Protrusive Dental Podcast

Our views on Retention have changed over the decades – it is now regarded as a lifetime commitment and Dentist are getting good at letting patients know this from the start. In this episode, I ask Dr Angela Auluck questions from the Protrusive Dental Community as well as talking clinical steps of fiddly fixed retainers. https://youtu.be/BoZyHo9RGjY Dr Angela on Orthodontic Retention Protocols Protrusive Pearl: The Harridine paper helping to explain that wisdom teeth likely do not cause lower incisor crowding. In this episode we discussed: Fixed retention vs Removable Retention Why retention is individual to every patient Tips on placing Fixed retainers correctly What is the best retention on expansion cases? When should you consider a Hawley Retainer? I hope you are enjoying the Straightpril series of episodes! If you liked this episode, you will also enjoy Dahl Technique Part 2 with Tif Qureshi!

When it comes to direct composite restorations, shape is more important than shade. Mastering primary anatomy with well defined line angles is the difference between mimicking nature or ending up with flat white blobs with no definition. In this Group Function I’m joined by Dr Matt Parsons who answers the following question from the Protruserati: Once you have drawn on the desired line angles, how would you suggest to really define them? When using bur or disc I tend to find I get a result which is rather flat and lacks line angle definition. Dr Devin Firstly, if you don’t already follow Dr Matt Parsons on Instagram….you will now, and therefore you’re welcome. It’s dental porn. https://youtu.be/CFvmFm5FhQk Dr Matt Parsons on Nailing Line Angles If you have any other questions that would make a good group function, please do message me on @protrusivedental Instagram page or the Facebook Page If you enjoyed this, you will like my 3 reflections on a Composite Veneer case.

How does Orthodontist Mandeep Gosal feel about GDP ‘Alignment Only Orthodontics’ – in this hilarious episode (where I compared Orthodontists to builders) Mandeep ‘Gos’ shares his thought provoking views on how Orthodontics should be carried out (and how it shouldn’t!) https://youtu.be/eH_gfNc0IqY This episode will be ‘unlisted’ on YouTube so it cannot be searched. For lots of reasons. Protrusive Dental Pearl: For better portrait photos (Extra-oral) – point the ring flash to the ceiling! I use F8.0, ISO 800 with my Canon 60D body, 100mm lens and Canon Ring flash. This is the difference in lighting compared to point the ring flash at the face: One of the best bits from this episode I thought was Gos’ description of the 3 types of consent being carried out for Orthodontics. Which one did you identify with? If you enjoyed Mandeep Gosal’s style of teaching, do check out his Orthodontic course for GDPs. If you enjoyed this episode, you will also like 5 Lessons from Lincoln Harris where we also discuss consent in Dentistry.

We don’t refer all our extractions, root canals and crowns – then surely there is a role of GDPs to carry out Orthodontics? In the last 10 years we have seen a boom in GDP Orthodontics and much of this is ‘Alignment Only Orthodontics’. Protruserati, welcome to Straightpril! https://youtu.be/EuHTN4CXCxs Dr Nick Simon shares his journey and advice with Jaz In this episode we discuss: How GDPs can get involved in Orthodontics Which, according to Dr Nick Simon, is the best Orthodontic system for GDPs? His views on all the Dentists jumping on the Invisalign bandwagon How significant is the loss of anterior guidance in ‘STO’ (Short Term Ortho) cases The 2 most common mistakes GDPs make while carrying out Orthodontics Sponsor: Did you check out the Mini Smile Makeover course? You can attend again in the future at no additional cost – THAT’s awesome! Protrusive Dental Pearl: I use the Beauty and the Beast Mirror to ask patients what they hate most about their smile. It injects personality and humour – but you also find out exactly what the patient does not like about their smile! If you enjoyed this episode, you should also check out Are Class I Molars Important? With Dr Mo Almuzian

Canine guidance is overrated. Read that again. Crazy, I know. In this episode, one of my mentors Dr Riaz Yar explains the rationale of a functional occlusion whereby the pillars are the central incisor and the first molar. https://youtu.be/aQRQ43R4Obg Dr Riaz Yar is SUCH a good Educator I found some similarities to the Posterior Guided Occlusion (click to listen to the episodes by Dr Andy Toy) in that we place too much emphasis on canine guidance. Protrusive Dental Pearl: There is no joy in mediocre Dentistry Dr John Kois I hope you find this episode stimulating – and if you are a true protruserati, you will be grateful for another point of view AND NOT be upset that we all can’t agree with each other, haha! Stay tuned for STRAIGHTPRIL! Did you miss out on SplintCourse enrollment? It will be relaunching in June – click here to register for the launch offer Check out Dr Riaz Yar’s courses here – his book will also be launching in Q4 2021 – watch this space! If you enjoyed this episode, check out Posterior Guided Occlusion with Andy Toy!

