Protrusive Dental Podcast

Let’s face it – CQC inspections can be scary stuff for principals and managers (and even associates!) As per your request, I brought on a CQC Specialist Advisor, Dr Chita Davda to share her top tips to passing with flying colours. https://youtu.be/iLkclWANzsk Watch GF021 on Youtube We discussed the common things that CQC checks on a practice, common questions they ask, and some tips on how to pass the examination. The emphasis is on understanding that the CQC and dental professionals share the same core ethics. Inspections aren’t about catching each other out but ensuring the best possible care for patients. Need to Read it? Check out the Full Episode Transcript below! If you want to learn more about Dr Chita, you can check out her website https://www.trainwithchita.co.uk In the upcoming CPD event at The Shard, attendees will get a rare opportunity to hear from a lead inspector from the CQC. This provides a chance to debunk myths and understand common errors, offering clarity to dental professionals. If you want to be a part of this event, head over to https://protrusive.co.uk/shard If you enjoyed this episode, you will also like Indemnity vs Insurance 2023 – Which one is best for you? – GF019 Did you know? You can get CPD from the Web App or Phone App and watch premium clinical videos, for less than a tax deductible Nando’s per month?

It’s simple: the more I document and reflect on my work through photography, the happier Dentist I become. I remember the struggles when starting out with dental photography – it’s not a glamorous time. Overexposed photos, poorly framed shots and ‘I have been meaning to buy retractors for months!’ Enough of the excuses – it’s time to dust off that camera as I am joined by Dr. Panesar on the topic of dental photography – a subject very close to my heart. https://youtu.be/oVJEFApDVUw Watch PDP164 on Youtube Protrusive Dental Pearl: My philosophy on spending money. If I am going to use something daily, I will buy the best I can afford. If something is very temporary or very sporadic use, I will cheap out/borrow/rent. By that logic, get yourself a decent camera body, lens and flash set up that will serve you well for years to come. It does not have to be mega expensive and we do recommend buying used/refurbished later in the episode. As promised, Canon’s dental photography guide: A5_dental_kit_LR_ENG_tcm109-1327230.pdf (canon.ch) Websites mentioned: www.e-infin.com www.kentfaith.co.uk www.dentiphoto.com www.owlbracket.com Take a look at Dr. Panesar’s Instagram @drraypanesar Need to Read it? Check out the Full Episode Transcript below! Highlights of the episode:00:00 Intro02:31 Philosophy of Spending Money04:24 Dr. Ray Panesar12:31 When to buy a dental camera?15:26 What to buy for dental photography?16:28 Camera body17:46 Ring flash18:51 Lens for Dental Photography23:33 Jaz’s setup27:39 Practice, practice, practice!33:22 Settings38:04 Aperture41:36 Shutter speed45:18 ISO49:35 Why take photographs?52:41 Accessories57:00 Dr. Panesar’s current setup60:25 Outro If you like this episode, you will also like PDP087- Dental Photography Did you know? You can get CPD from the Web App or Phone App and watch premium clinical videos, for less than a tax deductible Nando’s per month?

The problem I found with endodontics was that the more you learn, the less you can cut corners, and the longer it ends up taking! I was keen to learn how to be more efficient with endodontics so I brought on Dr Omar Ikram to talk us through his sequencing and protocols for RCTS. Turn those challenging appointments into seamless, lunchtime-friendly successes. Follow @specialistendo on Instagram to keep up to date with Dr. Ikram’s endo-endeavours! https://youtu.be/yHoiX4gijpQ Watch PDP163 on Youtube Need to Read it? Check out the Full Episode Transcript below! Download the EndoPrep app for access to: Online study guides Links to free webinars An MB2 guide An endodontic calculator tool And so much more! If you liked this episode, you will also like PDP133 – Pulpotomies for Irreversible Pulpitis? Did you know? You can get CPD from the Web App or Phone App and watch premium clinical videos, for less than a tax deductible Nando’s per month?

Dr. Andreas Artopoulos will save you HOURS of chairside adjusting as he busts denture occlusion myths. We covered all the key stages of complete denture fabrication in this gem-packed episode, before offering clear guidelines on what occlusion on complete dentures SHOULD look like (and why). Protrusive Dental Pearl: ‘Enter Bolus, Exit Balance!’ – find out why group function occlusion is the pragmatic choice of occlusal scheme, instead of painstakingly trying to achieve balanced articulation. https://youtu.be/6KppZpIepXM Watch PDP162 on Youtube Need to Read it? Check out the Full Episode Transcript below! Highlights of this episode:1:02 Protrusive dental pearl3:36 Prosthodontic Expertise8:43 Denture Inspection21:15 Jaw Registration40:40 Incisor Positioning47:03 Balanced Occlusion48:50 Articulator Insights55:25 Group Function56:18 Adaptable Techniques56:18 Patient Adaptation1:03:04 Optimal Denture Fabrication If you liked this episode, you will also like PDP134 – Chrome Partial Dentures Guide Did you know? You can get CPD from the Web App or Phone App and watch premium clinical videos, for less than a tax deductible Nando’s per month?

