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Let's be honest – the occlusion after Aligner cases can be a little ‘off' (even after fixed appliances!) How do you know if your patient's occlusion after aligner treatment is acceptable or risky? What practical guidelines can general dentists follow to manage occlusion when orthodontic results aren't textbook-perfect? Jaz and Dr. Jesper Hatt explore the most common challenges dentists face, from ClinCheck errors and digital setup pitfalls to balancing aesthetics with functional occlusion. They also discuss key strategies to help you evaluate, guide, and optimize occlusion in your patients, because understanding what is acceptable and what needs intervention can make all the difference in long-term treatment stability and patient satisfaction. https://youtu.be/e74lUbyTCaA Watch PDP250 on YouTube Protrusive Dental Pearl: Harmony and Occlusal Compatibility Always ensure restorative anatomy suits the patient's natural occlusal scheme and age-related wear. If opposing teeth are flat and amalgam-filled, polished cuspal anatomy will be incompatible — flatten as needed to conform. Need to Read it? Check out the Full Episode Transcript below! Key Takeaways Common mistakes in ClinCheck planning often stem from occlusion issues. Effective communication and documentation are crucial in clinical support. Occlusion must be set correctly to ensure successful treatment outcomes. Understanding the patient’s profile is essential for effective orthodontics. Collaboration between GPs and orthodontists can enhance patient care. Retention of orthodontic results is a lifelong commitment. Aesthetic goals must align with functional occlusion in treatment planning. Informed consent is critical when discussing potential surgical interventions. The tongue plays a crucial role in orthodontic outcomes. Spacing cases should often be approached as restorative cases. Aligners can achieve precise spacing more effectively than fixed appliances. Enamel adjustments may be necessary for optimal occlusion post-treatment. Retention strategies must be tailored to individual patient needs. Case assessment is vital for determining treatment complexity. Highlights of this episode: 00:00 Teaser 00:59 Intro 02:53  Pearl – Harmony and Occlusal Compatibility 05:57 Dr. Jesper Hatt Introduction 07:34 Clinical Support Systems 10:18 Occlusion and Aligner Therapy 20:41 Bite Recording Considerations 25:32 Collaborative Approach in Orthodontics 30:31 Occlusal Goals vs. Aesthetic Goals 31:42 Midroll 35:03 Occlusal Goals vs. Aesthetic Goals 35:25 Challenges with Spacing Cases 42:19 Occlusion Checkpoints After Aligners 50:17 Considerations for Retention 54:55 Case Assessment and Treatment Planning 58:14 Key Lessons and Final Thoughts 01:00:19 Interconnectedness of Body and Teeth 01:02:48 Resources for Dentists and Case Support 01:04:40 Outro Free Aligner Case Support!Send your patient's case number and get a full assessment in 24 hours—easy, moderate, complex, or referral. Plus, access our 52-point planning protocol and 2-min photo course. No uploads, no cost. [Get Free Access Now] Learn more at alignerservice.com If you enjoyed this episode, don't miss: Do's and Don'ts of Aligners [STRAIGHTPRIL] – PDP071 #PDPMainEpisodes #OcclusionTMDandSplints #OrthoRestorative This episode is eligible for 1 CE credit via the quiz on Protrusive Guidance. This episode meets GDC Outcomes A and C. AGD Subject Code: 370 ORTHODONTICS (Functional orthodontic therapy) Aim: To provide general dentists with practical guidance for managing occlusion in aligner therapy, from bite capture to retention, including common pitfalls, functional considerations, and case selection. Dentists will be able to – Identify common errors in digital bite capture and occlusion setup. Understand the impact of anterior inclination and mandibular movement patterns on occlusal stability. Plan retention strategies appropriate for aligner and restorative cases. Click below for full episode transcript: Teaser: The one thing that we always check initially is the occlusion set correct by the aligner company. Because if the occlusion is not set correctly, everything else just doesn't matter because the teeth will move, but into a wrong position because the occlusion is off from the beginning. I don't know about you, but if half the orthodontists are afraid of controlling the root movements in extraction cases, as a GP, I would be terrified. Teaser:I don’t care if you just move from premolar to premolar or all the teeth. Orthodontics is orthodontics, so you will affect all the teeth during the treatment. The question’s just how much. Imagine going to a football stadium. The orthodontist will be able to find the football stadium.  If it’s a reasonable orthodontist, he’ll be able to find the section you’re going to sit in, and if he’s really, really, really good, he will be able to find the row that you’re going to sit in, but the exact spot where you are going to sit… he will never, ever be able to find that with orthodontics. Jaz’s Introduction: Hello, Protruserati. I’m Jaz Gulati. Welcome back to your favorite dental podcast. I’m joined today by our guest, Dr. Jesper Hatt. All this dentist does is help other dentists with their treatment plans for aligners. From speaking to him, I gather that he’s no longer practicing clinically and is full-time clinical support for colleagues for their aligner cases. So there’s a lot we can learn from someone who day in day out has to do so much treatment planning and speaking to GDPs about their cases, how they’re tracking, how they’re not tracking, complications, and then years of seeing again, okay, how well did that first set of aligners actually perform? What is predictable and what isn’t? And as well as asking what are the most common errors we make on our ClinChecks or treatment plan softwares. I really wanted to probe in further. I really want to ask him about clinical guidelines for occlusion after ortho. Sometimes we treat a case and whilst the aesthetics of that aligner case is beautiful, the occlusion is sometimes not as good. So let’s talk about what that actually means. What is a not-good occlusion? What is a good occlusion? And just to offer some guidelines for practitioners to follow because guess what? No orthodontist in the world is gonna ever get the occlusion correct through ortho. Therefore, we as GPs are never gonna get a perfect textbook occlusion, but we need to understand what is acceptable and what is a good guideline to follow. That’s exactly what we’ll present to you in this episode today. Dental PearlNow, this is a CE slash CPD eligible episode and as our main PDP episode, I’ll give you a Protrusive Dental Pearl. Today’s pearl is very much relevant to the theme of orthodontics and occlusion we’re discussing today, and it’s probably a pearl I’ve given to you already in the past somewhere down the line, but it’s so important and so key. I really want to just emphasize on it again. In fact, a colleague messaged me recently and it reminded me of this concept I’m about to explain. She sent me an image of a resin bonded bridge she did, which had failed. It was a lower incisor, and just a few days after bonding, it failed. And so this dentist is feeling a bit embarrassed and wanted my advice. Now, by the way, guys, if you message me for advice on Instagram, on Facebook, or something like that, it’s very hit and miss. Like my priorities in life are family, health, and everything that happens on Protrusive Guidance. Our network. If you message me outside that network, I may not see it. The team might, but I may not see it. It’s the only way that I can really maintain control and calm in my life. The reason for saying this, I don’t want anyone to be offended. I’m not ignoring anyone. It’s just the volume of messages I get year on year, they’re astronomical. And I don’t mind if you nudge me. If you messaged me something weeks or months ago and I haven’t replied, I probably haven’t seen it. Please do nudge me. And the best place to catch me on is Protrusive Guidance. If you DM me on Protrusive Guidance, home of the nicest and geekiest dentists in the world, that’s the only platform I will log in daily. That’s our baby, our community. Anyway, so I caught this Facebook message and it was up to me to help this colleague. And one observation I made is that the lower teeth were all worn. The upper teeth were really worn, but this resin bonded bridge pontic, it just looked like a perfect tooth. The patient was something like 77 or 80. So it really made me think that, okay, why are we putting something that looks like a 25-year-old’s tooth in a 77-year-old? But even forgetting age and stuff, you have to look at the adjacent teeth in the arch. Is your restoration harmonious with the other teeth in the arch, and of course is the restoration harmonious with what’s opposing it? Because it’s just not compatible. So part one of this pearl is make sure any restoration you do, whether it’s direct or indirect, is harmonious with the patient’s arch and with the opposing teeth and with their occlusal scheme. Because otherwise, if you get rubber dam on and you give your 75-year-old patient beautiful composite resin, it’s got all that cuspal fissure pattern and anatomy, and you take that rubber dam off and you notice that all the other teeth are flat and the opposing teeth are flat amalgams, guess what? You’re gonna be making your composite flat, whether you like it or not. You created a restoration that’s proud, right? That’s why you did not conform to the patient’s own arch or existing anatomical scheme. So the part B of this is the thing that I get very excited to talk about, right? So sometimes you have a worn dentition, but then you have one tooth that’s not worn at all. It’s like that in-standing lateral incisor, right? Think of an upper lateral incisor that’s a bit in-standing, and you see some wear on all the incisors, but that lateral incisor does not have any wear in it because it was never in the firing line. It was never in function. It was never in parafunction. Now, if you give this patient aligners or fixed appliances, you’re doing ortho and you’re now going to align this lateral incisor. So it’s now gonna eventually get into occlusion and it will be in the functional and parafunctional pathways of this patient. Do you really think you can just leave that incisor be? No. It’s not gonna be compatible with the adjacent teeth. It’s not going to be compatible with the opposing tooth and the occlusal scheme. So guess what? You have to get your bur out or your Sof-Lex disc out, and you have to bake in some years into that tooth. Or you have to build up all the other teeth if appropriate for that patient. You’ve just gotta think about it. And I hope that makes sense so you can stay out of trouble. You’re not gonna get chipping and you can consent your patient appropriately for enamel adjustment, which is something that we do talk about in this episode. I think you’re in for an absolute cracker. I hope you enjoy. I’ll catch you in the outro. Main Episode: Doctor Jesper Hatt, thank you so much for coming to Protrusive Dental Podcast. We met in Scandinavia, in Copenhagen. You delivered this wonderful lecture and it was so nice to connect with you then and to finally have you on the show. Tell us, how are you, where in the world are you, and tell us about yourself. [Jesper] Well, thank you for the invitation, first of all. Well, I’m a dentist. I used to practice in Denmark since I originally come from Denmark. My mother’s from Germany, and now I live in Switzerland and have stopped practicing dentistry since 2018. Now I only do consulting work and I help doctors around the world with making their aligner business successful. [Jaz] And this is like probably clinical advice, but also like strategic advice and positioning and that kinda stuff. Probably the whole shebang, right? [Jesper] Yeah. I mean, I have a team around me, so my wife’s a dentist as well, and I would say she’s the expert in Europe on clear aligners. She’s been working for, first of all, our practice. She’s a dentist too. She worked with me in the practice. We practiced together for 10 years. Then she became a clinical advisor for Allion Tech with responsibility for clinical support of Scandinavia. She was headhunted to ClearCorrect, worked in Basel while I was doing more and more consulting stuff in Denmark. So she was traveling back and forth, and I considered this to be a little bit challenging for our family. So I asked her, well, why don’t we just relocate to Switzerland since ClearCorrect is located there? And sure we did. And after two years she told me, I think clinical support, it’s okay. And I like to train the teams, but I’d really like to do more than that because she found out that doctors, they were able to book a spot sometime in the future, let’s say two weeks out in the future at a time that suited the doctors… no, not the doctors, ClearCorrect. Or Invisalign or whatever clear aligner company you use. So as a doctor, you’re able to block the spot and at that time you can have your 30 minutes one-on-one online with a clinical expert. And she said it’s always between the patients or administrative stuff. So they’re not really focused on their ClearCorrect or clear aligner patient. And so they forget half of what I tell them. I can see it in the setups they do. They end up having to call me again. It doesn’t work like that. I would like to help them. [Jaz] It’s a clunky pathway of mentorship. [Jesper] Yes. And so she wanted to change the way clinical support was built up. So we do it differently. We do it only in writing so people can remember what we are telling them. They can always go back in the note and see what’s been going on, what was the advice we gave them, and we offer this co-creation support where we take over most of the treatment planning of the ClearCorrect or Clear Aligner or Spark or Invisalign or Angel Aligner treatment planning. So we do all the digital planning for the doctor, deliver what we think would be right for the patient based on the feedback we initially got from the doctor. And then the doctor can come back and say, well, I’d like a little more space for some crowns in the front, or I would like the canines to be in a better position in order to achieve immediate post disclusion. And so we can go into this discussion back and forth and adjust the digital setup in a way that is more realistic and predictable and do it all for the doctors. So they, on an average, they spend four to six hours less chair time when they use that kind of service compared to if they do everything themselves. And on top of that, you can put your planning time. She was responsible for that and it works quite well. I still remember when we initially got on all these online calls and we would see fireworks in the background and confetti coming down from the top and all of that. [Jaz] Exactly. So excuse that little bit, but okay. So essentially what you’re doing is, for an aligner user myself, for example, you’re doing the ClinChecks, you are helping, supporting with the ClinChecks, the planning. And I’ve got a lot of questions about that. The first question I’ll start with, which is off the script, but there’s probably a hundred different mistakes that could happen in a ClinCheck, right? But what is the most repeatable, predictable, common mistake that you’ll see when a new user sends a case to you to help them with their planning? What’s the most common mistake that you will see in a setup? [Jesper] Two things, actually. The one thing that we always check initially is the occlusion set correct by the aligner company. Because if the occlusion is not set correctly, everything else just doesn’t matter because the teeth will move but into a wrong position because the occlusion is off from the beginning. And so we always check that as the first part. How does this— [Jaz] So let’s talk about that ’cause that might be confusing for a younger colleague because they’re like, hey, hang on a minute. I scanned the bite left and right. What do you mean the occlusion is wrong? Because surely that gets carried through into what I see on the ClinCheck. So what do you think is the mechanism for this to happen? [Jesper] Two different reasons. I’m from a time when I graduated in 2003, so that was before digital dentistry. So when I went to the Pankey Institute and learned everything about functional occlusion and all of that stuff, I also found out that most of my patients, when I put silicone impression material between the teeth and asked the patients to bite together, they would always protrude a little bit unless I instructed them to bite hard on the posterior teeth. And when we got the scanners, when we put a scanner into the cheek and pull the cheek, most patients, when we asked them to bite together to do the intraoral scan of the bite, they also protruded a little bit, not much, but enough to set the bite wrong. So that is the one challenge when the technicians of the aligner companies put the models together. The other challenge is that some of the aligner companies, they let the technicians set the models. We always, as the first thing when we see a case, we always look at the photos, the clinical photos. And that’s why the clinical photos have to be of great quality. So we look at the clinical photos of the patient— [Jaz] And also in those clinical photos, Jesper, you have to coach them correctly to bite. You have to notice if they’re biting wrong even in the photos ’cause then it just duplicates the error. And that’s why good photography and actually being able to coach the patient is so imperative. [Jesper] Yes, that’s correct. But we compare the two and usually if we see a difference, we ask the doctor, is what we see in the photo correct, or is what we see on the digital models correct? And because we don’t like differences. So that would be the first step to look for. And what’s the second? The second thing is that when you look at the setup, the anterior teeth are usually—I’m trying to show you—the anterior teeth are very, very steep. Typically with aligners it’s a lot easier to tip the crowns. So when you have a class II patient, deviation one, where the anteriors are in a forward position, proclined, and you have a lot of space between the anteriors of the maxilla and the mandible, then the easiest thing on a digital setup is to just retrocline the anteriors of the upper to make them fit the lowers, which you could then procline a little bit, but usually you have very steep relationships between the two and this— [Jaz] So you’re more likely to restrict the envelope of function, functional interference anteriorly. You are obviously reducing the overjet, but you may end up reducing like a wall contact rather than an elegant, more open gate. [Jesper] Yes. And there’s another dimension to this because when we work with orthodontics, one of the most important things to look for is actually the profile of the patient. Because let’s say I’m trying to illustrate this now, so I hope you get a 90— [Jaz] So describe it for our audio listeners as well. So we’re looking at a profile view of Jesper. [Jesper] Yes. So I’m turning the side to the camera. I hope you can see my profile here. So let’s say I had flared anterior maxillary teeth and I wanted to retrocline them. It would have an effect on my upper lip, so the lip would fall backwards if I just retrocline everything. And every millimeter we move the anteriors in the maxilla in a posterior direction, we will have a potential lip drop of three millimeters. In addition, if we don’t get the nasolabial angulation correct, we risk the lower face will simply disappear in the face of the patient. So soft tissue plays a role here, so we cannot just retrocline the teeth. It looks great on the computer screen, but when it comes to reality, we’ll have a functional challenge. We’ll have a soft tissue support challenge, and in addition we’ll have long-term retention challenges as well. Because when you have a steep inclination, the anterior teeth in the mandible, they don’t have any kind of support. They will not be stopped by anything in the maxillary teeth, which you would if you had the right inclination between the teeth, which would be about 120 degrees. So why do aligner companies always set the teeth straight up and down in the anterior part? We wondered about this for years. We don’t have a strict answer. We don’t know exactly why it’s like this, but I have a hunch. I think there are two things to it. First of all, the easiest thing to do with aligners is to move the crown, so we can just tip the teeth. You take them back, you make a lot of IPR, and then you just tip them so they’re retroclined. Secondly, all aligner companies, they come from the United States. And in the United States there is a higher representation of class III patients. Now why is that important? All our patients can be put into two different categories in regards to how they move their mandible. They are the crocodiles that only open and close, like move up and down, and then we have the cows. And then we have the cows that move the mandible around, or the camels. I mean, every camel, if you’ve seen a camel chew, it’s just moving from side to side. [Jaz] Horses as well. Horses as well. [Jesper] They kind of do that. [Jaz] But I’m glad you didn’t say rats ’cause it’s more elegant to be a crocodile than a rat. [Jesper] Exactly. And I usually say we only tell the crocodiles. So why is this a challenge and why isn’t it a challenge with class III patients? Well, all real class III patients act like crocodiles, so they don’t move them side to side. From a functional perspective, it’s really not a problem having steep anterior inclination or steep relationships as long as you have a stable stop where the anteriors—so the anteriors will not elongate and create the red effect. So they just elongate until they hit the palate. If you can make a stop in the anterior part of the occlusion, then you’ll have some kind of stability with the class III patients. But with class II patients, we see a lot more cows. So they move the mandible from side to side and anterior and back and forth and all… they have the mandible going all kinds of places. And when they do that, we need some kind of anterior guidance to guide the mandible. I usually say the upper jaw creates the framework in which the mandible will move. So if the framework is too small, we fight the muscles. And whenever we fight the muscles, we lose because muscles always win. It doesn’t matter if it’s teeth, if it’s bone, if it’s joints, they all lose if they fight the muscles— [Jaz] As Peter Dawson would say, in the war between teeth and muscles or any system and muscles, the muscles always win. Absolutely. And the other analogy you remind me of is the maxilla being like a garage or “garage” from UK, like a garage. And the mandible being like the car, and if you’re really constrained, you’re gonna crash in and you’re gonna… everything will be in tatters. So that’s another great way to think about it. Okay. That’s very, very helpful. I’m gonna—’cause there’s so much I wanna cover. And I think you’ve really summed up nicely. But one thing just to finish on this aspect of that common mistake being that the upper anteriors are retroclined, really what you’re trying to say is we need to be looking at other modalities, other movements. So I’m thinking you’re saying extraction, if it’s suitable for the face, or distalisation. Are you thinking like that rather than the easier thing for the aligners, which is the retrocline. Am I going about it the right way? [Jesper] Depends on the patient. [Jaz] Of course. [Jesper] Rule of thumb: if you’re a GP, don’t ever touch extraction cases. Rule of thumb. Why? Because it is extremely challenging to move teeth parallel. So you will most—especially with aligners—I mean, I talk with a very respected orthodontist once and I asked him, well, what do you think about GPs treating extraction cases where they extract, you know, two premolars in the maxilla? And he said, well, I don’t know how to answer this. Let me just explain to you: half of my orthodontist colleagues, they are afraid of extraction cases. And I asked them why. Because it’s so hard to control the root movement. Now, I don’t know about you— [Jaz] With aligners. We’re specifically talking about aligners here, right? [Jesper] With all kinds of orthodontic appliances. [Jaz] Thank you. [Jesper] So now, I don’t know about you, but if half the orthodontists are afraid of controlling the root movements in extraction cases, as a GP, I would be terrified. And I am a GP. So I usually say, yeah, sometimes you will have so much crowding and so little space in the mandible, so there’s an incisor that is almost popped out by itself. In those cases, yes. Then you can do an extraction case. But when we’re talking about premolars that are going to be extracted, or if you want to close the space in the posterior part by translating a tooth into that open space, don’t. It’s just the easiest way to end up in a disaster because the only thing you’ll see is just teeth that tip into that space, and you’ll have a really hard time controlling the root movements, getting them corrected again. [Jaz] Well, thank you for offering that guideline. I think that’s very sage advice for those GPs doing aligners, to stay in your lane and just be… the best thing about being a GP, Jesper, is you get to cherry pick, right? There’s so many bad things about being a GP. Like you literally have to be kinda like a micro-specialist in everything in a way. And so sometimes it’s good to be like, you know what, I’ll keep this and I’ll send this out. And being selective and case selection is the crux of everything. So I’m really glad you mentioned that. I mean, we talked and touched already on so much occlusion. The next question I’m gonna ask you then is, like you said, a common error is the bite and how the bite appears on the ClinCheck or whichever software a dentist is using. Now, related to bite, vast majority of orthodontic cases are treated in the patient’s existing habitual occlusion, their maximum intercuspal position. Early on in my aligner journey, I had a patient who had an anterior crossbite. And because of that anterior crossbite, their jaw deviated. It was a displaced—the lower jaw displaced. And then I learned from that, that actually for that instance, perhaps I should not have used an MIP scan. I should have used more like centric relation or first point of contact scan before the displacement of the jaw happens. So that was like always in my mind. Sometimes we can and should be using an alternative TMJ position or a bite reference other than MIP. Firstly, what do you think about that kind of scenario and are there any other scenarios which you would suggest that we should not be using the patient’s habitual occlusion for their bite scan for planning orthodontics? [Jesper] Well, I mentioned that I was trained at the Pankey Institute, and when you start out right after—I mean, I spent 400 hours over there. Initially, I thought I was a little bit brainwashed by that because I thought every single patient should be in centric relation. Now, after having put more than 600 patients on the bite appliance first before I did anything, I started to see some patterns. And so today, I would say it’s not all patients that I would get into centric relation before I start treating the teeth. But when we talk about aligner therapy and orthodontic treatment, I think it’s beneficial if you can see the signs for those patients where you would say, hmm, something in the occlusion here could be a little bit risky. So let’s say there are wear facets on the molars. That will always trigger a red flag in my head. Let’s say there are crossbites or bite positions that kind of lock in the teeth. We talked about class III patients before, and I said if it’s a real skeletal-deviation class III patient, it’s a crocodile. But sometimes patients are not real class III skeletal deviation patients. They’re simply being forced into a class III due to the occlusion. That’s where the teeth fit together. So once you put aligners between the teeth and plastic covers the surfaces, suddenly the patients are able to move the jaws more freely and then they start to seat into centric. That may be okay. Usually it is okay. The challenge is consequences. So when you’re a GP and you suddenly see a patient moving to centric relation and you find out, whoa, on a horizontal level there’s a four- to six-millimeter difference between the initial starting point and where we are now, and maybe we create an eight-millimeter open bite in the anterior as well because they simply seat that much. And I mean, we have seen it. So is this a disaster? Well, it depends. If you have informed the patient well enough initially and said, well, you might have a lower jaw that moves into a different position when we start out, and if this new position is really, really off compared to where you are right now, you might end up needing maxillofacial surgery, then the patient’s prepared. But if they’re not prepared and you suddenly have to tell them, you know, I think we might need maxillofacial surgery… I can come up with a lot of patients in my head that would say, hey doctor, that was not part of my plan. And they will be really disappointed. And at that point there’s no turning back, so you can’t reverse. So I think if you are unsure, then you are sure. Then you should use some kind of deprogramming device or figure out where is centric relation on this patient. If there isn’t that much of a difference between maximum intercuspation and centric— [Jesper] Relation, I don’t care. Because once you start moving the teeth, I don’t care if you just move from premolar to premolar or all the teeth. Orthodontics is orthodontics, so you will affect all the teeth during the treatment. The question’s just how much. And sometimes it’s just by putting plastic between the teeth that you will see a change, not in the tooth position, but in the mandibular position. And I just think it’s nicer to know a little bit where this is going before you start. And the more you see of this—I mean, as I mentioned, after 600 bite appliances in the mouths of my patients, I started to see patterns. And sometimes in the end, after 20 years of practicing, I started to say, let’s just start, see where this ends. But I would always inform the patients: if it goes totally out of control, we might end up needing surgery, and there’s no way to avoid it if that happens. And if the patients were okay with that, we’d just start out. Because I mean, is it bad? No. I just start the orthodontic treatment and I set the teeth as they should be in the right framework. Sometimes the upper and the lower jaw don’t fit together. Well, send them to the surgeon and they will move either the upper or the lower jaw into the right position, and then we have it. No harm is done because we have done the initial work that the orthodontist would do. But I will say when I had these surgical patients—let’s say we just started out with aligners and we figured, I can’t control this enough. I need a surgeon to look at this—then I would send them off to an orthodontist, and the orthodontist and the surgeon would take over. Because then—I mean, surgical patients and kids—that’s the second group of patients besides the extraction cases that I would not treat as a GP. ‘Cause we simply don’t know enough about how to affect growth on kids. And when it comes to surgery, there’s so much that is… so much knowledge that we need to know and the collaboration with the surgeons that we’re not trained to handle. So I think that should be handled by the orthodontists as well. [Jaz] I think collaborative cases like that are definitely specialist in nature, and I think that’s a really good point. I think the point there was informed consent. The mistake is you don’t warn the patient or you do not do the correct screening. So again, I always encourage my guests—so Jesper, you included—that we may disagree, and that’s okay. That’s the beauty of dentistry. So something that I look for is: if the patient has a stable and repeatable maximum intercuspal position, things lock very well, and there’s a minimal slide—like I use my leaf gauge and the CR-CP is like a small number of leaves and the jaw hardly moves a little bit—then there’s no point of uncoupling them, removing that nice posterior coupling that they have just to chase this elusive joint position. Then you have to do so many more teeth. But when we have a breakdown in the system, which you kind of said, if there’s wear as one aspect, or we think that, okay, this patient’s occlusion is not really working for them, then we have an opportunity to do full-mouth rehabilitation in enamel. Because that’s what orthodontics is. And so that’s a point to consider. So I would encourage our GP colleagues to look at the case, look at the patient in front of you, and decide: is this a stable, repeatable occlusion that you would like to use as a baseline, or is there something wrong? Then consider referring out or considering—if you’re more advanced in occlusion studies—using an alternative position, not the patient’s own bite as a reference. So anything you wanna add to that or disagree with in that monologue I just said there? [Jesper] No, I think there’s one thing I’d like the listeners to consider. I see a lot of fighting between orthodontists and GPs, and I think it should be a collaboration instead. There’s a lot of orthodontists that are afraid of GPs taking over more and more aligner treatments, and they see a huge increase in the amount of cases that go wrong. Well, there’s a huge increase of patients being treated, so there will be more patients, just statistically, that will get into problems. Now, if the orthodontist is smart—in my opinion, that’s my opinion—they reach out to all their referring doctors and they tell them, look, come in. I will teach you which cases you can start with and which you should refer. Let’s start there. Start your aligner treatments. Start out, try stuff. I will be there to help you if you run into problems. So whenever you see a challenge, whenever there’s a problem, send the patient over to me and I’ll take over. But I will be there to help you if anything goes wrong. Now, the reason this is really, really a great business advice for the orthodontists is because once you teach the GPs around you to look for deviations from the normal, which would be the indication for orthodontics, the doctors start to diagnose and see a lot more patients needing orthodontics and prescribe it to the patients, or at least propose it to the patients. Which would initially not do much more than just increase the amount of aligner treatments. But over time, I tell you, all the orthodontists doing this, they are drowning in work. So I mean, they will literally be overflown by patients being referred by all the doctors, because suddenly all the other doctors around them start to diagnose orthodontically. They see the patients which they haven’t seen before. So I think this is—from a business perspective—a really, really great thing for the orthodontists to have a collaboration with this. And it’ll also help the GPs to feel more secure when they start treating their patients. And in the end, that will lead to more patients getting the right treatment they deserve. And I think that is the core. That is what’s so important for us to remember. That’s what we’re here for. I mean, yes, it’s nice to make money. We have to live. It’s nice with a great business, but what all dentists I know of are really striving for is to treat their patients to the best of their ability. And this helps them to do that. [Jaz] Ultimate benefactor of this collaborative approach is the patient. And I love that you said that. I think I want all orthodontists to listen to that soundbite and take it on board and be willing to help. Most of them I know are lovely orthodontists and they’re helping to teach their GPs and help them and in return they get lots of referrals. And I think that’s the best way to go. Let’s talk a little bit about occlusal goals we look for at the end of orthodontics. This is an interesting topic. I’m gonna start by saying that just two days ago I got a DM from one of the Protruserati, his name is Keith Curry—shout out to him on Instagram—and he just sent me a little message: “Jaz, do you sometimes find that when you’re doing alignment as a GP that it’s conflicting the orthodontic, the occlusal goal you’re trying to get?” And I knew what I was getting to. It’s that scenario whereby you have the kind of class II division 2, right? But they have anterior guidance. Now you align everything, okay, and now you completely lost anterior guidance. And so the way I told him is that, you know what, yes, this is happening all the time. Are we potentially at war between an aesthetic smile and a functional occlusion? And sometimes there’s a compromise. Sometimes you can have both. But that—to achieve both—needs either a specialist set of eyes or lots of auxiliary techniques or a lot more time than what GPs usually give for their cases. So first let’s touch on that. Do you also agree that sometimes there is a war between what will be aesthetic and what will be a nice functional occlusion? And then we’ll actually talk about, okay, what are some of the guidelines that we look for at the end of completing an aligner case? [Jesper] Great question and great observation. I would say I don’t think there’s a conflict because what I’ve learned is form follows function. So if you get the function right, aesthetics will always be great. Almost always. I mean, we have those crazy-shaped faces sometimes, but… so form follows function. The challenge here is that in adult patients, we cannot manipulate growth. So a skeletal deviation is a skeletal deviation, which means if we have a class II patient, it’s most likely that that patient has a skeletal deviation. I rarely see a dental deviation. It happens, but it’s really, really rare. So that means that in principle, all our class II and chronic class III patients are surgical patients. However, does that mean that we should treat all our class II and class III patients surgically? No, I don’t think so. But we have to consider that they are all compromise cases. So we need to figure a compromise. So initially, when I started out with my occlusal knowledge, I have to admit, I didn’t do the orthodontic treatment planning. I did it with Heller, and she would give me feedback and tell me, I think this is doable and this is probably a little bit challenging. If we do this instead, we can keep the teeth within the bony frame. We can keep them in a good occlusion. Then I would say, well, you have a flat curve of Spee. I’d like to have a little bit of curve. It’s called a curve of Spee and not the orthodontic flat curve of Spee. And then we would have a discussion back and forth about that. Then initially I would always want anterior coupling where the anterior teeth would touch each other. I have actually changed that concept in my mind and accepted the orthodontic way of thinking because most orthodontists will leave a little space in the anterior. So when you end the orthodontic treatment, you almost always have a little bit of space between the anterior teeth so they don’t touch each other. Why? Because no matter what, no matter how you retain the patient after treatment, there will still be some sort of relapse. And we don’t know where it’ll come or how, but it will come. Because the teeth will always be positioned in a balance between the push from the tongue and from the cheeks and the muscles surrounding the teeth. And that’s a dynamic that changes over the years. So I don’t see retention as a one- or two-year thing. It’s a lifelong thing. And the surrounding tissues will change the pressure and thereby the balance between the tongue and the cheeks and where the teeth would naturally settle into position. Now, that said, as I mentioned initially, if we fight the muscles, we’ll lose. So let’s say we have an anterior open bite. That will always create a tongue habit where the patient positions the tongue in the anterior teeth when they swallow because if they don’t, food and drink will just be splashed out between the teeth. They can’t swallow. It will just be pushed out of the mouth. [Jaz] So is that not like a secondary thing? Like that tongue habit is secondary to the AOB? So in those cases, if you correct the anterior open bite, theoretically should that tongue posture not self-correct? [Jesper] Well, we would like to think so, but it’s not always the case. And there’s several reasons to it. Because why are the teeth in the position? Is it because of the tongue or because of the tooth position? Now, spacing cases is one of those cases where you can really illustrate it really well. It looks really easy to treat these patients. If we take away all the soft tissue considerations on the profile photo, I mean, you can just retract the teeth and you close all the spaces—super easy. Tipping movements. It’s super easy orthodontically to move quickly. Very easy as well. However, you restrict the tongue and now we have a retention problem. So there are three things that can happen. You can bond a retainer on the lingual side or the palatal side of the teeth, upper, lower—just bond everything together—and after three months, you will have a diastema distal to the bonded retainer because the tongue simply pushes all the teeth in an anterior direction. [Jaz] I’ve also seen—and you’ve probably seen this as well—the patient’s tongue being so strong in these exact scenarios where the multiple spacing has been closed, which probably should have been a restorative plan rather than orthodontic plan, and the retainer wire snaps in half. [Jesper] Yes, from the tongue. [Jaz] That always fascinated me. [Jesper] Well, you’ll see debonding all the time, even though you sandblast and you follow all the bonding protocol. And debonding, breaking wires, diastemas in places where you think, how is that even possible? Or—and this is the worst part—or you induce sleep apnea on these patients because you simply restrict the space for the tongue. So they start snoring, and then they have a total different set of health issues afterwards. So spacing—I mean, this just illustrates the power of the tongue and why we should always be careful with spacing cases. I mean, spacing cases, in my opinion, are always to be considered ortho-restorative cases. Or you can consider, do you want to leave some space distal to the canines? Because there you can create an optical illusion with composites. Or do you want to distribute space equally between the teeth and place veneers or crowns or whatever. And this is one of those cases where I’d say aligners are just fabulous compared to fixed appliances. Because if you go to an orthodontist only using fixed appliances and you tell that orthodontist, please redistribute space in the anterior part of the maxilla and I want exactly 1.2 millimeters between every single tooth in the anterior segment, six years later he’s still not reached that goal because it just moves back and forth. Put aligners on: three months later, you have exactly—and I mean exactly—1.2 millimeters of space between each and every single tooth. When it comes to intrusion and extrusion, I would probably consider using fixed appliances rather than aligners if it’s more than three millimeters. So every orthodontic system—and aligners are just an orthodontic system—each system has its pros and cons, and we just have to consider which system is right for this patient that I have in my chair. But back to the tongue issue. What should we do? I mean, yes, there are two different schools. So if you have, let’s say, a tongue habit that needs to be treated, there are those that say we need to get rid of the tongue habit before we start to correct the teeth. And then there are those that say that doesn’t really work because there’s no room for the tongue. So we need to create room for the tongue first and then train the patient to stop the habit. Both schools and both philosophies are being followed out there. I have my preferred philosophy, but I will let the listener start to think about what they believe and follow their philosophy. Because there is nothing here that is right or wrong. And that is— [Jaz] I think the right answer, Jesper, is probably speak to that local orthodontist who’s gonna be helping you out and whatever they recommend—their religion—follow that one. Because then at least you have something to defend yourself. Like okay, I followed the way you said. Let’s fix it together now. [Jesper] That’s a great one. Yeah, exactly. [Jaz] Okay, well just touching up on the occlusion then, sometimes we do get left with like suboptimal occlusions. But to be able to define a suboptimal occlusion… let’s wrap this occlusion element up. When we are completing an orthodontic case—let’s talk aligners specifically—when the aligners come off and the fixed retainers come on, for example, and the patient’s now in retention, what are some of the occlusal checkpoints or guidelines that you advise checking for to make sure that, okay, now we have a reasonably okay occlusion and let things settle from here? For example, it would be, for me, a failure if the patient finishes their aligners and they’re only holding articulating paper on one side and not the other side. That’s for me a failure. Or if they’ve got a posterior open bite bilaterally. Okay, then we need to go refinement. We need to get things sorted. But then where do you draw the line? How extreme do you need to be? Do you need every single tooth in shim-stock foil contact? Because then we are getting really beyond that. We have to give the adaptation some wiggle room to happen. So I would love to know from your learning at Pankey, from your experience, what would you recommend is a good way for a GP to follow about, okay, it may not be perfect and you’ll probably never get perfect. And one of the orthodontists that taught me said he’s never, ever done a case that’s finished with a perfect occlusion ever. And he said that to me. [Jesper] So—and that’s exactly the point with orthodontics. I learned that imagine going to a football stadium. The orthodontist will be able to find the football stadium. If it’s a reasonable orthodontist, he’ll be able to find the section you’re going to sit in. And if he’s really, really, really good, he will be able to find the row that you’re going to sit in. But the exact spot where you are going to sit, he will never, ever be able to find that with orthodontics. And this is where settling comes in and a little bit of enamel adjustments. [Jaz] I’m so glad you said that. I’m so glad you mentioned enamel adjustment. That’s a very dirty word, but I agree with that. And here’s what I teach on my occlusion courses: what we do with aligners essentially is we’re tampering with the lock. Let’s say the upper jaw is the lock. It’s the still one. We’re tampering with the key, which is the lower jaw—the one that moves—we tamper with the key and the lock, and we expect them both to fit together at the end without having to shave the key and to modify the lock. So for years I was doing aligners without enamel adjustment ’cause my eyes were not open. My mind was not open to this. And as I learned, and now I use digital measuring of occlusion stuff and I seldom can finish a case to get a decent—for my criteria, which is higher than it used to be, and my own stat—is part of my own growth that’s happened over time is that I just think it’s an important skill that GPs are not taught and they should be. It’s all about finishing that case. And I think, I agree with you that some adjustment goes a long way. We’re not massacring enamel. It’s little tweaks to get that. [Jesper] Exactly. I like the sound there because sometimes you hear that “ahh,” it doesn’t really sound right, but “tsst,” that’s better. [Jaz] That’s the one. You know, it reminds me of that lecture you did in Copenhagen. You did this cool thing—which I’ve never seen anyone do before. You sat with one leg over the other and you said, okay guys, bite together. Everyone bit together. And then you swapped the legs so the other leg was over the other and bite together. And then you said, okay, whose occlusion felt different? And about a third of the audience put their hand up, I think. Tell us about that for a second. [Jesper] Well, just promise me we go back to the final part because there are some things we should consider. [Jaz] Let’s save this as a secret thing at the end for incentive for everyone to listen to the end—how the leg position changes your occlusion. Let’s talk about the more important thing. I digressed. [Jesper] Let’s talk about the occlusal goals because I think it’s important. I mean, if you do enamel adjustments in the end—so when we finish the treatment, when we come to the last aligner in the treatment plan—I think we should start by breaking things down to the simplest way possible. Start by asking the patient: are you satisfied with the way the teeth look? Yes or no? If she’s satisfied, great. How do you feel about the occlusion? “Well, it fits okay.” Great. Now the patient is happy. There’s nothing she wants to—or he wants to—change. Then you look at the occlusion. Now, it is important to remember that what we see on the computer screen, on the aligner planning tools, will never, ever correspond 100% to what we see in the mouth of the patient. And there are several reasons for that. But one of the things that we have found to be really interesting is that if you take that last step and you say, okay, the occlusion doesn’t fit exactly as on the screen, but it’s kind of there… if you use that last step and you don’t do a re-scan for a retainer, but you use the last step of the aligner treatment as your reference for your aligner retainer… We sometimes see that over six months, if the patient wears that aligner 22 hours a day for another three to six months, the teeth will settle more and more into the aligner and create an occlusion that looks more and more like what you see on the screen. Which to me just tells me that the biology doesn’t necessarily follow the plan everywhere in the tempo that we set throughout the aligner plan. But over time, at the last step, if it’s just minor adjustments, the teeth will actually move into that position if we use the last stage as a reference for the retainer. Now, if we do a scan at that point and use that as a reference for creating an aligner retainer, then we just keep the teeth in that position. Now, if the teeth are a little bit more off— [Jaz] I’m just gonna recap that, Jesper, ’cause I understood what you said there, but I want you to just make sure I fully understood it. When we request, for example, Align, the Vivera retainer, it gives you an option: “I will submit a new scan” or “use the last step.” And actually I seldom use that, but now I realize you’re right. It makes sense. But then on the one hand, if the occlusion is—if the aesthetics are good and the patient’s occlusion feels good, what is your own judgment to decide whether we’re still going to allow for some more settling and occlusal changes to happen over a year using the Vivera retainers based on the ClinCheck last-aligner profile, rather than, okay, let’s just retain to this position? What is making you do the extra work, extra monitoring? [Jesper] To me, it’s not extra monitoring. It’s just basic. I mean, it’s just part of my protocol. I follow the patients. And honestly, to me, it’s just time-saving to just use the last step in the aligner. Because I mean, if the plan is right and if the teeth have been tracking well, they should be in that position. Why do I then need to re-scan for Vivera retainers or for other kinds of retainers? Now, if the occlusion is a little bit more off—and in a minute you’ll probably ask me when do I see which is which, and I can’t really tell you; it’s about experience—but that’s the beauty of this. If I see there’s a little bit more deviation and I like some teeth, the occlusion isn’t really good on one side compared to the other side, I would rather have a bonded retainer from first premolar to first premolar in the mandible, combined with a Hawley or Begg or something like that retainer for the upper. And you can order them with an acrylic plate covering some of the anterior teeth so they keep that position, but that allows the teeth to settle. And over three months you should see some kind of improvement. If you don’t see enough improvement and let’s say you still have a tendency for a kind of an open bite on one side, you can always add some cross elastics, put some buttons on the upper, on the lower, instruct the patient to use these, and then in three months you will have the occlusion you want. Now, once that is established—you have that kind of occlusion—you need to keep the teeth there for at least six months before you do some kind of equilibration or enamel adjustment. Because if you do the enamel adjustment right after you have reached your final destination for the teeth, the teeth will still settle and move. So you do the equilibration, two weeks later everything looks off again. You do the equilibration, two weeks later things have changed again. So I prefer to wait six months before I do the final equilibration. Now, in this equation what we’ve been talking about here, it goes from very simple to more and more complex. And then we have to consider, well, did I expand the mandible posterior segment? If so, I can’t just use a bonded retainer on the lower and I need to add something to keep the teeth out there in combination with whatever I want in the upper. Do I want to keep the Begg retainer or the Hawley, or do I want to change to something differently? So these kinds of considerations have to be there from the beginning of the treatment because, I mean, it costs additional money to order a Begg retainer compared to just an aligner. [Jaz] A Begg retainer is the same as Hawley? [Jesper] Well, no. It has a little different design. [Jaz] Oh, a Begg as in B-E-G-G? [Jesper] Yes. [Jaz] Yeah, got it. Got it. Okay. [Jesper] And then in Denmark we use the Jensen retainer, which is a Danish invention, which goes from canine to canine or from first premolar to first premolar but with a different type of wire which keeps the teeth more in place compared to a round wire. So there are different variations. The most important part here is it allows the posterior teeth to settle so they can move, which they can’t in an aligner to the same degree at least. Now, this is all really nice in teeth that only need to be moved into the right position, but most of our patients are adult patients, or they should at least be adult patients. Most of my patients were more than 30 years old. So if you have a patient with anterior crowding and you move the teeth into the right position where the teeth should be, the teeth are in the right position, but they still look ugly because they have been worn anteriorly by the position they were in when they were crooked. So when we position them, we still need to do some restorative work. Then what? We still need to retain those teeth. The patient wants to be finished now as fast as possible, so we can’t wait the six months to make the final touches. So we have to figure out: what do we do? And then we have to think of some kind of retention strategy to keep the teeth in place during that restorative procedure. And I mean, at the end of an aligner treatment or any orthodontic treatment, two days is enough to have relapse in some patients. Some patients it’s not a problem. The teeth are just there to stay in the same position for three months, and then they start to move a little bit around. But other patients—I mean, you just have to look away and then go back to the teeth and they’re in a different position. You can’t know what kind of patient you have in your chair right now. So you have to consider the way you plan your restorative procedure in regards to how you retain the teeth during that phase. So if you want to do anterior composites or veneers, do it all at once. Put in a bonded retainer, scan, and get your aligner retainer as fast as possible. Or use a Begg or a Hawley or something like that that’s a little bit more flexible. If you want to do crowns, then we have a whole different challenge and then we have to consider how do we then retain the teeth. [Jaz] Okay. Well I think that was lovely. I think that gives us some thoughts and ideas of planning sequence of retention, which is the ultimate thing to consider when it comes to occlusion. Okay, yeah, you get the occlusion, but how do you retain it? But in many cases, as the patient’s wearing aligners, the occlusion is embedding in and is fine. And you take off the aligners, the patient’s happy with how it looks. They bite together. It feels good. You are happy that yes, both sides of the mouth are biting together. Now, it might not be that every single contact is shim-hold, but you got, let’s say, within 20 microns, 40 microns, okay? Then some bedding happens. In that kind of scenario, would you be happy to say, okay, I’m gonna scan your teeth as they are because I’m happy with the occlusion, the occlusal goals are good, and they’re near enough the ClinCheck, and go for the retainers to that position? Or is your default preference as a clinician to go for the Vivera or equivalent based on the last aligner, on the ClinCheck projection? [Jesper] I would still go for the last aligner because I think the planning I’ve done is probably a little bit more precise than what I see clinically. However, I still expect that I will have to do a little bit of enamel reshaping at the end after six months, but that’s okay. I mean, the changes are so small, so you can still use the last aligner or the Vivera retainer that you already have ordered. So it’s not that much of a problem. [Jaz] Which goes back to your previous point: if it’s a big deviation, then you’ve gotta look at the alternative ways, whether you’re gonna go for refinement or you’re gonna allow some occlusal settling with a Hawley and a lower fixed-retainer combination, or the elastics like you said. Okay. Just so we’re coming to the end of the podcast—and I really enjoyed our time—I would like to delve deep into just a final thing, which is a little checklist, a helpful checklist for case assessment that you have for GDPs. [Jesper] Yeah, thank you. First of all, one of the big challenges in a GP practice is being able to take a full series of clinical photos in two minutes without assistance. I think most dentists struggle with that, but that is a foundational prerequisite to any aligner treatment. Once you have the photos, I would sit down with the photos and I would consider six different steps. One: is this a patient that I could treat restoratively only? Because that would be the simplest for me to do. Next, moving up in complexity: would be, do I need periodontal crown lengthening? Or next step would be: do I need to change the vertical dimension, or is there something about centric relation that I should consider? Moving up a little bit on the complexity: are there missing teeth? Do I need to replace teeth with implants? Next step would be orthodontics. So this is step five. The next most complex case we can treat is actually an aligner case—orthodontics in general. And the last part would be: are the teeth actually in the right position in the face of the patient, or do I need surgery to correct the jaw position? So these six steps, I think they’re helpful to follow to just think, how can I break this case down into more easy, digestible bits and pieces to figure out what kind of patient I have in front of me? Now, if you consider it to be an orthodontic case or ortho-restorative case, here comes the challenge: case selection. How do you figure out is this an easy, moderate, complex, or referral case? And here’s the trick: do 500 to 1000 treatment plans or treatments with clear aligners. And then you know. But until then, you really don’t. This is where you should rely on someone you can trust who can help you do the initial case selection. Because you can have two identical patients—one is easy and one is super complex—but they look the same. So it’s really nice if you have done less than 500 cases to have someone who can help you with the case selection. And I don’t say this to sell anything, because we don’t charge for that. Because it’s so essential that we don’t do something that is wrong or gives us a lot of challenges and headaches in the practice. I mean, the practice runs really fast and lean-oriented, so we need to make things digestible, easy to work with. And I think that’s really important. [Jaz] It goes full circle to what we said before about having that referral network, staying in your lane, knowing when to refer out, cherry-picking—it all goes back full circle with that. And not even orthodontics, but restorative dentistry—case selection is just imperative in everything we do. [Jesper] Yes. And there is—we always get the question when we do courses and we do consulting—can’t you just show me a couple of cases that are easy to start with? And it works with implants, kind of. But with orthodontics where we move—I mean, we affect all the teeth—it’s just not possible. I know the aligner companies want to show you some where you say, you can only just do these kinds of cases and they are really easy. The fact is they’re not. But they want to sell their aligners. [Jaz] I get it. They are until they’re not. It’s like that famous thing, right? Everyone’s got a plan until they get punched in the face. So yeah, it can seemingly be easy, but then a complication happens and it’s really about understanding what complications to expect, screening for them, and how you handle that. But thanks so much. Tell us—yeah, go on, sorry. [Jesper] There are three things I’d like to end on here. So, first of all, we’ve been talking together for about an hour about a topic that, if you want to take postgraduate education, it takes three years to become an orthodontist. And there is a reason it takes three to four years. However, I want to encourage the listener to think about this: Mercedes has never, ever excused last year’s model. Meaning that they always strive for perfection. So if we go into the practice and we do the very best we can every single day, there is no way we can go back and excuse what we