This is THE most common question I get – ‘Jaz, can you just tell me which camera to buy for dental photography, I am so confused!’ I’m no mug when it comes to Dental photography, but I wanted to get a real expert to help answer this important question. I present to you Alessandro Devigus from Switzerland who owns the @dentist.camera Instagram page (which I love). https://youtu.be/q3VkbMLhsn8 I was shocked that he recommended a Mirrorless set up – but I totally understand his rationale. Here are the links to the products he mentions: Budget Setup Nikon Z50 Mirrorless Camera Body – ensure the kit comes with a FTZ Nikon adaptor so it works with the lensNikon 85mm Macro Dx LensMieke Ring Flash for Nikon Budget setup for excellent Dental Photography The ‘Posh’ Setup A Canon or Nikon Full Frame camera, with a 100mm macro lens and 2 x flashes mounted on a bracket – pick your favourite brand eg Nikon or Canon. It’s all good! If you enjoyed this episode, you may also enjoy the IMPORTANCE of taking photos in your Dental Journey, check it out!

You place some veneers and your patient leaves in tears of joy. Imagine getting a letter a few weeks later to tell you that the patient now HATES her veneers and would like a full refund. That is soul destroying stuff, and it’s NOT about the money! https://youtu.be/LCAhjm9ymy8 Dr Rhode to the Rescue! Within the context of this specific scenario where 6 veneers were placed, we discuss: A. How this could have been prevented B. How to handle the veneers that are ‘bulky at the gumline’ C. How to handle this refund request…! I want to thank Dr Manrina Rhode for yet again adding so much value for the Protruserati You can check out her course on Designing Smiles website If you liked her episode and want a full hour of Veneers from preps to Temps, check out Everything Veneers with Manrina Rhode

I gave Manuela Rodrigues one task: to reduce the stress levels of Dentists and the Dental team who listen to this episode. https://youtu.be/cNY_2QLWTuI With Mindful.Dentistry Manuela I know what you’re thinking…the whole positive mental attitude thing goes straight out of the window when a file has separated or the palatal root of the upper molar has been swallowed by the sinus. This is why I wanted Manuela to make this a highly relevant to the daily stressful scenarios we face. How can we make our profession less stressful, Manuela?! I pitched to her 3 different scenarios: When things are just not going right at work – think of TOUGH treatments/patients Litigation. Having a case over your head is one of the most stressful, gut-wrenching, confidence-destroying experiences a Dentist can have. Running late. I am SOOOO guilty of this and is the number 1 daily cause of stress for me! As Manuela promised, you can get 25% off her Mindfulness in Dentistry training by using the code ‘protrusive’ Do follow Manuela @mindful.dentistry on Instagram If you enjoyed this episode, you will like 10 Habits of Highly Successful Dentists

‘What on earth is Clubhouse?’ I hear you ask. Well, it’s kind of like being in a Whatsapp room with Richard Branson…and instead of typing you’re all just leaving live voicenotes. It’s like a Live Podcast and you get to contribute (sometimes). It’s also like a cult – it’s super addictive and invitation-only (at the time of publishing this). https://www.youtube.com/watch?v=s9POp8N9-Os Kevin Rose – who helps Dentists ‘Think’ My favourite thing about Clubhouse is that sometimes you’re not in the right state or environment to be on video – this audio-only platform has gained a lot of popularity! I have seem some great Rooms (like a Whatsapp group) within Dentistry where a lot of knowledge bombs have been dropped. There is something beautiful about Live content that is difficult to get a replay for – the FOMO factor is real! In this Interference Cast I am joined by Kevin Rose who helps drive better conversations in Dentistry. TLDR: I think Dentistry has a home in Clubhouse – we can learn and share great content (live podcast, right?) – we can also use it to change public perceptions of Dentistry. It’s probably not going to land you many patients in your chair, if that’s why you’re on it. You need to see a bigger picture!

