Protrusive Dental Podcast

Welcome to PART 2 of composite excellence with Dr. Javier Quirós where we cover the procedural details such as the interproximal management of composites and the prevention of stains. https://youtu.be/6ESub-OVqgQ Check out this full episode on YouTube Protrusive Dental Pearl: There is a benefit of having nice tight contacts on our temporary crowns – but how can we polish our temporary crowns without ending up with open contacts? The trick is to get a Sharpie pen or indelible pencil and color in a small circle (maybe about two to three millimeters) mesial and distal of where the contact area is. Now finish and polish your temporary crown using burs/discs BUT do not touch that penciled mark. Ta da! You have just maintained the contact area. I know, why didn’t anyone tell you before?! This episode is sponsored by Enlighten who are the sole distributors of Cosmedent Products who are the ones that sell  Casi 3C instrument. This is a non-stick instrument that provides a perfect curved shape that beautifully forms the palatal contours of your incisors.  Highlights of this episode: 7:23 Mylar Pull Technique 9:57 The 5 Ps of Composite Success 23:49 Digital Facebow Transfer Check out the upcoming courses with Dr. Javier Quirós! Be sure to watch the first part of this episode Composite Excellence Part 1 and you’ll surely love this series!

A Restorative Dentist once told me, “Composites are like being married to a supermodel….sometimes you forget how good looking they can be!” – I had the pleasure of hosting Dr. Javier Quirós who shares his vast experience with composite veneers and restorative rehabilitation with composite resin. https://youtu.be/D_ahHFXosqA Check out this full episode on YouTube Ready to learn the management of Bruxism and TMD online? Click here to enrol to SplintCourse The Protrusive Dental Pearl: Check out this Casi 3C instrument distributed in the UK by Enlighten who are the sole distributors of Cosmedent Products. This is a non-stick instrument that provides a perfect curved shape that beautifully forms the palatal contours of your incisors. Watch this video below: https://youtu.be/QDoD182j-DU “It doesn’t matter what material you choose, porcelain or composite. What matters are your beliefs, your morals, and your principles of treatment planning” Dr. Javier Quirós Highlights of this episode: 7:32 The start of Composite Veneers 11:23 Which Type of Composite is Best? 14:07 Composite Veneers of Lower Incisors 17:39 Ceramic Rehab vs Composite Rehab 23:35 Composite Prep in terms of Occlusion 33:31 Minimum Thickness for Composites 38:26 Injection Moulding 43:44 Treating Toothwear with Composite Stay tuned for Part Two! Check out the upcoming courses with Dr. Javier Quirós! If you enjoyed this episode, you’ll surely love this Composite vs Ceramic with Dr. Chris Orr 

What happens when conservative care fails? What if you have prescribed patient education and the ‘best’ occlusal appliance and none of it is working? That’s where surgery MAY be indicated for certain diagnoses. Listen or Watch my podcast with Professor Andrew Sidebottom Maxillofacial surgeon (who is limited to the management of TMJDs) to help us make timely and appropriate referrals to provide the best possible outcome for our patients. https://youtu.be/7m30jvUPlMA Ready to learn the management of Bruxism and TMD online? Click here to enrol to SplintCourse Protrusive Dental Pearl: Head over to the Protrusive Dental Community Facebook group where I posted an 8-minute walk-through video on how to screen which patients are at risk for getting a bite change or AOB after an occlusal appliance and how you can minimize that risk. The highlights of this episode: 12:47 Why you need to provide Conservative Care first 15:57 TMD is a Spectrum 19:21 Early Surgical Intervention? 21:42 Acute disc displacement without reduction 26:40 Imaging used when managing TMD patients 35:10 Pain Management 41:03 Arthroscopic procedure for TMD 50:29 How much does TMJ Surgery cost in the UK? 53:22 Successful management of temporomandibular disorders Check out these studies as mentioned on the podcast. Orofacial Pain Prospective Evaluation and Risk Assessment StudyDownload A Real-Time screening tool to aid management of Post-Traumatic Stress Disorder in facial traumaDownload Temporomandibular-joints-in-asymptomatic-and-symptomatic-nonpatient-volunteers-prospective-15-year-follow-up-clinical-and-MR-imaging-studyDownload Also check out Prof. Andrew Sidebottom’s website for more information and download leaflets. Check out the Tubules Congress in Heathrow October 2022 If you enjoyed this episode, check out Stay away from TMD! [SPLINTEMBER] 