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Thanks for listening to The Peptide Podcast.  Today we're going to talk about something that's becoming really important for anyone taking medications like Ozempic, Wegovy, or other GLP‑1 receptor agonists. You probably already know the benefits of GLP-1s—smaller appetite, better blood sugar control, and noticeable weight loss. But here's the catch: eating less can sometimes mean you're also taking in fewer essential vitamins and minerals that your body needs.  In this episode, we're going to explore how to make sure every bite counts and when it might make sense to consider supplements. Read the Full Episode Transcript: https://pepties.com/nutrient-tips-while-on-glp-1-medications/ Dr. Nikki's Qualifications: https://bifat.life/about/ Related Links/Products Mentioned: Peptide Podcast Partners Page https://pepties.com/partners/ BioLongevity Labs (Purchase Peptides online) Use our link and enter COUPON CODE: PEPTIDEPODCAST at checkout to receive 15% off your total order https://go.biolongevitylabs.com/aff_c?offer_id=1&aff_id=1582&aff_sub=PEPTIDEPODCAST Momentous Supplements (we use Creatine, Vital Aminos, Whey Protein) https://crrnt.app/MOME/OqGQOxGA LMNT – More Salt, Not Less.  https://elementallabs.refr.cc/default/u/johnjavit Thorne Supplements (we use Omega-3 with CoQ10, Red Yeast Rice, Zinc) https://get.aspr.app/SH1KvW Organifi Creatine and Shilajit Gummies http://rwrd.io/rlbkajm?c MitoZen (methylene blue for Cognitive Function, Anti-Aging, Mental Clarity) https://www.mitozen.com/ref/cnlwiztypt/ For skin and hair health (Copper Tripeptide-1)  Visit Luminose by Entera for an exclusive offer for Peptide Podcast listeners!  ** Promo code PEPTIDEPODCAST at checkout for 10% off an order or 10% off the first month of a subscribe-and-save. ** https://www.enteraskincare.com/?rfsn=8906839.f93c72

