our Ultimate Education Plan gives you access to all our courses, webinars, and exclusive monthly content. Join us on Protrusive Guidance, our own platform for dental professionals. No need for Facebook anymore!
If you liked this episode, you will also like PS002 - Adhesive Dentistry for Beginners
Click below for full episode transcript:
Jaz's Introduction: Imagine being a mature dental student who has to go to study in Ukraine. And then you realize actually the course you're on actually was potentially a fake course, and then you had to go to Egypt.
Jaz’s Introduction:And then for one reason or another, which we will reveal on this podcast, you end up then moving, transferring to Slovakia, and it's now been something like seven years, but you're only still in your third year.
Sounds crazy. I know, but trust me, this guy, Nav Bhatti. His desire and his hunger to get into dentistry is amazing. It's really admirable and I think he's got a really funny story if he doesn't mind me saying this. It's funny because, like, he's the type of guy who's very happy go lucky. He's very straight talking.
He's humble and someone who you can look back and laugh about it. But he's been through a real tough time with all these countries. And I have so much respect for, again, once again, for his desire and his hunger. And so now he's in a good place in Slovakia, but it makes for a fantastic episode. I think guy's in for a real treat, something a little bit different.
Wed, 17 Apr 2024 - 38min - 270 - Isolating the Last Tooth in the Arch #RubberDamFam – PDP183
Rubber Dam isolation can be tricky enough sometimes - it is especially awkward when the TERMINAL MOLAR needs restoring. How on earth does one isolate AND matrix this tooth?
In this episode, Dr. Celine Higton delves into the intricacies of rubber dam isolation, particularly focusing on the last tooth in the arch. This discussion ties into the broader theme of mental health, highlighting how mastering such techniques can lead to a more enjoyable and stress-free practice.
https://youtu.be/VeoPTNShAcs
Watch PDP183 on Youtube
Protrusive Dental Pearl: "Cow Mode" as a technique to improve access to the mouth's hard-to-reach areas, especially around the last molars. By instructing patients to shift their jaw to one side, akin to a cow's chewing, this approach aids in better oral hygiene practices and facilitates procedures like rubber dam isolation when clamping the terminal molar.
Need to Read it? Check out the Full Episode Transcript below!
Highlights of this episode:
* 02:24 Protrusive Dental Pearl
* 5:36 Introduction to Dr Céline Higton
* 7:07 The Journey from Architecture to Dentistry
* 9:15 Mastering Rubber Dam Isolation: Tips and Techniques
* 14:12 Types of Clamps Ideal for Isolating the Last Tooth (Upper)
* 18:01 Dental Pearl - Cow Mode
* 19:22 Accessing the Last Tooth
* 22:13 Dr. Céline’s Personal Choice of Rubber Dam
* 23:11 Proper Lubrication for Rubber Dam
* 25:00 Correct Flossing Technique
* 27:01 Matrixing the Last Tooth
* 32:09 Cavity Preparation
* 35:37 Isolating the Last Tooth (Lower)
* 37:28 Coronoid Process in Clamp Placement
* 38:36 How to get in touch with Dr Celine
Reach out to Dr. Céline Higton via her Instagram, @drcelinehigton and via her website, #RUBBERDAMFAM
Access the CPD quiz through our app on https://www.protrusive.app, either on your browser or by downloading our mobile app.
For the full educational experience, our Ultimate Education Plan gives you access to all our courses, webinars, and exclusive monthly content. Join us on Protrusive Guidance, our own platform for dental professionals. No need for Facebook anymore!
If you love this episode, be sure to watch 10 Commandments for Staying Out of Trouble
Click below for full episode transcript:
Jaz's Introduction: When you're going through the journey of learning rubber dam isolation, because you want to level up your restorative dentistry and become better at adhesive dentistry.
Jaz's Introduction:And for me, I've talked about before, like for me, rubber dam is my tranquil environment. It's when I'm least stressed. I've got rubber dam on,Thu, 11 Apr 2024 - 44min - 269 - Canine Guidance vs Group Function – Does it Matter?! – PDP182
When we studied occlusion at Dental School, our textbooks forced the idea of having dots at the back and lines at the front. We are continually told about CR and how to manage patients into canine guidance, but does this all work in practice?
Today we dive into the best way to approach occlusion cases with our patients, keeping in mind that there is no such thing as a silver bullet to treatment. Join Jaz and Dr Michael Melkers in this podcast to learn how it may just be time to throw away the textbooks and begin writing your own conclusions on occlusion… try saying that ten times quickly.
https://youtu.be/3Sk1paKW8d0
Watch PDP182 in Youtube
Dental Pearl
Using PTFE in the dental sulcus offers a better seal compared to cord, functioning like a dam to keep the area free of gingival fluid, ideal for Class 5 restorations. However, PTFE may stick to instruments, which can be mitigated by moistening the instrument with water or saliva before positioning the PTFE, significantly lowering the likelihood of sticking.
Check out Dr Melkers and Dr Lane Ochi LIVE IN LONDON on 27 and 28 July!
Need to Read it? Check out the Full Episode Transcript below!
Highlights of the Episode 00:00 Intro 02:05 The Protrusive Dental Pearl 02:52 Dr. Michael Melkers 02:53 Mentoring Journeys: AES and Beyond04:04 Foundational Influences: Splint + Occlusion Mastery 04:30 Fear of Failure: A Dentist’s Drive05:25 Early Beginnings: Lab Tech to Dental degree 06:00 Avoiding Full Mouth Rehab: A Dental Mission.07:20 Homage to a Mentor: The Positive Impact 07:25 Group Function Vs Canine Guidance08:00 Beyond textbooks: real-World Dental Challenges 09:00 Encouragement to Question: A lesson in Bravery 10:16 Chasing Perfection: A dental dilemma 12:00 Masters of Occlusion: Group Function Insights 14:31 Past as Prologue: Learning from destruction 15:10 Pain Points: Focusing on the At-Risk Patients 16:53 Smooth Transitions: The Ideal of Disclusion 18:30 Occlusal Schemes: Debunking the Malocclusion Myth20:20 CR Reconsidered: The Healthy Majority 22:44 Diagnostic Vision: Seeing Beyond Occlusion 25:15 Rebuilding with Purpose: Beyond Aesthetics 34:35 Appropriate vs Ideal: A New treatment Paradigm 47:00 Key to Dental Success
Access the CPD quiz through our app on https://www.protrusive.app, either on your browser or by downloading our mobile app. For the full educational experience, our Ultimate Education Plan gives you access to all our courses, webinars, and exclusive monthly content.
If you liked this episode please feel free to check out episodePDP160 - Fremitus and Occlusal Overload – Dental Occlusion Geekiness
Click below for full episode transcript:
Jaz's Introduction: In this episode, I'm going to share with you the four ways that I document my daily dentistry. And I'll give you six great reasons in reverse order. So like my top six, if you like. So six, five, four, the countdown all the way to the number one reason. So if you listen to the end of the episode, I'll tell you the number one reason to document your dentistry.
Jaz’s Introduction:And when you grind your teeth left and right, the canines, for example, are taking a load at that point. And when this is happening the patient's joints are in centric rela...Thu, 04 Apr 2024 - 54min - 268 - 4 Ways and 6 Great Reasons to Document Your Dentistry – IC046
As part of Documentation Month, Jaz dives into the crucial realm of documenting dentistry. In this episode, he shares four methods he utilizes to document his daily dental practice, followed by six compelling reasons – in reverse order – why documenting your dentistry is indispensable. So, get ready as we count down from six to one!
But first, let's recap: In our previous episode, we explored the marvels of employing AI to automate note-taking, saving precious time and boosting efficiency. If you missed it, make sure to catch NEVER WRITE NOTES AGAIN! HOW I USE AI FOR AWESOME AND EFFICIENT DENTAL RECORDS – PDP181.
https://youtu.be/e6pNhWhyhNU
Watch IC046 on Youtube
Need to Read it? Check out the Full Episode Transcript below!
Highlights of this episode:00:53 Utilizing Intra-Oral Camera2:30 Investing in good DSLR Camera3:16 Documenting with Intra-Oral Scans3:51 Camera Mounted on Loupes4:56 Portfolio Building7:34 Monitor Changes9:00 Patient Communication11:35 Good Mentorship13:24 Medico-Legal14:29 Fulfillment in Dentistry
Access the CPD quiz through our app on https://www.protrusive.app, either on your browser or by downloading our mobile app. For the full educational experience, our Ultimate Education Plangives you access to all our courses, webinars, and exclusive monthly content.
Join us on Protrusive Guidance, our own platform for dental professionals. No need for Facebook anymore!
If you loved this episode be sure to watch 6 Signs You are a Comprehensive Dentist – IC010
Click below for full episode transcript:
Jaz's Introduction: In this episode, I'm going to share with you the four ways that I document my daily dentistry. And I'll give you six great reasons in reverse order. So like my top six, if you like. So six, five, four, the countdown all the way to the number one reason. So if you listen to the end of the episode, I'll tell you the number one reason to document your dentistry.
Jaz’s Introduction:Hello, Protruserati. I'm Jaz Gulati and welcome back to your favorite dental podcast. This is kind of like the non clinical arm of the podcast, but actually you could argue that it is clinical. I've just got so many mishmash of episodes, and because it's still just about documentation month, like if it's March, and hopefully we managed, our team managed to publish it in March, then it was documentation month.
In the previous episode, I talked about how I use AI to to auto generate my notes so I don't have to type my notes anymore, which is the most blissful thing ever. So if you haven't listened to that, please do check it out. But just to wrap up Documentation Month, I just want to go a bit deeper into what are the ways I'm documenting my dentistry and give you six great reasons to do so.
So the first great way to document the dentistry is with an app. intraoral camera. Now, I know so many of you have suggested I make some content specifically for this and it's coming soon. We're just going, literally, by the time you'll be hearing this, I'll probably be coming back for my vacation. I'm going to Tenerife.
Family holiday much needed. Oh, it's been so nice to have this holiday to look forward to. So when I come back,Mon, 01 Apr 2024 - 16min - 267 - NEVER Write Notes Again! How I Use AI for Awesome and Efficient Dental Records – PDP181
THIS is the best thing in Dentistry since local anesthetic!
I HATE typing notes even more than I hate cracked teeth. The quest for good, detailed, contemporaneous record keeping in 2024 means so many of us stay behind after patients to ‘tidy up’ our notes.
With the power of audio recording and AI, I am pleased to present to you NOTES THAT WRITE THEMSELVES!
In this episode I share my current protocols using DigitalTCO - a website that uses live transcription and AI to write your notes for you (genuinely awesome notes).
https://youtu.be/F1RKQ_qZfrc
Watch PDP181 on Youtube
Protrusive Dental Pearl: Register for a free EXTENDED trial with Digital TCO and transform your note-taking process by simply speaking into a microphone connected to your computer. Forget about typing out notes after appointments— the intelligent AI will craft them for you as you dictate, making everything sound fantastic.
Using the Protrusive link to sign up DOES mean that we get a commision, but I also ensured you get 50% off (for the lifetime of your subscription) AND 28 days to try this instead of 14.
‘Jaz Mode’ lets you speak to patients and nurses during consultations, with AI compiling the notes for you. Named "Jaz Mode" in my honor by Kevin, it's still in beta but offers a glimpse into innovative note-taking. To try it out and see why I'm excited, visit protrusive.co.uk/notes. Watch for a demo video, including my recommended microphone.
Need to Read it? Check out the Full Episode Transcript below!
Highlights of this episode:04:28 Introduction to Kevin Shannon07:10 Kevin Shannon's Journey: From Clinical Dentistry to Tech Innovator10:03 AI-assisted Note-Taking Journey12:21 Downfall of Templates15:27 DigitalTCO - Never Write Notes Again23:19 Jaz Mode!27:55 The Protrusive - DigitalTCO Collaboration37:51 Let’s Talk AI
As promised, this video shows an example of how I use DAN and DigitalTCO to write my notes for me.
https://youtu.be/mI5qplWxMQs
Watch this video on Youtube
Let's compare the Blue Yeti microphone: https://amzn.to/3INYop3 (Affiliate link) Vs the Rode Wireless Go 2 microphone: https://amzn.to/49ffgzA (Affiliate link)
Access the CPD quiz through our app on https://www.protrusive.app, either on your browser or by downloading our mobile app. For the full educational experience, our Ultimate Education Plangives you access to all our courses, webinars, and exclusive monthly content.
Join us on Protrusive Guidance, our own platform for dental professionals. No need for Facebook anymore!
If you loved this episode, be sure to watch Audio Recording Your Consultations? The Future of Dental Record Keeping
Click below for full episode transcript:
Jaz's Introduction: How much time do we spend laboring over our notes and record keeping? I know so many of us who are there after work and we long to be with our families, but we're there typing,Mon, 25 Mar 2024 - 46min - 266 - Adhesive Dentistry for Beginners – PS002
"How long should I tell my patients their posterior composites will last?" - what a great question from dental student Emma Hutchison!
As part of our new Protrusive Students segment we'll be bringing you monthly episodes packed with valuable insights, tips, and tricks specifically tailored to dental students like Emma.
https://youtu.be/PP1XICgI-lg
Watch PS002 on Youtube
Whether you're navigating clinical rotations, honing your skills in phantom head, or gearing up for those daunting exams, we're here to support you every step of the way. And kicking off this segment, we're diving headfirst into the topic of adhesive dentistry!
Link for further reading regarding the longevity of direct restorations – A retrospective clinical study on longevity of posterior composite and amalgam restorations - PubMed (nih.gov)
The Art of Treatment Planning – The Art of Treatment Planning: Dental and Medical Approaches to the Face and Smile: Amazon.co.uk: Romano, Rafi: 9781850971979: Books
Need to Read it? Check out the Full Episode Transcript below!
Highlights of the episode:00:00 Adhesive dentistry03:41 Bonding systems07:00 Self-etch vs. total-etch vs. selective-etch14:38 Post-operative sensitivity16:10 Communicating risk with patients17:42 Polymerisation shrinkage19:38 The snowplow technique21:13 Instruments23:19 Consent25:30 Longevity28:05 Risk factors37:37 The next episode
If you liked this episode, you will also like PDP077 I Can’t Believe This Sticks
Click below for full episode transcript:
Jaz's Introduction: So welcome to Protrusive Students Episode 2. In Episode 1, we introduce you to Emma Hutchison, who's the Protrusive Student. I'll be releasing one episode with her every month to answer questions from a dental student's perspective. And every month, we will release some of her revision notes, which are absolutely epic.
Jaz’s Introduction:I'll check them myself on the Team Brandsim. All of these notes are going to go in the Crush Your Exam section of Protrusive Guidance. Protrusive Guidance, if you're brand new through a podcast is our little family. It's our little home on the internet via the web browser, or even it's native app via Android, iOS.
All dentists and students can join it, but if you want to verify yourself as student, you have to email student@protrusive.co uk. So when you apply to join the network, which is on protrusive.App. Once you apply, you fill in some details, you explain that I'm a student, and then you should email student at protrusive. co. uk with some proof that you're a student.
That way we will add you to our secret space called Protrusive Vault. So as part of your benefit of being a student on Protrusive Network. You had access to a paid space. There's also student clinical videos, which we'll be adding soon, as well as more episodes, just like this one.
Hello, Protruserati. I'm Jaz Gulati. Protrusive Students is part of the Protrusive Dental Podcast. If you are a dental student, don't hoard this, share it with your colleagues.Fri, 22 Mar 2024 - 44min - 265 - Managing Patient Expectations – What We Can Learn from Facial Aesthetics – PDP180
Managing patient expectations in Dentistry - there are some MAJOR lessons we can learn from facial aesthetics practitioners.
We're diving into a conversation with Dr. Katherine Bell that's really going to open your eyes about communication. Despite beauty being subjective, we find a lot of similarities in how we talk to and get consent from patients, whether it's for facial aesthetics or dental procedures
So, even if facial aesthetics isn't your cup of tea, think of this episode as a deep dive into communication and consent. Plus, it's Documentation Month on Protrusive Podcast, and this episode is just the beginning!
https://youtu.be/28hRaMARgnA
Watch PDP180 on Youtube
Protrusive Dental Pearl: Tailoring consent to each patient involves discussing only the risks that matter to them, using standard forms for GUIDANCE, not for completeness. It's about clearly explaining how we'll minimize these risks, ensuring the patient feels secure and informed about the precautions taken. For example ‘Mrs Smith, your tooth is very badly broken down and this can be a very tricky extraction. The way we are going to make it easier is by carefully dividing the tooth in to 3 roots’
Need to Read it? Check out the Full Episode Transcript below!
Highlights of this episode:
* 01:36 Protrusive Dental Pearl
* 03:33 Dr. Kathryn Bell Introduction
* 05:01 Dr. Kathryn Bell’s Journey in Facial Aesthetics
* 09:08 Perception of Facial Aesthetics
* 15:34 Discussion on Documentation and Patient Education
* 20:05 Patient Consent and Managing Risks
* 25:13 Screening for Body Dysmorphia
* 33:50 Considerations for Patients with Depression Seeking Aesthetic Treatments
* 38:06 Learn More with Dr. Kathryn Bell
Access the CPD quiz through our app on https://www.protrusive.app, either on your browser or by downloading our mobile app. For the full educational experience, our Ultimate Education Plangives you access to all our courses, webinars, and exclusive monthly content.
Join us on Protrusive Guidance, our own platform for dental professionals. No need for Facebook anymore! ;-)
If you loved this episode, be sure to watch Botox for TMD – Indications and Protocols
Click below for full episode transcript:
Episode Teaser: So red flag number one was that she walked in and you could clearly see that she'd had quite a lot of work done already. So it wasn't subtle changes. It was this lady has had treatment before and her history was that she had been to a number of other practitioners and she wasn't happy. So massive red flag right there.
[Katherine]Okay. So she's seen lots of people, she's had lots of treatment and she's still not happy. Okay. And the second one, like I said to you earlier, is I often give my patients a mirror and then get them to kind of point out what their concerns are.
[Jaz]Let me guess, her mirror was touching her nose.
[Katherine]Oh, no, no, no, Jaz. She had her own mirror. It was a magnification mirror.
Tue, 19 Mar 2024 - 43min - 264 - Protrusive Students Launch – PS001
In this episode, we're launching Protrusive Students, a segment dedicated to dental students while offering valuable insights for young and seasoned dentists. This section provides various resources including exam prep materials, clinical videos, and networking opportunities.
A key highlight of this episode is the introduction of Emma Hutchison, a dental student hailing from Glasgow. Emma shares her revision notes and resources aimed at helping students excel in their exams. Together, we're bridging the gap between academic dentistry and clinical practice, fostering a collaborative learning community among dental professionals.
https://youtu.be/Dx6xz1RAnSM
Watch PS001 on Youtube
Need to Read it? Check out the Full Episode Transcript below!
Highlights of this episode:
* 3:32 Introduction of Emma Hutchison
* 5:49 Emma Hutchison's Dental Journey and Background
* 10:54 Collaboration and Protrusive Student Notes
* 14:19 Protrusive Guidance
Alright, Protrusive Students, listen up! Here's how you can get involved and access exclusive student spaces, including the coveted 'Protrusive Vault', typically a paid feature within our network.
* Head over to the protrusive.app on your web browser.
* Select the community plan, which is completely free.
* Fill out the screening questions to ensure authenticity. We're serious about keeping our community genuine – no bots or impersonators allowed!
* When completing the information, simply indicate that you're a dental student.
Now, here's the crucial step:
5. After filling out the form, shoot an email to student@protrusive.co.uk. Attach proof of your student status, such as your student ID card or a university letter. Also, let us know your expected qualification date.
Once we verify your student status, you'll gain access to a wealth of resources and opportunities tailored to support your dental journey. Don't miss out – join theProtrusive Guidance Community today!
If you loved this episode, be sure to check out another episode for students! Occlusion Questions from Students – AJ005
Click below for full episode transcript:
Jaz's Introduction: This is the launch of Protrusive Students. Now, the intended audience is students, but it's also suitable for young dentists, and even experienced dentists looking to reconnect with the foundations and the basics. Look, I've been doing this podcasting for a little while now, and the focus is always dentists.
Jaz’s Introduction:And when I speak to students, you guys are so keen for the content, you guys love it, but you guys do admit to me that sometimes the level that we're speaking at just goes above your head. So I really wanted to create a space just for students. So it's going to be the PS episodes, the Protrusive Student Episodes.
Now as part of Protrusive Students, I've also created a brand new zone within our network, Protrusive Guidance, just for students. But again, anyone can join if they wish. It's going to have a crush your exam section, student clinical videos, and an opportunity to network and liaise with studen...Mon, 18 Mar 2024 - 19min - 263 - AES 2024 – LIVE from Chicago – Occlusion and Comprehensive Dentistry
LIVE from Chicago AES 2024 + Midwinter!
Fresh off our thrilling journey to the American Equilibration Society (AES) Conference in Chicago, alongside the Midwinter event, this episode is your ‘access all areas’ to relive the highlights of our long-awaited expedition.
Previously focused solely on equilibration, AES now embraces a broader spectrum, encompassing occlusion, comprehensive dentistry and the TMJs. Join me and Dr Mahmoud Ibrahim as we unpack the highlights of this dynamic event.
https://youtu.be/3lQohxbKSig
Watch this on Youtube
Need to Read it? Check out the Full Episode Transcript below!
Highlights of this episode:1:05 The Journey to AES3:20 AES Opening Ceremony 20243:52 Global View of Diagnosis and Treatment Planning5:29 Diagnostic Records in the Digital Practice6:19 Dr. Chuck Fischer 7:57 Dr. Glenn Kidder12:41 TM Joint Imaging from an Orthopedic Perspective14:15 Adopting a Top-Down Security and Privacy Strategy14:45 Lip Esthetics and Maxillary-Mandibular Advancement Surgery16:30 Indications of TMJ Replacement in Ortho-Surgical Case 17:04 Face First Treatment of the TMJoint18:11 AES Day 219:32 Occlusion - TMD from the Orthodontist’s Perspective20:53 Occlusion - TMD from the Periodontist’s Perspective21:39 Catch up with the Protruserati31:02 Case Study: TMD Panel32:41 Digital Occlusion: What Works and What Doesn’t Work33:48 Occlusion - TMD from Prosthodontist’s Perspective38:54 Insights and Reflections from Dental Giants: Kois, Spear, and More40:38 ‘Composite Challenge’42:44 Interview with Dr Alan Mead45:28 Reflections and Takeaways from the Conference53:11 Connecting with the Dental Community and Looking Ahead
If you loved this episode, be sure to check out BACD Experience With Pascal Magne
Discover more podcast episodes like this one and earn CPD or CE credits. Join our community to access exclusive content such as 'Verti Preps for Plonkers', Sectioning School tutorials, over 30 rubber dam demonstration videos, webinar replays, and clinical videos showcasing various dental procedures. Upgrade to our Ultimate Education Plan for comprehensive learning resources.
