Podcasts about Jaz

Mars, 2048. The first settlers, a mix of international workers and the super-rich. And the first unexplained death. When a body turns up in the corridor between a scrappy warehouse and a half-built luxury hotel, no-nonsense Harbourmaster Rita Siddiqui finds herself in charge. With Earth temporarily out of contact and no official law enforcement on Mars, she ropes in Vice Captain Jaz Hickson, a wide-eyed young pilot who's only just landed. But murder's not their only problem. Atmospheric tests have triggered a dangerous storm. Paranoia grows as the power fails. Lights, gravity, oxygen: everything is at risk.Rita and Jaz must navigate a growing list of suspects, a dwindling supply of patience, and a killer who's not finished yet.Because even 140 million miles from Earth, people still have secrets. And someone's willing to kill to keep them.Jaz finds a surprise resident on Mars. And Rita and Jaz venture onto the surface.Written by Tim FoleyCAST RITA SIDDIQUI ..... NISHA NAYAR JAZ HICKSON ..... LUKE NEWBERRY DAN ..... JOANA BORJA DR LI ..... CRYSTAL YU GRACE ….. ELIZABETH AYODELE DAMIEN ZERO ….. PAUL HILTON MAX ..... SIDHANT ANANDSound: Sharon Hughes, Keith Graham and Neva Missirian Production Co-ordinator: Luke MacGregor Director: Anne Isger Casting Manager: Alex CurranA BBC Studios Production for BBC Radio 4

this week on Delusional Diaries, Halley and Jaz kick things off with absolute chaos: from navigating the most unserious New York notary experience imaginable to selling a house, demolishing walls for a bed that simply refuses to fit, and surviving the stress of home renovations. they get into holiday plans, solo Thanksgivings, and why Thanksgiving food might just be the most overrated meal of the year. plus, Halley shares the full story behind adopting her fourth dog, the emotional rollercoaster of rescue life, and an unexpected escape-artist pup.the girls dive deep into your questions about dating, long distance, and the fear of being single forever, especially in big cities. they unpack why effort actually matters in love, how to enjoy single seasons without rushing the timeline, and why people are allowed to change their minds even when it hurts. from imposter syndrome and career confidence to cutting people out of your life without dragging things out, this episode blends brutal honesty with real-world advice you can actually use.they also tackle controversial wedding dilemmas, stay-at-home dad dynamics, tricky in-law boundaries, and what it really means to protect your peace as you level up in life. whether you're navigating relationships, career doubts, friendships that no longer serve you, or just need a comforting listen that feels like FaceTiming your best friends: this episode is raw, reflective, funny, and painfully relatable.Timestamps 0:25 - So New York 10:42 - The holidays 14:08 - Key West 21:21 - Questions from our followers 36:06 - Stay at home dads and imposter syndrome 47:15 - Monster in law advice LinksCashApp: Download Cash App Today:https://click.cash.app/ui6m/8u4300cq #CashAppPod. Cash App is a financial services platform, not a bank. Banking services provided by Cash App's bank partner(s). Prepaid debit cards issued by Sutton Bank, Member FDIC. See terms and conditions at https://cash.app/legal/us/en-us/card-agreement. Discounts and promotions provided by Cash App, a Block, Inc. brand. Visit http://cash.app/legal/podcast for full disclosuresClearstem: use code DELUSIONAL at checkout for 15% off clearstem.com See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Društvo slovenskih režiserjev in režiserk je konec novembra podelilo nagrado bert za življenjsko delo na področju filmske igre. Prejela jo je filmska in gledališka igralka Silva Čušin, članica ansambla SNG Drama Ljubljana. Pred leti je za življenjsko delo že prejela Borštnikov prstan, največje priznanje za igralsko umetnost na Slovenskem, leta 2022 pa za delo pri filmu in televiziji nagrado Ite Rine. Silva Čušin je nastopila v filmih, kot so Sanremo, Jaz sem Frenk, Izbrisana, Ivan, Inferno, Srečen za umret, 9:06, Estrellita – pesem za domov, Predmestje, Šterkijada. Leta 2022 se je s Silvo Čušin pogovarjala Tina Poglajen.

Mars, 2048. The first settlers, a mix of international workers and the super-rich. And the first unexplained death. When a body turns up in the corridor between a scrappy warehouse and a half-built luxury hotel, no-nonsense Harbourmaster Rita Siddiqui finds herself in charge. With Earth temporarily out of contact and no official law enforcement on Mars, she ropes in Vice Captain Jaz Hickson, a wide-eyed young pilot who's only just landed. But murder's not their only problem. Atmospheric tests have triggered a dangerous storm. Paranoia grows as the power fails. Lights, gravity, oxygen: everything is at risk.Rita and Jaz must navigate a growing list of suspects, a dwindling supply of patience, and a killer who's not finished yet.Because even 140 million miles from Earth, people still have secrets. And someone's willing to kill to keep them.Reeling from disaster, Rita's secrets are revealed. Written by Tim FoleyCAST RITA SIDDIQUI ..... NISHA NAYAR JAZ HICKSON ..... LUKE NEWBERRY DAN ..... JOANA BORJA POWELL ..... JASON BARNETT DR LI ..... CRYSTAL YU WARD ..... STEFFAN RHODRI NILS ..... DAVID MENKIN GRACE ….. ELIZABETH AYODELE MAX ..... SIDHANT ANANDSound: Sharon Hughes, Keith Graham and Neva Missirian Production Co-ordinator: Luke MacGregor Director: Anne Isger Casting Manager: Alex CurranA BBC Studios Production for BBC Radio 4

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

Mars, 2048. The first settlers, a mix of international workers and the super-rich. And the first unexplained death.When a body turns up in the corridor between a scrappy warehouse and a half-built luxury hotel, no-nonsense Harbourmaster Rita Siddiqui finds herself in charge. With Earth temporarily out of contact and no official law enforcement on Mars, she ropes in Vice Captain Jaz Hickson, a wide-eyed young pilot who's only just landed.But murder's not their only problem. Atmospheric tests have triggered a dangerous storm. Paranoia grows as the power fails. Lights, gravity, oxygen: everything is at risk.Rita and Jaz must navigate a growing list of suspects, a dwindling supply of patience, and a killer who's not finished yet.Because even 140 million miles from Earth, people still have secrets. And someone's willing to kill to keep them.Written by Tim FoleyCAST RITA SIDDIQUI ..... NISHA NAYAR JAZ HICKSON ..... LUKE NEWBERRY KAYA ..... SASHA MCABE DAN ..... JOANA BORJA POWELL ..... JASON BARNETT DR LI ..... CRYSTAL YU WARD ..... STEFFAN RHODRI NILS ..... DAVID MENKIN MAX ..... SIDHANT ANANDSound: Sharon Hughes, Keith Graham and Neva Missirian Production Co-ordinator: Luke MacGregor Director: Anne Isger Casting Manager: Alex CurranA BBC Studios Production for BBC Radio 4

