Protrusive Dental Podcast

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

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

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

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

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

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

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

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

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

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

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

Today we pick up where we left off on the 1st part of Group Function Episode 13 “Can I Probe This Implant?” In this episode I asked Dr Pav Khaira about bone loss around implants – what is normal and when should I worry? Another very interesting and controversial issue we tackled is how to manage implant screw loosening as a GDP? https://youtu.be/C1Y_AdDhLzU Check out this full episode on YouTube “If every single year you’re losing one millimeter (of bone) that’s obviously an issue and we need to intervene and do something,” Dr Pav Khaira In this episode we discussed: Normal bone loss for average implants 1:53 Guidelines for GDPs managing loose implant screws 5:03 Universal Implant Drivers? 10:45 If you liked this episode, be sure to check out the first part of this series Can I Probe This Implant?

“Don’t probe implants with a metal probe or you’ll scratch it!” – and so for years I was afraid to check the gingival health around implants. Crazy right? Dr Pav Khaira is here to bust that myth – but like with everything, it’s not a simple answer – it has some interesting anatomical considerations. His answer is so eloquent, check it out! https://youtu.be/pLDfqe8liLE Check out this full episode on YouTube “If you can get to the neck of the implant, you SHOULD be probing to the neck of the implant…but you don’t want to do it too aggressively, it should just be very gentle pressure.” Dr Pav Khaira In this group function we discussed: Can you probe implants? 5:33 Screening Periodontal Health of Implants 11:14 Referring patients with Peri-implantitis 16:22 Check out The Dental Implant Podcast! If you liked this episode, you will love revisiting Implant Assessment for GDPs: from Space Requirement to Ridge Preservation

Mesial first? Largest cavity first? Or cure them all together?! Class II composite resin restorations (done properly) are not easy. There is a whole circus and drama involving clamps, rings, matrices and wedges! Whether you’re starting out with class IIs, or you’re a seasoned practitioner, you will gain some gems and pearls from this episode. Open your minds, ears and eyes (what’s up YouTube Protruserati!) to  Dr Chris O’Connor and he will help you gain valuable tips and tricks to improve your daily restorative workflow. https://youtu.be/ahqs_l6TJPw Check out this full episode on YouTube The Protrusive Dental Pearl: The ‘Wedge Test’ (as inspired by Dr Chris O’Connor): Before restoring the tooth, make sure to test the size of the wedge you are using in order to make sure that the wedge is doing what it’s supposed to do, ie it’s compressing the papilla, the active part of the wedge should below the margin of the cavity, and to make sure that you are getting enough separation. In this episode we discussed: Challenges Dentists faced with back to back Class IIs 13:11 Value of Pre-wedging 18:39 Dr Chris’ back to back class II restoration protocol 22:55 The Bridging Gap 28:59 Buccal and Lingual Coverage 38:51 Tips on troubleshooting back to back class IIs restoration 43:38 Check out Dr Chris O’Connor’s supply company Incidental Ltd Check out this articles as mentioned by Dr Chris O’Connor (if they do not show up on your Podcast player description then head to the main website www.protrusive.co.uk)  Article on papilla managementDownload Sectional matrix : distorted truth articleDownload If you enjoyed this episode, you might like Which is the Best Matrix System for Class II Restorations

Happy New Year, Protruserati! In this episode we geek out with Dr Dev and Jaz as they discuss the initial stages of a Full Mouth Rehabilitation. In this 3-part series we will go on to describe the step-by-step stages for an Adhesive Full Mouth Rehab . Before we dive into the meaty part of this series later on, Dr Devang Patel will take us to the journey  of the clinician’s mindset who’s doing full mouth rehab and how to communicate effectively with patients. https://youtu.be/Dnj0PDe0ulc Check out this full episode on YouTube Protrusive Dental Pearl: Write down one good thing that happened each day of 2022 on a post-it note, fold it and put it in a jar. By the end of the year, you’re gonna have 365 post notes of all the good things that happened that year. Check out the RipeGlobal Facebook Group that inspired this pearl! “However, learning is nothing without action. So you can learn and learn and learn and learn…but if you don’t take any action, then you’re not going to get anywhere.” Dr Devang Patel In this episode we talked about: The mindset of the dentist doing a full mouth rehab 12:19 The three step technique 25:32 Appointment 1: Diagnosis and Treatment Plan 26:00 Communication with Patients 37:57 Reorganizing versus Conforming Occlusion 40:30 If you enjoyed this episode, be sure to check out the second part Adhesive Full Mouth Rehabs Part 2 – Wax Up and Temporaries and the third part Adhesive Full Mouth Rehabs Part 3 

Heated confrontations with patients are never fun. Nobody likes to argue, and no Dentist likes being pressured or micro-managed by patients! In this episode we cover a lot of communication gems with Dr Vy Phan that will definitely allow you to remain calm and be effective the next time you face a ‘difficult’ patient (you know who I mean!) https://youtu.be/vDP5wIaK3Ok Check out this full episode on YouTube The Protrusive Dental Pearl: Never to say ‘No’ to patients. Instead, be tactful by pitching it and phrasing it in a different way – you are still saying ‘No’ but in a much less harsh and patient-friendly way. I give some concrete examples in this episode. “One of the ways of gaining patient trust is education – there’s a breakdown of communication often when the patients don’t trust you and they’re not educated enough” Dr Vy Phan This is the IntraOral Camera I was telling you about – inexpensive, high quality and a modern day necessity in my opinion. Available on Amazon In this episode we discussed: Big Challenges young Dentists might face in terms of patient interactions and communications 10:30 When to consider dismissing a ‘difficult patient’ 20:20 Advice to young dentists when a patient questions the level of experience based on age/appearance/sex 31:08 The ‘My Way or The Highway Approach’ 38:04 Communication gems with Difficult Patients 46:16 How to Write a dismissal letter to difficult patients 49:54 Handling Patients who continually ask for discounts 59:41 Check out Dr. Vy Phan on Instagram! If you enjoyed this, you will of course love Think Comprehensive – Communication Gems with Zak Kara 

The role of tongue position, posture and the airway on the developing occlusion is hardly covered in Dental School. Let’s think BEYOND TEETH with Dr Bobby Supple, carrying on from PDP099. Follow Protrusive on Instagram! https://youtu.be/zfLK0qszdA8 Check out this full episode on YouTube  Protrusive Dental Pearl: When checking someone’s occlusion after a restoration, do not just check it while they are supine (lying down), sit them up then check their occlusion again because posture does change our occlusion, even just a little. In this episode we covered: Skeletal Bite vs Tooth Bite 4:45 Trigger Points 13:28 Myofunctional Therapy 17:14 Dentistry and Other healthcare professionals 24:57 Neuromuscular Dentistry 38:19 Check out the book Dr Bobby Supple recommends: New Trends in Myofunctional Therapy If you enjoyed this episode, check out the first part Occlusion Wars: Which is the Best Occlusal Religion? 

