Protrusive Dental Podcast

This episode gives it all away – every micro-step on how to successfully treat white patches with Teeth Whitening and ICON Resin Infiltration. If you are an experienced clinician or new to White Spot management with ICON, you will gain something from this blockbuster. After the success of the ‘Teeth Whitening Under-18s’ episode, Dr. Linda Greenwall is back to make resin infiltration tangible. Dr. Greenwall shares everything from assessment to troubleshooting! https://youtu.be/CYLXUGTXPRI Check out this full episode here Download Protrusive App on iOS and Android and Claim your Verifiable CPD/CE by answering a few questions + You can get EARLY ACCESS to the episode + EXCLUSIVE content The Protrusive Dental Pearl: Download the Protrusive Treatment Guide for White Patch management Icon Resin Infiltration inspired by this episode – the Infographic that summarizes this episode with the exact micro-steps and the little nuances with helpful diagrams and tips all in one flowchart. Please show your support by signing up as a Protrusive Premium member – once you’re in you can download our mighty flowchart and infographic from the Protrusive Vault section (as well as the many benefits of membership!) Highlights of this episode: 1:42 ICON Treatment Flowchart 7:39 The science behind Icon Resin Infiltration 16:35 Using Resin Infiltration Posteriorly for Caries 19:33 White Patches Anterior Resin Infiltration Protocol 22:08 Resin Infiltration Treatment – Air bubble Analogy 32:50 Patient Communication – Treatment Planning and Fees 34:50 Resin Infiltration Technique – after the etching process 40:36 Predictors of success and failure 45:02 Expected longevity of Resin Infiltration 47:02 Etiology of white spots 47:57 Dr. Linda’s advice when starting a white spot cases Learn more about Molar Incisor Hypomineralization with THE D3 GROUP FOR DEVELOPMENTAL DENTAL DEFECTS Check out the Tooth Whitening Techniques Book, a compilation of before and after photos of patients produced by Dr. Linda Greenwall If you enjoyed this episode you will also like Teeth Whitening Secrets for Success

‘Doing’ Social Media is HARD work!’ Do you find it difficult to make time for this? Do you worry about professionalism and ethics on social media? How about the blurred boundaries between professional and personal life? Dentistry is no exception to the trend of using social media in today’s culture. Dentists are using social media to connect with their patients and create new opportunities for patient education. However, dentists face ethical challenges such as how to best communicate with patients online, and what is the best level of consent to get from patients when we post their photos and videos? In this episode, Dr. Alessandro Devigus also suggests how to use social media as a business tool and how to keep your personal life and professional life separate. https://youtu.be/TEBmlDlybLE Check out this full episode here Download Protrusive App on iOS and Android and Claim your Verifiable CPD/CE by answering a few questions + You can get EARLY ACCESS to the episode + EXCLUSIVE content “React and interact with your audience how they WANT you to see” – Dr. Alessandro Devigus Highlights of this episode: 1:19 Dr. Alessandro Devigus’ Introduction 4:20 How Dr. Alessandro started on Social Media 6:30 Drawing the line between personal and professional account 9:41 Importance of having a social media for Dental practices 14:38 Dentists posting full protocol cases on social media – good or bad? 20:14 Spotting fake dentistry 24:57 Making time for social media 31:59 Consent from Patients for sharing their photos – how to do it? If you enjoyed this episode, you may also enjoy Personal Branding for Dentists, Logos, and Websites with Shaz Memon

There are a billion people globally who have sleep-disordered breathing and only 20% of them have been diagnosed and treated. In this episode we revisit sleep-disordered breathing and how it is connected to Dentistry. Dr. Aditi Desai, from British Society of Dental Sleep Medicine is just the most passionate Dentist ever about this crucial and often overlooked topic. You will hear the passion in her voice or see it in her eyes if you watch the video version of this podcast. https://youtu.be/0aG8iQdbkeY Check out this full episode here Download Protrusive App on iOS and Android and Claim your Verifiable CPD/CE by answering a few questions + You can get EARLY ACCESS to the episode + EXCLUSIVE content The Protrusive Dental Pearl: Removing Aligner Attachments – A step-by-step protocol including the use a UV torch to see if there’s any resin left and which different burs and polishers I use. https://youtu.be/SP1irVhyzRw How I Remove Aligner Attachments Highlights of this episode: 1:27 Protrusive Dental Pearl – Removing Attachments 4:31 Dr. Aditi Desai’s Introduction 7:25 What is Sleep-Disordered Breathing? 14:51 Mandibular Advancement Splints for Snorers 16:14 Signs and Symptoms of SDB for Dentists 20:24 Referral Template for General Dentists 24:55 Adverse Effects of Oral Appliances 28:15 Link Between Periodontal Disease and Obstructive Sleep Apnea 31:05 GDP Referring Directly to a Sleep Physician 33:48 Home Sleep Testing 36:18 Patient Compliance with CPAP 41:32 Learning Basics about Sleep-Disordered Breathing Check out Dr. Aditi Desai’s website, aditidesai.co.uk. And if you are in UK, you can check out British Society of Dental Sleep Medicine and support their upcoming event on March 4th. If you’re interested in getting into space now, you should check this out! If you enjoyed this episode, you may also like Airway – Dentistry’s Elephant in the Room with Prof Ama Johal