Mars, 2048. The first settlers, a mix of international workers and the super-rich. And the first unexplained death.When a body turns up in the corridor between a scrappy warehouse and a half-built luxury hotel, no-nonsense Harbourmaster Rita Siddiqui finds herself in charge. With Earth temporarily out of contact and no official law enforcement on Mars, she ropes in Vice Captain Jaz Hickson, a wide-eyed young pilot who's only just landed.But murder's not their only problem. Atmospheric tests have triggered a dangerous storm. Paranoia grows as the power fails. Lights, gravity, oxygen: everything is at risk.Rita and Jaz must navigate a growing list of suspects, a dwindling supply of patience, and a killer who's not finished yet.Because even 140 million miles from Earth, people still have secrets. And someone's willing to kill to keep them.Jaz unearths the victim's secrets and learns his name. But the murderer has unfinished business.Written by Tim FoleyCAST RITA SIDDIQUI ..... NISHA NAYAR JAZ HICKSON ..... LUKE NEWBERRY KAYA ..... SASHA MCABE DAN ..... JOANA BORJA POWELL ..... JASON BARNETT WARD ..... STEFFAN RHODRI NILS ..... DAVID MENKIN MAX ..... SIDHANT ANANDSound: Sharon Hughes, Keith Graham and Neva Missirian Production Co-ordinator: Luke MacGregor Director: Anne Isger Casting Manager: Alex CurranA BBC Studios Production for BBC Radio 4

after two weeks of nonstop travel, Halley and Jaz are finally back! from Maddie's Cabo bachelorette to the Hero Cosmetics brand trip, BravoCon, Vegas chaos, last-minute hair appointments, and zero sleep, the girls recap every single detail. they talk friendship dynamics on brand trips, meeting creators IRL, social battery burnout, and the universal experience of needing a vacation after your vacation.once home, life doesn't slow down… the girls dive into TikTok drama: from the viral Hair by Chrissy saga to the debate over kids' skincare, the Angel Tree controversy, and the internet's obsession with turning everything into a moral war. they also chat about holidays, honeymoon plans, Meadow Lane grocery store mania, picking wedding guest dresses, and the art of drinking on vacation vs. drinking in NYC when the vibes take over. there's also talk of growing up, how their timelines for marriage and kids have changed, the importance of independence before motherhood, and whether “never fighting” in a relationship is actually a red flag.of course, it wouldn't be Delusional Diaries without a little b**ching hour, some blocks of the week, a rant about TSA stealing hair extension pliers, and haters commenting on pregnancy jokes and eyebrows. the girls wrap up with plans for the Christmas market, Patreon updates, and a reminder that their men now hang out completely by choice… proof that girl friendships really do build communities. Timestamps 0:20 - Cabo then Vegas then LA 9:55 - Thanksgiving plans 14:28 - Big things on the internet 28:01 - Meadow Lane opened 31:27 - How we thought life would play out 32:10 - Fights vs arguments vs conversations 38:57 - Bitching hour 44:09- Christmas market and PatreonLinks Uncommon Goods - uncommongoods.com/diaries for 15% offZocDoc - zocdoc.com/diariesSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Do you have a “hopeless” retained root you're ready to extract? Think implants, dentures, or bridges are the only way forward? What if there's a way to save that tooth — predictably and biologically? In this episode, Dr. Vala Seif shares his experience with the Surgical Extrusion Technique — a game-changing approach that lets you reposition the root coronally to regain ferrule and restore teeth once thought impossible to save. Jaz and Dr. Seif dive into case selection, atraumatic technique, stabilization, and timing, all guided by Dr. Seif's own SAFE/SEIF Protocol, developed from over 200 successful cases. https://youtu.be/2TyodqgAP9w Watch PDP249 on YouTube Protrusive Dental Pearl: When checking a ferrule, consider height, thickness, and location of functional load. Upper teeth: prioritize palatal ferrule. Lower teeth: prioritize buccal. Tip: do a partial surgical extrusion, rotate the tooth 180°, then stabilize. Key Takeaways Surgical extrusion is a technique-sensitive procedure that requires careful planning. Case selection is crucial for the success of surgical extrusion. A crown-root ratio of 1:1 is ideal for surgical extrusion. Patients are often more cooperative when they see surgical extrusion as their last chance to save a tooth. Surgical extrusion can be more efficient than orthodontic extrusion in certain cases. The importance of ferrule in dental restorations cannot be overstated. Proper case selection is crucial for successful outcomes. Atraumatic techniques are essential for preserving tooth structure. The 'Safe Protocol' offers a structured approach to surgical extrusion. Patient communication is key to managing expectations. Flowable composite is preferred for tooth fixation post-extraction. Understanding root morphology is important for successful extractions. Highlights of this episode: 00:00 Surgical Extrusion Podcast Teaser 01:07 Introduction 02:38 Protrusive Dental Pearl 05:53 Interview with Dr. Vala Seif 08:57 Definition and Philosophy of Surgical Extrusion 15:30 Indications, Case Selection, and Root Morphology 21:37 Comparing Surgical and Orthodontic Extrusion 25:54 Crown Lengthening Drawbacks 28:39 Occlusal Considerations 33:53 Midroll 37:16 Definition and Importance of the Ferrule 43:07 Clinical Protocols and Fixation Methods 01:00:01 Post-Extrusion Care and Final Restoration 01:05:04 Learning More and Final Thoughts 01:09:29 Outro Further Learning: Instagram: @extrusionmaster — case examples, papers, and protocol updates. Online and in-person courses in development (Europe + global access). Loved this episode? Don't miss “How to Save ‘Hopeless' Teeth with the Surgical Extrusion Technique” – PDP061 #PDPMainEpisodes #OralSurgeryandOralMedicine #OrthoRestorative This episode is eligible for 1 CE credit via the quiz on Protrusive Guidance.  This episode meets GDC Outcomes C. AGD Subject Code: 310 ORAL AND MAXILLOFACIAL SURGERY Aim: To understand the biological and clinical principles of surgical extrusion as a conservative alternative to orthodontic extrusion or crown lengthening for managing structurally compromised teeth. Dentists will be able to - Identify suitable clinical cases for surgical extrusion, including correct root morphology and crown–root ratios. Describe the step-by-step SAFE Protocol for atraumatic surgical extrusion, fixation, and timing of endodontic treatment. Evaluate the advantages, limitations, and biomechanical considerations of surgical extrusion compared with orthodontic extrusion and crown lengthening.