Two ‘TMJ Queens’ in Two Days – another tribute to International Women’s Day last week and what better than having Dr Priya Mistry from USA who has limited her practice to the treatment of Temporo-Mandibular Disorders. https://youtu.be/FGVSbFjFrlw Step by Step Examination Protocol I first discovered Dr Priya Mistry’s fantastic content on YouTube – I really enjoyed her style of content presentation. I quickly saw her grow on this platform and help so many of the public with their TMD concerns. I realised that a lot of what she has to share is not just helpful for patients, but is really useful and helpful for Dentists, especially as many of us find the TMJ to be a mystical joint! I probe Dr Mistry about her full examination protocol for a typical TMD patient so we can gain insight in to how Dentists limited to TMD get to a diagnosis – arguably the trickiest part! Some parts of her specialised exam is already familiar to us – the usual palpation and range of motion measuring. Other parts are very different, such as measuring leg-length and really analysing the postural chain. Also, there are a lot of pre-appointment questionnaires that patients need to fill in advance of the appointment. The main take-home from this episode is to figure out when to treat TMD patients yourself in practice, and when to refer to someone like Dr Mistry. I enjoyed her ‘4 levels of TMD’ which was very easy to follow. If you enjoyed this episode, do check out the episode with Dr Gurs Sehmi where I probe him for the full protocol examination for his Smile Makeover treatments! Enrollment for SplintCourse ends on Friday (thanks for all of you who joined from around the world!) I look forward to catching you on the Monthly Live Webinars:

When it comes to the management of Temporo-manidbular Joint Disorders, we often NEED to adopt a multidisciplinary approach. I am a strong advocate of Dentists involving TMJ Physiotherapists (yes, they exist!) to help their patients. In this episode I am joined by The TMJ Physio Krina Panchal! https://youtu.be/5KcMOfdoDhg TMJ Physios are invaluable in the multidisciplinary management of TMDs Interestingly enough, Physiotherapists in the UK do not cover the TMJ in their studies – it is a postgraduate niche that Krina has travelled the world to learn – which is why I respect her even more! Protrusive Dental Pearl – have you checked out the ‘Bruxchecker’ foil as a tool to help diagnosis of Bruxism and much more? I comprehensively reviewed this product and thought it was very clever! https://www.youtube.com/watch?v=eQLGFc82EM0 In this episode I ask Krina: Whats the evidence that Physiotherapists can help our TMD patients? What does she think is the biggest aetiological factor for TMD? What is the most common diagnosis she makes, and what is her management of that diagnosis What should a Dentist do if, after a long procedure, the patient gets acute disc displacement without reduction? What kind of cases should we be working with physios for? I will add the promised downloads on to the Protrusive Dental Community Facebook Group (are you part of the Protruserati?!) If you enjoyed this episode, check out Stay Away from TMD – why you should think carefully before niching down to TMD as a Dentist. If you want to learn about Occlusal appliance as a protective appliance, to help with pain or as part of pre-restorative management, do check out the SplintCourse which launched a few days ago with a big bang! https://www.youtube.com/watch?v=2-Yt5YmEyes Click here to download the full Course Outline Enrollment ends 19th March at 10pm UK time so I can focus on Monthly Coaching! Thanks for your support, Protruserati! Enroll now to SplintCoure Online to finally understand Occlusal appliances!

How do you obturate yours? When I have had the equipment (and training) I have used warm vertical compaction – no doubt that IS the gold standard. However, what is the humble GDP using all over the world? I would argue that not only are we using cold lateral compaction with sealer, but in many cases, we are sticking a big, fat, tapered GP cone in the canal with a splodge of sealer around it. Is that legit? https://www.youtube.com/watch?v=GkWR7XzTHCs The million dollar endodontic question that no one asks! Obviously the landscape is changing with the popularity of bioceramic sealers in Endodontics – I use this time to ask Dr Ammar Al-Hourani about this too. Is single point obturation cheating? Should GDPs start using bioceramic sealers? Does it even matter? I hope you enjoy this group function – you can follow Dr Al-Hourani on Instagram via @theendoguys If you enjoyed this, you might also like my episode with another talented Endodontist, Kreena Patel, on why we hate cracked teeth!

Sometimes associates moan that they can’t improve their Dentistry or provide better outcomes because their principal/corporate will not buy them that fancy composite/instrument/air abrasion unit/orange floss (okay maybe not the last one!). Here’s a tip: buy it yourself! https://www.youtube.com/watch?v=JQKiaZgHbk4 I’m not saying you should go crazy and buy ALL your materials – thats the role of the practice – but if after having a good conversation with your principal about investing in the new gear and it is not bought for you….there are some major advantages of buying it yourself. In this episode I am joined by Dr Rosh Panju who, as an associate, bought his own intra-oral scanner (iTero) – that speaks volumes about his mindset. In a nutshell, this episode is about making your own luck. For those asking about where to buy the ‘associate box’ to transport kit between practices, here it is: https://amzn.to/3v1li3S If you enjoyed this episode, you will like the episode on Emotional Intelligence with Richard Porter – check it out!

