Protrusive Dental Podcast

You’re faced with a beautiful crown with what seems like a decent root filling – but there’s an apical infection present. Is the answer always endodontic re-treatment? When should we instead consider apical surgery so we can clear the infection WITHOUT drilling through the crown or having to dismantle posts? In this episode, specialist endodontist Dr. Peter Raftery and his associate Dr. Manpreet Dhesi will be talking about the Apicoectomy procedure that can be used to treat root-filled teeth using a ‘retrograde’ approach. They will discuss about how it fits into general dentistry, its indications and contraindications, its cost analysis vs implants and and the entire protocol for performing Apicoectomy https://youtu.be/sZOsLuuf-Vo Watch PDP148 on Youtube Protrusive Dental Pearl: The periradicular surgery guidelines issued by BES and the Royal College of Surgeons. Download the guidelines about periradicular surgery or on the app under the Protrusive Vault (where all the different files and infographics and the different things that you get as a Protrusive premium member) BES-RCS-Peri-Radicular-Surgery-GuidelinesDownload 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 Highlights of this episode: 1:37 The Protrusive Dental Pearl 3:32 Dr. Peter Raftery’s introduction 4:05 Dr. Manpreet Dhesi’s introduction 5:16 What is Apicoectomy? 6:29 Oral Surgeons vs Endodontists? 8:48 Is a Microscope mandatory for Apicoectomy? 10:08 Apicoectomy for posteriors 11:00 Isolation Protocol for Anterior Apicoectomies 11:35 Apicoectomy Protocol 15:03 Disinfection Protocol 18:41 Moisture control from the bleeding 20:43 Risk of surgical emphysema – Is special handpiece needed? 21:52 Indications and Contraindications for Apicoectomy 27:46 Endodontic Re-treatment 29:05 Cost benefit analysis of Apicoectomy 31:20 Success rate for Apicoectomy 34:19 Case Scenario 1: 82-year old patient with a singular crown, root filling and a radicular pathology 42:10 Retrograde fillings of choice 44:09 Grafting after Apicoectomy – is it needed? 45:04 Equipments for Apicoectomy 47:11 Learning more about Apicoectomy Apical Microsurgery Instrument Kit- the mirror, the pluggers, and the little curettes by Hu-Friedy UK Apical-Microsurgery-Instrument-KitDownload If you enjoyed this episode, check this another episode by Dr. Peter Raftery: How to Save ‘Hopeless’ Teeth with the Surgical Extrusion Technique

Stop waffling and start communicating effectively. Stop giving 75 different treatment options and RECOMMEND the ideal plan based on their goal (hint: ask more questions!). Become efficient with patient communication by switching to video letters using Loom. In this episode, Prav Solanki talks about the trust built between the Dentists and their patients, and how that trust is the foundation for providing the best treatment plan for each patient. After this episode you will realise that sales is NOT a dirty word, and you will love his definition of it. https://youtu.be/cNVMKpzbqXI Watch IC038 on Youtube Check out the example Loom videos on Premium Clinical Videos section of the Protrusive App. 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 Highlights of the episode: 6:33 Prav Solanki’s Introduction 8:56 Sales in Dentistry 13:53 Information that patients needs to know before being eligible for a free consultation 18:47 Learning the art of concise communication 25:56 2 Stage processes in Business 27:58 How to build trust with your patients 34:05 Delivery of the Treatment Plan 36:51 Using Loom for Treatment Plan Presentation Check out courses by Prav Solanki: https://courses.iasortho.com/courses/gb/business-mindset-mastery https://courses.iasortho.com/courses/gb/phone-school-with-prav-solanki https://courses.iasortho.com/courses/gb/sales-and-communication-mastery-for-tcos If you enjoyed this, you will also love Presenting Treatment Plans the Comprehensive Way

Following the cliffhanger from Part 1 where the theme was Diagnosis – we now discuss the two main protocols of internal bleaching: the Inside-Outside Bleaching technique and Walking Bleach Technique for non-vital teeth whitening. In this episode Dr. AJ Ray-Chaudhuri discussed how to prevent peroxide gel from entering the root canal system while performing non-vital bleaching. We cover every detail of the procedure and offer step-by-step guidance on how to make a tray, how much to charge patients, which gels to use and much more. https://youtu.be/5Pl238679j4 Watch PDP147 on Youtube Protrusive Dental Pearl: The full protocol workflow – summarised PDF of Part 1 and 2 of this Internal Bleaching Series plus the patient advice sheet AND lab instruction sheet by Dr. AJ Ray-Chaudhuri Click Here to Request the PDFs 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 Highlights of this episode: 2:28 Protrusive Dental Pearl 3:40 Tips and Advice for Internal Bleaching in Practice 7:21 The Inside-Outside Whitening Technique 17:45 Internal Bleaching Protocol 23:21 Getting the proper access cavity 27:21 Dealing with patients who do not follow instructions well 31:47 Considerations and Tips to maximize success or to avoid mistakes 33:08 Internal resorption and relapse If you enjoyed this episode, check out the first part of this episode: Internal Whitening Protocols Pt1 (Non-Vital Bleaching) 