Live from the Accounting & Business Show Asia 2025 in Singapore, Heather chats with innovators about AI, e-invoicing, TikTok trends, cross-border payments and the evolving role of accountants in Asia Summary Heather Smith reports from the Accounting & Business Show Asia 2025 in Singapore, sharing floor interviews and key highlights. With strong Australian representation, she reflects on rapid regional digital transformation, cultural insights, and inspiring thought leadership. Main Topics: Singapore's digital drive: e-invoicing mandates and cheque phase-out Government-backed AI innovation via AI Singapore Roundtable on burnout, boundaries, and micro business sustainability TikTok insights and media habits reshaping communication Panel on women on boards and leadership pathways Interviews Include: Alvin Chia (OFX) – Cross-border payments with human-first support Marvin Galang (Jaz AI) – AI-native accounting software for Southeast Asia Bryan Sng (Simple AI) – AI agents automating accounting ops Kelvin Koh (Idently) – Face-key file security tech for sensitive documents Andrew Paton-Smith (Jazoodle) – 60-second forecasts & valuation KPIs Key Takeaways: The future of advisory is now AI is more than a buzzword in Singapore – it's a government initiative Accountants must embrace tech and set strong boundaries Social platforms like TikTok can't be ignored Representation, integrity, and courage are crucial for boardroom progress LinkedIn Posts from Singapore https://www.linkedin.com/posts/heathersmithau_abshowasia-accountingandaccountants-activity-7386538062283075584-1Vh2/ https://www.linkedin.com/posts/heathersmithau_acca-accountingandaccountants-abshowasia-activity-7386619905544056832-6Gdu/   https://www.linkedin.com/posts/heathersmithau_accountingandaccountants-abshowasia-activity-7386917433271439360-VY4Y/   https://www.linkedin.com/posts/heathersmithau_accountingandaccountants-abshowasia-activity-7386982271796490241-WgIh/    Contact details: Sponsor Offers:  Here Xero http://xero.com/ Koren Wines https://www.linkedin.com/in/koren-wines/  Sarah Foo https://www.linkedin.com/in/sarah-foo-fca/ Alvin Chia https://www.linkedin.com/in/alvin-chia-a15a6b65/  OFX https://www.ofx.com/  Marvin Galang https://www.linkedin.com/in/galangmr/  JAZ https://www.jaz.ai/   Bryan Sng https://www.linkedin.com/in/bryansng/  SimpleAi https://simpleaiworks.com/  Kelvin Koh https://www.linkedin.com/in/nivlekoh/  Identi.ly https://identi.ly/  Andrew Paton-Smith https://www.linkedin.com/in/apatonsmith/  Jazoodle https://jazoodle.com/  Accounting Apps newsletter: http://accountingapps.io/  Accounting Apps Mastermind: https://www.facebook.com/groups/XeroMasterMind  LinkedIn: https://www.linkedin.com/in/HeatherSmithAU/  YouTube Channel: https://www.youtube.com/ANISEConsulting  X: https://twitter.com/HeatherSmithAU

Séptimo mensaje de la serie: Mi alma ruge. Hay siete palabras hebreas diferentes que se usan en la Biblia para describir lo que llamamos "alabanza". En español, estamos en desventaja porque solo tenemos una palabra: alabanza.Se dice que si solo tienes un martillo, solo verás clavos, es más poderoso, más eficiente, tener una caja de herramientas sofisticada y diversa.Este mes, en Jazôn, ampliamos nuestro vocabulario, nuestra comprensión y desarrollamos una gama de expresiones de adoración, para que te unas a quienes dicen: ¡Mi alma ruge!

Are you confident in replacing a single missing central incisor? When is a denture the right option — and when should you consider a bridge or implant instead? Why is the single central incisor one of the hardest teeth to replace to a patient's satisfaction? In this Back to Basics episode, Jaz and Protrusive Student Emma Hutchison explore the unique challenges of replacing a single central incisor. They break down when each option — denture, resin-bonded bridge, conventional bridge, or implant — is appropriate, and the biological and aesthetic factors that influence that decision. They also share key communication strategies to help you manage expectations, guide patients through realistic treatment choices, and avoid disappointment when dealing with this most visible and demanding tooth. https://youtu.be/czjPQxKpwPw Watch PS018 on YouTube Key Takeaways:  Replacing a single central incisor isn't just about technical skill — it's about communication and case selection.  Success comes from helping patients understand that a restoration replaces a tooth's function and appearance, not nature itself.  Clear conversations about expectations, limitations, and maintenance are what turn a difficult aesthetic case into a satisfying long-term result. Highlights of this episode: 00:00 Teaser 00:28 Intro 01:56 From Dental Nurse to Final-Year Student 07:38 Challenges and Considerations in Replacing Central Incisors 12:51 Patient Communication and Treatment Planning 18:33 Discussing Treatment Options and Enamel Considerations 21:16 Communicating Options and Guiding Patient Decisions 25:51 Choosing Between Fixed and Removable Options 27:10 Midroll 30:31 Choosing Between Fixed and Removable Options 31:05 Handling Old Crowns and Patient Communication 34:17 Conventional vs. Resin-Bonded Bridges 37:57 Occlusal Load, Function, and Implant Considerations 43:40 Digital Workflow in Dentistry 45:54 Managing Aesthetic Expectations 48:34 Final Thoughts and Recommendations 52:59 Outro

Mars, 2048. The first settlers, a mix of international workers and the super-rich. And the first unexplained death. When a body turns up in the corridor between a scrappy warehouse and a half-built luxury hotel, no-nonsense Harbourmaster Rita Siddiqui finds herself in charge. With Earth temporarily out of contact and no official law enforcement on Mars, she ropes in Vice Captain Jaz Hickson, a wide-eyed young pilot who's only just landed. But murder's not their only problem. Atmospheric tests have triggered a dangerous storm. Paranoia grows as the power fails. Lights, gravity, oxygen: everything is at risk.Rita and Jaz must navigate a growing list of suspects, a dwindling supply of patience, and a killer who's not finished yet.Because even 140 million miles from Earth, people still have secrets. And someone's willing to kill to keep them.Written by Tim FoleyCAST RITA SIDDIQUI ..... NISHA NAYAR JAZ HICKSON ..... LUKE NEWBERRY KAYA ..... SASHA MCABE DAN ..... JOANA BORJA POWELL ..... JASON BARNETT DR LI ..... CRYSTAL YU WARD ..... STEFFAN RHODRI NILS ..... DAVID MENKIN MAX ..... SIDHANT ANANDSound: Sharon Hughes, Keith Graham and Neva Missirian Production Co-ordinator: Luke MacGregor Director: Anne Isger Casting Manager: Alex CurranA BBC Studios Production for BBC Radio 4

What if one bad decision completely changed the course of your career? In this exclusive, members-only episode, Jaz sits down with a fellow dentist from our community who shares his raw, honest story about a moment of misjudgment — committing fraud — and the painful lessons that followed. This isn't about blame. It's about insight, accountability, and redemption. From the shock of investigation and court hearings, to the struggle of rebuilding trust and identity, this conversation shines a light on what really happens behind closed doors when things go wrong. The aim of this podcast was to hopefully deter colleagues from temptation which can affect anyone at any time. https://youtu.be/QF-UNrlYjcw Watch PDP248 on YouTube How to Watch the Full Episode This is a members-only podcast episode due to its sensitive nature. You can access it by creating a free Community account at: https://www.protrusive.app Highlights of this episode: 00:00 Teaser 00:49 Introduction 05:49 End Screen Love this episode? Don't miss Divorce, Alcohol and Rough Patches - Overcoming Adversities (IC040) #PDPMainEpisodes #BeyondDentistry This episode is eligible for 0.5 CE credits via the Quiz on Protrusive Guidance.  This episode meets GDC Outcomes A and D AGD Subject Code: 555 Ethics in Dentistry Aim: To reflect on the ethical, professional, and emotional lessons learned from a real-life case of dental fraud, highlighting accountability, insight, and rehabilitation while identifying practical steps to prevent similar incidents. Dentists will be able to - Recognise how workplace pressures, lack of mentorship, and poor oversight can lead to ethical lapses. Understand the legal, professional, and emotional consequences of dishonesty and poor record keeping. Identify support systems, coping strategies, and self-reflective tools to prevent burnout and maintain integrity.

Sexto mensaje de la serie: Mi alma ruge. Hay siete palabras hebreas diferentes que se usan en la Biblia para describir lo que llamamos "alabanza". En español, estamos en desventaja porque solo tenemos una palabra: alabanza.Se dice que si solo tienes un martillo, solo verás clavos, es más poderoso, más eficiente, tener una caja de herramientas sofisticada y diversa.Este mes, en Jazôn, ampliamos nuestro vocabulario, nuestra comprensión y desarrollamos una gama de expresiones de adoración, para que te unas a quienes dicen: ¡Mi alma ruge!

