Protrusive Dental Podcast

When it comes to direct composite restorations, shape is more important than shade. Mastering primary anatomy with well defined line angles is the difference between mimicking nature or ending up with flat white blobs with no definition. In this Group Function I'm joined by Dr Matt Parsons who answers the following question from the Protruserati: Once you have drawn on the desired line angles, how would you suggest to really define them? When using bur or disc I tend to find I get a result which is rather flat and lacks line angle definition.Dr Devin Firstly, if you don't...

Full post to follow - just getting this episode live! Full blog and links to follow tomorrow https://youtu.be/eH_gfNc0IqY

We don't refer all our extractions, root canals and crowns - then surely there is a role of GDPs to carry out Orthodontics? In the last 10 years we have seen a boom in GDP Orthodontics and much of this is 'Alignment Only Orthodontics'. Protruserati, welcome to Straightpril! https://youtu.be/EuHTN4CXCxs Dr Nick Simon shares his journey and advice with Jaz In this episode we discuss: How GDPs can get involved in OrthodonticsWhich, according to Dr Nick Simon, is the best Orthodontic system for GDPs?His views on all the Dentists jumping on the Invisalign bandwagonHow significant is the...

Canine guidance is overrated. Read that again. Crazy, I know. In this episode, one of my mentors Dr Riaz Yar explains the rationale of a functional occlusion whereby the pillars are the central incisor and the first molar. https://youtu.be/aQRQ43R4Obg Dr Riaz Yar is SUCH a good Educator I found some similarities to the Posterior Guided Occlusion (click to listen to the episodes by Dr Andy Toy) in that we place too much emphasis on canine guidance. Protrusive Dental Pearl: There is no joy in mediocre DentistryDr John Kois I hope you find this episode stimulating...

This is THE most common question I get - 'Jaz, can you just tell me which camera to buy for dental photography, I am so confused!' I'm no mug when it comes to Dental photography, but I wanted to get a real expert to help answer this important question. I present to you a Alessandro Devigus from Switzerland who owns the @dentist.camera Instagram page (which I love). https://youtu.be/q3VkbMLhsn8 I was shocked that he recommended a Mirrorless set up - but I totally understand his rationale. Here are the links to the products he mentions: ...

You place some veneers and your patient leaves in tears or joy. Imagine getting a letter a few weeks later to tell you that the patient now hates her veneers and would like a full refund. That is soul destroying stuff, and it's NOT about the money! https://youtu.be/LCAhjm9ymy8 Dr Rhode to the Rescue! Within the context of this specific scenario where 6 veneers were placed, we discuss: A. How this could have been prevented B. How to handle the veneers that are 'bulky at the gumline' C. How to handle this refund request...! I want to thank...

I gave Manuela Rodrigues one task: to reduce the stress levels of Dentists and the Dental team who listen to this episode. https://youtu.be/cNY_2QLWTuI With Mindful.Dentistry Manuela I know what you're thinking...the whole positive mental attitude thing goes straight out of the window when a file has separated or the palatal root of the upper molar has been swallowed by the sinus. This is why I wanted Manuela to make this a highly relevant to the daily stressful scenarios we face. How can we make our profession less stressful, Manuela?! I pitched to her 3 different...

'What on earth is Clubhouse?' I hear you ask. Well, it's kind of like being in a Whatsapp room with Richard Branson...and instead of typing you're all just leaving live voicenotes. It's like a Live Podcast and you get to contribute (sometimes). It's also like a cult - it's super addictive and invitation-only (at the time of publishing this). https://www.youtube.com/watch?v=s9POp8N9-Os Kevin Rose - who helps Dentists 'Think' My favourite thing about Clubhouse is that sometimes you're not in the right state or environment to be on video - this...

Two 'TMJ Queens' in Two Days - another tribute to International Women's Day last week and what better than having Dr Priya Mistry from USA who has limited her practice to the treatment of Temporo-Mandibular Disorders. https://youtu.be/FGVSbFjFrlw Step by Step Examination Protocol I first discovered Dr Priya Mistry's fantastic content on YouTube - I really enjoyed her style of content presentation. I quickly saw her grow on this platform and help so many of the public with their TMD concerns. I realised that a lot of what she has to share is not just helpful for patients...

