Protrusive Dental Podcast

I admit it. I have relied FAR too much on my lab technicians to help design my chrome partial dentures. This needs to change! I realised that I want to take control of the denture design process – who better than the King of Removable Prosthodontics education Dr Finlay Sutton to help us ‘Make Dentures Great Again’! In this episode, Dr. Finlay Sutton clarifies the philosophy behind Scandinavian Chrome Dentures. He also explains what each appointment entails to help those earlier in their career. https://youtu.be/3aS7kZZUM_0 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: DENTURE DESIGN CHEAT SHEET! Dr. Finlay came up with a Universal Design Sheet. It covers all aspects of missing teeth – all different combinations and patterns of tooth loss. It covers teeth with good prognosis and also teeth with dubious prognosis Highlights of this episode: 2:15 Protrusive Dental Pearl 4:05 Dr. Finlay Sutton’s Introduction to Partial Denture 6:31 The Scandinavian Partial Dentures vs other designs 11:24 Scandinavian approach for Chromework 12:56 Acrylic-based Partial Dentures 18:04 Indications for Chrome Palate on Complete Denture 21:17 Acrylic dentures with a wire mesh inside? 22:49 Cast Partial Dentures Protocol – Appointment by Appointment 32:13 Patient Reviews 34:39 Average treatment fees Join us for The Scandinavian Approach to Partial Dentures with Dr. Finlay Sutton in Reading, UK on the 13th of January OR the 14th of January If you enjoyed this, you may also like another episode with Dr. Finlay about Chrome Dentures Made Easier

This podcast will change the way you think about pulpotomies and endodontics in general.  Georg Benjamin explains that severe throbbing pain (or classic signs of IRREVERSIBLE PULPITIS) does not necessarily mean a pulpectomy is needed. Instead, we can consider a pulpotomy for permanent teeth to preserve radicular pulp tissue and maintaining a vital tooth! Download Protrusive App on iOS and Android and Claim your Verifiable CPD/CE answering a few questions + EXCLUSIVE content: https://youtu.be/PoWDRz714uQ Check out this full episode on YouTube Protrusive Dental Pearl: Check if your anesthetic is successful by carrying out an objective test by placing EndoFrost (-50 C) on the tooth (about 10 secs) and checking for a cold response. If the patient is not fully numb yet, they will still feel something. If they are sufficiently numb, this test gives you (and some nervous patients!) confidence. I like this before placing rubber dam as I hate ever removing the dam to top up LA! Highlights of this episode: 2:02 Protrusive Dental Pearl 4:47 Georg Benjamin’s Dental Podcast Journey 7:10 Georg’s Endodontic Journey 11:46 Case Discussion: Pulpal Diagnosis 16:17 Pulpotomy 19:37 Direct Pulp capping 22:26 Indirect Pulp Cap 23:58 Pulpotomy Protocol 26:59 Classifications of Pulpotomy 30:52 Bleeding Time Protocol 33:31 Patient Communication 35:34 Treatment Decision-Making 38:57 Success rate of pulpotomy 41:10 Early and Late failures 42:30 Long-term treatment 45:14 Unhealthy pulp 48:08 Materials and Products for Pulpotomy 50:54 Leaving carious dentine as base For our German Protruserati, check out Georg’s Dental Podcast If you enjoyed this, you might also like this episode with  Dr Ammar Al-Hourani ‘Is Single Point Obturation Acceptable?’

Did you know that Dentistry was voted the unhealthiest career in the world? Multiple times. That’s right, we’re number one! The grim reality is that we take on all sorts of professional and personal risks on a daily basis. I had the opportunity to sit down with Dr. Rohan Verma, a clinical dentist and fitness coach to record this wholesome episode. We talked about what steps we can take to improve our health. At the end of our conversation, we also talked about diet as well. I hope this episode will address our unique professional challenges and help you become healthier and more mindful about everything you’re doing for mental and physical well-being. https://youtu.be/xubc_XpSrzI Check out this full episode on YouTube Highlights of this episode: 1:51 Dr. Rohan Verma’s Introduction 3:46 Mental Health Awareness 6:39 Biggest mistakes dentists are making with their health 11:09 Posture Issues 14:50 The significance of sleep 16:52 Importance of setting a routine for better health improvement 24:16 Working out routine 29:09 Dr. Rohan’s stand on different kinds of diet 31:29 The benefit of calorie counting Check out Dr. Rohan Verma’s Instagram to get some tips on how to improve your health – as well as a Dentist he’s an online fitness coach. Monitor your calorie intake with this MyFitnessPal: Calorie Counter available on: iOS: MyFitnessPal: Calorie Counter Google Play: MyFitnessPal: Calorie Counter 📨 Download Protrusive App and Claim Verifiable CPD/CE + EXCLUSIVE content: iOS: Protrusive App Android: Protrusive App If you enjoyed this episode, then do check out 5 Lessons from Lincoln Harris 