I’m so excited to bring you another one of my favorite people today: Prav Solanki. I’ve said it before and I’ll say it again, “for every CLINICAL course you do, do a NON-clinical one”. This is super important. We talk health, relationships, business growth – and if you listen all the way to the end, you’ll learn a BRILLIANT way to build social proof in to a consultation that is elegant. https://youtu.be/zmQsC99_MoU “The definition of success for me: To be able to do what you want, when you want, with whom you want; without any financial constraints.” Dr. Prav Solanki The highlights of this episode: 8:46 How Prav became a Dentrepreneur 17:28 Work Life Balance in Dentistry 31:50 Importance of Pitching 43:57 Importance of Social Proof on a Consultation Appointment All of the Protruserati clan get 10% OFF the Business and Mindset Mastery with the code ‘protrusive‘! Check out this blog with Dr. Prav and his 21-day fast experience If you enjoyed this episode, you will also like Being Unstoppable with Ferhan Ahmed

Zirconia Veneers!? eMax vs LiSi? Which type of Zirconia should I use (and yes, there are 3 main types of Zirconia!) and is there still a place for Feldspathic veneers? These burning questions is why I brought on the OG: Ed McLaren. What Dr Ed McLaren does not know about dental ceramics is not worth knowing, and he gives it all away on this cracker of an episode which is sure to go down in Protrusive Hall of Fame! https://youtu.be/ZR-V-ekhMv0 Protrusive Dental Pearl: How to mask a metal post? For me, a post-core is just a space-filler, it’s a way to retain some sort of foundation/core restoration. I do not mind cutting it back a little bit – below I share a video of how to mask a metal core using Paracore White Opaque, to help my ceramist. You can also use an opaquer resin such as Ivoclar Direct Opaque – it’s like Dental Tipex! Want to download the 1 page summary of all the indications for free? Click here to access the download. https://www.instagram.com/reel/Cd0P2mJqNUn/?utm_source=ig_web_copy_link Enlighten Smiles sponsor this episode. I know some of you feel that we can’t make composite look as good as ceramic. Well, you need to check out the work by Dipesh Parmar. His course is called Mini Smile Makeover where he teaches his techniques using Renamel Composite and other brands to give you some amazing results working with composite resin.  Highlights of this episode: 11:07 Feldspathic Ceramic in terms of Patient demand and Dentist skill set 18:26 Shortage of skill set from Technicians in the future 20:41 Composite vs Ceramic Veneers 23:11 APC Protocol in Zirconia for Veneers 29:10 Posterior Zirconia Onlays 31:42 Decision Making regarding Biomechanical status of the patient 37:29 Ivoclar eMax vs GC LiSi 39:57 Different types of Zirconia 50:00 Restorative protocol for wear cases Check out these studies as mentioned by Dr. Ed McLaren – if they are not showing up on your usual podcast player, be sure to visit the show notes on the protrusive website. Influence of Enamel Preservation on Failure Rates of Porcelain LaminateVeneersDownload Check out the Hands-On Courses by Dr. Ed McLaren If you like this episode, you’ll also like Dr. Chris Orr’s Composite vs Ceramic

How much money is enough? Let’s face it, General Dentist is one of the most challenging jobs in the world – what level of income is worth the stress and health risks? This is a very personal question and will vary according to each Dentist’s money mindset and personal values. Dr. James Martin joins us again to discuss personal finances for Dentists. https://youtu.be/QwtQ43cU2uY Check out this full episode on YouTube “Your rich life is determined by your little network, your family, your friends, your nearest and dearest – THAT is worth more than any amount of money.” Dr. Jaz Gulati The Highlights of this Episode: 4:28 How much money is enough for Dentists?11:42 How does one decide how much money is enough for them?15:16 When do you envision Retirement?18:57 Financial Independence23:23 Importance of Saving36:40 Should associates look towards practice ownership?41:41 Summary Points Check out this book recommended by Dr. Jaz: I Will Teach You To Be Rich By Ramit Sethi If you enjoyed this episode, do check out Money – 5 reflections to help you get started with Investing