Click below for full episode transcript:
Jaz's Introduction: A, E, S. It's in the joint. Sorry, had to get that out of my chest, but we're back. We're back from AES TMJ conference in Chicago. I also went to Midwinter, and this episode will summarize mine and Mahmoud's trip to somewhere where we had longed to go for so long, the American Equilibration Society. Now, This society likes to be called AES because we've kind of moved away from the whole equilibration thing.
Jaz's Introduction:It's way more than equilibration. It is occlusion. It is TMJ is the definitive conference sense that brings together all these occlusal camps. And I tell you guys, I was in heaven. I was in education heaven,Fri, 15 Mar 2024 - 57min - 262 - The Bioclear Philosophy of Adhesive Dentistry – Part 2 (Anterior) – PDP179
Managing black triangles with composite resin - often these are periodontal patients. Doesn’t that mean you’ll be bonding to root dentine?!
Continuing our Adhesive Month series in to March (oops!), we're excited to bring you Part Two of our journey into the Bioclear Adhesive Philosophy. Building on the rich discussion from Part One (PDP 178), we're joined once again by Dr. David Carroll and Diana McKenna as we shift our attention to anterior restorations. We focus specifically on the intricacies and challenges of closing black triangles.
https://youtu.be/AFlhZXTm32w
Watch PDP179 on Youtube
Protrusive Dental Pearl: Protect the unrestored teeth and restorations from air particle abrasion! Using a soft steel matrix strip, similar but softer than a matrix band, protects the adjacent tooth's enamel when air abrading the tooth.
Example one I found on the market: Polydentia soft matrix strip (no financial interest)
Need to Read it? Check out the Full Episode Transcript below!
Highlights of this episode:
* 1:33 Dental Pearl - Protect from Air Abrasion
* 04:19 Ceramic vs Composite Debate
* 11:17 Informed Decision Between Ceramic and Resin
* 19:22 Bonding to Root Dentine
* 22:33 Anterior Restoration Protocol - Heated Composite
* 29:57 BT Matrix System of Choice
* 34:35 Guidelines for Anterior Bioclear Composites
* 39:55 The Importance of Proper Set-up
* 41:46 Learn more from David and Diana
Take advantage of our upcoming Documentation Month this March!
If you want CPD or CE credits from this episode, just take the quiz. For premium app users, scroll down to download the notes. You'll also get access to our special content like ‘Verti Preps for Plonkers’, Sectioning School, over 30 rubber dam videos, webinar replays, and clinical videos on various dental procedures. All these are available with our Ultimate Education Plan.
If you liked this episode, you will also like PDP178 - The Bioclear Philosophy of Adhesive Dentistry - Part 1 (Posterior)
Click below for full episode transcript:
Jaz's Introduction: Hello Protruserati, I'm Jaz Gulati and welcome to PDP 179. Now I know we are well into March at the time of publishing and we're still stuck on adhesive month, which was February. March is supposed to be documentation month, but don't worry. I've got some cool stuff coming to catch up in March, including what software I'm using at the moment to write my notes for me.
Jaz's Introduction:I know it sounds crazy. I have two, I have two dreams in my life. One is to never have to wash dishes ever again. And no, I don't have a dishwasher. My kitchen is not big enough at the moment. And number two is to never have to write my notes again. So, you know, dishwasher can wait, but number two is actually almost happening.
And I've been on this crazy journey to discover the best software or the best way. So as part of documentation month, I'll make it up to you by the end of this month to reveal which softwares I've tried...Wed, 13 Mar 2024 - 47min - 261 - The Bioclear Philosophy of Adhesive Dentistry – Part 1 (Posterior) – PDP178
This episode aims to shine light NOT on the matrix itself, but the adhesive philosophy followed by those that use Bioclear matrices.
Everything you wanted to know about the Bioclear system (but never asked!)
As we continue to celebrate Adhesive Month (now spilling over into March!), we're thrilled to bring you insights into the principles of cavity preparation and adhesion a la Bioclear.
In this first part of our series, we'll uncover the ‘unconventional’ yet highly effective techniques employed by practitioners like Dr. David Carrolland his colleague, Diana McKenna. One of the key highlights we'll explore is the Bioclear approach, which challenges traditional norms by utilizing a single large increment, diverging from the conventional use of small increments.
https://youtu.be/mn_FRhSIGCk
Watch PDP178 on Youtube
Protrusive Dental Pearl: If there's a disagreement between you and your principal or associate about practice philosophies, arrange a face-to-face meeting. Work together to find common ground and reach a win-win solution that benefits both parties and aligns with the practice's goals. Effective communication is key, whether it’s with our patients or our colleagues.
Need to Read it? Check out the Full Episode Transcript below!
Highlights of this episode:0:00 Introduction7:22 Journey into Bioclear15:30 Bioclear Philosophy19:19 Posterior Bioclear Matrices and Wedges20:58 Clinical Protocol for PosteriorInjection Molding25:08 Alternative Cleaning Methods26:38 Advantages of Bioblaster Over Aluminum Oxide28:14 Addressing Concerns about Shrinkage Stress31:15 Technique for Deep Restorations32:44 The Hip33:29 Bonding Protocol37:31 Posterior Composite Selection39:56 Bulk Fill Composite Application41:05 Posterior Overmolding and Tidying Up43:33 Evolution of Dental Education and Bioclear46:33 Stress-Reduced Direct Composite and Finding a Repeatable System50:53 Outro
Struggling with rubber dam placement? Check out my Quick and Slick Rubber Dam series! It includes a one-hour walkthrough for isolating quadrants AND 30+ clinical videos showing procedures in full detail (POV). Access it on Ultimate Education Plan via Protrusive Guidance
If you loved this episode, make sure to check out PDP177 - Fast Modelling Composite Technique.
Click below for full episode transcript:
Jaz's Introduction: So you might have come across the BioClear matrices. They've been kind of taken dentistry by storm over the last few years. I was first exposed to them maybe about, gosh, nine, ten years ago. And this mad scientist type figure came on the scene, Dr. David Clark. And I just loved his quirkiness, his humour and just the way his brain worked.
Jaz’s Introduction:Now, fast forward some years, I used their anterior matrices for black triangle closure. I had some good success. And as an associate, I never got to purchase the posterior matrices, although I did do a hands on workshop and I was quite impressed. But today, this episode is not about any matrix system. It's not a sponsored episode.
It is just to shine a light on some really important principles that we can learn from the bioclear philosophy.Thu, 07 Mar 2024 - 52min - 260 - The Fast Modelling Technique for Efficient and Esthetic Posterior Composites – PDP177
Is this the death of composite layering and the tedious cusp-by-cusp build up? This episode might just change how you place posterior composites for good!
I know so many of us have reservations about bulk fill composites - when I was exposed to the Fast Modelling technique in 2016 I had too many doubts. All those doubts were cleared in this 90 minute episode - grab your onions Protruserati!
Joined by Dr. Ahmed Tadfi, we explored this innovative approach that promises increased efficiency without compromising on quality. We delve into the details of the fast modeling or the ‘Espresso’ technique, its benefits, and how it can transform your practice. Whether you're seeking greater efficiency or curious about new techniques, this is your guide to elevating your posterior composite restorations
https://youtu.be/YXJ6oW6qUKU
Watch PDP177 on YouTube
Protrusive Dental Pearl: Composite does not like to be dragged - consider using composite brushes or a cutting action, as opposed to a dragging action, especially if using the Fast Modelling Bulk Technique.
Need to Read it? Check out the Full Episode Transcript below!
Highlights of this episode:04:26 Protrusive Dental Pearl - Composite Handling06:07 Protrusive Guidance Platform09:24 The Journey of Dr. Ahmed Tadfi17:44 Ahmed’s Struggle with Posterior Composites27:46 Help Save Nafisa's Life30:03 Evolution of Espresso Technique31:30 Importance of Proper Cavity Design33:01 Step 1 - Pre-Operative and Caries Removal40:03 Step 2 - Pre-Wedging, Matrixing, and Final Clean 46:04 Step 3 - Etch and Bond58:51 Step 4 - Final Adhesive Layer01:01:21 Step 5 - Managing Marginal Ridge01:08:18 Step 6 - Restoration Process01:15:00 Clarifying Use of Microbrush to close the fissures01:16:02 Step 7 - Restoration Process Continued01:19:03 Step 8 - Glycerine Application and Polishing01:21:07 Step 9 - Occlusion Check01:24:56 Learn more from Ahmed Tadfi01:28:02 Ahmed’s Advice about Implementing the Technique
Check out Dr Tadfi's Composite Artistry courses
Join the Nicest and Geekiest Community of Dentists in the World: Protrusive Guidance - we will be able to comment and discuss on this episode and share more with each other that way. The clinical papers and Composite recommendations have been shared there.
Please do donate to Smiles for Nafisa - we are almost there to saving her life - this will be HUGE for our community to help one of our own!
If you loved this episode be sure to check out Composite Veneers vs Edge Bonding – Biomimetic Dentistry with George The Dentist – PDP075
Click below for full episode transcript:
Jaz's Introduction: How are you placing your posterior composites? Are you doing like me? Are you doing cusp by cusp? Or have you discovered another technique? Well, I'm going to start by giving you a warning, Protruserati. This episode may completely change the way you place your posterior composites. I'm talking here bread and butter daily restorative dentistry.
Jaz's IntroductionIt might just completely foundationally change it to the core. And of course it's got to be for the better. So the technique that we talk about today, the fast modeling technique or the fast modeling bulk technique, this could be an absolute game changer for you in your practice.Thu, 29 Feb 2024 - 1h 32min - 259 - 5 Ways to Stop Running Late – PDP176
‘Tell all my patients I’m running 20 minutes late..’ - sound familiar? If so, this episode is for you!
Punctuality goes beyond habit; it reflects our respect for others' time and professionalism. In this episode, we delve into mastering punctuality in dental practice, exploring the balance between patient care and schedule.
Join Nikhil Kanani as he unveils his five actionable strategies for refining workflows, improving communication, and boosting efficiency in your practice.
https://youtu.be/ixkHjJGKGl0
Watch PDP176 on Youtube
Protrusive Dental Pearl: Explore the Greater Curve Matrix Band for your restorations - it's now my preferred choice for around 70% of my cases. Wherever you are in the world, find a Greater Curve dealer and discover their range of products. Claim £100 voucher towards this matrix system when you sign up to the DRE Composite course - use coupon code PROTRUSIVE on www.drecomposite.com
Need to Read it? Check out the Full Episode Transcript below!
Highlights of this episode:
* 05:28 Protrusive Dental Pearl
* 11:08 Nikhil Kanani Introduction
* 16:13 Preparation
* 20:33 Stick to your Time Allocation
* 25:39 Have a Protocol List
* 28:39 Work Simultaneously and In Flow with your Nurse
* 31:33 Use Templates/Pre-written Procedure Protocols
* 35:58 Learn more from Nikhil Kanani
Join the Nicest and Geekiest Community of Dentists in the World: Protrusive Guidance
If you loved this episode be sure to check out 10 Habits of Highly Successful (and Most Valued) Dentists – PDP042
Click below for full episode transcript:
Jaz's Introduction: I hate running late, like I rarely use that word hate, but I generally hate run late. My wife knows it very well because she sees in me that I am the most anxious. I'm the most worried when I'm running late for something, because for me, when you agree to meet someone or go somewhere for a certain time, it's like a promise that you've made.
Jaz’s Introduction:So in my values, not breaking that promise and being punctual is actually really important. Now, interesting thing that I think maybe Jordan Peterson said, or I read somewhere, was that this isn't like a blanket rule. Like, even with me, if I'm running late, I'm not happy. However, there are some things that I value more than other things.
So, for example, going to a party. Like, if I'm late to a party, I'm chill. I'm okay. Because parties aren't my highest values. Not anymore, they used to be, but that was a long time ago, right? So they're not my highest value. So if I have to do a few tasks or quick do a few emails before I have to go to a party, for example, and I end up running late for that party, it's okay with me.
That can sit okay with me. But if I've agreed to meet a friend at a cafe or some friends at restaurants, then you bet I'll be there on time, maybe even early. Because I value those kinds of encounters and those relationships. Now bringing about dentistry, a long time ago I made an episode called Six Signs That You're A Comprehensive Dentist.
And one of the signs was that you're running late a...Thu, 22 Feb 2024 - 39min - 258 - The Man Behind Protrusive – Jaz Gets Interviewed! IC045
Welcome back to another Interference Cast! Today's episode is a bit unique—for once Jaz wasn't the one asking the questions. Instead, he had the pleasure of being interviewed by the a cool dental student, Nav Bhatti.
During the interview, we explore Jaz' story, origins, and what fuels his passions. It's a deep dive into who he is and what drives him. Plus, he shared insights into one of his top strengths, according to Tom Rath's Strengths Finder 2.0: being a learner. Join us as he discusses the importance of focusing on our strengths and the joy of continuous learning and sharing.
https://youtu.be/JyQ3qpZNQLk
Watch IC045 on Youtube
Need to Read it? Check out the Full Episode Transcript below!
Highlights of this episode:
* 6:51 Get to know about Jaz Gulati
* 8:35 Jaz’s Journey in Dentistry
* 11:49 Ensuring Quality in Dentistry vs Income
* 15:33 Highlights and Challenges in Studying Journey
* 18:42 Advice for Dental Students: Balancing Academic and Social Well-being
* 21:18 Journey to the World of TMD
* 26:36 Difference between TMD and TMJ
* 28:13 Q&A: Dentistry and Kids - is it possible?
* 29:12 Why is Dentistry better than Medicine?
We recently took a bold business risk, urging subscribers to cancel with the 'Old App' and switch to Protrusive Guidance for a sleeker, more user-friendly experience. The response from the Protruserati has been overwhelmingly positive. It's our free Community!
We also offer paid plans for educational content and CPD options. Students, stay tuned for exciting updates coming soon! Join us on Protrusive Guidance for the home of the Nicest and Geekiest Dentists in the World!
If you loved this episode, be sure to check out Value Your Skills – How to Stop Underselling Yourself – AJ006
Click below for full episode transcript:
Jaz's Introduction: Hello, Protruserati, I'm Jaz Gulati and welcome back to an Interference Cast. This one I feel kind of selfish posting this one, but it was interviewed. It's about me today, right? It's my story, my origin, what drives me. But I was interviewed by a very fascinating dental student called Nav.
Jaz Introduction:Nav Bhatti And he's an up and coming content creator. I liked his style. I liked his realism. Very real world. I always got time for people like that. He's actually a British citizen studying dentistry history in Slovakia, previously having studied in Egypt and Ukraine.
So he's got a really interesting story and we didn't actually get time to unpack it because he came to my practice where I work and he shadowed for a bit and then the plan was to record. But while recording about 25 minutes in, which is why this podcast is as long as is, which is why it's a kind of shorter episode. My wife calls me and at this stage, it kind of sums up the entire sort of month I've had, right?
My family has been plagued by illnesses like my baby, Sihaan 10 months had like back to back viruses and when the kids are not sleeping we'll get like 2 -3 hours sleep a night and then unfortunately my eldest, almost 5 years old,Tue, 20 Feb 2024 - 34min - 257 - Cracked Teeth and Dentistry’s Tough Questions with Dr Lane Ochi – PDP175
Dr Lane Ochi is such a legend that I wanted to throw ALL of Dentistry’s tough questions at him - and as you guys requested, it’s MOSTLY about CRACKS!
Dr Ochi practiced in Beverley Hills for 43 years and embodies the Protrusive values of a lifelong learner, avid sharer and with so much humility.
Dr Lane Ochi and another of my mentors Dr Michael Melkers will be visiting London on 27th and 28th July in London for a 2 Day course. Click here to book on!
https://youtu.be/ox9Jqc_f4pY
Watch PDP175 on Youtube
The Protrusive Dental Pearl – Intraoral Photographs: encourage your patient to capture intraoral photos on their phone, giving them a copy for reference. This empowers the patient to stay informed, facilitating their understanding and ownership of the situation
Need to Read it? Check out the Full Episode Transcript below!
Highlights of this Episode:
* 01:24 The Protrusive Dental Pearl
* 03:40 Dr. Lane Ochi
* 09:11 Amalgam Restorations
* 16:16 2 Types of Wearers
* 19:27 Virgin Teeth
* 20:00 Mechanical Failures in Dentistry
* 27:33 Force Management to Prevent Cracks
* 34:35 Micro Leakage - When to and When Not to Intervene?
* 39:32 Should you chase cracks?
* 45:17 Second Molar Problems
* 48:41 Posterior Severe Wear without Anterior Tooth Surface Loss
* 53:42 Management of Symptomatic Cracks
* 57:42 Direct Composite Overlay Protocol
Join the Nicest and Geekiest Community of Dentists in the World: Protrusive Guidance
If you liked this episode, you will also likeI Hate Cracked Teeth with Kreena Patel – PDP028
Click below for full episode transcript:
Jaz's Introduction: Should you chase cracks? Should you be concerned when composites come back with staining? Is that actually caries though? Or is it just harmless staining? Is there something we can do to prevent our patients from cracking their teeth? And that age old question of when should we think about intervening on someone who's exhibiting hairline cracks in their teeth?
Jaz’s Introduction:You see, Protruserati, these are dentistry's tough questions. There's no hard and fast rules. There's lots of opinion because we lack the clinical trials. But you know what? If I was going to ask someone their opinion, I'd want this person to be very experienced. So how is 43 years? Is that good enough for you?
I think that's pretty good. Okay. What kind of dentist should this person be? Okay. Well, let me tell you the guy who we have on today. This is Dr. Lane Ochi. Not only is one of the most brilliant dentists ever, he's also the most humble dentist ever. This is a beautiful combination. And he really embodies everything that Protrusive is about, everything our community is about.
This guy practiced for 43 years in Beverly Hills. He treated Miss Americas and celebrities, but when you speak to him, he's just the loveliest, most humble man. So it's a great pleasure to host him here today. We actually went live on YouTube and Facebook,Wed, 14 Feb 2024 - 1h 06min - 256 - Immediate Dentine Sealing Tutorial Part 2 – PDP174
In the previous episode, Jaz and Zahid explored the foundational concepts of IDS and its transformative potential in preserving dentine integrity for bonding.
In this Part 2 of Immediate Dentine Sealing (IDS) series, Jaz and Zahid turn their focus onto the critical stages of the fit appointment and reactivation process to ensure you realise the full benefits of IDS.
https://youtu.be/CFbek4ZOXJk
Watch PDP174 on Youtube
Protrusive Dental Podcast: Summarized Infographic of Immediate Dentine Sealing (IDS) Clinical Step-by-Step PDF
Click Here to Request your PDF Copy
Need to Read it? Check out the Full Episode Transcript below!
Highlights of this episode:
* 00:00 Local Anaesthetic after IDS?
* 03:19 Trying in the Onlay
* 11:53 Ceramic Bonding Protocol
* 16:28 Immediate Dentine Sealing (IDS) Re-Activation
* 18:31 Disadvantages of Immediate Dentine Sealing (IDS)
* 21:56 Zirconia For Indirect Adhesive Dentistry?
* 23:22 Evolution of Immediate Dentine Sealing (IDS)
If you didn't see the first episode, don't forget to check out Part 1 before you dive into this one.
Check out Zahid's courses
Click below for full episode transcript:
Jaz's Introduction: So after listening to part one of this episode, you now can do immediate dentine sealing, but it's kind of not finished yet because when the patient comes back and you remove the temporary onlay, be it a bisacryl temporary like we discussed, or like a clip or a Telio, you still have to reactivate your immediate dentine sealing.
Jaz's Introduction:So this episode will walk you through that entire process and I'm so glad that part one was received so well. In fact, while I'm recording this introduction, I'm having a look. We just published 173, which is the part one of this episode of Immediate Dentine Sealing, and I'm reading your comments and I'm just amazed about how well this episode has done.
Ayesha Iqbal said it's so good. Well, thank you so much, Ayesha. Muhammad Hammoda says, thank you for your priceless efforts. Well, we really appreciate that. It's a team effort. One of these episodes I've calculated takes about 32 hours of time to edit. So really appreciate that. And Jayaraj Menon says, hi from Malaysia.
Well, hello back to you from Malaysia, Jayaraj I went to Malaysia and had such a lovely time. I visited Penang and Kuala Lumpur and also Langkawi. So all of these beautiful places. And I had such a great cultural experience, such great food. My biggest regret. It's because I didn't know about it. I didn't know about Ramly Burger, right?
I only found out about Ramly Burger while I was in Singapore and I didn't get to go back to Malaysia. So huge regret is not eating at Ramly Burger in Malaysia. So if you have the chance to eat at this place, apparently it's absolutely iconic.
Anyway, I digress. In the last episode, I left you on a cliffhanger. I'm asked Zahid about whether you can skip the local anesthetic if you've done a good immediate d...Thu, 08 Feb 2024 - 32min - 255 - Immediate Dentine Sealing Tutorial Part 1 – PDP173
How and Why to do Immediate Dentine Sealing:
In this first episode, Zahid and Jaz not only explored the fundamental principles of IDS but also offered a practical guide for its smooth implementation in clinical settings.
Every single step of IDS is broken down and made tangible.
https://youtu.be/UrrnSNWouf8
Watch PDP173 on Youtube
Protrusive Dental Pearl: When dental work fails after a long time service, remind the patient that 'it does not owe us anything' and 'What could they buy today that would last X years?'
Need to Read it? Check out the Full Episode Transcript below!
Highlights of this Episode: 00:00 Introduction07:13 Zahid Shaikh Introduction11:39 Immediate Dentin Sealing (IDS)14:54 History of Immediate Dentin Sealing18:47 Onlay vs Overlay?21:33 Occlusal Reduction for Ceramic Onlays23:28 Caries Removal and Isolation24:58 Air Abrasion in Adhesive Dentistry27:36 Clinical Steps in Immediate Dentine Sealing35:48 Thickness of IDS Layer40:12 Enamel Refinement42:02 Preventing Temps from Sticking to Your IDS51:11 Liquid Dam to Temporise Onlays52:47 Removing Temporary Onlays
In part 2 of this episode we will explain how to reactivate your IDS layer.
Check out Dr Zahid Sheikh on Instagram!
We're thrilled to announce the upcoming arrival of our Protrusive Guidance App, not only just a great source of CPD but a community of the nicest and geekiest Dentists in the world. Keep an eye out!
Coming Soon: Protrusive Guidance App
If you liked this episode, you will also likeDental Ceramics in 2022 – Which Ceramic Should I Use?