Only a dental superstar could do episode 100 justice! For this very special episode I have deviated from the usual flow – it’s kind of like a Vlog. We’re going to go through some major takeaways from the BACD conference in Edinburgh, when Pascal Magne came on stage and completely blew the audience away. We have Dr Ricky Bhopal some Protruserati cameo appearances! https://youtu.be/TINNRw1_iUM Check out this full episode on YouTube Protrusive Dental Pearl: If ever you wanted to read or just take notes of everything we’ve said on the podcast, just scroll down below the blog post. Every episode has been fully transcribed! Celebrate the 100th episode with us! Join the ‘Hoodie’ giveaway in three steps: 1. Follow @protrusivedental on Instagram 2. Share the promotional video on Instagram story, tag @protrusivedental 3. Tell us your favorite Protrusive Dental Podcast episode when you share the story or in the comments! If you are interested in the RipeGlobal Fellowship in Restorative Dentistry (FRD) click here to learn more. “I think one of the things that really stuck out to me today from the course was that it’s not necessarily what some one person does, it’s what works in your hands.” Dr Ricky Bhopal In this episode, we discussed: The ‘Enamel CADCAM’ case Pascal Magne shared 13:27 Importance of the Ferrule effect 14:30 The fourth generation bonding system 15:47 Silane coupling agent 17:32 Ricky’s takeaway tip from the Pascal Magne 20:17 Managing PTFE for Interproximals 22:07

It’s the ultimate question: Which is the best Occlusal Camp/Training? Is there really a difference between Occlusal religions? Is Kois better than Spear and Dawson? Do you really need to study each one of them? Hear what Dr Bobby Supple says about the ‘Occlusion Wars’! https://youtu.be/tlhrBcodzbA Check out this full episode on YouTube Protrusive Dental Pearl: Check the Video on How to successfully give lower first molar anesthesia using buccal articaine (without an inferior alveolar nerve block) https://youtu.be/cCXacw5DE4M “So, as it kind of turned out, they were all the same, except for neuromuscular. Neuromuscular was the odd one out.” Dr Bobby Supple In  this episode, we discuss about History of Occlusion 14:35 True Meaning of Anterior Guidance 17:04 Bio-Aesthetics Group 22:015 Different Occlusal Religions 27:31 Equilibration 41:19 Airway and TMD 51:12 Differences between Occlusal Camps 52:09 If you enjoyed this episode, you will love Myth Busting Occlusion and TMJ

There is WAY too much plastic in our profession – it’s insane. How can we do our part in Dentistry to make better choices for our environment? NOW is the time to spread positive messages for the environment to make a better world for our children and our children’s children. In this interference cast, we are joined by Dr. Mike Gow and Marcus McLeod who basically have started the journey to Net Zero Dentistry https://youtu.be/n8rSYpf0ld0 Check out this full episode on YouTube “So even if you can do a small thing…..get involved, get active and we will make a difference. This is going to happen. So be part of it!” Dr Mike Gow In this episode, we talked about Implementation of Managing Net Zero Dentistry 6:42 Mental Health element of Dentistry 13:59 Similar Advocates Internationally 16:50 Aligner recycling Companies 17:49 Quick wins Practices that aren’t doing Net Zero Dentistry 20:46 Being green in dentistry 24:55 Check out the Net Zero Dentistry and Let’s all contribute on becoming a greener world  If you enjoyed this episode, you may also like What Every Dentist Should Know About Managing Dental Anxiety

How do you manage cracks? The ‘Direct Composite Splint Technique’ is kind of controversial. Whilst it may seem intuitive to take cracked teeth OUT of the occlusion, this technique builds composite on top of the cracked tooth in to SUPRA-Occlusion. So what’s the crack? (Sorry) – I brought on the pioneers of DCS, Professor Shamir Mehta and Dr. Subir Banerji who enlighten us about this minimally invasive technique. https://www.youtube.com/watch?v=SpkrUBIJji4 Have you subscribed on Youtube yet?! Protrusive Dental Pearl: Get the largest magnification loupes you can afford and you can think you can sustain. I personally use 7.5x for EVERYTHING! A sharp probe has a resolution of 40 microns, at 8x magnification the resolution is 25 microns. We need high magnification to treat cracks! In this episode we discussed: What is the Direct Composite Splint Technique? 9:23 Decision making and Sequencing of Direct Composite Splint Technique 11:05 DCS Technique protocol in term of of thickness and bonding 16:54 Aiding disclusion with canine risers 19:55 DCS Technique Protocol 22:20 How does DCS Technique work in terms of the relative actual movement? 27:15 Patient Communication for Cracked Teeth 33:22 Re-established occlusion after DCS? 42:53 Are you sure we can leave it in Supra-Occlusion? 50:55 Should you chase cracks? 54:33 Favourite Sectional Matrix Bands 56:56 Tips and Tricks in making patients comfortable 58:25 Check out this paper by Professor Shamir Mehta and Dr. Subir Banerji about DCS Technique Cracked-tooth-syndrome-Part-1Download Cracked-tooth-syndrome-Part-2-1Download Check out the PG Dip / Master’s in Advanced Aesthetic and Restorative Dentistry: Aesthetic-Dentistry-PGDipDownload If you enjoyed this episode, you will love I Hate Cracked Teeth with Kreena Patel

The best articulator is the patient’s TMJ, but you knew that already, right? As a dental student I was always confused by Facebows in Dentistry and their role. Lots of clinicians I respect used facebows….but many others do not! What role do Facebows play in relation to Articulators? How can we make sure that articulators mimic the human articulation as accurately as possible? I am joined by Dr Salman Pirmohamed to end our confusion with Facebows! https://youtu.be/l3MrLVTYsz8 Check out this full episode on YouTube Protrusive Dental Pearl: If you’re planning to increase the occluso-vertical dimension (perhaps for multiple restorations or an occlusal appliance) and you know the final vertical dimension, try recording your Centric relation record (or whichever bite religion you follow) AT that desired vertical dimension and NOT at the ‘first point of contact’. This is because traditionally when we send the technician a first point of contact bite, they will open up the pin to give you the space that you need for the restorations and optimal aesthetics. The problem with this is that it introduces an error because the arc closure/opening of the patient is likely going to be different (even with the best Facebow in the world) to the arc on the articulator. Therefore, reduce that error by doing your bite registration, not at the first point of contact, but doing it at where you want to finish. Read that again! In this episode we discussed: Implant cases in MClindent in prosthodontics at Eastman 8:32 Microbrush Technique (Stickbite) 12:24 The ‘Putty Bite’ technique 16:05 When to use the ‘Putty Bite’ technique? 18:29 What is the role of a Facebow? 20:52 Benefits of a Facebow registration 23:41 Communicating to the technician in terms of using an average Value Articulator 25:23 Making Facebows a part of your Clinical Practice 31:02 Kois DentoFacial Analyzer 36:40 Guidelines for using a Facebow 38:34 Check out this papers as mentioned by Dr Salaman on the Podcast! Face-bow-transfer-in-prosthodonticsDownload Dogmas-in-prosthodonticsDownload If you liked this episode, you might enjoy A Story of Digital Occlusion with Dr Ian Buckle