Non-vital bleaching or internal whitening comes in many forms, but it’s often confusing which exact protocol to adopt. When you learn this technique you can make a HUGE difference to a patient’s smile in a minimally invasive manner. Restorative Specialist Dr. AJ Ray-Chaudhuri covered the all-important diagnoses and indications of internal bleaching as well as how to treat tooth calcific metamorphosis (the obliterated pulp). We answer the key question: do you always need to have a root canal treatment present? https://youtu.be/mEHIypt-WW4 Watch PDP146 on Youtube The Protrusive Dental Pearl: When carrying out internal bleaching make sure to clean out the entire pulp chamber especially the necrotic pulp horns – clean the necrotic tissue inside using ultrasonics. Ensure the entire chamber is de-roofed – remember that these are mostly trauma cases and the pulp went necrotic in youth – hence large pulp chambers. No role for Ninja access here! Download Protrusive App on iOS and Android and Claim your Verifiable CPD/CE by answering a few questions + You can get EARLY ACCESS to the episode + EXCLUSIVE content Highlights of this episode: 3:03 The Protrusive Dental Pearl 5:55 Dr. AJ Ray-Chaudhuri’s journey into restorative dentistry 13:02 Internal Bleaching Protocol 15:45 Whitening obliterated pulp (Calcific Metamorphosis) 21:22 No prep veneer/Composite veneer VS Tooth Whitening 22:50 Q: Best time for Internal bleaching after Endodontics? STAY TUNED for Part 2 Next week when it gets really spicy – we have a PDF infographic to follow! If you enjoyed this episode, check out Post Operative Pain after Endodontics – Prevention and Management

Rochette Bridges are a popular option for interim tooth replacement whilst implants in the aesthetic zone are ‘cooking’. In this episode with Dr Pav Khaira we discuss his interim restoration protocols using Rochette Bridges and Dentures, as well as gaining an insight in to custom healing abutments. https://youtu.be/InBOBHfYxEA Watch PDP145 on YouTube Which cement is best for Rochette Bridges? How do you remove them? Ceramic or Composite pontic? When might we consider a Denture instead? We then expand in to soft tissue augmentation at the time of implant surgery to get the best pink aesthetics. This episode is packed full of gems even if you do not place implants – much of the benefits of soft tissue augmentation can be applied to non-implant fixed prosthodontics. The Protrusive Dental Pearl:  Steal my Resin Bonded Bridges consent form! It is a visual aid for patients and helps with information and consent for RBBs. If you are on Protrusive Premium, head to the ‘Protrusive Vault’ to download it. Otherwise you can request your free download here. Download Protrusive App on iOS and Android and Claim your Verifiable CPD/CE by answering a few questions + You can get EARLY ACCESS to the episode + EXCLUSIVE content “It’s all about how you communicate the soft tissue grafting surgery to your patient” – listen/watch the episode to hear this absolute peach of a communication pearl! Learn Implants from Dr Pav Khaira Highlights of this episode: 3:40 Dr Pav Khaira’s Introduction 7:20 Interim Restoration vs Immediate Loading of Implant 10:12 TWO Golden Rules of Temporary Dentures for Implants 11:15 What is a Customised Healing Abutment? 17:40 Rochette Bridges Protocol 23:54 Temporary Implant Crown Protocol 31:36 Communicating Soft Tissue Grafting If you enjoyed this episode, check out Success with Resin Bonded Bridges.