Mars, 2048. The first settlers, a mix of international workers and the super-rich. And the first unexplained death.When a body turns up in the corridor between a scrappy warehouse and a half-built luxury hotel, no-nonsense Harbourmaster Rita Siddiqui finds herself in charge. With Earth temporarily out of contact and no official law enforcement on Mars, she ropes in Vice Captain Jaz Hickson, a wide-eyed young pilot who's only just landed.Rita and Jaz must navigate a growing list of suspects, a dwindling supply of patience, and a murderer who's not finished yet.Because even 140 million miles from Earth, people still have secrets. And someone's willing to kill to keep them.

after the travel day from hell, Halley and Jaz are back in New York, and they're back behind the mic to tell the tale. this week's episode of Delusional Diaries takes you inside their 12-hour flight delay, Detroit detour, and the chaotic mission to make it home in time for their Halloween party. from near meltdowns at TSA to accidentally exiting the airport mid-delay (rookie mistake), the girls relive every delusional moment with unfiltered honesty and way too much laughter.once they finally touch down, it's back to business: 36 bottles of tequila delivered at 7 a.m., party prep chaos, and a rare beauty event that turned into a bidding war against Benny Blanco (spoiler: they lost). between horror travel stories, spray tan small talk, and gym class trauma, Halley and Jaz unpack the kind of week that makes you question your sanity and still somehow laugh about it.they wrap up with some classic chaos: friendship growth, separate bedrooms in marriage, childhood lies, and the eternal debate: do you ever really “go to bed angry”? it's the perfect mix of airline rage, emotional regulation, and delusional girl therapy. buckle up (literally), this one's turbulence from start to finish.Timestamps 0:17 - Travel day from hell 15:20 - A short trip to LA 22:38 - The NYC Marathon 28:35 - Light sleepers 32:10 - Relationship questions and winter uglies 39:55 - Dress codes 43:09 - Our biggest lies as kids Links Uncommon Goods: https://www.uncommongoods.com/diaries use code diaries for 15% off Download Cash App Today: https://click.cash.app/ui6m/8u4300cq #CashAppPod. Cash App is a financial services platform, not a bank. Banking services provided by Cash App's bank partner(s). Prepaid debit cards issued by Sutton Bank, Member FDIC. See terms and conditions at https://cash.app/legal/us/en-us/card-agreement. Discounts and promotions provided by Cash App, a Block, Inc. brand. Visit http://cash.app/legal/podcast for full disclosures.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Is social media killing professionalism in dentistry? Are young dentists really “clowns” online—or is lightheartedness perfectly fine? Is social media a disease? Where's the line between humor, banter, and outright disrespect? In this episode, Jaz is joined by Joseph Lucido from the States to tackle these tough questions head-on. Sparked by a fiery Facebook rant, they dive into whether social media is harming our profession, how dentists should present themselves online, and if there's still room for fun without crossing the line. Whether you love or hate dental content on social media, this conversation will make you rethink how we represent our profession to the world. Shout-out to two US doctors creating excellent, entertaining content on social media Dr Brady Smith Dr. Nicholas J Ciardiello Check out the 3-Step Modern Dental Marketing Plan from Clear to Launch Dental — designed to help you simplify your marketing and grow your practice without the overwhelm. https://youtu.be/W7Uh-ML9dZg Watch IC063 on YouTube Takeaways Social media etiquette is crucial for healthcare professionals. Avoid controversial topics to maintain professionalism. A social media presence is essential for modern dental practices. Patients often check social media to verify a practice's credibility. Content should reflect the personality of the dentist and practice. Highlight satisfied patients to build social proof. Consistency in posting is key to maintaining engagement. Separate personal and professional social media accounts. Batch content creation to save time and effort. Engaging content can lead to more patient inquiries. Highlights of this episode: 00:00 Teaser 00:31 Intro 01:47 Introducing Joseph Lucido: Social Media Expert 03:21 Social Media Etiquette for Dentists 06:14 The Importance of Social Media Presence 12:04 Balancing Professionalism and Humor Online 17:39 Authenticity in Social Media 19:51 Balancing Personal and Professional Content 21:51 Effective Social Media Strategies 25:27 Time Management for Social Media 27:26 Do's and Don'ts of Social Media 29:43 The Power of Social Proof 30:49 Conclusion and Resources 32:47 Outro Love this episode? Don't miss Best Practices in Social Media for Dentists – How to Stay Out of Trouble Yet Be Impactful (IC035) #InterferenceCast #Communication #BreadandButterDentistry This episode is not eligible for CPD/CE points, but never fear, there are hundreds of hours of CPD waiting for you on the Ultimate Education Plan, including Premium clinical walkthroughs and Masterclasses.

Quinto mensaje de la serie: Mi alma ruge. Hay siete palabras hebreas diferentes que se usan en la Biblia para describir lo que llamamos "alabanza". En español, estamos en desventaja porque solo tenemos una palabra: alabanza.Se dice que si solo tienes un martillo, solo verás clavos, es más poderoso, más eficiente, tener una caja de herramientas sofisticada y diversa.Este mes, en Jazôn, ampliamos nuestro vocabulario, nuestra comprensión y desarrollamos una gama de expresiones de adoración, para que te unas a quienes dicen: ¡Mi alma ruge!

Cracked teeth — the diagnosis we all hate as Dentists! How do you decide when to monitor and when to intervene? What is the recommended intervention at different scenarios of cracks? Should we be chasing cracks and reinforcing with fibers; is there actually enough long-term data to support that approach? Over the years, we've had some epic episodes on this topic — from Kreena Patel's “I Hate Cracked Teeth” (PDP028) to Dr. Lane Ochi's Masterclass on Diagnosis and Management (PDP175). But in this brand-new episode, Jaz is joined by Dr. Masoud Hassanzadeh to bring it all together — not just the diagnosis of cracks, but their management. They explore when to intervene, the role of fibers in preventing propagation, and even the fascinating possibility that cracks in teeth may have some ability to heal, just like bone! This one's a deep dive that will change how you talk to patients — and how you approach cracked teeth in your own practice. https://youtu.be/VHYRBnfJS3I Watch PDP246 on YouTube  Protrusive Dental Pearl Your patient's history predicts the future! Ask if past extractions were difficult → clues you into anatomical challenges. Ask how they lost other teeth → if cracks, be proactive with today's cracks. History isn't just background—it's a clinical tool. Key Takeaways Cracks in teeth can be diagnosed using magnification and high-quality imaging. Patient factors such as age and muscle strength play a significant role in crack prognosis. Symptomatic cracks should be treated to prevent further propagation. Understanding the anatomy of the tooth is crucial for effective treatment. The healing mechanism of cracks in teeth is possible but varies between enamel and dentin. Fibers can be used to strengthen restorations and manage cracks effectively. Long-term studies are needed to assess the effectiveness of current crack management protocols. The use of fluorescence filters can help identify bacteria in cracks. Chasing cracks should be done cautiously to avoid pulp exposure. A comprehensive understanding of crack mechanics can improve treatment outcomes. Highlights of this episode: 00:00 Teaser 00:47 Intro 03:08 Protrusive Dental Pearl - The Importance of Dental History 07:18 Interview with Masoud Hassanzadeh 08:22 Diagnosing and Managing Cracks 21:13 When to Intervene on Cracks 25:50 Restoration Techniques and Materials 28:30 Chasing Cracks: Guidelines and Techniques 36:50 Mechanisms of Crack Healing in Teeth 45:11 Exploring the Use of Fibers in Dentistry 52:43 Introducing the Book on Cracked Teeth 54:57 Percussion-Based Diagnostics (QPD) 56:44 Key Takeaways 57:21 Conclusion and Final Thoughts 01:00:07 Outro As promised, here are the studies mentioned during the discussion: Why cracks do not propagate as quickly in root dentin: Study 1a & 1b Root dentin has significantly higher fracture toughness compared to coronal dentin—nearly twice as tough, as demonstrated in multiple studies. The key difference lies in their structure and toughness. Root dentin's unique collagen orientation adds strength, while its fewer lumens and thinner peritubular cuffs make it less brittle. In contrast, coronal dentin has thicker cuffs, which increase brittleness. Unlike coronal dentin, which fractures uniformly, radicular dentin is anisotropic—its fracture behavior varies depending on direction. These structural features give root dentin greater resistance to cracking, making it more durable under stress. Studies on decreasing crack length due to crack repair in enamel. Study 2 The importance of the modulus of elasticity of the final restoration in arresting crack propagation. Study 3 The role of fiber in restoring cracked teeth and how it can increase fracture strength—even surpassing that of natural teeth. Study 4 Decision Making for Retention of Endodontically Treated Posterior Cracked Te...