Today, we will share with you some of the lessons that Dr. Avi Patel and I learned at the very beginning of delivering clear aligner treatment. If you’re just starting out, this is an excellent episode for you because it’ll help you avoid some of the pitfalls that we encountered. For example, best protocol for attachments or accurately estimating what level/complexity of aligner treatment is needed by a patient. https://youtu.be/4831y3g4MOI Check out this full episode on YouTube Protrusive Dental Pearl: Correct a rotated tooth by means of HYPERCORRECTION. This means adding a few extra clicks of rotation so that on the clincheck it looks like you have done a little bit too much. This works because orthodontic movements are NOT 100% predictable. This episode is brought to you by Enlighten Smiles which is a premium brand of teeth whitening that guarantees B1 in your Viveras. If you want to know more about teeth whitening and get better results for your patients, do check out their webinar, Enlighten Online Training. The Highlights of this episode:  11:39 Invisalign does not teach you Orthodontics 16:49 Basic rule in Orthodontics 21:49 Patient Communication regarding fees 26:59 Comprehensive Orthodontic Treatment 34:06 Refinement and Additional Aligners 38:02 Patient Communication in terms of treatment duration 41:23 Planning IPR – Best practices 43:53 Best Composite for Invisalign Attachments? 45:33 Protocol for Bonding Invisalign Attachments If you’re finding a mentor to implement clear aligners at your practice, be sure to check out Clear Aligner Advisor also Dr. Avi’s YouTube Channel for some career advice. If you liked this episode, you should check out Do’s and Don’ts of Aligners with Dr. Farooq Ahmed 

This was the most difficult interview I ever recorded for Protrusive Dental Podcast. I was approached by a representative from Smile Direct Club to appear on the podcast. I had mixed feelings but knew this was an opportunity to ask some good questions and gain an insight into how this active and significant stakeholder in clear aligner therapy (whether we like it or not) operates. https://youtu.be/6Sjwr52_EkM Video to this episode has not been made public and only those with a link can watch it – OR on the Protrusive APP releasing for general sale next week Protrusive Dental Pearl: In terms of efficiency in doing your IPR, be sure to plan your IPR and your ClinCheck so that a lot of the IPR happens in one go when the contact is more aligned.  https://youtu.be/x6K2o9tS0GU The highlight of this episode: 10:13 Current market trends for clear aligners 12:59 Animosity Between Smile Direct Club and Dentists 17:19 Patients that are suitable for Smile Direct Club 19:33 Smile Direct Club’s Workflow/Patient Concern 30:32 Patient Education about Direct Smile Club 33:44 SDC’s ‘Lifetime’ Aligners? 37:11 SDC’s Night Time Aligners?! 43:20 SDC’s pop up shop within Dental Practice 46:55 Dental Boards vs Smile Direct Club 53:16 Patient Support Network? If you enjoyed this episode, you will also like GDP Alignment vs Specialist Orthodontics

Is every dental CPD/CE really awesome? I think the best investment I ever made was in postgraduate courses, but with escalating costs and ever-expanding choices for courses, how does the confused Dentist pick a course? Is there a toxic culture whereby Dentists are afraid to give less than perfect reviews for a course? https://youtu.be/Idgy1YfXaTY The highlights of this episode: 7:07 Importance of Feedback on Dental Courses 23:17 Too Many Positive Reviews! 27:22 What kind of learner are you? 30:11 How to Choose the Courses you should take Check out the book recommended by Druh Shah called The Long Game: How to Be a Long-Term Thinker in a Short-Term World by Dorie Clark If you enjoyed this episode, you will also like Being Unstoppable with Ferhan Ahmed