No Ferrule? No problem! Dr Peter Raftery, Endodontist, discusses the contemporary use of the ‘Surgical Extrusion Technique’ to make hopeless teeth restorable. Crazy, I know, so take a listen because the science makes sense! https://youtu.be/gXN-2tgxtbU All the way back in Episode 9 with Dr Aws Alani (Restorability with a Restorative Specialist) we briefly mentioned this technique in passing…which led to a cascade in events and Dr Raftery reached out to me with enthusiasm because I called out to the audience if they knew anyone using this technique! I love that! Essentially you are (gently!) extracting a tooth and then intentionally re-implanting the tooth, except this time you are going to be a little greedy and ‘grab’ some ferrule. Then, a customary Root Canal Treatment 2 weeks afterwards, and you have yourself a restorable tooth. As someone who loves saving teeth, this is just fantastic. We know the science works because we DO re-implant dirty, grotty avulsed incisors of 12 year olds with some decent success rates. Protrusive Dental Pearl: have you used Viscostat clear? It is my preferred astringent and will not interfere with bonding How to restore teeth which appear to be restoratively hopeless aka no Ferrule Compared to SCL or Ortho extrusion – could this be more cost effective and less invasive? Surgical Extrusion technique – either with humble luxator or a posh Benex device I will have to add the resources later – right now I am running late for work!

I recorded an Instagram Live with Dr Prateek Biyani of The Dental Notebook to answer a question sent in from the Protruserati: Hi Jaz, I hope you are well. I’m working as a NHS associate for nearly 3 years and I was thinking whether it’s worth doing DCT training or if it’s better to keep up with private courses to improve skills? Anonymous question from a fellow listener https://www.instagram.com/tv/CKRxwRGJv6H/?utm_source=ig_web_copy_link Full IGTV Video Listen to find out what me and Prateek recommended! Check out Prateek’s new book, Single Best Answer Questions for Dentistry! If you enjoyed this episode, you might also like Making your Dental Portfolio by Jaz

The ORE exam to practice Dentistry in the UK is not easy – listen to Yazan Duedari’s top tips to pass this gruelling 2-part exam and find out what the ORE Exam has in common with a Beyoncé concert! https://youtu.be/qCPUsqPmino Dr Yazan Douedari gives away all the secrets! Dr Yazan Douedari reached out to me as he was a student of the Resin Bonded Bridges Masterclass. I loved connecting with Yazan. He had so much in common (we are both Refugee’s who came to the UK and are grateful for the opportunities) and listening to his hardships and struggles with the ORE process and how he triumphantly overcame it was very inspirational. There is so much hardship and sacrifice associated with the ORE Parts 1 and 2 – imagine having no income, studying several hours per day and supporting a family at the same time. To top it all off, even once you PASS the ORE Part 2 – how will you find a job? https://youtu.be/sc6HnlsyccY Don’t stress – it will not help you! Yazan shares everything: Step by Step application process How to get your GDC paperwork in order How long to study for each part of the ORE Revision tips How much does the ORE UK process end up costing you? How he failed Part 2 How he overcame Part 2! How he found a job in Private Practice I am so grateful to Yazan who shared his successes and failures in such a humble fashion. He also shared some good ORE resources: ORE Part 1 Facebook Group ORE Part 2 Groups: https://www.facebook.com/groups/645587355509380/ https://www.facebook.com/groups/161356114038001/ https://www.facebook.com/groups/orepart2/ https://www.facebook.com/groups/498077606922801/ Companies to buy materials and equipment from: https://www.mrdental.co.uk/https://www.dentalzonetrade.com/store/ Some thoughts from Yazan on MFDS Exam – is it worth it?: Actually, I wanted to mention MFDS & MJDF during the episode saying it would be good for those doing ORE to do one of these exams DURING their ORE journey (not after) as there are a lot of similarities and require minimum extra preparation. I have done MJDF while I was doing my ORE, I prepared for 1 week for part 1 and 5 days for part 2 and was able to pass from the first time. The drawback is that you need to spend extra money on exam costs (around £1000), but the benefit that you get a diploma degree with a few extra days of preparation.  Now to answer your question, MFDS/MJDF do not add much (or anything!) to your information or skills if you’re doing ORE. The only benefit is to improve your CV generally and esp if you are considering applying for further education degrees in the future, it ould be an asset. Additionally, in my case, my dentistry CV was very weak, so I felt having this extra degree in my CV would help me get a job and would give me some advantage over others.  Yazan on MFDS Exam Some thoughts from Yazan on the LDS Exam vs ORE Exam: One last thing I just remembered and I think it would be useful to mention in the episode is LDS, which is another exam one can take to be able to work in the UK. It is almost identical to ORE, however, it is less frequent (part 1 once a year, part 2 twice a year) and considered slightly easier than ORE, esp part 2. Dr Yazan If you enjoyed this episode, why not check out the advice on Finding an Associate Dentist position!