Inside Science explores the science and maths of games: why we play them, how to win them and the rise of gamification in our lives - with a particular focus on The Traitors - in a special programme with a live audience at Green Man Festival in the Bannau Brycheiniog (Brecon Beacons) National Park. Presenter Victoria Gill looks into whether humans are innately programmed to play games with Gilly Forrester, professor of evolutionary and developmental psychology at the University of Sussex, and investigates how maths can help us strategise and win games with mathematician and maths communicator Dr Katie Steckles.We encounter the Prisoner's Dilemma with broadcaster Jaz Singh of The Traitors series 2 fame – will he share or steal? Jaz also dives into the immersive world of The Traitors discussing his gameplay, the stakes and what makes an effective Faithful!To discover more fascinating science content, head to bbc.co.uk search for BBC Inside Science and follow the links to The Open University.Presenter: Victoria Gill Producers: Jonathan Blackwell and Clare Salisbury Editor: Martin Smith Production Co-ordinator: Jana Bennett-Holesworth

It's Halloween on Delusional Diaries… which means cheap wigs, chaos, and way too many confessions. Halley and Jaz kick off the episode dressed as the Timothée Chalamet x Pete Davidson SNL duo, spiraling about bedside manner, Yelp reviews, and why bad Amazon wigs might actually be a cursed tradition at this point.From Jaz's Bottega meltdown in Madrid (and the boldest “move forward” gaslight ever) to Halley's questionable life choices that somehow always work out in her favor, the girls are in their unfiltered storytelling era. They're talking eating dog treats out of desperation, blocking trolls with “almond daughter” usernames, and why sharing snacks with your boyfriend should be considered psychological warfare.Then it's Halloween nostalgia, space cowgirl flashbacks, and a few hot takes about certain activities in the shower, bad costumes, and the “stay in for your future husband” pick-me epidemic. Whether you're getting ready to go out tonight or staying in with a bottle of wine, this episode will have you laughing, cringing, and texting your best friend mid-listen.Timestamps 0:20 - Happy Halloween from yours truly 4:02 - Bitching hour 11:40 - Standing 10 toes down 22:13 - Jaz's limo and birthdays27:26 - The block of the week 33:16 - Reading and other hobbies 37:40 - All things Halloween 48:27 - The Halloween party LinksWayfair: wayfair.com See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Patrick Mahomes Is a Whole Zebra!

Cuarto mensaje de la serie: Mi alma ruge. Hay siete palabras hebreas diferentes que se usan en la Biblia para describir lo que llamamos "alabanza". En español, estamos en desventaja porque solo tenemos una palabra: alabanza.Se dice que si solo tienes un martillo, solo verás clavos, es más poderoso, más eficiente, tener una caja de herramientas sofisticada y diversa.Este mes, en Jazôn, ampliamos nuestro vocabulario, nuestra comprensión y desarrollamos una gama de expresiones de adoración, para que te unas a quienes dicen: ¡Mi alma ruge!

U ovoj inspirativnoj epizodi razgovaramo s hrvatskim glazbenikom Gospodinom JAZ-om ‪@JAZ-Zg‬ koji trenutno skriva svoj identitet, o njegovom putu do uspjeha, izazovima s kojima se susretao i lekcijama koje je naučio na svom glazbenom putu.

In this episode of The Secret Guide to fundraising hostJazmin Peach sits down with Mary Davidson, MBA, founder of EP Events and co-host of the Better Events Podcast. With over twelve years of experience in fundraising and event management, Mary has helped countless nonprofits planpurposeful, mission-driven events that deliver real results.Together, Mary and Jaz discuss how to run events thatconnect with hearts as well as wallets, covering everything from avoiding common planning mistakes and keeping calm under pressure, to using technology to stay in touch with guests and turning good events into memorable, high-performing fundraisers.If you're heading into event season and want to raise morewithout the stress, this episode is packed with practical, actionable advice you can start using right away.

this week on Delusional Diaries, Halley and Jaz unpack a rollercoaster of chaos: from mourning a literal sauce that was discontinued to a rundown of their time at the Victoria's Secret fashion show pink carpet. this episode mixes glam & the chaos of the real world like never before, showing that at the end of the day, we all go through the same things, despite our differences.the girls then switch gears to other territories: fitness routines and solidcore playlists. between botox updates, home renovations, and pink carpet glam, Halley and Jaz reflect on how surreal it is to be front row at a fashion show one minute and crying in an elevator the next. that's real life, and they're not sugarcoating any of it.they wrap the episode with some tough-love advice for a listener whose best friend can't stop obsessing over her ex. the verdict? you can't save someone who doesn't want to be saved. This episode is chaotic, comforting, and so them… the kind of episode you'll want to have playing while you do your skincare or spiral on the couch. Timestamps 0:16 - The day started off good… 2:22 - Fast food reviews 7:12 - Our first dates with Reed & Kevin9:06 - The VS Fashion Show 26:23 - Halley's new purchase 32:55 - Newest insecurity36:10 - Botox and babies 39:40 - Advice to our follower LinksDime Beauty - DimeBeauty.com and get 20% off your first order with code PODCAST20Winx - hellowinx.com/delusional for 25% offwayfair - wayfair.com DISCLAIMER: Part of the recorded Victoria's Secret Fashion Show segment in this episode is presented in partnership with VS PinkSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Tercer mensaje de la serie: Mi alma ruge. Hay siete palabras hebreas diferentes que se usan en la Biblia para describir lo que llamamos "alabanza". En español, estamos en desventaja porque solo tenemos una palabra: alabanza.Se dice que si solo tienes un martillo, solo verás clavos, es más poderoso, más eficiente, tener una caja de herramientas sofisticada y diversa.Este mes, en Jazôn, ampliamos nuestro vocabulario, nuestra comprensión y desarrollamos una gama de expresiones de adoración, para que te unas a quienes dicen: ¡Mi alma ruge!