Hello, Protruserati! Welcome to the first ever ‘Occlusal Adjustment’ episode! This is an opportunity for me to go a little bit deeper, have a little rant sometimes, or go off on different tangents based on a recent episode. This episode is Audio only – sorry YouTube family! In this very first Occlusal Adjustment I will be talking about how to plan your CPD, inspired by the recent episode with Dr Emma Courtney. Need to Read it? Check out the Full Episode Transcript below! “Knowledge is good. Knowledge is power…but implementation is king.” Dr Jaz Gulati In This episode I talked all about:  ‘Just in time learning’ 1:19 When is the right time to go on a course? 4:45 Importance of Shadowing 11:00 How to choose your next Course 11:55 Loss Of Earnings (LOE) 12:51 Importance of considering courses abroad 15:46 If you want to learn more about wisdom tooth extraction, be sure to check Dr Nekky Jamal’s THE ULTIMATE THIRD MOLAR EXTRACTION COURSE and get a 15% OFF with the code ‘protrusive’ If you’ve been dying to learn more about Bruxism and TMD and want to help your patients that parafunction then be sure to check SPLINTCOURSE – Registration for 2021 ends on 24th November.

If you refuse to whiten under-18s without any exceptions (perhaps because you are blindly following shameful legislation) – then you may be denying children their human right to health. Sorry if that stings – it’s the truth. The impact that white and brown spots on teeth can have on teenagers can be very negative for their mental health. I hope that in this episode with Dr Linda Greenwall you will find answers and gain confidence in treating patients who are in dire need of teeth whitening for health reasons. https://youtu.be/uaHNk_fPzgA Linda Greenwall was on fire! Protrusive Dental Pearl: When taking before and after photographs of teeth whitening cases, switch to manual flash settings instead of ETTL in order to provide the same colour of your patient’s skin and gums.  Pre-register for the 21-day Dental photography challenge!  In this episode, we talked about: Dr Linda’s journey to Whitening Publications 5:32 GDPs and their knowledge about Whitening 13:00 Why dentists can’t do whitening under 18s 22:10 Molar Incisor Hypomineralization 28:43 Lower Age limit for teeth whitening 35:02 Can Dentists get in trouble carrying out whitening under 18s 43:34 Unique considerations for specific age group 45:29 Communication between patients about Whitening 49:52 Tooth whitening for the under-18-year-old patient PDFDownload If you want to read other publications on whitening, be sure to check Dr Linda Greenwall’s Publications and also don’t forget to visit Dr. Van Haywood’s Publications  Also be sure to visit Dr Linda’s Facebook page and Please do support her trusted Charity: Dental Wellness Trust  SCCNFP’s Study about the Safety of Hydrogen Peroxide: “Hydrogen Peroxide in Tooth Whitening Products” Learn more about the Molar Incisor Hypomineralization with THE D3 GROUP FOR DEVELOPMENTAL DENTAL DEFECTS If you enjoyed this episode you will also like Teeth Whitening Secrets for Success

This episode is deep. Burnout is a syndrome of chronic workplace stess that has not successfully been managed. It is unfortunate but it does and can affect so many of our colleagues. In this episode with Dr Emma Courtney, we discuss how to identify when someone is in a difficult patch or experiencing burnout and how to cope with it. The second half of this episode is about planning your CPD/Dental CE appropriately. https://youtu.be/0M9BocLGQBk Check out this full episode on YouTube Protrusive Dental Pearl: Before starting on a course or program, be sure to have a patient in mind already that will benefit from you going on this course or gaining this piece of education. That way you will be able to apply what you learned ASAP and implementation is key! “One of the the components of burning out is that emotional exhaustion – that kind of depersonalizing and trying to distance yourself from things” Dr Emma Courtney In this episode we talked about: Dr Emma’s journey moving to New Zealand 7:42 Dr Emmas’s personal experience with burnout 18:02 Dr Emma’s source of stress and burnout 26:03 How to overcome burnout 34:56 How stress and burnout affects Dr Emma’s dentistry life 39:21 The importance of help even outside Dentistry 50:27 How to think differently about your CPD 56:04 Check out Dr Emma’s Podcast The Fang Farrier  If you loved this episode, you will like How to Win at Life and Succeed in Dentistry – Emotional Intelligence

Learn TMD and Bruxism Management as a GDP – SplintCourse launches on Monday! Register for the Big Update Being a good learner, on a fundamental level, is the very foundation of becoming a great clinician. In this interference cast episode I host Dr. Ferhan Ahmed, a dually-qualified Dentist limited to Implants and the author of the book ‘Unstoppable’. Ferhan teaches us mindset hacks and the power of visualisation to being an unstoppable force in Dentistry! https://youtu.be/yQZ3qTjeDxk Check out this full episode on YouTube “Always put learning before earning. Increasing your knowledge is immensely, immensely powerful, and it will never hold you back.” – Dr Ferhan Ahmed In this episode we talked about: Ferhan’s journey from dental school to medical school 5:57 Advice to young dentists in pursuing Masters or medical school 9:33 Power of visualization 16:09 Kind of learning styles 22:26 Takeaway message of the book ‘Unstoppable’ 29:17 Rewarding yourself 35:38 Communication tip 38:55 Grab a copy of Dr. Ferhan’s Book: BEING UNSTOPPABLE As promised, the books that recommended by Dr. Ferhan ‘Atomic Habits’ By James Clear (Jaz can also vouch for how awesome both these books are) ‘Rich Dad, Poor Dad’ By Robert Kiyosaki If you enjoyed this episode, you will also like 6 Signs You are a Comprehensive Dentist with Dr Jaz Gulati!

We’ve now come to the last bit of this 3-part Oral Surgery Complication series with Dr. Chris Waith. I’m going to be honest, I have a lot of concerns about Tuberosity Fractures – they scare the bejeebers out of me! We all know that it can be a really nasty complication. Fear not! Dr Waith will teach you how to prevent and manage maxillary tuberosity fracture. https://youtu.be/ZQuDeViQiX4 Check out this full episode on YouTube “If there’s a really tight contact between those three molars, the two teeth you’re extracting, just spend a minute skimming the contact points.“ – Dr Chris Waith In this episode, we discussed about: Risk factors of tuberosity fractures 1:40 How to manage when you hear the crack of the tuberosity 3:57 High risks patients 6:35 Leaving a loose bone as a space filler in soft tissue 9:07 Join us in our Telegram group! Let us help each other out! If you loved this episode, be sure to check out the first part! Dry Sockets – How to Prevent and Manage Them?