I have a quadrant isolated. Classic FM is playing in the background. The teeth are bone dry. I pick up the air abrasion unit and begin my adhesive protocol. I am well and truly in my happy place! This week we’re joined by Dr Ash Lifts – a wonderful, reflective practitioner from The States. We had a great time discussing cusp preservation to material choices for onlays. Protrusive Dental Pearl: Build in some ‘indexing’, ‘location’ and resistance form in to your onlay preps – don’t just make it flat because you saw it on the ‘gram! https://youtu.be/pXKhUqtNOso Watch PDP161 on Youtube Need to Read it? Check out the Full Episode Transcript below! Highlights of the episode: 00:00 Introduction02:21 Protrusive Dental Pearl05:14 Introduction of Dr. Ashley Chung08:54 Learning in Biomimetic Dentistry and Ccclusion.12:13 Direct composite vs Indirect onlays16:51 Indications for ceramic onlays17:30 Ceramic vs. Composite20:49 Zirconia for overlays and onlays24:14 Dr. Chung’s experience with EMAX and composite.26:12 8 different ways to prepare for an onlay.32:01 Minimum Thickness36:01 Factors influencing cusp preservation38:18 Panavia vs. Heated composite43:02 Finish lines and margins for Onlays47:13 Cusp inclines and adapting prep design Check out Dr Ashley’s website and courses: https://drashlifts.com/contact Courses: https://getbondedstaybonded.co.uk/ Waitlist: https://forms.gle/HBAJbK7P66dj68Vx6 If you enjoyed this episode, you will love delving deeper in to the full protocol in Ceramic Onlays from Preps, Temporisation and Bonding Protocols – PDP059 Did you know? You can get CPD from the Web App or Phone App and watch premium clinical videos, for less than a tax deductible Nando’s per month? Just head over to https://protrusive.app

Would a Treatment Co-ordinator really benefit your practice? In the latest segment of our podcast, we had the delightful Emma, an expert treatment coordinator, share her experiences and guidance on the evolving role of a treatment coordinator in a dental practice. https://youtu.be/4p5iLCX-mgA Watch IC043 on Youtube Would this TCO model work in your practice? What are the challenges in starting this? Are there any drawbacks? Emma spills all the beans! Need to Read it? Check out the Full Episode Transcript below! Highlights of the episode:00:00 Introduction02:21 Emma’s Journey to TCO5:46 TCO’s role in various practices10:00 Advantages of a TCO consultation 14:13 Disadvantages of Treatment Co-Ordinators18:20 Timings of Appointments21:19 Patient consent processes23:02 Profitability and practicality of TCOs25:56 Introducing virtual treatment coordinators (VTC).28:00 How to find a TCO31:45 How to reach Emma If you’re inspired to learn more, reaching out to Emma is a breeze. Connect with her through her Instagram page @em_thetco  If you liked this episode, you will also like Recommend Treatment Plans with Confidence – IC038 Did you know? You can get CPD from the Web App or Phone App and watch premium clinical videos, for less than a tax deductible Nando’s per month?

Ever heard of fremitus? Wondering what it really means for your patient’s occlusion? In this episode we’re joined again by Dr. Mahmoud Ibrahim, by popular demand, for an insightful discussion on dental fremitus. We understand that this topic can be a bit perplexing, so we’re here to break it down step by step. https://youtu.be/LFZ4Uh0Y8sI Watch PDP160 on Youtube We share how we seamlessly integrate a fremitus check into an occlusal assessment, discussing the crucial aspects of when and how to intervene effectively, all while preserving your patient’s chewing space. Check out our upcoming webinar “Unchippable” to learn about how to prevent chips and breaks on your lovely anterior composite restorations – protrusive.co.uk/unchippable ‘Weakest Link’ study that Jaz and Mahmoud referred to: https://www.tandfonline.com/doi/abs/10.1080/08869634.2000.11746142 The Awake Bruxism (habit breaking) appliance that Jaz uses called MAPA. More about Fremitus, how it’s classified and occlusal trauma. Follow Dr. Ibrahim on Instagram @drmoidental Want to learn more about Occlusion? Head over to occlusion.online. Need to Read it? Check out the Full Episode Transcript below! Highlights of the episode:00:00 Intro00:39 The Protrusive Dental Pearl04:17 Dr. Mahmoud Ibrahim05:17 Mobility vs fremitus08:26 What is fremitus?09:52 The PDL12:54 The weakest link theory16:21 Checking for fremitus17:19 Class 1 fremitus21:57 Class 2 and 3 fremitus23:03 Treatment27:24 Envelope of function29:21 Orthodontic treatment36:34 Final remarks39:44 Outro If you liked this episode, you will also like PDP150 – Occlusion on Class IV Composite Restorations Did you know? You can get CPD from the Web App or Phone App and watch premium clinical videos, for less than a tax deductible Nando’s per month?