Move over, traditional crowns! These ceramic onlays are way more conservative and just downright sexier. But let’s not go crazy – like with all aspects of Dentistry, case selection is key. https://youtu.be/Rl9BF-sIHqI This is going to number 1 for 2021 – it HAS to! This episode is one for true Dental Geeks. Nik Sethi will adhesively blow your mind (wait….what did I just say?) Imagine a 1 hour podcast episode after which you will improve your Onlays like never before – THIS is that episode. From the painful temporisation of onlays to the delicate bonding procedure, Nik leaves no stone unturned. Grab a pen and paper! Protrusive Dental Pearl – use air abrasion on your Tanner/Michigan splints to help to see articulating paper marks more easily. Also it can be used to test compliance of your patients, as they will polish/grind away the abraded surface. Thank you Dr Tilly Houston for sending that one in! In this episode we cover: When to place large composites vs opting for indirect ceramic restorations How to incorporate Immediate Dentine Sealing in to your workflow without feeling you have done anything different or additional How to become more efficient with your adhesive onlay preps When to start overlaying cusps, and when to leave them be (the answer may surprise you…) The full bonding protocol with heated composite (etch and all!) HOW TO TEMPORISE THE BLOODY THINGS When to shoulder….when to bevel? Nik was really great – my only contribution to the show was the term ‘Vonlay’. You’re welcome, everyone! If you loved Nik’s down-to-earth style of teaching, do check out their courses: Elevate 6 – Elevate Dentistry (elevate-dent.com) By very popular demand Riaz and Niks hands on 2 day course covering their FIPO protocol: Leeds 12th & 13th March 2021 London 9th & 10th April 2021 London 23rd & 24th April 2021 Leeds 7th 8th May 2021  Leeds venue- Optident, Valley Drive, Ilkley, LS29 8AL London venue- Blue room venue 220, Headstone Lane, HA2 6LY 2 Day – FIPO – Elevate Dentistry (elevate-dent.com) Finally their pride and joy: Advanced Aesthetic Diploma. Diploma – Elevate Dentistry (elevate-dent.com) If you enjoyed this episode, you will love Emax Onlays and Vertipreps with Jason Smithson!

I am joined by a Dentist fellow podcaster himself, Dr Payman Langroudi, to help you improve your teeth whitening results right away! https://www.youtube.com/watch?v=n-PSjGsICbw Yes – that’s a fluorosis case I treated in the thumbnail! Protrusive Dental Pearl: Using the patients’ aligners as a whitening tray – and better yet, the use of Vivera retainers and Enlighten whitening to Guarantee B1 shade! https://youtu.be/VSQp-etyhZI Are all whitening gels the same? In this energetic and conversational (yet educational!) episode, we discuss: Light based systems – surely it’s all BS? OTC products? Is there a dark horse? Why and HOW to do more whitening cases (simple but effective!) Predictors of poor whitening response (watch out for these patients) Why impressions are still better than scans Whitening tray seal The best way to improve sensitivity If you enjoyed this episode and want more free training with Dr Langroudi, check out his free online training for Dentists You will also like my episode with Manrina Rhode on the nitty gritty details of Porcelain Veneers

Is it time to ditch the analogue occlusion tools like facebows in favour of Digital Dentistry workflows? In this special feature episode with Ian Buckle, we will explore the world of Digital Occlusion. https://youtu.be/M0OR0XJdUvg I was tempted to make this a 2 part, but the flow is too good. Protruserati, get your onions ready for chopping (lots of them) – this is a behemoth episode! We tackled a lot of key themes, include Specialising vs Private courses route (a common question I get sent by Dentists). One of my fav quotes from this episode:‘If you don’t have a clear goal, don’t be surprised if you end up somewhere you didnt expect’ – what we can learn from this is to MAKE a best guess! I also mentioned how it was through Ian that I learned about the FACE Group (Roth) of Orthodontists. These are Orthodontists who are well versed in articulators, facebow, occlusion and ‘stable condylar position’ (or Centric Relation, to many!) There are a good few gems in here about face scanning apps, use of photography, inciso-facial mock-ups, but my favourite gem I want to share on this blog is this:If you record your bite registration AT the DESIRED vertical dimension, you will eliminate any errors in opening the bite on an articulator/digitally. You may need to read that again or listen to that part of the episode again. Once it sinks in, it can be a ‘ah-ha!’ moment. If you want to find out more about future courses by Ian, check out his website. The SplintCourse is just weeks away from the launch offer – have you signed up for the big update? If you liked this episode, you might enjoy the Posterior Guided Occlusion 2 parts with Dr Andy Toy!