“Wait, Dentists still carry out Equilibration?!”, that was the reply in our recent discussion on the Protrusive Telegram group when I announced this episode. Yes, Saranga, they still do! The topic of occlusal equilibration is a very controversial one. In this episode you’ll realise the WHY and HOW an equilibration is carried out by one of the best Dentists I ever had a pleasure of shadowing (and also one of the most precise and OCD Dentists I know!) Dr Koray Feran. https://www.youtube.com/watch?v=0CjKu24R5GU Check out the full episode on the Protrusive YouTube Channel! Let us learn more about the potential benefits and challenges of equilibration with Dr. Koray Feran, who is a wet fingered practitioner of the highest calibre. Protrusive Dental Pearl: When you have a patient who has a crowding and they want veneers, and you want to convince them to have some orthodontics first….. Instead of saying, “Oh, I have to remove this part of the tooth.” You could instead say “I don’t want to have to remove your healthy body parts to be able to achieve this goal.” Language is powerful! “Equilibration is one bit of the pie, it’s a tool. It’s not a magical process. It’s to resolve a situation that you’ve diagnosed.” – Dr. Koray Feran In this episode, we talked about, Does equilibration matter? 9:38 What is equilibration? 11:59 What are we trying to achieve in equilibration? 21:12 When should finding centric relation be a part of examination protocol? 29:18 We discuss full mouth comprehensive dentistry and preventing failure 33:32 Orthodontics is full mouth rehab! 49:26 Risks and Benefits of Equilibration 46:00 Fundamental rules of Occlusal Equilibration 52:33 Protocol after equilibration 57:09 Why is equilibration not routinely practiced by Dentists? 1:02:12 To learn more about equilibration, check out Dr. Koray’s occlusion course! If you loved this episode, you will definitely like If You’re Not In CR, You Will Die with Dr Kushal Gadhia!

After the last group function where a juicy bit of dry socket has been tackled, I was again surprised by Dr. Chris Waith that managing OACs was such a simple matter of using your existing tools – there is some super real-world GDP-friendly advice in this episode. https://youtu.be/aHV15R0SNaw Check out this full episode on YouTube “If the OAC is bigger than 5mm, you really get into the point where I don’t necessarily think we should be expecting GDPs to do something super courageous at that point.” – Dr. Chris Waith In this group function we talked about: The Classic OAC regimen 1:31 Oro-Antral Communication Management 6:37 Medications for an OAC 8:55 If you loved this episode, be sure to check out the first part! Dry Sockets – How to Prevent and Manage Them?

When did they change the ingredients of Alvogyl?! It’s the return of Oral Surgery Specialty Dentist and sensible man Dr. Chris Waith – this time to answer our Oral Surgery Complication questions starting with Dry Socket prevention and management! https://youtu.be/QiOJAwxAZE8 Check out this full episode on YouTube “It will be better no matter what we do, whether we dress it or not, it’s just whether you can live with that timeframe.” – Dr Chris Waith In this group function we discuss: How can we prevent dry sockets? 3:54 Can suturing help in preventing dry socket? 10:43 How to manage patients in pain with dry socket 15:39 Does Irrigation and Alvogyl actually help in managing dry sockets? 19:09 Click for ->Chris Waith’s Oral Surgery Course If you enjoyed this episode, check out Make Extractions Less Difficult: Regain Confidence by Sectioning and Elevating Teeth

I think we owe it to our patients to a know some fundamentals of full arch implant Dentistry, even if you do not currently place or restore implants. Make a big cup of coffee because this is one of those longer episodes! I am joined by Restorative Specialist Dr. Harpal Chana to breakdown FP1 to RP5 and exactly what GDPs should know about full arch implant prostheses. https://youtu.be/QY_3SZKdc0U Check out this full episode on YouTube Protrusive Dental Pearl: Instead of booking patients for a ‘fit appointment’ for crowns or bridges, rebrand it to ‘try-in appointment’. This takes the pressure off of you and your technician – in the small chance that things are not perfect, you can correct it and book their fit. If everything is good at the ‘try-in’ you can go ahead and fit your work definitively. It’s just a good way to manage expectations and reduce the chance of disappointments and surprises. As Promised! Infographic summarising FP1 – RP5 classification In this episode we talked about: Dr Harpal Chana’s journey to full arch dentistry 8:19 The initial stages of full arch complex implant reconstruction 15:18 What determines a terminal dentition? 23:52 Implant Reconstruction Options for GDPs to know + Classification 31:03 Difference between Implant retained and Implant Supported 37:10 How many implants? 40:56 Research about the quality of life that impacts clinician’s decisions 48:40 Learning how to place the first implant 56:56 Advice for dentists who wants to learn implants 1:08:00 If you liked this episode, you will love to listen and learn about Implant Assessment for GDPs: from Space Requirement to Ridge Preservation Implant Overdenture and All-on-4 course Sponsored by Nobel Biocare 12-13th March 2022 at Elmfield House Dental Education, Teddington, London. Hosted by – Harpal Chana, Harjot Bansal, Pynadath George, Manish Patel, George Xirogiannis, Hannah YoungSummary: Beginners course for fixed and removable implant retained and supported bridges and dentures. Cover implant planning, bone grafting, prosthetic planning and execution, dealing with failures and maintenance of appliances and implants. Register your interest by emailing: [email protected]

All of the Protruserati clan get 15% OFF the third molar experience with the code ‘protrusive‘! A brilliant course by Dr Nekky Jamal A tricky Third molar surgery can humble even the most experienced of Oral Surgeons. Surgical removal of Wisdom teeth has become somewhat of a post-graduate discipline, with many Dentists lacking the confidence or even the appetite for their removal. We have today the very enthusiastic Dr Nekky Jamal who is a GDP that lives and breathes third molar surgery. He shares with us his top tips for the planning and execution of M3Ms surgery! Protrusive Dental Pearl: When you are sectioning a mesio-angular impacted tooth, start your section 1-2 millimeters more mesial to where you think the furcation is – you will have a tendency to drift distally and therefore more likely to HIT that furcation which is when the magic begins. https://youtu.be/Cc_dp2ktt2w Check out this full episode on YouTube (Regarding disto-angular third molars) “If you lose your crown, you almost lose your ability and your orientation of where that tooth is.” Dr Nekky Jamal Click Here to visit Nekky’s Third Molar Experience Course – coupon code is PROTRUSIVE. In this episode, I asked Dr Nekky about: What clinical and radiographic features suggest an easier third molar? 9:51 Main features that identify a tricky third molar worthy of referal 15:15 The two characteristics to determine the difficulty of third molar removal 16:37 Things to look out to determine a high risk of inferior alveolar nerve damage 20:15 Does CBCT help in planning tooth removal for Wisdom Teeth 24:19 When to consider a coronectomy? 26:37 Tips and Tricks on how to get cleaner flaps 30:54 The Hydraulic flap Technique 32:34 Armamentarium for wisdom tooth removal 35:30 Three magic Nekky tips 38:33 Join us in our Telegram Community, where we can always help each other out! If you enjoyed this episode, check out Make Extractions Less Difficult: Regain Confidence by Sectioning and Elevating Teeth with Dr Chris Waith