Why should Dentists be talking about screen time with parents? Are smartphones even safe for children? What is the right age to give a child their first phone? Laura Spells and Arabella Skinner join Jaz in this thought-provoking episode to tackle one of today's biggest parenting challenges: smartphones and social media in young hands. Together they explore the impact of early phone use on children's health, development, and mental wellbeing—and why healthcare professionals should be paying close attention. https://youtu.be/7RUJZqtEr18 Watch IC061 on YouTube  Protrusive Dental Pearl: Live by your values—not your profession, spouse, or children. Don't sacrifice for them; choose what aligns with you, so love never turns into resentment. Need to Read it? Check out the Full Episode Transcript below! Key Takeaways Screen time is a significant public health concern. Mental health issues are rising due to social media exposure. Early childhood screen time has long-term effects. Parents need clear guidance on screen time limits. Community support is essential for children's well-being. Health professionals must ask about screen time in assessments. Regulatory changes are needed for safer screen use. The impact of social media on self-esteem is profound. Misinformation about health trends can lead to dangerous practices among youth. Dentists play a crucial role in educating patients about safe health practices. Parents should engage in conversations about social media with their children. Creating a family digital plan can help manage screen time effectively. Collaboration among health professionals needs to raise awareness about the dangers of unregulated products. Empowering parents with knowledge is essential for effective parenting in the digital age. Role modeling healthy behaviors is important for parents. Highlights of this episode: 00:00  TEASER 01:18  INTRO 03:13 PROTRUSIVE DENTAL PEARL 04:54 Introducing Our Guests: Arabella and Laura Spells 09:24 Statistics and Scale of the Problem 18:09 Early Years and Screen Time 22:27 Safer Alternatives and Regulation 27:08 MIDROLL 30:29 Safer Alternatives and Regulation 30:53 Ideal Guidelines for Screen Usage 34:01 The Role of Dentists in Addressing Social Media Issues 44:59 Parental Guidance and Digital Plans 53:53 Final Thoughts and Resources 56:06 OUTRO ✅ Action Steps