Click below for full episode transcript:
Jaz's Introduction: When I qualified in 2013 from dental school, I had never at that stage done a ceramic onlay or any sort of overlay restoration. In fact, it was full crowns when I was qualifying. A lot of the training that I had was on PFM. So porcelain fused to metal crowns and I look at and reflect on my dentistry and how much of it is adhesive and how much I rely on lithium disilicate onlays and overlays.
Jaz’s Introduction:Now, part of the learning process, I learned about immediate dentine sealing, which is what today's episode is all about. And I've been doing this since about 2015. It's something I implemented in my protocol because I went on a Jason Smithson course and I saw that he was teaching it and he recommended it. So me being a good listener, I said, okay, if Jason says do IDS, I did IDS.
But over the years, the more lectures I've been to, the more literature I read, the significance and power of immediate dentine sealing really cannot be underplayed. In terms of the improvement in your bonding and the overall success and longevity of restorations just makes a lot of sense, which is why I know you're going to love this episode with Dr. Zahid Sheikh, all about immediate dentine sealing, step by step, every little geeky detail will be covered, but more importantly, whether you've never done IDS before, you will feel confident to do so.
And if this is something that you do all the time, you get to understand a bit more of the rationale, the science, and the alternative options, different ways of doing it. Zahid does it differently to how I do it. And so you get to listen to both views. In fact, this episode was full of so much goodness,Fri, 02 Feb 2024 - 58min - 254 - Value Your Skills – How to Stop Underselling Yourself – AJ006
Because You're Worth It - this episode is your L'Oréal moment ;-)
How to take pride in what you charge.
https://youtu.be/TeW6Jj0OQY8
Watch AJ006 on Youtube
Stop Diagnosing wallets and giving discounts, these negative practices hurt our business and highlight a mindset issue.
In this 'Ask Jaz' episode I discussed all the reasons why you need to STOP underselling yourself, starting from a lesson me and my wife learned in Singapore.
I explored common reasons behind this trend, such as fear of rejection and a lack of confidence, particularly among new practitioners. I shared my perspective, emphasizing the importance of building confidence through continual learning and practical experience.
I also discussed the concept of 'neuro-fiscal drag' – the phenomenon where a figure in your mind gets substantially reduced by the time it comes out of your mouth. This mindset often leads to dentists undercharging for their services. It's crucial for dental professionals to take pride in their work and understand the value they bring to their patients. After all, we're not just providing a dental service; we're restoring confidence and quality of life.
Remember, valuing your work appropriately is not just about financial gain; it's about respecting the skill, effort, and care you put into each procedure.
Need to Read it? Check out the Full Episode Transcript below!
Highlights of the Episode:0:00 Opening Snippet0:52 Experience in Singapore4:24 The Late Night Emergency5:37 Don't apologize for your fee6:32 Introduction10:24 Neuro-fiscal Drag11:38 Why NOT to give Discounts13:37 Don't diagnose wallets15:03 Gaining Confidence 23:35 When a patient laughed at the fee!32:42 Protrusive Guidance
If you liked this episode, you will also like Think Comprehensive – Communication Gems with Zak Kara – PDP010
Did you know? Whilst this episode is not eligible for COD, you can get over 220 hours of CPD from the Web App or Phone App and watch premium clinical videos, for less than a tax deductible Nando’s per month!
Click below for full episode transcript:
Jaz's Introduction: You know, remakes aren't fun anyway, but trust me, remakes, when you've undercharged in the first place, are the worst. So I guess, make sure when you're charging to factor in that there's a degree of fudge factor. And by adding in this fudge factor, you're not going to have anxiety about doing the remakes, about the financial aspect of it as well. So the lesson there is, even if you're doing like a review appointment, make sure you charge for a review appointment. Because if it's your opinion, and your expertise that the patient's paying for, and the overheads of the building, that is really important to consider.
[Jaz]I'm going to start this episode with a little story, a personal story, actually.Me and my wife used to live in Singapore. You guys might know this already if you've been a listener for a long time. We moved to the UK, to Singapore, to practice dentistry, but also travel and stuff, which was, which is great. And dentistry in Singapore was a nice chapter that we look back at when we reflect on our time there.
It was a beautiful time. And of course, the very first episode of Protrusive was all about our time in Singapore. But while we were there, Sim, my wife is a practicing dentist and me and her...Wed, 24 Jan 2024 - 34min - 253 - Deep in to TMD – An Orthopaedic Perspective – PDP172
I am going to say something controversial, but we kind of all know it’s true:
The management of Temporomandibular disorders is like the Wild West.
There are either no rules, or the rules are based on poor quality data.
https://youtu.be/mvWdkd74Khg
Watch PDP172 on Youtube
In this episode, we're joined by Dr. Patrick Grossmann, a retired orthodontist with 30 years of experience in TMD treatment using an orthopaedic approach. Together, we'll unravel the complexities of TMD, discussing different viewpoints in TMD management.
Whilst Dr Grossmann and I do not fully agree on everything (typical Dentists!) it is helpful to understand the ‘working out’ and philosophy of a treatment modality.
Protrusive Dental Pearl: TMD History Form - which I send to all my patients before they come to see me for a TMD consultation. Premium members scroll down on the App to download (or check the Protrusive Vault). Otherwise download from https://www.protrusive.co.uk/tmd-history
Need to Read it? Check out the Full Episode Transcript below!
Check out Dr Grossmann’s course on February 17th in London: https://www.cephtactics-dental.com/short-courses/p/tmd-splint-day-course
A message from Dr Grossmann: “As of September 1st, I shall for the first time be offering a one-on- one (in person) 2 day intensive course in London. The course will cover ALL important aspects of TMD for the general practitioner as well as a half day ‘hands on’ session with the participant’s own splint. This will include using the splint for myofascial pain dysfunction syndrome as well as internal derangements-clicking/ locking. Moreover the importance of a night time appliance (Garcia) will be addressed and evidence for its efficacy.
For details on this course please email: patrick@patrickgrossmann.co.uk
If you liked this episode, you will also like Functionally Generated Path Technique – Conforming to Funky Occlusions – PDP168
Did you know? You can get CPD from the Web App or Phone App and watch premium clinical videos, for less than a tax deductible Nando’s per month?
Click below for full episode transcript:
Jaz's Introduction: In this episode I'm joined by Dr. Patrick Grossmann. He's now retired but he treated TMD for 30 years. He was an orthodontist and the way he treated it was an orthopedic approach. Now I've learned from Patrick but I've also learned from lots of other great clinicians and some of the things that were said on the podcast by Patrick I disagreed with.
Jaz's Introduction:So you'll see me interjecting now and again, but I disagree with respect because I feel as though TMD, especially with the lack of clear guidelines and evidence available. I mean, long term high quality data. I mean, if you look at all the systematic reviews, they all say we need. better quality data. I think there's totally a place for all the things that Patrick says in the episode and his treatment philosophy, it's nice to understand it, but I also offer some alternative opinions.
So it's up to you as a clinician to make up your mind in terms of which Camp you want to follow and what aligns best with your values,Wed, 17 Jan 2024 - 1h 29min - 252 - Occlusion Questions from Students – AJ005
See blue dot. Erase blue dot. That was my clinical application of Occlusion at Dental school!
This episode was ‘Occlusion for Dental Students and New Grads’ - as featured on The Very Dental Student podcast.
Oklahoma based Dental student Mohamed Abo-Basha asked Jaz questions to make Occlusion tangible - exploring topics like using a face bow, understanding the importance of centric relation in everyday dentistry (and why in our DAILY bread and butter Dentistry, it’s not very important for 99% of our patients), and strategies for improving our ability to adapt to our patients' occlusions.
https://youtu.be/L5Dd6HZ22IM
Watch AJ005 on Youtube
Need to Read it? Check out the Full Episode Transcript below!
Highlights of the episode:
* 0:00 Intro
* 02:37 Mohamed Abo-Basha and The Very Dental Student Podcast
* 05:33 Always check Occlusion Pre-Op
* 11:29 Articulating Paper
* 16:43 Centric Relation
* 26:39 Facebows - what and why?
* 39:02 3D Scanner - can it replace traditional impressions and Facebow transfer?
* 43:57 Occlusal Diagnosis - does it benefit single tooth dentistry?
* 58:19 Outro
Did you know? You can get CPD from the Web App or Phone App and watch premium clinical videos, for less than a tax-deductible Nando’s per month?
Learn Occlusion Online
If you liked this episode, you will also like Your Occlusion Questions Answered by Dr Michael Melkers – PDP015
Click below for full episode transcript:
Jaz's Introduction: In this Ask Jaz episode, we had a dental student called Mohamed from Oklahoma in the USA, asking me some really great questions around occlusion. We covered things like when and why should you use a face bow? What is the relevance of centric relation to our daily dentistry? And how can we become better conformers to our patient's occlusions?
[Jaz]The episode itself will be featuring on the Very Dental Student podcast, so it's great to be on there, but I thought why not take this opportunity to share it with you guys, to Protruserati, and especially some of the younger dentists and the students coming through, who also have these same burning questions, so that we can all benefit.
Now, as you'll see from this episode, we could have gone and on, and on, and on, answering all these questions, and we kind of ran out of time, so there may be a part two, but if you have any burning questions for an Ask Jaz episode, or occlusion in general, then do type it in the comments, and we'll make sure that if we film a part two, that we cover those questions.
Now, before we join the main episode, I've had some really great news actually, on Instagram, Course Karma, our good friends at Course Karma, they've just messaged me saying, congratulations, your podcast has been voted a top podcast of 2023. So for anyone who voted, even though I didn't ask you, even though I never emailed you to ask you, I really,Wed, 03 Jan 2024 - 59min - 251 - Trusting Your Gut Instinct for Treatment Planning – PDP171
Is your gut instinct harming or helping patients?
Sometimes we’re just not sure which is the ‘best’ treatment plan to recommend or even if a single tooth is restorable. Dentistry is an art AND a science, which is why things are not black and white.
We sometimes get stuck in ‘analysis paralysis’ and rely on our gut instinct to save us.
But can we really trust gut instinct in decision making/treatment planning in Dentistry? Is it really serving our patients?
https://youtu.be/vIEYEA9Y61s
Watch PDP171 on Youtube
Protrusive Dental Pearl: Make sure to feel the root tip fragment (rub with your gloved index finger) after extraction - it should feel nice and smooth. The presence of sharp or jagged edges may suggest a potential root fracture, indicating that a fragment of the root might still be lodged in the socket.
Sign up for launch updates for Intaglio Mentoring- making high quality mentorship in Dentistry easy to find. Click Here to sign up for free!
Check out the recent Sectioning and Elevating for 2024 Webinar with Dr. Chris Waith on the Protrusive Premium App under the Premium Clinical Videos
Need to Read it? Check out the Full Episode Transcript below!
Highlights of the episode:1:50 Protrusive Dental Pearl: Root Tips2:59 Can we Trust our Gut instinct?8:39 Trusting Your Gut Based on Experience 12:27 When can your gut instinct be unreliable?14:15 Importance of Mentorship17:55 Unreliable Mentorship Example19:03 What's the BEST way to get mentorship?20:16 Intaglio Mentorship
If you liked this episode, you will also like GF019 Indemnity vs Insurance
Did you know? You can get CPD from the Web App or Phone App and watch premium clinical videos, for less than a tax deductible Nando’s per month?
Click below for full episode transcript:
Jaz's Introduction: One of the most difficult things in dentistry is treatment planning and decision making. Let's face it, dentistry is as much of an art as it is a science and therefore, decision making can be really mind boggling. What is the best treatment approach? What is the best technique to use for this particular patient, for this particular problem?
[Jaz]It's not so easy. And so in this episode, we're going to explore, can you trust your gut instinct? Your intuition when it comes to making these often-complex decisions? Make sure you stay tuned all the way to the end of this episode. Make sure you don't miss my number one advice for helping you with your daily tough decisions.
Hello, Protruserati. I'm Jaz Gulati. And welcome back to your favorite dental podcast. For those of you listening on Spotify or Apple or Google, thanks so much for joining us again. I might be sounding a bit different. My acoustics might be a bit different. And those of you watching, you'll see that I'm in a strange room that's kind of pink, rose colored in color.
I'm in my such as old bedroom in that kind of like the loft of my parents place in West London. It's just kind of that weird time between Christmas and new year kind of thing. So by the time you're listening to this, I hope you had an awesome Christmas and that you really had some lovely quality time wit...Thu, 28 Dec 2023 - 24min - 250 - Deep Bites and Aligners – How to Improve Predictability – PDP170
“You shouldn't use aligners for Deep Bite cases”. FALSE!
I was joined by the Taheri brothers (kinda like the Mario Brothers, except they're not Italian Plumbers but rather British-Iranian Orthodontists) to unravel the intricacies of utilizing aligners and specific protocols for deep bite correction.
https://youtu.be/WW5M8blu6Qk
Watch PDP170 on Youtube
We discussed their protocols and the significance of bite ramps and understanding the correct selection of attachments.
Protrusive Dental Pearl: Check out the OXO 4K Camera - record clinical videos using a loupe-mounted camera.
Need to Read it? Check out the Full Episode Transcript below!
Highlights of the episode:0:00 Introduction0:56 Protrusive Dental Pearl2:36 Dr. Damon Taheri and Dr. Ramtin Taheri Introduction8:55 Deep Bites and the Predictability with Aligners12:11 Getting Better Outcomes Using Aligners16:51 OverCorrection - How does it look on a clincheck? And why is it important?23:31 Using TADS to assist bite correction26:57 Bite Ramps and its importance on deep bites and aligners33:08 Aligner Protocol37:23 Round-tripping and its relevance to deep bites40:17 The Complete Aligner Program44:48 Outro
If you liked this episode, you will also like Do’s and Don’ts of Aligners [STRAIGHTPRIL] – PDP071
Did you know? You can get CPD from the Web App or Phone App and watch premium clinical videos, for less than a tax deductible Nando’s per month?
Click below for full episode transcript:
Jaz's Introduction: Deep bites are really difficult to correct with aligners, right? Well, brothers and orthodontists Dr. Damon Taheri and Dr. Ramtin Tehari today on the podcast will be discussing how we can use specific protocols using aligners to improve the predictability of your deep bite corrections.
[Jaz]I always thought that deep bite, if it's super deep bite you're better off going for fixed appliances because aligners will struggle with deep bite correction.
But speaking to the Taheri brothers showed me that actually, you can do a lot when it comes to deep bite with aligners. Which attachments should you use and when? How should you stage your deep bite correction? And what about bite ramps? What are they? Why are they so effective in deep bite correction? And why you should use them with care?
Hello Protruserati, I'm Jaz Gulati and you're listening to your favorite dental podcast. Thank you for joining me again. If you're new, welcome to the podcast. You picked an interesting one, a very orthodontics based one. I cover all sorts of dentistry over the last four years or so. So do check out our backlog of episodes.
Protrusive Dental PearlNow, every main episode, I give you a Protrusive Dental Pearl. Today's dental pearl is all about how I record my clinical videos. Now, recently on YouTube, I published a video about how to record awesome clinical videos using a loop mounted camera. So I'll put the show links for that one below. But also if you search how to record awesome clinical dental videos, it will come up.
Essentially It's using something called an OXO 4K. I think it's a spanish company but they have made the best camera that I have seen. I've tried a few and I've also spoken to a few very experienced colleagues. And they have suggested that OXO was the best and i've been using it ...Thu, 21 Dec 2023 - 45min - 249 - Cosmetic Dental ‘Failures’ – When Veneer Patients Change Their Minds (Medico-Legal Series) – PDP169
Picture this: your patient is beaming with joy over her new veneers, giving high-fives and 5-star Facebook reviews! The next thing you know, she calls the practice demanding the removal of her veneers because her boyfriend claims she now looks like a horse (tip #1 – ditch the boyfriend!)
https://youtu.be/5OI8oJ8Pha8
Watch PDP169 on Youtube
In this episode I’m joined by Dr. Daniel Cattell and Dr. Neel Jaiswal on how to navigate such a situation. While we hope it’s not a common occurrence, we discuss the importance of consent protocols and thorough communication in hopes to avoid such scenarios. And in case things take an unexpected turn, know the right time to reach out to your indemnity company, and how to smooth out the bumps.
Protrusive Dental Pearl
Quick and Easy Smile Preview App
Download the ‘AirBrush’ app on iOS or Android which uses AI to produce a quick and surprisingly useful Smile design preview. Obviously, use it with caution!
Looking for a fresh indemnity quote? Visit www.protrusive.co.uk/insurance for an exclusive £100 off with PDI, and see how much you can save by shifting away from conventional indemnity agreements. For some informal advice, email Dr. Jaiswal at neel@professionaldentalindemnity.co.uk, or connect with him on Facebook.
Check out Dr. Cattell on Instagram @gentledentistrybournemouth, and Dr. Jaiswal @drneeljaiswal
Jaz mentioned he uses DAN audio for his note taking for TMD and new patients - check out www.dentalaudionotes.com.
Need to Read it? Check out the Full Episode Transcript below!
Highlights of the episode:00:00 Intro01:34 The Protrusive Dental Pearl04:15 Dr. Daniel Cattell06:23 Dr. Neel Jaiswal08:27 The scenario10:22 Smile previews14:06 The preparation appointment15:45 Temporaries23:00 Consent forms25:06 Cement protocol25:28 Further clinical tips31:48 Addressing patient concerns38:46 Professional Dental Indemnity40:04 Mentorship43:04 Addressing patient concerns45:44 Getting support48:54 Job satisfaction51:58 Outro
If you liked this episode, you will also like GF019 - Indemnity vs Insurance
Did you know? You can get CPD from the Web App or Phone App and watch premium clinical videos, for less than a tax deductible Nando’s per month?
Click below for full episode transcript:
Jaz's Introduction: Imagine that you've just placed some veneers and the patient is absolutely ecstatic. You're high fiving the patient, you have like a selfie together, the patient goes on Instagram, leaves you a video review, but then two weeks later comes back and she hates them. Now that is something that we dread as dentists, right?
Jaz's Introduction:People who suddenly change how they feel about an aesthetic outcome, because at the end of the day, beauty is in the eye of the beholder. So how can we protect ourselves? So this never happens to us. What are the steps that we can take at the very start of the consent process? And when we actually doing the veneers and temporaries to make sure the patient wil...Tue, 12 Dec 2023 - 53min - 248 - Functionally Generated Path Technique – Conforming to Funky Occlusions – PDP168
A single crown being fit in a Class I, canine guided occlusion is a piece of cake when it comes to the occlusion, but that same crown in a Class II Div 1 or AOB patient can result in occlusal errors. This episode is all about sharing a classic technique to prevent occlusal issues in ‘funky occlusions’.
Join us on this special episode as we delve into a game-changing technique – the functionally generated path technique – with the experienced and generous Dr. Tom Bereznicki. Having recently stepped into clinical retirement, Dr. Bereznicki remains a powerhouse in the education scene.
https://youtu.be/xHiLAxXUZ08
Watch PDP168 on Youtube
Protrusive Dental Pearl: Ensure you have an excellent relationship with your dental technician. - Working with a ‘big lab’ can sometimes have its issues. Try to visit your lab and become a familiar face so you have your specific technician that you can ask for whenever you send any indirect work. In that way, you can grow together - with that level of communication, the level of work you get back is so much better.
Need to Read it? Check out the Full Episode Transcript below!
Highlights of the episode:
* 00:00 Intro
* 2:06 Protrusive Dental Pearl:
* 4:06 Dr. Tom Bereznicki
* 10:16 Functionally Generated Path Technique
* 16:42 Lab Processes that might be beneficial using Functionally Generated Path Technique
* 19:47 Protocol for using the Functionally Generated Path Technique
* 32:48 Functionally Generated Path Technique VS Custom Incisal Guidance Table
* 34:31 Functionally Generated Path Technique on a single unit restoration
* 38:07 Final remarks
* 41:11 Outro
Did you know? You can get CPD from the Web App or Phone App and watch premium clinical videos, for less than a tax-deductible Nando’s per month?
If you liked this episode, you will also like Philosophy of Functional Occlusion with Riaz Yar – PDP066
Check out Dr Tom Bereznicki's website!
Click below for full episode transcript:
Jaz's Introduction: Have you ever got a crown or an onlay back from the lab and tried it in the mouth and thought, whoa, the occlusion is just way off.
Jaz’s Introduction:Either it's in infra occlusion, it's not even in the bite at all, or it's in supra occlusion. It's going to need a lot of time to adjust to get it happy, both in the static, the tap, tap, tap, and in the dynamic. i.e. the lateral excursions.
And sometimes it's a painstaking process where we try and get this crown perfect and happy in the patient's bite and then the patient's perception comes into it and there's other protocols that we talk about in other YouTube videos and episodes that I've done about checking the occlusion.
But this episode is about how can we prevent this scenario from happening. Well, you have to first think about when does this scenario often happen? Well, it's more likely to happen in funky occlusions. And guess what? Loads of our patients have funky occlusions. That's AOBs, cross bites, class 2 division 1s, and super, super deep bites,Wed, 06 Dec 2023 - 42min - 247 - Pain after Crown Fit – an Upset Patient! How to Manage Tough Scenarios – PDP167
“It didn't hurt before YOU drilled it!” - sound familiar?
Of course it does! It's such a real world WEEKLY dilemma for Dentists all over the world.
That heavily decayed and/or cracked molar was destined to start hurting the moment you touched it.
How should you handle these scenarios? How can you prevent them in the first place? What if you're patient is upset?
https://youtu.be/bf24wpgiv3Q
Watch PDP167 on Youtube
To tackle this scenario I’m joined by Dr. John Swarbrigg and Dr. Neel Jaiswal – two of the nicest guys in dentistry!
How do we dodge the pitfalls before they even appear? The secret sauce lies in a personal and detailed consent process. Informed consent allows you to set expectations, which saves time, money, and ensures smiles all round. And hey, we also talk about mitigating situations when things go a bit wonky – because let's face it, we're all human!
If you’re in need of a new indemnity quote, use the link www.protrusive.co.uk/insurance to get £100 off with PDI (and see how much you save by moving away from traditional and out-dated indemnity agreements).
Need to Read it? Check out the Full Episode Transcript below!
Highlights of the episode:00:00 Intro01:32 The Protrusive Dental Pearl02:45 Dr. Jonathan Swarbrigg05:50 Dr. Neel Jaiswal07:17 Scenario: Painful Pulpitis after Treatment08:31 ‘The 4 Rs’13:13 Save on Dental Indemnity14:23 Getting to know your patient16:36 Consent process21:15 Issues and complaints25:59 Who foots the bill?31:38 Final remarks38:16 Outro
If you liked this episode, you will also like GF019 - Indemnity vs Insurance
Did you know? You can get CPD from the Web App or Phone App and watch premium clinical videos, for less than a tax deductible Nando’s per month?