If the thought of dealing with little patients sends a shiver down your spine, then this one might be for you. This week we teamed up with Dr. Emma Ray-Chaudhuri, a paediatric specialist, to tackle the topic of children in dental pain. We discuss pain assessment for all ages, radiographs, and treatment options in hopes to make this topic a tad less daunting! https://youtu.be/2pTWukJwM_s Watch PDP159 on Youtube Check out Dr. Ray-Chaudhuri’s website for further details on upcoming lectures spanning various dental topics: graystonereferral.com  SDCEP guidelines: https://www.sdcep.org.uk/media/2zbkrdkg/sdcep-prevention-and-management-of-dental-caries-in-children-2nd-edition.pdf Need to Read it? Check out the Full Episode Transcript below! Highlights of the episode:00:00 Intro01:32 The Protrusive Dental Pearl03:11 Dr. Emma Ray-Chaudhuri09:23 Children in pain11:13 Babies and toddlers12:18 Preschool/school children13:20 Teenagers15:15 Building rapport17:00 Radiographs26:06 Fissure sealants and brushing29:58 Abscesses31:10 Irreversible vs. reversible pulpitis32:49 Temporary restorations and the hall crown technique39:08 Pulp therapy42:24 The FiCTION trial44:45 Cleansable cavities45:59 MIH50:03 Sensitivity54:24 International variations55:56 Dr. Ray-Chaudhuri’s socials56:58 Outro If you liked this episode, you will also like Paediatric Dentistry Communication and Prevention Part 1 and Part 2

‘Easy Dentistry on Difficult Patients is still Difficult’ – Dr Lincoln Harris Patients with small mouth opening can be a huge pain in the back for Dentists – but did you know there are ways we can significantly improve their mouth opening through physiotherapy? https://youtu.be/v_u9sBAGliU Watch GF020 on Youtube In this episode I’m joined by Dr. Tzvika Greenbaum, a specialist TMJ physiotherapist who’s here to spill the beans on his journey from headaches to jawaches. We bring to light the jaw-dropping collaboration between dentists and physiotherapists, making dental treatment easier for both you and your patients. Need to Read it? Check out the Full Episode Transcript below! Highlights of the episode:00:00 Intro01:02 Dr. Tzvika Greenbaum03:39 Dentistry meets physiotherapy09:33 Range of movement10:23 Asymmetry11:20 Prevention12:20 Advice to dentists14:34 Stretching16:17 The dental gym16:57 Sleep bruxists vs. awake bruxists19:28 Reducing sleep bruxism20:52 Obstructive sleep apnoea22:03 Statistics and diagnostic criteria25:16 At-home exercises27:20 Pain and discomfort28:39 Rehabilitation30:14 When to involve a physiotherapist31:12 Expected results32:21 Screening34:15 Dr. Greenbaum’s event39:04 Outro Dr. Greenbaum’s upcoming course: protrusive.co.uk/greenbaum If you liked this episode, you will also like 3 Simple TMD Exercises Did you know? You can get CPD from the Web App or Phone App and watch premium clinical videos, for less than a tax deductible Nando’s per month?

NEW EPISODE LIVE for public access! Do you know the difference between dental indemnity and insurance? And which one might be better for you? Today we have Dr. Neel Jaiswal, founder of Professional Dental Indemnity (PDI), to shed light on this crucial topic (as our security and sleep depends on it!) https://youtu.be/SmLM5cr4mzo Watch GF019 on Youtube Should you choose a ‘claims occurred’ or ‘claims made’ policy? Dr. Jaiswal’s transparent advice aids in choosing what is best for you at your stage of your career. Need to Read it? Check out the Full Episode Transcript below! Get a quote from PDI and save £thousands on your policy. If you liked this episode, you will also like 10 Commandments for Staying Out of Trouble Did you know? You can get CPD from the Web App or Phone App and watch premium clinical videos, for less than a tax deductible Nando’s per month?

Ovate pontics are what you choose when you want the best aesthetics for fixed dental bridges – but how do you go about prescribing this to your lab? https://youtu.be/ffg0gX4L8ng Watch PDP158 on Youtube How do you carry out ‘pontic site development’ and how can you assess the soft tissues for suitability? Get your onions ready, Protruserati, it’s another cracker with that man Dr Jason Smithson who will make ovate pontics tangible. We’ve also made a kick-ass infographic for you to download alongside 2 PDFs recommended by Dr Jason Smithson, summarising all that Dr Smithson taught on this episode. [Also available in the Protrusive Vault for premium subscribers] Protrusive Dental Pearl: Jaz’s Rule for Resin Bonded Bridges For Metal winged adhesive bridges, do not accept more than 1 compromise For Zirconia RBBs, do not accept any compromises! Examples of compromises: small abutment teeth (and thus smaller surface area for bonding), poor quality enamel, awkward path of insertion, dodgy occlusions etc Join us on Saturday 30th September for Occlusion and Communication Day at London Heathrow – amazing speakers on 2 huge topics! As promised, check out the PDF on Ovate Pontics by Professor Bill Robbins and more about the E-Pontic here. Learn more from Dr Jason Smithson and his Restorative Programme. Also, check out his courses with Spear Education. Highlights from this episode to follow. Robbins Ovate Pontics PDFDownload If you enjoyed this episode, you will also like PDP132 Success with Resin Bonded Bridges Did you know? You can get CPD from the Web App or Phone App and watch premium clinical videos, for less than a tax deductible Nando’s per month?