When it comes to the management of Temporo-manidbular Joint Disorders, we often NEED to adopt a multidisciplinary approach. I am a strong advocate of Dentists involving TMJ Physiotherapists (yes, they exist!) to help their patients. In this episode I am joined by The TMJ Physio Krina Panchal! https://youtu.be/5KcMOfdoDhg TMJ Physios are invaluable in the multidisciplinary management of TMDs Interestingly enough, Physiotherapists in the UK do not cover the TMJ in their studies - it is a postgraduate niche that Krina has travelled the world to learn - which is why I respect her even more! Protrusive Dental...

How do you obturate yours? When I have had the equipment (and training) I have used warm vertical compaction - no doubt that IS the gold standard. However, what is the humble GDP using all over the world? I would argue that not only are we using cold lateral compaction with sealer, but in many cases, we are sticking a big, fat, tapered GP cone in the canal with a splodge of sealer around it. Is that legit? https://www.youtube.com/watch?v=GkWR7XzTHCs The million dollar endodontic question that no one asks! Obviously the landscape is changing...

Sometimes associates moan that they can't improve their Dentistry or provide better outcomes because their principal/corporate will not buy them that fancy composite/instrument/air abrasion unit/orange floss (okay maybe not the last one!). Here's a tip: buy it yourself! https://www.youtube.com/watch?v=JQKiaZgHbk4 I'm not saying you should go crazy and buy ALL your materials - thats the role of the practice - but if after having a good conversation with your principal about investing in the new gear and it is not bought for you....there are some major advantages of buying it...

No Ferrule? No problem! Dr Peter Raftery, Endodontist, discusses the contemporary use of the 'Surgical Extrusion Technique' to make hopeless teeth restorable. Crazy, I know, so take a listen because the science makes sense! https://youtu.be/gXN-2tgxtbU All the way back in Episode 9 with Dr Aws Alani (Restorability with a Restorative Specialist) we briefly mentioned this technique in passing...which led to a cascade in events and Dr Raftery reached out to me with enthusiasm because I called out to the audience if they knew anyone using this technique! I love that! Essentially you are (gently!) extracting a...

I recorded an Instagram Live with Dr Prateek Biyani of The Dental Notebook to answer a question sent in from the Protruserati: Hi Jaz, I hope you are well. I'm working as a NHS associate for nearly 3 years and I was thinking whether it's worth doing DCT training or if it's better to keep up with private courses to improve skills?Anonymous question from a fellow listener Listen to find out what me and Prateek recommended! Check out Prateek's new book, Single Best Answer Questions for Dentistry!

The ORE exam to practice Dentistry in the UK is not easy - listen to Yazan Duedari's top tips to pass this gruelling 2-part exam and find out what the ORE Exam has in common with a Beyoncé concert! https://youtu.be/qCPUsqPmino Dr Yazan Douedari gives away all the secrets! Dr Yazan Douedari reached out to me as he was a student of the Resin Bonded Bridges Masterclass. I loved connecting with Yazan. He had so much in common (we are both Refugee's who came to the UK and are grateful for the opportunities) and listening to his hardships a...

Move over, traditional crowns! These ceramic onlays are way more conservative and just downright sexier. But let's not go crazy - like with all aspects of Dentistry, case selection is key. https://youtu.be/Rl9BF-sIHqI This is going to number 1 for 2021 - it HAS to! This episode is one for true Dental Geeks. Nik Sethi will adhesively blow your mind (wait....what did I just say?) Imagine a 1 hour podcast episode after which you will improve your Onlays like never before - THIS is that episode. From the painful temporisation of onlays to the delicate bonding procedure, Nik leaves...