Think of this episode as a love letter to the Protruserati. We share the same struggles, and this episode could easily have been called the 6 STRUGGLES of a Comprehensive Dentist. https://youtu.be/DCTgR93Tk3c The struggle is real Here they are: You take your work home with you Dentistry was either mis-sold to me, or I was just naive. When I was a Dental student I read a young dentist magazine. It had a segment dedicated to interviews with DF1 Dentists who had finished their first year in practice. ‘What do you love most about being a Dentist?,’ was one of the questions. One answer caught my eye: ‘I love that I do not take my work home with me.’ I loved that! But after almost 8 years out of dental school, I can tell you (and my wife can testify!) that I find it impossible to be a comprehensive Dentist and NOT bring my work home with me. Treatment planning, organising photos, letters to patients, clinchecks and the list is endless – it will be a longer list for practice owners! New patient examinations will drain you It takes a lot of emotional energy to see new patients. There is a difference between the 15 minute new patient exam and the 45 minutes or 1 hour new patient exam. The longer appointments to learn what the patients goals are and help find the right solutions can be extremely challenging and require intense focus, and dare I say, showmanship. As my principal (Hap Gill) once taught me, we are in show business. You have more to give and more to say The classic sign of this is that your Nurse is always nagging you that ‘you talk too much’. You just want to make the patient’s experience as valuable as possible! You dont earn enough money Controversial. I know. If I could double your income but simplify your Dentistry and limit you to single tooth dentistry – you would probably say no. THAT speaks volumes.You do it for the bigger picture and for passion.Yes the comprehensive Dentist MIGHT gross more, but the amount of money you spend on equipment and courses can be eye-watering. That, and your hourly rate from all the work you do it home is ever-diminishing. Patients always say ‘you are the first person who told me this’ or, the more sinister cousin, ‘why has no dentist ever told me this before?!’ I never know what is the right way to handle this. I just smile and say ‘I love my job so much, that sometimes I care more about a patient’s mouth than they do!’ To clarify, I am suggesting I care more than the patient (not more than any previous Dentist – we should never throw our colleagues under the bus). 6. If someone ever stole your laptop, they would be so dissapointed Admit it. Your phone and laptop is full of forum screenshots, lecture photos, teeth, abscesses, shade matching photos (heaven forbid) and the odd bitewing for good measure! If you enjoyed this episode, you will also like 12 Rules for Dentistry with David Bretton!

Finlay Sutton has made Dentures sexy again. His teaching style is world-famous and it was an absolute thrill to chat to him. Protruserati – this one is going to be clinically IMPACTFUL. https://youtu.be/6Hz208Zv6yU The KING of Removal Prosthodontics We started by discussing the benefits of using Loom for video communication with patients and lab – it adds a personal touch. Genius! What do you do when the framework does not fit?!Finlay will firstly trial the denture on the model. If in doubt, rehearse the path of insertion several times and you can ask your lab.You can use occlude spray on the denture fit surface Regarding Immediate Dentures: Leave your patients in immediate denture (plus relines) for 9-12 months to get maximum shrinkage before upgrading to Chrome. Sometimes you move quicker but need to reline (use ZOE) and then alginate pick up 12 months later. Should you use high impact acrylic? It seems a sensible idea!How about metal mesh? What if your partial denture wearer is a bruxist? We talked about how your partial denture can BECOME a splint. Precision Attachments and Milled Crowns Why Finlay has moved away from precision attachments and true ‘milled’ crowns as they are maintenance heavy. It is simpler to have crowns that are shaped appropriately with guide surfaces that will improve the denture. He does use Stud Attachments, which he uses just twice a year, to resurrect a root-filled retained root to negate the need for a clasp in a high smile line patient. Tell the patient the root may split, AND the tooth in front will need a clasp in the future. Metal backings are amazing for bracing – ‘My dentures are like removable resin bonded bridges’. Hidden away but provide great resistance to rotation and adds rigidity and bracing. Another gem was the use of dimples in to the crowns palatally and distal guide surfaces – with metal backings. The metal backing would have small balls that would slot in to the dimples. ‘What I hate is patients coming back with problems after they spent lots of money. If it all fell apart in a few years time, which these do, we’re in dickie’s meadow’ – there we are, keep it simple! You can use Zirconia crowns with rest seats and dimples but ensure, smooth, round, organic shapes. Be careful about making upper palatal too bulky as affects speech – hence why preferences to make these dimples substractive. If you want to learn more from Finlay, do check out his website for denture courses and learning resources. If you enjoyed this, you may also like the episode about Complete Dentures with Mark Bishop!