Jaz races in the Hanse 303 and RS Venture Connect SCS classes, and sails an Albin Vega 27, in which she recently became the first wheelchair user to sail solo and unassisted around Great Britain and Ireland, and doing so confronted and overcame great difficulties. She lives with Ehlers-Danlos Syndrome,  which means her connective tissue does not function properly, and this also effects her internal organs, and her condition is terminal. Regardless, Jaz is now preparing to compete in the 2026 Worldstar, in which she will attempt to sail solo nonstop unassisted around the world. We talk about her introduction to sailing on a cold wet day in the Cornish Harbor, her obsession with the ocean, growing up with a difficult home situation, being homeless as a child and living on the street, then sleeping in the boats at the sailing club, dealing with fear, living on a shorter time line, finding a new family, comparing the Albin Vega to performance boats, heaving-to, sleeping while solo, hallucinations, breakages, preventers, Project Fear, how the circumnavigation of Britain and Ireland changed her, the extents of her mobility, foul-weather gear, beautiful moments, wildlife, running aground 50 nm from the finish and kedging off, the WorldStar 2026, and more. Photos and links are on the podcast shownotes page Support the show through Patreon

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

after some tough days separated from each other, this week on Delusional Diaries, Halley and Jaz are back and as unfiltered as ever: kicking things off with workout confessions, liposuction ultimatums, and the anxiety-inducing chaos of showing up late to a class for the first time ever. between accountability pacts and post-gym soreness, the girls dive into the unglamorous side of “getting it together” while keeping it real (and hilarious) about body image, burnout, and self-motivation.then, things get storytime-level juicy: Halley recaps her dreamy trip across London and Copenhagen, complete with vintage shopping, hotel surprises, and airport drama that had her going to war (verbally) with line-cutters. Jaz shares her TSA horror story and why sometimes principle is all that matters, while both reflect on love, long-distance friendship, and more…rounding it out, the girls get chatty about Kris Jenner's facelift, the return of the Victoria's Secret Fashion Show, and the never-ending New York winter blues. from AI conspiracies to apartment glow-ups and kitchen haters, it's a full catch-up episode of chaos, confidence, and everything you could dream of: the ultimate comfort listen for anyone who loves a good rant, a little delusion, and a lot of laughter!Timestamps 0:16 - Jaz's confession7:05 - The most amount of time we ever spent apart 14:04 - The flight back and airport horror stories 27:10 - Hypotheticals 33:04 - Winter scaries 35:37 - Block block block 45:22 - Bitching hour47:13 - Face lifts and VS Fashion Show 50:45 - Childhood jealousy LinksChime - Open an account in 2 minutes at chime.com/diariesWinx - hellowinx.com/delusional for 25% off Cash App - use code “THATSMONEY10” , and get $10 dropped into your account when you order and activate your Cash App Card and send $5 or more to a friend within your first 14 daysDownload Cash App Today: https://click.cash.app/ui6m/8u4300cq #CashAppPod. Cash App is a financial services platform, not a bank. Banking services provided by Cash App's bank partner(s). Prepaid debit cards issued by Sutton Bank, Member FDIC. See terms and conditions at https://cash.app/legal/us/en-us/card-agreement. Direct Deposit, Overdraft Coverage and Discounts provided by Cash App, a Block, Inc. brand. Visit http://cash.app/legal/podcast for full disclosures.Wayfair - wayfair.comSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

On this week's News Time, we'll blast off into space to share a message with the universe, we'll hear the sweet song of a bird for the first time in over a century; and then meet a student who has used a 3D printer to create a big life change, in our Wow of the Week!Quiz Questions1. How have men's AFL games begun since the 1880s?2. People from how many countries participated by recording messages?3. What is Jaz teaching her teachers?4. Which bird has been reintroduced into West Cape National Park?5. What did Lois and her classmates use to create a hand?Bonus Tricky QuestionHow big is the disc that will be sent into space?Answers1. With the centre bounce2. 803. Paakantyi language4. Noisy scrub-bird5. 3D printerBonus Tricky AnswerThe size of a slice of bread!

topics on this episode:Alfredo 2 Tour Recap in Tampa, FL by Raul & Jaz (1:55).Young Thug goes "White Face" on UY SCUTI (32:22).Cardi B & Nicki Minaj Beef continues (35:32).Drake v. UMG lawsuit dismissed (46:36).The return of VERZUZ ft. No Limit v Cash Money (51:52).

An Unusual Journey for a National Brand Ambassador Show Notes Forthcoming! Jaz'min Weaver Instagram Danny Bardstown Instagram Bardstown Bourbon Co. Instagram Bardstown Bourbon Co. Facebook Bardstown Bourbon Co. LinkedIn

Segundo mensaje de la serie: Mi alma ruge. Hay siete palabras hebreas diferentes que se usan en la Biblia para describir lo que llamamos "alabanza". En español, estamos en desventaja porque solo tenemos una palabra: alabanza.Se dice que si solo tienes un martillo, solo verás clavos, es más poderoso, más eficiente, tener una caja de herramientas sofisticada y diversa.Este mes, en Jazôn, ampliamos nuestro vocabulario, nuestra comprensión y desarrollamos una gama de expresiones de adoración, para que te unas a quienes dicen: ¡Mi alma ruge!

Halley and Jaz are back on the couch and kicking off with a classic b**ching hour, and this one gets personal. after an awkward follower encounter at the grocery store turns into an unsolicited reddit recap, Jaz opens up about how far she's come in setting boundaries with online chatter, and how quickly a stranger can send her spiraling back into old habits. from the weirdness of parasocial relationships to realizing how exhausting constant public perception can be, the girls talk anxiety, attention, and why sometimes it's okay to say “I don't owe anyone a response.”the chaos continues as Jaz discovers the power (and curse) of coffee, and the duo spiral into caffeine-induced madness. between late-night hangouts that accidentally turn into 3 a.m. adventures, sensory phobias of bumpy pumpkins, and fall weekend recaps, it's peak Delusional Diaries energy, a little bit manic, a little too honest, and somehow still therapeutic.but it's not all rants and pumpkin panic, Halley's prepping for a dreamy Europe trip through London and beyond, Jaz is plotting a honeymoon redo after her first attempt, and both are reflecting on independence, relationships, and what it means to actually grow up online. by the end, they've covered everything from medical insurance meltdowns to squishmallow basements: proving once again that delusion, some b**ching, friendship, and a good laugh can fix just about anything.Timestamps 0:22 - Starting with a Bitching hour 6:36 - Jaz and coffee13:30 - Biggest phobias 15:07 - Upcoming plans 29:24 - Relationship attachments 39:41 - Jaz's honeymoon & Delta points 46:02 - And ending with Bitching hour Links Nuuly: code delusional for $28 off your first month nuuly.comWayfair: wayfair.comWinx: hellowinx.com/delusional for 25% off Quince: Quince.com/delusional for free shipping and 365 day returns See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Hello, music fans... It's time for Episode 103, a special Halloween edition of the RepostExchange podcast! Catch up with Jaz as she curates a selection of hers and our members' favourite dark & spooky tracks coming through https://repostexchange.com , covering a range of genres and styles. Also featuring an interview with artist and RepostExchange Brand Ambassador, Switchblade Remy... Re-Ex members should keep their ears open for a code which will unlock an exclusive discount or free credit pack for use on the platform. All episodes are now available on Spotify & iTunes! iTunes: https://podcasts.apple.com/gb/podcast/the-re-ex-podcast-the-freshest-music-on-the-planet/id1462895235 Spotify: https://open.spotify.com/show/2c9WM6PVgx4UCFQXbUA62w?si=zlbVt0ZwQtSTaMQou9fYZA TRACKLIST: [INTRO] Azeteck - Club 7X7 (Remaster) @user-365290214 HellRaizer ✪ - In the Grave @pctech1 The real J.T.W. - SLAUGHTERED ft. Bill $Aber @the_real_jtw GHXST - Crazy Ricky @user-901969805 ***CHART RUNDOWN*** Hydratek - Demon Hunter @hydra1997 BLAQOUT - Summoning Circle @blaqoutdubstep Jeff Honor - This Is Halloween The Nightmare Before Remix @jeffhonormusic ***INTERVIEW WITH SWITCHBLADE REMY*** Virus Files - Gravesite @virusfiles Switchblade Remy - LET IT SLIDE (Prod. Vivokiddie) @switchbladeremy Terrik x Charma x ALIYEN - Click Clack @aliyenofficial KNZD3N ft. Red$now - We're All Dead @kingsdenstudios