Do you believe that Resin Bonded Bridges are exclusively a temporary or short-term solution? Lots of our colleagues around the world mistakenly believe this. It’s not a secret that I am a fan of this treatment modality—I want to break down the misconceptions about them because IN THE RIGHT CASE they can be a very predictable tooth replacement option. In this episode, Dr. Salman Pirmohamed shared successes and failures and what we can learn from them to improve our clinical protocols from abutment selection to adhesive techniques. Claim 75 minutes CE on Protrusive App. https://youtu.be/rKJyqcb6uqI Check out this full episode on YouTube The Protrusive Dental Pearl: Always visualise your path of insertion – do you need to do some additional prep to get a more favourable path of insertion? It’s not just for dentures! For any indirect crowns/bridges, it is important to assess for a path of insertion. Make a visualisation of this – you may have to prep more or prepare the adjacent tilted teeth to allow for a suitable path of insertion sometimes. Salman’s Webinar on Sunday 4th Dec LIVE: https://buy.stripe.com/4gw14Pb8Q47Q8yk5kk Highlight of this episode: 1:48 The Protrusive Dental Pearl 3:17 Dr. Salman Pirmohamed’s Introduction 8:16 Resin-bonded Bridges being underutilized 9:43 Resin-bonded bridges over the years and its Protocol 12:18 RBB – functional for patients? 17:26 Case Selection Criteria 20:25 Case Number 1 22:43 Case Number 2 23:16 Dahl Technique on RBB 24:57 Cantilever as the standard design of choice for RBB 27:40 Case Number 3 29:25 Case Number 4 32:47 Mesial cantilever vs Distal Cantilever 37:34 RBB Lab Prescription 39:43 Incisal Overlap 42:06 Pontic Design ideal for RBB 47:48 RBB Clinical Protocol 1:00:09 Zirconia RBB protocols 1:06:46 Periodontal Splinting 1:15:21 Two failures with Resin-bonded bridges Have a read about this evidence-based literature as referenced by Dr. Salman Survival-characteristics-of-771-resin-retained-bridges-provided-at-a-UK-dental-teaching-hospitalDownload Also, check out this paper written by Dr. Jaz Gulati Resin-Bonded-Bridges-−-the-Problem-or-the-Solution Part 1Download Resin-Bonded-Bridges-−-the-Problem-or-the-Solution-Part-2Download If you loved this episode, you might also love this Group Function talking about Dahl Technique and ‘Maryland Bridges’

How often do you review your risk management? Do you follow the appropriate radiography guidelines or palpate canines when you are supposed to? These are not the exhilarating or rewarding parts of our clinical practice but they are fundamental and foundational. In this episode with Dr. Lucy Nichols, a general dentist who also does some dento-legal work in the UK, she shares her 10 commandments for safer dentistry and avoiding dento-legal claims. https://youtu.be/0MhOC-LLxbI Protrusive Dental Pearl: ‘I don’t have time’ is just not true. It’s a lie we tell ourselves. We should reframe it. Instead, we should say “I’m not making [task / activity / necessity] a PRIORITY in my life right now”. We should reflect on what are we making a priority in our lives right now. Highlights of this episode: 1:17 Protrusive Dental Pearl 4:33 Dr. Lucy Nichols’ Introduction 8:08 10 Commandments for Staying Out of Trouble: Thou Shalt Take Bitewings on Children 9:08 Thou Shalt take Bitewings on Adults 13:31 Thou Shalt Always be Suspicious of a Non-healing socket 15:29 Thou Shalt Always be Suspicious of Sore Patches on the Side of the Tongue or on the Cheek 18:21 Thou Shalt Know How to Deal with a Hypochlorite Injury 21:24 Thou Shalt Not Use Chlorhexidine Mouthwash as your Root Canal Irrigant 30:34 Thou Shalt do Further Charting when you have 3s and 4s on your BPE 35:06 Thou Shalt Not Rely on Only a Single Visit Scaling without Local Anaesthetic on Patients with Increased Pocketing 40:42 Thou Shalt Not Underestimate ID Nerve Injuries 45:29 Thou Shalt Always Palpate for Canines at Age 10 53:39 PDF Infographic available in the ‘Protrusive Vault’ in the App (iOS and Android) Check out Dr. Lucy Nichols website If you loved this episode, please check out Passion and Values in Dentistry