Imagine your patient is choking on a rubber dam clamp...what's the safest way to manage choking when the patient is lying flat? Your patient's hands are shaking and they're drenched in sweat - is it low blood sugar, anxiety, or a cardiac event? ​​Do you know exactly what to do if your patient has a seizure in the chair? This second part of the Medical Emergencies series with  Rachel King Harris dives even deeper into real-life scenarios that dental teams may face. From seizures and how (and when) to give buccal midazolam, to managing choking in a dental chair, this episode is packed with practical, clear guidance. We also explore key steps in treating diabetic hypoglycaemia, understanding glucagon vs glucose, and how to confidently manage patients with angina or previous heart attacks—when to use GTN, when to give aspirin, and when to simply wait for the ambulance. It's all about staying calm, being prepared, and delivering safe, effective care when it matters most. https://youtu.be/fyIIsT0dlIc Watch PDP242 on Youtube Protrusive Dental Pearl: Assign a clear lead to regularly check the expiry dates and supplies of emergency medications and equipment. This isn't just about ticking regulatory boxes — it's about saving lives. Little checks like this can make a big difference in a true emergency. Need to Read it? Check out the Full Episode Transcript below! Highlights of this episode: 00:00 Teaser 00:44 Intro 03:09 Protrusive dental pearl 04:14 Recap from Part 1 06:58 Seizures: Personal Experiences and Practical Tips 13:45 Seizure Emergency Kit: Buccal Midazolam 21:29 Emergency Drug Kit Overview 22:10 Choking: Techniques and Guidelines 29:19 Midroll 32:40 Choking: Techniques and Guidelines 34:05 Handling Infant Choking Emergencies 36:11 Recognizing and Managing Hypoglycemia 41:11 Emergency Protocols for Hypoglycemia 47:35 Managing Cardiac Emergencies in Dental Practice 58:59 Final Thoughts and Training Recommendations 01:00:39 Outro Stay up to date by reviewing the latest guidelines from the Resuscitation Council UK. Grab your Anaphylaxis Summary + Medical Emergency Cheatsheets from https://protrusive.co.uk/me. And make sure you've listened to Part 1 of Medical Emergencies so you don't miss any crucial information. #PDPMainEpisodes #CareerDevelopment #BeyondDentistry ​​This episode is eligible for 1 CE credit via the quiz on Protrusive Guidance.  This episode meets GDC Outcomes C and D. AGD Subject Code: 142 Medical emergency training and CPR Aim: To equip dental professionals with the knowledge, confidence, and practical skills to recognize and effectively manage common medical emergencies in the dental setting, ensuring patient safety and optimal outcomes. Dentists will be able to: Identify signs and symptoms of common medical emergencies in dental practice, including anaphylaxis, asthma attacks, seizures, angina, hypoglycemia, and stroke. Describe the immediate management protocols for each emergency, including correct drug doses, routes, and timings. Demonstrate appropriate use of emergency equipment and drugs available in the dental setting. Click below for full episode transcript: Teaser: And you're saying that you deal with one hole only and it's the mouth and not anywhere else. Teaser:When you're becoming a dentist and you have to choose between medical and dental school, you either look up one and you look down the other, and so I said, let me look down, not up. So here we are. That made me realize, and the advice on that Facebook post was, anyone age five or under choke on grapes. And so you totally agree with that? I do. I do. I just think it's not worth it. Sweaty. Sweaty. Very, very clammy. You know, there's pools of sweat that I mentioned with hypose. You can get exactly the same with an MI. Yeah. Nausea, vomiting, sweaty, clammy, impending doom. So again,

Are you living your career by design—or just letting it happen to you? Do you know what your ideal day as a dentist looks like? What about your ideal week? In this episode, Jaz is joined by Dr. Andrea Ogden to explore how you can design a career—and a life—in dentistry that feels purposeful and fulfilling. They dive into why many of us get stuck on autopilot, chasing goals we've never truly chosen, and how to break free by aligning work with your values.  Andrea also shares practical techniques to help you fall back in love with dentistry, so you can build a career that energises you—inside and outside the surgery. https://youtu.be/XDxlUFeEpbw Watch IC060 on Youtube Need to Read it? Check out the Full Episode Transcript below! Highlights of this episode: 00:00 Teaser 00:21 Introduction 04:49 Guest Introduction – Dr. Andrea Ogden 06:05  Andrea's Journey in Dentistry 08:51 Pivotal Moments in Dentistry 14:51 Trial and Error in Career Development 15:51 Current Role 16:59 Identifying Strengths vs. Enjoyment in Dentistry 18:18 Challenges for Young Dentists 21:51 The Importance of Career Awareness 24:05 Impact of Social Media 26:57 Understanding the Decline in Dentist Morale 31:51 External Factors Contributing to Stress 35:09 Internal Factors and Cognitive Dissonance 41:17 Practical Steps to Reignite Passion for Dentistry 47:32 Resilience Through Adaptation 48:59 Community and Support Networks 51:46 Enjoying the Journey 56:30 Outro Key Takeaways:  Dentistry is more than fillings and crown preps—it's a career you can shape to truly excite you. Choose Variety & Joy – Build a mix of roles that energise you, not just ones you're good at. Ditch the Comparison Game – Your journey is unique; stop measuring it against 15-year veterans on Instagram. Guard Your Values – Burnout often comes from a mismatch between what you believe in and where you work. Align the two. Create Space to Reflect – Slow down, think, and use SMART goals to plan your next step.  Find Your Tribe – Mentors, colleagues, and community will keep you inspired and resilient. Celebrate the Wins – Small or big, they're proof you're moving forward. Loved this conversation? You'll also enjoy Passion and Values in Dentistry – PDP014 #CareerDevelopment #InterferenceCast #BreadandButterDentistry This episode is eligible for 1 CE credit via the quiz on Protrusive Guidance.  This episode meets GDC Outcomes  B: Effective management of self and working with others in the dental team. C: Maintenance and development of knowledge and skills within your field of practice. D: Maintenance of skills, behaviours and attitudes which maintain patient confidence in you and the dental profession, and put patients' interests first.  AGD Subject Code: 770 – Practice Management and Human Relations Aim: To provide dentists with strategies, insights, and practical steps to rekindle passion for dentistry, align their work with personal values, and develop sustainable career satisfaction. Dentists will be able to - 1. Identify personal values and career drivers that contribute to long-term job satisfaction. 2. Recognise common stressors affecting dental morale and their underlying causes. 3. Apply structured decision-making frameworks (e.g., SMART goals) to career planning. Click below for full episode transcript: Teaser: There's a definite difference between doing more of something or because you are good at it and doing more of something because you enjoy it. You know your values are a compass. As to, you know, where you are gonna go in, in, in life. I think if you are listening to this conversation and you are really struggling, is that the first thing you need to do is you, Jaz's Introduction:Hello Protruserati. I'm Jaz Gulati and welcome back to your favorite Dental podcast. This is the interference cast, like the nonclinical arm,

Is gold really dead or making a comeback 2025? Are zirconia and biomimetic dentistry sounding the final bell for precious metal restorations? Is there still a place for gold in modern practice—and when is it actually the best option? Dr. Lane Ochi joins Jaz for a rare live podcast episode to unpack the current and future role of gold restorations. From skyrocketing costs and lost lab skills, to emerging alternatives like milled cobalt chrome, this episode covers everything you wish dental school taught about gold. They even dive into clever tricks for temporizing gold and discuss the surprising lab workaround that may save your patient money—without compromising function. https://youtu.be/QWhY2_Oghd0 Watch PDP236 on Youtube Protrusive Dental Pearl: You can achieve profound anesthesia for lower molars—including cracked, heavily worn ones—using Articaine buccal infiltrations instead of an ID block, even in dense bone cases.

Should you be re-treating that root canal—or referring it out? What are the red flags that scream “specialist only”? How do you confidently remove GP without compromising disinfection? Dr. Ayman Al-Sibassi joins Jaz in this endo-packed episode to help you navigate the tricky world of root canal re-treatments. From solvent selection and GP removal techniques to assessing case difficulty, they break down everything a GDP needs to know to make smart, confident decisions. You'll learn how to spot the cases you should be tackling, which ones to send to your endodontist, and what tools and techniques will make the re-treatment process smoother and safer. Because not all re-treatments are created equal—and some are surprisingly simple once you know what to look for. https://www.youtube.com/watch?v=apMtcuNTLqI Watch PDP233 on YouTube Protrusive Dental Pearl: A crack in a bonded ceramic restoration isn't necessarily a failure! Just like we accept cracks in natural enamel, we can also accept cracks in ceramics—as long as it's been properly bonded. Shoutout to Dr. Pascal Magne for this powerful mindset shift! Need to Read it? Check out the Full Episode Transcript below! Key Takeaways Specialist training in endodontics includes a variety of surgical skills. The complexity of root canal retreatments varies significantly. General dentists can perform some retreatments, but should assess complexity carefully. Patient consent is essential, especially regarding potential unrestorability. Communication about fees should be clear and upfront with patients. Red flags for retreatment include poor coronal seal and previous treatment quality. CBCT imaging is becoming increasingly important in endodontic practice. Collaboration between general dentists and specialists enhances patient outcomes. Many referrals stem from straightforward cases that are poorly managed. Using solvents can aid in GP removal but should be approached cautiously. Single visit treatments are often preferred for patient convenience. Adequate disinfection is crucial, sometimes necessitating a second visit. The survival rate of root canal-treated teeth is comparable to implants. Patient age and overall health should guide treatment decisions. Understanding the difference between success and survival in endodontics is essential. Highlights of this episode: 00:00 Introduction 05:02 — Protrusive Dental Pearl: Cracks in enamel vs. dentine  06:34 — Guest Introduction: Dr. Ayman Al-Sibassi and his journey into Endo  11:03 Assessing the complexity of re-treatments and when to refer 15:21 The role of CBCT in diagnosis and treatment planning 17:47 Ethical and financial dilemmas: charging for unrestorable teeth 22:05 Red flags in root canal re-treatments 34:55 Techniques for GP removal and file selection 47:07 Cost vs. predictability: re-treatment vs. implants and long-term outcomes Take a look at this Endodontic Complexity Assessment Tool to help you evaluate how challenging a root canal case really is. If you enjoyed this episode, you'll definitely want to check out: Stop Being Slow at Root Canals! Efficient RCTs with Dr. Omar Ikram – PDP163 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: 070 ENDODONTICS (Non-surgical treatment)  #PDPMainEpisodes #EndoRestorative Aim: To provide clinicians with a structured approach to diagnosing, planning, and executing simple Re-Root Canal Treatments (Re-RCTs), while recognizing case limitations and improving treatment outcomes. Dentists will be able to: Identify clinical situations where Re-RCT is appropriate and distinguish them from cases requiring referral or alternative treatment. Describe the potential challenges such as canal blockages, separated instruments, or apical complications, and know when to refer.