Primer mensaje de la serie: Mi alma ruge. Hay siete palabras hebreas diferentes que se usan en la Biblia para describir lo que llamamos "alabanza". En español, estamos en desventaja porque solo tenemos una palabra: alabanza.Se dice que si solo tienes un martillo, solo verás clavos, es más poderoso, más eficiente, tener una caja de herramientas sofisticada y diversa.Este mes, en Jazôn, ampliamos nuestro vocabulario, nuestra comprensión y desarrollamos una gama de expresiones de adoración, para que te unas a quienes dicen: ¡Mi alma ruge!

The boys are back as Jaz joins the pod to talk about Kai Cenat's Mafiathon stream, Jav and Nick get into the Cubs playoff run so far and their frustrations of game 1 of the NLDS, Bad Bunny performing at the Super Bowl, Josh's review of One Battle After Another and other thigs we are watching lately. Enjoy!!!

In this episode of the podcast, we have a profound conversation with Jaz Ampaw-Farr, an educator and author, about the transformative power of teachers and the importance of human connection in education. Jaz shares her personal journey, highlighting the impact of five key teachers in her life who helped shape her resilience and success. The discussion goes deep into the challenges faced by educators, the need for mental health support, and the importance of building authentic relationships with students. Jaz emphasizes that education should focus on nurturing human skills and preparing students for an uncertain future, advocating for a shift from traditional behaviour policies to relationship-focused approaches in schools.We also dive into her latest book, Because of You, This Is Me. Grab a copyChapters00:00 Introduction01:21 Jaz's Journey and the Role of Teachers04:17 The Power of Five Teachers10:13 Navigating Trauma and Education14:22 Human First, Professional Second18:29 The Challenges of the Education System20:27 Building Relationships in Education24:52 Building Trust in Education28:40 The Importance of Authentic Relationships33:05 Human Skills vs. AI36:45 The Role of Educators in Shaping Lives43:48 Transforming Education Through RelationshipsThanks so much for joining us again for another episode - we appreciate you.Ben & Steve xChampioning those who are making the future of education a reality.Follow us on XFollow us on LinkedInJoin the WhatsApp CommunityCheck out all about EdufuturistsWant to sponsor future episodes or get involved with the Edufuturists work?Get in touchGet your tickets for Edufuturists Uprising 2026

this week on Delusional Diaries, Halley and Jaz are back with the full rollercoaster of chaos, starting with skincare gone wrong, brutal hangovers, and a weekend that tested both of them in very different ways. from dinner disasters at BondST and open bar temptations at Danielle's birthday party to the unplanned detour that landed them at a club until 3 a.m., the girls recap every messy, hilarious detail. whether it's falling asleep in Ubers, being gaslit about their location, or surviving on cookies, nothing is off-limits in this episode.in between the laughs, the girls get real about health, healing, and the weird seasons life throws at you. Halley opens up about her continued journey with an autoimmune disease, steroids, and IV treatments, sharing the frustrating side effects, the weight changes, and the challenge of finding stability while staying optimistic. together, the girls navigate what it means to balance wellness with wanting to live life fully, reminding listeners that even in the hard moments, humor and honesty go a long way.rounding out the episode, Halley and Jaz dive into everything from underwear revelations and blocking negativity online to reflecting on the “mystery” of being single versus the stability of relationships. they laugh about their timeline of friendship, plot out solidcore challenges with Birkin bets, and even debate whether Jaz's moving obsession is just a love for having projects. this episode is delusional, it's dramatic, and it's deeply relatable; the perfect mix that we know you love in an episode of our podcast.Timestamps 0:18 - New products & hangovers6:54 - The whole night 16:47 - Friday night 21:37 - Bitching hour 29:44 - What we miss about being single 37:58 - Maybe a hobby 45:30 - Upcoming trips Links Winx: hellowinx/delusional for 25% offHeadspace: Headspace.com/delusional to unlock free for 60 days Cash App: Download Cash App Today: https://click.cash.app/ui6m/8u4300cq #CashAppPod. Cash App is a financial services platform, not a bank. Banking services provided by Cash App's bank partner(s). Prepaid debit cards issued by Sutton Bank, Member FDIC. See terms and conditions at https://cash.app/legal/us/en-us/card-agreement. Direct Deposit, Overdraft Coverage and Discounts provided by Cash App, a Block, Inc. brand. Visit http://cash.app/legal/podcast for full disclosures.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Cuarto de la serie: El Camino del soñador "Escuchen este sueño…". No importa si dormidos o despiertos, todos hemos soñado. A veces con esperanza, a veces con intriga, a veces con incertidumbre.  Esto es lo que quisiera para mi vida, pero, ¿si me equivoco? ¿Si las cosas no salen como espero? ¿Si mis sueños no llegan jamás a realizarse? Y… ¿Qué quiere Dios? ¿Hay compatibilidad entre el propósito de Dios para tu vida y lo que tú anhelas? Aprendamos juntos la verdad bíblica al respecto, transitando

Halley and Jaz are finally back on the couch after a whirlwind couple of weeks, and this episode doesn't hold back. Halley shares the full story of her week-long hospital stay after a brutal ulcerative colitis flare-up that left her in constant pain and doubting herself. from gaslighting her own symptoms to finally realizing she needed urgent care, she opens up about the mental toll of chronic illness, the long nights in the ER, and the fear of potentially losing her colon.the episode balances heavy and hilarious as Halley recounts absurd hospital moments: nurses melting plastic into her food, the fight for a private room, and doctors giving her conflicting diet advice. Jaz keeps the energy steady, while also finding humor in the chaos. together, they highlight what it's really like to navigate a health crisis, from anxiety spirals to unexpected gratitude when the right medication finally works.but it's not all hospitals and IV drips. as the besties dive back into their usual blend of life updates and pop culture chatter: golf trips to Wisconsin, moving drama, TikTok spirals, Kylie Jenner lip combos, and the possibility of seeing Justin Bieber headline Coachella. it's an episode that feels raw, real, and ridiculous: a mix of health diaries, best friend therapy, and the kind of unfiltered chaos that makes Delusional Diaries your favorite.Timestamps0:17 - Back on the couch 1:04 - Halley's hospital visit 20:24 - Getting gaslit30:35 - For the pod only 40:02 - Coachella, lip liners, & Lizzie McGuire44:46 - Dancing with the Stars week 1 52:34 - Hair journey & our favorite productsLinks DraftKings: code DIARIESNuuly: code delsuional for $28 off your first monthQuince: quince.com/delusional to get free shipping and 365 day returnsWayfair: wayfair.comWinx: hellowinx.com/delusional for 25% offSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Tercer mensaje de la serie: El Camino del soñador "Escuchen este sueño…". No importa si dormidos o despiertos, todos hemos soñado. A veces con esperanza, a veces con intriga, a veces con incertidumbre.  Esto es lo que quisiera para mi vida, pero, ¿si me equivoco? ¿Si las cosas no salen como espero? ¿Si mis sueños no llegan jamás a realizarse? Y… ¿Qué quiere Dios? ¿Hay compatibilidad entre el propósito de Dios para tu vida y lo que tú anhelas? Aprendamos juntos la verdad bíblica al respecto, transitando