Virtual Hands-On Suturing Masterclass enrolment ends 2nd May 2022 – click here to get your hands-on kit + video instructions Your suture is the signature you leave on your surgery. I actually suck at suturing, and so does my handwriting, so I’m really not winning at signatures! This was a really selfish episode because I really wanted to improve my suturing skills – I enrolled on the Suturing Masterclass with Dr Cajee and brought him on to level up our sutures! In this episode, Dr. Nabeel Cajee will help you break down the basics of different suture techniques and share some tips for use in practice.  https://youtu.be/37rY0q6v2cg Check out this full episode on YouTube Protrusive Dental Pearl: Use the power of video messages to communicate with patients (think post-op instructions) or your lab technician (they love the detail). Currently I am using LOOM which allows me to seamlessly record my screen and my voice/video and creates a sharable link. “Excelling at suturing does three things, it helps patients heal better, less complications, eliminate dry socket. With good suturing, it allows you to grow as a clinician and take on more surgery cases” Dr. Nabeel Cajee In this episode we discussed: Dr. Cajee’s pathway to Implant Dentistry 4:03 Types of suturing materials 11:03 Types of Sutures for specific cases 17:33 Different Techniques of Suturing 19:04 Vertical vs Horizontal Mattress Suture and when to use them 24:05 Guidelines in tying the knot 26:21 How to Improve Suturing skills 30:00 Best type of Suture for a Functional Crown Lengthening 33:00 Check out the SUTURING MASTERCLASS (scroll all the way down the page) to gain confidence in your overall surgical skills with a hands-on kit to get stuck in! $70 OFF with code ‘Protrusive’ All of the Protruserati clan get $70 OFF the SUTURING MASTERCLASS with the code ‘PROTRUSIVE‘!

Welcome back to the second episode of #AskJaz where I answered questions from the Protruserati – from communication to caries management, I will try my best to help. When I don’t know the answer (far too often!) I usually know someone who does! https://youtu.be/Pvt-czUEZ3Q Click Here to watch on YouTube In this #AskJaz I tackled: Picking Courses – Which Year Long Restorative Course? 4:45 Which Facebow should I buy? 10:16 When giving the patient some options goes too far 12:02 Reduce Root Resorption Risk for relapse cases 17:50 Do join our Protrusive Dental Community Facebook Group. It has so many great gems and pearls shared in our little community!

Consent. It’s one of the most important parts of your practice—and it’s somehow turned in to a tick-box/paperwork exercise. Is it truly possible to automate the consent process for an individual? Dr. Shaun Sellars and Zak Kara are here to break it down for you, so you can get your patient on board with the treatment they need while keeping yourself out of legal trouble. We’ve covered some of the laws that govern consent in Dentistry, as well as how to level-up your patient communication skills. https://youtu.be/_8O5CqoYIS4 Protrusive Dental Pearl: Be sure to subscribe to my email newsletter for the PDF Flowchart for Consent made by Dr. Shaun Sellars  This episode is sponsored by Enlighten Whitening – thanks for your support Dr. Payman Langroudi and team! Please do check out their online training. Within their Live online training, they cover so many points related to consenting our patients for teeth whitening – from the onset of white patches to predicting and managing expectations of different whitening cases. Highlights of this episode: PDF Flowchart for Consent by Dr. Shaun Sellars 5:53 Ramifications of Montgomery 7:43 Consent forms – are they worth it? 10:00 Stages of Consent Process 17:38 ‘Protocolization’ 22:05 Process of getting Consent 26:25 Getting Consent with the help of Technology 33:42 If you loved this episode, check out the first part of this episode Record Keeping and Emotional Intelligence