I am a big believer that the culture of your work place is probably the number one determinant of your fulfilment and joy from clinical Dentistry. https://youtu.be/cGFpxUn6WXw Check out this full episode on Youtube. In this non clinical episode I talk with Dr. Sandy about his past experiences and the reasons he had to make a significant change in order to find fulfillment in his career. We also discuss how to recognize a toxic culture in Dentistry and how to stand up for yourself if you’re in one of those environments. We hope this episode inspires you to take some sort of action, whether it’s small or large, that will improve your enjoyment of work. Highlights of this episode: 2:13 Dr. Sandy’s Introduction 3:16 Dental Public Health Experience 6:16 Dr. Sandy’s Transition from Public Health to Private Practice 10:11 Taking massive action 14:10 Recognizing a toxic working culture 17:29 Stepping out of the toxic work environment 19:33 Significance of having a plan for your career 24:57 Importance of taking clinical photos 29:26 Improving Dentistry through social media 34:48 Dealing with litigations and patient complaints 41:55 Recognize solutions rather than problems If you enjoyed this episode, you will also like Being Unstoppable with Ferhan Ahmed

Have you ever prepared the last molar for a crown? And just when you check the occlusal reduction, the patient bites down and as if by magic, the reduction has all DISAPPEARED?! It is the phenomenon that we call ‘The Last Tooth in the Arch Syndrome’ This episode with Dr. Mahmoud Ibrahim will give you more confidence in recognizing, screening, and managing such complications in practice. But like I say in the main episode, optimistically, this phenomenon will never happen to you AGAIN if you follow these protocols for screening. https://youtu.be/gs1r5mlefHU Check out this full episode on YouTube Protrusive Dental Pearl:  Watch out for the patient with quite flat teeth as they are more susceptible to the last tooth in the arch syndrome / bite change. They do not have good posterior coupling/stability and therefore more likely to ‘forget’ their bite as the cuspal inclines do not guide the mandible back in to maximum intercuspation. Highlights of this episode: 2:41 Protrusive Dental Pearl 6:09 Introduction to Dr. Mahmoud Ibrahim 9:34 What is Centric relation? 10:45 Last tooth in the arch syndrome 13:14 Risk assessment for Last Tooth in the Arch Syndrome 15:52 Screening patient’s CRCP and the degree of slide 17:33 Leaf Gauge protocol for screening CRCP 30:23 Communication with High-risk patients 34:35 Case Discussion 44:36 Management of space loss after preparation 46:24 Dr. Mahmoud’s top tips to prevent the ‘Last Tooth in the Arch Syndrome 58:47 Occlusion Basics and Beyond 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! If you loved this episode, you will like If You are Not In Centric Relation, You Will Die

From the entire Protrusive Community – we wish Sanj a speedy recovery – keep smiling Sanj and stay strong! In the previous episode with Sanj Bhanderi on ‘how to extirpate properly and efficiently‘, we briefly touched on postoperative pain control. In this episode, we’re focusing more on postoperative pain and the dreaded severe pain after the obturation appointment (or in-between visits). https://youtu.be/RJzQZNhBup0 Check out this full episode on YouTube Highlight of this episode: 2:27 Post-op pain after endodontic treatment 7:43 Flare-ups 9:46 Guidelines in antibiotic microbial management 11:03 Flare up in between visits (RCT has not been finished yet) 13:40 Crown Down approach Dr Finlay Sutton is coming down South for his one-day signature RPD Masterclass on Saturday 14th of January 2023!  Limited to 12 delegates, reserve your seat now! If you enjoyed this, you might also like my episode with another talented Endodontist, Dr Ammar Al-Hourani, on Is Single Point Obturation Acceptable? 