Click below for full episode transcript:
Jaz's Introduction: Picture this scenario, you have an asymptomatic molar with a large, behemoth amalgam restoration. You think it looks a little bit worse for wear, so you plan an indirect restoration, let's say an onlay.
Jaz's Introduction:And everything goes smoothly, you did it under rubber dam, and it looks beautiful, and he followed all the adhesive principles, but unfortunately this asymptomatic tooth became very symptomatic and now you're looking at a pulpitis and the patient needs a root canal.
Now sometimes the patient is upset. Does this sound familiar? Well if this doesn't sound familiar then you probably haven't done enough dentistry because this is something that we face. It's a real world problem. It's no one's fault that this happened. It's just biology. But attached to this scenario are emotions and feelings of the patient which can sometimes be quite bitter.
So today we tackle the clinical part of the scenario in terms of what do we do, how do we prevent this from happening, what kind of communication should be happening with the patient to preempt this kind of scenario, and medically, legally, how can we protect ourselves. I'm joined by a fantastic dentist called Dr. John Swarbrigg. And Dr. Neel Jaiswal, together they are two of the nicest guys in Dentistry. And yes, my voice does sound a little bit different. I'm sick again!Wed, 29 Nov 2023 - 39min - 246 - 5 Things I Wish I Knew at the Start of My Career – IC044
Ah, the things we wish we could tell our younger selves! This week, I’m chatting to the fantastic Dr. Alan Mead from Michigan, USA - better known as the host of the Very Dental Podcast. We’ve come together to talk about our top 5 things we wish we knew when we first started our dental career. Alongside the clinical gems, we’ve got great advice on maintaining top-notch mental health, nailing your priorities, and acing that elusive work-life balance.
https://youtu.be/H7VFhw_TmOQ
Watch IC044 on Youtube
For all things very dental, have a listen to Dr. Mead’s podcast, “The Very Dental Podcast”:
* @very_dental_podcast on Instagram
* Very Dental Facebook Group
* www.verydentalpodcast.com
We’re still striving to gather the money that Nafisa needs in order to receive life-saving treatment. If you can, please consider making a donation, and every share also means the world to this family – Fundraiser by Mufaddal Adamji : 1 year old Nafisa with SMA type 1 (gofundme.com)
Need to Read it? Check out the Full Episode Transcript below!
Highlights of the episode:00:00 Intro01:01 Dr. Alan Mead03:14 The Very Dental Podcast05:16 You are not your career10:32 Don’t commit to working Saturdays13:33 Things to avoid17:08 Things to pursue22:39 Work to learn24:25 The internet27:05 Understanding people28:56 Magnification and light32:04 Sectioning teeth34:16 Private dentistry40:34 Outro
If you liked this episode, you will also like IC037 - Personal Sacrifices
Did you know? You can get CPD from the Web App or Phone App and watch premium clinical videos, for less than a tax deductible Nando’s per month?
Click below for full episode transcript:
Jaz's Introduction: In this episode with Dr. Alan Mead from The Very Dental Podcast, we're going to cover the five things we wish we knew at the very start of our careers. It was so much fun talking to Alan. This episode is very relatable. And I know usually that's the kind of episodes you guys love the most. The kind of themes that we talk about are beyond dentistry.
Jaz’s Introduction:They're about life and values, but also we have a few clinical themes as well. I think you're going to gain from this episode whether you are a young dentist at the very start of your career, or you're going to look back your career and reflect on some of the things that, particularly Dr. Mead, who's had 27 years of dentistry and his reflections, and my reflections for the last 11 years, and how I wish I did things slightly different from the very start.
Hello, Protruserati. I'm Jaz Gulati. If you're new to the podcast, welcome. It's great to have you. You are officially now a Protruserati. If you're listening to this and you like what we do, you are Protruserati. And this is a free podcast for the community. If you want to get CPD or CE certificate and get access to premium notes, which pop up on the side, then please do support the podcast and join our membership at www.protrusive.App. Now to the main show and I'll catch you in the outro.
Main Episode:Dr. Alan Mead, welcome to the Protrusive Dental Podcast. How are you, my friend?
Fri, 24 Nov 2023 - 41min - 245 - Bleeding Sockets Management CLINICAL Exodontia – PDP166
What is the best management real-world management for bleeders after an extraction? We're talking about our healthy patients (who are otherwise low risk and not taking funky anti-coagulants).
From wetting our gauze and correct post-op instructions, Dr Ameer Alloybocus and I cover this foundational topic with our real world experiences (including what to do if you hit an arteriole and it's a spurter!).
https://youtu.be/mLPqyI-g_ZI
Watch PDP166 on Youtube
Need to Read it? Check out the Full Episode Transcript below!
Protrusive Dental Pearl: Have a PLAN for your extractions. Just like you have a plan for a crown preparation. For example, you should plan the sequence and also contingencies for when things do not follow your 'Plan A' - including at WHICH POINT you may decide to section the roots or raise a flap.
Post Op Instructions Video by Dr Allybocus as promised on the Podcast
Please do donate to Nafisa so we can saver her life and get her the genetic therapy she needs! She is the daughter of a Protruserati and I want to thank everyone who has donated so far or shared the video message.
Both Ameer and I have done Dr Nekky Jamal's online course on Third Molar Extractions - CLICK HERE to get 15% off(or just use the coupon code 'protrusive'). This is an affiliate link and I am proud to support such an awesome course.
Want 1 hour of CPD for this episode by answering a few questions to test your knowledge? AND get PDF Premium Notes and Transcripts PLUS my mini online courses? Check out Protrusive Premium membership!
If you enjoyed this episode, you will also like Make Extractions Less Difficult: Regain Confidence by Sectioning and Elevating Teeth [B2B] – PDP085
Click below for full episode transcript:
Episode Teaser: It's very important to curettage your sockets. So I'd removed the lower left six with a very large abscess underneath it. So I was curetaging away all the tissue and everything that was left behind. Everything was going really well. I was very pleased with myself. I was 20 minutes ahead on my diary.
And, until I noticed a little pumping and spurting coming from the base of the socket, and what had happened was, by, after curettaging, I'd hit an accessory vessel that had found its way superiorly into the socket and this wasn't just a little ooze bleed, this was actually, like, an arterial bleed from an accessory vessel. Now, when I saw that there's a few different ways you can manage this.
Jaz's Introduction:Hello Protruserati, I'm Jaz Gulati, and this was such a geeky chat about extractions. Like, recently we had a geeky chat on onlays with Dr. Ash Lifts, and she was brilliant. And Dr. Ameer Allybocus today covers real world exodontia.
Like, imagine you have a bleeder. What are the best ways to manage a bleeder, both in the short term and in the long term? And unlike all the papers we read or all the oth...Mon, 13 Nov 2023 - 58min - 244 - How to Shade Match the Single Central Incisor – PDP165
It’s supposedly THE most difficult thing in Dentistry, right? Perfectly shade matching the single central incisor…well how on earth does Dr Imi Nasser NAIL the shade EVERY time?!
https://youtu.be/iweVUHv_Q8o
Watch PDP165 on Youtube
It’s all about his super strict, super secret protocol we gladly share with you during this full-protocol podcast. He takes us through his shade assessment protocol step-by-step, covering everything from shade guides and photography to communication and common troubleshooting scenarios.
Need to Read it? Check out the Full Episode Transcript below!
For more dental gems, follow Dr. Nasser on Instagram @driminasser. And if you're ready to take your skills to the next level, don't miss his courses at www.15-c.com and www.aestheticprosthetic.com.
Here’s how Dr. Nasser sets up his shade guide in order of value: B1, A1, B2, D2, A2, C1, C2, D4, A3, D3, B3, A3.5, B4, C3, A4, C4 (see visual: shade-guide-by-value-ad-update.pdf)
And as promised, I’ve got you covered with a document summarisingDr. Nasser’s shade-taking protocol– [Premium Users] - PDF Protocol Summary
If you can, please consider making a donation towards Nafisa’s lifesaving treatment that she so desperately needs! Every share counts - Fundraiser by Mufaddal Adamji : 1 year old Nafisa with SMA type 1 (gofundme.com)
Click below for full episode transcript:
Jaz's Introduction: Now, we all know that matching the single central incisor tooth is the most difficult thing in dentistry. Like, getting the ceramic to get the correct fluorescence and shade and shape is tricky.
Jaz's Introduction:So we rely a lot on our lab, but the communication to actually get that color, that shade perfect, can be really challenging.
Now, as you guys know, I do a lot of resin bonded bridges. And so I do face this challenge a fair bit, trying to match a pontic of a lateral incisor, for example, or a lower central incisor to the adjacent teeth can be really tricky. So I've been stung a few times whereby technically my bridge has been awesome, but the shade has let us down.
So this is a real art. This is a real tricky thing. But today we've got Dr. Imi Nasser, who's going to share his entire protocol with us. Imi's one of these annoying dentists on Instagram, right? He is just brilliant. at everything. Like you see him post a class 2 restoration that's just absolutely flawless, and then all of a sudden he's doing all the soft tissue grassing, temporization, and a beautiful single central incisor that matches flawlessly to all the other teeth.
And you think, how does he do it? And he does it consistently, time after time after time. I've seen him post central incisors, lateral incisors that are just shade and characterization perfect. So I asked him to come on the podcast to spill all the beans. How can we take the stress out of shade matching and how can we make sure we nail it every time?
Because the crazy thing in here from today's episode is that actually,Wed, 01 Nov 2023 - 54min - 243 - How to Pass a CQC Inspection – GF021
Let's face it - CQC inspections can be scary stuff for principals and managers (and even associates!)
As per your request, I brought on a CQC Specialist Advisor, Dr Chita Davda to share her top tips to passing with flying colours.
https://youtu.be/iLkclWANzsk
Watch GF021 on Youtube
We discussed the common things that CQC checks on a practice, common questions they ask, and some tips on how to pass the examination. The emphasis is on understanding that the CQC and dental professionals share the same core ethics. Inspections aren't about catching each other out but ensuring the best possible care for patients.
Need to Read it? Check out the Full Episode Transcript below!
If you want to learn more about Dr Chita, you can check out her website https://www.trainwithchita.co.uk
In the upcoming CPD event at The Shard, attendees will get a rare opportunity to hear from a lead inspector from the CQC. This provides a chance to debunk myths and understand common errors, offering clarity to dental professionals.
If you want to be a part of this event, head over to https://protrusive.co.uk/shard
If you enjoyed this episode, you will also like Indemnity vs Insurance 2023 – Which one is best for you? – GF019
Did you know? You can get CPD from the Web App or Phone App and watch premium clinical videos, for less than a tax deductible Nando’s per month?
Click below for full episode transcript:
Episode Teaser: Do you go through the notes? Is there a sort of a protocol you follow to go through every associate, every dentist's notes? How does that work?
[Ruchita]Yeah, so we try and keep it as fair as possible. And obviously we'll ask permission of the dentist just to make sure they're okay for us to go through it.
[Jaz]And if they say no, is that a cheat code?
[Ruchita]If they say no, then we feel like you want something to hide. Try not to say no. I've had it queried a couple of times, but also we have like a warrant when we go into a practice. So in theory, we are able to access what we need to. But I'd also, as a fellow dentist, I like to just keep that respect for everyone.
So even if I have to look at the drawers inside a dent, like a surgery, I'll always just be like, do you mind if I have a look? If there's anything you don't want me to see, maybe just get rid of it for a few minutes and then put it back in if that's okay.
Jaz's IntroductionHello, Protruserati. I'm Jaz Gulati and welcome to a group function. We haven't done one of these episodes in a long while. A GF episode is basically when we take a question from the Protruserati. And you know what? I've always kind of shied away from compliance, right? Compliance type things don't excite me so much, but it's important to cover because that's what allows us to practice our dentistry safely.
And that's exactly what today is about. So there's something in the UK called the Care Quality Commission or the CQC, and every dental practice needs to have some sort of inspection at some point from the CQC to make sure that everything is safe and well for that pract...Thu, 26 Oct 2023 - 33min - 242 - Dental Photography Settings – Getting Started and Common Challenges – PDP164
It’s simple: the more I document and reflect on my work through photography, the happier Dentist I become.
I remember the struggles when starting out with dental photography - it’s not a glamorous time. Overexposed photos, poorly framed shots and ‘I have been meaning to buy retractors for months!’
Enough of the excuses – it’s time to dust off that camera as I am joined by Dr. Panesar on the topic of dental photography – a subject very close to my heart.
https://youtu.be/oVJEFApDVUw
Watch PDP164 on Youtube
Protrusive Dental Pearl:
My philosophy on spending money.
If I am going to use something daily, I will buy the best I can afford.
If something is very temporary or very sporadic use, I will cheap out/borrow/rent.
By that logic, get yourself a decent camera body, lens and flash set up that will serve you well for years to come. It does not have to be mega expensive and we do recommend buying used/refurbished later in the episode.
As promised, Canon’s dental photography guide: A5_dental_kit_LR_ENG_tcm109-1327230.pdf (canon.ch)
Websites mentioned:
* www.e-infin.com
* www.kentfaith.co.uk
* www.dentiphoto.com
* www.owlbracket.com
Take a look at Dr. Panesar’s Instagram @drraypanesar
Need to Read it? Check out the Full Episode Transcript below!
Highlights of the episode:00:00 Intro02:31 Philosophy of Spending Money04:24 Dr. Ray Panesar12:31 When to buy a dental camera?15:26 What to buy for dental photography?16:28 Camera body17:46 Ring flash18:51 Lens for Dental Photography23:33 Jaz’s setup27:39 Practice, practice, practice!33:22 Settings38:04 Aperture41:36 Shutter speed45:18 ISO49:35 Why take photographs?52:41 Accessories57:00 Dr. Panesar’s current setup60:25 Outro
If you like this episode, you will also like PDP087- Dental Photography
Did you know? You can get CPD from the Web App or Phone App and watch premium clinical videos, for less than a tax deductible Nando’s per month?
Click below for full episode transcript:
Jaz's Introduction: If you're new to dental photography, or maybe you have a bit of experience, but you dabble, you're a dabbler and you want to get more consistent, then this episode with Dr. Ray Panesar, young dentist, will inspire you to pick that camera back up or learn the settings for the first time.
Jaz's Introduction:So you can start to even buy your first kit. Like we talk about buying the camera kit, why each component is important, the different settings that me and Ray are using. So hopefully that will inspire and uplift you.
Hello Protruserati, I'm Jaz Gulati and welcome back to another episode of Protrusive Dental Podcast. I just want to say that photography is so important to my mental health. I actually mean it.Tue, 17 Oct 2023 - 1h 01min - 241 - Stop Being Slow at Root Canals! Efficient RCTs with Dr Omar Ikram – PDP163
The problem I found with endodontics was that the more you learn, the less you can cut corners, and the longer it ends up taking!
I was keen to learn how to be more efficient with endodontics so I brought on Dr Omar Ikram to talk us through his sequencing and protocols for RCTS.
Turn those challenging appointments into seamless, lunchtime-friendly successes.
Follow @specialistendo on Instagram to keep up to date with Dr. Ikram’s endo-endeavours!
https://youtu.be/yHoiX4gijpQ
Watch PDP163 on Youtube
Need to Read it? Check out the Full Episode Transcript below!
Download the EndoPrep app for access to:
* Online study guides
* Links to free webinars
* An MB2 guide
* An endodontic calculator tool
* And so much more!
If you liked this episode, you will also like PDP133 - Pulpotomies for Irreversible Pulpitis?
Did you know? You can get CPD from the Web App or Phone App and watch premium clinical videos, for less than a tax deductible Nando’s per month?
Click below for full episode transcript:
Jaz's Introduction: When I qualified from dental school, I was really into restorative, but the part of restorative I was most into was actually endodontics. In fact, I actually did quite a lot of root canals when I was a dental student.
Jaz's Introduction:And the funny story is that because of orthodontics, I actually lost vitality of my four lower incisors.I had root canals from specialists for all my lower four incisors. So I actually experienced root canal treatment as a patient while I was a dental student. And also having really inspirational tutor and someone called Dr. Stephen Godfrey at dental school meant that I was actually really looking at these postgraduate options for specializing in endodontics as one of my serious career considerations.
I went on to win the Tom Pitt-Ford prize, which is given to like one student per dental school every year. And I also won like this runner up prize in the Julian Webber Harley Street prize. And I was basically about submitting a case. And I did an MTA case back when I was a DCT in Sheffield. That was pretty cool.
Using a scope, learning how to do simple retreatments. So I was on the path to really consider endodontics. Now fast forward 10 years. And my favorite type of endodontics is the referral pad. Okay, I'm joking but I'm kind of not joking because it's not my favorite thing to do anymore. I do TMD, I do restorative, I do occlusal stuff, tooth wear, and I get a lot of joy from that.
Root canals is low down in my pecking order and one of the reasons I'm so keen to refer to my specialist colleagues is how long it takes me and I'm thinking if this tooth is going to take two hours with me and it's going to take one hour and 15 minutes with the specialist and they'll probably do a better job than I will.
Then it just makes sense to see a specialist, right? If the patient can afford it, great. And also, in terms of an hourly rate, like GDPs doing endodontics that are particularly tricky and pushing boundaries and spending longer on it, it just doesn't make sense as a financial point of view.Wed, 11 Oct 2023 - 1h 16min - 240 - Occlusion for Complete Dentures – PDP162
Dr. Andreas Artopoulos will save you HOURS of chairside adjusting as he busts denture occlusion myths.
We covered all the key stages of complete denture fabrication in this gem-packed episode, before offering clear guidelines on what occlusion on complete dentures SHOULD look like (and why).
Protrusive Dental Pearl: 'Enter Bolus, Exit Balance!' - find out why group function occlusion is the pragmatic choice of occlusal scheme, instead of painstakingly trying to achieve balanced articulation.
https://youtu.be/6KppZpIepXM
Watch PDP162 on Youtube
Need to Read it? Check out the Full Episode Transcript below!
Highlights of this episode:1:02 Protrusive dental pearl3:36 Prosthodontic Expertise8:43 Denture Inspection21:15 Jaw Registration40:40 Incisor Positioning47:03 Balanced Occlusion48:50 Articulator Insights55:25 Group Function56:18 Adaptable Techniques56:18 Patient Adaptation1:03:04 Optimal Denture Fabrication
If you liked this episode, you will also like PDP134 - Chrome Partial Dentures Guide
Did you know? You can get CPD from the Web App or Phone App and watch premium clinical videos, for less than a tax deductible Nando’s per month?
Click below for full episode transcript:
Episode Teaser: It's been a little while since we last had an episode on removable prosthetics. And today's guest is Dr. Andreas Artopoulos. Now, he was recommended to me by Rupert Monkhouse, who we all know and love from the previous episodes he's done.
[Jaz]The man behind Impression Club, of course. So just a little hat tip to Rupert for recommending Dr. Andreas, because according to Rupert, Andreas taught him everything he knows.
And I was blown away by the knowledge, but also some of the gems that he gave that are really going to save us time. Like, I was really debating what to title this episode because it had so much breadth and actually when I was recording with him, I was supposed to, by the script, asking so many more questions about different types of dentures and partial dentures and overlay dentures.
But we just had such a great time geeking out on complete dentures that the whole focus of this episode came about complete dentures, but in a way that no matter which experience level you're at, you're going to take something away. For example, we discuss everything from checking the border extensions to the vertical dimension to discussing the base materials that are available.
And simple things like ensuring a comfortable fit at the day of delivery. The biggest takeaway for me, as someone who's really into occlusion, is the Protrusive Dental Pearl for today.
So, hello Protruserati, I'm Jaz Gulati, in every episode I'll give you a Protrusive Dental Pearl, and today's pearl is from the main episode. And it's kind of surprising, like, I spend a lot of time when I'm doing complete dentures, which nowadays is not as many as I used to, just because the population that you treat and the different demographics, etc. So I used to spend a bit of time with balanced articulation, making sure I follow the BULL rule, adjust the buccal of the uppers and lingual of the lowers to get a lingualized occlusion and occluding scheme.
Protrusive Dental PearlBut the pearl I have for you is that actually, Andreas just goes for a group function occlusion on his dentu...Wed, 04 Oct 2023 - 1h 04min - 239 - A Geeky Discussion on Adhesive Onlays – PDP161
I have a quadrant isolated. Classic FM is playing in the background. The teeth are bone dry. I pick up the air abrasion unit and begin my adhesive protocol. I am well and truly in my happy place!
This week we're joined by Dr Ash Lifts - a wonderful, reflective practitioner from The States. We had a great time discussing cusp preservation to material choices for onlays.
Protrusive Dental Pearl: Build in some 'indexing', 'location' and resistance form in to your onlay preps - don't just make it flat because you saw it on the 'gram!
https://youtu.be/pXKhUqtNOso
Watch PDP161 on Youtube
Need to Read it? Check out the Full Episode Transcript below!
Highlights of the episode:00:00 Introduction02:21 Protrusive Dental Pearl05:14 Introduction of Dr. Ashley Chung08:54 Learning in Biomimetic Dentistry and Ccclusion.12:13 Direct composite vs Indirect onlays16:51 Indications for ceramic onlays17:30 Ceramic vs. Composite20:49 Zirconia for overlays and onlays24:14 Dr. Chung's experience with EMAX and composite.26:12 8 different ways to prepare for an onlay.32:01 Minimum Thickness36:01 Factors influencing cusp preservation38:18 Panavia vs. Heated composite43:02 Finish lines and margins for Onlays47:13 Cusp inclines and adapting prep design
Check out Dr Ashley's website and courses: https://drashlifts.com/contact
Courses: https://getbondedstaybonded.co.uk/
Waitlist: https://forms.gle/HBAJbK7P66dj68Vx6
If you enjoyed this episode, you will love delving deeper in to the full protocol in Ceramic Onlays from Preps, Temporisation and Bonding Protocols – PDP059
Did you know? You can get CPD from the Web App or Phone App and watch premium clinical videos, for less than a tax deductible Nando’s per month? Just head over to https://protrusive.app
Click below for full episode transcript:
Episode Teaser: When I'm prepping for a ceramic onlay or an overlay, I'm in my happy place. I've got my rubber dam isolation and I just enter this flow state. It really is a fun procedure for me because I feel that every prep and something I'll guess today, Dr. Ashley Chung, aka @dr.ashlifts, also says later in this episode that she feels like no two of her preps ever look the same.