No need for violins – this episode was to share our behind-the-scenes story of creating an online occlusion course. This year has been the most challenging for me and Mahmoud Ibrahim as we worked hard to make OBAB the most tangible, real-world, and comprehensive occlusion training on the planet. We faced many struggles, hardships, and sacrifices along the way. I want to thank you all for your support, your help and your feedback. You have been a great help in this journey and I am so grateful that we were able to accomplish it with your blessings. In this episode, me and Dr. Mahmoud Ibrahim were invited to the Dental Innovator Podcast to talk about the journey, challenges and sacrifices we made while working on OBAB. This episode will also inspire you regardless of your own situation. Whether you are starting a practice, buying a practice or starting a business within or outside of dentistry, this episode will give you inspiration and a perspective. OBAB One-Time Pre-Launch Deal is now SOLD OUT – thanks for all your support! Highlight of this episode: 2:27 Dr. Jaz and Dr. Mahmoud’s Introduction 5:52 Driving force in doing OBAB 8:56 Process in making online course 13:04 Online Course vs Live Course 16:48 Work-Life Balance 20:31 OBAB Journey 28:12 OBAB’s post course support 34:54 Responsibilities in Business Partnership 41:00 Qualifications of Dr. Jaz and Dr. Mahmoud to teach people occlusion 47:33 Dr. Mahmoud’s journey inside and outside dentistry 49:12 Marketing aspect of an online course 52:04 Advice for young dentists 55:42 Innovations in Dentistry If you liked this episode, you will love How to Win at Life and Succeed in Dentistry – Emotional Intelligence

As you may recall from the first part of this series, Dr. Wayne William is an amazing dentist in our community who has been kind enough to share his insights into local anaesthetics with us. Today we’ll be talking about the second half of this topic: The most commonly used anesthetic agents used by GDPs (and why we should ditch one) Is it safe to inject lingually? Adrenaline for Cardiac Risk Patients – is it really a worry? https://youtu.be/E9q4t5z7LdI Check out this full episode on YouTube Download Protrusive App on iOS and Android and Claim your Verifiable CPD/CE by answering a few questions + You can get EARLY ACCESS to the episode + EXCLUSIVE content The Protrusive Dental Pearl: Do NOT use the technique of lingual infiltration that I did! There IS a better way! (Lingual Infiltrations are not bad – just the way I did them was not ideal) If you’re curious what technique that was, Protrusive Premium will get to see it in the middle of this episode including Dr Williams’ ‘live’ unedited, uncut reaction. This is GOLDEN content! Highlights of this episode: 4:34 The Protrusive Dental Pearl 5:38 Large red headed people are difficult to numb. Is it a myth or is it real? 8:29 Lingual Infiltrations 17:02 Adrenaline being avoided for certain patients 23:49 Adrenaline for Cardiac Risk Patients Occlusion: Basics and Beyond is the most tangible, real-world, and comprehensive occlusion training on the planet. Get the OBAB One-Time Pre-Launch Deal which SOLD OUT – the only way now is the Waiting List as IAS are preparing 20 extra starter kits. Be sure to watch the first part of this episode: Articaine ID Blocks and the ‘CIA Technique’ for Local Anaesthetic

There is a massive trend of Dentists ditching ID blocks in favour of articaine buccal infiltrations. For many that are still using ID blocks routinely, they are afraid of using Articaine due to fear of paraesthesia. Should we be doing less ID blocks? And when we do, is it ACTUALLY harmful to use articaine or is that a myth? I have to admit, the main reason I heavily switched to buccal articaine was to avoid ID blocks. Dr. Wayne William, our straight-talking, no-BS Prosthodontist guest will bust some myths and improve your daily delivery of safe and effective local anaesthesia. In this episode he taught us the Crestal Intraosseous Approach (CIA), a technique developed by Dr. Wayne to improve our buccal infiltrations. https://youtu.be/LbOxlXIZCkw Check out this full episode on YouTube Download Protrusive App on iOS and Android and Claim your Verifiable CPD/CE by answering a few questions + You can get EARLY ACCESS to the episode + EXCLUSIVE content The Protrusive Dental Pearl:  Check out the couple of videos I posted recently on YouTube and on the app https://youtu.be/yFfKVLmSr5Q Robin Hood Dentistry – a careful and well-considered enameloplasty https://youtu.be/3QLby2U_W3E No More High Restorations 2023 Update – Stop Grinding Away Your Composites! “There is no such thing as a periodontal ligament injection” Dr. Wayne Williams Highlights of this episode: 3:02 The Protrusive Dental Pearl 5:49 Dr. Wayne Williams’ Introduction 8:06 Buccal infiltration with articaine for lower molars 13:09 Crestal Intraosseous Approach (CIA) 22:28 ID Blocks – is it safe? 28:13 Hitting Bone while giving injections – safe or not? 31:04 Failure rate for ID Blocks Occlusion: Basics and Beyond is the most tangible, real-world, and comprehensive occlusion training on the planet. Get the OBAB One-Time Pre-Launch Deal before 21st March to get access to OBAB for two whole years and get a fully mentored case worth £550. Plus get £1445 of exclusive extras!!!  If you enjoyed this episode, check out Hot Pulps, Painless Palatals and ID Block Failures

