Protrusive Dental Podcast

Are you still using long-term provisionals just to test OVD? Is an occlusal splint really the best way to assess vertical dimension? Could raising the OVD actually harm your patient? Dr. Lukasz Lassmann joins Jaz and Mahmoud Ibrahim  this AES special episode to challenge conventional thinking around occlusion, vertical dimension, and full mouth rehab. Lukasz shares his unique perspective as a clinician, educator, and researcher, bringing clarity to a topic that often feels murky and divided. They explore real-world questions like managing asymptomatic clicks before ortho, why occlusion alone won't “cure” bruxism, and the number one reason not to raise the vertical without proper understanding. Plus, Lukasz drops an incredible airway assessment tip at the end of the episode! Protrusive Dental Pearl: Use a comprehensive TMD history-taking form to effectively triage patients into urgent (red), moderate (amber), or low-risk (green) categories—this allows you to prioritize care appropriately and build rapport by focusing on examination rather than data collection during the appointment. https://youtu.be/ZhIoUxdMMsg Watch PDP225 on Youtube Download the form: protrusive.co.uk/tmdhistory Download the Patient History Evaluation Form Need to Read it? Check out the Full Episode Transcript below! Takeaways Understanding red flags in TMD patients is essential. Patient history is vital for effective treatment. Phonetics can be unpredictable in dental rehabilitation. Diet and sleep significantly affect TMD management. Gut health is linked to chronic pain conditions. Communication with patients is key to successful outcomes. Bruxism may not be solely caused by occlusion issues. Palpating the lateral pterygoid is often ineffective and painful. Equilibration and centric relation are controversial topics in dentistry. Increasing vertical dimension can exacerbate sleep apnea. Holistic approaches are essential in diagnosing and treating TMD. Not all patients with TMD have malocclusion or attrition. Sleep apnea is increasingly common in younger, slimmer patients. Polygraphy is a useful diagnostic tool for sleep apnea. DISE (drug-induced sleep endoscopy) is a valuable diagnostic procedure. Highlights of this episode: 02:48  Protrusive Dental Pearl 04:37 Lukasz Lassman's Journey and Philosophy 08:11 Debunking Myths About Vertical Dimension 12:10 Patients in the Red Zone 23:15 The Role of Diet and Lifestyle in Facial Pain 31:38 Adapting to New Restorative Methods 34:41 Phonetic Challenges in Dentistry 39:02 The Role of Occlusion in Bruxism 41:18 Palpating Lateral Pterygoid Muscle 43:27 Centric Relation vs. Equilibration Debate 50:07 OVD Red Flag: Airway 01:03:27 Conclusion and Future Events Studies Mentioned:Gut Bless Your Pain—Roles of the Gut Microbiota, Sleep, and Melatonin in Chronic Orofacial Pain and Depression Randomised controlled trial on testing an increased vertical dimension of occlusion prior to restorative treatment of tooth wear

Should You Invest in Chairside Milling or 3D Printing? How do milling and printing compare in durability and cost? Which option provides the best long-term ROI for your workflow? In this deep dive, Dr. Rustom Moopen shares his experience with CEREC, ExoCAD, and in-house fabrication, breaking down the real benefits and limitations of both technologies. From restoration strength to efficiency and investment costs, this episode unpacks what every dentist needs to know before taking the leap into milling, printing, and CAD/CAM workflows. https://youtu.be/fgQnrDfXnqI Watch PDP224 on Youtube Protrusive Dental Pearl: Achieving the same effect (of the ‘Soft Clamp' by Kerr) with a metal clamp without requiring a potentially painful palatal injection - Dr. Jo Cape (Protruserati) suggests using a cotton bud to apply topical anesthetic to the gingiva where the clamp will be placed, leaving it for a minute, improving patient comfort! Key TakeAway: Investing in technology like milling can lead to a measurable ROI. Time management is crucial in dental procedures for efficiency. Milling is a subtractive process, while printing is additive. Mentorship is often more valuable than formal courses. The dental industry is evolving with new technologies. Understanding the nuances of dental procedures can enhance practice. Early adoption of technology can set a practice apart. Milling and printing serve different purposes in dental work. Mock-ups can save time and improve patient satisfaction. Milling offers more reliability than printing for dental applications. The choice between milling and printing depends on personal preference and practice needs. Milled composites have a proven track record of durability. Printed splints may not hold up under heavy use. Investing in milling technology can enhance practice efficiency. Design software plays a crucial role in modern dentistry. Understanding the strengths and weaknesses of each method is essential for success. Investing in dental software can be costly but worthwhile. Learning design software is crucial for modern dentistry. Milling is generally superior to printing for final restorations. Regulatory considerations are important for in-house lab work. Choosing the right milling equipment depends on practice needs. Training and mentorship are essential for mastering dental technology. Highlights of this episode: 03:29 Protrusive Dental Pearl 04:59 Meet Dr. Rustom Moopen: Journey of Learning and Mentorship 09:21 Early Adoption of CAD/CAM Technology 11:54 The Practicalities of Chairside Milling 19:01 Emax Chairside Workflow 23:10 Printing vs. Milling: Understanding the Basics 26:48 Printed Mock-Ups and Workflow Integration 29:43 Comparing Milled and Printed Composites 32:07 The Future of Splints: Milling vs. Printing 35:50 Choices After Scanning a Tooth 37:16 Milling vs. Printing: Pros and Cons 41:11 Design Software and Training 49:28 Practical Applications of 3D Printing 53:42 Investing in Digital Dentistry 55:35 Printed Restorations vs Direct Composite 56:45 Regulatory Concerns 58:31 Investing in Milling Units 01:00:53 Ideal Candidates for Milling 01:03:49 Training and Resources  If you enjoyed this episode, don't miss PDP137 – Q&A with a Dental Technician! #PDPMainEpisodes #BreadandButterDentistry This episode is eligible for 1 CE credit via the quiz on Protrusive Guidance.  This episode meets GDC Outcomes B and C. AGD Subject Code: 130 ELECTIVES (Product/technology training) This episode aimed to provide an in-depth understanding of the fundamentals of 3D printing, milling, and digital dentistry, enabling clinicians to integrate these technologies efficiently into their workflow for improved precision, cost-effectiveness, and patient outcomes. Dentists will be able to - 1. Differentiate between 3D printing and milling,

“Jaz, I don't know which course to take?” “Should I do Aspire Academy, Kois, Chris Orr or Paul Tipton?” (all great courses and legends by the way!) Of course its confusing - there are now more ‘Level 7 Diplomas' than Dentists! There are also lots of biased testimonials - surely they can't ALL be the ‘best course I ever did?', right? So just HOW do you choose the right postgraduate program to elevate your skills?  What mindset helps new grads thrive, especially when they're feeling stuck? This episode shares Lakshmi's decision making as she opted for the RipeGlobal Fellowship. Lakshmi's journey is a perfect example of how the right mindset and a strategic approach to education can transform your dental career. Jaz and Lakshmi discuss her experience of choosing the right course, enrolling in the Ripe Global Restorative Fellowship, and the challenges she faced along the way.   They also talk through the importance of ongoing learning, the impact of mentorship, and how Lakshmi's mindset shift helped her grow as a dentist. Whether you're a new grad or seasoned dentist looking to upskill, Lakshmi's story will inspire you to take control of your career growth and make the most of every opportunity. https://youtu.be/waC_kQJhcio Watch IC059 on Youtube Book a free video consultation with the RipeGlobal Team to see if this course is right for you: protrusive.co.uk/RGdiscount This is an affiliate link that gets you 20% OFF if you enrol - but you first need to discover if it's the right course for you (it involves treating a manikin in your own clinic!) Key Takeaways: Hands-on experience is crucial for building confidence in clinical skills. Finding the right practice is important for professional growth. Investing in continuing education is vital for skill enhancement. Mentorship plays a vital role in navigating early career challenges. A supportive team can significantly impact a dentist's experience. Understanding one's learning style is key to effective training. Practical learning enhances engagement and application in real scenarios. Balancing time commitments is essential for managing a demanding course load. Choosing a course that aligns with one's career goals is vital for success. Maintaining a passion for one's work contributes to success. It's important to reflect on personal growth and set achievable goals. The journey in dentistry is not linear; expect ups and downs. Highlights for this episode: 02:29 Lakshmi's Journey and Dental School Experience 06:45 First Year as a Dentist 12:01 Finding the Right Practice 19:49 Considering Advanced Courses 25:36 Choosing RIPE Global Fellowship 29:21 Lakshmi's Hands-On Experience with Ripe Global 37:40 Challenges and Growth in the Fellowship 42:37 Balancing Life and Professional Growth 52:57 Mentorship and Personal Development 54:41  Future Aspirations and Final Reflections This is a non-clinical episode without CPD. For CPD or CE credits, visit the Protrusive Guidance app—hundreds of hours and mini-courses await! Stay up-to-date with Dr. Lakshmi's valuable content and expert advice! Follow her on Instagram! If you loved this episode, be sure to check out another epic episode - Non-Clinical Growth for the Busy Dentist (Your Health, Relationships, and Business) – IC023 #InterferenceCast #CareerDevelopment #BreadandButterDentistry

Which imaging techniques should you prioritize for TMD patients? Does a panoramic radiograph hold any value?  When should you consider taking a CBCT of the joints instead? How about an MRI scan for the TMJ? Dr. Dania Tamimi joins Jaz for the first AES 2026 Takeover episode, diving deep into the complexities of TMD diagnosis and TMJ Imaging. They break down the key imaging techniques, how to use them effectively, and the importance of accurate reports in patient care. They also discuss key strategies for making sense of MRIs and CBCTs, highlighting how the quality of reports can significantly impact patient care and diagnosis. Understanding these concepts early can make all the difference in effectively managing TMD cases. https://youtu.be/NBCdqhs5oNY Watch PDP223 on Youtube Protrusive Dental Pearl: Don't lose touch with the magic of in-person learning — balance online education with attending live conferences to connect with peers, meet mentors, and experience the true essence of dentistry! Join us in Chicago AES 2026 where Jaz and Mahmoud will also be speaking among superstars such as Jeff Rouse and Lukasz Lassmann! Need to Read it? Check out the Full Episode Transcript below! Key Takeaways: Imaging should follow clinical diagnosis → not replace it. Every imaging modality answers different questions; choose wisely. TMJ disorders affect more than the jaw → they influence face, airway, growth, posture. Think beyond replacing teeth → treatment should serve function, not just fill space. Avoid “satisfaction of search error” → finding one problem shouldn't stop broader evaluation. Highlights of this episode: 02:52  Protrusive Dental Pearl 06:01 Meet Dr. Dania Tamimi 09:04 Understanding TMJ Imaging 16:00 TMJ Soft Tissue Anatomy  21:04 The Miracle Joint: TMJ Self-Repair 24:26 The Role of Imaging in TMJ Diagnosis 28:15 Acquiring Panoramic Images 39:35 Guidelines for Using Different Imaging Techniques 41:26 Case Study: Misdiagnosis and Its Consequences 45:46 Balancing Clinical Diagnosis and Imaging 50:17 Role of Imaging in Orthodontics 53:18 The Importance of Accurate MRI Reporting 58:27 Final Thoughts on Imaging and Diagnosis 01:00:54 Upcoming Events and Learning Opportunities

Why do some patients struggle with anesthesia, requiring multiple cartridges just to get numb? Could your TMD patients have an underlying systemic condition that's been missed? Are you overlooking the signs of a connective tissue disorder? https://youtu.be/gaoJKPTV_Z0 Watch PDP222 on Youtube ”When you can't connect the issue, think connective tissue!” Dr. Audrey Kershaw joins Jaz for a fascinating deep dive into the world of connective tissue disorders and their hidden impact on dentistry. Together, they explore how hypermobility, unexplained joint issues, and even a history of spontaneous injuries could be key indicators of an underlying disorder. They also break down why dentists play a crucial role in screening and identifying these conditions, ensuring better patient outcomes and a more holistic approach to care. Because sometimes, when things don't seem connected… they actually are. Protrusive Dental Pearl: Don't just take a "relevant" medical history—take a comprehensive one! Encourage patients to share all health issues, even those they don't think relate to dentistry. You might uncover important clues about conditions like connective tissue disorders or sleep-disordered breathing, leading to better care and stronger patient trust. Key Take-aways Ehlers-Danlos Syndrome is often misunderstood and underdiagnosed. Patients with connective tissue disorders often face skepticism from healthcare providers. POTS is a common condition associated with EDS that affects blood pressure regulation. Many TMD patients may have undiagnosed connective tissue disorders. Awareness and education about EDS are crucial for better patient outcomes. The healthcare system can be challenging for patients seeking diagnoses. Research on local anesthetic effectiveness in EDS patients is lacking. Personal experiences can help in understanding and diagnosing connective tissue disorders. Collaboration between healthcare professionals is essential for patient care. Genetic testing is crucial for diagnosing rare types of Ehlers-Danlos. Dental professionals should be aware of the signs of connective tissue disorders. Diagnosis can empower patients to understand their health better. Holistic care is vital in managing symptoms associated with EDS and TMD. Medical histories should be seen as relevant in dental practice. Highlights of this episode: 02:17 Protrusive Dental Pearl 04:21  Dr. Audrey Kershaw's Journey and Insights 09:45 Personal Experiences and Professional Observations 11:55 Diagnosis and Management of Connective Tissue Disorders 13:31 POTS (Postural Orthostatic Tachycardia Syndrome) 15:30 Understanding Ehlers-Danlos Syndrome (EDS) 24:55 Hypermobile EDS and the Need for Awareness 27:53 International Consortium of EDS GP Checklist 28:34 Genetic Testing and Red Flags 31:44 The Role of Dentists in Identifying EDS 40:32 Journey to Diagnosis 43:47 The Value of a Diagnosis 48:43 Dental Implications of EDS 55:00 Final Thoughts and Resources "If you know one case of EDS, you only know one. Every case is different. Many are severely debilitated, unable to work or carry out daily tasks, often denying their struggles after years of being dismissed." - Dr. Audrey Kershaw Promised Resources Podcast Recommendation: Linda Blustein's Podcast (about POTS and connective tissue disorders) Specialists & Research: Dr. Alan Hakim – A specialist in Ehlers-Danlos Syndrome (EDS) research based in London. Norris Lab (U.S.) – Researching genetic markers for hEDS Local Anesthesia Information Resources for Screening & Diagnosis:  Diagnostic Criteria for Hypermobile Ehlers-Danlos SyndromeDownload 5-part-questionnaire-for-hypermobilityDownload Symptomatic Joint-Hypermobility GuideDownload Red Flag PatientsDownload Educational Conferences & Talks: Scottish Dental Show – Audrey is involved in raising awaren...