Jaz's Introduction:And there is a beauty in that. You really have to think before you prep. It's not like making a one millimeter shoulder all day round. There's decisions to make which cusps are in compression, which cusps are in tension, which cusps can you preserve? And that's why all of our onlay preps look different for different teeth, for different scenarios.
And it's a big part of why I've been doing this for about six years now. And I just love it. I still love it. I still tell my nurse, Zoe. We have an onlay prep today. I'm going to be in the zone. We'll put on some classical music. I'll have rubber dam on and I just enjoy it. It's usually either classical music or like rock music.
So those are my two-treatment music.Wed, 27 Sep 2023 - 51min - 238 - Treatment Co-Ordinators – Are They Right For Your Practice? – IC043
Would a Treatment Co-ordinator really benefit your practice?
In the latest segment of our podcast, we had the delightful Emma, an expert treatment coordinator, share her experiences and guidance on the evolving role of a treatment coordinator in a dental practice.
https://youtu.be/4p5iLCX-mgA
Watch IC043 on Youtube
Would this TCO model work in your practice? What are the challenges in starting this? Are there any drawbacks? Emma spills all the beans!
Need to Read it? Check out the Full Episode Transcript below!
Highlights of the episode:00:00 Introduction02:21 Emma's Journey to TCO5:46 TCO’s role in various practices10:00 Advantages of a TCO consultation 14:13 Disadvantages of Treatment Co-Ordinators18:20 Timings of Appointments21:19 Patient consent processes23:02 Profitability and practicality of TCOs25:56 Introducing virtual treatment coordinators (VTC).28:00 How to find a TCO31:45 How to reach Emma
If you’re inspired to learn more, reaching out to Emma is a breeze. Connect with her through her Instagram page @em_thetco
If you liked this episode, you will also like Recommend Treatment Plans with Confidence – IC038
Did you know? You can get CPD from the Web App or Phone App and watch premium clinical videos, for less than a tax deductible Nando’s per month?
Click below for full episode transcript:
Episode Teaser: Mentally, why are you worried about a patient booking their next appointment? Why are you worried about how they're going to pay for their treatment? That's not your worry. That's for someone else to deal with.
Jaz's Introduction:Hello, Protruserati. I'm Jaz Gulati and this Interference Cast, we're going to cover the topic of treatment coordinators. Is it right for your practice? We hear from Emma Yates, who is a nurse turned into a treatment coordinator. And a treatment coordinator, if you haven't heard of this term before, is someone who is kind of in between the reception team and the dentist, right?
They've got enough clinical knowledge to discuss the pros and cons of different treatment and help the patient in their journey to find out what's the best treatment for them and also help them to pay for their treatment, how to finance it and answer those niggling queries they sometimes have and sometimes patients have to wait some time to hear from the dentist.
But that treatment coordinator is a friendly phrase, right? They're not the scary dentist. They're a friendly face. They're an advocate for the patient. And I've seen over the past few years, lots of different practices adopt the treatment coordinator model. Now, I'm not sure if it's just a UK thing or a worldwide thing, but this is definitely becoming more integrated in dental practices.
So if you're a principal wondering if this is the right move for you, or if you're maybe a nurse thinking, hey, you know, could I be a treatment coordinator? Or perhaps you're an associate and you like the idea of your practice, having a treatment coordinator, and maybe you can send them this episode to weigh out the pros and cons of it as per the discussion that we have with Emma.
So let's join Emma now. And at the end in my outro, I'll let you know how you can claim CPD for this episode.
Sat, 23 Sep 2023 - 35min - 237 - Fremitus and Occlusal Overload – Dental Occlusion Geekiness – PDP160
Ever heard of fremitus? Wondering what it really means for your patient's occlusion? In this episode we're joined again by Dr. Mahmoud Ibrahim, by popular demand, for an insightful discussion on dental fremitus. We understand that this topic can be a bit perplexing, so we're here to break it down step by step.
https://youtu.be/LFZ4Uh0Y8sI
Watch PDP160 on Youtube
We share how we seamlessly integrate a fremitus check into an occlusal assessment, discussing the crucial aspects of when and how to intervene effectively, all while preserving your patient’s chewing space.
Check out our upcoming webinar “Unchippable” to learn about how to prevent chips and breaks on your lovely anterior composite restorations – protrusive.co.uk/unchippable
'Weakest Link' study that Jaz and Mahmoud referred to: https://www.tandfonline.com/doi/abs/10.1080/08869634.2000.11746142
The Awake Bruxism (habit breaking) appliance that Jaz uses called MAPA.
More about Fremitus, how it's classified and occlusal trauma.
Follow Dr. Ibrahim on Instagram @drmoidental
Want to learn more about Occlusion? Head over to occlusion.online.
Need to Read it? Check out the Full Episode Transcript below!
Highlights of the episode:00:00 Intro00:39 The Protrusive Dental Pearl04:17 Dr. Mahmoud Ibrahim05:17 Mobility vs fremitus08:26 What is fremitus?09:52 The PDL12:54 The weakest link theory16:21 Checking for fremitus17:19 Class 1 fremitus21:57 Class 2 and 3 fremitus23:03 Treatment27:24 Envelope of function29:21 Orthodontic treatment36:34 Final remarks39:44 Outro
If you liked this episode, you will also like PDP150 - Occlusion on Class IV Composite Restorations
Did you know? You can get CPD from the Web App or Phone App and watch premium clinical videos, for less than a tax deductible Nando’s per month?
Click below for full episode transcript:
Jaz's Introduction: Fremitus is this strange thing when your patient bites together and you feel, or you see a tooth move out of the way, classically a front tooth, right? It's a sign of Occlusal Overload. And in this episode, we're going to talk everything related to Fremitus with my good friend, Dr. Mahmoud Ibrahim.
Jaz’s Introduction:Hello, Protruserati. I'm Jaz Gulati, and welcome back to another Protrusive Dental Podcast episode. If you're new to the podcast, welcome. Thanks so much for joining us. And if you're a veteran Protruserati, thanks for coming time and time again. We hope to make complex topics in dentistry tangible for you.
Protrusive Dental PearlBefore we join the main interview with Dr. Mahmoud Ibrahim,Wed, 13 Sep 2023 - 41min - 236 - How to Manage Children in Dental Pain – Paediatric Emergencies – PDP159
If the thought of dealing with little patients sends a shiver down your spine, then this one might be for you. This week we teamed up with Dr. Emma Ray-Chaudhuri, a paediatric specialist, to tackle the topic of children in dental pain. We discuss pain assessment for all ages, radiographs, and treatment options in hopes to make this topic a tad less daunting!
https://youtu.be/2pTWukJwM_s
Watch PDP159 on Youtube
Check out Dr. Ray-Chaudhuri’s website for further details on upcoming lectures spanning various dental topics: graystonereferral.com
SDCEP guidelines: https://www.sdcep.org.uk/media/2zbkrdkg/sdcep-prevention-and-management-of-dental-caries-in-children-2nd-edition.pdf
Need to Read it? Check out the Full Episode Transcript below!
Highlights of the episode:00:00 Intro01:32 The Protrusive Dental Pearl03:11 Dr. Emma Ray-Chaudhuri09:23 Children in pain11:13 Babies and toddlers12:18 Preschool/school children13:20 Teenagers15:15 Building rapport17:00 Radiographs26:06 Fissure sealants and brushing29:58 Abscesses31:10 Irreversible vs. reversible pulpitis32:49 Temporary restorations and the hall crown technique39:08 Pulp therapy42:24 The FiCTION trial44:45 Cleansable cavities45:59 MIH50:03 Sensitivity54:24 International variations55:56 Dr. Ray-Chaudhuri’s socials56:58 Outro
If you liked this episode, you will also like Paediatric Dentistry Communication and Prevention Part 1 and Part 2
Click below for full episode transcript:
Jaz's Introduction: In this episode with pediatric dentist, Dr. Emma Ray-Chaudhuri, we share about the Management of the Child in Dental Pain. What are the BEST GUIDELINES ? And on that note, the guidelines we discuss and the advice Emma offers very much based on UK guidelines, specifically the SDCEP guidelines, which I will make available to download below.
Jaz's Introduction:And this might be different to those in the US or all around the world. Ultimately, you guys, Protruserati are an international community. So remember that a lot of the advice here is very UK centric, and there are some differences culturally and internationally in terms of guidelines. So just bear that in mind as we discuss Best Management for Children.
Hello, Protruserati. I'm Jaz Gulati, and welcome back to the Protrusive Dental Podcast. We're covering a pediatric dentistry theme, which is something that we haven't covered in a long time. And I want to cover something that is really REAL WORLD, something that affects general dentists day in, day out, and children in pain.
Like, I hate to see it as a dentist, as a father. I hate to see children patient who are in pain. It's also one of the most stressful things that a dentist can face because it's very difficult to get a good history. It's very difficult to do an exam. Like some children will just not let you examine their mouth properly.
So how can you get the best diagnosis? In terms of managing them, there's so many different variables and considerations, which you'll hear about today. We talk about deep caries,Mon, 04 Sep 2023 - 58min - 235 - Help! My Patient Has a Small Mouth! Working Alongside TMJ Physiotherapists – GF020
‘Easy Dentistry on Difficult Patients is still Difficult’ - Dr Lincoln Harris
Patients with small mouth opening can be a huge pain in the back for Dentists - but did you know there are ways we can significantly improve their mouth opening through physiotherapy?
https://youtu.be/v_u9sBAGliU
Watch GF020 on Youtube
In this episode I’m joined by Dr. Tzvika Greenbaum, a specialist TMJ physiotherapist who's here to spill the beans on his journey from headaches to jawaches. We bring to light the jaw-dropping collaboration between dentists and physiotherapists, making dental treatment easier for both you and your patients.
Need to Read it? Check out the Full Episode Transcript below!
Highlights of the episode:00:00 Intro01:02 Dr. Tzvika Greenbaum03:39 Dentistry meets physiotherapy09:33 Range of movement10:23 Asymmetry11:20 Prevention12:20 Advice to dentists14:34 Stretching16:17 The dental gym16:57 Sleep bruxists vs. awake bruxists19:28 Reducing sleep bruxism20:52 Obstructive sleep apnoea22:03 Statistics and diagnostic criteria25:16 At-home exercises27:20 Pain and discomfort28:39 Rehabilitation30:14 When to involve a physiotherapist31:12 Expected results32:21 Screening34:15 Dr. Greenbaum’s event39:04 Outro
Dr. Greenbaum’s upcoming course: protrusive.co.uk/greenbaum
If you liked this episode, you will also like 3 Simple TMD Exercises
Did you know? You can get CPD from the Web App or Phone App and watch premium clinical videos, for less than a tax deductible Nando’s per month?
Click below for full episode transcript:
Jaz's Introduction: One of my mentors, Dr. Lincoln Harris, once taught me that easy dentistry on a difficult patient is still difficult, and nothing makes our dentistry more difficult than that patient who just can't open, or the patient that keeps closing their mouth. Like, it's impossible to do high quality work in that kind of a patient.
Jaz's Introduction:Hello, Protruserati. I'm Jaz Gulati, and in this Group Function where we just focus on one theme, today's big topic is "Help! My patient Can't Open Their Mouth!" And you'll be amazed with some physio with some exercises with some training if you like your patient can actually open significantly more allowing you to do better dentistry and allowing the patient to get better outcomes. We're joined today by our first ever Israeli guest Dr. Greenbaum who is a physiotherapist who specialized in the area of TMD and he'll be coming soon to the UK.
So I thought ahead of his visit, let's talk about a really important topic that I think is going to help you guys in the real world where our patients are struggling to keep their mouth open. What causes this and how can we get involved either just by yourself or working in tandem with a physiotherapist? Let's join the main episode now and I'll catch you in the outro.
Main Episode:Dr. Greenbaum, welcome to the Protrusive Dental Podcast. How are you?
[Tzvika]Hey, hi Jaz. I'm very well. Thank you very much. And thank you for inviting me to speak about my favorite topic, which is Rehabilitation of Patients with Temporomandibular Disorders.
[Jaz]It's great to be able to help our patients in pain.Wed, 30 Aug 2023 - 40min - 234 - Indemnity vs Insurance 2023 – Which one is best for you? – GF019
NEW EPISODE LIVE for public access!
Do you know the difference between dental indemnity and insurance? And which one might be better for you? Today we have Dr. Neel Jaiswal, founder of Professional Dental Indemnity (PDI), to shed light on this crucial topic (as our security and sleep depends on it!)
https://youtu.be/SmLM5cr4mzo
Watch GF019 on Youtube
Should you choose a 'claims occurred' or 'claims made' policy? Dr. Jaiswal's transparent advice aids in choosing what is best for you at your stage of your career.
Need to Read it? Check out the Full Episode Transcript below!
Get a quote from PDI and save £thousands on your policy.
If you liked this episode, you will also like 10 Commandments for Staying Out of Trouble
Did you know? You can get CPD from the Web App or Phone App and watch premium clinical videos, for less than a tax deductible Nando’s per month?
Click below for full episode transcript:
Episode Teaser: And what you don't want to do is have to cover the costs of somebody else's mistakes. So, with an insurance pool, we put all the good dentists, so to speak, in one pool. And let's call them the distressed dentists, paying 30, 40, 50, 80, 100 grand in another pool. So, there's different risk factors and different prices. So, if something happens in the other pool, it's not having a knock-on effect on yours, so your premium doesn't go up. Whereas with a mutual everyone's in the same pool. So that's why you can be saying, I haven't had a complaint. Why is my indemnity going up, insurance going up every year? Now, obviously some of that's expenses, cost of living, but it's disproportionately high, but it's because you're paying for other people's errors and emissions.
Jaz's Introduction:Indemnity vs Insurance. I don't know if it's like a UK thing. I'm kind of sure it is. Although when I was in Singapore, I was with dental protection. So let's give you a bit of background first, right? Indemnity is a bit like the big organizations, mutuals like DDU and dental protection, whereas Insurance are kind of like a newcomer in the last 10 years. There's these different insurance products.
So what's the need for these? Well, when I was in Singapore, when I moved from the UK to Singapore, I was paying so much lower to be part of dental protection at the time, like, compared to UK fees, Singapore, it was so much easier to get protected as a clinician.
This is because in Singapore at the time, dentists were getting sued way less than they are in the UK, which is nice, and also taxes are lower, which is really cool. Anyway, came back to the UK, and now that I've been paying way less in Singapore, to have to pay what I was getting quoted for with DDU at the time, or Dental Protection, or whoever, It was a bitter pill to swallow.
So already I was thinking surely there must be a better way. Why am I a non-implant dentist who hadn't had any complaints at that point? Why am I paying so much so that it covers the high-risk dentist, right? Cause that's the way it works. These mutuals, they work because they've divided all the costs between all the members.
Wed, 23 Aug 2023 - 52min - 233 - Ovate Pontics for Bridges – The Complete Guide with Dr Jason Smithson – PDP158
Ovate pontics are what you choose when you want the best aesthetics for fixed dental bridges - but how do you go about prescribing this to your lab?
https://youtu.be/ffg0gX4L8ng
Watch PDP158 on Youtube
How do you carry out 'pontic site development' and how can you assess the soft tissues for suitability?
Get your onions ready, Protruserati, it's another cracker with that man Dr Jason Smithson who will make ovate pontics tangible.
We've also made a kick-ass infographic for you to download alongside 2 PDFs recommended by Dr Jason Smithson, summarising all that Dr Smithson taught on this episode. [Also available in the Protrusive Vaultfor premium subscribers]
Protrusive Dental Pearl: Jaz's Rule for Resin Bonded Bridges
* For Metal winged adhesive bridges, do not accept more than 1 compromise
* For Zirconia RBBs, do not accept any compromises!
* Examples of compromises: small abutment teeth (and thus smaller surface area for bonding), poor quality enamel, awkward path of insertion, dodgy occlusions etc
Join us on Saturday 30th September for Occlusion and Communication Day at London Heathrow - amazing speakers on 2 huge topics!
As promised, check out the PDF on Ovate Pontics by Professor Bill Robbins and more about the E-Pontic here.
Learn more from Dr Jason Smithson and his Restorative Programme.
Also, check out his courses with Spear Education.
Highlights from this episode to follow.
Robbins Ovate Pontics PDFDownload
If you enjoyed this episode, you will also like PDP132 Success with Resin Bonded Bridges
Did you know? You can get CPD from the Web App or Phone App and watch premium clinical videos, for less than a tax deductible Nando’s per month?
Click below for full episode transcript:
Fri, 18 Aug 2023 - 1h 08min - 232 - An Idiot’s Guide to Restoring Single Implant Crowns Part 2 – PDP157
Welcome back to part two of this ‘Restoring the Single Implant Crown’ podcast series that's about to kick start your implant career. We've teamed up with the uber-knowledgeable Dr. Devang Patel, a dental wizard with over 13 years of spellbinding experience under his belt.
Leading on from the previous episode that focussed on case assessment to impression taking/digital scanning, we now cover the step by step protocol for fitting the implant crown, maintenance, and troubleshooting.
https://youtu.be/FDB72GtYAAs
Watch PDP157 on Youtube
Dr. Patel's got your back (or should we say teeth?) every step of the way! Check out his social media platforms for further information about his upcoming implant restoration course:
* @dr_devangpatel
* info@drdevangpatel.com
* www.drdevangpatel.com
Need to Read it? Check out the Full Episode Transcript below!
Highlights of the episode:00:00 Intro01:12 Restoring Implant Crowns Infographic02:03 Recap Part 103:45 Inspecting the labwork05:52 Assessing the occlusion06:22 Keeping the implant clean during the fit appointment07:21 Anaesthetic Prior to Implant Crown Try-In?08:20 Screwing in the crown11:13 Occlusion and guidance17:18 Temporarily restoring the access hole18:33 Review19:49 Definitive torque and sealing the access hole25:46 Yearly review of Implant Crown27:18 Radiographs29:21 Excessive blanching when fitting crown31:21 High occlusion management32:06 Open contact points for implant crowns34:43 Other implantologists’ work38:29 Angulated screw channels43:24 Loose implant crowns45:52 Implant passports46:57 Adjusting the occlusion48:24 Dr. Devang Patel51:13 Outro
You can now download the infographic that sums up Part 1 and Part 2 of An Idiot's Guide to Restoring Single Implant Crowns. Just head to protrusive.co.uk/idiot
If you liked this episode, you will also like Full Mouth Rehabs Part 3
Did you know? You can get CPD from the Web App or Phone App and watch premium clinical videos, for less than a tax deductible Nando’s per month?
Click below for full episode transcript:
Jaz's Introduction: Hello, Protruserati. I'm Jaz Gulati and welcome back to Part Two of an Idiot's Guide to Restoring the Single Implant Crown. Now, if you haven't yet listened to the first part of this episode, that's PDP156.
Jaz’s Introduction:You should probably start there first because Dr. Devang Patel, our esteemed guest, he talks us through from the very beginning, like how do you assess the site that might be suitable for an implant and what to actually do if someone else's placed implant is coming to you for the restoration.
And let me tell you, I learned so much. The episode is called an Idiot's Guide. I'm the idiot, right? So I was learning so much as getting along. He taught us about internal hex, external hex, conical, or butt joints, all these things I was learning about implants. Then we talk about impressions and scanning.
Fri, 11 Aug 2023 - 52min - 231 - An Idiot’s Guide to Restoring Single Implant Crowns (Part 1) – PDP156
One of the reasons I did not proceed further in Implant training is the sheer frustration and confusion surrounding all the components and nuances of restoring Implants.
This is why I have Dr. Devang Patel sharing his 13 years of experience in the field to break every stage of restoring a single implant crown. All the terms, components and stages for implant restoration are explained during this 2 part series.
https://youtu.be/TAzbZW_Yk_Y
Watch PDP156 on Youtube
The Protrusive Dental Pearl: How I use the software Motion to better manage my time and productivity. Check out the 7-Day Free Trial Here
Need to Read it? Check out the Full Episode Transcript below!
Highlights of the episode:00:00 Intro01:56 How I use the Motion App04:26 Where to start?07:03 Dr. Devang Patel13:30 Assessment and treatment planning22:19 Space requirements27:49 Temporaries28:48 Occlusion and diagnostic wax-ups30:10 Impression technique39:31 After the impression42:29 Connections48:19 Screw-retained crowns vs. cement-retained crowns58:18 The lab67:39 Digital impressions72:15 The next episode74:48 Outro
If you liked this episode, check out Adhesive Full Mouth Rehabs in 11 Appointments (Part 1) – PDP103
Did you know? You can get CPD from the Web App or Phone App and watch premium clinical videos, for less than a tax deductible Nando’s per month?
Click below for full episode transcript:
Jaz's Introduction: If you're like me and you don't restore implants and you want to learn more about this area or if you're new in the game and you've got your first couple of cases on the go, this episode will be absolutely invaluable. If you remember Devang, he did a few episodes with us about full mouth reconstruction in 11 appointments and he went through appointment by appointment, and that episode is like a Protrusive Hall of Fame.
Jaz's Introduction:In that same style Devang covers over the crosses two next episodes, the Five Different Stages of Restoring the Single Implant Crown. We're going right to the basics, starting from assessment all the way to screwing or cementing your implant crown, and we leave no stone unturned.
Hello, Protruserati. I'm Jaz Gulati and welcome back to the Protrusive Dental Podcast. For me, implants are super confusing. When I was in the first few years after qualifying, I did go on some courses to learn about restoring implants, even learning about placing implants. But I just decided it wasn't my bag. It's not what excites me.
Orthorestorative excites me, occlusion excites me, and implants are at the moment in my career is not something that I'm spending more energy and time on. I'm doing a lot more TMD now I'm doing restorative but who knows what's in store for my...Thu, 03 Aug 2023 - 1h 17min - 230 - 4 Ways to Boost Osseointegration of Your Implants – PDP155
We speak with Dr. Pav Khaira, a total implant nerd, who shares 4 of his top tips for maximising osseointegration:
* Biological ageing: discover the time-sensitive nature of implant bioreactivity and its impact on integration (and how to improve the bio-reactivity of your implants)
* Mastering the osteotomy: fine-tune your skills in shaping the osteotomy based on bone quality and type
* Disinfection: explore disinfection techniques of the osteotomy
* Systemic factors: optimise early-stage healing and understand long-term immunological balance
Don’t miss an upcoming exclusive live event on “Superosseointegration” on 15th and 16th September 2023 in London hosted by @Dr.Pav.Khaira – www.academyofimplantexcellence.com
https://youtu.be/fBfnxubdgpc
Check out PDP155 on YouTube
Maximise the osseointegration of your implants and uncover the intricate relationship between the skeletal system and the immune system (known as osteoimmunology) and its impact on implant success.
Need to Read it? Check out the Full Episode Transcript below!