You will LOVE this series with Protrusive Colonel Dr. Zak Kara and Dr. Shaun Sellars who has an interest in law and ethics and is also the host of the INCISIVE DECISIVE Podcast. This is an episode you DON’T want to miss. Get ready for some fun and engaging conversation about record keeping (is that even possible?!), emotional intelligence, and some of your most requested topics like how we can build better rapport with different patients. https://youtu.be/bJcr2C2fUnE Check out this full episode on YouTube Protrusive Dental Pearl: One great way to build rapport with your patients is to write down on your note-taking software. That way you can re-read and remember even the fine details of your patients. “So you’re never going to get in trouble for customizing your notes, the time you’re going to get in trouble is by using templates and forgetting to take bits out.” Dr. Shaun Sellars In this episode we asked Dr. Sellars: How can emotional intelligence constitutes success in dentistry? 13:36 How to connect to more people? 23:56 How to make appropriate and good record keeping? 31:40 Kiroku vs Custom Screens for note taking 35:14 Dr. Shaun and Zak’s protocol in making a good record keeping and explaining to patients 39:09 Check out this voice or video communication tool called LOOM which I usually use in creating comprehensive treatment plans via video in order to save time! You can choose Voice or Video If you loved this episode, you will like 10 Habits of Highly Successful (and Most Valued) Dentists 

Be proactive. Be the master of your destiny. We have another non-clinical topic all about ‘making your own luck’ in Dentistry and in life including landing your dream associate position with Dr. Rupert Monkhouse, the removable prosthodontic wizard from Suction Lower Complete Dentures – Improve your Removable Prosthodontics   https://youtu.be/7AODxoWKwTs Check out this full episode on YouTube “I made my own luck by thinking, you know what, I AM going to go for this. It’s the same as rocking up to somewhere like the BACD conference or the ITI conference, or Tubules” Dr. Rupert Monkhouse The highlights of this episode: How Dr. Rupert landed his ideal associate position 7:04 How Dr. Rupert managed to work full time 13:12 Advice for a young dentists looking for their ideal associate position 18:43 Dr. Rupert’s journey of development in finding his niche 31:22 Don’t forget to check out The Impression Club and also Dr. Rupert Monkhouse’s Instagram If you loved this episode, you will like How to Find An Associate Position in 4 Mins Flat 

Hi Protruserati! Welcome to the first episode of #AskJaz. This segment is all about sharing some gems I have learned from my mentors – I will address a combination of the questions YOU have sent in over the last few weeks. https://youtu.be/qMEGcs1XP4A Check out this full episode on YouTube In this episode, I answered some of these questions: Inlay that kept coming out 3:15 Stable Income vs Risks 5:18 Mentorship 6:36 Injection Moulding Mistake 7:38 Step by Step PDF Infographic. Click here If you loved this episode, be sure to check out the first episode of the ‘Occlusal Adjustment’ How To Plan Your CPD/CE to Maximise Learning 

Psst! Hurry, www.splintcourse.com Enrolment ends Thursday night! No matter what kind of Dentist you are and what niche you are in, chances are that you will encounter TMD acute pain patients. This practical episode with TMJ Physiotherapist Krina Panchal is going to equip you with 3 simple exercises you can confidently prescribe your patients and WHY they are effective. https://youtu.be/fNay0J6NlS4 Check out this full episode on YouTube Protrusive Dental Pearl: Handing Composite for a Class 4 Restoration: When you’re restoring a Class IV on incisors you will need to decide how to manage the interproximal area. In the ‘immediate’ technique (called Immediate because you will manage this straight after the palatal wall build up) you can use some form of an interproximal matrix (posterior sectional matrix used vertically, for example). The tip here is to roll the composite between your gloved fingers first, roll it into a sausage, then you will then place that ‘sausage’ into the interproximal area. This will help you get a better interproximal shape. Inspired by Dr Dipesh Parmar from Mini Smile Makeover course. In this episode we discussed: How Physios assess their TMD patients 13:46 Joint Exercise (Rotation) 15:03 Muscle Exercise 19:25 Tongue Scrape Exercise 26:13 Advice for Patients who are in Pain 29:43 Bucket Analogy 32:10 If you enjoyed this episode, check out another episode from Dr. Krina Panchal TMJ Physiotherapy – When to Refer and How They Can Help  Contact Krina Panchal