Some dentists disagree with the use of Caries Detector Dye in Restorative dentistry. They say that they are experienced enough to know what is infected dentine and affected dentin. However, this episode might change your perspective— CCD can be an incredibly useful tool to provide objective data and increase your bond strengths! In this episode, Dr. Germán Dorgan spoke to us about caries detection dye and helped us understand how to use it properly. He also shared the evidence base behind this test and how to interpret the data that you get by using it. https://youtu.be/L8fScyRTet0 Check out the full episode here Download Protrusive App on iOS and Android and Claim your Verifiable CPD/CE by answering a few questions + You can get EARLY ACCESS to the episode + EXCLUSIVE content Protrusive Dental Pearl: How can you remove the appropriate amount of caries to get the best bond strengths possible WITHOUT risking removing too much dentine and causing a pulp exposure: Use your perio probe and measure key landmarks. Measure 5mm from the cusp tip and 3mm from the adjacent marginal ridge – do not remove caries beyond this point. As a guide, this will help you not expose the pulp so you achieve very clean dentine for highest bond strengths, without worrying about ‘when to stop’. How to measure caries removal extent using a Periodontal probe and dental landmarks Highlights of this episode: 1:20 Protrusive Dental Pearl 4:27 Dr. Germán Dorgan Introduction 7:32 Caries Detector Dye 9:40 Rationale behind Caries Detector Dye 15:14 When should you use Caries Detector Dye? 19:49 Literature for reliability of CDD 22:19 Difference between color gradient of caries detector dye 23:28 Caries removal guidelines using caries detector dye 30:22 Additional Literatures and Top tips Check out the 3-day course about Biomimetic Dentistry with Sami Sherif, Germán Dorgan, David Alleman, and Davey Alleman. Hosted by Get Bonded and Stay Bonded on March 3, 4 and 5, 2023 Check out the literature mentioned by Dr. Germán Dorgan Contemporary-concepts-in-carious-tissue-removal-A-reviewDownload A-systematic-approach-to-deep-caries-removal-end-points-The-peripheral-seal-concept-in-adhesive-dentistryDownload PHYSIOLOGICAL-RECALCIFICATION-OF-CARIOUS-DENTINDownload Bonding-of-self-etch-and-total-etch-adhesives-to-carious-dentinDownload You might also enjoy another Biomimetic Episode: I Can’t Believe This Sticks – EXTREME BONDING EXPOSED with Dr. David Gerdolle

Hygienists working without nurses and feeling like scaling machines – it’s about time we covered this elephant in the dental surgery. I brought on my dear friends and exceptional hygienists Morgan Williams and Louise Brake – they have faced career struggles in the past in the quest to finding the right environment and have so much to share with us. The biggest takeaway of this episode will be to consider ‘leading from the bottom’ – if you are feeling stuck and don’t just wait around for good luck (I’m such a poet!) – take action. You’ll be inspired by some of the ideas from our discussion! https://youtu.be/X7GBKUawq4A Check out the full episode here Highlights of this episode: 04:32 Morgan and Lou’s Dental Hygiene Background 07:25 The Importance of Settings Goals and Expectation 10:42 Hygienist as ‘Scaling Machines’ 14:09 The Best Advice to be a Better Hygienist 17:40 Good Communication to Improve your Practice 21:26 Nurses for Hygienists 27:20 Business Models for Hygiene 29:54 Preventive Focus in Dental Hygiene 34:11 How Hygienist Treat Perio 35:52 Optimised, Personalised OHI 40:07 Number One Trait to Look for in a Practice Check out Morgan and Lou’s Instagram, Dynamic Dental Duo! If you enjoyed this episode, you may also like another episode with Laura Bailey: Why You Need to Take Massive Action for Success in Dentistry