Have you ever been planning a smile (this could be a complete denture or some veneers!) and thought ‘where do I begin’? Planning aesthetic dentistry involves more than just the teeth. A great smile is ‘facially driven’ – where do the teeth sit in relation to the face?Today we are joined by Dr. Josh Rowley to share the four rules of planning Aesthetic Dentistry (you will love them). https://youtu.be/2jbfK2WU1e4 The Protrusive Dental Pearl: Don’t start complex/comprehensive treatment on someone who is not sure or not motivated. Highlights in this episode: 2:58 The Protrusive Dental Pearl – Communication Tip 14:49 Screening for the first point of contact for Orthodontic patients 16:36 Four rules of planning Aesthetic Dentistry 35:10 SureSmile Aligners 39:35 Low trim height 41:24 High trim height 44:03 Support system for Sure Smile Check out the courses that Dr. Josh teaches through IAS Academy and SureSmile Aligners

When you Extirpate a Hot Pulp – do you need to find ALL the canals? Do you need to file to the apex? Which is the sedative of choice? In this episode, we’ve got specialist Endodontist Dr Sanj Bhanderi to talk us through the CORRECT way to extirpate teeth in acute pain WITHOUT wasting time or making things worse for future treatment. It’s packed full of gems for pain relief, diagnosis and isolation. So, what is your protocol for extirpation? This episode is all about how to get the job done right and minimize discomfort for your patient. https://youtu.be/SjYWxr1sSDc Click Here to watch this episode on YouTube. For the full notes check out the Protrusive App on iOS and Android. “I call it Ninja endodontics – get in and GET OUT – Stealth!” Dr. Sanj Bhanderi Highlights of this episode: 2:38 Dr. Sanj’s journey to Endodontics 6:30 Emergency extirpations 8:42 Diagnosis Protocol Irreversible Pulpitis 11:57 Anaesthetic for Hot Pulps 15:33 Caries and Restoration Removal Before Extirpating? 19:16 Vital pulp therapy 21:19 Isolation Protocol 25:30 Sedative Dressing for Acute Pain 28:42 Temporary restoration of choice 31:39 Post Op Medicaments Tune in for the Part 2 of this episode – next week we cover post-operative pain after endodontic treatment. If you enjoyed this, you might also like my episode with another talented Endodontist, Ammar Al-Hourani, on Is Single Point Obturation Acceptable?

Orthodontics for the mixed dentition is not well taught at Dental School – for which malocclusions should you intervene and by what age? Dr. Amanda Wilson will show you how to identify whether early or interceptive orthodontics is right for your young patients as part of their antero-posterior, vertical and transverse development. https://youtu.be/8OksXwy_yDQ The Protrusive Dental Pearl: Prevent misdiagnosing ectopic canines by palpating the permanent canine early (from age 10 onwards). Put your index fingers a little bit apical and a little bit distal to the lateral incisors and you should be able to feel a 5-10 millimeter bulge Highlights of this episode: 1:58 Prevent misdiagnosing ectopic canines 8:55 Difference between Interceptive and Phase one 16:15 Phase 1 Interceptive Treatment Guidelines 20:20 Arch Expander Guidelines 24:07 Crossbite Tendency 24:57 Rapid versus Slow Expansion 27:42 Guidelines using functional appliances 28:21 Invisalign Mandibular Advancement 31:10 Deep Bite Guidelines 34:08 Q: Percentage of patients that would undergo Phase 2 36:43 Patient(Parent) Communication 39:51 Retention Protocol 43:36 My Phase One Smile PDF Get this My Phase One Step-By-Step PDF Checklist by Dr. Amanda to get started and help you diagnose malocclusions Check out Straight Smile Solutions for more Orthodontic Consulting and StraightSmile Solutions Orthodontic Coach for GPs for Orthodontic Educational Videos If you enjoyed this episode, you should also check out General Dentists Doing Orthodontics 

Is flapless implant placement really a solid technique? What percentage of cases are amenable to flapless implant placement? The cynic in me wondered if this is indeed a novel technique, or was it made mainstream to attract Dentists who seldom raise flaps? I brought on straight-talking Implant genius Dr. Pav Khaira on today’s Group Function to discuss flapless implant placement – ‘what’s the deal?!’ https://youtu.be/679HAttBQ1c Check out this full episode on YouTube Highlights of this episode: 4:36 The Rise of Flapless Implants 7:04 Indications for Flapless implants 9:43 Immediate implant placement 13:59 Advice to Young Dentists considering implants 18:56 Implant Mentorship 24:11 Dr. Pav’s Implantology Course 27:46 From Course to Implementation Check out The Dental Implant Podcast for information on dental implants and the Academy of Implant Excellence to learn how to place implants or upgrade your skills. If you enjoyed this episode, you will also like ‘Can I Probe This Implant?’