Can composite really outperform ceramic in the right case? Do you know when to choose an inlay over an onlay? What makes occlusal veneers so effective — even at just 0.6 mm thickness? After years of anticipation, Dr. Pascal Magne finally joins Jaz Gulati on the podcast for an episode packed with adhesive dentistry gold. They dive deep into occlusal veneers, material selection, and why indirect composite may be the best-kept secret for worn, root-filled molars. They also unpack the full bonding protocol step-by-step—from air abrasion and IDS to silane application and cementation with preheated composite. Whether you're doing full rehabs or composite repairs, this episode is your go-to guide for smarter biomimetic dentistry. https://youtu.be/WTsF1mD-nTo Watch PDP221 on Youtube Protrusive Dental Pearl: After applying silane, don't just let it evaporate—let it react for 30 seconds, then air dry, and crucially, use a heat source (like a hairdryer) for 60 seconds to activate it properly and achieve optimal bond strength. This enhances the effectiveness of silane and significantly improves the bond strength of indirect restorations like composite or lithium disilicate. Key Takeaways: Occlusal veneers can be as thin as 0.6 mm. Indirect composite is often a superior choice for restorations. Proper bonding protocols are crucial for successful restorations. Focusing on strengths rather than weaknesses is key in dentistry. Conservative approaches in dentistry can preserve tooth structure. The vital tooth is always preferable to a non-vital tooth. Composite resin has wear properties similar to enamel. Occlusal veneers provide excellent protection for compromised teeth. Porcelain veneers have long-term durability compared to composites. The evolution of composite materials has led to better options for restorations. Zirconia is strong but difficult to adjust and bond effectively. Immediate dentin sealing is crucial for successful bonding and patient comfort. The Dahl principle allows for minimal preparation in certain cases. Composites can be as effective as ceramics when used correctly. Understanding the properties of materials is essential for successful restorations. Thin occlusal veneers can be successfully bonded with proper techniques. Highlights of this episode: 0:00 Introduction 02:52 Protrusive Dental Pearl 04:42 Dr. Pascal Magne on His Current Focus 10:16 Understanding Cusp Coverage and Material Choices 15:48 Conservative Approaches in Dentistry 23:16 Unsupported Enamel: Can it Still be Reinforced? 28:05 Occlusal Veneers Indications 37:00 Material Selection: Composite vs Ceramic 01:24:42 Outro Referenced Studies - all below are available to download on Protrusive Vault in Protrusive Guidance Effect of immediate dentine sealing on the aging and fracture strength of lithium disilicate inlays and overlays  Short-fiber Reinforced MOD Restorations of Molars with Severely Undermined Cusps  Ultrathin CAD-CAM glass ceramic and composite resin occlusal veneers for the treatment of severe dental erosion  Strains in the marginal ridge during occlusal loading  Antagonist Enamel Wears More Than Ceramic Inlays  Outcomes of resin-bonded attachments for removable dental prostheses Performance of ceramic laminate veneers with immediate dentine sealing  Keep the learning going with Magne Education If you enjoyed this episode, don't miss A Geeky Discussion on Adhesive Onlays – that's PDP161! This episode is eligible for 1.25 CE credit via the quiz on Protrusive Guidance.  This episode meets GDC Outcomes B and C. AGD Subject Code: 250 OPERATIVE (RESTORATIVE)DENTISTRY (Indirect restorations) Aim: To provide clinicians with evidence-based guidance on occlusal veneer indications, material selection, and conservative restorative protocols—emphasizing the role of adhesive techniques and biomimetic prin...

What is the number 1 communication advice for Dentists? Are you confident in discussing treatment fees with your patients? Do you struggle with communicating your worth without feeling awkward? How do you shift your mindset to charge what you're truly worth without feeling guilty (a money mindset issue)? https://youtu.be/vapDrnVqHRw In this enlightening conversation, Jaz opens up about his own struggles with money mindset and how he overcame them to confidently charge for his dental services. Joined by dental student Naveed Bhatti, they explore the challenges of pricing treatments, offering empathetic solutions to patients, and using the power of visualization to boost confidence in fee discussions. They also dive into the importance of being transparent with fees, managing discounts, and recognizing your true value as a dental professional. Whether you're new to the field or have years of experience, these strategies will help you navigate the financial side of dentistry with ease and confidence. Key Takeaways Communication is crucial in dentistry, often more than clinical skills. Active listening is essential; avoid interrupting patients. Nervous patients may talk excessively; guide the conversation gently. Patients may withhold information due to fear or anxiety. It's important to make treatment recommendations based on patient needs. Asking open-ended questions can help gather more information. Experience builds confidence in patient interactions. Being authentic while adapting to patients is key. Patients can sense when a dentist is confident or insincere. Building rapport leads to better patient relationships. Kindness is essential in patient interactions. Patients often reflect the values of their dentists. Effective communication can bridge the gap between jargon and patient understanding. Long-term relationships with patients enhance trust and satisfaction. Discussing fees requires confidence and transparency. Visualization techniques can improve communication skills. Empathy is important, but it should not compromise business integrity. Highlights of this episode: 01:46 Introducing Naveed Bhatti and His Journey 02:53 The Importance of Communication in Dentistry (Do's and Don'ts) 08:13 Handling Nervous and Quiet Patients 10:51 Dealing with Patients Who Don't Tell the Whole Truth 14:35 Making Treatment Recommendations 17:56 Asking the Right Questions 21:36 Balancing Professionalism and Personal Connection 25:49 Handling Difficult Patients  31:38 Effective Communication with Patients 35:05 Discussing Treatment Fees with Confidence 40:25 The Power of Visualization in Dentistry 48:56 Concluding Thoughts and Future Plans Support Nav's YouTube channel, The StuDent If you enjoyed this episode, don't miss out on Think Comprehensive – Communication Gems with Zak Kara – PDP010! This episode is eligible for 1 CE credit via the quiz on Protrusive Guidance.  This episode meets GDC Outcome B. AGD Subject Code: 550 PRACTICE MANAGEMENT AND HUMAN RELATIONS Aim: To enhance dental professionals' communication skills by exploring effective strategies for patient interaction, treatment planning, and fee discussions—ultimately building trust, improving patient outcomes, and boosting confidence in everyday clinical practice. Dentists will be able to - 1. Recognize the importance of active listening and body language in patient communication. 2. Explain treatment options using patient-centered language and analogies that promote understanding and buy-in. 3. Discuss treatment fees with clarity and conviction, addressing money mindset barriers and building perceived value.

Are ergonomic loupes and fancy chairs really worth the investment? Is back pain an inevitable part of being a dentist—or can it be prevented? Are you setting yourself up for a long, pain-free career in dentistry? What's the number one thing you should be doing right now to protect your body for the long haul? Dr. Sam Cope is back, and he's not just any dentist—he started as a physiotherapist before training in dentistry. That means when it comes to musculoskeletal health, posture, and career longevity, Sam knows his stuff. In this episode, Jaz and Sam revisit the crucial topic of back pain in dentistry and dive even deeper into what actually works to keep you practicing pain-free. So, if you clicked on this because you're worried about back pain, take this as your sign—your future self will thank you. https://youtu.be/lUC45aLXZKk Watch PDP220 on Youtube Protrusive Dental Pearl:  Motion is lotion. Staying active prevents back pain and keeps your career strong. If you're not making time for exercise, it's time to rethink your habits. Knowing isn't enough—action is what matters. Prioritize your health now. Key Take-Away: Posture and back pain have no direct correlation. Apprenticeships provide invaluable experience and learning opportunities. Investing time in learning and shadowing can accelerate career growth. Ergonomic tools can enhance comfort but should be tailored to individual needs. Mental health is crucial for dentists, and seeking help is a sign of strength. The human body can adapt to various postures with training. Choosing a specialization should align with personal interests and strengths. Preventative measures in ergonomics can improve career longevity. Continuous learning and adaptation are essential in the dental field. Choosing the right dental chair is crucial for comfort. Preventative strategies for back pain include regular exercise. Need to Read it? Check out the Full Episode Transcript below! Highlights of this episode: 02:05  Protrusive Dental Pearl 04:26 Sam's Journey from Physio to Dentist 10:33 The Value of Apprenticeships and Mentorship 16:24 Niching in Dentistry 22:30 Ergonomics in Dentistry: Loupes and Chairs 27:03 Choosing the Right Chair for Your Comfort 29:54 Top Tips for Dentists to Prevent Back Pain  This episode is eligible for 1 CE credit via the quiz below.  This episode meets GDC Outcomes A and C. AGD Subject Code: 130 ELECTIVES (149 Multi-disciplinary topics) Aim: To highlight the importance of ergonomics and physical well-being in dentistry. To share strategies for preventing occupational strain and burnout. Dentists will be able to - 1. Assess the role of ergonomic loupes, chairs, and posture in reducing strain and improving long-term musculoskeletal health. 2. Understand the significance of muscle conditioning over posture correction. 3. Incorporate exercise routines to manage physical strain during long procedures. If you enjoyed this episode, you won't want to miss Got Your Back – Physios and Dentists – PDP025! #PDPMainEpisodes #BeyondDentistry #CareerDevelopment Click below for full episode transcript: Jaz's Introduction: Over 270 episodes ago, I had on Dr. Sam Cope when he was a a baby dentist, and he's unique because he's a physio who trained to then become a dentist. Back then, we discussed about back pain and dentistry and how to prevent it, and we talk a bit more about those themes today. Are ergo loops worth it? Jaz's Introduction:Are those posh Bambach kind of chairs. Are they worth it? What's the number one advice to have a career with longevity and good health from a back pain perspective and as a physio come dentist, what does Sam do? What are the things that he practices? Because he's a bit like when Christiano Ronaldo rejoined Manchester United. He was like a, he was a big deal, right? He is the goat. He's the greatest of all time.

Are “contact lens veneers” just fake news? Why is the traditional 0.7mm prep approach outdated? Are you truly preserving enamel in your veneer preparations? Should you ever bond veneers to root dentin or cementum after crown lengthening? Why is the Galip Gürel technique the gold standard for minimal prep veneers? https://youtu.be/5BEFD1XaZtE Watch PDP219 on Youtube Dr. David Bloom joins Jaz for an insightful episode, sharing his 36 years of experience in cosmetic and restorative dentistry. With over two decades in the same practice, he's seen what works—and what leads to failure—when it comes to veneers. We also cover the key steps in mock-ups, planning, and veneer preparation. Protrusive Dental Pearl:  Always Wax Up for 10: When planning veneers, start with a 10-unit wax-up (even if the patient initially wants 4 or 6). This allows them to visualize their full smile with a mock-up, compare different options, and make an informed decision. It's not about upselling - most patients will appreciate the fuller look. Key Take-aways: Health and diagnosis are foundational in cosmetic dentistry. Visual try-ins are crucial for patient engagement and satisfaction. Minimally invasive techniques are preferred for cosmetic procedures. Communication with patients about their options is essential. Bonding to enamel is more reliable than bonding to dentin. Permission statements help in guiding patient expectations. The transition from veneers to crowns should be carefully considered. Staining is not the primary concern when bonding to dentin. A change in surface texture is key in modern dental preparations. Visual aids are crucial in helping patients understand their treatment options. The Gurel technique emphasizes minimal preparation for veneers. Effective communication with patients can enhance their treatment experience. Understanding occlusion is fundamental in aesthetic dentistry. Veneer thickness should be as minimal as possible for aesthetic results. Patient involvement in the design process is essential. Cementation techniques can vary based on gingival health. Maintaining a facial path of insertion is important for aesthetic outcomes. Building a good relationship with lab technicians is key to successful restorations. Need to Read it? Check out the Full Episode Transcript below! Highlights of this episode: 02:56  Protrusive Dental Pearl 04:15 Interview with Dr. David Bloom: Journey and Expertise 11:54 The Importance of Enamel in Veneer Longevity 13:46 Prepless Cases and Visual Try-Ins 18:54  Permission Statement 22:24 Visual Try-Ins Protocol 25:13 Decision-Making: Veneers vs. Crowns 28:35 Bonding to Root Dentine and Long-Term Outcomes 33:34 Opening Embrasures: Techniques and Tips 35:19 Visual Try-Ins and Patient Communication 38:50 Wax-up in Occlusion 41:25 The Gurel Technique Explained 47:09 Black Triangles  49:40 Guidelines for First Veneer Case 54:10 Contact Lens Veneers 56:18 Cementation Preferences and Techniques 01:00:15 Final Thoughts and Educational Resources Need expert guidance on veneers and smile design? Join Intaglio Mentoring and connect with top mentors for real-time case support and level up your Dentistry. Dr David Bloom is also a mentor on Intaglio. Watch this space for David's new educational website coming soon - he teaches Veneers hands-on too. If you loved this episode, make sure to watch How to Temporise Veneers Step by Step FULL GUIDE – PDP214 This episode is eligible for 1 CE credit via the quiz on Protrusive Guidance.  This episode meets GDC Outcomes B and C. AGD Subject Code: 780 ESTHETICS/COSMETICDENTISTRY (Tooth colored restorations) #PDPMainEpisodes #AdhesiveDentistry Aim: To provide an in-depth understanding of minimal preparation veneers, focusing on enamel preservation, diagnostic workflows, patient communication,

CORE CPD ALERT!

Is Work-Life Balance a Myth? How do you find the right balance between your professional responsibilities and personal life? Can you truly have it all…without sacrificing your health or family time? https://youtu.be/wkAv3noFXNk Watch PS014 on Youtube In this episode, Jaz and Emma Hutchison, ‘the Protrusive Student', dive into the real challenges of balancing parenthood, clinical dentistry, and LIFE! Jaz shares his strategies for managing these demands, revealing that while perfect balance might not exist, navigating life's seasons with intention can make all the difference. If you've ever struggled with finding your own balance, this episode is packed with key takeaways for dentists at every stage of their careers. Highlights of this episode: 03:34 Emma's New Year Reflections and Study Habits 12:20 Balancing Family, Work, and Personal Time 19:50 The Importance of Planning and Support Systems 23:16 Recognizing Opportunities and Setting Boundaries 28:15 Understanding Circle of Concern and Influence 30:24 Eat That Frog: Tackling Difficult Tasks First 31:02 Burnout in Dentistry: Real Experiences 39:51 The Importance of Mentorship 41:07 Just in Time Learning 44:03 Decision Making and Confidence 49:15 Effective Time Management Strategies 51:16 Final Thoughts and Takeaways Key Takeaways: Preparation and good mental health are crucial for success during exam periods. Internalizing knowledge helps in better understanding and retention. Finding time for hobbies and self-care is essential for well-being. Planning and prioritizing tasks can lead to more effective study habits. Support systems play a vital role in managing stress. You can achieve a lot by focusing on your big priorities. Eat That Frog: tackle difficult tasks first. Burnout is a real risk for dentists. Finding a mentor is extremely beneficial for career growth. Just-in-time learning is more effective than just-in-case learning. This episode is not eligible for CPD/CE points, but never fear, there are hundreds of hours of CPD waiting for you on the Ultimate Education Plan, including Premium clinical workthroughs and Masterclasses. If you enjoyed this episode, be sure to watch Stress in Dentistry 2024 – Life Changing Decisions – IC048