From the studio that brought you ‘The Fresh Prince of Appliances’… I present: Dots and Lines Music Video https://www.youtube.com/watch?v=5vHKt3kUJ84&ab_channel=JazGulati-ProtrusiveDentalPodcast Sign up before 21st March for: 2 years of access instead of 1 (worth £399) £500 off Starter Kit and OBAB Hardback Book 1 Fully Mentored Case on our Platform (worth £550)

After the cliffhanger from Part 1, Dr. Sandra Hulac is back to share more information about Frictional and Constricted Chewing Patterns (CCP) with cases shared and explanations given. Check out the Full Episode with a Free membership on Protrusive.App Download Protrusive App on iOS and Android and Claim your Verifiable CPD/CE by answering a few questions + You can get EARLY ACCESS to the episode + EXCLUSIVE content The Protrusive Dental Pearl: Overjet is King. We don’t want tight bites. We want a bit of overjet that gives chewing space – this will reduce the chances of a functional attrition and avoid ‘too much anterior guidance’ or locking the patient in. “It’s important to know why things fail and try and avoid failure the next time” Highlights of this episode: 0:28 PDP141 – Stop Blaming Bruxism Part 1 Recap 6:34 The Protrusive Dental Pearl: Overjet is King 6:56 The role of pre-restorative orthodontics 9:24 Case #1: Extremely traumatic deep bite 14:10 Case #2: Crowding of the lower anterior segment 19:41 Case #3 Lot of wear on the front teeth 23:54 Case #4: Chipped and worn front teeth 27:06 Case #5: Worn front teeth 32:41 Case #6: Patient had an extraction ortho Dr. Mahmoud and I are also excited to share the occlusion that we learned over the years –  in a way that you have never seen before!  Occlusion: Basics and Beyond is the most tangible, real-world, and comprehensive occlusion training on the planet. LIMITED DELEGATE SPOTS DUE TO STARTER KIT STOCK – AVOID DISAPPOINTMENT! Occlusion Online Course Be sure to watch Part 1: Stop Blaming Bruxism! How to Spot Frictional and Constricted Chewing Patterns (CCP) 

Do you blame bruxism for every time you observe attrition? As you know, I’m no stranger to occlusal appliances, but often they may be inappropriate for the patient who is causing their wear during FUNCTION and not so much during parafunction. Maybe it’s time for us to start looking at different aetiologies of attrition and this is what the wonderful Dr. Sandra Hulac breaks down for us in this banger of an episode. We also discussed the differences between frictional and constricted chewing patterns, which are often confused with each other. We share some case examples and discuss how to correctly diagnose these types of chewing patterns. https://youtu.be/ao0sqY6lXZ4 Check out this full episode on YouTube Download Protrusive App on iOS and Android and Claim your Verifiable CPD/CE by answering a few questions + You can get EARLY ACCESS to the episode + EXCLUSIVE content The Protrusive Dental Pearl: Acknowledge, understand, and believe the fact that often our patient’s centric relation (CR) is NOT more distal/posterior to their maximum intercuspation (MIP) – it can actually be anterior to their MIP! Highlights of this episode: 2:43 The Protrusive Dental Pearl 6:01 Dr. Sandra Hulac’s Career Journey and Inspirations 18:22 What is a Constricted Chewing Patterns (CCP)? 25:43 How to spot for CCP (Constricted Chewing Pattern)? 30:12 Frictional envelope vs constricted envelope 37:31 Case Discussion Dr. Mahmoud and I are also excited to share the occlusion that we learned over the years –  in a way that you have never seen before! Occlusion: Basics and Beyond is the most tangible, real-world, and comprehensive occlusion training on the planet. LIMITED DELEGATE SPOTS DUE TO STARTER KIT STOCK – AVOID DISAPPOINTMENT! Occlusion Online Course If you enjoyed this episode, check out How to use Injectable Composites to Treat Toothwear