I am joined by a Dentist fellow podcaster himself, Dr Payman Langroudi, to help you improve your teeth whitening results right away! https://www.youtube.com/watch?v=n-PSjGsICbw Yes - that's a fluorosis case I treated in the thumbnail! Protrusive Dental Pearl: Using the patients' aligners as a whitening tray - and better yet, the use of Vivera retainers and Enlighten whitening to Guarantee B1 shade! In this energetic and conversational (yet educational!) episode, we discuss: Light based systems - surely it's all BS? OTC products? Is there a dark horse? Why and HOW to do more whitening cases...

Is it time to ditch the analogue occlusion tools like facebows in favour of Digital Dentistry workflows? In this special feature episode with Ian Buckle, we will explore the world of Digital Occlusion. https://youtu.be/M0OR0XJdUvg I was tempted to make this a 2 part, but the flow is too good. Protruserati, get your onions ready for chopping (lots of them) - this is a behemoth episode! We tackled a lot of key themes, include Specialising vs Private courses route (a common question I get sent by Dentists). One of my fav quotes from this episode:'If you...

Think of this episode as a love letter to the Protruserati. We share the same struggles, and this episode could easily have been called the 6 STRUGGLES of a Comprehensive Dentist. https://youtu.be/DCTgR93Tk3c The struggle is real Here they are: You take your work home with you Dentistry was either mis-sold to me, or I was just naive. When I was a Dental student I read a young dentist magazine. It had a segment dedicated to interviews with DF1 Dentists who had finished their first year in practice. 'What do you love most about being a Dentist...

Finlay Sutton has made Dentures sexy again. His teaching style is world-famous and it was an absolute thrill to chat to him. Protruserati - this one is going to be clinically IMPACTFUL. https://youtu.be/6Hz208Zv6yU The KING of Removal Prosthodontics We started by discussing the benefits of using Loom for video communication with patients and lab - it adds a personal touch. Genius! What do you do when the framework does not fit?!Finlay will firstly trial the denture on the model. If in doubt, rehearse the path of insertion several times and you can ask your...

In this long overdue (sorry, Protruserati!) episode I will go deeper in to Anterior Midpoint Stop Appliances as an occlusal splint for bruxism, myofascial pain and headaches. If you have not already, you must absolutely check out Understanding AMPSA Part 1 as this is the sequel! https://youtu.be/_dSkQFZa55w Protrusive Dental Pearl 55: Remember at Dental School where they taught us that 3 fingers worth of mouth opening is considered 'good' or normal? Well, make sure you remember it's the patient's fingers, not your fingers! I showed how to use a range of motion scale and the benefits of checking mouth...

**UPDATE** Discount codes for RipeGlobal valid until 31st January 2021 - thank you RipeGlobal for sharing these for the Protruserati! 20% off standard monthly membership Code: RipeLearn 30% off standard annual membership Code: RipeAnnual 30% off premium annual membership Code: RipeJaz https://youtu.be/-iSs8v3pz7Y This man has taught me so much! I would like to share with you 5 Key Lessons that Lincoln Harris has taught me (out of hundreds!). It was a tough list to whittle down to just Five. I have learned so much from this incredible Dentist, Mentor and Leader in Dentistry. When I first asked Linc to...

https://youtu.be/xVWlZbzSrKE It's the big debate in General Restorative Dentistry: Which is the best Matrix band to rule them all? In the red corner we have the trusty circumferential Siqveland and Tofflemire bands that got us through dental school and have served billions of restorations...but surely they have no place in contemporary adhesive Dentistry anymore? In the blue corner, we have the sexier, younger sectional matrix systems that are the future (and hopefully the present for many of you!). But even within this category, there is a plethora of choice. Are bioclear celluloid matrices the King of...

Learning Dental Implants can be confusing. There are so many layers of complexity, from space requirement, restorative components and surgical nuances. This 2nd part of the 2-part series on Implants with Dr Hassan Maghaireh looks to guide us through the fundamentals of assessing your patient for implants. https://youtu.be/VZfWZf1lpoU We cover A LOT of clinical Implantology for GDPs How do you assess the Implant space for the right mouth in the right patient?When patients ask how long Implants last for, what should we tell them?Can you place implants on Smokers? What is the protocol?Bisphosphonates...