Welcome back to part two of this ‘Restoring the Single Implant Crown’ podcast series that’s about to kick start your implant career. We’ve teamed up with the uber-knowledgeable Dr. Devang Patel, a dental wizard with over 13 years of spellbinding experience under his belt. Leading on from the previous episode that focussed on case assessment to impression taking/digital scanning, we now cover the step by step protocol for fitting the implant crown, maintenance, and troubleshooting. https://youtu.be/FDB72GtYAAs Watch PDP157 on Youtube Dr. Patel’s got your back (or should we say teeth?) every step of the way! Check out his social media platforms for further information about his upcoming implant restoration course: @dr_devangpatel [email protected] www.drdevangpatel.com Need to Read it? Check out the Full Episode Transcript below! Highlights of the episode:00:00 Intro01:12 Restoring Implant Crowns Infographic02:03 Recap Part 103:45 Inspecting the labwork05:52 Assessing the occlusion06:22 Keeping the implant clean during the fit appointment07:21 Anaesthetic Prior to Implant Crown Try-In?08:20 Screwing in the crown11:13 Occlusion and guidance17:18 Temporarily restoring the access hole18:33 Review19:49 Definitive torque and sealing the access hole25:46 Yearly review of Implant Crown27:18 Radiographs29:21 Excessive blanching when fitting crown31:21 High occlusion management32:06 Open contact points for implant crowns34:43 Other implantologists’ work38:29 Angulated screw channels43:24 Loose implant crowns45:52 Implant passports46:57 Adjusting the occlusion48:24 Dr. Devang Patel51:13 Outro You can now download the infographic that sums up Part 1 and Part 2 of An Idiot’s Guide to Restoring Single Implant Crowns. Just head to protrusive.co.uk/idiot If you liked this episode, you will also like Full Mouth Rehabs Part 3 Did you know? You can get CPD from the Web App or Phone App and watch premium clinical videos, for less than a tax deductible Nando’s per month?

One of the reasons I did not proceed further in Implant training is the sheer frustration and confusion surrounding all the components and nuances of restoring Implants. This is why I have Dr. Devang Patel sharing his 13 years of experience in the field to break every stage of restoring a single implant crown. All the terms, components and stages for implant restoration are explained during this 2 part series. https://youtu.be/TAzbZW_Yk_Y Watch PDP156 on Youtube The Protrusive Dental Pearl: How I use the software Motion to better manage my time and productivity. Check out the 7-Day Free Trial Here Need to Read it? Check out the Full Episode Transcript below! Highlights of the episode:00:00 Intro01:56 How I use the Motion App04:26 Where to start?07:03 Dr. Devang Patel13:30 Assessment and treatment planning22:19 Space requirements27:49 Temporaries28:48 Occlusion and diagnostic wax-ups30:10 Impression technique39:31 After the impression42:29 Connections48:19 Screw-retained crowns vs. cement-retained crowns58:18 The lab67:39 Digital impressions72:15 The next episode74:48 Outro If you liked this episode, check out Adhesive Full Mouth Rehabs in 11 Appointments (Part 1) – PDP103 Did you know? You can get CPD from the Web App or Phone App and watch premium clinical videos, for less than a tax deductible Nando’s per month?

We speak with Dr. Pav Khaira, a total implant nerd, who shares 4 of his top tips for maximising osseointegration: Biological ageing: discover the time-sensitive nature of implant bioreactivity and its impact on integration (and how to improve the bio-reactivity of your implants) Mastering the osteotomy: fine-tune your skills in shaping the osteotomy based on bone quality and type Disinfection: explore disinfection techniques of the osteotomy Systemic factors: optimise early-stage healing and understand long-term immunological balance Don’t miss an upcoming exclusive live event on “Superosseointegration” on 15th and 16th September 2023 in London hosted by @Dr.Pav.Khaira – www.academyofimplantexcellence.com https://youtu.be/fBfnxubdgpc Check out PDP155 on YouTube Maximise the osseointegration of your implants and uncover the intricate relationship between the skeletal system and the immune system (known as osteoimmunology) and its impact on implant success. Need to Read it? Check out the Full Episode Transcript below! Highlights of the episode:00:00 Intro01:19 The Protrusive Dental Pearl03:11 Dr. Pavandeep Khaira04:29 What is osseointegration?05:04 Osteoimmunology07:39 Early-stage failure09:52 Success and survival rates12:33 Biological ageing15:45 Decarbonisation for Implants21:18 Bone density24:10 Overheating the bone27:16 Disinfecting the osteotomy29:21 Systemic factors33:03 Superosseointegration36:58 Outro If you enjoyed this episode, you will love Why Should You Avoid Flapless Implants? – GF015 Did you know? You can get CPD from the Web App or Phone App and watch premium clinical videos, for less than a tax deductible Nando’s per month?