As a Dentist, the first years are always the hardest. You have to adjust to unfamiliar situations and people constantly. A newbie’s nerves can lead to self-doubt and hesitation whilst navigating this steep learning curve. I brought on recently qualified Dr. Saeed Cheraghi to guide you through the first few years of the ‘University of Life’. https://youtu.be/PXt3hvsV9LI Check out this full episode on YouTube “You come out of Dental school thinking you know things and then you go into the real world and you realize you actually don’t know that much at all!” Dr. Saeed Cheraghi. Highlights of this episode: 8:31 Indirect Dentistry experience 10:15 Challenges in terms of treatment phasing 12:17 Level of support being a newbie dentist 15:03 Dental training 18:07 Overcoming lack of experience 30:34 Worrying about litigations 35:05 Importance of Health 39:59 Lesson from experience This episode is not eligible for CPD but you can check out other CPD-verified episodes on our Protrusive App on a web browser or you download the iOS App or the Android App. This episode is brought to you by Enlighten Smiles, a premium brand of teeth whitening. They also run the Mini Smile Makeover Course – a composite course I really recommend. If you liked this episode, you will love How to Win at Life and Succeed in Dentistry – Emotional Intelligence

My story of coming to the UK as a refugee from Afghanistan aged 6 and my journey in to Dentistry. I share some tough times and what drives me today. I explained why I think Dentistry was mis-sold to many of us as a 9-5 job (HA!) and my top books and influences. I’m delighted to be a guest on the Soft Bites Podcast. The hosts, Manuela and Jorge, have both been guests on the Protrusive Dental Podcast in the past. https://www.youtube.com/watch?v=pznVMyEDwTE Highlights of this episode: 4:48 My Story: Refugee 1996 7:17 Life adversities 17:13 Importance of going through difficult moments 22:31 Podcasting Journey 27:38 Practicing a positive mindset 31:51 Importance of education and information 35:36 Good communication skills 45:38 Balance between the professional and personal life 55:25 Core values in life 59:30 Future goals for The Protrusive Dental Podcast and clinical dentistry Dr. Mahmoud Ibrahim and I are launching an occlusion course called OBAB (Occlusion Basics And Beyond). This course is o help you design and execute restorations from a single tooth to anterior aesthetic cases to full mouth rehab. Also, sign up for our monthly occlusion tip for you to get the kind of clinical content that we are preparing with OBAB If you loved this, be sure to watch Dentistry is STRESSFUL – this Podcast will help you

Preserve bone, be kinder to the tissues – but NOT necessarily at the expense of time. A great insight in to Atraumatic Extractions from Dr Diyari. Some say that ALL extractions should be atraumatic, and therefore this is a ‘made-up’ term by implant bods. By clarifying some misconceptions today, Dr. Diyari Abdah gives us an inside look at WHY and HOW atraumatic extractions can be efficient and effective. https://youtu.be/gS7h0L69hJ4 Check out this full episode on YouTube Protrusive Dental Pearl: Life Advice: “Never take advice from anyone who you wouldn’t switch places with” This episode is brought to you by Enlighten Smiles which is a premium brand of teeth whitening that guarantees B1 shade. If you want to know more about teeth whitening and get better results for your patients, do check out their webinar, Enlighten Online Training. Highlights of this episode: 1:28 Protrusive Dental Pearl: Life Advice 12:08 Atraumatic Extractions 15:02 Additional skill set and tools to achieve atraumatic extractions 24:24 Atraumatic Extractions Protocol 27:19 Literature regarding Piezosurgery 33:01 Collagen Plug Check out these studies regarding Piezosurgery: Clinical-Success-Bone-Surgery-with-Ultrasonic-DevicesDownload Essentials-in-Piezosurgery-Clinical-Advantages-in-DentistryDownload Learn more about Implant Dentistry with Dr. Diyari’s The Most Accelerated Practical and Comprehensive Dental Implant Course with ADDITIONAL 10% off (including the Early Bird pricing) If you enjoyed this episode, check out Make Extractions Less Difficult: Regain Confidence by Sectioning and Elevating Teeth