You asked, we answered! Q&A with a Dental Technician – everything you wanted to ask (but never did) from our Facebook community. A legendary Dentist once told me that an average dentist working with a good technician will do well in their career. This advice has always stuck with me ever since. I recorded this episode with one of my technicians Graham Entwistle of Trueform Dental Laboratory who has been a pleasure to work with. From shade matching to getting the occlusion right, we made quite a geeky little episode which was well worth the 200 mile round-trip to his lab! https://youtu.be/tMiC_18fiqc Check out this full episode on Youtube Download Protrusive App on iOS and Android and Claim your Verifiable CPD/CE by answering a few questions + You can get EARLY ACCESS to the episode + EXCLUSIVE content Protrusive Dental Pearl: It’s high time that you find your ideal dental technician, build a relationship and grow together. Whether you are using a big lab or small lab, try to visit and meet them and be open to getting feedback and criticism from that ONE technician that will elevate you. Don’t forget to give credit to your technician for their craftsmanship – take a photo of their work being fitted and email them – credit them on social media! Highlights of this episode: 2:32 Protrusive Dental Pearl 7:55 Graham Entwistle’s Introduction 13:41 Q1: Analogue vs Digital? 17:11 Q2: Impressions or Scans for Veneers? 18:32 Q3: Is Digital good enough for high-end work and multiple crowns? 21:12 Q4: Are our impressions and scans good enough for you? 26:15 Q5: To break contacts or not to break contacts for veneers? 29:09 Q6: How does Graham create digital models with unbroken contacts of veneer preps? 30:35 Q7: What is the best material for masking discolored anterior teeth? 36:16 Q8: Shade matching for a Single Incisor Crown – the hardest thing in Dentistry? 42:06 Q9: How do you overcome contact point issues with digital as opposed to stone models for single crowns? 48:55 Q10: Digital Triple Tray or Full Arch Scans? 52:32 Q11: Getting the occlusion right for crowns 55:26 Tips for dentists to help the technician to get the bite right 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! Join the waiting list HERE! If you enjoyed this episode, you may also like another episode with Graham Entwistle: 5 Things your Technician Wished You Knew

Which type of sedation is best for my patient? Are Temazepam tablets good enough? Is that even allowed? How can I safely provide Sedation in my practice? We are joined by the calming tones of Dr. Roy Bennett who busts some myths and guides us clinicians on Sedation in Clinical Practice. https://youtu.be/F6tf6HqqxD8 Check out this full episode on Youtube Download Protrusive App on iOS and Android and Claim your Verifiable CPD/CE by answering a few questions + You can get EARLY ACCESS to the episode + EXCLUSIVE content Protrusive Dental Pearl:  Communicating Risks to your Patient: Be calm and SLOW your pace down when communicating with your patients to EMPHASISE certain words. Becoming a visual educator to the patients is also a really good way to communicate risks – intra-oral camera is the best investment you will ever make. FocusDent MD740 Dental Intraoral Camera Highlights of this episode: 1:07 Protrusive Dental Pearl – Communication 4:27 Dr. Roy Bennett’s Introduction 5:40 Pre-medication – is Temazepam any good? 9:27 GDPs entering the world of Sedation 13:48 Which Type of Sedation, When? 15:12 Level of training required to provide sedation in practice 17:32 Sedation and Clinical Dentistry at the same time? 19:09 Learning Sedation 21:48 How long can we Sedate a patient for? Is it just 1 Hour Max? 23:41 Offering sedation in YOUR practice 25:41 Ideal personality traits of operator-sedationist 28:15 Thing to know about implementing sedation 32:21 Two good qualities that an operator-sedationist should have: 34:24 The “New Drug” – Remimazolam Check out Dr. Roy’s training site: Web: mellowdental.co.uk As a senior clinical advisor – Webinar and Presentations: uksedation.com UK Sedation will be presenting at the Royal Society of Medicine on the 15th of February on the new drug If you enjoyed this episode, you may also like another sedation episode: What Every Dentist Should Know About Managing Dental Anxiety  with Dr. Mike Gow

I think self development and emotional intelligence is foundational to our relationships with others. It’s how we interact with our patients, significant others, children and family members. Investing in your personal development makes you a better communicator. That’s why you should listen to Dr. Agi Keramidas in this episode! We discussed how to begin your self-development journey and what are the important areas for dentists to focus on. We hope you’ll apply just ONE THING whether it’s a book title that we recommend or implement one tip to better yourself or your interactions. https://www.youtube.com/watch?v=HzItyEV3x_c Check out the Video for Free on YouTube Highlights of the episode: 4:58 Dr. Agi Keramidas’ Introduction 10:57 Getting started with self-development 14:05 Important areas to develop for Dentists 21:04 Dr. Agi’s communication style 30:03 Roadmap to self-development 35:13 Practical tip for self-development Check out these books recommended by Dr. Agi Keramidas How to Win Friends & Influence People by Dale Carnegie Rich Dad Poor Dad by Robert Kiyosaki The Biology of Belief by Dr. Bruce Lipton The Daily Stoic by Ryan Holiday and Stephen Hanselman Check out Dr. Agi Keramidas’ podcast: Personal Development Mastery for more personal development episodes Website: agikeramidas.com Podcast: personaldevelopmentmasterypodcast.com If you loved this episode, you will like 12 Rules for Dentistry