When and why should you use post crowns in contemporary Dentistry? Surely they are a thing of the past? Dr. Dominic Hassall, a restorative consultant, shares valuable insights on restorability and the essential concept of ferrule. He highlights the significance of restorability and the role of fibre posts in dental procedures, emphasising the ferrule effect in crown and onlay preparations. The ferrule effect ensures predictable outcomes by transmitting occlusal forces through the natural tooth structure, reducing the risk of failure. https://youtu.be/zQNReIIJCG8 Watch PDP154 on Youtube Protrusive Dental Pearl: How to Bone Sound for Ovate Pontics –Imagine you have a missing upper lateral incisor, and you want to use an ovate pontic for an aesthetic bridge. To achieve the ideal emergence profile, Jaz demonstrates how to assess gingival thickness using ‘bone sounding’ using a periodontal probe (please see video). This technique helps determine how thick the tissues are overlying the edentulous area and whether an ovate pontic is feasible (or perhaps a connective tissue graft is necessary). Throughout the episode, Dr. Hassall’s expertise shines through, making it a must-listen for dental professionals seeking a comprehensive understanding of restorability and ferrule in restorative dentistry. Need to Read it? Check out the Full Episode Transcript below! Highlights of this episode:0:25 – Introduction to Dr. Dominic Hassall1:27 – Bone Sounding Clinical Video6:25 – Dr. Hassall’s journey into restorative dentistry9:04 – Function of Post Crowns13:35 – Composite for Nayyar cores18:10 – Assessing restorability23:25 – Impact of ferrule position on treatment outcome30:30 – Advantages and disadvantages of post techniques38:55 – Post Crowns as Bridge Abutments?43:08 – Dr. Hassall’s teaching institute details Dr Hassall gave a discount for his Diploma Course, head over to https://dominic-hassall-training.co.uk/contemporary-restorative-aesthetic-dentistry-online-blended-course-advanced/ and use the code “JAZ10” Jaz has no financial interest in this product. If you enjoyed this episode, check How to Save ‘Hopeless’ Teeth with the Surgical Extrusion Technique

As promised – the 2nd episode in a week specifically for new graduates looking to map out their career. After last week’s episode on making a Dental Portfolio, this time we are joined by Dr. Ajay Dhunna, a soaring young dentist who graduated in 2018. Join us as we uncover his journey from dental school to becoming an associate, and gain valuable insights on how to excel in your dental career. https://youtu.be/QP8ggPjqYxc Watch IC042 on Youtube Communication and collaboration are crucial aspects of dentistry, and Dr. Dhunna emphasises their significance. We look at the value of shadowing clinicians in different areas of dentistry, attending conferences, and networking events – discover how these interactions can sharpen your language and communication skills! Work-life balance and well-being are essential for a successful dental career. Dr. Dhunna and Jaz discuss practical strategies for managing stress, taking breaks, and maintaining a healthy personal life. Learn from his experiences and gain valuable tips on reflection, communication, dental photography, career development, and work-life balance. Here are some resources we promised: An Introduction to Dental PhotographyTrinity Dental Courses Need to Read it? Check out the Full Episode Transcript below! Highlights of the episode: 01:12 An introduction to Dr. Ajay Dhunna06:46 Going from a newbie dentist to an associate08:28 Reflection and the importance of clinical photos09:10 Attending courses12:09 Photography and setup18:41 Communication26:43 Planning your next career move33:37 Being proactive and portfolio presentation38:40 Maintaining your personal life and managing stress42:50 Trinity Dental Courses If you enjoyed this episode, you will love Not Your Average Young Dentist Journey Did you know? You can get CPD from the Web App or Phone App and watch premium clinical videos, for less than a tax deductible Nando’s per month?

Are you a final year dental student or a recent graduate looking to kickstart your career as an associate dentist? In our latest episode we sat down with Dr. James Murray, a passionate foundation dentist who shares his recent insights and experiences on how to land a job as an associate dentist. Dr. Murray understands the challenges that come with transitioning from dental school to real world practice. He discusses the importance of building a strong portfolio and reflecting on your work to overcome imposter syndrome – embrace the learning process, seek feedback, and use every situation as an opportunity for growth. But what’s the best way to showcase your skills and make a lasting impression on potential employers? Dr. Murray reveals his secret weapon: an online portfolio accompanied by a thoughtful cover email. In this episode we also delve into tips for approaching dental practices that align with your values and interests. Struggle with taking clinical photos? Don’t worry, we’ve got you covered! Dr. Murray and Jaz provide helpful advice for improving your photography skills. So, if you’re ready to take the next step towards a fulfilling career, tune in to our podcast and unlock the secrets to securing your dream job! Access premium clinical videos by Jaz and gain CPD for Podcast episodes via the Protrusive.app https://youtu.be/AVREWCa8VN0 Watch IC041 on Youtube Need to Read it? Check out the Full Episode Transcript below! Highlights of the episode: 03:14 Dr. James Murray04:02 Dental school experience06:22 Imposter syndrome08:02 Curriculum vitae09:09 Covering emails11:01 Do the research11:30 Portfolios14:14 Having the right attitude19:37 How to make your portfolio20:45 Photography in dentistry23:52 Photography tips and tricks26:30 Resources for photography27:56 Advice to new graduates31:22 Just-in-time learning If you enjoyed this episode, you may also like Young Dentist Thrival Guide – First Few Years.