Half way in to a tricky extraction you hear a voice…”Maybe now is a time to raise a flap?” You ignore this voice and keep sweating with the luxator in hand, because it has been far too long since you raised a flap and you dread the nurse’s reaction. If this is you, then we got you. I brought on Consultant Oral Surgeon Dr. Sami Stagnell to share his tips and pearls in Oral Surgery, specifically WHEN and HOW to raise cleaner flaps, as well as what types of flaps to consider for each situation and when NOT to consider extending beyond an envelope flap. https://youtu.be/cx6HvrZtjcw Check out this full episode on YouTube Protrusive Dental Pearl: Nice and Clean Extraction Sites – Use the spoon end of Mitchell’s trimmer to clean the surgical site for 30 secs to 2 minutes. Highlights of this episode: 1:27 Protrusive Dental Pearl: Nice and Clean Extraction Sites 13:43 How to gain confidence in raising a flap 21:51 Envelope Flaps 30:09 Guidelines regarding relieving incisions 37:32 Raising a nice clean flap 41:45 Guidelines in lifting the papilla 44:56 Blades – 15 vs 15C vs 12 blade Improve your Oral Surgery Sectioning with this speed-increasing electric handpiece at Incidental Limited. And get 5% OFF their entire products with the code ‘onions‘! Check out the Oral Surgery Course that Dr. Sami Stagnell will be launching in 2023. If you enjoyed this episode, check out Make Extractions Less Difficult: Regain Confidence by Sectioning and Elevating Teeth

My worst nightmare: a patient complaint. We share with you a story of triumph as one of our colleagues SUCCESSFULLY defended a complaint. We reflect on the lessons learned and how to manage complaints (including the emotional side). Dr. Gulshan Murgai spoke about a long and arduous case that was resolved in his favor, demonstrating that he has patience and determination in spades. We will also discuss the importance of attending risk management lectures and how to deal with this nasty situation you might face with unhappy patients. https://youtu.be/v342FiEete0 Check out this full episode on YouTube Highlights of this episode: The scenario that led to the patient’s complaint 8:41 Insurance-based scheme 16:40 Patient’s Complaint 19:07 Legal narrative 22:08 Dealing litigation emotionally 31:29 Emotional help for dentists 34:45 Importance of risk management courses 38:32 Lessons from the case 41:27 Head over to Confidental for Emotional Support for dentists in distress. Connect with Dr Gulshan Murgai If you enjoyed this episode, you will also love 10 Habits of Highly Successful (and Most Valued) Dentists

Being a dental student is tough – you’re learning a clinical and surgical discipline alongside all the challenges of relationships, studying and social interactions. In this episode with Dr. Lincoln Harris, we talked about three key themes relevant for dental students: overcoming fear, leveling up your skills, and being able to cope with failures. https://youtu.be/sl3CcLJYQUk Check out this full episode on YouTube “You only get confident once you DO the thing that you’re afraid of” Dr. Lincoln Harris. Highlights of this episode: Students pursuing growth vs Students enjoying uni life 12:07 Overcoming Fear 16:44 Coping with Failure 26:01 Discovery throughout Dental Career 31:36 For Dental Students who want to have a head start in their Dental Career, join us LIVE on Friday 30th of September with Dr. Lincoln Harris. Register Now! For Dentists who want to see Lincoln Harris LIVE in London for a full-day keynote lecture: From Class 1 Composites to Complicated crown preps. Email or DM us on Insta for a super special student rate. Check out Ripe Global, one of the biggest groups in Dentistry with 80,000+ members! If you enjoyed this episode, then do check out this 5 Lessons from Dr. Lincoln Harris 

We have switched roles! In this episode Jaz gets interviewed by Dr. Devang Patel on The Ultimate Dentist Podcast. The focus here is bigger picture stuff: trying to improve your clinical skills, finding your niche, dealing with imposter syndrome, burnout and the need for FOCUS! https://youtu.be/ituRPR_UNWE Check out this full episode on YouTube “Gain some self-awareness, figure out what your strengths are, and play to your strengths in your life, in your relationships, in your career, and everything!” Dr. Jaz Gulati Highlights of this episode: 3:34 Motivation and Challenges in doing Dentistry 7:17 Niching down in Dentistry 11:55 Becoming more focused on the path you chose 16:35 Journey in implementing what you learned in clinical practice 17:38 Protrusive Dental Podcast Journey 21:51 Dealing burnout in Dentistry 25:26 Future Plans 29:41 Criteria on CPD Courses 31:33 Lesson learned on the journey 36:50 Golden tips for the new dentists 42:16 Improving your Dentistry Want to expand your horizon with TMD and Splints? Check out SplintCourse for a comprehensive online course. If you enjoyed this episode, do check out Adhesive Full Mouth Rehabs in 11 Appointments with Dr. Devang Patel