When Your Size 10 File is not going to length, what is happening? Your apex locator isn't giving you a zero reading. Your file is stuck. You're wondering—have you ledged? Or could something else be at play? In this must-listen follow-up episode, Dr. Samuel Johnson returns to tackle the biggest endodontic dilemmas left unanswered from part one. If you haven't checked that out yet, go back and listen—it's packed with insights on working lengths, apex locators, and even the role of consent in endodontics. https://youtu.be/1E6pK2iOPjY Watch PDP217 on Youtube Now, in part two, we go deeper. We're talking blockages, ledges, portals of exit, and the mysterious phenomenon of file gripping. Plus, Dr. Johnson takes on your burning questions from the Protrusive community—like how he responds to biological dentists claiming root canals should be avoided entirely. (Yep, we're addressing that controversy head-on!) Protrusive Dental Pearl: For a more visual learning experience, dive into the Pre-Endo Build-Up on Protrusive Guidance and see Jaz and Samuel's insights in action. Sonic Pro Ultrasonic Bath - 15% OFF before 30th April with coupon code ‘protrusive' Improve your Bond Strengths - purchase while stocks last: Sonic Pro Discount Key Takeaway: General dentists often overlook the importance of taper. Removing too much dentin can weaken the tooth. GP cones can be unstable and affect the procedure. Reshaping GP cones can often resolve length issues. Pre-bending GP cones can help navigate tight curves. Biological dentists have controversial views on root canals. It's essential to prioritize the patient's best interest. Using endo frost can aid in manipulating GP cones. Consent should be informed and comprehensive. Communication between referring dentists and specialists is vital. Continuous learning is essential for dental professionals. Ultrasonic activation improves endodontic outcomes. Pulpotomy and root canal treatments have distinct indications. Building a supportive community can alleviate feelings of isolation in dentistry. Dentists should charge for their time and expertise. Highlight of this Episode: 01:03 Protrusive Dental Pearl 01:49 Common Scenarios and Tips for Young Dentists 05:30 File Gripping and Canal Anatomy 08:30 Master Apical File: The Common Dilemma 11:18 GP Cone Issues and Solutions 17:03 Addressing Root Canal Myths  23:35 Cracks in Teeth: Prognosis and Treatment 25:44 Ninja Access Cavities: Pros and Cons 28:21 Common Mistakes in Emergency Endodontic Treatments 33:51 Obturation: Overextended vs Short 34:41 UltraSonic vs Sonic Irrigants 36:15 Pulpotomy and General Dentistry 39:25 Building a Dental Community As promised, here are the ESE Guidelines on managing cracked teeth. Watch and learn from Dr. Samuel Johnson on Instagram and YouTube! Don't miss the first part of this series: PDP216 – Working Lengths and Troubleshooting Apex Locators #PDPMainEpisodes #EndoRestorative #BreadandButterDentistry This episode is eligible for 0.75 CE credit via the quiz on Protrusive Guidance.  This episode meets GDC Outcomes B and C. AGD Subject Code: 070 ENDODONTICS (Emerging concepts, techniques, therapies and technology) This episode aimed to provide deeper insights into troubleshooting endodontic challenges, particularly when files fail to reach working length. It explores common pitfalls, advanced techniques, and expert strategies to improve clinical outcomes in root canal treatments. Dentists will be able to - 1. Recognize common endodontic challenges and strategies to navigate them effectively. 2. Evaluate the role of master apical files and resolve common dilemmas in achieving optimal shaping. 3. Identify frequent errors in urgent cases and improve treatment approaches.

‘Mentorship is more important than courses' - said lots of wise Dentists, and I think they're right! Do you have a mentor guiding you in your dental career? How do you know if you're making the right clinical decisions? https://youtu.be/5N0kj2YuFtA Watch IC058 on Youtube In this episode, Jaz is joined by Damian Panchal and Shivani Sadani to discuss the power of mentorship in dentistry. They explore why having a mentor can accelerate your growth, boost your confidence, and help you navigate complex cases with ease. They also introduce Intaglio, a brand-new platform designed to connect dentists with experienced mentors—so you can get real-time guidance, solve cases faster, and elevate your practice like never before. Listen in to learn why mentorship might be the best investment you make in your career. Key Takeaways: Mentorship is essential for professional growth in dentistry. Post-course support is increasingly important for new dentists. Real-world experience is crucial for applying theoretical knowledge. Investing in mentorship can lead to long-term benefits in practice. Effective mentorship can significantly improve clinical confidence and skills.  Mentorship is accessible and affordable for all levels. The value of mentorship lies in its application of knowledge. Mentors can help navigate career challenges beyond clinical skills. Relatable mentors can provide the best guidance. Learning from others' mistakes can save time and effort. Highlights of this episode: 00:00 Introduction 00:48 Introducing Intaglio: A New Mentorship Platform 01:45 Damian Panchala and Shivani Sedani - Personal Journeys 04:46 Mentorship Crisis in Dentistry 11:51 The Role of Social Media and Forums in Mentorship 17:41 The Value of Paid Mentorship 21:03 Exploring the Intaglio Platform 23:44 The Role of Mentors Beyond Clinical Help 31:05 Intaglio's Vision and Future Plans This episode is not eligible for CPD/CE points, but never fear, there are hundreds of hours of CPD waiting for you on the Ultimate Education Plan, including Premium clinical workthroughs and Masterclasses.

What makes apex locators reliable—or completely misleading? How do you determine the true working length of a root canal? Why is relying solely on radiographs for endo success a risky move? Dr. Samuel Johnson joins Jaz for a game-changing episode that will make you rethink everything you know about endodontics. In this first part of a two-part special, they dive into the nuances of apex locators, the difference between the radiographic apex and apical constriction, and why our radiographs might be lying to us. They also explore the power of glide path files, how to improve your endodontics workflow, and an incredible way to consent patients—something that extends beyond just root canals. Because mastering endodontics isn't just about technique—it's about communication, precision, and making the right calls for long-term success. Stay tuned for Part 2, where we go even deeper into endo essentials! https://youtu.be/M2z8Dl_g4XY Watch PDP216 on Youtube Protrusive Dental Pearl:  Buy a small whiteboard and marker for patient communication. Draw details, highlight the treatment plans, and list pros, cons, and fees. This builds trust, improves consent, and makes treatment clearer. Snap a photo and upload it to the patient's records. https://amzn.to/3DzUJfn Key Takeaway: Understanding the difference between radiographic and anatomical apex is crucial. Apex locators are essential tools for accurate working length measurements. The anatomy of the root canal system is complex and requires careful navigation. A well-informed patient is more likely to have realistic expectations about treatment. Glide path files can significantly reduce treatment time. Avoid forcing files into hard stops to prevent damage. Complicated anatomy can lead to unexpected challenges during treatment. Taking radiographs can help clarify uncertain situations. Highlights of this Episode: 01:40 Protrusive Dental Pearl: Patient Communication 02:39 Welcoming Dr. Samuel Johnson 04:36 Samuel's Passion for Endodontics 07:07 Reliability of Radiographic Measurements vs. Apex Locators 11:15 Canal Anatomy 14:30 Overextension vs Overfilling 16:23 Combining Apex Locators and Radiographs 20:52 Apex Locators and Hypochlorite: The Perfect Combination? 24:00 Efficiency in NHS Dentistry 26:10 Transitioning from NHS to Private Practice 27:42 Understanding Radiographic vs Anatomical Apex 29:26 The Importance of Consent in Endodontics 33:07 Mastering Apex Locators: Tips and Tricks 37:07 The Role of Glide Path Files in Endodontics 39:19 Troubleshooting Endodontic Challenges Watch and learn from Dr. Samuel Johnson on Instagram and YouTube! If you loved this episode, be sure to watch Elective Endodontics? It's all about Communication – PDP202 #PDPMainEpisodes #EndoRestorative #BreadandButterDentistry This episode is eligible for 0.75 CE credit via the quiz on Protrusive Guidance.  This episode meets GDC Outcomes B and C. AGD Subject Code: 070 ENDODONTICS (Emerging concepts, techniques, therapies and technology) This episode aimed to enhance clinicians' understanding of endodontic diagnostics and workflow, focusing on apex locators, working length determination, and effective patient communication. By refining these skills, practitioners can improve treatment accuracy, efficiency, and patient outcomes. Dentists will be able to - 1. Differentiate between the radiographic apex and the apical constriction and understand why radiographs alone can be misleading. 2. Evaluate the reliability of apex locators and recognize factors that affect their accuracy. 3. Apply the use of glide path files to improve efficiency and reduce treatment time in root canal procedures. Want More Clinical Gems? Join the Protrusive Guidance App to get access to masterclasses, premium videos, and exclusive Q&As with experts. Head over to protrusive.co.

Are you confident in managing patients on bisphosphonates or biologics? Which medications increase the risk of medication-related osteonecrosis of the jaw (MRONJ)? How do you decide when to extract a tooth and when to refer to a specialist? In this episode, Jaz is joined by oral surgery consultant Dr. Pippa Cullingham to explore the complexities of MRONJ. They break down the key risk factors, share expert advice on when to proceed with extractions, and discuss the latest guidelines for managing patients at risk. They also discuss the importance of early assessment - by identifying at-risk teeth early, you can help prevent serious complications and ensure the best outcome for your patients. https://youtu.be/KnQoI8Z-FhM Watch PDP215 on Youtube Protrusive Dental Pearl: it is so important to assess patients before they start taking high-risk medications like bisphosphonates or biologics, using radiographs to identify potential issues. Extractions should ideally be done before medication starts to avoid complications, as MRONJ risk increases once treatment begins. Key Takeaways: Medication-related osteonecrosis of the jaw concerns medications other than bisphosphonates. Risk assessment is crucial when considering dental extractions for patients on certain medications. Guidelines from the Scottish Dental Clinical Effectiveness Partnership are valuable resources for dentists. Higher-risk patients require careful management and communication with their medical teams. Denosumab has a different risk profile compared to bisphosphonates. Patients on long-term bisphosphonates may still have risks even after stopping the medication. Dentists should feel empowered to manage certain extractions in primary care with proper guidance. The decision to extract a tooth should weigh the risks and benefits for the patient. Always assess the patient's risk before extraction. Eight weeks is a critical time for assessing healing. Antibiotics are not recommended for preventing MRONJ in the UK. Radiotherapy history significantly impacts extraction risk. Referral to specialists may be necessary for high-risk patients. Highlights of this episode: 02:15 Protrusive Dental Pearl 03:52  Interview with Dr. Pippa Cullingham: Insights and Experiences 06:40 Medications and Their Risks 10:02 MRONJ: Incidence and Prevalence 13:13 Biologics and other medications 14:19 Guidelines and Best Practices 17:22 Managing High-Risk Patients 25:03 Prophylactic Antibiotics  26:55 Risk Assessment 28:47 Radiotherapy & ORN Risk 31:49 Tips and Key Takeaways 33:32 New Medications & Prevention Strategies For the best approach to managing MRONJ, check the SDCEP Guidelines and the American White Paper. This episode is eligible for 0.5 CE credits via the quiz on Protrusive Guidance.  This episode meets GDC Outcomes B and C. AGD Subject Code: 730 ORAL MEDICINE, ORAL DIAGNOSIS, ORAL PATHOLOGY (Diagnosis, management and treatment of oral pathologies) Dentists will be able to - 1. Be aware of the medications that increase the risk of MRONJ. 2. Learn how to assess the risk of MRONJ in patients, particularly before starting high-risk medications. 3. Understand when to proceed with extractions and when to refer patients to specialists for management. If you liked this episode, check out PDP206 - White Patches

Not quite happy or set with being a GDP? Have you just started as a GDP and want to streamline your learnings for a brighter future? Is an MSc the right plan of action for you? How important are mentors in all of this? In this episode we discuss Dr Kiran Shakla's journey from University to Australia to working as a Dentist at a Specialist Practice. She shares with us her top tips on how Dentists can make the most of their weekly schedules and reduce stress while dealing with different cases. https://youtu.be/IiecXSpsJmc Watch IC057 on Youtube Key Takeaways: Hard work and determination are key to success in dentistry. Work-life balance is crucial for long-term satisfaction in dentistry. The first ten years post-graduation are vital for career development. General dentistry can be fulfilling without the need for specialization. It's important to recognize when to refer patients to specialists. Kiran emphasizes the value of personal growth and continuous learning.. Finding joy in everyday practice is essential for a sustainable career. Australia taught me valuable skills in private practice. Private dentistry focuses more on patient care than money. Communication is crucial for patient satisfaction. Finding mentorship can be challenging but essential. Shadowing experienced professionals enhances learning. Balancing work and education requires sacrifices. Highlight of this episode: 02:34 Introduction to Dr Kiran Shankla 06:18 Correlation between Uni and the Real World 07:29 Selling a Dream 10:13 Going Hard Early 12:43 Taking Work Home 14:55 General Dentistry 20:48 Kiran's Journey  24:23 What did the experience teach Kiran? 31:33 Mentoring 34:38 Work Schedule 37:38 Bone to pick with Master's 43:33 Orthodontic Position 48:53 Working with Nurses 54:33 Networking 56:33 Wrapping Up Connect with Dr. Kiran on Instagram! This is a non-clinical episode without CPD. For CPD or CE credits, visit the Protrusive Guidance app—hundreds of hours and mini-courses await! If you liked this episode, check out: Stress in Dentistry 2024 – Life Changing Decisions – IC048

How do we decide whether speciality training is right for us? Is the best time to specialise straight after Dental School? Or should we gain some experience in practice first? Dr Beant Thandi joins us today to share his journey into specialising and shares some key experiences that will surely help guide you along the way. We discuss the different specialities within Dentistry as well as what personality types may suit them. This episode will really help you understand what it takes to specialise and how to get there. https://youtu.be/f8ZM8EkjSQY Watch IC056 on Youtube Key Takeaways:- Beant is starting his specialization in periodontics.- His journey began during COVID, leading to a desire to specialize.- Proactive learning and mentorship played a crucial role in hisdevelopment.- Financial planning is essential when considering specialization.- Choosing a specialty should align with personal interests and strengths.- Periodontics offers a breadth of practice that appeals to Beant.- The importance of community support in dental education cannot be overstated.- Reflection and documentation of cases can enhance learning and confidence.- Understanding the financial implications of specialization is vital.- It's important to stay grounded and not rush into specialization.  Highlights of this Episode:00:00 Teaser02:38 Intro to Dr Beant Thandi04:03 Dental Journey06:10 What Influenced You?12:56 Too Young to Specialise17:50 Judgement by Jaz21:00 Never too Young26:05 Cost of Specialising28:23 Why not the USA?31:30 Roasting Prostho34:45 Roasting Endo37:42 Roasting Ortho39:49 Roasting Oral Surgery45:00 Shoutout to Lucy45:30 Final Thoughts47:28 End Outro If you liked this episode, check out a classic: Should You Specialise? PDP006 This episode is not eligible for CPD/CE points, but never fear, there are hundreds of hours of CPD waiting for you on the Ultimate Education Plan, including Premium clinical workthroughs and Masterclasses.