[Trigger warning: this episode discusses topics related to mental health, depression, self-harm, alcohol abuse, and suicide.] Humans first, Dentists second. We will all have personal rough patches during our career – but how does this impact our work and our patients? A Protruserati shares his experiences of a toxic marriage, self harm and alcohol dependence – I am so grateful he anonymously shared his valuable insights and lessons for dentists seeking to prioritise their mental well-being. https://youtu.be/ZED_yS8v8sc Watch IC040 on Youtube Throughout the episode we touch on coping strategies, emphasising the value of exercise and physical activity for mental well-being. We also explore the guest speaker’s path to recovery from alcohol abuse, including their positive experience with the Allen Carr course, which aimed to change their perception of alcohol. We delve into their experiences with counselling and highlight the importance of being in the right mindset for therapy to be effective. In addition to this we touch on the HeartMath technique, a powerful self-regulation approach that our guest found beneficial in managing emotions and achieving a sense of calm. Below you can find links to these resources, including the ConfiDental helpline – an accessible and confidential listening service designed specifically for dental professionals. Allen Carr EasyWay – www.allencarr.com/easyway-stop-drinking/ HeartMath – www.heartmath.com ConfiDental – 0333 987 5158 Access premium clinical videos by Jaz and gain CPD for Podcast episodes via the Protrusive.app Need to Read it? Check out the Full Episode Transcript below! Highlights of the episode: 04:22 Our guest’s story12:32 HeartMath14:59 Poker face18:33 Going to work mentally unwell21:00 Leaving toxic environments27:38 Advice for those struggling31:34 Reaching out If you liked this episode, you should check out Toxic Work Cultures in Dentistry – Time for a Change?

Join the Protrusive App (Web or iOS/Android) – 2 week Free Trial There are five things I want to share with you that I do differently now compared to what I was taught in dental school. Dental school is great for laying the foundation, but real-world experience and continuous learning have taught me valuable lessons that have transformed my approach. 1 – Sectioning and Elevating – I routinely section and elevate multi-rooted teeth which simplifies complex extractions and preserves buccal bone for better patient outcomes. This is a skill I had to learn and develop post graduation. 2 – Using air abrasion to aid with plaque removal which has benefits for adhesive dentistry and beyond, like cement removal and bonding zirconia. I cannot imagine practicing without air abrasion! 3 – I use a ‘wedge guard’ during proximal drilling to prevent scratching adjacent teeth, ensuring precise breaking of the contact without causing iatrogenic damage. I know that for many new grads, breaking contact can be stressful and the mission to prevent iatrogenic damage means overly tapered and aggressive preps. The simple use of a wedge-guard has really helped me overcome this. 4 – Onlays! I seldom prepare for full crowns anymore, instead opting for onlays where possible which preserve tooth structure and provide a scientific and artistic challenge in contemporary adhesive dentistry. 5 – Vertical Preparations – when I do require a crown and the tooth is not suitable for adhesive dentistry (poor quality and quantity of enamel, deep subgingival margins) then using ‘vertipreps’ as been a game changer. Overall, these changes have added value to my practice and improved patient outcomes. Remember, clinical Dentistry is a journey of constant growth. Stay curious and keep evolving – whilst still respecting the best available evidence. Need to Read it? Check out the Full Episode Transcript below! Hello Protruserati! Welcome back to the fourth episode of #AskJaz where I answered a question that was sent on the Telegram group – “Jaz, what are some things that you do differently now compared to what you are taught at dental school?” https://youtu.be/-LYjw2xBETE Watch AJ004 on Youtube Highlights of this episode: 0:24 Dental school inexperience1:04 Section and Elevating for Extractions4:02 Air abrasion for Biofilm removal6:27 Wedge Guard – prevent iatrogenic damage!9:39 Onlay preparations11:39 Vertical preparations If you enjoyed this episode, check out this episode 6 Signs You are a Comprehensive Dentist

In the exciting continuation of the previous episode, Dr. Pasquale Venuti joins Jaz to offer his unique perspective on biomimetic and restorative dentistry. Dr. Venuti encourages critical thinking to improve patient outcomes and discusses a range of clinical scenarios of which he has heaps of experience. In this thought-provoking episode, they delve into topics such as outcome-based reasoning, the controversial use of posts, and the role of ribbond under your composite restorations.  Dr. Venuti fearlessly challenges the status quo by questioning self-claimed biomimetic dental practices and urging dentists to embrace critical thinking in pursuit of improved patient outcomes. https://youtu.be/iGL_KXU_NbY Watch PDP153 on Youtube Protrusive Dental Pearl: Mouth props are super helpful for long appointments! They serve a crucial purpose in allowing the depressor muscles to relax. By preventing muscle fatigue during extended treatments, these props contribute to patient comfort and overall treatment success. Dr. Jaz shares his approach to communicating the use of mouth props to patients, employing relatable examples to ensure their understanding and cooperation. Need to Read it? Check out the Full Episode Transcript below! Highlights of this episode: 2:00: The benefits and communication of mouth props4:18: Controversy surrounding posts in restorations6:32: ‘No post, no crown’19:20: The use of ribbond in modern dentistry.26:20 Process-based reasoning vs Outcome-based reasoning28:41: Jaz’s “hypocrisy” regarding rubber dam usage31:48: Patient population and its impact on treatment approaches Access premium clinical videos by Jaz and gain CPD for Podcast episodes via the Protrusive.app If you enjoyed this episode, check the part 1 of this episode: The ‘Anti-Biomimetic Dentist’ – Restorative Lessons from Pasquale Venuti Part 1