Building on from Basics of Occlusion Part 1, I am joined Dr Mahmoud Ibrahim who takes us on his journey from hating Dentistry to eventually loving occlusion and aesthetic Dentistry. We geek out over occlusal contacts, the occlusal examination and freedom in centric! https://youtu.be/emfAS95VARU Check out this full episode on YouTube Protrusive Dental Pearl: When you’re checking occlusion after placing your restoration, check on the contralateral side with the articulating paper (19 microns, for example) to see if it is ‘passing through’. If it does pass through, double up the articulating paper (now 38 microns). You can keep doubling-up if you need to, until the paper holds. How does this help? You’ll know right away if you need to adjust anything, and if so, you’ll get a better idea of how much adjustment is likely. “Keep everything nice and smooth, the patient has nothing to grab hold of and push against. That’s probably going to make sure your restorations last a lot longer.” – Dr. Mahmoud Ibrahim Jaz Edit to the above quote: By ‘Smooth’ we don’t mean highly polished or glazed. We refer to the movements of the mandible being smooth, rather than jerky or abrupt. 3-minute Occlusal Examination PDF – Click here In this episode, we talked about: 7:59 Mahmoud’s journey in Falling in love back to Dentistry 13:16 Tripodized Contacts 19:55 How to maximize cusp to fossa 26:54 Bonus little trick on avoiding high restorations 28:40 What do we check in a basic occlusal examination? 38:15 Freedom from Centric/Freedom in Centric 49:11 Relevance of the Centric Relation Contact Point 56:41 Disadvantages of doing MIP vs Centric Relation Contact Point Join us in our Telegram Community, where we can always help each other out! If you loved this, be sure to watch the Part One of the Basics of Occlusion!

Dr Jane Lelean will teach us how to implement ‘Hypnodontics’ techniques so that we can calm our patients, create a positive environment and even reduce post-operative clinical complications! https://youtu.be/oesEIRfJvdE Check out this full episode on YouTube “Hypnodontics isn’t just for patients, many dentists are using it to reduce their stress levels and their anxieties too” – Dr Jane Lelean In this episode, we discuss: Is there an official qualification before practicing hypnodontics? 8:24 Two general types of hypnotherapy 9:13 Evidence-Base of hypnodontics in Dentistry 11:57 How can we incorporate hypnodontics in our practice 15:45 Reducing post operative complications and pain with hypnodontics 26:43 Changing the post operative instructions 30:02 Help from Hypnotherapist regarding Bruxism 36:28 Check out The Institute of Dental Business to learn more about Hypnodontics and Hypnotherapy with Jane Lelean. If you loved this episode, please do check out What Every Dentist Should Know About Managing Dental Anxiety with Dr. Mike Gow

What is Occlusion? Canine Guidance…..Group Function…that’s all right?! If only it was that simple! I hope to simplify Occlusion no matter where you are in your journey starting with this back to basics episode. Occlusion is the backbone of complete dentistry and full mouth rehabilitations. https://youtu.be/nCRepLglJBk Check out this full episode on YouTube Protrusive Dental Pearl: If you think your patients are in Canine Guidance, check again. This time check while the patient grinds really hard. You will notice that most people are really group function and even have non-working side guidances! “It’s very difficult to say that one occlusion is perfectly correct for all individuals. And I don’t think we’ve identified an ideal occlusion for a specific person.” – Dr. Ed McLaren In this first episode on Occlusion I shared: Canine Guidance vs Group Function 5:54 Evidence base about Occlusion and TMD 10:34 Challenges in researching Occlusion and TMD 13:13 Different Schools of Thoughts about Occlusion 19:42 Centric Relation 23:27 Centric Occlusion 30:34 What is Occlusion? 35:29 Occlusion vs Occluding 37:12 Test driving the changes 46:11 Check out my 9 point checklist to never have high restorations again on YouTube: https://youtu.be/zX4fcYn7POM No More High Restorations Be sure to check out the best Dental Event of the year, the Dentinal Tubules Congress And as a reference for the terms, here’s THE GLOSSARY OF PROSTHODONTIC TERMS 9th Edition If you liked this episode, you will also enjoy Posterior Guided Occlusion 

Vertiprep? Dirtyprep? There are some Dentists who will literally opt for an adhesive onlay for every indirect restoration. That’s not cool – they are not a panacea. On the flipside, there is a breed of Dentists who identify as ‘Verticalists’. They will vertiprep their grandmother if they could. The answer lies somewhere in the middle – everything is case dependent. In this episode, with the return of my friend Jorge Cardoso, we revise Vertical Preparation, decision making protocols for indirect and then explore the nuances of digital scanning for vertical preps (even if they are super subgingival). https://youtu.be/AAWRJjEKN_U Check out this full episode on YouTube Protrusive Dental Pearl: Impressions vs Digital. Remember, if you’re going digital, you need to be more aggressive in your tissue retraction compared to impressions. If the light from the scanner tip does not reach beyond your margin, it will not be recorded. Whereas with impressions, the wash material can flow beyond the margin and capture the sulcus, even if you cannot see it. Treatment Plan Letters with MakeMeClear discount – all of the Protruserati clan get 25% OFF the monthly or Annual plan with the code ‘protrusive‘! Trial it for 21 days and generate letters and listen to Episode 49 – Crystal Clear Treatment Plan Letters Fancy joining us for a POTENTIAL trip to Portugal for hands-on Vertical Prep? Click here and I’ll email you if/when this gets the go-ahead. We are thinking Spring 2022! In this episode Dr Jorge and I talked about: What is vertical preparation 8:17 Two types of vertical preparations (BOPT / Edgeless vs Shoulderless) 13:57 Guidelines on temporising vertical preps 17:40 Traditional vs Digital in Vertical Preparation 23:29 Criticism of Vertical Preparation with Biological width 30:19 Concept of “kissing the bone” 35:33 Spacer Protocols for Technician 40:54 Common mistakes with verti prep 45:02 Digital Scanning tips for Vertical Preparation 49:37 Sorry that Dr Jorge’s screen share did not show in the main video, we had some AV issues. Please find below an 8 min snippet where he shares his screen at various points https://youtu.be/e8psNUVMQ5g As promised here’s BOPT by Ignazio Loi Do Check out Dr. Jorge Cardoso’s episode with Crystal Clear Treatment Plans that Wow Patients and are Easy to Understand If you want to learn more about vertical preparations check out eMax Onlays and Vertipreps with Dr Jason Smithson