When you present your patients with the ideal options, but they end up choosing 'patch-up' Dentistry...this is a real world problem, and we will tackle it in a comprehensive way in this Group Function! Thank you Anonymous Dentist on Instagram for sending in this BRILLIANT question: Hey jaz! I've been listening to your podcast and I'm a huge fan!I especially enjoyed the Chris Orr one and the communication one.I just wondered if I could have some advice please..I'm working across two practices at the moment, 1 fully private and 1 mixed practice.At the mixed practice, often patients...

Dental Implant courses for Dentists are a significant pathway in terms of commitment. Have you ever attended a Dental course and not applied the knowledge…and then a few months or years later - you felt it was an absolute waste? For example, I did a laser course last year - I have hardly touched a laser since then - its my own fault and I take ownership of that...but what if the stakes were higher? https://youtu.be/rXYARG13AEQ Is it too soon to start Implants...? Implant courses are not a small investment and I know some De...

This is the very first Group Function and we are tackinling RBBs! I will take questions from the fellow Protruserati - I will use your help to come up with some helpful solutions. TLDR: You can do Dahl RBBs, but it doesn't always mean you should. A little prep of enamel will not be THAT detrimental for the tooth. https://youtu.be/VtRlzodts8c Thank you Aaron for helping this episode happen as our first question! It is about a technique dear to my heart - Resin Bonded Bridges! Firstly, if you know nothing about the Dahl technique, you totally...

When Mike Gow first told me that he helped place dental implants on patients WITHOUT local anaesthetic, I thought he was lying. Then I found out they have also done a sinus lift without LA...what?! You read that correctly! Mike Gow has centred his practice around the management of nervous and anxious patients. Don't you think we can learn so much about management of dental anxiety from someone who has achieved the above? This is exactly why I brought him on as my guest of honour for Episode 50 (50 not out!) and you will love this, gem-packed podcast with valuable...

As our level of Dentistry gets more comprehensive or complex, sometimes it is useful to write a treatment plan letter to your patient. In some practices, this is considered absolutely essential. https://www.youtube.com/watch?v=_sMt7QLaPCk Full episode with great gems from Dr Jorge Cardoso The problem with writing treatment plan letters to your patients is that....it's not easy! It takes time. It takes thought. You need to come up with solutions to the unique and complex problems for our patients, and be able to present an estimate of fees at the same time. Not only...

Do you make 'shotgun' treatment plans? A shotgun treatment plan is like a shotgun wedding. It is rushed, on-the-spot and poorly consented.. https://youtu.be/mAnXcTUdFuM Shotgun Treatment plan vs being Comprehensive I am back with a Fan favourite - Dr Zak Kara who absolutely bamboozled with his communication gems from episode 10 (must listen if you have not already!) In this mammoth 80 minute episode we dissect how to PRESENT treatment plans to patients. Should we use their chart? Should they get a quote for extensive work at Day 1? Should it be at a second visit or all at their first...

Periodontology has some good studies and evidence base - but what is the current thinking in the role of occlusion/parafunction in the aetiology and progress of periodontal diseases? I am joined by Specialist Periodontist, London-based Dr Richard Horwitz to discuss exactly the correlation and link between occlusion and periodontitis. https://youtu.be/QhZfDxR4SoY Are those with Anterior Open Bites more likely get to get Perio? Full video episode out soon. This episode's Protrusive Dental Pearl I picked up from Dr Dipesh Parmar on his fantastic Composite course Mini Smile Makeover - it is to use a sectional posterior...

We think we know what a tooth looks like....but most of the restorations that we see on a daily basis...how many of them have truly natural or morphologically correct tooth anatomy? I am joined by Dr Jurgita Sybaite who is the undisputed Queen of Tooth Anatomy! (Full video on main website) She works with Dr Basil Mizrahi and is passionate about Restorative Dentistry. https://www.youtube.com/watch?v=70KQXO9CGkY Full Episode only on Protrusive.co.uk The three steps to learning and mastering anatomy: learn, draw, sculpt!What if you cannot draw?What tips would you...