Highlights of the episode:00:00 Intro01:19 The Protrusive Dental Pearl03:11 Dr. Pavandeep Khaira04:29 What is osseointegration?05:04 Osteoimmunology07:39 Early-stage failure09:52 Success and survival rates12:33 Biological ageing15:45 Decarbonisation for Implants21:18 Bone density24:10 Overheating the bone27:16 Disinfecting the osteotomy29:21 Systemic factors33:03 Superosseointegration36:58 Outro
If you enjoyed this episode, you will love Why Should You Avoid Flapless Implants? – GF015
Did you know? You can get CPD from the Web App or Phone App and watch premium clinical videos, for less than a tax deductible Nando's per month?
Click below for full episode transcript:
Jaz's Introduction: We know that implants are a great way to restore an edentulous area. It is not a replacement for a tooth, because teeth are still the best, but the next best thing for a missing space at least, are IMPLANTS. Now, implants can get very complicated, different stages, surgical, restorative, but the very initial stages is all to do with ossteointegration, which is essentially, in a crude way to describe it, would be the fusing of the implant to a patient's bone.
Jaz's Introduction:Or as I like to call it, how long it takes for the implant to cook, so it's ready to accept load. Today on the show, I've got Dr. Pav Khaira on again, he's our resident implant expert and a titanium nerd, and he's going to cover four techniques he uses, and most of these are very quick to act on, very simple, and something that you can apply straight away.
One of them does involve you to buy some extra kit, but the reasoning is really solid, and it's something I hadn't heard of before, so it's four ways to BOSST your OSSEOINTEGRATION. That's the success rate overall, and the quality of your osseointegration itself. Like Pav taught me in this episode that most implants, when they're placed, about 56% of the implant is covered by bone, or rather 56% of the implant is actually directly...Fri, 28 Jul 2023 - 39min - 229 - PDP154 – Post Crowns – Historical Technique or Necessary Solution for Compromised Teeth?
When and why should you use post crowns in contemporary Dentistry? Surely they are a thing of the past? Dr. Dominic Hassall, a restorative consultant, shares valuable insights on restorability and the essential concept of ferrule.
He highlights the significance of restorability and the role of fibre posts in dental procedures, emphasising the ferrule effect in crown and onlay preparations. The ferrule effect ensures predictable outcomes by transmitting occlusal forces through the natural tooth structure, reducing the risk of failure.
https://youtu.be/zQNReIIJCG8
Watch PDP154 on Youtube
Protrusive Dental Pearl: How to Bone Sound for Ovate Pontics -Imagine you have a missing upper lateral incisor, and you want to use an ovate pontic for an aesthetic bridge. To achieve the ideal emergence profile, Jaz demonstrates how to assess gingival thickness using ‘bone sounding’ using a periodontal probe (please see video). This technique helps determine how thick the tissues are overlying the edentulous area and whether an ovate pontic is feasible (or perhaps a connective tissue graft is necessary).
Throughout the episode, Dr. Hassall's expertise shines through, making it a must-listen for dental professionals seeking a comprehensive understanding of restorability and ferrule in restorative dentistry.
Need to Read it? Check out the Full Episode Transcript below!
Highlights of this episode:0:25 - Introduction to Dr. Dominic Hassall1:27 - Bone Sounding Clinical Video6:25 - Dr. Hassall's journey into restorative dentistry9:04 - Function of Post Crowns13:35 - Composite for Nayyar cores18:10 - Assessing restorability23:25 - Impact of ferrule position on treatment outcome30:30 - Advantages and disadvantages of post techniques38:55 - Post Crowns as Bridge Abutments?43:08 - Dr. Hassall's teaching institute details
Dr Hassall gave a discount for his Diploma Course, head over to https://dominic-hassall-training.co.uk/contemporary-restorative-aesthetic-dentistry-online-blended-course-advanced/ and use the code “JAZ10”
Jaz has no financial interest in this product.
If you enjoyed this episode, check How to Save ‘Hopeless’ Teeth with the Surgical Extrusion Technique
Click below for full episode transcript:
Jaz's Introduction: We are using less and less post crowns now, but is there still a place for them? Now, recently I had Dr. Pasquale Venuti on the show and he had some interesting opinions. He was quite a big advocate of the cast metal post crown in certain scenarios, where today's guest, actually Dr. Dominic Hassall, is well known restorative consultant, has a teaching institute, is a well-established educator, and he's very anti cast post crowns.
[Jaz]He's very pro COMPOSITE FIBER POSTS. So you'll find out today what his views are on that. But we take a big, broader view of all things to do with posts in terms of when we should be placing a post. What about restorability in general? If you're thinking about placing a post, then you are also debating, 'Hmm, is this tooth even savable in the first place?'
We also cover the very foundational concept of the ferrule, which is so, so important when you're considering if you can rescue a tooth or not. And also in terms of the long term outcomes for...Tue, 25 Jul 2023 - 46min - 228 - Getting Ahead after Dental School 2023 – IC042
As promised - the 2nd episode in a week specifically for new graduates looking to map out their career.
After last week’s episode on making a Dental Portfolio, this time we are joined by Dr. Ajay Dhunna, a soaring young dentist who graduated in 2018. Join us as we uncover his journey from dental school to becoming an associate, and gain valuable insights on how to excel in your dental career.
https://youtu.be/QP8ggPjqYxc
Watch IC042 on Youtube
Communication and collaboration are crucial aspects of dentistry, and Dr. Dhunna emphasises their significance. We look at the value of shadowing clinicians in different areas of dentistry, attending conferences, and networking events – discover how these interactions can sharpen your language and communication skills!
Work-life balance and well-being are essential for a successful dental career. Dr. Dhunna and Jaz discuss practical strategies for managing stress, taking breaks, and maintaining a healthy personal life.
Learn from his experiences and gain valuable tips on reflection, communication, dental photography, career development, and work-life balance.
Here are some resources we promised:
An Introduction to Dental PhotographyTrinity Dental Courses
Need to Read it? Check out the Full Episode Transcript below!
Highlights of the episode:
01:12 An introduction to Dr. Ajay Dhunna06:46 Going from a newbie dentist to an associate08:28 Reflection and the importance of clinical photos09:10 Attending courses12:09 Photography and setup18:41 Communication26:43 Planning your next career move33:37 Being proactive and portfolio presentation38:40 Maintaining your personal life and managing stress42:50 Trinity Dental Courses
If you enjoyed this episode, you will love Not Your Average Young Dentist Journey
Did you know? You can get CPD from the Web App or Phone App and watch premium clinical videos, for less than a tax deductible Nando's per month?
Click below for full episode transcript:
Jaz's Introduction: Hello Protruserati, I'm Jaz Gulati. And earlier this week, we had James Murray on the show. He was a new graduate talking about his first year and how he effectively used some tactics to get his first associate position and primarily the use of an effective portfolio when applying for jobs, what should be in a portfolio.
[Jaz]So we delve deep into the transition from dental school to your first associate position and making an effective portfolio. Now in the same vein, I'm joined today by Dr. Ajay Dhunna. So he's a little bit more qualified than James, and he has a different perspective to offer. And whilst we do discuss portfolios here as well, and actually Ajay shows an example of his portfolio.
For those watching the video, I highly encourage for you to see this bit if you want to see what an effective modern contemporary portfolio looks like. But Ajay gives his own unique perspective on his top tips to help new grads navigate, because often we feel lost when you're qualified.Tue, 18 Jul 2023 - 46min - 227 - How to Create a Killer Portfolio so that Principals Will Beg You To Work for Them – IC041
Are you a final year dental student or a recent graduate looking to kickstart your career as an associate dentist? In our latest episode we sat down with Dr. James Murray, a passionate foundation dentist who shares his recent insights and experiences on how to land a job as an associate dentist.
Dr. Murray understands the challenges that come with transitioning from dental school to real world practice. He discusses the importance of building a strong portfolio and reflecting on your work to overcome imposter syndrome – embrace the learning process, seek feedback, and use every situation as an opportunity for growth.
But what’s the best way to showcase your skills and make a lasting impression on potential employers? Dr. Murray reveals his secret weapon: an online portfolio accompanied by a thoughtful cover email. In this episode we also delve into tips for approaching dental practices that align with your values and interests.
Struggle with taking clinical photos? Don’t worry, we’ve got you covered! Dr. Murray and Jaz provide helpful advice for improving your photography skills. So, if you’re ready to take the next step towards a fulfilling career, tune in to our podcast and unlock the secrets to securing your dream job!
Access premium clinical videos by Jaz and gain CPD for Podcast episodes via the Protrusive.app
https://youtu.be/AVREWCa8VN0
Watch IC041 on Youtube
Need to Read it? Check out the Full Episode Transcript below!
Highlights of the episode:
03:14 Dr. James Murray04:02 Dental school experience06:22 Imposter syndrome08:02 Curriculum vitae09:09 Covering emails11:01 Do the research11:30 Portfolios14:14 Having the right attitude19:37 How to make your portfolio20:45 Photography in dentistry23:52 Photography tips and tricks26:30 Resources for photography27:56 Advice to new graduates31:22 Just-in-time learning
If you enjoyed this episode, you may also like Young Dentist Thrival Guide – First Few Years.
Click below for full episode transcript:
Jaz's Introduction: This episode is one of two being published this week, all about the topic of career development, your first few years after qualifying, making an awesome CV and portfolio, and the most important things you should focus on as a new graduate. So think of this as a new graduate week, two episodes this week.
[Jaz]This episode is aimed at any student, any newly qualified dentist. Or someone who's just ready for a career change, i.e. either you're applying for your first ever role as an associate dentist perhaps or you've been stuck somewhere for a while and you want to broaden your horizons and elevate your dentistry and so now you need to start thinking about a portfolio.
Back in the day dentists would hire other dentists by a handshake. Then things evolved into curriculum vitaes or CVs. Of course, there's always a place for a cover letter in an email, for example, to complement your CV, but nowadays it's all about the PORTFOLIO. Portfolios are a great way to show that you are a caring, reflective practitioner, and they really help you to stand out against the competition.
I'm joined by a newly qualified dentist, James Murray. Who's going to give us a guide about what it takes to make a decent portfolio. Not because he's the most amazing portfolio in the world,Fri, 14 Jul 2023 - 33min - 226 - Divorce, Alcohol and Rough Patches – Overcoming Adversities – IC040
[Trigger warning: this episode discusses topics related to mental health, depression, self-harm, alcohol abuse, and suicide.]
Humans first, Dentists second. We will all have personal rough patches during our career - but how does this impact our work and our patients?
A Protruserati shares his experiences of a toxic marriage, self harm and alcohol dependence - I am so grateful he anonymously shared his valuable insights and lessons for dentists seeking to prioritise their mental well-being.
https://youtu.be/ZED_yS8v8sc
Watch IC040 on Youtube
Throughout the episode we touch on coping strategies, emphasising the value of exercise and physical activity for mental well-being. We also explore the guest speaker's path to recovery from alcohol abuse, including their positive experience with the Allen Carr course, which aimed to change their perception of alcohol. We delve into their experiences with counselling and highlight the importance of being in the right mindset for therapy to be effective. In addition to this we touch on the HeartMath technique, a powerful self-regulation approach that our guest found beneficial in managing emotions and achieving a sense of calm. Below you can find links to these resources, including the ConfiDental helpline - an accessible and confidential listening service designed specifically for dental professionals.
* Allen Carr EasyWay – www.allencarr.com/easyway-stop-drinking/* HeartMath – www.heartmath.com* ConfiDental – 0333 987 5158
Access premium clinical videos by Jaz and gain CPD for Podcast episodes via the Protrusive.app
Need to Read it? Check out the Full Episode Transcript below!
Highlights of the episode:04:22 Our guest’s story12:32 HeartMath14:59 Poker face18:33 Going to work mentally unwell21:00 Leaving toxic environments27:38 Advice for those struggling31:34 Reaching out
If you liked this episode, you should check out Toxic Work Cultures in Dentistry – Time for a Change?
Click below for full episode transcript:
Dr. Anonymous: I didn't enjoy going to work. I think, I always thought, I wasn't very well slept and I didn't have the energy and I had to put it on, and it was a lot of effort. So, yeah, I think it was, it was difficult for me. I didn't want to go to work.
Jaz's Introduction:Do you remember practicing dentistry when you had a cold or you weren't feeling well? Well, you must remember how difficult that was, right? Because dentistry is such a stressful thing. We're dealing with people's emotions all day long. We're dealing with intricate procedures in small places, so when you're not feeling your best. Man, that adds even more to an already stressful profession.
There are various times in our careers that we will enter a rough patch. Now, before I give you examples of this, I want to give a warning for this episode that this episode does contain a lot of triggers that might upset some listeners. We tackled some very dark themes in this podcast episode. My guest, who is a dental professional, discusses episodes of self-harm, divorce, excessive alcohol intake.
And these are the kind of themes that we'll be discussing under the broader umbrella of difficult,Tue, 11 Jul 2023 - 34min - 225 - 5 Things I Do Differently 10 Years after Dental School – AJ004
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There are five things I want to share with you that I do differently now compared to what I was taught in dental school. Dental school is great for laying the foundation, but real-world experience and continuous learning have taught me valuable lessons that have transformed my approach.
* 1 - Sectioning and Elevating - I routinely section and elevate multi-rooted teeth which simplifies complex extractions and preserves buccal bone for better patient outcomes. This is a skill I had to learn and develop post graduation.
* 2 - Using air abrasion to aid with plaque removal which has benefits for adhesive dentistry and beyond, like cement removal and bonding zirconia. I cannot imagine practicing without air abrasion!
* 3 - I use a 'wedge guard' during proximal drilling to prevent scratching adjacent teeth, ensuring precise breaking of the contact without causing iatrogenic damage. I know that for many new grads, breaking contact can be stressful and the mission to prevent iatrogenic damage means overly tapered and aggressive preps. The simple use of a wedge-guard has really helped me overcome this.
* 4 - Onlays! I seldom prepare for full crowns anymore, instead opting for onlays where possible which preserve tooth structure and provide a scientific and artistic challenge in contemporary adhesive dentistry.
* 5 - Vertical Preparations - when I do require a crown and the tooth is not suitable for adhesive dentistry (poor quality and quantity of enamel, deep subgingival margins) then using 'vertipreps' as been a game changer.
Overall, these changes have added value to my practice and improved patient outcomes. Remember, clinical Dentistry is a journey of constant growth. Stay curious and keep evolving - whilst still respecting the best available evidence.
Need to Read it? Check out the Full Episode Transcript below!
Hello Protruserati! Welcome back to the fourth episode of #AskJaz where I answered a question that was sent on the Telegram group - "Jaz, what are some things that you do differently now compared to what you are taught at dental school?"
https://youtu.be/-LYjw2xBETE
Watch AJ004 on Youtube
Highlights of this episode:
0:24 Dental school inexperience1:04 Section and Elevating for Extractions4:02 Air abrasion for Biofilm removal6:27 Wedge Guard - prevent iatrogenic damage!9:39 Onlay preparations11:39 Vertical preparations
If you enjoyed this episode, check out this episode 6 Signs You are a Comprehensive Dentist
Click below for full episode transcript:
Jaz: Hello, Protruserati. I'm Jaz Gulati, and in this Ask Jaz series, I'm going to answer a question that was sent on the Telegram group. It was, 'Jaz, what are some things that you do differently now compared to what you are taught at dental school?' And the honest answer is so much, right? At dental school, you lack experience big time, right?
[Jaz]Think about how many procedures you actually get to do at Dental School, how many crowns you actually get to fit. So Dental School is just there to make you a safe beginner, and as you navigate through the real world. You combine your previous experiences with some mentors and courses that you go on and your own individual experiences that you get in practice,Tue, 04 Jul 2023 - 13min - 224 - No Post? No Crown? The ‘Anti-Biomimetic Dentist’ Part 2 – PDP153
In the exciting continuation of the previous episode, Dr. Pasquale Venuti joins Jaz to offer his unique perspective on biomimetic and restorative dentistry. Dr. Venuti encourages critical thinking to improve patient outcomes and discusses a range of clinical scenarios of which he has heaps of experience. In this thought-provoking episode, they delve into topics such as outcome-based reasoning, the controversial use of posts, and the role of ribbond under your composite restorations.
Dr. Venuti fearlessly challenges the status quo by questioning self-claimed biomimetic dental practices and urging dentists to embrace critical thinking in pursuit of improved patient outcomes.
https://youtu.be/iGL_KXU_NbY
Watch PDP153 on Youtube
Protrusive Dental Pearl: Mouth props are super helpful for long appointments! They serve a crucial purpose in allowing the depressor muscles to relax. By preventing muscle fatigue during extended treatments, these props contribute to patient comfort and overall treatment success. Dr. Jaz shares his approach to communicating the use of mouth props to patients, employing relatable examples to ensure their understanding and cooperation.
Need to Read it? Check out the Full Episode Transcript below!
Highlights of this episode:
2:00: The benefits and communication of mouth props4:18: Controversy surrounding posts in restorations6:32: ‘No post, no crown’19:20: The use of ribbond in modern dentistry.26:20 Process-based reasoning vs Outcome-based reasoning28:41: Jaz's "hypocrisy" regarding rubber dam usage31:48: Patient population and its impact on treatment approaches
Access premium clinical videos by Jaz and gain CPD for Podcast episodes via the Protrusive.app
If you enjoyed this episode, check the part 1 of this episode: The 'Anti-Biomimetic Dentist' - Restorative Lessons from Pasquale Venuti Part 1
Click below for full episode transcript:
Jaz's Introduction: No post crowns, no more crowns, because obviously now we're heading in the direction that everything should be an onlay. Obviously, it's a sin to do a full coverage crown.
Jaz's Introduction:And post are out of the equation. And if you have to use a post, you're going to use a fiber post, not a cast post. Well, this sounds very familiar, right?
This sounds like the way that we've been heading, but Pasquale Venuti offers some different and alternative points of view that I think are very much worth listening. So I left you in a cliffhanger last time with that episode, The Anti Biomimetic Dentist Part One with Dr. Pasquale Venuti. Welcome back. This is part two where he will answer that question about the whole no post, no crown philosophy, what he makes of it.
But he also talks about something called PROCESS based reasoning versus OUTCOME based reasoning. So I guess the bone that Pasquale Venuti has to pick with the biomimetic group, the quote unquote "beef" he has with so-called biomimetic group, is that everything they're saying, all the little micro steps in achieving the highest bond strength, which is very admirable, right?
But everything they're doing is process based, right? It's a little process. Tweak this, tweak that, and let's see if who can improve our immediate results, our immediate bond strengths or aesthetics or whatever it might be. But you see,Tue, 27 Jun 2023 - 34min - 223 - Audio Recording Your Consultations? The Future of Dental Record Keeping – IC039
How long do you spend at the end of the day writing notes? Are you always home late? I used to spend HOURS writing up notes after a long day in the clinic, but not anymore.
I have been on a journey to find tools that make record keeping easier, more efficient and higher quality.
The toughest sessions were TMD consultations where there was so much to take in that my poor nurse struggled to get everything down - that’s when I discovered Dental Audio Notes.
I brought on the founders, Dentist Ala and Engineer Adam - to discuss the audio recording (and transcription) as part of dental records.
Disclaimer: I have ZERO financial interest in DAN software. I just think it’s bloody brilliant.
Dental Audio Notes (DAN) is a service designed to revolutionise record-keeping in the dental industry. DAN offers secure audio recording and transcription of patient interactions, allowing dentists to master record-keeping effortlessly.
https://youtu.be/dRlvlGUyQQQ
Watch IC039 on Youtube
Here’s what makes DAN an invaluable tool for dentists:
1. Accurate documentation – DAN captures the entirety of the conversation. Dentists can later annotate the recordings, providing additional context and making the documentation even more robust
2. Time efficiency – writing notes can be burdensome, especially when dentists have a high patient volume. With DAN's transcription feature, dentists can save valuable time by automatically generating accurate and comprehensive clinical notes
3. Security – DAN takes care of storage, security, and privacy. Dentists simply need to press the record button, and DAN handles the rest, maintaining the recordings in a secure and confidential manner
4. Easy access and sharing – With DAN, dentists have the option to refer back to recorded consultations whenever needed. This feature enhances communication and aids in treatment planning. Additionally, dentists can choose to share the recordings with patients, fostering transparency and patient engagement
For those interested in DAN, early registration before September 1st 2023 offers the opportunity to take advantage of the SUMMER2023 pricing. This includes a subscription of £30 per month for 30 hours of recording, with additional hours available at an affordable rate of £1 per hour. DAN offers a free trial period, allowing dentists to record up to 6 hours for free, providing ample opportunity to explore the features and evaluate the service’s suitability.
Dental Audio Notes Website
Need to Read it? Check out the Full Episode Transcript below!
Highlights of the episode:
03:37 An Introduction to Ala Rozwadowska and Adam Marsh10:34 The benefits of audio recording consultations15:12 When to use dental audio notes23:12 Elevating your communication skills27:53 Gaining Consent31:47 Dento-legal feedback34:06 What will DAN be able to do in the future?38:30 Free trial and prices42:43 What Ala and Adam hope for users of DAN44:13 Dental coaches and mentors47:22 Microphones
If you enjoyed this, you will also love Consent Is Like An Onion – Are You Consenting Your Patients Correctly?
Click below for full episode transcript:
Tue, 20 Jun 2023 - 50min - 222 - The ‘Anti-Biomimetic Dentist’ – Restorative Lessons from Pasquale Venuti Part 1 – PDP152
In this thought-provoking episode, Dr. Pasquale Venuti represents Tomorrow Tooth aka 'the other voice of Dentistry'. He is a renowned dentist who is not afraid to express his controversial views. While he may challenge the modern techniques taught in dental schools today, he brings attention to the shortcomings in current practices and encourages critical thinking.
Dr. Jaz and Dr. Pasquale explore various topics that challenge traditional dental practices, including subgingival caries, flat onlays, post crowns, and cement selection. By raising practical and applicable questions, they encourage dentists to question established norms and seek better solutions for their patients.
https://youtu.be/tZp4s0Wj2zY
Watch PDP152 on Youtube
Protrusive Dental Pearl: New Restoration Needed and the Patient has an existing occlusal appliance. What can you do?
Imagine a Stabilisation Splint - For patients who rely on an occlusal appliance - how do you manage the scenario if they need a restoration? Do you need to make a new occlusal appliance? ? Not really. You just have to gouge out the acrylic where the new restoration was placed (intaglio surface of splint). If the splint fits well, no further adjustments are needed otherwise additional acrylic can be added to provide retention (like a partial reline of the splint over your new restoration. Don't forget that vaseline!)
Need to Read it? Check out the Full Episode Transcript below!