Sub-Gingival dentistry: the dark, scary, bloody world you don’t see as much on Instagram. Straight talking Dr Lincoln Harris will help you choose the right retraction cord protocols to reduce your stress during subgingival caries removal and crown/onlay preparations. https://youtu.be/RyOIO61wfpE Check out this full episode on YouTube Join us to see Lincoln Harris LIVE in London for a full-day keynote lecture: From Class 1 Composites to Complicated crown preps.  Protrusive Dental Pearl: When inverting/tucking in the rubber dam, instruct your DA to blow air continuously at your flat plastic instrument as it works around the sulcus. This will effectively and efficiently tuck/invert the rubberdam for a better seal (and sexier photos!) Highlights of this episode: 3:33 Protrusive pearl regarding inverting/tucking the rubber dam 6:40 Deep Subgingival Caries cases 11:44 Deep Subgingival Caries Protocol 22:44 Which Retraction Cords to Use 25:10 Retraction cord protocol on Silicone Impression 30:50 Retraction cord protocol on Digital Scanners 31:48 Teflon as Retractor 35:53 Isolation of Class V restorations 42:02 Place of rubberdam on class V restorations Check out Ripe Global, one of the biggest groups in Dentistry with 80,000+ members! As a bonus, check this one-page summary of this episode Head over to protrusive.link under the Infographics Tab for the other one-page infographics summary of the past episodes If you enjoyed this episode, then do check out this 5 Lessons from Dr. Lincoln Harris and also this Rubber Dam Isolation by Dr. Harmeet Grewal

When is Botox an appropriate option for the management of Temporomandibular Disorders? Knowing this will help you make better referrals, or even consider Botox as a management strategy. Dr. Sheila Li guides us on the use of Botox/Toxins for TMD pain management. We discuss indications, protocols and regulatory requirements (which surprised me!) – as well as learning if these patients will now require Botox indefinitely…? https://youtu.be/QJyxF0EGwsM Check out this full episode on YouTube Protrusive Dental Pearl: How do you routinely check the masseters and the temporalis at your new patient examination? As a restorative dentist, the most important thing I want to know (and what will influence the occlusal risk for my patient) is the size of the masseters. Start palpating and feeling for the size of the masseters to understand how much force these patients can generate! If you want to learn more, join the Facebook Group: Protrusive Dental Community because I’ll be doing a little blog post on that about the significance of masseter size on Occlusal risk. Highlights of this episode: 2:50 Checking Masseters and Temporalis 13:34 Dr. Sheila’s journey in managing TMD pain patients 16:13 Ideal case selection for Botox regarding TMD 21:15 Botox as a standalone vs Botox as an adjunct to splint therapy 24:26 Patient communication about the frequency of Botox treatment 26:39 Place of Botox for myofascial pain patients 30:01 Additional indemnity for GDPs in doing Botox 33:31 Functional Perspective of Botox 34:47 Success rates in using Botox for TMD pain management 39:53 Experience of having Botox 41:55 Long-term side effects of Botox Learn more about Botox with Dr. Sheila Li on her functional toxin course just for dentists to treat functional elements!  Want to level up occlusal appliance therapy and TMD management? Check out SplintCourse for a comprehensive online course. If you enjoyed this episode, do check out TMD Full Exam with ‘The TMJ Doc’ Dr. Priya Mistry 

Being ‘Mum’ is the hardest (and most rewarding) job in the world. What are the unique challenges of Parenthood for Dentists? I’m thrilled to be sharing this non-clinical episode with you about work-life ‘balance’, especially if you’re thinking of starting a family one day (or just want to reminisce about real-world challenges facing young Dentists that are parents). Even if you’re not a parent, I think it will help you in your career and personal life. Dr. Hardeep Basi and I also discuss why Women in Dentistry sometimes do not get the recognition they deserve. https://youtu.be/FRP3vUQQdQI Check out this full episode on YouTube Highlights of this episode: Dr. Hardeep’s Journey 6:33 The ‘complaint’ that changed Dr. Hardeep’s perspective in life 13:01 Motherhood affecting career progression 19:34 Parenthood and Dentistry 28:14 Female (Mothers) Support Group (Lead Her) 33:57 Work-Life Quality 38:20 Worrying about the Future 52:51 Check out the Support Group LEAD HER that Dr. Hardeep established to support females especially mothers in having the work-life quality they deserved! If you enjoyed this episode, you will also like Being Unstoppable with Ferhan Ahmed