How long do you spend at the end of the day writing notes? Are you always home late? I used to spend HOURS writing up notes after a long day in the clinic, but not anymore. I have been on a journey to find tools that make record keeping easier, more efficient and higher quality. The toughest sessions were TMD consultations where there was so much to take in that my poor nurse struggled to get everything down – that’s when I discovered Dental Audio Notes. I brought on the founders, Dentist Ala and Engineer Adam – to discuss the audio recording (and transcription) as part of dental records. Disclaimer: I have ZERO financial interest in DAN software. I just think it’s bloody brilliant. Dental Audio Notes (DAN) is a service designed to revolutionise record-keeping in the dental industry. DAN offers secure audio recording and transcription of patient interactions, allowing dentists to master record-keeping effortlessly. https://youtu.be/dRlvlGUyQQQ Watch IC039 on Youtube Here’s what makes DAN an invaluable tool for dentists: 1. Accurate documentation – DAN captures the entirety of the conversation. Dentists can later annotate the recordings, providing additional context and making the documentation even more robust 2. Time efficiency – writing notes can be burdensome, especially when dentists have a high patient volume. With DAN’s transcription feature, dentists can save valuable time by automatically generating accurate and comprehensive clinical notes 3. Security – DAN takes care of storage, security, and privacy. Dentists simply need to press the record button, and DAN handles the rest, maintaining the recordings in a secure and confidential manner 4. Easy access and sharing – With DAN, dentists have the option to refer back to recorded consultations whenever needed. This feature enhances communication and aids in treatment planning. Additionally, dentists can choose to share the recordings with patients, fostering transparency and patient engagement For those interested in DAN, early registration before September 1st 2023 offers the opportunity to take advantage of the SUMMER2023 pricing. This includes a subscription of £30 per month for 30 hours of recording, with additional hours available at an affordable rate of £1 per hour. DAN offers a free trial period, allowing dentists to record up to 6 hours for free, providing ample opportunity to explore the features and evaluate the service’s suitability. Dental Audio Notes Website Need to Read it? Check out the Full Episode Transcript below! Highlights of the episode: 03:37 An Introduction to Ala Rozwadowska and Adam Marsh10:34 The benefits of audio recording consultations15:12 When to use dental audio notes23:12 Elevating your communication skills27:53 Gaining Consent31:47 Dento-legal feedback34:06 What will DAN be able to do in the future?38:30 Free trial and prices42:43 What Ala and Adam hope for users of DAN44:13 Dental coaches and mentors47:22 Microphones If you enjoyed this, you will also love Consent Is Like An Onion – Are You Consenting Your Patients Correctly?

In this thought-provoking episode, Dr. Pasquale Venuti represents Tomorrow Tooth aka ‘the other voice of Dentistry’. He is a renowned dentist who is not afraid to express his controversial views. While he may challenge the modern techniques taught in dental schools today, he brings attention to the shortcomings in current practices and encourages critical thinking. Dr. Jaz and Dr. Pasquale explore various topics that challenge traditional dental practices, including subgingival caries, flat onlays, post crowns, and cement selection. By raising practical and applicable questions, they encourage dentists to question established norms and seek better solutions for their patients. https://youtu.be/tZp4s0Wj2zY Watch PDP152 on Youtube Protrusive Dental Pearl: New Restoration Needed and the Patient has an existing occlusal appliance. What can you do? Imagine a Stabilisation Splint –  For patients who rely on an occlusal appliance – how do you manage the scenario if they need a restoration? Do you need to make a new occlusal appliance? ? Not really. You just have to gouge out the acrylic where the new restoration was placed (intaglio surface of splint). If the splint fits well, no further adjustments are needed otherwise additional acrylic can be added to provide retention (like a partial reline of the splint over your new restoration. Don’t forget that vaseline!) Need to Read it? Check out the Full Episode Transcript below! Highlights of this episode: 02:36 The Protrusive Dental Pearl05:25 Pasquales introduction16:53 Subgingival Caries and Gingivectomy22:10 ‘TableTop Onlays’ – Where is the limit?28:30 Pasquale on C-Factor31:12 What are the Limits of Adhesive Dentistry?36:55 Guideline for Adhesive vs Mechanical If you enjoyed this episode, check this another episode by Dr. Taylor Paton: Biomimetic Dentistry – What Actually Is It?