Highlights of this episode:
02:36 The Protrusive Dental Pearl05:25 Pasquales introduction16:53 Subgingival Caries and Gingivectomy22:10 ‘TableTop Onlays’ - Where is the limit?28:30 Pasquale on C-Factor31:12 What are the Limits of Adhesive Dentistry?36:55 Guideline for Adhesive vs Mechanical
If you enjoyed this episode, check this another episode by Dr. Taylor Paton: Biomimetic Dentistry – What Actually Is It?
Click below for full episode transcript:
Jaz's Introduction: In this episode, we're gonna talk about the other voice of dentistry. It's a very provocative episode title, right?
Jaz's Introduction:IThe Anti Biomimetic Dentist, well, for those of you who know the Italian Stallion, Dr. Pasquale Venuti, he's just amazing. And he's not shy to express his views. He's very controversial, and he won't mind me saying this right?
And it's not like he's like completely in the fringe. He's not like, ozone. He's not removing people's amalgams to cure them of their erectile dysfunction or whatever. Whatever, he is not fringe. He's just on the other side of what we get taught at dental school nowadays. The adhesive approach, but what Pasquale is great at is, is pointing out the shortcomings in the modern techniques, right?
What's wrong with fiber posts? What's wrong with blindly following adhesive dentistry? So, what tomorrow tooth, the group, that Pasquale is part of is so good at just expressing the other voice of dentistry, take nothing at face value. So I think you're gonna really enjoy this episode.
I've been sitting on this episode for a couple of years now for various reasons, mostly because the amount of interjections and the amount of additional content this episode required me to do is why it took so long. But hope you enjoy this episode and learn a lot with Pasquale Venuti.Wed, 14 Jun 2023 - 40min - 221 - Prescribing Antifungals as a GDP – Diagnosis and Management – PDP151
Download our Prescribing Antifungals for Dentists Cheat Sheet!
Miconazole? Nystatin? Amphotericin B? What dose?
When should you refer, and to who?
How often do we prescribe antifungals as a GDP? I always need to brush up on the guidelines and best management of oral fungal infections whenever I make a diagnosis - which is why brought on Oral Medicine Specialist Dr. Amanda Phoon Nguyen to make diagnosing and managing oral fungal infections less painful!
Dr. Phoon Nguyen shared her experience and insights into diagnosing and treating oral fungal infections. Here's a glimpse of what we covered:
* Primary Oral Candidosis:
* Explore the three types: pseudomembranous candidosis, chronic hyperplastic candidosis, and erythematous candidosis.* Learn how to identify each type and when further investigation may be necessary.
* Candida-Associated Lesions:
* Understand the different candida-associated lesions, including denture stomatitis, angular cheilitis, median rhomboid glossitis, and linear gingival erythema.* Discover the significance of these lesions in relation to systemic health.
* Treatment Approaches:
* Gain insights into effective antifungal medications, such as miconazole oral gel (Daktarin), amphotericin B lozenges (Fungilin), and fluconazole mouthwashes.* Consider interactions and precautions when prescribing antifungals for patients on specific medications.
* Denture Hygiene:
* Explore the role of dentures in oral candidosis and the importance of proper denture hygiene.* Learn practical tips for denture maintenance to prevent candida colonization.
https://youtu.be/-RqoVZVVnsI
Watch PDP151 on Youtube
The Protrusive Dental Pearl: What are you Waiting for? If there’s something you’ve been putting off (meditation, exercise, diet, work, etc.), the best time to start was years ago. The second-best time is today! Write it down, tell someone, keep yourself accountable and start right now.
Need to Read it? Check out the Full Episode Transcript below!
Highlights of this episode:
01:31 The Protrusive Dental Pearl02:47 Dr. Amanda Phoon Nguyen06:43 Candida Albicans08:37 Primary Oral Candidosis14:48 Modifiable Factors18:40 GP vs. Oral Medicine - Where to Refer?21:44 To Prescribe or Not to Prescribe?24:10 Antifungal Medication31:44 Interactions35:48 Angular Cheilitis39:06 Median Rhomboid Glossitis and Denture Stomatitis39:57 Denture Hygiene
If you enjoyed this episode, check this another episode by Dr. Ben Pollock and Dr. Samuel Cope, Got Your Back – Physios and Dentists.
Click below for full episode transcript:
Jaz's Introduction: If you've diagnosed a fungal infection in your patient, perhaps oral thrush or a denture dermatitis, should you prescribe antifungals straight away? Or is it a good idea to improve the oral hygiene, the denture hygiene first? Should you always be sending for a blood test or is it okay just to go straight for the antifungals?
Jaz's Introduction:Look, if you're anything like me and every time you even suspect fungal infection your patient, you are thinking, whoa. When I even begin what I prescribe,Tue, 06 Jun 2023 - 45min - 220 - Occlusion on Class IV Composite Restorations – PDP150
What should the occlusion look like when you are restoring or replacing a Class IV restoration? This question is so basic yet so complex which is often not talked about enough. We go on all these composite courses and talk about the layering, but we don't talk enough about how to put the principles of occlusion into action.
In this episode, Dr. Ibrahim will be talking about how Class IV Restorations can be optimised to get a long term predictable result. We also shared the two mechanical failures in dentistry and the step-by-step process of a Class IV restoration with occlusion in mind.
https://youtu.be/JgbO6PDjSOg
Watch PDP150 on Youtube
The Protrusive Dental Pearl: Occlusion Whisperer – Ask your patient to bite together and listen – in a “good” occlusion you should hear lots of tooth-to-tooth contact, whereas a thud indicates an issue. Use this in addition to more traditional methods of assessing the occlusion, and make sure you are satisfied with the occlusion before asking the patient “how does that feel?”
Are you ready to learn Occlusion in a way that makes sense, in your own time, with first class support and career boosting confidence to deliver Restorative Dentistry to the highest standard?
Then join Occlusion Basics and Beyond Online Course with IAS Academy
Download Protrusive App on iOS and Android and Claim your Verifiable CPD/CE by answering a few questions + You can get EARLY ACCESS to the episode + EXCLUSIVE content
Need to Read it? Check out the Full Episode Transcript below!
Highlights of this episode:
00:49 The Protrusive Dental Pearl02:23 Dr. Mahmoud Ibrahim03:07 Class IV Lesions07:21 Mechanical Failure09:28 The “Envelope of Function” and “Chewing Space”13:50 Dealing with Limited Chewing Space17:49 Mock-Ups19:35 Dots and Lines21:14 The Process
If you enjoyed this episode, check this another episode by Dr. Mahmoud Ibrahim, Next Level Occlusion (Basics Part 2).
Click below for full episode transcript:
Jaz's Introduction: What should the occlusion look like when you're restoring or replacing a Class IV Restoration? It's a really interesting question actually. Like it's so basic, yet so complex.
Jaz's Introduction:So we're going to make this topic, which is often not talked about enough, and like we've got all these composite courses and they talk about the layering. But we don't talk enough about how to put the PRINCIPLES of OCCLUSION into action on your Class IV Restorations to actually get a long-term predictable result.
Hello, Protruserati. I'm Jaz Gulati, and welcome back to PDP150. We've got over 200 episodes of Protrusive now with you, include the Interference Cast, and all the other branches of the podcast that we do. Thank you so much for joining me time and time again. If you're new to the podcast, welcome. You picked a really interesting and fun topic to join us on today.
Protrusive Dental Pearl:Now every episode I give you a Protrusive Dental Pearl.Wed, 31 May 2023 - 37min - 219 - Bruxism and the Airway – PDP149
Occlusal appliances are commonly prescribed for the management of Bruxism - but they might be doing more harm than good if you have not screened for an airway issue.
Dr. Aditi Desai discussed the link between airway and bruxism- could an airway problem cause bruxism? Why is it advised NOT to have a standard occlusal appliance if there is an airway issue?
Did you know there are three levels of diagnosis for Sleep Bruxism?
The 'Possible' Bruxist, the 'Probable' Bruxist and the 'Definite' Bruxist - in this episode Dr. Aditi Desai who also featured in PDP 139 on sleep disordered breathing and sleep apnea, will explain this and when it may be relevant to sleep apnoea.
https://youtu.be/DozqYGEPNxY
Watch PDP149 on Youtube
The Protrusive Dental Pearl: Parafunctional Screening Sheet - A simple PDF that you can look for in terms of your extra-oral examination, intra-oral examination and the history - to give a clue that a patient might be a bruxist in just 2 minutes - download below:
Parafunctional-ScreenDownload
Download and Sign in to the Protrusive App on iOS and Android and head over to the freemium version of this episode and on The Protrusive Vault for those Protrusive Premium members (where you can get full CE or CPD Certificate by answering a few questions)
Need to Read it? Check out the Full Episode Transcript below!
Highlights of this episode
* 5:21 The Protrusive Dental Pearl* 6:28 Dr. Aditi Desai’s Introduction* 9:17 Airway in Dentistry* 12:49 Lack of studies with regards to diagnosing sleep bruxism* 16:32 Signs to look for to a possible bruxist and how to communicate with them* 27:01 Nomenclature of sleep bruxism* 30:51 Learning points to assess airway* 35:43 Cases that caused the patient to become apnoeic
Get in touch for different Board of Sleep Medicine:
* UK: British Academy of Dental Sleep Medicine (BADSM)* USA: American Academy of Dental Sleep Medicine (AADSM)* Australia: Australian Academy of Dental Sleep Medicine
If you enjoyed this episode, you may also like Airway – Dentistry’s Elephant in the Room with Prof Ama Johal
Click below for full episode transcript:
Mon, 22 May 2023 - 39min - 218 - Apicoectomy Tutorial – When, Why and How – PDP148
You're faced with a beautiful crown with what seems like a decent root filling - but there's an apical infection present. Is the answer always endodontic re-treatment? When should we instead consider apical surgery so we can clear the infection WITHOUT drilling through the crown or having to dismantle posts?
In this episode, specialist endodontist Dr. Peter Raftery and his associate Dr. Manpreet Dhesi will be talking about the Apicoectomy procedure that can be used to treat root-filled teeth using a 'retrograde' approach. They will discuss about how it fits into general dentistry, its indications and contraindications, its cost analysis vs implants and and the entire protocol for performing Apicoectomy
https://youtu.be/sZOsLuuf-Vo
Watch PDP148 on Youtube
Protrusive Dental Pearl: The periradicular surgery guidelines issued by BES and the Royal College of Surgeons. Download the guidelines about periradicular surgery or on the app under the Protrusive Vault (where all the different files and infographics and the different things that you get as a Protrusive premium member)
BES-RCS-Peri-Radicular-Surgery-GuidelinesDownload
Download Protrusive App on iOS and Android and Claim your Verifiable CPD/CE by answering a few questions + You can get EARLY ACCESS to the episode + EXCLUSIVE content
Need to Read it? Check out the Full Episode Transcript below!
Highlights of this episode:
* 1:37 The Protrusive Dental Pearl * 3:32 Dr. Peter Raftery’s introduction* 4:05 Dr. Manpreet Dhesi’s introduction* 5:16 What is Apicoectomy?* 6:29 Oral Surgeons vs Endodontists?* 8:48 Is a Microscope mandatory for Apicoectomy?* 10:08 Apicoectomy for posteriors* 11:00 Isolation Protocol for Anterior Apicoectomies* 11:35 Apicoectomy Protocol* 15:03 Disinfection Protocol* 18:41 Moisture control from the bleeding* 20:43 Risk of surgical emphysema - Is special handpiece needed?* 21:52 Indications and Contraindications for Apicoectomy * 27:46 Endodontic Re-treatment* 29:05 Cost benefit analysis of Apicoectomy* 31:20 Success rate for Apicoectomy* 34:19 Case Scenario 1: 82-year old patient with a singular crown, root filling and a radicular pathology* 42:10 Retrograde fillings of choice * 44:09 Grafting after Apicoectomy - is it needed?* 45:04 Equipments for Apicoectomy* 47:11 Learning more about Apicoectomy
Apical Microsurgery Instrument Kit- the mirror, the pluggers, and the little curettes by Hu-Friedy UK
Apical-Microsurgery-Instrument-KitDownl...Thu, 11 May 2023 - 55min - 217 - Recommend Treatment Plans with Confidence – IC038
Stop waffling and start communicating effectively. Stop giving 75 different treatment options and RECOMMEND the ideal plan based on their goal (hint: ask more questions!). Become efficient with patient communication by switching to video letters using Loom.
In this episode, Prav Solanki talks about the trust built between the Dentists and their patients, and how that trust is the foundation for providing the best treatment plan for each patient. After this episode you will realise that sales is NOT a dirty word, and you will love his definition of it.
https://youtu.be/cNVMKpzbqXI
Watch IC038 on Youtube
Check out the example Loom videos on Premium Clinical Videos section of the Protrusive App.
Download Protrusive App on iOS and Android and Claim your Verifiable CPD/CE by answering a few questions + You can get EARLY ACCESS to the episode + EXCLUSIVE content
Need to Read it? Check out the Full Episode Transcript below!
Highlights of the episode:
* 6:33 Prav Solanki’s Introduction* 8:56 Sales in Dentistry* 13:53 Information that patients needs to know before being eligible for a free consultation* 18:47 Learning the art of concise communication* 25:56 2 Stage processes in Business* 27:58 How to build trust with your patients* 34:05 Delivery of the Treatment Plan* 36:51 Using Loom for Treatment Plan Presentation
Check out courses by Prav Solanki:
https://courses.iasortho.com/courses/gb/business-mindset-mastery
https://courses.iasortho.com/courses/gb/phone-school-with-prav-solanki
https://courses.iasortho.com/courses/gb/sales-and-communication-mastery-for-tcos
If you enjoyed this, you will also love Presenting Treatment Plans the Comprehensive Way
Click below for full episode transcript:
Jaz's Introduction: You could be the best dentist in the world with your hands, but if you can't communicate effectively with confidence to your patient, if a patient can't sense that you as a clinician are confident to carry out whichever plan you are advising, then guess what?
Jaz's Introduction:The patient will not go ahead and that's a disservice to the patient because you have your heart in the right place. You've trained for this. You've been on additional courses, but if you can't convey that to the patient, then it's an absolute waste. Hello, Protruserati. I'm Jaz Gulati. Welcome to this Interference Cast, this non-clinical interruption to help you grow as a dentist and do more dentistry on the right ...Wed, 03 May 2023 - 58min - 216 - Internal Whitening Protocols Pt2 (Non Vital Bleaching) – PDP147
Following the cliffhanger from Part 1 where the theme was Diagnosis - we now discuss the two main protocols of internal bleaching: the Inside-Outside Bleaching technique and Walking Bleach Technique for non-vital teeth whitening.
In this episode Dr. AJ Ray-Chaudhuri discussed how to prevent peroxide gel from entering the root canal system while performing non-vital bleaching. We cover every detail of the procedure and offer step-by-step guidance on how to make a tray, how much to charge patients, which gels to use and much more.
https://youtu.be/5Pl238679j4
Watch PDP147 on Youtube
Protrusive Dental Pearl: The full protocol workflow - summarised PDF of Part 1 and 2 of this Internal Bleaching Series plus the patient advice sheet AND lab instruction sheet by Dr. AJ Ray-Chaudhuri
Click Here to Request the PDFs
Download Protrusive App on iOS and Android and Claim your Verifiable CPD/CE by answering a few questions + You can get EARLY ACCESS to the episode + EXCLUSIVE content
Need to Read it? Check out the Full Episode Transcript below!
Highlights of this episode:
* 2:28 Protrusive Dental Pearl* 3:40 Tips and Advice for Internal Bleaching in Practice* 7:21 The Inside-Outside Whitening Technique* 17:45 Internal Bleaching Protocol* 23:21 Getting the proper access cavity* 27:21 Dealing with patients who do not follow instructions well* 31:47 Considerations and Tips to maximize success or to avoid mistakes* 33:08 Internal resorption and relapse
If you enjoyed this episode, check out the first part of this episode: Internal Whitening Protocols Pt1 (Non-Vital Bleaching)
Click below for full episode transcript:
Jaz's Introduction: Hello, Protruserati. I'm Jaz Gulati, and you are listening to this episode because you've just finished part one and you are pumped to get into the full protocols for internal bleaching where Dr. AJ Ray-Chaudhuri, or you just clicked on.
Jaz's Introduction:Because you've got a patient next week who's got a black tooth and you want to follow all the protrusive pearls shared in this full guide on how to actually carry out internal beach treatment, or you are in luck because we cover all those things today.
In the previous episode, so part one of internal bleaching we covered about getting your diagnosis right, making sure you've got a really good root canal treatment, and also the difference between a yellow tooth, which is more likely be like a calcific metamorphosis versus an actual non vital tooth. Now, why one will not need a root canal treatment?
So if you haven't listened to that one yet, please go back one episode and check that one out. Now towards the end of that episode,Thu, 27 Apr 2023 - 215 - Internal Whitening Protocols Pt1 (Non Vital Bleaching) – PDP146
Non-vital bleaching or internal whitening comes in many forms, but it's often confusing which exact protocol to adopt. When you learn this technique you can make a HUGE difference to a patient's smile in a minimally invasive manner.
Restorative Specialist Dr. AJ Ray-Chaudhuri covered the all-important diagnoses and indications of internal bleaching as well as how to treat tooth calcific metamorphosis (the obliterated pulp). We answer the key question: do you always need to have a root canal treatment present?
https://youtu.be/mEHIypt-WW4
Watch PDP146 on Youtube
The Protrusive Dental Pearl: When carrying out internal bleaching make sure to clean out the entire pulp chamber especially the necrotic pulp horns - clean the necrotic tissue inside using ultrasonics. Ensure the entire chamber is de-roofed - remember that these are mostly trauma cases and the pulp went necrotic in youth - hence large pulp chambers. No role for Ninja access here!
Need to Read it? Check out the Full Episode Transcript below!
Download Protrusive App on iOS and Android and Claim your Verifiable CPD/CE by answering a few questions + You can get EARLY ACCESS to the episode + EXCLUSIVE content
Highlights of this episode:
* 3:03 The Protrusive Dental Pearl* 5:55 Dr. AJ Ray-Chaudhuri’s journey into restorative dentistry* 13:02 Internal Bleaching Protocol* 15:45 Whitening obliterated pulp (Calcific Metamorphosis)* 21:22 No prep veneer/Composite veneer VS Tooth Whitening* 22:50 Q: Best time for Internal bleaching after Endodontics?
STAY TUNED for Part 2 Next week when it gets really spicy - we have a PDF infographic to follow!
If you enjoyed this episode, check out Post Operative Pain after Endodontics – Prevention and Management
Click below for full episode transcript:
Jaz's Introduction: Non-vital bleaching or internal bleaching is something that you don't really learn or get to practice at dental school. It's something that you don't really often get to do, but when you get to do it, you get to make a huge difference to a patient smile.
Jaz's Introduction:But there's lots of different ways to do it. It can get very confusing and the first time you come across a case, you end up going online and searching for all the different papers and different techniques out.
And you just end up getting confused, which is why I've got this killer two-part series with Dr. AJ Ray-Chaudhuri, restorative consultant. We both discuss the indications, the diagnoses, so basically it's two parts. This first part you listen to right now is going to cover his journey as a restorative consultant.
The diagnoses that you can make, like when you have a yellow tooth, and you take a peri-apical radiograph and you observe that, 'Hey, where's the pulp gone? There is no canal anymore.' That's a calcific metamorphosis, right? That's a sclerosed canal, and that can be a discolored tooth. Now, how do you whiten that, and how is that different to an actual non-vital tooth where you actual...Thu, 20 Apr 2023 - 31min - 214 - Rochette Bridges and Provisional Prostheses for Implants – PDP145
Rochette Bridges are a popular option for interim tooth replacement whilst implants in the aesthetic zone are 'cooking'. In this episode with Dr Pav Khaira we discuss his interim restoration protocols using Rochette Bridges and Dentures, as well as gaining an insight in to custom healing abutments.
https://youtu.be/InBOBHfYxEA
Watch PDP145 on YouTube
Which cement is best for Rochette Bridges? How do you remove them? Ceramic or Composite pontic? When might we consider a Denture instead?
We then expand in to soft tissue augmentation at the time of implant surgery to get the best pink aesthetics. This episode is packed full of gems even if you do not place implants - much of the benefits of soft tissue augmentation can be applied to non-implant fixed prosthodontics.
The Protrusive Dental Pearl: Steal my Resin Bonded Bridges consent form! It is a visual aid for patients and helps with information and consent for RBBs. If you are on Protrusive Premium, head to the 'Protrusive Vault' to download it. Otherwise you can request your free download here.
Need to Read it? Check out the Full Episode Transcript below!
Download Protrusive App on iOS and Android and Claim your Verifiable CPD/CE by answering a few questions + You can get EARLY ACCESS to the episode + EXCLUSIVE content
"It's all about how you communicate the soft tissue grafting surgery to your patient" - listen/watch the episode to hear this absolute peach of a communication pearl!
Learn Implants from Dr Pav Khaira
Highlights of this episode:
* 3:40 Dr Pav Khaira's Introduction* 7:20 Interim Restoration vs Immediate Loading of Implant* 10:12 TWO Golden Rules of Temporary Dentures for Implants* 11:15 What is a Customised Healing Abutment?* 17:40 Rochette Bridges Protocol* 23:54 Temporary Implant Crown Protocol* 31:36 Communicating Soft Tissue Grafting
If you enjoyed this episode, check out Success with Resin Bonded Bridges.
Click below for full episode transcript:
Jaz's Introduction: If you've placed an implant or maybe your surgical colleague has placed an implant and now it's come to you as the restorative dentist, and you need to give this patient a tooth because they're not going to go for immediate loading, i.e, they're not going to have the temporary crown on this implant the same day.
Jaz's Introduction:We're going to wait some healing, and therefore, how can you give this patient a tooth? It's going to be a denture or a bridge of some sort temporarily. There might be some other ways, but these are the two most common ways to do it. Now, you might have heard of something called a Rochette Bridge.Mon, 10 Apr 2023 - 38min - 213 - Personal Sacrifices – Creating an Online Occlusion Course – IC037
No need for violins - this episode was to share our behind-the-scenes story of creating an online occlusion course.
This year has been the most challenging for me and Mahmoud Ibrahim as we worked hard to make OBAB the most tangible, real-world, and comprehensive occlusion training on the planet. We faced many struggles, hardships, and sacrifices along the way.
I want to thank you all for your support, your help and your feedback. You have been a great help in this journey and I am so grateful that we were able to accomplish it with your blessings.
In this episode, me and Dr. Mahmoud Ibrahim were invited to the Dental Innovator Podcast to talk about the journey, challenges and sacrifices we made while working on OBAB. This episode will also inspire you regardless of your own situation. Whether you are starting a practice, buying a practice or starting a business within or outside of dentistry, this episode will give you inspiration and a perspective.