Let’s demystify what is often considered an ‘advanced’ Restorative technique: Shell crowns. My guest Dr. Basil Mizrahi is known for Comprehensive Dentistry and teaches Dentists the art of perfect provisionals- we go from A to Z of Shell Crown, how to reline them and cover all the nitty gritty details of this useful technique. https://youtu.be/6-a3XGBKZWM Check out this full episode on YouTube Protrusive Dental Pearl: Preventing Bisacryl Temporary Crowns from cracking: Hollow out the inside of the temporary crown (just enough space for the cement) and therefore create the space for the temporary cement to flow and exit, preventing cracking of the temporary crown. Check out @Dental.Story IG page “You should become familiar with acrylic before shell crowns” Dr. Basil Mizrahi Highlights of this episode: Preventing Bisacryl Temporary Crowns from cracking 5:35 Temporary Crowns 12:08 What is a Shell Crown? 13:59 Technician role in creating Shell Crowns 15:22 Acrylic Shells vs Bis-acryl Temporaries 20:07 ‘Relining’ an Acrylic Temporary Shell 21:20 Using Bisacryl instead of Acrylic inside a Shell 24:14 Relining Acrylic Shell with Fresh Acrylic 25:00 Use of Vaseline? 35:41 ‘Fit Checker’ for shell crowns 38:26 Anterior vs Posterior relining 39:23 Shell Crowns vs Lab Made Acrylic Crowns 40:19 Shade decisions in relining the shells 42:47 How to Remove shell crowns 44:08 Polishing after relining 45:59 Multiple Shells at increased OVD 46:49 Head over to protrusive.link for the one-page summary of this episode and for the other summarized infographics of the past episodes To learn more about it, check out Dr. Basil’s Courses and other wonderful stuff on his website! If you enjoyed this episode, be sure to check out the Adhesive Full Mouth Rehabs in 11 Appointments (Part 1)

Listen to that voice inside your head! We all get those clues and a bad feeling in your gut when you see a red flag patient. The challenge is being receptive to this feeling and acting upon it tactfully. I share 2 examples of encounters where I either ignored the alarm bells, and 1 scenario recently where I avoided a disaster. https://youtu.be/UBvJxhgzQp0 Check out this full episode on YouTube Highlights of this episode: 1:34 ‘Alarm Bells Scenarios’ 2:20 Case No. 1 (Extraction on a 78-year-old patient) 7:47 Case No.2 (Heat Burn on Patient’s inner cheek/lip) 9:20 Warning Signs If you loved this episode, you will like 12 Rules for Dentistry 

In this episode with Dr. Carlos Sanchez, we’re going to take a look at the concept of additive equilibration as a way of managing tooth wear. In other words, it’s an occlusion-based technique that involves adding composite or ceramic to achieve the ideal restorative results and we’re going to try to help you understand what that is. There are also some themes that are discussed in the same way as the Dahl technique. https://youtu.be/TZ5FKkiscco Check out this full episode on YouTube Protrusive dental Pearl: Keeping PTFE tape secure – a straightforward trick I found to keep the PTFE so it doesn’t get sucked away is to floss the PTFE through more distal contacts. It gives the PTFE some security and resistance to being sucked away. So it’s not going to make that horrible sound and you get to keep that PTFE in the stable place! If you want to improve your skills and your understanding of occlusion, I’ve set up a free monthly resource for you starting this August! Just head to www.occlusion.wtf to sign up for monthly occlusion goodness. Highlights of this episode: 2:40 Protrusive Dental Pearl – Keeping PTFE tape secure 9: 43 Fundamentals of Additive Equilibration 37:28 Journey of Additive Equilibration 44:22 Additive Equilibration workflow in generalized wear cases 1:00:37 Restoring lateral and central incisors for aesthetic reasons (after canines) 1:06:36 Anterior coupling in class two increased overjet cases Check out CaSi 3C Instrument and all the other instruments that Dr. Carlos has made. Distributed by CosmeDent and Enlighten Smiles in the UK Another instrument you need to check out on Dr. Carlos’ website is this Vacu-Grip. This little plastic insert that fits in your suction would hold your crown like an extra gravity.  Check this Easy Peasy technique that Dr. Jaz mentioned: The ESIPC Jig ESIPC-JigDownload If you liked this episode, you will also enjoy Basics of Occlusion