In this long overdue (sorry, Protruserati!) episode I will go deeper in to Anterior Midpoint Stop Appliances as an occlusal splint for bruxism, myofascial pain and headaches. If you have not already, you must absolutely check out Understanding AMPSA Part 1 as this is the sequel! https://youtu.be/_dSkQFZa55w Protrusive Dental Pearl 55: Remember at Dental School where they taught us that 3 fingers worth of mouth opening is considered ‘good’ or normal? Well, make sure you remember it’s the patient’s fingers, not your fingers! I showed how to use a range of motion scale and the benefits of checking mouth opening objectively: https://youtu.be/LAlKNwedd6w I am so excited to announce pre-registration for SplintCourse – Splints Simplified for GDPs. Sign up for the launch offer which is just weeks away! You dig my logo, right?! I teach what I know, and I know Resin Bonded Bridges and Splints for GDPs as I have devoted my career to their study! “No amount of canine guidance or posterior disclusion or level of osseointegration of your implants will save you from the destructive forces of Bruxism” Jaz Gulati, PDP055 So here is a recap from AMPSA Part 1: Anterior appliances are not as evil as you were taught We myth busted the Dahl-concept-type occlusal changes with normal wear of such appliances I gave the analogy of the ‘locked-in’ patient, and how when you allow them freedom of movement (reduce the resistance in grinding motions) it is like weight lifting and the weights have been removed We looked at some of the contraindications – intra-capsular issues which are rarer – but also those who are just higher risk of anterior open bites Remember, sometimes you WANT patients to get an AOB! In this Episode I summarise: What is the difference between these various anterior appliances and is one better than the other? Deciding upper arch or lower arch, or sometimes both arches? How many of my patients have developed Anterior open bites, which splints caused them, and how to manage such a scenario? Why even an AMPSA can be an overkill and which patients may actually benefit from a soft bite guard, for example! These appliances can bring HUGE solution to a MASSIVE problem for our patients. Many of my patients are pain-free and no longe require painkillers for headaches and jaw pain. My strongest bruxists (whose teeth I have restored) are religious at wearing the appliance (despite a favourable occlusal scheme) and they love it and KNOW that their Dentistry is protected. This is not a cheap piece of plastic. It is a custom made Orthotic Appliance – I charge anywhere from £450 – £1,300 for appliances (simple AMPSAs, complex AMPSAs, Michigan/Tanner appliances – every case is different). One of my previous delegates from The Splint Course (when it was delivered live) called in to the show and asked ‘I am concerned about charging a high fee for this appliance? What is the appliance does not work?’ – towards the end of this episode we discuss this in full depth! If you enjoyed this episode, you will like why Michigan Splints are overrated! Don’t forget to sign up to The Splint Course for an exclusive launch offer.

**UPDATE** Discount codes for RipeGlobal valid until 31st January 2021 – thank you RipeGlobal for sharing these for the Protruserati! 20% off standard monthly membership Code: RipeLearn 30% off standard annual membership Code: RipeAnnual 30% off premium annual membership Code: RipeJaz https://youtu.be/-iSs8v3pz7Y This man has taught me so much! I would like to share with you 5 Key Lessons that Lincoln Harris has taught me (out of hundreds!). It was a tough list to whittle down to just Five. I have learned so much from this incredible Dentist, Mentor and Leader in Dentistry. [convertkit] When I first asked Linc to come on the podcast, I thought to myself, ‘This guy is ridiculously gifted in every aspect of Dentistry. What should the theme be for this episode?!’ https://youtu.be/QjM3YYM2o84 A great way to think about Written Consent: Setting Realistic Expectations I then settled on timeless, non-clinical lessons that I have picked up from him over time: Lesson 1 – The Stages of Grief I sometimes noticed that as I was explaining a treatment plan to a patient, their body language started to shift. They started to fold their arms. What was going on here? The penny dropped when Lincoln taught me how the stages of grief apply to Dentistry! Lesson 2 – When Dentistry get complex, slow down We all want to be efficient Dentists. However, Lincoln Harris taught me that the more complex Dentistry becomes, the more you need to slow down. This has been powerful. Lesson 3 – Photos – Every patient, every time!How that fits in to the workflow of a consultation Well, I was already taking a hell of a lot of photos before I met Lincoln. But now even the emergency patient that has been squeezed in at 4.50pm on Friday afternoon will get a few clinical intra-oral photos! Lesson 4 – There is no evidence for what is the best treatment for YOUR patient. How we give our patients too many options https://youtu.be/VhkTUOerLkw Evidence Based Dentistry, anyone? I have agonised and agonised over what is the best treatment plan for patients. You then end up sounding unsure of the plan yourself. Sometimes we have to go with our gut! Lesson 5 – How to overcome being uncomfortable discussing fees with patients We all have a number. Above this number, we get a funny feeling in your stomach. What’s your number? If you enjoyed this episode, then do check out eMax Onlays and Vertipreps with Jason Smithson!