Ask 10 Dentists for a treatment plan, and you will get 12 different recommendations. Treatment planning is an art, but our diagnosis should be highly scientific. Making decisions of what specific treatment we should recommend to our patients is the very foundation of daily practice. With the experienced Dr Paresh Shah we discuss the How, What and Why of the Treatment Planning process in this Back to Basics in Dentistry series. https://youtu.be/raZiERy8U4o Check out this full episode on YouTube Protrusive Dental Pearl: If you are unsure what is the best treatment plan for your patient, it likely means you haven’t asked enough questions. Ask more questions and seek your patients’ drivers and goals. “Find an experienced mentor that will walk you through gathering the information…. [discover] why it’s important to mount the cast rather than just holding it in with your hand.” – Dr Paresh Shah In this Episode, we discussed: Step by Step thorough Examination 12:50 Importance of having a Checklist 27:34 Records needed for a Comprehensive Exam 30:46 Communication between patients and Dentists about Treatment Plan – in a way that doesn’t confuse our patient 36:59 Talking Money and Fees 47:18 Check out Dr. Paresh Shah’s Instagram to learn and be inspired! If you enjoyed this, you will of course love Zak’s Presenting Treatment Plans the Comprehensive Way 

Want to upgrade your practice with dental photography but unsure where to start? I got early adopter and dental photography legend Dr Alessandro Devigus (the main man behind dentist.camera Instagram page) to share with us his fundamentals to make dental photography routine in for your clinical documentation. https://youtu.be/6WtCv9nb7HA Check out this full episode on YouTube Protrusive Dental pearl: AACD Dental photography guide, have this document at hand when start taking dental photographs because it will help you to remember your settings before they eventually become second nature. AACD_2013_Photo_GuideDownload And also be sure to check this video tutorial I made on how to take perfect Occlusal Dental Photographs (the trickiest shot!) https://youtu.be/PGTtZJnp9Pk “Every picture you didn’t take is a missed one…” – Dr Alessandro Devigus In this episode we talked about: Setting up the camera 12:37 The basic of taking photographs 14:19 Importance of magnification ratio on lens 17:48 Selection of materials ie mirrors and retractors 21:38 Making your own signatures on photography 26:39 Storing and Organizing photos 30:42 As promised, here are the basic dental photography camera settings by Dr Alessandro Devigus: Check out Dr Alessandro Devigus’ instagram page, the dentist.camera, to learn more about cameras. If you enjoyed this episode, you may also enjoy the ‘Which Dental Camera Should I Buy’? also with Dr Alessandro.

When treating periodontal disease there is more to it than removing biofilm. Our role is to be a motivator and lifestyle coach – only then can we see successful periodontal outcomes in the longterm. What’s your spiel to patients to explain what periodontal disease is? Do you show diagrams, draw or use your fingers? Listen to how Dr Ian Dunn explains Perio and you will want to implement his way of communicating on Monday morning! Brought to you by the Back to Basics series of August on Protrusive Dental Podcast. https://youtu.be/KAGHaWyacZs Check out this full episode on YouTube Protrusive Dental Pearl: Have some tools to be able to communicate via drawing (draw teeth, draw bone or periodontium etc) whether it’s digitally, on whiteboard or paper. There is beauty and magic about being able to draw something while your patients are watching beside you. “Communication has to be a two-way street. It shouldn’t be a monologue, it should be a discussion.” – Dr Ian Dunn In this episode we discussed about, Communication Masterclass between Dentists and Perio patients (12:38) How to communicate with more resistant patients (17:33) Referrals done by GDPs that could have been manage at their own practice (21:22) Trying to get out of comfort zone in Perio (26:20) How to communicate risks in Perio treatment (32:08) Catch Dr. Ian Dunn’s Perio courses and be able to communicate to patients effectively about periodontal diseases. Do join us on our Facebook community, the Protrusive Dental community! If you like this episode, be sure to watch Finding Your Niche in Dentistry with Dr Pav Khaira

I know some of our colleagues who have completely lost confidence in extractions and they are crippled by the thought of failure or having to ‘start a surgical’. I think being good at exodontia is fundamental for successful Dentists and it was my mission to bring on Oral Surgeon Chris Waith who will help you regain your confidence. The secret, we think, lies in your ability to section and elevate roots! Listen or watch now to find out why – guest featuring Dr Zak Kara! https://youtu.be/UeTx84dzUQI Protrusive Dental Pearl: Be able to section teeth. If you can learn how to section roots and know WHEN to do it and HOW to do it safely, you will dramatically increase your success rate for dental extractions. “I always say to Dentists that you should have a plan A, plan B, plan C etc. Don’t just go in with plan A and carry on with it..” – Dr Chris Waith Dr Chris Waith and Dr Zak Kara are here to join help us in stepping up our extractions game. In this episode, we discussed: Clinical and Radiographic features of tooth that need reassessment – what makes it a ‘difficult extraction’? (13:46) How to make sure that your patient is on board – communication skills for oral surgery (20:23) Importance of positive conversation to surgery patients (21:06) When to and when not to section a tooth during extractions (29:31) GDPs not sectioning due to lack of equipment and how to overcome this (32:14) Advice on sectioning teeth technique (41:15) Is the inter-furcal bone important? Or can we drill it away? (50:08:) Check out Dr Chris Waith’s oral surgery course.  If you enjoyed this episode, check out Why and how you need to Improve your Tooth Morphology – PDP046

Do your ID blocks work all the time? How about your management of the dreaded ‘hot pulp’? As a part of the Back to Basic series this August, I asked Dr Pynadath George, who practices advanced surgical and implant dentistry, about dental hacks for success with every dimension of local anaesthesia in Dentistry. https://youtu.be/F6l9glsEbuc  Check out this full episode on YouTube Protrusive Dental Pearl: Give painless local anaesthesia (aside from topical anaesthetic, we know that already!) by massaging the mucosa and the lip with your index finger and thumb. Get just a few drops of LA first and give it a minute to work. Then you can go back in and deliver your anaesthetic much faster and the patient will love you for painless anaesthesia! “If you want good success with the ID blocks, you need to look at and study the anatomy, even if it’s on a skull, and then relate that to your patient..” – Dr George In this episode we discussed about: Is Lidocaine/Articaine enough to numb patients as a GDP, or do we need to stock other anaesthetics such a Mepivicaine? (15:09) Avoidance of Articaine for ID block in some countries – if that really necessary? (18:35) Shift of mindset with young dentists practicing defensively (20:38) Tips on achieving successful ID blocks (27:04) Hitting bone during ID blocks – do you HAVE to hit bone? Can that be harmful? (33:38) How to manage the dreaded hot pulp! (36:39) Moderate and advanced local anaesthetic techniques in Dentistry (47:31) Tips on getting painless palatal injections (especially on ultra nervous patients) (51:05) Want to learn more? Check out this Advanced Implant Training by Dr George Pynadath I hope you are enjoying this Back to Basics series of episodes! If you liked this episode, you will also enjoy Basic Implant Occlusion and Work Life Balance – PDP012 with Implant Ninja!