Two weeks ago I suffered a spontaneous pneumothorax and it shook me. This episode came at the PERFECT time as such health scares remind us that our health and wellbeing are the highest form of Wealth. Should Dentists have a therapist to manage stress and anxiety? Did you know that a BDA survey found 1 in 5 practitioners have seriously considered taking their own lives? Is it the intense work environment, the pressure from patients, the fear of litigation, or the added burden of business ownership? More importantly, how can we address this issue and support dental professionals? Dr. Simon Chard, a cosmetic and implant dentist and co-founder/CEO of Parla (as seen on Dragon's Den!), joins Jaz to discuss the often-overlooked realities of the dental profession.  https://youtu.be/rH7PtjFTOpk Watch IC055 on Youtube Here are the two books Jaz recommended during the intro: The 5 Types of Wealth by Sahil Bloom Hold on to your Kids by Gabor Mate Check out The Dental Growth Retreat by Dr Simon Chard Key Takeaways: Simon emphasizes the importance of balancing personal and professional life. Mental health issues in dentistry are alarmingly high, with many professionals considering leaving the field. Therapy can be beneficial for everyone, including dentists, to manage stress and emotional challenges. Building mental resilience is crucial for handling the pressures of dental practice. Sleep quality and routine significantly impact overall health and productivity. Mindfulness and meditation can reduce stress and improve mental health. A structured approach to self-care can enhance resilience in the dental profession. Exercise is a key component of maintaining mental and physical health. Creating a supportive community among dental professionals is essential for mental well-being. Proactive self-care strategies can prevent burnout and improve job satisfaction. You can't mess up meditation; awareness is key. Diet significantly impacts mental health and well-being. Interpersonal relationships are crucial for mental resilience. Exercise is a powerful tool for physical and mental health. Purposeful living leads to greater fulfillment. Hydration and nutrition are foundational to health. Loneliness can have severe health implications. Creating time for relationships is essential. A value-based calendar helps prioritize what matters. Retreats can provide tools for personal growth and accountability. This episode is not eligible for CPD/CE points, but never fear, there are hundreds of hours of CPD waiting for you on the Ultimate Education Plan, including Premium clinical workthroughs and Masterclasses. Highlights of this Episode:00:00 Intro04:25 Introduction to Dr Simon Chard10:10 Why is Dentistry so Stressful?14:00 Therapy for Dentists19:20 Strategies for Mental Resilience25:20 Mindfulness31:57 Intake40:32 Love45:12 Value Based Calendar48:32 Exercise51:57 Managing Everything54:34 The Retreat  If you enjoyed this episode, check out: Mental Health in Dentistry - PDP185

What is the best technique for fabricating temporary veneers? How do you ensure they are retentive but not TOO retentive? What's the best way to shape, polish, and remove them efficiently? In this episode, I'm joined by Aodhan Docherty—an absolute sensation in Sydney when it comes to veneers. He's mastered the art, and today, he's on a mission to share everything you need to know to get crisp, stable, and well-shaped temporary veneers every single time. We break down different protocols, troubleshoot common issues, and, most importantly, make sure your temporaries stay put until it's time for the final fit. https://youtu.be/BI_xMlSXgvc Watch PDP214 on Youtube Protrusive Dental Pearl: Aodhan recommended a chlorhexidine-based mouthwash to reduce inflammation but advises using an ADS (Anti-Discoloration System) mouthwash to avoid staining. The ADS system helps maintain healthy tissue response, preventing bleeding and inflammation on the day of veneer placement while eliminating the discoloration commonly associated with standard chlorhexidine products. Key Takeaways: Temporary veneers serve as a blueprint for final restorations. Facially driven smile design enhances patient satisfaction. Patient adaptation is key to successful cosmetic procedures. Oral hygiene is vital for maintaining temporary veneers. Effective communication with the dental team improves outcomes. Understanding patient biotype is essential for treatment planning. Stress management is a critical skill for dental professionals. Patient-centric approaches are essential in modern dentistry. The shrink wrap technique offers better control and aesthetics for temporaries. Effective communication with patients enhances their experience and satisfaction. Hands-on training is crucial for developing practical skills in dentistry. The importance of assessing temporaries before finalizing restorations cannot be overstated. Highlights of this episode: 01:17  Protrusive Dental Pearl 04:42 Welcoming Dr. Aodhan Docherty  06:30 Challenges and Rewards of Managing Practice 10:00 Facially Driven Smile Design 14:53 Temporary Veneers: Practical Tips and Techniques 20:51 Non-Staining Mouthwash  22:27 Temporaries: Pros and Cons  26:49 Proximal Papilla Care 31:14 The Trial Smile Approach 35:14 The Shrink Wrap Technique 39:41 Detailed Steps for Shrink Wrap Technique 40:56 Spot Etching & Bonding for Retention 43:08 Removing Temporaries Atraumatically 51:22 Porcelain Veneers Workshop: Course Overview  56:12 Learning from Failures This episode is eligible for 1 CE credit via the quiz on Protrusive Guidance.  This episode meets GDC Outcomes B and C. AGD Subject Code: 780 ESTHETICS/COSMETIC DENTISTRY (Tooth colored restorations) Aim: Aimed to provide dental professionals with a comprehensive understanding of temporary veneers, covering techniques to improve their fit, durability, and aesthetics. Dentists will be able to - Implement predictable protocols for creating stable and well-shaped temporary veneers. 2. Apply the shrink wrap technique for improved aesthetics and retention. 3. Assess and adapt temporaries effectively before finalizing restorations. Ready to take your veneer skills to the next level and create stunning, long-lasting smiles? Join the Exceptional Porcelain Veneers Workshop with Dr. Aodhan Docherty and Dr. Kamran Ashraf!

A Clinician's guide to TMD Management Walkthrough of the latest TMD Guidelines with the authors! What's the right approach when a patient presents with both acute and chronic painful jaw symptoms? How can the latest RCS guidelines simplify your diagnosis and treatment process? In this episode, Professor Justin Durham and Mrs. Emma Beecroft join Jaz to unpack the latest Royal College of Surgeons TMD guidelines designed specifically to help GDPs navigate these tricky cases. Together, they explore practical strategies for managing TMD, breaking down the step-by-step flowchart that makes handling these cases less intimidating. From understanding the key principles to applying them in everyday practice, this episode will help you feel more confident in delivering better patient care for TMD. https://youtu.be/R0NaBJr5g5E Watch PDP213 on Youtube Protrusive Dental Pearl: Important takeaway: Download the New TMD Guidelines  The folder includes: A patient version of the guidelines A dentist version of the guidelines The full guidelines document Video of delivering an equilibrated soft bite guard using heat technique Key Takeaways: The guidelines for TMD are designed to simplify diagnosis and treatment. Self-management is crucial for TMD patients and can lead to better outcomes. Understanding the difference between muscle and joint pain is essential in TMD management. Early intervention in TMD can lead to significant improvements for patients. The importance of patient-centered care in managing TMD effectively. TMD is a common issue that requires a collaborative approach among dental professionals. The role of pain management in TMD is about improving quality of life, not just curing the condition. Continuous education and training are vital for dental professionals dealing with TMD. Understanding the pathogenesis of TMD is crucial for effective treatment. Stabilization splints can provide relief but should be used judiciously. Effective communication can significantly impact patient pain experiences. Tailoring treatment to individual patient needs is vital. Highlights for this episode: 00:48 Protrusive Dental Pearl 05:20 Introducing the Guests: Prof. Justin Durham and Mrs. Emma Beecroft 13:05 Stigma and Complexity of TMD in Dentistry 17:01 Challenges of Navigating TMD Treatment Perspectives 22:07 Diagnosing TMD: Tools and Techniques 27:09 Simplified Approach to TMD Examination 30:54 Muscle Palpation Pressure  32:20 Acute Limited Opening: Muscle vs. Joint Origin 40:20 Diazepam for Acute Myogenous TMD 54:58 Debating Soft vs. Stabilization Splints 57:17 Patient-Centered TMD Management 01:09:28 Conclusion and Resources This episode is eligible for 1 CE credit via the quiz on Protrusive Guidance.  This episode meets GDC Outcomes B and C. AGD Subject Code: 200 OROFACIAL PAIN (Diagnosis and treatment) Dentists will be able to - Explore the varied approaches to TMD care and how to align them with evidence-based practices. Emphasize the importance of self-management strategies and their role in improving patient outcomes. Advocate for a patient-centered approach, focusing on listening, communication, and individualized care plans. If you loved this episode, be sure to check out this episode: TMD Full Exam with ‘The TMJ Doc' Dr Priya Mistry – PDP064

In this episode, Jaz dives into the complexities of Temporomandibular Disorders (TMD) management with Dr. Suzie Bergman, a US-based dentist and TMD sufferer. They discuss why treatments for TMD vary so much and examine the current state of evidence-based approaches. https://youtu.be/r3QpkMYeTWk Watch PDP212 on Youtube Dr. Bergman shares her personal journey, highlighting conservative treatments, the role of occlusal appliances, and the power of multidisciplinary care. But just when you think you've got it all figured out—Dr. Bergman reveals a game-changing insight that could completely shift your approach to TMD management. Ready to find out what it is? Highlights of this episode: 02:40 Protrusive Dental Pearl 04:32 Meet Dr. Susie Bergman: A Personal Journey with TMD 7:27 The Wild West of TMD Treatments 10:32 Challenges in TMD Research and Treatment 13:34 Suzie's TMD Journey: From Trauma to Advocacy 21:42 Evidence-based Therapies and Occlusal Appliances 27:11 Orthodontics and TMD: A Complex Relationship 33:40 The Role of Occlusal Appliances 35:05 Debating Disc Displacement 39:17 Comprehensive TMD Diagnosis 44:09 Orthopedic Stability in Dentistry 51:04 Splints and TMD 53:52 Managing Bruxism Effectively 58:16 Suzie's TMD Course and Final Thoughts Listen to Dr. Suzie Bergman's "Why is healthcare disjointed?" | TEDxStrathcona Women Check out Dr. Suzie's Course “21st Century TMD Protocols" Looking for an Online course to allow General Dentists to treat 80% of TMD cases and 100% of Bruxists? Check out SplintCourse Online by Jaz Gulati  This episode is eligible for 1 CE credit via the quiz on Protrusive Guidance.  This episode meets GDC Outcomes B and C. AGD Subject code: 200 Orofacial Pain (Diagnosis and treatment) Dentists will be able to:  1. Recognize the multifaceted nature of Temporomandibular Disorders (TMD) and the various factors influencing treatment variability. 2. Evaluate current evidence-based treatments for TMD and their effectiveness, including conservative methods and occlusal appliances. 3. Discuss the importance of a collaborative approach in TMD management, integrating different specialties for optimal patient outcomes. If you loved this episode, be sure to check out Deep in to TMD – An Orthopaedic Perspective – PDP172

How far should you extend composite resin? When does edge bonding become a composite veneer?  How do you decide where to finish the restoration?  And most importantly, how do you avoid that dreaded yellow-brown stain line that can form on anterior resins? These are just some of the burning questions tackled in this episode with my guest, Dr. Mahmoud Ibrahim. We dive deep into the artistry and engineering of  decision-making in anterior composites. https://youtu.be/_q2O57-Y-d4 Watch PDP211 on Youtube Protrusive Dental Pearl: use a zirconia primer which contains 10-MDP (e.g. Monobond, Z-Prime Plus) on the intaglio of crowns to enhance bond strength, even with conventional cements like GIC. This low-risk, high-reward tip improves retention, especially for teeth with limited height. Incorporating a zirconia primer can significantly improve outcomes without switching to resin cement. Interested in the Unchippable 2 Day Course? Click here to register your interest! Key Takeaways: Choosing between edge bonding or veneers is not a black-and-white decision. The height of contour is key in cosmetic dentistry. Seamless transitions between composite and tooth are pivotal. Aesthetic considerations vary based on individual cases. Material choice is influenced by patient risk factors. Layering techniques enhance the natural appearance of teeth. Patient previews are essential for managing expectations. Thickness of composite affects durability and aesthetics. Understanding angles is key to successful restorations. Not all patients require the same approach to bonding. Highlights of this Episode: 02:43  Protrusive Dental Pearl 04:49 Personal Anecdotes and Health Goals 09:37 Anterior Composites: Edge Bonding vs Veneering 16:00 Importance of Finishing Composite Correctly 17:09 Understanding the Height of Contour 18:36 Importance of Layering in Dental Procedures 21:35 Choosing the Right Materials for Layering 23:56 Importance of Layering in Dental Procedures 27:14 Challenges and Solutions in Composite Layering 32:31  The Marshall Hanson Method 36:29 Mockups and Wax-Ups: Planning for Success 43:03 Treatment Considerations This episode is eligible for 0.75 CE credits via the quiz on Protrusive Guidance.  This episode meets GDC Outcome C - Maintenance and development of your knowledge and skills within your field(s) of practice. AGD Subject Code: 250 OPERATIVE (RESTORATIVE)DENTISTRY (Direct restorations) Aim: To enhance clinicians' understanding and decision-making in anterior composite restorations, focusing on when edge bonding transitions to a veneer, optimizing aesthetics and functionality, and minimizing common challenges such as staining and occlusal complications. Dentists will be able to - Understand the key factors that influence the transition between edge bonding to full veneers. Apply guidelines for minimum composite thickness and bonding angles to enhance durability and aesthetic outcomes. Identify high-risk patients and tailor material choices, layering techniques, and bonding approaches to individual needs. If you loved this episode, make sure to watch Composite Veneers vs Edge Bonding – Biomimetic Dentistry with George The Dentist – PDP075

What influences your decision when choosing ceramics? What are the main ceramics nowadays—and do porcelain-fused-to-metal still have a place in dentistry? Are the protocols different for various types of ceramics and crown materials? How important is rubber dam isolation, and is a split dam good enough? In this Back to Basics Protrusive episode, Jaz teams up again with Emma Hutchison, ‘the Protrusive Student', to break down these critical questions and simplify the world of ceramics. From decision-making frameworks to practical rubber dam tips, this episode is packed with insights to elevate your practice. Whether you're a student navigating the foundations or a seasoned clinician revisiting the essentials, this discussion offers a fresh, evidence-based perspective on mastering ceramics in dentistry. https://youtu.be/z4a8Hv6peVU Watch PS013 on Youtube Key Takeaways: Understanding the role of metal ceramic crowns is crucial in modern dentistry. Monolithic ceramics are preferred for posterior restorations due to their strength. Layered ceramics can enhance aesthetics but may compromise strength. Proper crown preparation is essential for successful restorations. Communication with lab technicians is vital for successful bonding. The choice of ceramic material largely depends on the amount of enamel available. Following manufacturer protocols is key to achieving optimal results. Bruxism patients require careful consideration in material selection. Rubber dam isolation is crucial for predictable bonding. Digital scanning requires more aggressive tissue management. Impressions are still valuable, but digital methods are advancing. Highlights for this episode: 03:52 Emma's Exam Experience 07:28 Feedback on Previous Episode 08:00 Discussion on Ceramics in Dentistry 10:51 Practical Applications and Material Choices 19:45 Monolithic vs. Layered Ceramics 24:18 Exploring Milled Cobalt Chromes and Gold Crowns 26:14 Challenges in Fitting Restorations and Bonding Techniques 30:03 Rubber Dam Techniques and Benefits 37:01  Intraoral Scanners vs. Traditional Impressions 40:14 Effective Communication with Lab Technicians 44:25 Conclusion and Future Plans This episode is eligible for 0.75 CE credit via the quiz on Protrusive Guidance.  This episode meets GDC Outcomes B and C. AGD Subject Code: 010 BASIC SCIENCE (Dental materials) Dentists will be able to - Identify the suitability of ceramics based on their strength, aesthetics, and application. Highlight the importance of proper crown preparation and manufacturer protocols for optimal results. Emphasize the importance of rubber dam isolation and compare the benefits and challenges of analog impressions versus digital scanning. If you love this episode, make sure to watch Composite vs Ceramic with Dr Chris Orr – PDP030 and make sure to read the Protrusive Notes! 