We use articulators to help ‘mimic' our patient's jaw movements, to ultimately do less adjustments/revisions in the future. But are digital articulators there yet? Or is analog king? Or is digital dentistry just flashy tech with no real-world benefits? Can a virtual articulator truly match the movements of your patient's jaw? Is a CBCT really better than a facebow—and WHEN should you use which? In this cutting-edge episode with Dr. Seth Atkins, we dive into the world of digital articulation—exploring how tools like virtual articulators, CBCT alignment, and 3D-printed provisionals are transforming clinical workflows. You'll learn how to combine analog wisdom with digital precision, improve lab communication, and make full-mouth rehabs more predictable and efficient than ever. From mounting accuracy to motion capture, this episode is your ultimate guide to articulating smarter in the digital age. https://www.youtube.com/watch?v=fT31Ecf_kDo Watch PDP230 on YouTube Protrusive Dental Pearl: Always send your lab the color version of your digital scan — the PLY file — not just the STL. STL shows shape, but PLY shows color — like markings and tissue detail. Ask your lab: "Are you seeing color, or do you need the PLY?" Better scans = better results Need to Read it? Check out the Full Episode Transcript below! Key Takeaways: Digital methods can enhance accuracy and patient outcomes → but only when used intentionally. Understanding both analog and digital techniques is crucial → they complement each other, not compete. Mentorship plays a significant role in advancing dental education → experience accelerates clinical confidence. Digital workflows can significantly reduce chair time → and improve patient comfort in the process. The integration of CBCT with digital workflows enhances diagnostics → giving clearer insight into static and functional relationships. Digital provisionals offer a cost-effective and efficient solution → saving time, money, and frustration for both dentist and patient. Axiography is essential for capturing patient motion accurately → because real movement matters more than assumptions. Highlights of the Episode: 00:00 Introduction 04:00  Protrusive Dental Pearl 05:32 Interview with Dr. Seth Atkins and his Journey into Digital Dentistry 08:06 The Evolution of Digital Articulation 13:38 Digital Workflow and Mentorship 20:01 Accuracy and Efficiency in Digital Dentistry 22:32 Static and Dynamic Relations in Digital Dentistry 31:01 Interjection 1 36:05 Practical Guidelines on Integrating CBCT 37:15 Interjection 2  40:59 Clinical Observations in Dental Rehabilitation 42:29 Interjection 3  45:21 Introduction to Axiography 46:40 Advancements in Digital Dentistry 49:33 3D Printing in Dental Practice 53:31 Motion Tracking on Digital Articulators 57:30 Cost Efficiency of Digital Tools 01:01:10 Alternatives to CBCT 01:05:52 Involvement with AES and Future Plans Check out the study mentioned: "Comparison of the accuracy of a cone beam computed tomography-based virtual mounting technique with that of the conventional mounting technique using facebow"

Should we really restore primary molars without local anaesthetic or injections? When should we start taking radiographs for child patients? Is it time to say goodbye to traditional anterior strip crowns and embrace preformed zirconia crowns? And seriously - how do you get a wiggly, fidgety child to sit still long enough for a solid restoration?! The secret lies in choosing a technique that's both quick and effective! In this episode, Dr. Tim Keys unpacks the real challenges of restoring primary teeth, breaking down the pros and cons of popular approaches like the Hall Crown technique, Pediatric Zirconia crowns, and conventional stainless steel crowns (SSCs). Tune in for practical insights to make pediatric crown work less stressful and more successful - helping you find the best fit for your little patients. https://youtu.be/VJm4TFKLXEA Dr. Keys is also involved in dental education and offers courses through his platform, Kids Dental Tips. One of his upcoming courses is titled "Restorative Paediatric Dentistry," a two-day event scheduled to be held in Brisbane. Protrusive Dental Pearl: One of our best ever Protrusive Infographics! This week's Pearl is a handy downloadable PDF infographic summarising the key points from this episode on Children's Crowns Techniques. Grab your copy here! Need to Read it? Check out the Full Episode Transcript below! Key Takeaways: The Hall crown technique is a non-invasive approach to treating pediatric teeth. Radiographs are essential for accurate diagnosis and treatment planning in children. Case selection is crucial for the success of pediatric dental treatments. Zirconia crowns have superior aesthetics over stainless steel crowns. The success rate of intra-coronal fillings in primary molars is lower compared to crowns. Zirconia crowns rarely fracture compared to strip crowns. Mild supra-occlusion is acceptable in pediatric dentistry. Hands-on experience is crucial for mastering crown techniques. Highlights of this episode: 00:00 Introduction 01:32 The Protrusive Dental Pearl 04:19 Dr. Tim Keys 06:26 Work-life balance & parenting 12:05 Hall crowns Vs Zirconia crowns 13:12 Pediatric crowns and caries management 15:40 Failure rates and clinical implications 17:51 Stainless steel crowns: conventional vs Hall technique 21:03 Case selection and radiographs 25:31 Radiographic criteria 27:04 The Hall Technique 29:59 Technique tips 38:00 Zirconia crowns vs strip crowns 46:55 Education, resources, and further learning 51:02 Outro Key Article mentioned in this episode: Effectiveness, Costs and Patient Acceptance of a Conventional and a Biological Treatment Approach for Carious Primary Teeth in Children | Caries Research | Karger Publishers #PDPMainEpisodes #BreadandButterDentistry If you enjoyed this episode, you should check out PDP159 - How to Manage Children in Dental Pain. This episode is eligible for 1 CE credit via the quiz on Protrusive Guidance. This episode meets GDC Outcomes A and C. AGD Subject Code: 430 Pediatric Dentistry. In this episode, Jaz and Dr. Tim Keys explore practical approaches to restoring pediatric teeth, focusing on the selection, preparation, and placement of direct restorations. They discuss material choices, clinical tips, and how to tailor techniques to improve outcomes and cooperation in young patients. Dentists will be able to: Understand the clinical indications and benefits of various crown techniques used in the restoration of pediatric teeth Recognise the importance of selecting appropriate cementation materials and techniques for different types of direct restorations in children Appreciate the key clinical considerations involved in the preparation and placement of a range of direct restorative techniques in pediatric dentistry https://media.blubrry.com/protrusive/content.blubrry.com/protrusive/PDP227.mp3

How can dentists help kids breathe, sleep, and grow better—even if the problem isn't the teeth? When should you refer, and what tools can you use right now in your practice? In this AES special episode, Jaz Gulati is joined by Dr. Liz Turner and Dr. Meggie Graham—general dentists who have evolved their practice with a deep passion for airway and whole-child health. They walk us through five real patients, including Jaz's own son, to show what airway dentistry looks like in the real world. From growth appliances and myofunctional therapy to inflammation control and ENT collaboration, this episode connects the dots between breathing and behavior, development, and even dental crowding. https://youtu.be/Y6EfufPd98E Watch PDP226 on Youtube Protrusive Dental Pearl: "Don't stay stagnant—keep learning, keep growing, and reinvent yourself every 5–10 years." Think of your dental career in seasons—explore new areas, refine your interests, and let go of what no longer brings you joy. This keeps your passion for dentistry alive and evolving. Need to Read it? Check out the Full Episode Transcript below! Key Takeaways Airway dentistry is a growing field that emphasizes prevention. Understanding airway issues can lead to better health outcomes. Dentists can play a crucial role in optimizing health through airway management. Health optimization is a key focus in modern dentistry. Interdisciplinary collaboration is essential for effective patient care. Functional dentistry addresses the root causes of dental issues. Children's airway health can significantly impact their development. Dentists should feel empowered to make positive changes in their patients' lives. Facial aesthetics can significantly impact self-esteem and health. Nasal breathing is crucial for overall health and well-being. Quality of life can be improved through better patient care. Breastfeeding plays a vital role in a child's development. Addressing sleep issues in children is essential for their growth. Understanding the connection between breathing and systemic health is vital. Highlights of this episode: 02:04  Protrusive Dental Pearl 04:08 Interview with Dr. Liz Turner 06:18 Interview with Dr. Meggie Graham 07:43 Personal Journeys into Airway Dentistry 16:26 ENT Referrals 21:55 Understanding Airway Symptoms and Treatment 26:10 Patient Case Studies and Treatment Approaches 36:46 The Importance of Nasal Breathing 45:30 Pediatric Airway Concerns and Solutions 55:09 Educational Resources and Final Thoughts

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

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

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,

What's the biggest challenge facing utilities today? Is it climate change, DER integration, or the explosive growth of data centers? The real answer is the need to balance all of the above, and navigating these forces while keeping the grid reliable and resilient is no small feat. Enter Marcus McCarthy, Senior Vice President of Siemens Grid Software, who joins Power Perspectives to break down the evolving energy landscape. From the concept of the "Goldilocks Zone" in data center planning to how AI is reshaping grid operations, Marcus shares key lessons and strategies utilities need to future-proof their systems. For anyone seeking out insights into where the grid is headed next, this episode is a must-listen. Key Links: Energy Central Post with Full Episode Transcript: https://energycentral.com/o/energy-central/goldilocks-problem-grid-modernization Video version of the episode on Youtube: https://youtu.be/1u257hJjKIk Siemens on Energy Central: https://energycentral.com/o/siemens Ask a Question to Our Future Guests: Do you have a burning question for the utility executives and energy industry thought leaders that we feature each week on Power Perspectives? Leave us a message here for your chance to be featured in an upcoming episode: www.speakpipe.com/EnergyCentralPodcast

How to save energy from partisan politics Can the clean power transition survive partisan politics? If anyone has the answer, it's David Spence, Professor of Energy Law & Regulation at UT Austin and author of the book "Climate of Contempt: How to Rescue the U.S. Energy Transition from Voter Partisanship." Today on Power Perspectives, David breaks down the impacts of political polarization on climate and energy policy, the role of media in shaping public perception, and how the power industry moves forward in fractured times. If you've ever felt frustrated by dinner table politics conversations, give this episode a listen—guarantee you'll learn something valuable. Key Links: Energy Central Post with Full Episode Transcript: https://energycentral.com/o/energy-central/how-save-energy-partisan-politics Video version of the episode on Youtube: https://youtu.be/FoYxlv5wUC8 David Spence's profile on Energy Central: https://energycentral.com/member/profile/david-spence Climate of Contempt: How to Rescue the U.S. Energy Transition from Voter Partisanship: https://bookshop.org/p/books/climate-of-contempt-how-to-rescue-the-u-s-energy-transition-from-voter-partisanship-david-spence/21116536?ean=9780231217088&next=t Ask a Question to Our Future Guests: Do you have a burning question for the utility executives and energy industry thought leaders that we feature each week on Power Perspectives? Leave us a message here for your chance to be featured in an upcoming episode: www.speakpipe.com/EnergyCentralPodcast

AI is changing everything, and power utilities are no exception. From optimizing grid operations to enhancing cybersecurity, AI is already making a tangible impact on how energy is generated, distributed, and managed. But when it comes to grid communications—an area where reliability and security are paramount—what role does AI really play? In this episode of Power Perspectives, we're joined by two industry leaders from Nokia: Dominique Verhulst, Global Energy Practice Leader; and Hansen Chan, IP Enterprise Solutions Marketing. Together, we unpack some of the biggest questions utility leaders are asking today: - How does AI optimize mission-critical grid communications? - What are real-world examples of AI transforming power utilities? - How are AI-driven data centers reshaping grid infrastructure needs? - What's on the horizon for AI in the energy sector over the next 5-10 years? Plus, we briefly dive into one of the latest AI breakthroughs—DeepSeek—and what it means for AI-driven power planning and utility networks. So strap in alongside podcast host Jason Price and producer Matt Chester to learn from the deep expertise that Dominique and Hansen bring to the conversation. (This episode brought to you by Nokia) Key Links: Energy Central Post with Full Episode Transcript: https://energycentral.com/o/energy-central/how-utilities-can-prepare-ai-integration Video version of the episode on YouTube: https://youtu.be/qKun5PvHdLg Nokia on Energy Central: energycentral.com/Nokia Hansen Chan's profile on Energy Central: energycentral.com/member/profile/hansen-chan/about Ask a Question to Our Future Guests: Do you have a burning question for the utility executives and energy industry thought leaders that we feature each week on Power Perspectives? Leave us a message here for your chance to be featured in an upcoming episode: www.speakpipe.com/EnergyCentralPodcast

Balancing reliability, affordability, and sustainability—often called the energy trilemma—is one of the biggest challenges facing utility leaders today. And in Michigan, that challenge is magnified by aggressive decarbonization goals, aging infrastructure, and severe weather events. In this episode of Power Perspectives, podcast host Jason Price visits the DTE Energy headquarters in Detroit to chat face-to-face with Jerry Norcia, Chairman and CEO of DTE Energy. In this conversation, Jerry highlights how the company is tackling these timely and critical challenges head-on. From Michigan's ambitious clean energy targets to grid modernization, energy affordability, and extreme weather preparedness, Jerry shares DTE's strategy for navigating this pivotal moment in the energy transition. Listen into this conversation from the C-Suite as Jerry highlights: - Michigan's aggressive clean energy mandates and how DTE is adapting - DTE's $6 billion grid modernization investment to enhance reliability - The impact of extreme weather on Michigan's electric infrastructure - Balancing affordability and major infrastructure investments - Ensuring low-income customers have access to energy assistance programs Listen alongside podcast host Jason Price and producer Matt Chester as Jerry walks us all through the state of the industry today and into the future from his front row seat. Key Links: Energy Central Post with Full Episode Transcript: https://energycentral.com/o/energy-central/inside-ceos-energy-transition-playbook Video version of the episode on YouTube: https://youtu.be/vZHJ1Wigi_c Ask a Question to Our Future Guests: Do you have a burning question for the utility executives and energy industry thought leaders that we feature each week on Power Perspectives? Leave us a message here for your chance to be featured in an upcoming episode: www.speakpipe.com/EnergyCentralPodcast

Federal funding presents major opportunities for utilities, but navigating the complex landscape of incentives, grants, and shifting political realities can be daunting. How should utilities position themselves to secure funding, optimize strategic investments, and prepare for potential policy changes as power shifts in Washington? In this episode of Power Perspectives, that question is tackled by Stephen Haubrich, Management Consultant at ScottMadden. With deep expertise in regulatory strategy and utility financing, Stephen shares best practices for utility decision-makers, discusses the impact of federal programs like the Inflation Reduction Act (IRA), and explores how utilities can remain flexible in an evolving political environment. Tune in to get expert advice on topics in the range of: - The current federal funding landscape for utilities and successful case studies - Best practices for utilities to position themselves for funding opportunities - Balancing short-term wins with long-term strategy in federal funding - The impact of political shifts on programs like the IRA and what utilities should do next - How utilities can stay agile amid regulatory uncertainty Whether you're a utility leader, policymaker, or industry stakeholder, you'll want to join podcast host Matt Chester in this conversation with Stephen as he provides valuable insights on how to maximize federal funding benefits while mitigating risks. This episode is brought to you by ScottMadden. NOTE: This conversation was recorded before President Trump's inauguration. Key Links: Energy Central Post with Full Episode Transcript: https://energycentral.com/o/energy-central/future-federal-energy-funding Video version of the episode on YouTube: https://youtu.be/LQWGhJ3-3WI ScottMadden on Energy Central: https://energycentral.com/o/scottmadden Stephen Haubrich's profile on Energy Central: https://energycentral.com/member/profile/stephen-haubrich Ask a Question to Our Future Guests: Do you have a burning question for the utility executives and energy industry thought leaders that we feature each week on Power Perspectives? Leave us a message here for your chance to be featured in an upcoming episode: www.speakpipe.com/EnergyCentralPodcast

Private LTE networks are shaping the future of rural grid modernization. But how can small utilities harness this technology to overcome their unique challenges? In this episode of Power Perspectives, that challenge is addressed head on by Joe Walsh, Vice President of Smart Grid Communications Networks at NRTC. Joe sits down for this conversation to help us explore how a groundbreaking collaboration between NRTC, Anterix, Ericsson, and Southern Linc is helping rural utilities build secure, scalable, and cost-effective communication networks. Tune in and learn from Joe as he shares insights on: - The challenges rural utilities face in modernizing their grids - How private LTE networks improve resilience, security, and scalability - The benefits of vendor diversity and shared cooperative resources - Real-world examples of co-ops implementing private LTE Whether you're in the utility sector or just interested in the evolving energy landscape, strap in and join podcast host Jason Price and producer Matt Chester as they welcome Joe's valuable insights at the role of advanced communications in building the grid of the future. Key Links: Energy Central Post with Full Episode Transcript: https://energycentral.com/o/energy-central/how-important-private-lte-modernizing-rural-grid Video version of the episode on SoundCloud: https://youtu.be/sbgQs-yn6Kg Anterix on Energy Central: energycentral.com/o/anterix Joe Walsh's profile on Energy Central: https://energycentral.com/member/profile/joe-walsh-0 Ask a Question to Our Future Guests: Do you have a burning question for the utility executives and energy industry thought leaders that we feature each week on Power Perspectives? Leave us a message here for your chance to be featured in an upcoming episode: www.speakpipe.com/EnergyCentralPodcast