Download our Prescribing Antifungals for Dentists Cheat Sheet! Miconazole? Nystatin? Amphotericin B? What dose? When should you refer, and to who? How often do we prescribe antifungals as a GDP? I always need to brush up on the guidelines and best management of oral fungal infections whenever I make a diagnosis – which is why brought on Oral Medicine Specialist Dr. Amanda Phoon Nguyen to make diagnosing and managing oral fungal infections less painful! Dr. Phoon Nguyen shared her experience and insights into diagnosing and treating oral fungal infections. Here’s a glimpse of what we covered: Primary Oral Candidosis: Explore the three types: pseudomembranous candidosis, chronic hyperplastic candidosis, and erythematous candidosis. Learn how to identify each type and when further investigation may be necessary. Candida-Associated Lesions: Understand the different candida-associated lesions, including denture stomatitis, angular cheilitis, median rhomboid glossitis, and linear gingival erythema. Discover the significance of these lesions in relation to systemic health. Treatment Approaches: Gain insights into effective antifungal medications, such as miconazole oral gel (Daktarin), amphotericin B lozenges (Fungilin), and fluconazole mouthwashes. Consider interactions and precautions when prescribing antifungals for patients on specific medications. Denture Hygiene: Explore the role of dentures in oral candidosis and the importance of proper denture hygiene. Learn practical tips for denture maintenance to prevent candida colonization. https://youtu.be/-RqoVZVVnsI Watch PDP151 on Youtube The Protrusive Dental Pearl: What are you Waiting for? If there’s something you’ve been putting off (meditation, exercise, diet, work, etc.), the best time to start was years ago. The second-best time is today! Write it down, tell someone, keep yourself accountable and start right now. Need to Read it? Check out the Full Episode Transcript below! Highlights of this episode: 01:31 The Protrusive Dental Pearl02:47 Dr. Amanda Phoon Nguyen06:43 Candida Albicans08:37 Primary Oral Candidosis14:48 Modifiable Factors18:40 GP vs. Oral Medicine – Where to Refer?21:44 To Prescribe or Not to Prescribe?24:10 Antifungal Medication31:44 Interactions35:48 Angular Cheilitis39:06 Median Rhomboid Glossitis and Denture Stomatitis39:57 Denture Hygiene If you enjoyed this episode, check this another episode by Dr. Ben Pollock and Dr. Samuel Cope, Got Your Back – Physios and Dentists.

What should the occlusion look like when you are restoring or replacing a Class IV restoration? This question is so basic yet so complex which is often not talked about enough. We go on all these composite courses and talk about the layering, but we don’t talk enough about how to put the principles of occlusion into action. In this episode, Dr. Ibrahim will be talking about how Class IV Restorations can be optimised to get a long term predictable result. We also shared the two mechanical failures in dentistry and the step-by-step process of a Class IV restoration with occlusion in mind. https://youtu.be/JgbO6PDjSOg Watch PDP150 on Youtube The Protrusive Dental Pearl: Occlusion Whisperer – Ask your patient to bite together and listen – in a “good” occlusion you should hear lots of tooth-to-tooth contact, whereas a thud indicates an issue. Use this in addition to more traditional methods of assessing the occlusion, and make sure you are satisfied with the occlusion before asking the patient “how does that feel?” Are you ready to learn Occlusion in a way that makes sense, in your own time, with first class support and career boosting confidence to deliver Restorative Dentistry to the highest standard? Then join Occlusion Basics and Beyond Online Course with IAS Academy 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 Need to Read it? Check out the Full Episode Transcript below! Highlights of this episode: 00:49 The Protrusive Dental Pearl02:23 Dr. Mahmoud Ibrahim03:07 Class IV Lesions07:21 Mechanical Failure09:28 The “Envelope of Function” and “Chewing Space”13:50 Dealing with Limited Chewing Space17:49 Mock-Ups19:35 Dots and Lines21:14 The Process If you enjoyed this episode, check this another episode by Dr. Mahmoud Ibrahim, Next Level Occlusion (Basics Part 2).

Occlusal appliances are commonly prescribed for the management of Bruxism – but they might be doing more harm than good if you have not screened for an airway issue. Dr. Aditi Desai discussed the link between airway and bruxism- could an airway problem cause bruxism? Why is it advised NOT to have a standard occlusal appliance if there is an airway issue? Did you know there are three levels of diagnosis for Sleep Bruxism? The ‘Possible’ Bruxist, the ‘Probable’ Bruxist and the ‘Definite’ Bruxist – in this episode Dr. Aditi Desai who also featured in PDP 139 on sleep disordered breathing and sleep apnea, will explain this and when it may be relevant to sleep apnoea. https://youtu.be/DozqYGEPNxY Watch PDP149 on Youtube The Protrusive Dental Pearl: Parafunctional Screening Sheet – A simple PDF that you can look for in terms of your extra-oral examination, intra-oral examination and the history – to give a clue that a patient might be a bruxist in just 2 minutes – download below: Parafunctional-ScreenDownload Download and Sign in to the Protrusive App on iOS and Android and head over to the freemium version of this episode and on The Protrusive Vault for those Protrusive Premium members (where you can get full CE or CPD Certificate by answering a few questions) Highlights of this episode 5:21 The Protrusive Dental Pearl 6:28 Dr. Aditi Desai’s Introduction 9:17 Airway in Dentistry 12:49 Lack of studies with regards to diagnosing sleep bruxism 16:32 Signs to look for to a possible bruxist and how to communicate with them 27:01 Nomenclature of sleep bruxism 30:51 Learning points to assess airway 35:43 Cases that caused the patient to become apnoeic Get in touch for different Board of Sleep Medicine: UK: British Academy of Dental Sleep Medicine (BADSM) USA: American Academy of Dental Sleep Medicine (AADSM) Australia: Australian Academy of Dental Sleep Medicine If you enjoyed this episode, you may also like Airway – Dentistry’s Elephant in the Room with Prof Ama Johal