What's the best way to reduce post-op pain after extractions? And why should we never use the term “painkiller” with patients? What to do when you hear the dreaded *crack* of a tuberosity? In this episode we talk about all things post-operative extraction complications! And I'm joined by one of the nicest guys in dentistry - Dr. Nekky Jamal  Complications are something we ALL experience, so this episode is great for any dentist. Whether you're brushing up on dry socket prevention, mastering post-op communication, or just curious about advanced healing hacks, tune in for real-world advice to make extractions smoother - for both you and your patients https://youtu.be/BvB3hDESYDY Watch PDP210 on Youtube Protrusive Dental Pearl: The "Niche Kebab" concept encourages dentists to narrow their focus by reducing the variety of procedures they perform and prioritizing those they genuinely enjoy. By evaluating every new skill or treatment added and strategically dropping less-loved procedures, dentists can avoid overextension and the "jack of all trades, master of none" pitfall.  Learn how to Extract Impacted 3rd Molars, don't miss out on Third Molars Online and use the coupon code ‘protrusive' to get 15% off! Key Takeaways Pain management is about setting realistic expectations. Dexamethasone can be beneficial but must be used cautiously. Dry socket is often overhyped; proper care can prevent it. Effective communication can alleviate patient anxiety and prevent misunderstandings and complaints. Preoperative care can help manage pain expectations. Understanding the signs of infection is essential for diagnosis. Chlorhexidine rinses can significantly reduce dry socket risk. Patients appreciate being informed about their unique dental situations. PRF can significantly reduce the incidence of dry socket. Dentists should embrace new techniques like PRF to enhance patient care. Patient involvement in post-surgical care is crucial for healing. Dentists should not hesitate to refer complex cases to specialists. Highlights of this episode: 02:54 Protrusive Dental Pearl 04:05 Dr. Nekky Jamal  08:39 Managing Post-Extraction Pain and Swelling 21:37 Infection 25:02 Identifying Dry Socket and How to Prevent it 28:30 Case Selection and Communication 37:13 Mitigating Dry Socket with Platelet-Rich Fibrin (PRF) 39:47 The Importance of Nicheing in Dentistry 43:19 Cryotherapy and Post-Surgery Care 47:32 Handling Tuberosity Fractures 55:08 Patient Consent  57:55 Litigation and Patient Communication This episode is eligible for 1 CE credit via the quiz on Protrusive Guidance.  This episode meets GDC Outcomes A, C and D. AGD Subject Code: 310 ORAL AND MAXILLOFACIALSURGERY (Exodontia) Dentists will be able to: Identify and differentiate common postoperative complications, and recognise the  key symptoms associated Evaluate the ethical and clinical considerations of case selection for extractions Communicate effectively with patients regarding potential complications If you loved this episode, be sure to check out another epic episode with Dr. Nekky Jamal - Wisdom Teeth Extractions – SURGICAL TOP TIPS

In this special recap, we'll explore 12 key lessons from 2024 —insights that have shaped our practice, validated our protocols, and sometimes, inspired small but meaningful changes. Happy New Year from Team Protrusive! As we kick off 2025, we want to express heartfelt gratitude for your incredible support throughout 2024. What were the standout moments that shaped your learning this year? Which episodes gave you that “aha” moment? Whether you're a seasoned listener or just jumping in, this recap will help solidify the lessons that you can apply to your practice every day. https://youtu.be/OxfRmNhQ7Wk Watch PDP209 on Youtube Protrusive Dental Pearls:  Take time to reflect on your goals for 2025 and consider what sacrifices you're prepared to make to achieve them. Emphasizing the importance of writing down both your objectives and the trade-offs they require, align your time and priorities with your personal and professional aspirations.  “You overestimate what you can achieve in a year and underestimate what you can accomplish in ten years.”  Productivity is about knowing how badly you want something and what you're willing to sacrifice to achieve it. Take a deep dive into this literature: Clinical considerations for increasing occlusal vertical dimension: a review  Australian Dental Journal - 2012 - Abduo - Clinical considerations for increasing occlusal vertical dimension a reviewDownload Highlights of this episode: 01:08  Protrusive Dental Pearl 06:25 Value Your Skills 11:54 Importance of Photography and App Launch 14:42 Audio Notes in Dentistry 16:41 Rubber Dam Mastery 18:07 Composite Techniques and Innovations 21:07 Onlays vs Full Crowns 25:54 Best Bonding Agents 28:55 Digital Dentures Revolution 31:24 Mastering Vertical Dimension 32:29 Perfecting Posterior Composites 34:58 Creating Awesome Dentures 36:27 Extraction Techniques and Avocado Analogy 37:47 Looking Forward to 2025 Here are some episodes and webinars mentioned in this episode that are definitely worth checking out: Value Your Skills – How to Stop Underselling Yourself – AJ006 Your Occlusion Questions Answered by Dr Michael Melkers – PDP015 Cracked Teeth and Dentistry's Tough Questions with Dr Lane Ochi – PDP175 NEVER Write Notes Again! How I Use AI for Awesome and Efficient Dental Records – PDP181 Canine Guidance vs Group Function – Does it Matter?! – PDP182 Class II Composites WITHOUT a Wedge + Contact Opening Technique – PDP188 Onlays Vs Full Crowns – Decision Making 2024 – PDP189 Quick and Slick Rubber Dam Vertipreps for Plonkers  Premium Clinical Videos  My Productivity Secrets Revealed Webinar REPLAY Deep and Dark Class III Restorations Which Generation Bonding Agent is the Best? 2024 Adhesive Systems – PDP192 Digital Dentures for Every Dentist – The Death of Impressions? – PDP195 [OCCLUSION MONTH] Vertical Dimension – Don't Be Scared! – PDP197 How to Place Posterior Composites without Destroying Your Anatomy – PDP200 Making Awesome Dentures – Border Moulding and Beyond – PDP205 Exodontia for Beginners – Extractions via Avocados! – PS012 Take your practice to the next level with DigitalTCO, Dental Audio Notes, and the Greater Curve. This episode is not eligible for CPD/CE points, but never fear, there are hundreds of hours of CPD waiting for you on the Ultimate Education Plan, including Premium clinical workthroughs and Masterclasses.

Are you focusing enough on pink aesthetics in smile design? What role does gingiva play in achieving a truly stunning smile? When should you refer for recession around lower incisors or upper canines? Can you get the gum to grow back through orthodontics? And how about class 5 restorations? Should we do them, or should we work on the gingival recession first? In this episode, Jaz is joined by the expert Dr. Tidu Mankoo, who shares his extensive knowledge on the importance of gingival health in aesthetic dentistry. They dive into the crucial role of the dento-gingival complex.  https://youtu.be/Ao_vgJ-IbOg Watch PDP208 on YouTube Protrusive Dental Pearl: Shade Matching Composite button technique - a small blob of composite is applied to a dry tooth without etching or bonding to assess shade match and translucency, avoid excess thickness, which can affect opacity and aesthetics (Jason Smithson's Tip: take a black-and-white photo to evaluate the composite's value and ensure it matches the natural teeth) Using a custom composite shade guide like Smile Line by Style Italiano for more precise shade matching. Key Takeaways Gingival architecture plays a vital role in aesthetics. Dentists should focus on patient-centered care. Understanding tooth position is key to treatment planning. Orthodontics can sometimes resolve gingival issues without surgery. Communication with patients is essential for effective treatment. Aesthetic dentistry requires a comprehensive approach. The dental field is evolving, and practitioners must adapt. Root coverage procedures can be effective with proper techniques. Understanding prognosis is crucial for successful treatment outcomes. Aesthetic considerations are a primary reason for root coverage. Restorative dentistry should consider the position of the gingiva. Crown lengthening should not expose root surfaces unnecessarily. Mucogingival surgery plays a vital role in implant aesthetics. Education and training are essential for dental professionals. Highlights for this episode: 4:29 Protrusive Dental Pearl 6:16 Dr. Tidu Mankoo's Journey and Inspirations 11:48 Reflections on Comprehensive Dentistryand Lifelong Learning 15:59 Balancing Work and Family in Dentistry 17:52 Understanding Gingival Architecture 19:49 Creating a Harmonious Smile 21:52 Addressing Gingival Aesthetics & Limitations 26:56 Orthodontics and Surgical Interventions 29:40 Root Coverage Procedures 33:49 The Value of Early Diagnosis and Referral 35:01 Indications for Root Coverage 36:03 Root Coverage vs. Class V Restorations 39:50 Managing Gingival Zenith Irregularities 41:23 Role of Mucogingival Surgery inImplant Success 47:47 Course on Mucogingival Surgery with IAS This episode is eligible for 1 CE credit via the quiz on Protrusive Guidance.  This episode meets GDC Outcomes B and C. AGD Subject Code: 780 ESTHETICS/COSMETIC DENTISTRY (Esthetic diagnosis and treatment of intraoral soft tissues)  Dentists will be able to - Discuss when and how to manage gingival recession, including the role of root coverage procedures. Explore the anatomy and function of the dento-gingival complex and its influence on smile aesthetics. Promote the value of early diagnosis and timely referrals to specialists for successful treatment.

In this episode, we focus on the link between periodontal disease and the systemic effects on the human body. There's more to oral hygiene than just saving our teeth, so let's dive into this fascinating episode with Dr Reena Wadia to learn more about the importance of perio and how it is associated with the rest of our health. https://youtu.be/fldpB_8h2Dc Watch GF024 on Youtube Key Takeaways: There is a strong link between gum health and systemic health. Diabetes and cardiovascular disease are key conditions linked to gum health. Understanding correlation vs. causation is crucial in dental practice. Effective communication with patients can improve treatment outcomes. Treating pregnant patients for periodontal health is safe and beneficial. Proper diagnosis is essential for effective dental treatment. Patients are often unaware of the links between gum health and overall wellness. Motivating patients with health benefits can enhance compliance. Evidence-based dentistry is vital for accurate patient information. Add the word diagnosis to templates for clarity. Team collaboration (dental and medical practices) enhances patient care effectiveness. Screening for conditions like diabetes can save lives. Holistic care in dentistry is becoming increasingly important. A periodontal protocol is crucial for consistent care. Need to Read it? Check out the Full Episode Transcript below! Highlights of this episode:  3:50 Introduction to Dr Reena Wadia 7:14 Systemic Link 12:24 Under Investigation 13:54 Using this with our Patients 17:04 Birthweight-related Studies and Pregnancy 20:14 Make a Periodontal Diagnosis 23:34 Medicine and Dentistry Collaboration 26:29 Understanding the Patient 29:14 HbA1c Machine 32:19 The Perio Handbook This episode is eligible for 0.5 CE credits via the quiz on Protrusive Guidance.  This episode meets GDC Outcome A, B and D. AGD Code: 490 PERIODONTICS (Pathophysiology of periodontal disease)  Aim: To enhance dentists' understanding of the link between periodontal health and systemic diseases, enabling them to integrate evidence-based periodontal care into their clinical practice. Learning Outcomes: Knowledge and Application: Dentists will gain a thorough understanding of the bi-directional relationship between periodontal disease and systemic conditions such as diabetes and cardiovascular disease, and learn how to apply this knowledge in clinical practice to improve patient outcomes. Patient Education: Dentists will acquire practical strategies for effectively educating patients about the systemic implications of periodontal health, using analogies, visual aids, and evidence-based communication methods. Holistic Treatment Planning: Dentists will learn how to incorporate systemic health considerations, such as screening for diabetes or collaborating with medical professionals, into their periodontal treatment plans to deliver comprehensive care. Enhance your knowledge with Dr. Reena Wadia's Perio School and establish a habit of implementing Perio protocols in your practice. Don't forget to grab a copy of the Perio Handbook by Dr. Reena for valuable insights! If you enjoyed this episode, check out: Communication Masterclass for Periodontal Disease [B2B] – PDP086 Click below for full episode transcript: Teaser: When you hear stories like that, it's like, could that have been undiagnosed diabetes, heart attack, et cetera, et cetera. So I feel so privileged being able to have that ability to do that test on our patients. And yeah, it's not the nicest thing to say to someone, you might have diabetes, but actually like that could save someone's life. Teaser:The guidelines now are, for example, for diabetics, once they've been diagnosed with diabetes, they're supposed to see their dentist, but they need to push it more, because they definitely push the eye appointments,

What are the steps involved in Functional Crown Lengthening? Which scenarios/teeth are best for this type of surgery? What is biologic width and why should we care? Is Bone sounding a diagnostic test, or just a genre of music? The answer to these questions and a lot more can be found in this packed episode with Dr Hiten Halai. We cover the right protocols when crown lengthening and understand the difference between aesthetic and functional crown lengthening.  https://youtu.be/KRlEtz16I8c Watch PDP207 on Youtube Protrusive Dental Pearl - Bone Sounding Using a periodontal probe, go into the depth of the sulcus, pushing deeply until you hit bone, all while recording the measurement with the probe. This measurement will then guide you on how to carry out your crown lengthening procedure. Push hard to pass the connective tissue and ensure you are touching the bone. Not using AI to write your notes and letters for you yet? Save hours every day and save money using this affiliate link for DigitalTCO: Click Here  Highlights of this Episode:03:19 Protrusive Dental Pearl06:10 Introduction - Dr Hiten Halai12:56 Functional Crown Lengthening15:41 Understanding Crown Lengthening Types18:42 University of Dental Instagram22:38 Biologic Width aka Supra-crestal Tissue Attachment25:51 Functional Crown Lengthening: Practical Considerations31:09 Assessments & Keratinised Tissue35:47 Understanding Tissue Phenotypes39:16 Case Study: Premolar Treatment43:17 Bone Sounding and Biologic Width46:58 Shape of Gingivectomy50:31 Flap Designs52:37 Burs for Crown Lengthening56:13 Healing and Restoration Timelines58:31 Learning and Training Opportunities Key Takeaways: Hiten's journey began with a passion for periodontics during dental school. Managing time effectively is crucial for specialists with busy schedules. Functional crown lengthening is often underutilized in practice. Aesthetic crown lengthening can lead to complications if not done correctly. Understanding biologic width is essential for successful crown lengthening procedures. Preoperative assessments are critical for determining candidacy for crown lengthening. The type of gingival tissue affects surgical outcomes and healing. Proper surgical techniques can prevent complications and ensure better healing. Postoperative care is vital for achieving desired aesthetic results. Continuous education and mentorship are important for dental professionals. This episode is eligible for 1 CE credit via the quiz on Protrusive Guidance.  This episode meets GDC Outcome C. ADG Code: 490 PERIODONTICS (Mucogingival management)  Aim: To enhance knowledge and practical understanding of crown lengthening procedures, with a focus on distinguishing between aesthetic and functional crown lengthening, and the importance of biologic width in achieving predictable clinical outcomes. Learning Outcomes: Identify the key differences between aesthetic and functional crown lengthening and the clinical scenarios in which each is most appropriate. Demonstrate an understanding of biologic width and its significance in the success of crown lengthening procedures, including the impact on long-term periodontal health. Apply the principles of bone sounding to accurately assess the need for crown lengthening and ensure optimal restoration outcomes, minimising risks such as gingival recession and bone loss. If you liked this episode, check out: PDP079 - Crown Lengthening