Welcome back to the third part of this EPIC series! I hope you gained more value from this than from PAID education. Dr. Devang Patel guides us through Appoint 5 of the Adhesive Full Mouth Rehabilitation – this is when things very saucey as we discuss sequencing and staging the rehab. Onions on the ready, my fellow Protruserati! This episode is sponsored by Enlighten Whitening – thanks for your support Dr Payman Langroudi and team! In this episode we also squeezed in a discussion about stressful White Patches appearing after Teeth Whitening – what causes them and how to ‘treat’ them! https://youtu.be/I6IB1FxY8fA Check out this full episode on YouTube Protrusive Dental Pearl: This is a video pearl from the Protrusive Dental Community Facebook Group on How to diagnose a Myofascial Pain that mimics 9/10 severity toothache https://vimeo.com/687007193 Head to the Protrusive Dental Community Facebook group where this video came from for more resources like this. For the Summary of Appointment Sequencing 0 – Mindset for Full mouth Dentistry 1 –  Full mouth Assessment Examination 1A – Diagnosis and Treatment Plan 2 – Patients’ Records  3 – Mock-up and Temporaries 4 – Checking Patient’s occlusion 5 –  Anterior Direct/Indirect Adhesive Composite Rehab 6 – Checking Occlusion and Taking Impression (within 4 weeks)  6A: Checking Occlusion (2 weeks after – 1st Visit) 6B: Taking Impression (2 weeks after 1st visit) 7 –  Posterior Direct/Indirect Adhesive Composite Rehab 7A: Lower Posterior Arch or Upper and Lower Right Side 7B: Upper Posterior Arch or Upper and Lower Left Side 8 – Polishing  9 – Assessing for Occlusion  10 – Maintenance or Giving Protective Appliance  The highlights of this episode are: Indirect Full Mouth Reconstruction Protocol 7:53 Appointment 5: Anterior Direct Adhesive Composite Rehab 15:59 Upper and Lower Anteriors Build-up Techniques (Using Putty/Exaclear indices from wax-up) 16:41 Checking of Occlusion 26:56 Posterior Stabilization (Using GIC or Bis-Acryl) 28:59 Appointment 6: Checking Occlusion and Taking Impression (within 4 weeks) 6A: Checking Occlusion (2 weeks after – 1st Visit) 35:49 6B: Taking Impression (2 weeks after 1st visit) 36:08 Appointment 7: Posterior Direct Adhesive Composite Rehab 38:45 7A: Lower Posterior Arch or Upper and Lower Right Side 7B: Upper Posterior Arch or Upper and Lower Left Side Appointment 8: Polishing 46:52 Appointment 9: Assessing for Occlusion 47:45 Appointment 10: Maintenance or Giving Protective Appliance 48:00 Join Dr. Devang Patel’s Facebook Group where you can find tons of useful resources! Also, be sure to check out Dr. Devang Online Dental Courses to be able to offer a full mouth reconstruction treatment to your patients! If you enjoyed this episode, be sure to check out the first part Adhesive Full Mouth Rehabs in 11 Appointments and the second part Adhesive Full Mouth Rehabs Part 2 – Wax Up and Temporaries

Dental school does not teach us everything we need to know to succeed in Dentistry (hardly surprising). There are certain procedures that we learn (just about!), but it doesn’t give us those soft skills, the people skills and a heck of a lot of basic competencies. This episode is NOT about bashing Dental Schools. It’s about recognising where were were ‘let down’ and taking the steps to ‘fix it’. There is so much we must gain from being mentored by people who’ve been there and done it before us. Dr. Paul Goodman is one of those good people in Dentistry that we need to look out for. https://youtu.be/LpOEBcmguR0 Check out this full episode on YouTube “[There is a] lack of fundamental skills for surviving and thriving [once graduating].” Dr. Paul Goodman Check out this How to Speak By Patrick Winston as mentioned by Dr. Paul Goodman. https://www.youtube.com/watch?v=Unzc731iCUY Highlights of this episode are: Dentists’ make up for Dental School’s shortcomings 6:30 Lack of Clinical Skills after Dental Schools 9:16 Advice for Fresh Dentists 12:17 Limited experience at Dental School 16:38 Advice for Dentists in terms of finding their niche 19:59 Best way to overcome Dental Schools’ shortcomings 23:55 Send an email with the subject ‘Nacho gift’ to Dental Nachos and they will send you back a free resource. Also, check out the Dental Nachos website! If you enjoyed this episode, you may also like 12 Rules for Dentistry – IC002