Biomimetic Dentistry is the use of Restorative techniques and materials to mimic (and preserve) the structure and function of natural teeth. Dr. Taylor Paton will discuss his journey in Biomimetic Dentistry: how it differs from Adhesive dentistry and how it can be used to develop innovative treatment strategies for patients. In this episode we also discussed philosophies and guidelines following the literature for optimal bond strengths, so that your clinical protocols may benefit from Biomimetic principles. https://youtu.be/UFTwT86Urs8 Check out the full Video The Protrusive Dental Pearl: How to block out a metal post. Use something like ‘Ivoclar Direct Opaque flowable resin’, a masking agent that is highly opaque. Paint it on the dark tooth substrate or cover metal (eg a cast post) with it. Other brands include Pink Opaque by Cosmedent Inc Premium users on the App can download Premium Notes by PDF and PDF Transcript. Highlights of this episode: 2:52 The Protrusive Dental Pearl 7:15 Biomimetic Dentistry 13:17 Dr. Taylor’s journey to Biomimetic Dentistry 21:48 The Hybrid Layer 24:11 Improving Bond Strengths 26:58 How Decoupling with time works 31:41 Immediate dentin sealing concept 36:19 Caries Detector dye 42:58 Biomimetic Philosophy regarding crack management Check out Dr. Pav Khaira’s Academy of Implant Excellence which would give you a comprehensive course encompassing A-Z of implantology If you like this episode, you’ll also like Composite Veneers vs Edge Bonding – Biomimetic Dentistry with George The Dentist

One of the most common questions I get from colleagues is ‘Which Intra-Oral Scanner should I buy?’ – I don’t have the breadth of experience of testing all the scanners out there, but Dr. Gulshan Murgai does! We discussed which scanner is best for your practice and how to choose the correct one for your needs. I hope you gain insight into the differences between the different scanners and help you move forwards a decision. For me, one of the biggest takeaways was that it may not be so much about which scanner, but more about ‘what is the customer support and guidance like after I invest in one?’ https://youtu.be/ERvzjlQaBRc Check out this full episode on YouTube Highlights of this episode: 2:00 Dr Gulshan Murgai Introduction 5:43 Which intraoral scanner should I purchase? 8:03 The best scanner on the market today and why? 12:37 Aligner system available for different scanners 15:17 Customer support on scanner companies 18:11 Scanner Prices 19:12 Caries detection within scanner 20:27 Importance of scanner and what’s the best for your practice Check out Dr. Gulshan Murgai supply company Implant Solutions Direct and also 4D Ceramix, which is a full-production crown and bridge lab Connect with Dr Gulshan Murgai If you liked this episode, you might enjoy the Story Of Digital Occlusion This episode is not eligible for CPD/CE points, but never fear, there are hundreds of hours of CPD waiting for you on the Protrusive App!

Ever considered moving to Dubai to practice Dentistry? Dr. Mark Georgy practiced in Abu Dhabi for 5 years, and Dr. Fraaz Ahmed moved to Dubai 5 days ago – on today’s episode we are lucky to get BOTH perspectives of life and Dentistry in the United Arab Emirates. Fancy tax deductible Skiing + CPD next month? Check out Destination CPD by Mark Georgy From qualifications to registration process and income potential, we covered it all in this episode. https://youtu.be/KGCk3YcK-e0 Check out this full episode on YouTube “You have to have your license already sorted out, a lot of people just won’t reply unless you have your license, which you can do remotely, you DON’T have to come in to the country (UAE)” Download Protrusive App on iOS and Android and Claim your Verifiable CPD/CE by answering a few questions on hundreds of episodes + You can get EARLY ACCESS to the episode + EXCLUSIVE content Highlights of this episode: 2:32 Dr. Mark and Dr. Fraaz introduction 6:46 Considering Dubai as the place for practice 10:34 Dental Health Authority (DHA) License 12:19 Taking risks of moving to other countries 13:54 Requirements for foreign dentists to work in the UAE 17:06 Dental Protection in UAE 19:22 Family-run clinic 22:05 Contractual issues abroad 30:00 Things to consider before moving abroad 33:34 Quality of life and schooling in UAE 37:26 Income tax and income levels in UAE 44:42 Daily life in the UAE 48:38 Language Issues 49:48 Advice in considering moving to the UAE Enlighten Smiles sponsored this episode with their great whitening products and also their course flagship composite bonding course called Mini Smile Makeover, which is really heavy duty full sequence from peg laterals to composite veneers by the famous Dipesh Parmar. If you enjoyed this, you might also like this episode The American Dental Dream with Dr. Kristina Gauchan

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

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