OBAB One-Time Pre-Launch Deal is now SOLD OUT – thanks for all your support!
Highlight of this episode:
* 2:27 Dr. Jaz and Dr. Mahmoud’s Introduction* 5:52 Driving force in doing OBAB* 8:56 Process in making online course* 13:04 Online Course vs Live Course* 16:48 Work-Life Balance* 20:31 OBAB Journey* 28:12 OBAB’s post course support* 34:54 Responsibilities in Business Partnership* 41:00 Qualifications of Dr. Jaz and Dr. Mahmoud to teach people occlusion* 47:33 Dr. Mahmoud’s journey inside and outside dentistry* 49:12 Marketing aspect of an online course* 52:04 Advice for young dentists* 55:42 Innovations in Dentistry
If you liked this episode, you will love How to Win at Life and Succeed in Dentistry – Emotional IntelligenceFri, 31 Mar 2023 - 1h 01min - 212 - Lingual Infiltrations and Adrenaline for Cardiac Risk Patients (Part 2) – PDP144
As you may recall from the first part of this series, Dr. Wayne William is an amazing dentist in our community who has been kind enough to share his insights into local anaesthetics with us. Today we'll be talking about the second half of this topic:
* The most commonly used anesthetic agents used by GDPs (and why we should ditch one)* Is it safe to inject lingually? * Adrenaline for Cardiac Risk Patients - is it really a worry?
https://youtu.be/E9q4t5z7LdI
Check out this full episode on YouTube
Download Protrusive App on iOS and Android and Claim your Verifiable CPD/CE by answering a few questions + You can get EARLY ACCESS to the episode + EXCLUSIVE content
The Protrusive Dental Pearl: Do NOT use the technique of lingual infiltration that I did! There IS a better way! (Lingual Infiltrations are not bad - just the way I did them was not ideal)
If you’re curious what technique that was, Protrusive Premiumwill get to see it in the middle of this episode including Dr Williams' 'live' unedited, uncut reaction. This is GOLDEN content!
Need to Read it? Check out the Full Episode Transcript below!
Highlights of this episode:
* 4:34 The Protrusive Dental Pearl* 5:38 Large red headed people are difficult to numb. Is it a myth or is it real?* 8:29 Lingual Infiltrations* 17:02 Adrenaline being avoided for certain patients* 23:49 Adrenaline for Cardiac Risk Patients
Occlusion: Basics and Beyond is the most tangible, real-world, and comprehensive occlusion training on the planet.
Get the OBAB One-Time Pre-Launch Deal which SOLD OUT - the only way now is the Waiting List as IAS are preparing 20 extra starter kits.
Be sure to watch the first part of this episode:Articaine ID Blocks and the ‘CIA Technique’ for Local Anaesthetic
Click below for full episode transcript:
Jaz's Introduction: Welcome back Protruserati to Articaine ID Blocks Part Two. How good was part one? Thanks to Dr. Wayne Williams.
[Jaz]What I love about bread and butter episodes like these is the engagement it gets from the community. So you guys, Protruserati on the Instagram app @protrusivedental, had some really interesting things today.
Like for example, Cony, Cony Caravotas we met in Brighton and also at the Finlay Sutton course. Hope you're doing well. She said that she hasn't done an ID block since 2009, so that was 14 years ago. That is bloody impressive, right? I told you I do about one a month. Coney hasn't done once in 2009. She said, buccal articaine infiltrations all the way.
And there were loads of comments just like that about how we're all getting really good resul...Fri, 24 Mar 2023 - 24min - 211 - Articaine ID Blocks and the ‘CIA Technique’ for Local Anaesthetic – PDP143
There is a massive trend of Dentists ditching ID blocks in favour of articaine buccal infiltrations. For many that are still using ID blocks routinely, they are afraid of using Articaine due to fear of paraesthesia.
Should we be doing less ID blocks? And when we do, is it ACTUALLY harmful to use articaine or is that a myth?
I have to admit, the main reason I heavily switched to buccal articaine was to avoid ID blocks.
Dr. Wayne William, our straight-talking, no-BS Prosthodontist guest will bust some myths and improve your daily delivery of safe and effective local anaesthesia.
In this episode he taught us the Crestal Intraosseous Approach (CIA), a technique developed by Dr. Wayne to improve our buccal infiltrations.
https://youtu.be/LbOxlXIZCkw
Check out this full episode on YouTube
Download Protrusive App on iOS and Android and Claim your Verifiable CPD/CE by answering a few questions + You can get EARLY ACCESS to the episode + EXCLUSIVE content
The Protrusive Dental Pearl: Check out the couple of videos I posted recently on YouTube and on the app
https://youtu.be/yFfKVLmSr5Q
Robin Hood Dentistry - a careful and well-considered enameloplasty
https://youtu.be/3QLby2U_W3E
No More High Restorations 2023 Update - Stop Grinding Away Your Composites!
"There is no such thing as a periodontal ligament injection" Dr. Wayne Williams
Need to Read it? Check out the Full Episode Transcript below!
Highlights of this episode:
* 3:02 The Protrusive Dental Pearl* 5:49 Dr. Wayne Williams’ Introduction* 8:06 Buccal infiltration with articaine for lower molars* 13:09 Crestal Intraosseous Approach (CIA)* 22:28 ID Blocks - is it safe?* 28:13 Hitting Bone while giving injections - safe or not?* 31:04 Failure rate for ID Blocks
Occlusion: Basics and Beyond is the most tangible, real-world, and comprehensive occlusion training on the planet.
Get the OBAB One-Time Pre-Launch Deal before 21st March to get access to OBAB for two whole years and get a fully mentored case worth £550. Plus get £1445 of exclusive extras!!!
If you enjoyed this episode, check out Hot Pulps, Painless Palatals and ID Block Failures
Click below for full episode transcript:
Jaz's Introduction: There's been a huge trend in dentists doing less and less inferior alveolar nerve blocks and to be fair, I've been part of this, right?
Jaz's Introduction: I'm actually, I wouldn't say afraid.Tue, 21 Mar 2023 - 41min - 210 - Dots and Lines Parody Song (‘I Will Survive’) – FULL SONG
From the studio that brought you 'The Fresh Prince of Appliances'...
I present:
Dots and Lines Music Video
https://www.youtube.com/watch?v=5vHKt3kUJ84&ab_channel=JazGulati-ProtrusiveDentalPodcast
Sign up before 21st March for:
* 2 years of access instead of 1 (worth £399)* £500 off* Starter Kit and OBAB Hardback Book* 1 Fully Mentored Case on our Platform (worth £550)Thu, 16 Mar 2023 - 2min - 209 - Stop Blaming Bruxism Part 2 with Sandra Hulac – PDP142
After the cliffhanger from Part 1, Dr. Sandra Hulac is back to share more information about Frictional and Constricted Chewing Patterns (CCP) with cases shared and explanations given.
Check out the Full Episode with a Free membership on Protrusive.App
Download Protrusive App on iOS and Android and Claim your Verifiable CPD/CE by answering a few questions + You can get EARLY ACCESS to the episode + EXCLUSIVE content
The Protrusive Dental Pearl: Overjet is King. We don't want tight bites. We want a bit of overjet that gives chewing space - this will reduce the chances of a functional attrition and avoid 'too much anterior guidance' or locking the patient in.
“It's important to know why things fail and try and avoid failure the next time”
Need to Read it? Check out the Full Episode Transcript below!
Highlights of this episode:
* 0:28 PDP141 - Stop Blaming Bruxism Part 1 Recap* 6:34 The Protrusive Dental Pearl: Overjet is King* 6:56 The role of pre-restorative orthodontics* 9:24 Case #1: Extremely traumatic deep bite* 14:10 Case #2: Crowding of the lower anterior segment* 19:41 Case #3 Lot of wear on the front teeth * 23:54 Case #4: Chipped and worn front teeth * 27:06 Case #5: Worn front teeth * 32:41 Case #6: Patient had an extraction ortho
Dr. Mahmoud and I are also excited to share the occlusion that we learned over the years – in a way that you have never seen before!
Occlusion: Basics and Beyond is the most tangible, real-world, and comprehensive occlusion training on the planet.
LIMITED DELEGATE SPOTS DUE TO STARTER KIT STOCK – AVOID DISAPPOINTMENT! Occlusion Online Course
Be sure to watch Part 1: Stop Blaming Bruxism! How to Spot Frictional and Constricted Chewing Patterns (CCP)
Click below for full episode transcript:
Introduction: Hello, Protruserati. I'm Jaz Gulati and thanks so much for coming onto the app for part two or what was quite a brilliant part one with Dr. Sandra Hulac. Her energy is just absolutely amazing.
Jaz's Introduction:Now, just a recap, we left you on a bit of a cliffhanger last time. We talked about, I asked Sandra about orthodontics. You know, how often does orthodontics come into it?
Is it every single time? And the answer she gives is really pragmatic. So you'll hear that or see that in just a few minutes. But I just want to do a bit of a recap, what we talked about last time, right? So, a constricted chewing pattern is someone who really wants to bite here,Wed, 15 Mar 2023 - 4min - 208 - Stop Blaming Bruxism! How to Spot Frictional and Constricted Chewing Patterns (CCP) – PDP141
Do you blame bruxism for every time you observe attrition? As you know, I'm no stranger to occlusal appliances, but often they may be inappropriate for the patient who is causing their wear during FUNCTION and not so much during parafunction.
Maybe it’s time for us to start looking at different aetiologies of attrition and this is what the wonderful Dr. Sandra Hulac breaks down for us in this banger of an episode.
We also discussed the differences between frictional and constricted chewing patterns, which are often confused with each other. We share some case examples and discuss how to correctly diagnose these types of chewing patterns.
https://youtu.be/ao0sqY6lXZ4
Check out this full episode on YouTube
Download Protrusive App on iOS and Android and Claim your Verifiable CPD/CE by answering a few questions + You can get EARLY ACCESS to the episode + EXCLUSIVE content
The Protrusive Dental Pearl: Acknowledge, understand, and believe the fact that often our patient’s centric relation (CR) is NOT more distal/posterior to their maximum intercuspation (MIP) - it can actually be anterior to their MIP!
Need to Read it? Check out the Full Episode Transcript below!
Highlights of this episode:
* 2:43 The Protrusive Dental Pearl* 6:01 Dr. Sandra Hulac’s Career Journey and Inspirations * 18:22 What is a Constricted Chewing Patterns (CCP)?* 25:43 How to spot for CCP (Constricted Chewing Pattern)?* 30:12 Frictional envelope vs constricted envelope* 37:31 Case Discussion
Dr. Mahmoud and I are also excited to share the occlusion that we learned over the years - in a way that you have never seen before!
Occlusion: Basics and Beyond is the most tangible, real-world, and comprehensive occlusion training on the planet.
LIMITED DELEGATE SPOTS DUE TO STARTER KIT STOCK - AVOID DISAPPOINTMENT! Occlusion Online Course
If you enjoyed this episode, check out How to use Injectable Composites to Treat Toothwear
Click below for full episode transcript:
Introduction: Hi, my name is Mahmoud Ibrahim, and I'm Jaz Gulati, and we wanted to make the best occlusion course in the Universe. Now we know that sounds like a big task and a huge ask, but we did it. I think we did it.
OBAB:We did it. We finally made OBAB, Occlusion Basics and Beyond. And we've really, really worked our butts off to give you an occlusion course that is gonna be applicable to real world dentistry.
So, what's included in this pre-launch deal? We've got five different things for you. First of all is the OBAB starter kit.Fri, 10 Mar 2023 - 52min - 207 - [LAUNCH] Our Occlusal Philosophy – OBAB Special
LIMITED DELEGATE SPOTS AVAILABLE NOW! Occlusion Online Course
As we launch OBAB, Occlusion Basics and Beyond in today's episode, Dr. Mahmoud Ibrahim and I talked about our philosophy of occlusion. For us, the application of occlusion results in longevity, predictability and stopping your $#*7 from breaking.
We are excited to share with you what we have learned over the years - in a way that you have never seen before!
https://youtu.be/5vHKt3kUJ84
Click here to watch our Dots and Lines music video
OBAB was developed to break down this seemingly complex topic in an understandable way that you can easily implement in daily practice in the real world.
Occlusion: Basics and Beyond is the most tangible, real-world, and comprehensive occlusion training on the planet.
But don't take our word for it:
https://youtu.be/cFPTY0hfOtY
Check out what our delegates had to say about OBAB
Visit occlusion.online to learn more about the course and get the One-Time Pre-Launch Deal before 21st March to get £500 off enrolment and early bird access on April 7th. Plus get £1445 of exclusive extras!!!
Highlights of this episode:
* 4:00 What is Philosophy of Occlusion?* 5:12 Dr. Mahmoud on his experience with occlusion* 7:02 Different schools of thought regarding Occlusion* 13:00 Importance of Occlusion* 22:23 Possible failures doing restorative work without conforming to occlusion* 25:13 Occlusion: Basics and Beyond
Tue, 07 Mar 2023 - 41min - 206 - The Secrets to Finding a Passion in Dentistry – IC036
Dr. Karl Walker-Finch shares his journey of pain to passion as he reveals the secrets to finding YOUR passion in Dentistry.
We started by discussing our crippling imposter syndrome as we left public Dentistry to practice privately. Along that theme we highlight the importance of taking control of your own destiny.
Karl's new book, 'In The Loupe' raises money for Confidental (emotional first aid for Dentists) and is a powerful book for Dentists that wish to practise without fear and establish the right work-life balance.
https://youtu.be/YPv71yr62tE
Check out this full episode on YouTube
Download Protrusive App on iOS and Android and Claim your Verifiable CPD/CE by answering a few questions + You can get EARLY ACCESS to the episode + EXCLUSIVE content
“We do not need thousands of specialists in full mouth rehabilitation” - Dr. Karl Walker-Finch
Need to Read it? Check out the Full Episode Transcript below!
Highlights of this episode:
* 3:12 Dr.Karl Walker-Finch's introduction* 5:48 Experiencing Imposter Syndrome* 11:40 Private Practice vs Public Practice* 16:31 Finding Passion - Ideal work for dentists* 20:59 Top tips to help dentists find their 'whys' - Dr. Karl’s pathway before niching down* 29:34 Taking control of our own destiny* 39:32 Implementing the power of atomic habits in Dentistry* 44:12 Dr. Karl supporting 'Confidental' - helping dentists with their mental health
You can now grab a copy ofIn The Loupe: The Secrets to Finding a Passion in Dentistry by Dr. Karl Walker-Finch!
If you enjoyed this episode, you will love Passion and Values in Dentistry with Dr. Dhru Shah
Click below for full episode transcript:
Jaz's Introduction: n this episode, I'm joined by Dr. Karl Walker-Finch, who's the author of the book called In the Loupe, the Secrets to Finding a Passion in Dentistry. Hence why the name of this episode. Now, some of the other titles that are also considered were GDPs, just Want to Have Fun.
Jaz's Introduction:And the other one that describes this episode really well, which I almost considered was Fall in Love with Dentistry all over again. Hello, Protruserati. I'm Jaz Gulati and I'm the host of Protrusive Dental Podcast. This is a non-clinical interruption. We call this an Interference Cast. If it's your first time listening, thanks for joining me.
I appreciate it. It's a whole three or four years worth of content that you need to explore, but if you are a regular listener, thanks for joining us again. This episode is a bigger picture episode. This episode is kind of like a feel good and an emotional exploration of your why and your purpose in your life and in your career...Tue, 28 Feb 2023 - 1h 05min - 205 - A Little Trick to Solve Anterior Open Bites after Occlusal Appliances – AJ003
I will reveal a little 'trick' that might 'recapture the bite' on a patient who develops an anterior open bite (AOB) after wearing a nightguard/splint/occlusal appliance.
There is a degree of risk and uncertainty when we prescribe occusal appliances as it hinges on patient compliance and factors that are out of our control. There are certain risks that come with treatment that we should consent for, and this includes bite changes.
Occlusal appliances are not an exact science - the evidence base is not high quality. That does not mean they do not work, it just means that we need more data! We don't even know the mechanism of HOW occlusal splints work as that is yet to be proven.
Hello Protruserati! Welcome back to the third episode of #AskJaz where I answered three main questions from ourProtrusive Dental Community - 1) developing anterior open bite after an occlusal appliance, 2) how to scan/bite register at a desired OVD, and 3) what should the occlusion look like on composite veneers or edge bonding?
https://youtu.be/Li2W-ysYRIE
Check out this full episode on YouTube
Download Protrusive App on iOS and Android and Claim your Verifiable CPD/CE by answering a few questions + You can get EARLY ACCESS to the episode + EXCLUSIVE content
Dr. Mahmoud Ibrahim and I are currently working on a huge project called OBAB, Occlusion Basics, and Beyond – it will be the best occlusion resource in the Milky Way…and that’s our mission! We want to finally demystify Occlusion and make it Tangible AF!
Join the waiting list HERE!
Highlights of this episode:
* 1:51 Risk of having AOB after an Occlusal Appliance* 15:48 Trick to recover an AOB that has developed* 26:49 Bite Records for Stabilisation Splints* 30:25 Checking the Occlusion after Composite Veneers* 37:02 Occlusion Basics and Beyond
Do join our Protrusive Dental Community Facebook Group. It has so many great gems and pearls shared in our little community - ONLY FOR LICENSED DENTAL PROFESSIONALS.
If you enjoyed this episode, check out this episode withDr. Barry Glassman - Do AMPSAs cause AOBs?
Click below for full episode transcript:
Jaz's Introduction: Occlusal appliances can be scary things. When we are given to our patients, we're at the mercy of their compliance. We don't really know if they're going to get along with it or not.
[Jaz]We don't really know if it'll help their pain. If pain is the reason that we are prescribing in occlusal appliance, and a lot of times we are taking on a bit of risk because there are certain bite changes that can happen after occlusal appliances.
And despite what you think, you know,Thu, 23 Feb 2023 - 41min - 204 - ICON Resin Infiltration – Step by Step FULL PROTOCOL – PDP140
This episode gives it all away - every micro-step on how to successfully treat white patches with Teeth Whitening and ICON Resin Infiltration. If you are an experienced clinician or new to White Spot management with ICON, you will gain something from this blockbuster.
After the success of the ‘Teeth Whitening Under-18s’ episode, Dr. Linda Greenwallis back to make resin infiltration tangible. Dr. Greenwall shares everything from assessment to troubleshooting!
https://youtu.be/CYLXUGTXPRI
Check out this full episode here
Download Protrusive App on iOS and Android and Claim your Verifiable CPD/CE by answering a few questions + You can get EARLY ACCESS to the episode + EXCLUSIVE content
The Protrusive Dental Pearl: Download the Protrusive Treatment Guide for White Patch management Icon Resin Infiltration inspired by this episode - the Infographic that summarizes this episode with the exact micro-steps and the little nuances with helpful diagrams and tips all in one flowchart.
Please show your support by signing up as a Protrusive Premium member - once you're in you can download our mighty flowchart and infographic from the Protrusive Vault section (as well as the many benefits of membership!)
Need to Read it? Check out the Full Episode Transcript below!
Highlights of this episode:
* 1:42 ICON Treatment Flowchart* 7:39 The science behind Icon Resin Infiltration* 16:35 Using Resin Infiltration Posteriorly for Caries* 19:33 White Patches Anterior Resin Infiltration Protocol* 22:08 Resin Infiltration Treatment - Air bubble Analogy* 32:50 Patient Communication - Treatment Planning and Fees* 34:50 Resin Infiltration Technique - after the etching process* 40:36 Predictors of success and failure* 45:02 Expected longevity of Resin Infiltration* 47:02 Etiology of white spots* 47:57 Dr. Linda’s advice when starting a white spot cases
Learn more about Molar Incisor Hypomineralization with THE D3 GROUP FOR DEVELOPMENTAL DENTAL DEFECTS
Check out the Tooth Whitening Techniques Book, a compilation of before and after photos of patients produced by Dr. Linda Greenwall
If you enjoyed this episode you will also like Teeth Whitening Secrets for Success
Click below for full episode transcript:
Jaz's Introduction: Did you know that resin infiltration was initially developed for the management of ear...Mon, 13 Feb 2023 - 52min - 203 - Best Practices in Social Media for Dentists – How to Stay Out of Trouble Yet Be Impactful – IC035
'Doing' Social Media is HARD work!' Do you find it difficult to make time for this?
Do you worry about professionalism and ethics on social media? How about the blurred boundaries between professional and personal life?
Dentistry is no exception to the trend of using social media in today's culture. Dentists are using social media to connect with their patients and create new opportunities for patient education. However, dentists face ethical challenges such as how to best communicate with patients online, and what is the best level of consent to get from patients when we post their photos and videos?
In this episode, Dr. Alessandro Devigus also suggests how to use social media as a business tool and how to keep your personal life and professional life separate.
https://youtu.be/TEBmlDlybLE
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“React and interact with your audience how they WANT you to see” - Dr. Alessandro Devigus
Need to Read it? Check out the Full Episode Transcript below!
Highlights of this episode:
* 1:19 Dr. Alessandro Devigus’ Introduction* 4:20 How Dr. Alessandro started on Social Media* 6:30 Drawing the line between personal and professional account* 9:41 Importance of having a social media for Dental practices* 14:38 Dentists posting full protocol cases on social media - good or bad?* 20:14 Spotting fake dentistry* 24:57 Making time for social media* 31:59 Consent from Patients for sharing their photos - how to do it?
If you enjoyed this episode, you may also enjoy Personal Branding for Dentists, Logos, and Websites with Shaz Memon
Click below for full episode transcript:
Jaz's Introduction: You don't need me to tell you that SOCIAL MEDIA is absolutely huge in all of our lives. If you're listening to this, I'm sure you're involved in social media in some way or another.
Jaz's Introduction:It's NO EXCEPTION for dentistry, but this creates new problems and dilemmas, new ethical dilemmas for us dentists. How do we best communicate with patients online, and what is the best level of consent to get to patients when we are posting their photos and videos?
And where exactly do you DRAW THE LINE between PERSONAL and PROFESSIONAL? These are the burning questions we cover with Dr. Alessandro Devigus, who not only has a huge following on social media, but he's such a level-headed guy as an extremely experienced, successful clinician. One of the topics we discussed, which you may resonate with Protruserati is HOW to MAKE TIME for SOCIAL MEDIA.
Many of you are struggling to find the opportunity throughout your busy lives to actually have a presence online. And so when I ask this to Alessandro, he had a really good answer, and it involves doing a bit of work, a bit of an audit of your time.Mon, 06 Feb 2023 - 42min
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