Articulating paper has been around for over a hundred years, and it’s still the most common way we evaluate the way our patients’ teeth touch or occlude. But there’s so much we cannot tell by looking at those marks! We cannot tell which ones are higher force or low force, and we definitely cannot tell anything about the timing of contacts. In this episode with Dr. Robert Kerstein will enlighten you about the T-Scan! https://youtu.be/YsxjGGitJr8 Check out this full episode on YouTube Protrusive Dental Pearl: Classically on glazed ceramic, articulating paper marks will be difficult to show up. A little hack to overcome this is to get a tiny smear of vaseline on a micro-brush, paint the articulating paper and get the patient to bite together because the Vaseline has an effect on the articulating paper which allows it to stain or ink the teeth more effectively. In this episode Dr. Rob and I discussed: Traditional way of using articulating paper and its disadvantages 14:55 T-scan in terms of occlusal adjustment 19:34 T-scan in terms of differences in adaptive capacity 24:53 Importance of patient’s feedback 28:58 Treating patients with TMD through occlusal equilibration 35:45 Dentists’ concern about the thickness of the T-scan 41:20 Level of precision in diagnosing patients 46:50 Why does T-scan seldom meantion on occlusal courses 54:18 All of the Protruserati clan get £200 OFF the T-Scan™ from Clark Dental with the code ‘protrusive‘! As promised in the episode, if you would like to read some studies/evidence base for the T Scan click here. Click here to email Dr. Rob Kerstein If you enjoyed this episode, check out Philosophy of Functional Occlusion with Riaz Yar

I’ve had a few questions from Dentists who are interested in learning how to place fixed retainers, something I personally have found so fiddly! The whole process can be a little intimidating at first, so Dr. Raj Jabbal takes the fear out of it and makes it fun and easy. We also talked about different types of Fixed Retainers and the daily conundrums that we have when deciding on the recipe for retention. https://youtu.be/iH8oTU5gjag Check out this full episode on YouTube https://youtu.be/GkePbSVLVm8 Protrusive Dental Pearl: Head out to my Email Newsletter for some goodies and updates from me and also for the upcoming Protrusive App! In this episode I asked Dr. Raj all about: Routine use of Fixed and Removable Retainers as part of his Specialist Plans 7:53 The best type of Fixed Retainer 10:29 How to avoid warpage on Braided Type of Fixed Retainer 12:21 Step-by-Step on how to place a Fixed Retainer 15:14 Chance of relapse on Fixed Retainer vs Removable Retainer 20:01 Cephtactics Fixed Retainer Protocol 24:40 Be sure to check out the Cephtactics – Orthodontic Courses If you enjoyed this episode, you should also check out General Dentists Doing Orthodontics 

Check out the TOC IPR Kit with the Intensiv Swingle – Protruserati Discount! Email TOC Dental for the discount IPR can be a tough gig – from the feeling of ‘making it up as you go along’, to the genuine threat of repetitive strain injury from using strips. Let me help you take guesswork out of it! By the end of this episode, you’ll know exactly what instruments to use and have a step-by-step process in place. Why? Because I didn’t learn this the easy way. I learned it the hard way, but now I’m going to share with you these different techniques to use that will definitely give you confidence and help you get high quality, efficient and SAFE IPR for your ortho cases. https://youtu.be/x6K2o9tS0GU Check out this full episode on YouTube Protrusive Dental Pearl: No matter how much IPR you think you have done, do some more. You probably haven’t done enough. Don’t believe me? Check out this paper below by Dr. Tony Weir. “You can avoid the random learning experience I had, and you’ll be able to provide better IPR than I first did for my patients.” Dr. Jaz Gulati In this audio-only episode (IPR Video on YouTube) I discussed: How I learned IPR 00:50 IPR Strips 12:52 IPR Burs 20:17 IPR Perforated Discs 24:25 Intensiv Swingle Review 28:12 IPR Planning 35:21 Check out this paper as mentioned by Dr. Jaz Gulati: IPR-as-part-of-Invisalign®-treatment-in-10-orthodontic-practicesDownload Quantitative-comparison-of-3-enamel-stripping-devices-in-vitroDownload Thank you TOC Dental for the instruments I used. Show them your warmth and support, Protruserati! Email TOC Dental for the Discount! If you enjoyed this orthodontic episode, you may also enjoy my episode with Dr. Devaki Patel all about IPR for Dummies.