TIME SENSITIVE – 50% off Maciek’s Online Contact Point Ambassador Course! Click here https://youtu.be/xVWlZbzSrKE It’s the big debate in General Restorative Dentistry: Which is the best Matrix band to rule them all? In the red corner we have the trusty circumferential Siqveland and Tofflemire bands that got us through dental school and have served billions of restorations…but surely they have no place in contemporary adhesive Dentistry anymore? In the blue corner, we have the sexier, younger sectional matrix systems that are the future (and hopefully the present for many of you!). But even within this category, there is a plethora of choice. Are bioclear celluloid matrices the King of Class II composites to create beautiful, voluptuous contact areas with an enviable seal and an Instagram worthy photograph? Or are the tougher, heavyweight metal sectional bands the one true matrix to rule them all? ‘But there are so many brands!’, I hear you cry. You’ve got Palodent, Garrison, Tor VM to name just a few. Surely one is champion? We haven’t even started talking about the plethora of Restorative Rings yet to get the ideal separation and adaptation of the matrix – even they differ from brand to brand. It’s no wonder that it’s sometimes easier just to pick the disposable circumferential matrix band and be done with this restorative debate… Oh but the wedges! Wooden? Plastic? Teflon floss? Wait, what? Yes you read that correctly. Maciek Czerwinski shares with us the Teflon Floss technique as a substitute for a wedge. It IS very likely the perfect Wedge! https://youtu.be/mEYpDtSNJUg Ladies and Gents: The Teflon Floss Technique! You’re welcome. Most importantly, what is the best matrix – ring – wedge combination! If you have ever struggled with an open contact, an imperfect cervical seal, a collapsed matrix band or a cheeky wedge entering your cavity (hopefully not all for the same restoration), then this episode will blow your mind. As promised, the Matrix Selection System: Matrix Selection System has really helped me with Decision making for Class II Composites https://www.youtube.com/watch?v=u16rST2H5sk Teflon Floss Technique Check out Maciek’s impressive Facebook page to stay up to date! Be sure to sign up to the newsletter for episode updates! If you are in the UK and Ireland and want to avoid fake Tor VM matrix bands from eBay, buy from a reputable source: Incidental Ltd If you enjoyed this episode, you might like Rubber Dam with Harmeet Grewal!

Learning Dental Implants can be confusing. There are so many layers of complexity, from space requirement, restorative components and surgical nuances. This 2nd part of the 2-part series on Implants with Dr Hassan Maghaireh looks to guide us through the fundamentals of assessing your patient for implants. https://youtu.be/VZfWZf1lpoU We cover A LOT of clinical Implantology for GDPs How do you assess the Implant space for the right mouth in the right patient? When patients ask how long Implants last for, what should we tell them? https://youtu.be/COtd1bpx0Jg How long will my Implant Last? How to respond to this? Can you place implants on Smokers? What is the protocol? Bisphosphonates – at what point are implants contraindicated? How can you tell if it’s going to be a complicated case? How about Perio Susceptible patients and placing implants? How will Parafunctional patients fare with implant restorations? Who should take the tooth out?! GDP or Implant placing Dentist I routinely section molars. Is that a good practice? What is ridge preservation and when to consider this? Protrusive Dental Pearl: How to use a pencil to draw line angles for anterior aesthetic composite restorations. I learned this from Dipesh Parmar on the Mini Smile Makeover course (next course in 2021) https://youtu.be/JDEibGUHA1w Please do not use your wife’s Eyeliner If you enjoyed Dr Hassan’s style of teaching, do check out the BAIRD Implant Course. If you liked this episode, you will love revisiting Complete Dentures with Mark Bishop!