LIMITED DELEGATE SPOTS AVAILABLE NOW! Occlusion Online Course As we launch OBAB, Occlusion Basics and Beyond in today’s episode, Dr. Mahmoud Ibrahim and I talked about our philosophy of occlusion. For us, the application of occlusion results in longevity, predictability and stopping your $#*7 from breaking. We are excited to share with you what we have learned over the years – in a way that you have never seen before! https://youtu.be/5vHKt3kUJ84 Click here to watch our Dots and Lines music video OBAB was developed to break down this seemingly complex topic in an understandable way that you can easily implement in daily practice in the real world. Occlusion: Basics and Beyond is the most tangible, real-world, and comprehensive occlusion training on the planet. But don’t take our word for it: https://youtu.be/cFPTY0hfOtY Check out what our delegates had to say about OBAB Visit occlusion.online to learn more about the course and get the One-Time Pre-Launch Deal before 21st March to get £500 off enrolment and early bird access on April 7th. Plus get £1445 of exclusive extras!!! Highlights of this episode: 4:00 What is Philosophy of Occlusion? 5:12 Dr. Mahmoud on his experience with occlusion 7:02 Different schools of thought regarding Occlusion 13:00 Importance of Occlusion 22:23 Possible failures doing restorative work without conforming to occlusion 25:13 Occlusion: Basics and Beyond

Dr. Karl Walker-Finch shares his journey of pain to passion as he reveals the secrets to finding YOUR passion in Dentistry. We started by discussing our crippling imposter syndrome as we left public Dentistry to practice privately. Along that theme we highlight the importance of taking control of your own destiny. Karl’s new book, ‘In The Loupe‘ raises money for Confidental (emotional first aid for Dentists) and is a powerful book for Dentists that wish to practise without fear and establish the right work-life balance. https://youtu.be/YPv71yr62tE Check out this full episode on YouTube Download Protrusive App on iOS and Android and Claim your Verifiable CPD/CE by answering a few questions + You can get EARLY ACCESS to the episode + EXCLUSIVE content “We do not need thousands of specialists in full mouth rehabilitation” – Dr. Karl Walker-Finch Highlights of this episode: 3:12 Dr.Karl Walker-Finch’s introduction 5:48 Experiencing Imposter Syndrome 11:40 Private Practice vs Public Practice 16:31 Finding Passion – Ideal work for dentists 20:59 Top tips to help dentists find their ‘whys’ – Dr. Karl’s pathway before niching down 29:34 Taking control of our own destiny 39:32 Implementing the power of atomic habits in Dentistry 44:12 Dr. Karl supporting ‘Confidental’ – helping dentists with their mental health You can now grab a copy of In The Loupe: The Secrets to Finding a Passion in Dentistry by Dr. Karl Walker-Finch! If you enjoyed this episode, you will love Passion and Values in Dentistry with Dr. Dhru Shah

I will reveal a little ‘trick’ that might ‘recapture the bite’ on a patient who develops an anterior open bite (AOB) after wearing a nightguard/splint/occlusal appliance. There is a degree of risk and uncertainty when we prescribe occusal appliances as it hinges on patient compliance and factors that are out of our control. There are certain risks that come with treatment that we should consent for, and this includes bite changes. Occlusal appliances are not an exact science – the evidence base is not high quality. That does not mean they do not work, it just means that we need more data! We don’t even know the mechanism of HOW occlusal splints work as that is yet to be proven. Hello Protruserati! Welcome back to the third episode of #AskJaz where I answered three main questions from our Protrusive Dental Community – 1) developing anterior open bite after an occlusal appliance, 2) how to scan/bite register at a desired OVD, and 3) what should the occlusion look like on composite veneers or edge bonding? https://youtu.be/Li2W-ysYRIE Check out this full episode on YouTube Download Protrusive App on iOS and Android and Claim your Verifiable CPD/CE by answering a few questions + You can get EARLY ACCESS to the episode + EXCLUSIVE content Dr. Mahmoud Ibrahim and I are currently working on a huge project called OBAB, Occlusion Basics, and Beyond – it will be the best occlusion resource in the Milky Way…and that’s our mission! We want to finally demystify Occlusion and make it Tangible AF! Join the waiting list HERE! Highlights of this episode: 1:51 Risk of having AOB after an Occlusal Appliance 15:48 Trick to recover an AOB that has developed 26:49 Bite Records for Stabilisation Splints 30:25 Checking the Occlusion after Composite Veneers 37:02 Occlusion Basics and Beyond Do join our Protrusive Dental Community Facebook Group. It has so many great gems and pearls shared in our little community – ONLY FOR LICENSED DENTAL PROFESSIONALS. If you enjoyed this episode, check out this episode with Dr. Barry Glassman – Do AMPSAs cause AOBs?

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

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

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

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

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

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

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

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

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

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

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