Application points, luxation vs elevation, avoiding common mistakes - this one's an episode that I wish I had when I was at dental school! How do you know when you've found the application point during extractions? What are the key protocols that can help make your extractions more efficient? https://youtu.be/rOBPnCTyAwM Watch PS012 on Youtube This week's Protrusive Student episode is all about exodontia - and again I'm joined by Emma Hutchison, our Protrusive Student Ambassador, to discuss some tips and tricks on how to make extractions that little bit easier. Jaz also shares a memorable analogy—could removing a stone from an avocado be the perfect way to describe an extraction?! Key Takeaways Tactile feedback is crucial during tooth extractions. Understanding application points can improve extraction techniques. Using the right amount of pressure is essential to avoid breaking teeth during extraction. Luxators are typically used to sever the PDL before extraction. Atraumatic extraction techniques are important for preserving bone for future implants. Luxators should not be used as elevators. Understanding the mechanics of elevators is crucial for effective extractions. The ‘six second rule' helps in assessing extraction progress. Having a plan for extractions can prevent complications. Communicating with patients about the extraction process is essential. Avoid tunnel vision; consider the surrounding teeth during extractions. Breaking interproximal contacts can simplify extractions. Always check the patient's medical history before procedures. An audible checklist can prevent mistakes during extractions. Highlight of this episode: 00:00 Introduction 02:07 Catching Up with Emma 05:58 Teeth are like avocados! 11:13 Understanding Application Points in Extractions 17:01 Luxators vs. Elevators: Techniques and Safety 24:10 Extraction Technique 25:08 The Six-Second Rule 28:04 Having a plan 29:58 Common Mistakes and  How to Avoid Them 38:17 Conclusion and CE Certification This episode is eligible for 0.75 CE credit via the quiz on below.  This episode meets GDC Outcomes B and C. AGD Subject Code: 310 Oral and Maxillofacial Surgery (Exodontia) Dentists will be able to - 1. Recognise essential steps to establish secure application points 2. Develop approaches for patient communication around extraction procedures, potential risks, and expected outcomes 3. Implement the “6-second rule” and other practical techniques to streamline extractions and troubleshoot common challenges If you loved this episode, make sure to watch Make Extractions Less Difficult: Regain Confidence by Sectioning and Elevating Teeth [B2B] – PDP085

Are you confident in diagnosing white patches? Which white patches need an URGENT referral? How do you tell the difference between lichen planus, lichenoid reactions, and other common lesions? Dr. Amanda Phoon Nguyen is back with another amazing episode, this time diving deep into the world of oral white patches. Jaz and Amanda explore the most common lesions you'll encounter, breaking down their appearance, diagnosis, and management. They also discuss key strategies to help you build a strong differential diagnosis, because identifying the right lesions early can make all the difference in patient care. https://youtu.be/xlQpuQu2Hl0 Watch this full episode on YouTube Protrusive Dental Pearl: A new infographic summarizing Dr. Amanda Phoon Nguyen's key teachings. Jaz describes it as an easy-to-follow "cheat sheet" designed to simplify complex ideas and make it easier to apply the concepts discussed in the episode. You can download the Infographic for free inside Protrusive Guidance 'Free Podcasts + Videos' section. Key Takeaways White patches in the oral cavity can be classified into normal variants, non-pathological patches, and potentially malignant disorders. It is important to identify the cause of the white patch and differentiate between different types. Referrals should be made based on the characteristics of the white patch and the urgency of the situation. Clinical photographs are valuable in referrals and can aid in triaging patients. Ongoing monitoring is important for potentially malignant disorders. Lichen planus can have different types and presentations, and a biopsy may be necessary for certain cases. Enlarged taste buds, particularly in the foliate papillae, are usually bilateral and not a cause for concern. Oral lichenoid lesions can be triggered by dental restorative materials or medications, and a change in dental material may sometimes improve the condition. Smoker's mouth can present with white patches and inflammation in areas where smoke gathers, and counseling patients to reduce smoking is important. Oral submucous fibrosis, often caused by areca nut chewing, requires regular review and counseling patients to stop chewing the nut.  Highlights for this episode: 01:22 Protrusive Dental Pearl 05:13 Dr. Amanda Phoon Nguyen Introduction 07:39 White Patches Introduction 09:16 Understanding Geographic Tongue 12:44 Keratosis vs. Leukoplakia 19:02 Proliferative Verrucous Leukoplakia 22:18 Referral Tips for General Dentists 29:56 Understanding Leukoplakia 33:17 Urgent and Non-Urgent Referrals 34:37 Patient Communication 39:17  Discussing Erythroplakia  41:03 Oral Lichen Planus: Diagnosis and Management 47:50 Enlarged Taste Buds 49:47 Oral Lichenoid Lesions vs Oral Lichen Planus 53:43 Smoker's Mouth 55:14 Oral Submucous Fibrosis 57:23 Learning more from Dr. Amanda Phoon Nguyen  This episode is eligible for 1 CE credit via the quiz below.  This episode meets GDC Outcomes B and C. AGD Subject Code: 730 ORAL MEDICINE, ORAL DIAGNOSIS, ORAL PATHOLOGY (Diagnosis, management and treatment of oral pathologies) Dentists will be able to - Identify the cause of a white patch and differentiate between different types. Understand when and how to make referrals based on the characteristics of the white patch and the urgency of the situation. Appreciate the importance of ongoing monitoring for potentially malignant disorders, including when to consider a biopsy. For those interested in visual case studies and deeper insights into oral lesions and conditions, follow Dr. Amanda on Instagram and Facebook! If you loved this episode, be sure to check out another epic episode with Dr. Amanda - Prescribing Antifungals as a GDP – Diagnosis and Management – PDP151

What are the key steps and nuances to make awesome Dentures that your patients will love? In this episode, Jaz probes Removable Pros legend Dr Mike Gregory to break down the process. From border molding to primary impressions and the teamwork between dentists and technicians, Mike reveals the key steps to making great dentures. https://youtu.be/snM3PerQ1ko For example, be sure to include a note on the lab sheet for the technician: "Preserve full peripheral depth and width of the sulcus on this impression, to about 2-3mm." This ensures the correct functional width is maintained when the final tray or denture is created. Protrusive Dental Pearl: When checking denture occlusion, it's crucial to keep the patient relaxed. Mike suggests one simple trick: ask the patient to close their EYES before closing their teeth. This can sharpen their senses, helping to improve the bite assessment. Highlights of this Episode: 02:07 Protrusive Dental Pearl 03:31 Mike Gregory's Journey into Dental Technology 10:09 Understanding Border Moulding 13:19 Technician's Role in Denture Creation 15:45 Improving Communication with Technicians 18:34 Special Trays and Custom Trays 25:58 The Role of Green Stick 29:04 Denture Impressions 31:35 Boxing and Beading Techniques 35:08 Additive vs. Reductive Rest Seats 40:46 Guide Planes 42:43  Creating Undercuts for Dentures 45:10 Final Tips and Best Practices 48:54 Learn More with Mike Gregory This episode is eligible for 1 CE credit via the quiz on Protrusive Guidance.  This episode meets GDC Outcomes B and C. AGD Subject code: 670 REMOVABLE PROSTHODONTICS    Aim: To explore the intricate process of denture creation and provide practical insights on improving denture fit, occlusion, and collaboration between dentists and technicians. Dentists will be able to:  1. Understand the key elements of denture creation, including border molding and primary impressions. 2. Learn the significance of maintaining peripheral sulcus depth and width in denture impressions for functional accuracy. 3. Gain insight into the role of special trays, custom trays, and impression materials in denture fabrication. 4. Recognize the importance of clear communication between dentists and technicians in achieving optimal denture outcomes. If you liked this episode, you'll love Suction Lower Complete Dentures – Improve your Removable Prosthodontics – PDP073

Implant crowns should be out of occlusion, right? Think again!  In my experience, single tooth implant crowns when I see them are IN occlusion and holding shim - even when this was not intended by the Restorative Dentist. When this happens, should we be adjusting the implant crown? Or perhaps the adjacent tooth? *shock horror* And how often would this need to be repeated? This podcast will show you a better way to manage implant occlusion! https://youtu.be/l8WOiamk06M Watch PDP204 on Youtube In this episode, I'm thrilled to chat with Professor Riaz Yar, an occlusion expert and mentor who greatly influenced me early in my career. Together, we'll debunk common myths and dive into practical approaches to managing implant occlusion. Even if implants aren't part of your practice, understanding occlusion on implants is crucial for patient care. Tune in as we uncover best practices and clear up misconceptions to help you achieve better results for your patients! Protrusive Dental Pearl: Dr. Pav Khaira has created a free implant assessment form, now available to the Protrusive community. Accessible at www.protrusive.co.uk/implant - this responsive PDF includes key areas like patient goals, biotype, and occlusion, with an 8-minute video guide for easy use. Key Takeaways -Implant occlusion is a major factor in implant failure.-Understanding the biology of the implant system is crucial.-Functional loading is more important than static loading!-Chewing dynamics can reveal important insights about occlusion.-Guidelines for occlusion should be followed but adapted to individual cases.-Patient education on post-implant care is essential.-Shared loading on implants is vital for their longevity. Highlights of this Episode: 01:34 Protrusive Dental Pearl 02:47  Introducing Professor Riaz Yar 05:07 Understanding Implant Failure Causes 08:04 Analyzing Implant Occlusion and Peri-Implantitis 10:27 The Chewing Gum Test 13:20 Guidelines and Challenges with Implant Occlusion and Lab Protocols 17:33 Bone Regeneration and Functional Guidance 19:22 Dynamic Movements and Occlusion Analysis 23:48 Practical Tips for Implant Bridges 28:19 Patient Guidelines for Implant Care Join Riaz for an innovative implant restorative program developed with top dentists (Nik Sissodia, Martin Wanendeya, Sanjay Sethi, and Nik Sethi), designed to enhance your skills in implant restoration. Check out Riaz's one-day course on implant occlusion at profriazyar.com and Elevate Dental. Sign up now and boost your implant expertise! This episode is eligible for 0.5 CE credit via the quiz on Protrusive Guidance.  This episode meets GDC Outcomes B and C. AGD Subject code: 690 IMPLANTS Dentists will be able to:  Recognize key factors that contribute to implant failure and how occlusion plays a role. Utilize practical approaches, such as the Chewing Gum Test, to assess and manage implant occlusion (function) effectively. Discuss guidelines for implant occlusion and understand the challenges involved in lab protocols. If you liked this episode, be sure to watch An Idiot's Guide to Restoring Single Implant Crowns Part 1 and Part 2

Why are principals and associates always at loggerheads with each other? Why can it be almost impossible to find the right associates to work at our amazing practice, but also almost impossible to find that amazing practice to work at as an associate?  Join myself and Dr Sarika Shah on this episode where we learn more about self leadership and the ways to prioritise our values to help us find the right working relationships and places of work to be a part of. Let's figure out how to bring all members of a team together and create the zen we are all in search for while working in our day to day lives.  https://youtu.be/-ua1PAB6A90 Watch IC054 on Youtube Protrusive Dental Pearl: Be willing to accept rejection. A ‘no' from a patient today is often a yes tomorrow. Plant seeds for high quality dentistry and you will find yourself harvesting many of these seeds at a later date. Those who fear rejection routinely offer less than their best, which cheats patients out of rightfully making their own economic decisions - inspired by Dr Lane Ochi (the ORIGINAL Dental Geek!) Check out Flourish as a Female: https://www.flourishasafemale.com/ Use discount code ‘protrusive' (No financial interest) Highlights of this Episode:02:18 Protrusive Dental Pearl04:30 Introduction - Dr Sarika Shah10:10 Transition to Private Dentistry13:40 Practice Ownership17:20 Managing the Practice24:55 Internal Leadership29:40 Principals vs Associates Friction41:56 Women in Dentistry47:15 Supportive Partners55:25 Top Advice from Sarika58:28 Flourish This episode is eligible for 1 CE credit via the quiz on the Protrusive Guidance App.  This episode meets GDC LEARNING OUTCOMES A and B AGD Subject Code 550 Practice Management and Human Relations Aim:To explore the importance of self-leadership and effective communication in building successful relationships between dental associates and principals, enhancing teamwork, and optimising practice performance. Dentists will be able to:  Identify key principles of self-leadership and apply them to improve personal and professional development within their practice. Understand the impact of effective communication and aligned values on maintaining strong, respectful relationships between associates and principals in a dental setting. Develop strategies to enhance emotional intelligence, ensuring improved patient care and better collaborative relationships in their practice environment. If you liked this episode, be sure to check out IC025 - Parenthood and Dentistry

Is Sodium Hypochlorite still the best irrigant for endodontics? Or do we have something novel and superior? How can we improve the efficacy of our endodontic irrigation? What % of NaOCl should we be using? https://youtu.be/z5h2FzHpG68 Watch PDP203 on Youtube Dr. Brett Gilbert rejoins Jaz Gulati to tackle all things endodontic irrigation after a brilliant episode on pre-emptive endodontics. Advanced activation and delivery systems could change the game—are we on the brink of a major shift in endodontics? Protrusive Dental Pearl: Before performing a molar extraction, challenge yourself to first complete an endodontic access on the tooth. This will enhance your understanding of the canal anatomy and improve your precision in sectioning the tooth. By visualizing the canals and the pulpal floor, you'll refine your angulation for more accurate sectioning. Need to Read it? Check out the Full Episode Transcript below! Highlights of this Episode: 02:09 Protrusive Dental Pearl 04:23 Is Sodium Hypochlorite Still The Gold Standard? 06:54 The Role of Surfactants in Irrigation 07:58 Concentration of Sodium Hypochlorite 09:47 Chlorhexidine: Is There Still a Place? 11:32 Advanced Disinfection Technologies 21:31 Evidence-Based Techniques in Endodontics 25:22 GP Pumping This episode is eligible for 0.5 CE credit via the quiz on Protrusive Guidance.  This episode meets GDC Outcomes B and C. AGD Subject code: 070 Endodontics (Endodontic infections, microbiology and treatment) Dentists will be able to:  1. Gain insight into the role of sodium hypochlorite in endodontic disinfection and assess its effectiveness compared to new innovations.2. Discover the cutting-edge irrigation methods, including surfactants, ultrasonic activation, and laser-assisted irrigation, and their impact on endodontic outcomes.3. Explore emerging technologies and innovations that could revolutionize endodontic irrigation. If you liked this episode, be sure to watch the 1st Part - ‘PDP202 - Elective Endodontics? It's all about Communication' Click below for full episode transcript: Teaser: When you use a lower percentage, you really aren't reducing or eliminating the risk of sodium hypochlorite accident. If you get 3% sodium hypochlorite out the end of the root, it's going to cause a sodium hypochlorite accident, as will 6%. If you're trying to eliminate risk using a lower concentration, I don't think it's as effective as you think, but you are taking away some of the strength that you're looking for to kill the bacteria and dissolve the tissue. So my advice would be go full. Teaser:We recognize that training our general dental colleagues on endo is paramount because we don't want the option of implant to come in place of saving the natural tooth simply because of fear or the fact that they just don't feel well enough trained to do the endo. So I believe as a dental community, the more we feel comfortable and proficient in endo, the more teeth we save and the better our patients are. Jaz's Introduction:Is sodium hypochlorite still the best thing in irrigation? If it is, what percentage should we be using? This one might actually surprise you. Is there ever a time when to use chlorhexidine. Whatever irrigant we're using, how can we improve its effectiveness? Hello, I'm Jaz Gulati and welcome to the part two with Dr. Brett Gilbert. How awesome was he? Please do check it out if you haven't already. We talked about elective endodontics or preemptive endodontics. I love the clarity and the passion in which he speaks with. And he definitely continues it on into this episode. He's so knowledgeable, he's so passionate about endodontics in general, but especially the innovation in irrigation. Because after all, endodontic success is all about killing those bugs. And Brett has so much experience in trying all the different things out there. And towards the second half of this episode,