A daily dilemma in Dentistry is deciding when (and HOW) to restore that extensive MODL amalgam restoration that was placed over 30 years ago! We go deep in to this, looking at single-tooth factors but also a full mouth ‘bigger picture’ view with Dr Andrew Chandrapal who has been trained by world-class clinicians including Dr John Kois and Dr Didier Dietschi, https://youtu.be/lulpENm4swo Check out this full episode on YouTube. Protrusive Dental Pearl: How to make sure your equipment doesn’t keep getting lost? Use color coded tapes on your own equipment and tell your team that stuff is super important because it belongs to you. https://www.instagram.com/tv/CNUi20EJ9Pk/ “Using things like air abrasion to then try and remove the apical amalgam whatever you can do to try and be gentle in your removal of that material is a good way to go” – Dr Andrew In this episode I ask Dr Andrew Chandrapal,  When to classify the large restoration has failed (12:45) Risk factors of a tooth with large restoration would undergo necrosis (18:33) About restricted anterior restriction or constriction (22:21) How to prevent yellow stains and if you should intervene for a long time restorations? (29:16) Little tip on special burs to use when cutting out caries (31:21) Cutoff point whether to cap the cusp tip or not (33:26) When to decide if you should intervene because of marginal staining and communicating to patients (37:44) What factors to consider moving from direct restoration to indirect restoration? (39:59) Treatment plan to reduce the risks of fracture (42:31) As promised in the episode, if you want to learn more of Composite courses by Dr Andrew Chandrapal – IndigoDent Education If you enjoy this episode, check out this Composite vs Ceramic with Dr Chris Orr

Recession is one of the those diagnoses we make all the time – lots of our patients have recession. I always struggled to decide when we should be proactive with recession and suggest surgery – it is very easy to monitor recession through photos and measurements. Specialist Periodontist Dr Amit Patel discusses his decision making when it comes to recession defects. He also discusses his journey which is very encouraging as it teaches us that you DON’T have to have it all figured out from the start…. https://youtu.be/A1b0sL4rJUk Check out this  full episode on YouTube Protrusive Dental Pearl: What do you do if your patient is bleeding after an extraction and you’re struggling with haemostasis? You can try placing a hot tea bag on the socket (no, really!) – the tannic acid in the tea bag will aid blood clotting. So next time you have a bleeder in the chair, remember, ‘time for a cup of tea!’ In this episode we discussed: Knowing when to refer recession to a Periodontist for surgery vs monitoring (23:39) Communicating to patients whether to have some treatment done now or later (26:02) Miller’s classification (30:05) Why can we get 100% root coverage (32:36) Do GDPs have a role in carrying out Perio surgery (42:53) Advice for patients to prevent recession to get worse (48:30) Realistic expectations to patients about what kind of aesthetic complications to accept as a compromise (52:01) If you liked this episode, you might also enjoy the episode, Should you specialise?

Online reviews for Dentists are a big thing in 2021 and it’s only really just lifting off now. A few years ago I had an appointment with an ENT consultant and the first thing I did was google his name. Most of our patients are googling us and our online reputation is critical. In this episode I am joined by the founder of Doctify, Dr Suman Saha to help you get more high quality reviews for your practice. https://youtu.be/LiHSvoWBuPA Check out this  full episode on YouTube Protrusive Dental Pearl: How to increase the success rate of capturing review: Consider text messaging and/or having a tablet in your practice so they can leave it immediately after treatment. In this Group Function we discussed: What is the role of patient Reviews dentistry? (07:02) Doctify vs different online review sites/apps such as Google Reviews (08:39) How can we make sure the reviews are accurate? How to overcome fake reviews (12:18) How to create a win-win scenario between Principals (the practice) and associates (that want their reviews to stick with them) (17:48) How to get dentists (who might be introverts) to have awkward conversation with patients and ask for reviews (24:20) If you enjoyed this episode, you might also like this episode Think Comprehensive – Communication Gems with Zak Kara

Surely injection moulding composite resin is too ambitious to restore Toothwear? Well, let Dr Kostas convince you otherwise! Restorative Dentist Dr Kostas Karagiannopoulos will reveal all the the nitty gritty secrets from patient evaluation to the entire bonding protocol. https://youtu.be/hL5aAdzk-hk Check out this full episode on YouTube Protrusive Dental Pearl: How to improve the resistance form of ceramic onlays: Use a big fat round bur, sink it into your composite core (be sure you’re drilling into core material and not sacrificing healthy tooth structure) and allow your ceramic to extend into that to help your onlays stay on when you’re trying them in. Whether this extension improves retention form is debatable Step by Step PDF Infographic. Click here In this episode we discussed: Role of injectable composites as a transition (and as a long term solution) (12:59) Follow-ups and maintenance of injection molded composites (16:52) Contraindication for injection molding (20:28) Indication for injection molding (20:54) Minimizing voids when restoring with injection moulded composites (21:48) Filling the stent with composite (a thing of beauty!) (28:17) Other techniques vs Injection molding (31:29) Injection molding composite case sequence (35:04) Isolation during injection molding? (46:36) If you enjoyed this episode, check out eMax Onlays and Vertipreps Want to learn more? Do check out this one-day course by Dr Kostas with GC UK

It’s my sister’s wedding but the Protrusive team managed to get this out for you – and boy it is a good one! Dr Omid Azami AKA The Noobie Dentist will inspire to you adopt a growth Mindset. https://youtu.be/NSEbShIeD04 Check out this  full episode on YouTube “Have that mindset like ‘it’s a journey’, you’re never ‘there’ necessarily. You can always get better, and do more.” – Dr. Omid Azami Here with me, Dr. Omid Azami, host of Noobie Dentist Podcast, who inspires and gives voices to clinicians all over the world and inspiring Dentists. In this Interference Cast, we discuss all about: Tips on making life more efficient, better and more productive. (09:26) Key attributes that help a young dentist to become great. (16:33) Tips and tricks to make a habit of taking photos. (20:54) Journey of self-discovery. Finding your pathways and niche. (24:20) Importance of mentorship, even remote mentorship. (32:58) Most inspirational guest from Noobie dentist and their takeaways (39:03) If you want to learn more, please do subscribe at  Dr. Omid Azami’s Noobie Dentist Podcast If you liked this episode, you will definitely love and will learn a lot from the episode 10 Habits of Highly Successful (and Most Valued) Dentists 