As utilities face the mounting challenges of aging infrastructure, increasing demand, and evolving sustainability mandates, the need for smarter, more efficient capital planning is more pressing than ever. Simultaneously, you seemingly can't go a day without seeing a new, awe-inspiring headline about the power that artificial intelligence is newly bringing to the world. At the nexus of these two trending topics, this episode's guests see tremendous opportunity. AI is playing a transformative role in helping utilities optimize their investment strategies, ensuring resources are allocated efficiently while mitigating risks. In this episode of Power Perspectives, Tom Ligocki, Global Head of Energy and Water Services at IFS, and Danilo Prates, Senior Director of Program Management at Copperleaf, explore how AI-driven analytics are revolutionizing capital planning, enabling utilities to make data-driven decisions on infrastructure upgrades, resilience planning, and cost management. Listen in to learn firsthand expertise from these experts as they analyze: - The critical role of capital planning in the utility sector - How AI is enhancing investment decision-making for utilities - Key challenges utilities face in modernizing infrastructure and integrating renewable energy - Real-world benefits and cost savings from AI-powered capital planning solutions Join podcast host Jason Price and producer Matt Chester as they navigate these new opportunities shared by Tom and Danilo. Whether you're a utility leader, an energy sector professional, or an AI enthusiast, this episode provides valuable insights into how technology is shaping the future of infrastructure investment. This episode is brought to you by Copperleaf. Key Links: Energy Central Post with Full Episode Transcript: https://energycentral.com/o/energy-central/can-ai-do-your-capital-planning-you-brought-you-copperleaf#posting Video version of the episode on YouTube: https://youtu.be/sTsfgcSoGTE Copperleaf on Energy Central: https://energycentral.com/o/copperleaf Industrial AI is IFS.ai: https://www.ifs.com/ai Copperleaf eBook: Value-based Decision Making: https://www.copperleaf.com/knowledge-hub/ebook-value-based-decision-making-the-key-to-better-business-performance/ Decision Analytics Solutions for Electrical Utilities: https://www.copperleaf.com/solutions-for-industry/electric-utilities-decision-analysis-software/ Ask a Question to Our Future Guests: Do you have a burning question for the utility executives and energy industry thought leaders that we feature each week on Power Perspectives? Leave us a message here for your chance to be featured in an upcoming episode: www.speakpipe.com/EnergyCentralPodcast

The supply chain has been a trending topic and area of concern in all industries since the COVID-19 pandemic, and as the utility seeks to build more than ever before in a new era of grid modernization and clean energy one of the main bottlenecks remains the available supply of necessary equipment and materials. This week, Power Perspectives welcomes in Laura Lewis, Chief Legal Officer and General Counsel at SMUD, to educate us on how one of the largest community-owned utilities in the nation is tackling supply chain challenges while advancing its ambitious clean energy goals. Laura shares SMUD's strategies for navigating these obstacles, from securing critical needs like transformers to optimizing inventory processes. With a focus on electrification, regulatory collaboration, and sustainable practices, SMUD is setting a powerful example for utilities nationwide. Tune in to learn about: - SMUD's innovative approaches to supply chain management amidst tight markets and inflation. - The legal and operational intersections of supply chain strategies in the clean energy transition. - How electrification of vehicles and buildings shapes grid infrastructure needs. - The strategic partnerships with federal and state agencies to secure critical resources. Join host Jason Price and producer Matt Chester as they explore these vital topics with Laura Lewis and uncover how utilities can balance operational reliability with bold clean energy ambitions. Key Links: Energy Central Post with Full Episode Transcript: https://energycentral.com/o/energy-central/how-utility-solving-supply-chain-puzzle Ask a Question to Our Future Guests: Do you have a burning question for the utility executives and energy industry thought leaders that we feature each week on Power Perspectives? Leave us a message here for your chance to be featured in an upcoming episode: www.speakpipe.com/EnergyCentralPodcast

Federal funding has poured into the utility space to ensure the expansion of internet connectivity can take hold across the country, but what do results on the ground look like? In the latest Power Perspectives episode, we are joined by Adam Rehfeld, Business Line Manager for Distribution Modernization at Burns & McDonnell. Sitting on the front line of this implementation of connectivity for utilities, specifically in the complex world of third-party pole attachments (TPAs), Adam has keen lessons to share with utilities who are still waiting to get up to speed in this area. As utilities gain opportunities to expand connectivity with TPA implementation, this moment is a critical one for leaders to properly address regulatory, operational, and technological challenges. Adam provides insights into the evolution of pole attachments, the role of utilities in expanding broadband to underserved areas, and the importance of maintaining clear inventories of pole usage. Press play and gain keen insights into: - Why TPAs are a hot topic in today's utility sector. - How federal funding impacts TPA growth and utility strategies. - The role of technology in improving pole attachment inventory and data management. - The intersection of TPAs with modern grid trends like undergrounding and distributed generation. Whether you're a utility decision-maker or a broadband stakeholder, this episode offers a comprehensive guide to navigating the TPA landscape. So join host Jason Price and producer Matt Chester as they welcome in Adam Rehfeld's insights on the critical interplay between internet connectivity and the power utility sector. Key Links: Energy Central Post with Full Episode Transcript: https://energycentral.com/o/energy-central/expanding-utility-connectivity-and-bridging-broadband-gaps-brought-you-burns Burns & McDonnell on Energy Central: https://energycentral.com/o/burns-mcdonnell Ask a Question to Our Future Guests: Do you have a burning question for the utility executives and energy industry thought leaders that we feature each week on Power Perspectives? Leave us a message here for your chance to be featured in an upcoming episode: www.speakpipe.com/EnergyCentralPodcast

With fleet electrification accelerating, utilities face both opportunities and challenges in managing EV demand and leveraging vehicle-to-grid (V2G) technology. In this episode, Mark Braby, Chief Commercial Officer at Synop, joins Power Perspectives to discuss that rapidly evolving relationship between utilities and the transportation sector. Listen in as Mark discusses: - The transformative role of software in uniting fleet operators and utilities for electrification success. - Key use cases demonstrating the real-world impact of V2G technology on grid operations. - The critical data needs of utilities to ensure grid stability amid increasing EV adoption. - The evolving relationship between utilities and transportation over the next decade, including autonomous fleets and smart charging. For utility leaders, fleet managers, and anyone invested in the electrification journey, this episode is packed with actionable insights. Join host Jason Price and producer Matt Chester as they explore how fleet electrification is reshaping the energy landscape with Mark Braby. Key Links: Energy Central Post with Full Episode Transcript: https://energycentral.com/o/energy-central/power-perspectives-can-evs-drive-grid-stability Ask a Question to Our Future Guests: Do you have a burning question for the utility executives and energy industry thought leaders that we feature each week on Power Perspectives? Leave us a message here for your chance to be featured in an upcoming episode: www.speakpipe.com/EnergyCentralPodcast

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,

In this episode, Mike Goggin, Senior Product Manager at SSP Innovations, joins the Energy Central Power Perspectives Podcast to explore how advanced GIS technology is now within reach for smaller utilities. Historically reserved for larger utilities, Esri's Utility Network has become an essential tool for modernizing grid management. Mike shares how SSP Innovations has tailored this powerful platform to meet the unique needs of cooperatives, municipalities, and mid-sized utilities. Listen in as Mike discusses: - The challenges driving utilities away from legacy systems like ArcMap and geometric networks. - Common adoption hesitations and strategies to ease the transition to the Utility Network. - Real-world benefits of pre-configured systems and how customization can address individual utility needs. - The Utility Network's role in tackling the energy transition, electrification, and grid resilience challenges. For any utility professionals looking to modernize operations while keeping costs manageable, this episode provides actionable insights and guidance. Join host Jason Price and producer Matt Chester as they uncover how GIS innovation is empowering utilities of every size to thrive in a rapidly evolving energy landscape. Key Links Energy Central Post with Full Episode Transcript: https://energycentral.com/o/energy-central/power-perspectives-podcast-gis-smaller-utilities-grid-modernization-here-brought Mike Goggin's Energy Central Profile: https://energycentral.com/member/profile/mike-goggin-0/about SSP Innovations on Energy Central: https://energycentral.com/o/ssp Think Differently: Why GIS and Modern Network Management are Intertwined by Mike Goggin: https://energycentral.com/o/ssp/think-differently-why-gis-and-modern-network-management-are-intertwined Ask a Question to Our Future Guests: Do you have a burning question for the utility executives and energy industry thought leaders that we feature each week on Power Perspectives? Leave us a message here for your chance to be featured in an upcoming episode: www.speakpipe.com/EnergyCentralPodcast

In this episode, Amy Myers Jaffe, Director of the Energy, Climate Justice, and Sustainability Lab at NYU, joins the Power Perspectives Podcast in the wake of the November 2024 elections to discuss the most pressing issues shaping the energy landscape. With her expertise in energy geopolitics, climate risk, and sustainability, Amy offers invaluable insights into how utilities can adapt to evolving challenges while pursuing a more resilient and sustainable future. Listen in as Amy explores: - The intersection of federal energy policies and state climate goals amidst political changes - Why small modular reactors (SMRs) may not be the universal solution some hope for - How digital solutions for demand management remain an underutilized opportunity - The role of supply chain resilience in ensuring reliable energy amid geopolitical tensions Join host Jason Price and producer Matt Chester as they get a crash course into these critical topics with Amy Myers Jaffe. Whether you're a utility executive, policymaker, or energy enthusiast, this episode provides actionable strategies for tackling today's energy challenges and securing a sustainable future. Key Links Energy Central Post with Full Episode Transcript: https://energycentral.com/o/energy-central/power-perspectives%E2%84%A2-podcast-navigating-energys-post-election-crossroads-2024-and Energy's Digital Future: Harnessing Innovation for American Resilience and National Security by Amy Myers Jaffe: https://cup.columbia.edu/book/energys-digital-future/9780231216753 Five Ways to Disaster-Proof the Energy Grid by Amy Myers Jaffe: https://www.wsj.com/us-news/climate-environment/energy-grid-extreme-weather-power-outages-c77e97e2 Amy's Energy Central Profile: https://energycentral.com/member/profile/amy-jaffe Ask a Question to Our Future Guests: Do you have a burning question for the utility executives and energy industry thought leaders that we feature each week on Power Perspectives? Leave us a message here for your chance to be featured in an upcoming episode: www.speakpipe.com/EnergyCentralPodcast

In this episode, Rob Brook, Senior Vice President and Managing Director – Americas at Neara, joins the Power Perspectives Podcast to discuss a pressing challenge for the energy sector: the growing impact of severe weather on energy infrastructure. As storms increase in frequency and intensity, Rob shares how utilities must enhance their resilience strategies and what Neara is doing to harness the power of AI and simulation to help utilities predict, prepare for, and respond to these extreme weather events. Listen in as Rob discusses: - How AI-driven simulations model the impacts of severe weather on utility networks - The types of data required to build accurate simulations and how utilities manage data quality - Insights from Neara's collaboration with CenterPoint Energy, focusing on storm preparation post-Hurricane Beryl - Applications of AI in utility operations beyond storm resilience, including asset management and grid modernization - Overcoming regulatory and cost challenges to implement cutting-edge technology For any utility stakeholders aiming to make our grid more resilient, this episode is for you. Join host Jason Price and producer Matt Chester as they explore the future of storm preparedness and grid resilience with Rob Brook. Key Links Energy Central Post with Full Episode Transcript: https://energycentral.com/o/energy-central/power-perspectives%E2%84%A2-podcast-using-ai-predict-protect-grid-wide-storm-resilience Rob Neara's Energy Central profile: https://energycentral.com/member/profile/robert-brook Ask a Question to Our Future Guests: Do you have a burning question for the utility executives and energy industry thought leaders that we feature each week on Power Perspectives? Leave us a message here for your chance to be featured in an upcoming episode: www.speakpipe.com/EnergyCentralPodcast

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,

In today's episode of the Power Perspectives Podcast, Sam Hartzman, Chief Diversity Officer at Duquesne Light Company (DLC), joins to guide a much-needed discussion of the energy industry's current state of transformation—not only in technology and sustainability but also in workplace culture. Specifically, the growing focus on Diversity, Equity, and Inclusion (DEI) sees some utilities at a crossroads, and Sam joins host Jason Price and producer Matt Chester to discuss how DLC is leading this DEI charge. Listen in as Sam shares insights into the company's initiative, A Duty to One Another, which emphasizes a collaborative, grassroots approach to fostering inclusion. The discussion covers: - How Duquesne Light's DEI efforts differ from traditional, top-down approaches. - Overcoming challenges in a climate where companies are facing pressure to adjust their DEI initiatives. - The connection between DEI and corporate performance, including financial and operational metrics. - The role of DEI in advancing Duquesne Light's mission for a clean energy future. If you're curious about how a utility company is navigating the complexities of DEI while staying committed to its broader mission, this episode is a must-listen. Key Links Energy Central Post with Full Episode Transcript: https://energycentral.com/o/energy-central/power-perspectives-podcast-how-can-utilities-build-more-inclusive-workplace-sam Ask a Question to Our Future Guests: Do you have a burning question for the utility executives and energy industry thought leaders that we feature each week on Power Perspectives? Leave us a message here for your chance to be featured in an upcoming episode: www.speakpipe.com/EnergyCentralPodcast

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.

To modernize infrastructure or optimize for reliability—that's the question utility leaders like Frank Reynolds, President and CEO of United Illuminating, are facing on a daily basis. The need to transition to cleaner energy sources and address the challenges of aging infrastructure are often at odds with utilities' efforts to maintain reliable power delivery. So which do you choose? And can you have it all? Today on Power Perspectives, Frank guides host Jason Price and producer Matt Chester through key topics impacting his work in Connecticut, including... - The relationship between utilities and regulators - The impact of performance-based regulation - How United Illuminating is navigating financial and operational hurdles If you want to learn how this utility leader is steering a company through unprecedented times—all while embracing innovation and the future of clean energy in Connecticut—this episode is for you. Key Links Energy Central Post with Full Episode Transcript: https://energycentral.com/c/pip/episode-183-how-utility-ceo-balances-innovation-reliability-frank-reynolds Ask a Question to Our Future Guests: Do you have a burning question for the utility executives and energy industry thought leaders that we feature each week on Power Perspectives? Leave us a message here for your chance to be featured in an upcoming episode: www.speakpipe.com/EnergyCentralPodcast

As the final episode in the three-part special Esri takeover series on the Energy Central Power Perspectives Podcast, Pat Hohl and Bill Meehan-- Directors at Esri-- bring their conversation to a conclusion by focusing on two essential areas: enterprise access and collaboration, as well as the essential (and sometime frustrating) areas of data quality and governance. Pat and Bill will bring their experience to the listener in breaking down silos and improving communication across departments are critical for utility success. They share real-life examples from their experiences, like the consequences of hoarding information and how modern tools and technologies can foster collaboration both within companies and with external stakeholders such as regulators. Listen in as this episode also touches on the role of effective data governance in ensuring data quality, discussing the importance of maintaining high accuracy and ensuring data integrity across systems. Pat and Bill explore the exciting innovations and technologies currently taking hold in the sector to automate and streamline these processes, reducing the burden on employees and allowing utilities to focus on delivering efficient, reliable services. Given how enterprise access and data quality governance are key to running a successful, modern utility, you won't want to miss this discussion. Key Links: Energy Central Post with Full Episode Transcript: https://energycentral.com/o/energy-central/episode-182-access-collaboration-and-data-quality-keys-modern-utility-pat-hohl Episode 1 of this three-part series, "Episode #178: "Breaking Boundaries: Cross-Industry Innovation at IMGIS 2024" with Pat Hohl and Bill Meehan, Directors at ESRI [Special Energy Central Power Perspectives™ Podcast Presented by ESRI]": https://energycentral.com/c/iu/episode-178-breaking-boundaries-cross-industry-innovation-imgis-2024-pat-hohl-and Episode 2: "Episode #181: "Breaking Down Silos with GIS and Advanced Modeling in the Utility Sector" with Pat Hohl and Bill Meehan, Directors at ESRI [Special Energy Central Power Perspectives™ Podcast Presented by ESRI]": https://energycentral.com/o/energy-central/episode-181-breaking-down-silos-gis-and-advanced-modeling-utility-sector-pat-hohl GIS for Electric Utilities from ESRI: https://www.esri.com/en-us/industries/electric/overview Ask a Question to Our Future Guests: Do you have a burning question for the utility executives and energy industry thought leaders that we feature each week on the Energy Central Power Perspectives Podcast? Do you want to hear your voice on a future episode? Well starting in 2024, we're offering you that opportunity! Head to this link where you can leave us a recorded message, including a question you're eager to have answered on a future episode of the podcast. We'll listen through them, pick out the right guests in our upcoming lineup to address them, and you'll hear yourself as a part of the conversation! Energy Central on SpeakPipe: www.speakpipe.com/EnergyCentralPodcast