After the success of PDP103 Adhesive Full Mouth Rehabs in 11 Appointments, we’re here again to discuss how to plan the Wax Up, Mock up and temporaries using bis-acryl with Dr Devang Patel. https://youtu.be/GuqSkCvFWNk Check out this full episode on YouTube Protrusive Dental Pearl: How I communicate a high RCT risk: For ordinary patients, I would always say “YOUR tooth decay (in YOUR tooth)/ YOUR filling was very deep.” But for some patients who you feel would make trouble, I would continue to add “…if we do nothing, then your tooth will eventually be in a worse situation. And you may lose your tooth. This could be a painful process as well. If I do something, then that involves drilling your tooth decay, drilling the soft bits of your tooth away and drilling away the old filling that’s leaking. Drilling is not a nice thing. So by drilling, the drill is damaging your nerve. Your nerve may die and need a Root Canal.” Highlights from this episode: Appointment 2: Patients’ Records (Impressions) 11:35 Patients’ Vibe as part of Assessment before planning treatment 18:29 Load Testing as part of Assessment 24:22 Type of toothwear to consider the type of arch reconstruction 31:48 Curve of Spee as part of Assessment 36:25 Guidelines regarding Re-RCT before restoring 40:40 Comprehensive Evaluation among Patients 45:32 Appointment 3: Mock-up and Temporaries 51:58 Check out this occlusion one-day course, hands-on and theory for the Kana Dental Academy. With amazing Speakers line-up (some of them are Protrusive Dental Podcast Alumni) If you enjoyed this episode, be sure to check out the first part Adhesive Full Mouth Rehabs in 11 Appointments and the third part Adhesive Full Mouth Rehabs Part 3 

Principal’s tell me it’s difficult to find associates. Associates tell me it’s hard to find good principals. What on Earth is going on?! In this episode I’m going to share with you a really powerful, underutilized technique to to help associates boost their chances of getting an associate position. https://youtu.be/Bjnud4VQ7rI Check out this full episode on YouTube “Sometimes you should do something outside the box. Let me show you you a powerful example.” Dr. Jaz Gulati In this episode I revealed: Power of 4-minute Technique 2:06 How to Find an Associate Position 4:27 If you loved this episode, you will like Not Your Average Young Dentist Journey

You HAVE to check out the music video to catch the REAL vibes! Watch Fresh Prince of Appliances on YouTube https://www.youtube.com/watch?v=pJ_Czt6TDWA Singing Dentist – you ready for the collab? 😉 Next cohort of SplintCourse will be open for enrolment in March. Sign up for the launch email by clicking here!

Dental Acupuncture made tangible thanks to our guest Dr David Johnson. We cover the basics of trigger points relevant to Dentistry and Temporomandibular Joint Pain, as well as the two main applications of acupuncture in for Dentists. https://youtu.be/sHGJcsIAses Check out this full episode on YouTube Protrusive Dental Pearl: How I communicate an Oro-Antral Communication:  I will pull up the radiograph and show it to the patient and warn them that the root of THEIR tooth is so close to the sinus. “If your roots live in your sinus then there is a chance that you will have a new party trick: when you drink water through your mouth, it could come out through your nose via the sinus”, and that creates a memorable warning/consent. In this episode I asked Dr. David: What is a Trigger Point? What is the pathophysiology of a trigger point? What causes the trigger points to turn on? What are the uses of acupuncture in dentistry in terms of a gag reflex? What is the success rate of acupuncture? How does acupressure work? Implementation of acupuncture in general dental practice Please do check out Dr David Johnson’s Course and Implement Acupuncture on your practice Monday morning. If you would like me to organise another course with Dr Johnson, DM me on Instagram @protrusivedental If you loved this episode, please do check out Hypnotize Your Patients with 3 Quick Techniques with Dr Jane Lelean