Stop taking OPGs/Panoral radiographs for TMD…they have limited benefit! In this episode I discuss the Piper Classification of TMJ with Dr Jim McKee from the Spear faculty. We also cover exactly when and why imaging of the TMJ may be beneficial (MRIs and CBCTs). I have found the Piper classification easy to implement and I hope this episode helps you understand it. https://youtu.be/n4lRWAQeA5A Check out full episode on YouTube Protrusive Dental Pearl: Observe the patient’s path of opening. If someone’s jaw opening makes a ‘V’ shape, that’s a DEVIATION. If someone’s jaw opens, and then it goes all the way to one side, and it doesn’t go back to the middle, that’s a DEFLECTION. If you want to Download the PDF version of the Piper Classification of TMJ Infographic we made, click here! Piper Classification PDF Dr Jim McKee is part of Spear Education – a platform that has taught me so much of my occlusion. In this episode I asked Dr. Jim McKee: What is the Piper Classification of TMJ? What are the risks of having to rehabilitate someone where you haven’t the health of the TMJ? (19:22) Are there any other useful TMD classifications? (21:01) Is there any benefit of taking a Panoral radiograph? (24:48) What is the difference between an MRI and CBCT for someone with a TMJ pathology? (26:51) What type of imaging is best for TMD? (28:58) What additional information can a CBCT provide above an MRI? (33:59) How do we decide the most appropriate imaging technique? (35:22) Dr McKee’s thoughts on idiopathic condylar resorption in adult patients? (32:58) Should we be taking routine MRI/CBCT for TMJ health diagnosis? Or only for patients who have a joint based history? (36:62) Is there a clinical way to determine which classifications patients are in (Piper III vs Piper IV)? (39:23) Is TMJ disorder always a progressive disorder? (40:51) How to manage asymptomatic clicks? (42:17) Deviation or Deflection as part of full workup and imaging of the way to get the exact diagnosis? (44:07) How does the Piper classification influence Restorative management? (47:12) If you enjoyed this episode, check out TMJ Physiotherapy – When to Refer and How They can Help  Check out SPEAR EDUCATION, a two-day seminar, where Dr. Jim McKee teaches 25% of the course!

Does Biological Width, apparently now known as ‘Supra-crestal tissue attachment’ confuse you? Or would you like an introduction or a refresher on the clinical stages of Crown Lengthening? Fear not, I twisted specialist Periodontist Reena Wadia’s arm and finally got her on the show to teach us! https://youtu.be/No-8hjFsWNs Check out this full episode on YouTube Protrusive Dental Pearl: How to find out what kind of biotype you’re dealing with: Use a ball ended Perio probe and use the ball-end/tip (sometimes it’s coloured) and probe in to the sulcus – if you can see the tip of the probe shining through the gingiva then that’s a THIN biotype. and if you can’t see the tip of the probe then that is a THICK biotype. “Don’t complicate things, if something works in your hands and you’re doing it well, keep things simple, don’t have too many variations because then it just starts getting unpredictable. So test everything out, go on courses, and then see what works in your hand and then stick with that.” – Dr. Reena Wadia In this episode, we discussed: Bone sounding (10:35) Aesthetic crown lengthening (13:06) and Functional crown lengthening (18:02) Altered passive eruption and active eruption (14:21) Fundamental difference between the two types of crown lengthening (20:06) Biology of keratinised tissue (24:13) Steps involved in crown lengthening surgery (26:32) Using dental stents as a guide (29:44) Post-op management for flaps (30:35) Pre- and Post-operative care (33:05) Ideal case for beginner Dentists (35:19) Placement of sutures (36:28) Check out Dr.Reeda Wadia’s Perio School Check out Reena’s Crown Lengthening Live course on a Sunday in London! If you liked this episode, you might also enjoy How to Save ‘Hopeless’ Teeth with the Surgical Extrusion Technique 

Are you enjoying a fulfilling career? Is this how you imagined life would be in Dentistry? If not, are you going to do anything about it? My guest, Laura Bailey did! Growth and improvement is not linear. Taking MASSIVE action is the answer! https://youtu.be/nDloghDpYsE Check out this full video episode on YouTube! Protrusive Dental Pearl:  Write something down that you’re going to change in your life or your work, and then COMMIT to it until you get the desired result. I’ll say it again, commit until you get the desired result! Here with me is someone who commits to take a massive action, Laura Bailey, whom I work with on Fridays (we are both a little crazy and we love cricket – dream team!) “But you can’t expect to know everything and be able to do everything.” – Laura Bailey In this episode, we discussed: Principals taking risk with their young associates – business side, implementing treatment? Building healthy relationships with colleagues Signs to look in a clinic for young dentists/therapists to work in Taking a leap of faith Having a nurse support system Check out Laura Bailey on Instagram! If you liked this episode, you might also enjoy How to Win at Life and Succeed in Dentistry – Emotional Intelligence

TIME SENSITIVE – 50% off Maciek’s Online Contact Point Ambassador Course! Click here Let’s face it, Class IIs may be our bread and butter Restorative Dentistry but they are ANYTHING but simple. In some scenarios, achieving a perfect contact on a class II restoration seems impossible.You have likely been in a scenario where everything is going to plan and your matrix is looking like it will achieve a lovely contact area – however, as soon as you insert the wedge or tighten the band (circumferential matrices) the matrix leans away from the adjacent tooth, revealing a ghastly looking open contact. How can we overcome this? Is soft tissue removal an option? In this Group Function, I’m again joined by my boy Dr Maciek Czerwinski who answers this emphatically! https://www.youtube.com/watch?v=V6pu7FLb9Kw The full episode! Minor video issues with Maciek https://www.youtube.com/watch?v=cvX-oaEaqUI How to do Teflon Floss Technique – the Main Interview Podcast Video has some syncing issues, please bare with us! “If you use the stiff wedge, if the wedge is too big it will just move the matrix (and you lose your contact), but if you’ve got something soft, it will go under the curvature of the matrix, and then it will just self adapt.” – Dr Maciek Czerwinski In this group function we also discuss: Is it necessary to remove soft tissue? – Why? How? What to use? How to improve the contact area Why and when to place an orthodontic separator to help your future restoration Tired of spending hours just to customise your stiff wedges and matrices? Check this gem shared by Dr Maciek – FINALLy the video on how to do the Teflon Floss technique (as promised in the episode): Also, Dr Maciek is giving 50% off to all Protruserati up until June 30. Click here to check it out! I have done his online course and it was very comprehensive and is guaranteed to improve your contact points no matter how tricky the situation. It is an all-encompassing direct restorations online course – with play by play explanation of matricing, wedging, ring selection and isolation! Click on the image to check out Maciek’s course! 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 might also like my other episode with Dr Maciek Czerwinski on Which is the Best Matrix System for Class II Restorations