Continuing the Esri takeover series of the Energy Central Power Perspectives Podcast, Bill Meehan and Pat Hohl, both Directors at Esri, use episode two of this three-part series to share insights in the rapidly changing world of utility network management. Pat and Bill share with listeners their views on how utilities are modernizing their systems to meet the challenges of an evolving energy landscape. As utilities face increasing demands from distributed energy resources (DERs), network expansions, and electrification of transportation, the need for accurate, real-time data becomes more critical than ever. In that light, this conversation covers how utilities are embracing new technologies like Advanced Distribution Management Systems (ADMS) and Distributed Energy Resource Management Systems (DERMS), and why the quality and governance of network data is at the heart of it all. Listen in to get a deep dive into key topics like network modeling, the role of geospatial systems and GIS in improving data integration, and the necessity of creating a single source of truth for utility operations. This episode is packed with practical insights and real-world examples, plus the discussion teases upcoming topics such as enterprise data access and the future of AI in utility management, offering a compelling reason to tune in to future episodes. Key Links: Energy Central Post with Full Episode Transcript: https://energycentral.com/o/energy-central/episode-181-breaking-down-silos-gis-and-advanced-modeling-utility-sector-pat-hohl Episode 1 of this three-part series, "Episode #178: "Breaking Boundaries: Cross-Industry Innovation at IMGIS 2024" with Pat Hohl and Bill Meehan, Directors at ESRI [Special Energy Central Power Perspectives™ Podcast Presented by ESRI]": https://energycentral.com/c/iu/episode-178-breaking-boundaries-cross-industry-innovation-imgis-2024-pat-hohl-and Other previous podcast appearances from Pat and Bill Episode #10: ‘The Past & Future of Circuits & How GIS is Transforming the Grid, COVID-19 Response, & More' with Pat Hohl of Esri - [an Energy Central Power Perspectives™ Podcast]: https://energycentral.com/c/iu/energy-central-power-perspectives%E2%84%A2-podcast-episode-10-%E2%80%98-past-future-circuits-how  Episode #12: ‘To Unlock the Modern Utility, GIS is Key' with Bill Meehan of Esri - [an Energy Central Power Perspectives™ Podcast]: https://energycentral.com/c/iu/energy-central-power-perspectives%E2%84%A2-podcast-episode-12-%E2%80%98-unlock-modern-utility-gis Episode #47: GIS, Digital Twin, and the Intelligent Reality of Utilities Today with Pat Hohl and Bill Meehan of Esri [an Energy Central Power Perspectives™ Podcast]: https://energycentral.com/o/energy-central/special-edition-gis-digital-twin-and-intelligent-reality-utilities-today-pat-hohl Episode #80: 'Taking a Geographic Approach to Public Grid Investment' with Bill Meehan and Pat Hohl of Esri [an Energy Central Power Perspectives™ Podcast]: https://energycentral.com/o/energy-central/episode-80-taking-geographic-approach-public-grid-investment-bill-meehan-and-pat Episode #95: 'Debating Utilities' Role In Transportation Electrification' With Esri's Bill Meehan & Pat Hohl [an Energy Central Power Perspectives™ Podcast]: https://energycentral.com/o/energy-central/episode-95-debating-utilities-role-transportation-electrification-esris-bill Episode 131: 'Unlocking the Power of GIS: Sharing, Understanding, and Capturing Utility Data': https://energycentral.com/o/esri/special-episode-unlocking-power-gis-sharing-understanding-and-capturing-utility Episode 132: 'Harnessing GIS for Strategic Utility Insight': https://energycentral.com/o/energy-central/special-episode-harnessing-gis-strategic-utility-insight-pat-hohl-and-bill-meehan Episode 133: 'The Role of GIS Data, Mobility, and Digital Twins': https://energycentral.com/c/iu/special-episode-role-gis-data-mobility-and-digital-twins-pat-hohl-and-bill-meehan

As the demand for renewable energy grows, the expansion of transmission infrastructure has become a critical need for facilitating the clean energy transition. However, this expansion often runs up against the need to protect vital wildlife habitats and natural ecosystems. Striking a balance between advancing clean energy and preserving biodiversity is an increasingly complex challenge that utilities, policymakers, and environmental advocates must navigate. In this episode of the Energy Central Power Perspectives Podcast, we welcome Veronica Ung-Kono, Staff Attorney and Clean Energy Transmission Policy Specialist at the National Wildlife Federation, to discuss how these two worlds intersect. Listen in as Veronica shares with podcast host Jason Price and produce Matt Chester her unique perspective on how to expand the nation's transmission infrastructure while protecting wildlife. From understanding migration patterns to safeguarding lesser-known ecosystems, Veronica explores how her team is working to ensure that clean energy development doesn't come at the expense of the environment. Listen in as this conversation covers these critical issues and learn how early collaboration between developers and environmental advocates can lead to more sustainable outcomes. Key Links: Post on Energy Central with Full Episode Transcript: https://energycentral.com/o/energy-central/episode-180-balancing-clean-energy-expansion-wildlife-protection-veronica-ung NWF's Transmission Webpage: https://www.nwf.org/Our-Work/Climate/Climate-Change/Greenhouse-Gases/Transmission 2022 MIT Study, Sources of Opposition to renewable energy projects in the United States: https://www.sciencedirect.com/science/article/pii/S0301421522001471 Ask a Question to Our Future Guests: Do you have a burning question for the utility executives and energy industry thought leaders that we feature each week on the Energy Central Power Perspectives Podcast? Do you want to hear your voice on a future episode? Well starting in 2024, we're offering you that opportunity! Head to this link where you can leave us a recorded message, including a question you're eager to have answered on a future episode of the podcast. We'll listen through them, pick out the right guests in our upcoming lineup to address them, and you'll hear yourself as a part of the conversation! Energy Central on SpeakPipe: www.speakpipe.com/EnergyCentralPodcast

The increasing adoption of electric vehicles (EVs) on U.S. roads introduces new challenges for first responders, as EV fires burn hotter and longer than traditional car fires, demanding specialized knowledge and approaches. With more EVs on the road, addressing the safety risks they pose in accidents is becoming an urgent priority for public safety teams across the country. In this episode of the Energy Central Power Perspectives Podcast, David Cleveland, Vice President of Marketing, Member Services, and Governmental Affairs at Jackson EMC, shares insights into how his organization is proactively tackling this issue. Listen in as David shares with podcast host, Jason Price, and producer, Matt Chester, the work that Jackson EMC has done in this space. By spearheading a groundbreaking initiative to train local first responders on how to safely manage EV-related incidents, Jackson EMC is leading the charge on this critical frontier. Listen in as he dives into the origins, impacts, and future expansion of this vital safety training program and discuss the broader role utilities can play in ensuring community safety in the age of electrification. Key Links: Post on Energy Central with Full Episode Transcript: https://energycentral.com/o/energy-central/episode-179-ev-safety-first-and-how-jackson-emc-preparing-first-responders-david Ask a Question to Our Future Guests: Do you have a burning question for the utility executives and energy industry thought leaders that we feature each week on the Energy Central Power Perspectives Podcast? Do you want to hear your voice on a future episode? Well starting in 2024, we're offering you that opportunity! Head to this link where you can leave us a recorded message, including a question you're eager to have answered on a future episode of the podcast. We'll listen through them, pick out the right guests in our upcoming lineup to address them, and you'll hear yourself as a part of the conversation! Energy Central on SpeakPipe: www.speakpipe.com/EnergyCentralPodcast

In this episode, Eric and Kate MacDougall explore the transformative power of saying "no" in relationships to build trust and establish boundaries.Topics: ➡️ Importance of saying "no" for trust and integrity. ➡️ Risks of always saying "yes" in relationships. ➡️ Strategies for clear and compassionate boundary communication.FULL EPISODE TRANSCRIPT: https://www.evolvedmarriage.com/blog/build-trust-in-your-marriage

As a departure from the usual format on the Energy Central Power Perspectives Podcast, this episode features an exclusive guest-led conversation with two of the most familiar voices in the Energy Central community: Bill Meehan and Pat Hohl, both Directors at Esri. In this episode, Bill and Pat dive deep into the themes and insights to be explored at the upcoming IMGIS Conference, set to take place this upcoming October. Throughout this engaging discussion, they focus on how innovation in infrastructure management is unlocking the potential of Geographic Information Systems (GIS) across industries. From emergency management to AI-driven imagery to digital transformation, Bill and Pat highlight the key takeaways for professionals across the utility sector. Listen in as they explore cross-industry solutions, the power of GIS in utilities, and how new technology can revolutionize day-to-day tasks. Key Links: Energy Central Post with Full Episode Transcript: https://energycentral.com/c/iu/episode-178-breaking-boundaries-cross-industry-innovation-imgis-2024-pat-hohl-and IMGIS 2024: https://www.esri.com/en-us/about/events/imgis/overview?gclid=Cj0KCQjwrp-3BhDgARIsAEWJ6SwzbfdnssNJaysBR7e4atYSfdrHDIVJruNKthlBJAU9TzEB31J4tTMaAqsSEALw_wcB&aduc=Advertising&sf_id=7015x000000j2zTAAQ&adut=ppcbrand&aduco=value&aduca=EIMGIS24&utm_id=7015x000000j2zTAAQ&adum=PPC&utm_campaign=EIMGIS24&adusf=Google&utm_term=ppcbrand&utm_source=Advertising&utm_medium=PPC&utm_content=value&ef_id=Cj0KCQjwrp-3BhDgARIsAEWJ6SwzbfdnssNJaysBR7e4atYSfdrHDIVJruNKthlBJAU9TzEB31J4tTMaAqsSEALw_wcB:G:s&s_kwcid=AL!8948!3!712522044695!p!!g!!imgis%20conference&_bk=imgis%20conference&_bt=712522044695&_bm=p&_bn=g&_bg=170071504474&aducop=imgis%20conference-p&gclsrc=aw.ds&gad_source=1 Episode #10: ‘The Past & Future of Circuits & How GIS is Transforming the Grid, COVID-19 Response, & More' with Pat Hohl of Esri - [an Energy Central Power Perspectives™ Podcast]: https://energycentral.com/c/iu/energy-central-power-perspectives%E2%84%A2-podcast-episode-10-%E2%80%98-past-future-circuits-how  Episode #12: ‘To Unlock the Modern Utility, GIS is Key' with Bill Meehan of Esri - [an Energy Central Power Perspectives™ Podcast]: https://energycentral.com/c/iu/energy-central-power-perspectives%E2%84%A2-podcast-episode-12-%E2%80%98-unlock-modern-utility-gis Episode #47: GIS, Digital Twin, and the Intelligent Reality of Utilities Today with Pat Hohl and Bill Meehan of Esri [an Energy Central Power Perspectives™ Podcast]: https://energycentral.com/o/energy-central/special-edition-gis-digital-twin-and-intelligent-reality-utilities-today-pat-hohl Episode #80: 'Taking a Geographic Approach to Public Grid Investment' with Bill Meehan and Pat Hohl of Esri [an Energy Central Power Perspectives™ Podcast]: https://energycentral.com/o/energy-central/episode-80-taking-geographic-approach-public-grid-investment-bill-meehan-and-pat Episode #95: 'Debating Utilities' Role In Transportation Electrification' With Esri's Bill Meehan & Pat Hohl [an Energy Central Power Perspectives™ Podcast]: https://energycentral.com/o/energy-central/episode-95-debating-utilities-role-transportation-electrification-esris-bill Episode 131: 'Unlocking the Power of GIS: Sharing, Understanding, and Capturing Utility Data': https://energycentral.com/o/esri/special-episode-unlocking-power-gis-sharing-understanding-and-capturing-utility Episode 132: 'Harnessing GIS for Strategic Utility Insight': https://energycentral.com/o/energy-central/special-episode-harnessing-gis-strategic-utility-insight-pat-hohl-and-bill-meehan Episode 133: 'The Role of GIS Data, Mobility, and Digital Twins': https://energycentral.com/c/iu/special-episode-role-gis-data-mobility-and-digital-twins-pat-hohl-and-bill-meehan Pat Hohl's Energy Central Profile: energycentral.com/member/profile/204983/about Bill Meehan's Energy Central Profile: https://energycentral.com/member/profile/360/about

Powering the growing electricity demand from data centers represents one of the fastest-growing energy needs in the utility sector these days. The DC suburbs and the Northern Virginia, known as "Data Center Alley," has become among the nation's most notable hubs for these massive facilities. Joining the Energy Central Power Perspectives Podcast to dive into what it means to provide power to these facilities popping up at an increasing rate, while still keeping the traditional ratepayers happy with reliable and affordable power, is David Schleicher, President and CEO of NOVEC (Northern Virginia Electric Cooperative). Listen in as David shares with podcast host Jason Price and producer Matt Chester the details of how NOVEC is adapting to this rapid expansion while continuing to meet the expectations of its traditional residential and commercial customers. He also shares insights into NOVEC's strategies for maintaining reliability, promoting energy efficiency, and integrating renewable energy sources, all while staying true to the cooperative's mission. Whether you're interested in the future of data centers, energy management, or cooperative utilities, this episode offers a deep dive into the evolving landscape of energy distribution. Key Links: Post on Energy Central with Full Episode Transcript: https://energycentral.com/o/energy-central/episode-177-powering-data-center-alley-david-schleicher-president-ceo-northern David Schleicher's Energy Central Profile: https://energycentral.com/member/profile/david-schleicher-0 Ask a Question to Our Future Guests: Do you have a burning question for the utility executives and energy industry thought leaders that we feature each week on the Energy Central Power Perspectives Podcast? Do you want to hear your voice on a future episode? Well starting in 2024, we're offering you that opportunity! Head to this link where you can leave us a recorded message, including a question you're eager to have answered on a future episode of the podcast. We'll listen through them, pick out the right guests in our upcoming lineup to address them, and you'll hear yourself as a part of the conversation! Energy Central on SpeakPipe: www.speakpipe.com/EnergyCentralPodcast

In this era of focus on decarbonized energy while also increased focus and attention from outside the utilities on power reliability, the role of natural gas for the grid has been under more of a spotlight than ever before. That evolving role of natural gas within the energy transition remains a critical topic at the forefront of every utility's strategic planning, which necessitates constant attention and is the focus of a deep dive in today's episode. In this conversation, podcast host Jason Price and producer Matt Chester welcome in Aaron Choo, Vice President of Gas Network Operations at National Grid. The Power Perspectives Podcast visited Aaron at his office in National Grid in person to hear his perspective on how National Grid is preparing its infrastructure, workforce, and strategies to remain resilient and adaptable during this unprecedented energy transition. With natural gas still playing a crucial role in the grid for the foreseeable future, Aaron addresses the challenges and opportunities of converting thermal loads to electric, overcoming public perceptions, and ensuring the readiness of the gas workforce for the future. Tune in to hear how National Grid is positioning itself to lead in both the present and future energy landscapes. Key Links: Post on Energy Central with Full Episode Transcript: https://energycentral.com/o/energy-central/episode-176-gas-grid-energy-transition-aaron-choo-vice-president-gas-network Ask a Question to Our Future Guests: Do you have a burning question for the utility executives and energy industry thought leaders that we feature each week on the Energy Central Power Perspectives Podcast? Do you want to hear your voice on a future episode? Well starting in 2024, we're offering you that opportunity! Head to this link where you can leave us a recorded message, including a question you're eager to have answered on a future episode of the podcast. We'll listen through them, pick out the right guests in our upcoming lineup to address them, and you'll hear yourself as a part of the conversation! Energy Central on SpeakPipe: www.speakpipe.com/EnergyCentralPodcast