Interproximal reduction (IPR) is a useful way to create space in Orthodontics, but it has to be performed carefully to make sure it looks good and is effective. If you are new to Orthodontics or have never performed IPR before - this episode is for you. I am joined by Dr Devaki Patel, specialist Orthodontist, to discuss IPR techniques and the nitty-gritty details and answer the questions you always wanted to ask about IPR...but never did! https://www.youtube.com/watch?v=v9dAcHtPiCU&ab GDP Orthodontics has boomed in the last 10 years. More and more of us are...

I am joined by a young Dentist, James Martin, who started a really cool Facebook group called Dentists Who Invest. Well, if there is a group dedicated to Dentists who own Air fryers, then James' group definitely has a need! The advice we share on this podcast is aimed at Dentists who have no clue about Investing. Forget dental school, but even in our general education we are not taught personal finance and investments. https://www.youtube.com/watch?v=UHpkM-9Vg94 Protrusive Dental Pearl: have you been a victim to 'lifestyle creep'? This is when your income increases, your...

I want to talk about maximising your learning potential from all the courses that you attend, but particularly the online ones. I was inspired from listening to a book called Limitless by Jim Kwik (check it out if you're in to maximising your potential and the human mind). It had so many gems in there which I thought would be so useful for Dentists to learn when we're attending courses so they have more impact on us. https://www.youtube.com/watch?v=F6Qc0BwTGRU More importantly, now that with COVID-19, a lot of the education is going online...

Get ready for the best summary of bridges you ever heard, including diving deep in to this mystical design of bridgework called 'fixed-movable' bridge. You cannot search about Bridge Design on Google without landing on the great content that Prof Paul Tipton has released. https://youtu.be/h9mmRiFtHmU Protrusive Dental Pearl: where to place your grooves for crowns and bridges?Crowns: place grooves mesial or distal, or mesial AND distal. Ideally in tooth and not in core material (we elaborate in the episode). Why mesial and distal for crowns and bridges? The forces will be transmitted bucco-lingually on a...

One night when Dr Rajiv Ruwala was up all night as his daughter would not sleep...he came up with a very inspired list... He was interviewing Dentists for associate positions and asked himself, 'What are the habits of the most successful and valued Dentists?' He came up with this awesome list which we discuss point-by-point in this episode of the podcast: https://www.youtube.com/watch?v=NJeMUF05T18 Here are the 10 habits below: They can listen to the patients story and find a treatment to become a solution for the patient. I asked Rajiv if he has...

As Dentists we do not treat headaches - however, we can manage the parafunctional forces and you will be amazed at how many patients will reduce their use of analgesics after these appliances. This is the big one....we finally delve deeper in to Anterior appliances as part of Splintember! https://www.youtube.com/watch?v=0jX7mB_jDKc Lets talk about these really evil devices [/sarcasm] - the anterior only or segmental appliances, the ones dental school told me to stay away from... There are lots of names/derivatives/ and brands for these such as: B splint or Dawson...

Michigan Splints AKA Stabilization Splints are the 'gold standard' occlusal splint according to many occlusal camps. https://www.youtube.com/watch?v=DIfqn2Zkjp0 Check out the Youtube channel for video versions of the podcast. At 10 minute mark there is an error - I showed a Facebow being used whilst talking about Leaf Gauges. Dental School told me that this Splint is the only one I will need to know and it will cure all. If this does not work...maybe the patient has 'atypical facial pain' ;-) Now before you all attack me.... I have to confess. It is...

Why do some patients have painful joints, whereas others get headaches? And why do MOST of our parafunctional patients not get any symptoms at all? Why do some peoples teeth wear away, whilst others teeth are riddled in cracks? https://www.youtube.com/watch?v=amdss07uN9s In this episode, I talk about the pros and cons of devoting your career in Dentistry to treating Temporomandibular disorders. Treating 'TMD' can be a complex field because it deals with all the complexities of chronic pain. However, it can be a very rewarding area. I also discussed why the umbrella term...