What's the difference between radiolucency and burnout?  When's the best time to use a bitewing vs a periapical radiograph?  When should we pick up the bur for interproximal caries? Have you heard about the 4 white lines an OPG radiograph?  https://youtu.be/wCV3U8-OAvI Watch PS011 on Youtube This episode is packed full of great tips and techniques that will help you understand how to produce great radiographs as well as being able to properly figure out what they are trying to tell us. Radiographs can be tricky, whether that's due to them being flipped, upside down or due to cone cut, that's why this will help shine some light on how to get comfortable with radiographs as well as how to manage our patients after we know what we are dealing with. Don't miss the special notes on Radiology and Radiography for Students available exclusively in the Protrusive Guidance app! (Join the free Students Section) This episode is not eligible for CPD/CE points, but never fear, there are hundreds of hours of CPD for Dentists waiting for you on the Protrusive App! For the full educational experience, our Ultimate Education Plan gives you access to all our courses, webinars, and exclusive monthly content. If you love this episode, check out PS003 - Routine Checkup

Does ‘elective' or ‘pre-emptive' endodontics have a role in Restorative Dentistry? It almost feels dirty to me as I try my best to PRESERVE pulp vitality! But sometimes this bites you, and you wish you had carried out root canal treatment before cementing that crown. At what point can pre-emptive root canal be justified in a world where MTA and biodentine exist? https://youtu.be/9Gc_yik9fDU Watch PDP202 on Youtube In this episode, Jaz sits down with renowned endodontist Dr. Brett Gilbert to delve into the intriguing world of elective or pre-emptive endodontics. Together, they explore challenging cases where teeth with uncertain pulpal health may require root canal treatment, whether due to caries or crown prep. Dr. Gilbert sheds light on patient communication strategies, the role of bioactive materials like biodentine and bioceramic sealers, and how to make crucial decisions about preserving pulp vitality. Protrusive Dental Pearl: Dr. Pav Khaira suggests using Alvogyl, commonly used for dry sockets, to treat pericoronitis! After cleaning and disinfecting the area, place a small amount under the operculum for immediate relief and to soothe inflammation. Need to Read it? Check out the Full Episode Transcript below! Highlights of this Episode: 3:01 Protrusive Dental Pearl 03:55 Dr. Brett Gilbert's Journey and Philosophy 07:17 Elective or Pre-emptive Endodontics 11:06 Radiographic Measurement 11:40 Real-Life Encounters  15:29 Discussing Treatment Options and Patient Communication 20:28 Can Biodentine Prevent Root Canal? 22:45 Materials and Techniques in Endodontics 26:16 Death of Gutta-percha? This episode is eligible for 0.5 CE credit via the quiz on Protrusive Guidance.  This episode meets GDC Outcomes B and C. AGD Subject code: 070 Endodontics (Endodontic infections, microbiology and treatment) Dentists will be able to:  1. Learn what elective or preemptive endodontics entails and recognize scenarios where root canal treatment may be required due to caries or crown preparation, and how to approach them.2. Discover effective strategies for explaining treatment options to patients, improving trust and decision-making.3. Gain insights into the use of bioactive materials like biodentine and bioceramic sealers, and their benefits in preserving pulp vitality. If you liked this episode, you'll love Post Operative Pain after Endodontics – Prevention and Management – GF017 Click below for full episode transcript: Teaser: I do believe in these instances, you are justified to recommend the treatment. You're not demanding it. You're not saying it's dogma, but you're having a conversation so the patient understands. Because what happens if you don't is you do your work, you're doing it in best faith. Patient winds up in pain, and they become very angry. Teaser:They become agitated, and they want to blame the dentist. And without a conversation, without a dialogue, they're clueless, and all of a sudden, they just think you did something wrong. You are a human, and you are the doctor. Speak to yourself. Let the words flow out so that you can explain all the different possibilities in a way that the patient feels heard, understood, but also nurtured, and at the same time you realize this is biology. We are not in control. Jaz's Introduction:In a world where we want to do everything to preserve pulp vitality, is it ever appropriate to carry out elective endodontics? Another terminology that our guest today, Dr. Brett Gilbert shared with me is preemptive endodontics. For example, you have a tooth with dubious pulpal prognosis. And you know that by prepping it for a crown or by removing the caries, this tooth may need root canal treatment. Is it okay to just go ahead and do the root canal so it doesn't bite you in the behind in the future? You see, I was always taught to do everything possible to preserve pulp vitality.

Are single-use diamond burs more efficient at cutting? When should we throw away a bur and pick up a fresh one? How long are they supposed to last? (it's measured in minutes!) Are expensive brands a con? Tiny, but one of the most important tools of our trade…BURS! In a world full of different identifying numbers and names, it can get confusing and even overwhelming.  https://youtu.be/Ol0_XcIbSD8 Watch PDP201 on Youtube That's why on today's episode, we welcome Günter and Marcela from Intensiv, a globally recognised manufacturer of dental burs, where they take great pride in bringing the latest tech to help make our dental procedures that much easier and effective. In this episode, we cover how diamonds are sourced, what the differences are in colours of burs and how the grain size of diamonds can change our results. There's lots of amazing tips and tricks here given by the team at Intensiv, so you'll definitely walk away from this one with something new up your sleeve. HIGHLIGHTS of this Episode: 01:24 Protrusive Dental Pearl 02:03 Introduction to Team Intensiv 05:40 Understanding Bur Codes 10:49 Bur Colours 15:10 When to Use Different Grit Diamonds 18:40 Single Use Burs vs Reusable Burs 24:59 Sourcing Diamonds 29:18 Fixing the Diamonds to the Metal Shank 32:40 Is my bur fit for purpose? 37:30 Drilling Zirconia 39:30 Final Tips 41:20 Contact Intensiv This episode is eligible for 0.75 CE credit via the quiz below. AGD Code: 250 Operative (restorative) Dentistry (Preparation Technology) GDC Learning Outcome:  C Learning Outcomes Identify the appropriate dental burs for different procedures, considering grit size and material composition, to ensure efficient and safe treatment. Evaluate the impact of bur selection on patient comfort and procedural outcomes, minimising trauma and maximising efficiency during dental treatments. Implement best practices for the maintenance and replacement of burs to ensure optimal performance and longevity, thereby improving clinical results and patient satisfaction. If you liked this episode, you will aslso like: PDP117 - Dental Ceramics in 2022 – Which Ceramic Should I Use

Last Live Occlusion Course of 2024 - Book Now: https://courses.iasortho.com/courses/gb/occlusion POV: You spend a fortune on a composite anatomy course and are excited to implement on Monday morning. However, every time you apply those concepts, you end up drilling it away because it's proud in the occlusion! It essentially now looks like a tooth coloured version of the amalgam you just removed! Your nurse's eyes are like pools of fire - that's half her lunch break gone. This happens a few more times until you realise that you're missing a trick… Enter this podcast to save your career! ;) https://youtu.be/5MVvknCNV-8 Watch PDP200 on Youtube Dr Jaz Gulati and Dr Mahmoud Ibrahim will teach you how to radically minimize adjustments on your daily restorations. Key Takeaways: Always check the patient's occlusion before starting any restoration. Utilize shim stock to ensure accurate occlusal contacts post-restoration. Pre-op visual checks are crucial for successful composite placement. Don't compromise on the anatomy of the restoration for aesthetics. Use thinner articulating paper for more precise occlusal markings. Communicate effectively with your dental nurse about new protocols. Involve your senses to assess the quality of your restorations. Document occlusal marks pre and post-restoration for reference. Adjustments should be minimal if pre-op checks are thorough. Educate patients about their occlusion to manage expectations. Highlights of this Episode:05:24 Introduction - Dr Mahmoud Ibrahim08:42 Posterior Composite14:15 Shim Stock Foil16:35 Effects of Numbing on Occlusion18:23 Lower First Molar Example22:06 Shim Stock revisited26:22 Lateral Excursions30:32 Fissure Staining?31:56 Old Restoration as a Guide35:33 Restoration Techniques and Adjustments38:03 Tips and Tricks43:28 Event Discussion45:09 The Importance of Marginal Ridges46:25 Anatomy or aNOTomy?48:17 Post-Op Checklist: Final Adjustmentsand Polishing Tips54:19 Wrapping Up: Using Your Senses in Dentistry56:43 Outro This episode is eligible for 1 CE credit via the quiz on Protrusive Guidance App. This episode meets GDC Outcomes A and C. AGD Code: 250 Operative (Restorative) Dentistry (Direct restorations) Dentists will be able to: Evaluate and manage occlusion during posterior composite restorations, ensuring that patient bite and interdigitation are maintained post-procedure. Effectively use shim stock foil and articulating paper to achieve precise contact points and occlusal balance, minimizing the need for post-restoration adjustments. Apply practical techniques, such as using occlusal stamps and soft flex discs, to streamline posterior composite restorations while improving the durability and aesthetics of the final result. If you liked this episode, check out: IC046 - 4 Ways and 6 Great Reasons to Document Your Dentistry

Follow THESE protocols to eliminate teeth whitening sensitivity in your practice - your patients will love you. Have you ever had a patient who had to stop whitening due to severe sensitivity? Should we be whitening when there are active carious lesions? (the answer might surprise you) https://youtu.be/IC3wMpfLo30 Watch PDP199 on Youtube In this episode, Dr. Linda Greenwall is back with another phenomenal episode as we dive into this common concern. Together, we discuss practical tips and effective strategies and protocols to help patients achieve radiant smiles without pain. Protrusive Dental Pearl: We've made an infographic to summarise this awesome episode. This one is available freely under the episode in our Protrusive Guidance App. Highlights of the episode: 03:06 Dr. Linda Greenwald's Background and Experience 07:09 Teeth Whitening: A Global Perspective 08:31 Diagnosing Teeth Sensitivity 14:28 Managing Non-Carious Cervical Lesions (NCCLs) 22:30 Using Sensodyne for Sensitivity Management 24:36 Exploring Different Sensodyne Products 26:26 Bruxism and Occlusal Forces: Mechanisms of Sensitivity 29:39 Role of Hydration and Tray Design 32:57 Whitening Limitations: Cervical Whitening and Medication Impact 36:41 Dehydration and Discoloration 42:03 Therapeutic Uses of Whitening Trays 48:53 Upcoming Events and Final Thoughts Dr. Linda Greenwald invites the Protruseratis to the "Future Dentistry" conference on November 1st at the BDA, featuring dental AI, restorative, orthodontics, and implant innovations. This episode is eligible for 1 CE credit via the quiz on the Protrusive Guidance App. This episode meets GDC Outcomes A and C. AGD code 780 ESTHETICS/COSMETIC DENTISTRY (Tooth whitening/bleaching) Dentists will be able to: 1. Understand the causes of teeth sensitivity during whitening treatments and conduct thorough diagnostics. 2. Implement pre-whitening protocols such as treating non-carious cervical lesions and recommending desensitizing toothpastes. 3. Gain insights into preventative measures for managing sensitivity in whitening treatments. If you love this, be sure to check out Dr. Linda's other Protrusive Episodes: Finally, Some Clarity on Teeth Whitening for Under-18s with Linda Greenwall – PDP096 and ICON Resin Infiltration – Step by Step FULL PROTOCOL – PDP140

It's Friday and you're fitting the last patient's crown. It is completely shy of the bite - but it looks good. The patient says ‘it feels great! I can hardly feel anything!' Do you cement it (plant it low?) and let it grow? Is that acceptable? How about the 'GABS occlusal philosophy?' Is ‘centric relation' full of unicorns and rainbows? What is an efficient protocol in ‘checking the occlusion'? https://youtu.be/Nmx1C8WDSjA Watch PS010 on Youtube Join us in this episode where we discuss some key techniques to help ensure we are managing occlusion as a primary focus when dealing with restorative treatment. This episode is packed with essential tips that are perfect for dental students and professionals alike.  Don't miss the special notes on Occlusion, CR & All Things Confusing available exclusively in the Protrusive Guidance app! (Crush Your Exams section) This episode is not eligible for CPD/CE points, but never fear, there are hundreds of hours of CPD for Dentists waiting for you on the Protrusive App! For the full educational experience, our Ultimate Education Plan gives you access to all our courses, webinars, and exclusive monthly content. If you love this episode, be sure to recap PDP109 - Articulating Paper is Lying to Us

“Defensive Dentistry and the fear culture is the number 1 cause of anxiety amongst Dentists” How can we instead foster a culture where we can focus on growth and supporting each other? Does Dentistry have a social media problem? https://youtu.be/wsiENbuIXcE Watch IC053 on Youtube Join us on this episode with Dr Mehy Lo-Presti as we navigate dentistry and social media, the pros and cons of using the online world as part of our portfolio and how we can remove anxiety through effective communication. 2 Events to Attend: DentoRama 18th October Treatment Planning Symposium (Hybrid Event) 16th Nov Highlights of this Episode:02:05 Introduction - Dr Mehy Lo-Presti06:42 Mehy Early On12:04 Dento-Rama15:30 Social Media in Dentistry20:35 Life Before Social Media21:25 Social Media is a Business 23:40 What Causes Anxiety for Dentists?29:45 Overcoming the Fear Factor34:45 Fast Tracking to Success41:20 Wrapping Up47:14 Booking the Event and Getting in Touch This episode is eligible for 0.75 CE credit via the quiz on Protrusive Guidance. GDC LEARNING OUTCOMES: A AGD Code 770 (Self Improvement) Dentists will be able to: Gain insights into how social media affects clinical practice, patient perceptions, and professional image, learning how to use these platforms responsibly. Manage the pressures of online validation, minimising the impact on their mental health and maintaining a healthy work-life balance. Develop stronger communication methods both online and offline, ensuring clearer patient education, reducing complaints, and fostering better relationships within the dental team. For the full educational experience, our Ultimate Education Plan gives you access to all our courses, webinars, and exclusive monthly content. This includes videos on Overlay preps and the famous 'Vertipreps for Plonkers' series. If you liked this episode, check out IC035 - Best Practices in Social Media for Dentists