As cyber-attacks on critical infrastructure have more than doubled since the pandemic, ensuring that utility security teams stay multiple steps ahead of bad actors remains as important and also as difficult as ever. While the common customer of a power company may not see any changes from their daily experience, the cybersecurity control centers at utilities are constantly expanding, improving, and focusing on what may come next. To help our utility professional listeners keep pace with this quickly evolving area of the industry, this episode of the Energy Central Power Perspectives Podcast features one of the foremost experts in the field, Brian Harrell, Vice President and Chief Security Officer at AVANGRID. Brian oversees cybersecurity, privacy, physical security, threat management, and business continuity for AVANGRID, bringing with him a wealth of experience from both the public and private sectors. Listen in to join podcast host Jason Price and produce Matt Chester to learn from Brian about his insights on the current state of threats and the essential measures needed to protect our grid from both external and internal dangers. Discover best practices in addressing vulnerabilities, the intersection of physical and cyber security, and how AVANGRID is leading the way in securing our nation's energy infrastructure. Whether you're a utility professional or concerned about the future of energy security, this episode offers vital information and expert perspectives you won't want to miss. Key Links: Post on Energy Central with Full Episode Transcript: https://energycentral.com/o/energy-central/episode-175-safeguarding-todays-grid-modern-threats-brian-harrell-vice-president Brian Harrell's profile on Energy Central: https://energycentral.com/member/profile/brian-harrell Ask a Question to Our Future Guests: Do you have a burning question for the utility executives and energy industry thought leaders that we feature each week on the Energy Central Power Perspectives Podcast? Do you want to hear your voice on a future episode? Well starting in 2024, we're offering you that opportunity! Head to this link where you can leave us a recorded message, including a question you're eager to have answered on a future episode of the podcast. We'll listen through them, pick out the right guests in our upcoming lineup to address them, and you'll hear yourself as a part of the conversation! Energy Central on SpeakPipe: www.speakpipe.com/EnergyCentralPodcast

Residential energy customers are being looked at differently by utilities these days. No longer are homes simply end points where energy is consumed, but more and more they are an asset in the dynamic and flexible grid. Recognizing the opportunity that such an evolution of thinking brings, today's guests on the Energy Central Power Perspectives Podcast are putting the technology in place to truly transform that relationship. In this conversation with Prasanna Venkatesan, EVP of Strategy and M&A of Landis+Gyr Americas, and Arch Rao, Founder & CEO of Span, these industry leaders explore the dynamic relationship between utilities and savvy residential energy customers. Listen in to discover how distributed energy resources and innovative solutions are transforming the utility-customer interaction and enabling flexible energy management. Prasanna and Arch share with podcast host, Jason Price, and producer, Matt Chester, their experiences and predictions for the future, addressing the challenges and opportunities ahead. Tune in to understand how Landis+Gyr and Span are pioneering the way forward in the power sector. Key Links: Energy Central Post with Full Episode Transcript: https://energycentral.com/o/energy-central/episode-174-embracing-future-residential-energy-management-prasanna-venkatesan Landis+Gyr on Energy Central: https://energycentral.com/o/landisgyr Ask a Question to Our Future Guests: Do you have a burning question for the utility executives and energy industry thought leaders that we feature each week on the Energy Central Power Perspectives Podcast? Do you want to hear your voice on a future episode? Well starting in 2024, we're offering you that opportunity! Head to this link where you can leave us a recorded message, including a question you're eager to have answered on a future episode of the podcast. We'll listen through them, pick out the right guests in our upcoming lineup to address them, and you'll hear yourself as a part of the conversation! Energy Central on SpeakPipe: www.speakpipe.com/EnergyCentralPodcast

Ensuring the future population is filled with community members who understand the world of energy and utilities starts with educating the children today, a topic that is too often overlooked in the utility sphere. That's not the case in the Omaha metro and surrounding areas, though, as today's guest on the Energy Central Power Perspectives Podcast has a unique role to fill in that gap. While his colleagues at Omaha Public Power District know him as Eric BenSalah, energy consultant with the utility, many across the wider community know this innovator in energy education as the orange suit sporting Mr. E. Eric has taken a unique approach to spreading awareness and understanding of energy conservation. As Mr. E, Eric has become a local celebrity in the Omaha region, captivating schoolchildren and community members alike with his engaging educational initiatives. In today's discussion, Eric shares with podcast host Jason Price and producer Matt Chester his journey from a conventional role at OPPD to becoming a passionate advocate for energy literacy. Whether you're a parent, educator, or energy professional, this episode offers valuable perspectives on making energy education a cornerstone of community engagement. Tune in and get inspired by Mr. E's mission to empower the next generation with the knowledge they need to make informed energy choices. Key Links: Energy Central Post with Full Episode Transcript: https://energycentral.com/o/energy-central/episode-173-boosting-energy-literacy-starting-communitys-schools-eric-bensalah National Energy Education Development Project: https://www.need.org/ OPPD Energy Education Program: https://www.oppd.com/community/education-corner/energy-education-program/ Eric BenSalah Profile on Energy Central: https://energycentral.com/member/profile/eric-bensalah Ask a Question to Our Future Guests: Do you have a burning question for the utility executives and energy industry thought leaders that we feature each week on the Energy Central Power Perspectives Podcast? Do you want to hear your voice on a future episode? Well starting in 2024, we're offering you that opportunity! Head to this link where you can leave us a recorded message, including a question you're eager to have answered on a future episode of the podcast. We'll listen through them, pick out the right guests in our upcoming lineup to address them, and you'll hear yourself as a part of the conversation! Energy Central on SpeakPipe: www.speakpipe.com/EnergyCentralPodcast

We need to talk about the ‘S' word and our mental health. I never, EVER want to lose a colleague again due to the pressures within Dentistry. This is why I interviewed Dr Mahrukh Khwaja, a positive psychologist and Dentist, to help us with strategies to improve our mental health. Why is it that we have so many support channels during a crisis, but no structured pathways to help us AVOID burnout, crisis and stress in Dentistry? https://youtu.be/3JKwoO_nEeo Watch PDP185 on Youtube Protrusive Dental Pearl: What are you doing on a daily, weekly and monthly basis to look after your Mental Health? Do not wait until a crisis, as we already know that prevention is better than the cure. Take the first steps in looking after your mental health with Mahrukh and her Mind Flossing Toolkit Buy Mahrukh's new Book on Resilience and Well-being for Dental Professionals Need to Read it? Check out the Full Episode Transcript below! Highlights of this Episode:3:01 Protrusive Dental Pearl4:22 Dr. Mahrukh Khwaja Introduction7:34 Seeking Professional Help12:10 Helping Dental Professionals17:08 Suicide Issue within Dentistry20:02 Reducing Suicidal and Burnout Rate24:24 Inner Voice29:51 Cognitive Reframing36:31 Toxic Work Cultures42:24 Signs to Look Out For49:30 Learn more from Mind Ninja If you liked this episode, you will also enjoy IC036 - The Secrets to Finding a Passion in Dentistry Click below for full episode transcript: Jaz's Introduction: April was Mental Health Month on Protrusive Dental Podcast. And you're thinking, wait, hang on a minute, Jaz. We're in May. Why are you telling us about April? Well, I had a stressful month myself, actually, my youngest son was on and off sick and like nothing too serious, thankfully. Like it was antibiotics. Jaz's Introduction:It was tonsillitis. It was a couple of bugs. It was a night in A&E. And it really made me grateful in a way, in the sense that look, yes, my son was sick and I hated it and I felt really bad for him. And it can take your toll when your children are not sleeping very well. But it really made me feel bad for parents who had children with chronic illnesses, think, I don't know, leukemia, or parents with children who have severe learning disabilities, and having to care for those children, it really takes its toll on a parent. Or someone maybe with a child's got cleft lip and palate, feeding issues. Or of course Nafisa, the little girl in Tanzania that we're supporting, which Protrusive are supporting as a charity to help her raise money to fight her SMA type 1 so she can get genetic therapy. If you've been reading my emails, I put a donation link there and we're pretty much there to raising enough money to help this little girl. But anyway, going back on topic, it's been a stressful month, which is why this episode has spilled over into May. A few years ago, I probably would have been stressing about this, like, oh my god, it was supposed to be out in April and that would have eaten me alive. But my mindset has shifted a bit. It's a silly little story, actually, in terms of this mindset shift. Okay, the story goes that my son was on a playdate. It was like an early afternoon thing. And children nowadays, they have better social lives than their parents. So after this playdate, he had a birthday party to go to. So we were driving my son to the birthday party and we were really late. Like we spent too much time on the playdate and we were really late for the birthday party he had to go to. I hate, I absolutely hate running late. So, I was in a stressed state. If you ask me then, Jaz, how do you feel? I'm like, oh my god, I'm so stressed, we're late, Ishaan's gonna miss everything, the cake cutting, everything, he's gonna miss it, this is so stressful, and of course, two kids in the car, and that can get sometimes quite stressful. So, I reached the birthday party, and yes, he just about made it for the cake cutting,

When the patient feels pain during an ID block. When a matrix does not seal the cavity perfectly. When the shade of your crown doesn't blend as well as you would like. When the endo you did last year failed. All of these cause us anxiety. All of these are failures in some form, and as Dentists, it eats at us. Let's admit it: we are perfectionists. Life isn't about being perfect, but it is all to do with the effort we apply to better ourselves day to day. Failure is a major part of success, but being hung up on our shortcomings will only lead to a downward spiral, which in turn will affect our results and general practice. In this episode we are joined by Dr Marco Maiolino, all the way from beautiful Sicily, Italy. One of the biggest takeaways from my chat with Marco was the abolishment of the ‘gold standard' or the standard of perfection - but rather, let's aim for the ‘daily standard' https://youtu.be/jRbgvgSpqLk Watch PDP184 on Youtube Protrusive Dental Pearl: We cannot be depressed AND grateful at the same time. Let us find moments in our day and in our Dentistry to be grateful. Need to Read it? Check out the Full Episode Transcript below! Highlights of the Episode:01:43 DENTAL PEARL - Be Grateful!02:37 - Dr. Marco Maiolino05:13 - The Technician's Perspective 08:15 - Beating Imposter Syndrome10:55 - Ideal vs. Real: Marco's Take on Dental Perfection13:00 - Lessons from Aviation17:48 - Embracing Imperfection31:00 - From Failures to Standards42:08 - How to Bounce Back from Failure   Learn more from Dr Marco Maiolino Access the CPD quiz through our app on https://www.protrusive.app, either on your browser or by downloading our mobile app. For the full educational experience, our Ultimate Education Plan gives you access to all our courses, webinars, and exclusive monthly content. Join us on Protrusive Guidance, our own platform for dental professionals. No need for Facebook anymore!

As part of Documentation Month, Jaz dives into the crucial realm of documenting dentistry. In this episode, he shares four methods he utilizes to document his daily dental practice, followed by six compelling reasons – in reverse order – why documenting your dentistry is indispensable. So, get ready as we count down from six to one! But first, let's recap: In our previous episode, we explored the marvels of employing AI to automate note-taking, saving precious time and boosting efficiency. If you missed it, make sure to catch NEVER WRITE NOTES AGAIN! HOW I USE AI FOR AWESOME AND EFFICIENT DENTAL RECORDS – PDP181. https://youtu.be/e6pNhWhyhNU Watch IC046 on Youtube Need to Read it? Check out the Full Episode Transcript below! Highlights of this episode:00:53 Utilizing Intra-Oral Camera2:30 Investing in good DSLR Camera3:16 Documenting with Intra-Oral Scans3:51 Camera Mounted on Loupes4:56 Portfolio Building7:34 Monitor Changes9:00 Patient Communication11:35 Good Mentorship13:24 Medico-Legal14:29 Fulfillment in Dentistry Access the CPD quiz through our app on https://www.protrusive.app, either on your browser or by downloading our mobile app. For the full educational experience, our Ultimate Education Plan gives you access to all our courses, webinars, and exclusive monthly content. Join us on Protrusive Guidance, our own platform for dental professionals. No need for Facebook anymore!

This episode aims to shine light NOT on the matrix itself, but the adhesive philosophy followed by those that use Bioclear matrices. Everything you wanted to know about the Bioclear system (but never asked!) As we continue to celebrate Adhesive Month (now spilling over into March!), we're thrilled to bring you insights into the principles of cavity preparation and adhesion a la Bioclear. In this first part of our series, we'll uncover the ‘unconventional' yet highly effective techniques employed by practitioners like Dr. David Carroll and his colleague, Diana McKenna. One of the key highlights we'll explore is the Bioclear approach, which challenges traditional norms by utilizing a single large increment, diverging from the conventional use of small increments. https://youtu.be/mn_FRhSIGCk Watch PDP178 on Youtube Protrusive Dental Pearl: If there's a disagreement between you and your principal or associate about practice philosophies, arrange a face-to-face meeting. Work together to find common ground and reach a win-win solution that benefits both parties and aligns with the practice's goals. Effective communication is key, whether it's with our patients or our colleagues. Need to Read it? Check out the Full Episode Transcript below! Highlights of this episode:0:00 Introduction7:22 Journey into Bioclear15:30 Bioclear Philosophy19:19 Posterior Bioclear Matrices and Wedges20:58 Clinical Protocol for PosteriorInjection Molding25:08 Alternative Cleaning Methods26:38 Advantages of Bioblaster Over Aluminum Oxide28:14 Addressing Concerns about Shrinkage Stress31:15 Technique for Deep Restorations32:44 The Hip33:29 Bonding Protocol37:31 Posterior Composite Selection39:56 Bulk Fill Composite Application41:05 Posterior Overmolding and Tidying Up43:33 Evolution of Dental Education and Bioclear46:33 Stress-Reduced Direct Composite and Finding a Repeatable System50:53 Outro Struggling with rubber dam placement? Check out my Quick and Slick Rubber Dam series! It includes a one-hour walkthrough for isolating quadrants AND 30+ clinical videos showing procedures in full detail (POV). Access it on Ultimate Education Plan via Protrusive Guidance If you loved this episode, make sure to check out PDP177 - Fast Modelling Composite Technique. Click below for full episode transcript: Jaz's Introduction: So you might have come across the BioClear matrices. They've been kind of taken dentistry by storm over the last few years. I was first exposed to them maybe about, gosh, nine, ten years ago. And this mad scientist type figure came on the scene, Dr. David Clark. And I just loved his quirkiness, his humour and just the way his brain worked. Jaz's Introduction:Now, fast forward some years, I used their anterior matrices for black triangle closure. I had some good success. And as an associate, I never got to purchase the posterior matrices, although I did do a hands on workshop and I was quite impressed. But today, this episode is not about any matrix system. It's not a sponsored episode. It is just to shine a light on some really important principles that we can learn from the bioclear philosophy. We're just about still in adhesive month, it's February, so we're focusing on adhesive dentistry and maybe part two will fall into early March. Now in this part one we focus on posterior. What are the principles of cavity preparation and the BioClear approach? I mean how do they do it with just one big increment, very different to the small increments that we're used to using. In fact they're very similar themes to the last episode we discussed with Dr. Ahmed Tadfi on the fast modeling composite technique. And so there are a few crossovers. So we're really spoiling you this month with these really cool episodes about posterior bread and butter at adhesive dentistry, and it was great to host a Protruserati Dr. David Carroll and his colleague, Diana McKenna. Look, David has been a Protruserati for over a year.

What's really being celebrated on Black Friday and is it the biggest shopping day in the world?Featuring Tom Merritt.Full Episode Transcript here. Hosted on Acast. See acast.com/privacy for more information.