JOIN US on 16th November for Treatment Planning Symposium 2024 - Online Event OR In-Person - you decide! https://youtu.be/G5ebbUl0sDg Watch PDP198 on Youtube Implants are great but they are not always the best solution for our patient. There are many times a bridge or denture may serve the patient's goals, aesthetics and budget better. So how do we decide between bridges and dentures? Is it acceptable to use root filled tooth as a bridge abutment? Are single tooth posterior dentures risky? Or do patients love them? How do we begin to communicate aspects of replacing teeth with our patients? Join me with our guest Dr Michael Frazis as we discuss the art form of communication with our patients and some outlandish cases including roundhouse bridges. This will really help upskill you on dealing with patients with missing teeth. Protrusive Dental Pearl: Failure is inevitable for our Dentistry, but try to set yourself up for smaller failures and not giant catastrophes! The real magic is in proper case selection. Practise at the EDGE of your comfort zone, but NOT out of your depth. 20% OFF Guaranteed on RipeGlobal Fellowship Programs + Free access to their portal - Click here to register for this! protrusive.co.uk/rg20 Follow Dr Michael Frazis on Instagram This episode is eligible for 1 CE credit via the quiz on Protrusive Guidance. This episode meets GDC LEARNING OUTCOMES: A and C AGD Subject Code: 610 Fixed Prosthodontics Dentists will be able to: Demonstrate improved decision-making skills in treatment planning, particularly regarding non-implant tooth replacement options. Apply communication strategies to better explain treatment options, manage patient expectations, and gain informed consent, especially in high-risk cases involving implants, bridges, or challenging restorations. Recognize red flags and understanding the risks involved in specific dental procedures (such as implant failure or the use of root-filled teeth as abutments) and how to mitigate these risks through careful case selection and patient education. For the full educational experience, our Ultimate Education Plan gives you access to all our courses, webinars, and exclusive monthly content. This includes videos on Overlay preps and the famous 'Vertipreps for Plonkers' series. Highlights of this Episode:00:01:37:00 Protrusive Dental Pearl00:03:51:05 Introduction - Dr Michael Frazis00:10:43:10 Growth in Dentistry00:14:10:10 Non Implant Tooth Replacement Options00:18:15:10 Treatment Planning Bridges and Dentures00:24:35:10 Ideal Treatment vs Budget00:30:15:10 Single Tooth Dentures00:36:58:10 Thin Implants vs Bridges00:39:25:10 Bridge Spans00:49:20:10 Root Filled Teeth as Bridge Abutments00:55:35:10 Failures01:05:35:10 Wrapping Up - Contact Michael If you liked this episode, check out PDP132 - Resin Bonded Bridges

Treatment Planning Symposium 16th November Hybrid event: https://www.protrusive.co.uk/rx Are you still afraid of raising the Vertical Dimension? You cannot break free from the shackles of single tooth Dentistry if you don't get comfortable with vertical dimensions changes in Restorative Dentistry. https://youtu.be/Nb-LTyzRKuU Watch PDP197 on Youtube In this episode, Dr. Jaz Gulati and Dr. Mahmoud Ibrahim  simplify the complex topic of increasing vertical dimension.  What is a safe limit of increasing the vertical dimension? They cover the essentials of joint health, muscle stability, and the importance of centric relation (does it actually matter?) Protrusive Dental Pearl: Use Duralay copings for guide planes to ensure stable dentures with a single path of insertion. While eyeballing the prep can be challenging, he suggests requesting acrylic copings from the lab for precise preparation. He explains that technicians survey models to identify undercuts and determine the path of insertion, and instead of manual prepping, he advises using lab-created reduction copings and acrylic jigs to simplify and accurately guide the preparation process.  Highlights of this episode:  02:05 Protrusive Dental Pearl  Acyrlic Copings for Guide Planes 03:57 Dr. Mahmoud Ibrahim's Introduction 06:05 Personal Experiences with Vertical Dimension 08:45 Challenges and Techniques in Vertical Dimension 14:17 Clinical Considerations (Restorative Dentistry) and Research 21:15 How to Assess OVD Loss? 24:35 Factors to Consider in Increasing the Vertical Dimension 28:41 Treatment Planning: Orthodontics vs. Restorative Management 32:21 Assessing Cases for Vertical Dimension 34:39 Joint Position and Vertical Dimension 39:47 Occlusal Appliances Prior to Increasing Vertical Dimension  45:26 Joint Relationship 50:49 Reproducibility and Stability in Occlusal Planning 53:00 Summary and Final Thoughts on Vertical Dimension This episode is eligible for 1 CE credit via the quiz on Protrusive Guidance. AGD code: 180 Occlusion  (Occlusal therapy) This episode meets GDC Outcomes A and C. Dentists will be able to: 1. Explore key clinical considerations and current research in restorative dentistry related to vertical dimension, enhancing your ability to make informed decisions. 2. Understand the relationship between joint position and vertical dimension, and how to assess and manage this relationship effectively. 3. Recall the guidelines for assessing the vertical dimension and the safe limit for this in dentate patients. If you liked this, you will also like Functionally Generated Path Technique – Conforming to Funky Occlusions – PDP168

Plant it low and watch it grow? Is that serving our patients? Should we keep our crowns flat to avoid ‘interferences'? How about guiding teeth - how can we recreate and build in guidance and the correct cuspal inclination in our indirect work? https://youtu.be/b2KA84dXhnI Watch PDP196 on Youtube As part of Occlusion month I am joined by my dental technician Graham Entwistle and Occlusion geek Dr Mahmoud Ibrahim. We discuss foundational occlusal concepts relevant to our daily indirect restorations. Protrusive Dental Pearl: Bleeding papilla? Use the HOW technique to QUICKLY stop bleeding - insert a Wedge obliquely (Haemostasis with Oblique Wedge technique) as taught by Dr Sunny Sadana from Drecomposite.com Treatment Planning Symposium 16th November HYBRID EVENT Basics of Occlusion Live 2 Day Hands-On Course with Jaz and Mahmoud Highlights of this Episode: 0:00 Introduction 03:31 Protrusive Dental Pearl 05:16 Introduction - Graham Entwistle + Mahmoud Ibrahim 08:25 Guiding Teeth 11:40 Why is Guidance important? 16:35 What information should we provide our technicians? 20:00 Excursions and Patient Case 28:00 Complex crown creation 33:33 To Facebow or not to Facebow? 34:40 A Technician's POV 49:50 What is the Technician aiming for? 51:06 Perfect Contacts - technician perspective 53:23 Final Thoughts This episode is eligible for 1 CE credit via the quiz on Protrusive Guidance. This episode meets GDC Outcomes B and C. AGD Subject code: 180 Occlusion (Occlusal functional concepts) Dentists will be able to: 1. Understand the importance of guidance and occlusion in crown design, ensuring restorations contribute positively to occlusal function and patient well-being. 2. Improve communication strategies with dental technicians, including providing crucial details such as shim holds and occlusal plane guidance, to ensure optimal restorations. 3. Make informed decisions about the distribution of occlusal forces to prevent damage and maintain functional integrity in prosthetic designs. If you liked this episode, you'll love PDP137 - Q&A with a Dental Technician

There is something very satisfying about a well fitting denture. I am joined by our resident Dental Student, Emma Hutchison, to demystify removable prosthetics. https://youtu.be/1hQGjKUa6MU Watch PS009 on Youtube Which joint position should we use for dentures? Is this important? How do you calculate the freeway space? What are we actually recording during a Wax Jaw Registration for complete dentures? Don't miss the special exam revision notes on Removable Pros available exclusively in the Protrusive Guidance app! (Join the free Students Section) This episode is not eligible for CPD/CE points, but never fear, there are hundreds of hours of CPD for Dentists waiting for you on the Protrusive App! For the full educational experience, our Ultimate Education Plan gives you access to all our courses, webinars, and exclusive monthly content. If you love this episode, check out PDP162 - Occlusion for Complete Dentures

The first EVER ‘Prospective' episode of Protrusive - I interviewed new-grad Dr Triman Ahluwalia in 2023, then again 7 months later in 2024 to see how he gets on with his first year as a *real* Dentist ;) We uncover what it feels to be a freshly qualified Dentist, the pressures and fears that come with procedures such as endo and surgical extractions, but what we can do as growing clinicians to overcome these hurdles. https://youtu.be/9NtKCIVfMLs Watch IC052 on Youtube This episode is packed with lots of top tips to help you in your journey from the ground up, or as a reminder for those that have been there and done that, that we are forever learning on our journey and there's always something out there to help us become better Dentists. Highlights of this Episode:02:02 Introduction to Dr Triman (2023)03:32 Experiences at Dental School07:15 Procedures You Fear + Sectioning Teeth11:25 Thoughts on Social Media in Dentistry15:26 Documenting Work16:30 Future Career Plans18:00 Additional Comments from Triman19:03 Back to the Future: 2024 Triman Update21:50 Dental Photography Progress23:08 Tricky Dental Procedures Update27:46 The Good and the Bad of DFT32:26 Career Path in Dentistry34:49 Triman's Top Tips37:06 Wrapping Up Don't forget to check out the Protrusive App where you can find more awesome tutorials on becoming a more efficient and effective practitioner. If you liked this episode, you will also like IC029 - Young Dentist Thrival Guide  This episode is not eligible for CPD/CE points, but never fear, there are hundreds of hours of CPD waiting for you on on the Ultimate Eduction Plan, including Premium clinical workthroughs and Masterclasses.

Is this the death of impressions for Dentures? Are digital dentures predictable? Time saving? Cost saving? Are all types of dentures suitable for the digital workflow? Even if you don't use an intra-oral scanner, your lab may be utilising a digital workflow, so it's a great time to dive deep into this area. Impression Club's Dr Rupert Monkhouse joins us for another removable prosthetics themed episode where we discuss how digital dentistry is changing the way we make partial dentures and complete dentures. https://youtu.be/P8XBEU5I6kc Watch PDP195 on Youtube Check out Impression Club courses This episode is eligible for 1 CE credit via the quiz on Protrusive Guidance. This episode meets GDC Outcomes A and C. Dentists will be able to: 1. Understand the key differences between traditional impression techniques and digital workflows in denture creation, including the benefits and limitations of both methods. 2. Evaluate the accuracy and efficiency of digital dentures compared to traditional methods and implement best practices for integrating digital workflows into their clinical practice. 3. Effectively collaborate with dental technicians using digital tools, fostering better communication and teamwork to achieve optimal patient outcomes in denture fabrication. AGD code 670 Removable Prosthodontics (Emerging technology or techniques) Highlights of this Episode:03:18 Protrusive Dental Pearl - Understand the Why05:38 Introduction to Dr Rupert Monkhouse8:11 What kind of Dentures can we do Digitally?13:33 What work still requires Impressions?17:05 Which Scanners?19:55 How Accurate?28:24 Should Digital be the Gold Standard?30:55 Immediate Dentures38:55 Cobalt Chromes47:55 Finding great technicians58:08 Impression Club If you liked this, you will also like GF018 Intra-Oral Scanner

How are periodontal diseases managed in general practice? Join us for an engaging conversation with Emma Hutchison, our Protrusive student, as we explore Periodontology (Perio) in the real world. This conversation delves deep into the practical protocols, patient communication strategies, and real-life scenarios every dental student and practicing dentist should be aware of. https://youtu.be/X5ahZ9bzsc4 Watch PS008 on Youtube Highlights of this Episode: 0:37 Emma's Dental School Experience: Special Care Dentistry 03:02 Emma's Denture Adjustment Case  06:11 Periodontics Month  06:54 Communicating with Patients about Gum Disease 10:15 Managing Non-Engaging Patients 15:04 The Psychology of Habits 17:13 Referral Protocols in Dental Practice 20:00 Risk Factors in Periodontal Treatment 25:03 Genetic Factors in Periodontal Disease Don't miss the special notes on An Introduction to Periodontal Diseases available exclusively in the Protrusive Guidance app! This episode is not eligible for CPD/CE points, but never fear, there are hundreds of hours of CPD for Dentists waiting for you on the Protrusive App! For the full educational experience, our Ultimate Education Plan gives you access to all our courses, webinars, and exclusive monthly content. If you love this episode, be sure to recap PS007 - Basics of Indirection Restorations Part 2 - The Crown Fit

It's your first night on-call and you are bleeped at 3am - there's a nasty facial laceration waiting for your urgent attention. You have never sutured the face before…”who you gonna call?” - well sometimes even the Ghostbusters will be more helpful than the on-call trainee! https://youtu.be/3RKZG3yy2sU Watch PDP194 on Youtube Our good friend Dr Ameer Allybocus joins us again for another episode where he gives us a lowdown of his experience when he was a DCT trainee many years ago. There is a lot to learn in this podcast from Ameer as he dives into the Trials and Tribulations of being an Oral and MaxilloFacial Surgery DCT during the early years of his career.  There are laughs and tears in this one, so hold on to your seats for an emotional podcast that will leave you wanting more. Highlights of this Episode:  00:00 Introduction01:37 Protrusive Dental Pearl03:26 Introduction to Dr Ameer Allybocus19:40 The MaxFax Beginnings24:00 MaxFax at UCL29:37 MaxFax isn't all bad36:05 DCT Oral Surgery 42:16 On Call 48:26 Book Recommendations49:15 Working at the Queen Elizabeth Hospital54:13 A Life Changing Experience59:57 MaxFax: Benefits, Tips & Tricks65:26 Tips from Ameer66:25 Trauma and Accidents70:56 MaxFax Puts Dentistry Into Perspective74:33 Closing Words For the full educational experience, our Ultimate Education Plan gives you access to all our courses, webinars, and exclusive monthly content. If you liked this episode, you will also like: Getting Ahead after Dental School 2023 – IC042 – Protrusive Dental Podcast

What makes us reject crowns and send them back to the technician? What are the standards/guidelines to consider before accepting and luting indirect restorations? Join us as we explore the key factors that determine the quality of a crown. From the initial lab communication to the final occlusal checks, we cover it all. This episode is packed with essential tips that are perfect for dental students and professionals alike.  https://youtu.be/ftafglxcBbM Watch PS007 on Youtube Highlights of the episode: 1:33 Emma Hutchison: Student Life and OSCEs 06:44 Handling Lab Work and Fitting Crowns 14:15 Crown Rejections 18:12 Understanding Occlusal Tolerance 20:09 The Importance of Occlusal Precision 22:24 Building a Strong Dentist-Lab Technician Relationship 24:17 Tips for Dental Students 27:46 Microbiology in Dentistry Don't miss the special notes on Microbial Ecology and Infection Transmission available exclusively in the Protrusive Guidance app! (Join the free Students Section) This episode is not eligible for CPD/CE points, but never fear, there are hundreds of hours of CPD for Dentists waiting for you on the Protrusive App! For the full educational experience, our Ultimate Education Plan gives you access to all our courses, webinars, and exclusive monthly content. If you love this episode, be sure to recap PS006 - Basics of Indirect Restorations Part 1 - Decision Making

Clinician Development Tool: https://protrusive.co.uk/cdt Did you know, there's a cheaper, quicker and more natural treatment option than using Dental Implants, WITHOUT compromising on longevity? Sounds too good to be true right?  You already know about it. You most likely studied it already at Dental School and just haven't given it much thought in a clinical scenario. Meet Dr Lukas Huber who will remind us of the power of Autotransplantation for such cases, which in turn can massively help our patients who have missing or hopeless teeth, all while keeping laboratory costs down and success rates up. https://youtu.be/CjUdDsuCWQA Watch PDP193 on Youtube Highlights of this Episode:02:10 Clinician Development Tool03:34 Introduction - Dr Lukas Huber07:40 Autotransplantation Procedure12:45 Example Autotransplantation18:40 Step by Step Autotransplantation26:35 Placing the Donor Tooth30:15 Transplant Restorative Augmentation35:00 Learn more from Lukas I thought that Dr Lukas is an inspiration to all the general Dentists and am so grateful he is part of our Protrusive Community - thanks for sharing your entire protocol! Don't forget to claim CE Credits on Protrusive Guidance by completing the quiz. Check out Dr Lukas Huber's Instagram! If you liked this episode, you will also like Atraumatic Extractions