This week, Halley and Jaz are back behind the mic, but they're not alone. If you've been rocking with Delusional Diaries since the early days, you already know her (and probably love her). And if you don't… allow us to introduce: Eli Rallo. Writer, content creator, podcast host, professional rule-maker, and queen of saying exactly what we're all thinking. Eli first blew up on TikTok with her iconic “the jarr” videos, and since then she's built a ride-or-die community obsessed with her mix of humor, honesty, and that big sister who tells it like it is energy. Oh, and casual flex, she's already the author of two books with a third on the way.From reminiscing about their “freshman class” days in the New York influencer scene to catching up on weddings, book tours, and everything in between, this episode feels like a full-circle moment. The trio dives into the realities of growing up online, from cringing at old videos to learning to feel confident in your late 20s. They also swap stories about early event-hopping nights, the evolution of their careers, and the misconceptions people have about friendship changes. Of course, there's plenty of wedding talk, Taylor Swift engagement theories, and the sacred art of being perfectly “wedding drunk.”Eli opens up about writing her second book, the emotional process behind it, and the exciting leap into fiction with her upcoming third. It's an episode filled with nostalgia, laughter, and honesty, proof that every era of life brings its own kind of magic. If you missed her, it's time to catch up. If you're new, you're about to fall in love. Either way — this episode is one for the books.Timestamps 0:14 - The OG Podcast Guest 6:51 - All things Taylor 12:47 - Eli's & Jaz's weddings34:39 - Travel & TikTok37:51 - Book talk 43:48 - The Kardashians 47:58 - Eli's Bachelorette51:20 - Favorite part about the book Where to find EliInstagram: https://www.instagram.com/eli.rallo?igsh=MTY1MTYxaHMxN2s3Zw==TikTok: https://www.tiktok.com/@elirallo?_t=ZP-8zkU7bE1uso&_r=1Purchase Does Anyone Else Feel This Way? now!https://www.harpercollins.com/products/does-anyone-else-feel-this-way-eli-rallo?variant=43671983816738 Tickets for Eli's book tour: https://www.theelirallo.com/does-anyone-else-feel-this-wayLinks Quince: quince.com/delusional for free shipping on your order and 365-day returns See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Halley and Jaz are back behind the mics, and this week's episode is giving full chaotic bestie energy. what starts as a tiny texting disagreement spirals into a hilarious deep dive on friendship etiquette, unread messages, and why “one sec” almost never means one second. if you've ever wanted to scream at your friends through the phone, you're going to feel very seen.but of course, it wouldn't be Delusional Diaries without some unhinged detours. between questionable snack choices, roommate horror stories, and a rant or two about unsolicited opinions, the girls manage to turn even the most random topics into comedy gold. somewhere in the middle of the chaos, there are moments of raw honesty about health, moods, and how to stay sane when life insists on being annoying.by the end, you'll feel like you've been on FaceTime with your two funniest (and most brutally honest) friends. from pop culture hot takes to delusional rants that will have you laughing out loud, this episode is messy, dramatic, and exactly the kind of therapy session you didn't know you needed. buckle up, press play, and enjoy.Timestamps0:16 - Jaz has been annoying Halley3:52 - Jaz's bitching hour 5:25 - The lunch on everyone's FYP10:12 - What is Halley so excited about 20:19 - Tate McCrae concert 22:11 - Pop culture couples36:22 - Our overweight dogs 45:43 - The question we always getLinks DraftKings: Download the app and use code DIARIES Nuuly: Sign up with code DELUSIONAL to get $28 off your first month SeatGeek: Use code DELUSIONAL10 for 10% off your tickets Wayfair: https://www.wayfair.com/ZocDoc: http://Zocdoc.com/diaries See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

#309: Is it possible to maintain visibility and authenticity at the same time?In this episode I'm joined by content creator and entrepreneur Jaz Smith to talk about what it actually looks like to build a brand around your real life.We get into her evolution from working in real estate to becoming a full-time creator, what shifted when she started treating social media like a business, and how she balances visibility with authenticity in a world that often demands both.Jazmyn shares the behind-the-scenes of growing her platform with intention, the pressure of always being “on,” and why some of the most powerful career moves don't look like work at all.This conversation is such a refreshing reminder that growth can be strategic and human.We Talk About…Her pivot from real estate to full-time contentThe exact moment she started treating TikTok like a jobHow she planned her dream wedding on her own termsThe parts of her life she doesn't postNavigating friendship changes in your 20s and 30sResources:Follow Jaz on Instagram @justjazzzyidkFollow Jaz on TikTok @justjazzzyidkListen to Jaz's podcast Delusional DiariesDownload my free Best Case Scenario Journal TemplateSponsors:Cotton: Cotton is the fabric of our lives. Learn more at thefabricofourlives.com.Nutrafol: Get stronger, healthier hair with Nutrafol. For a limited time, Nutrafol is offering $10 OFF your first month's subscription and free shipping when you go to nutrafol.com and enter promo code BALANCEDLES.Cakes: Sticky Cakes are comfortable, seamless, adhesive nipple covers that can be worn with every outfit. Go to cakesbody.com and use code LUCKY for 20% off your order.Keep in touch:Follow on IG: @shessoluckypod @lesalfredFollow on TikTok @shessoluckypod @lesalfredVisit our website at balancedblackgirl.comPlease note that this episode may contain paid endorsements and advertisements for products and services. Individuals on the show may have a direct or indirect financial interest in products or services referred to in this episode.Produced by Dear Media.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

your favorite duo is back this week: Halley and Jaz dive straight into the week's wildest headline, Taylor and Travis are officially engaged. the two spiral into full-on parasocial mode, breaking down everything from the shock of a collab post announcement to imagining what the wedding guest list and security would even look like. Jaz jokes about becoming a bodyguard, Halley debates whether it will be a mega-celebrity event or a secret ceremony, and both of them can't help but laugh at just how invested they've become in a couple they've never met.from there, the conversation flows into a whirlwind of personal updates. Jaz vents about the chaos of her home renovations, accidentally sending the most questionable texts to her contractor, and realizing just how much fences cost in Long Island. health takes center stage as well as Halley navigates her workout routine and spray tan obsession, and as the two debate TikTok's “pale girl exposure therapy” trend, listeners get a raw and hilarious look at how they balance wellness, vanity, and everything in between.as always, the episode is packed with their signature hilarious banter. they go off about awkward gynecologist appointments, friendship trio politics when it comes to picking a maid of honor, a specific chaotic experience at a bathhouse that ended in no massage, and the bizarre etiquette breaches they've witnessed at influencer events like the US Open. add in puppy potty-training wins and the iconic story of Halley accidentally doubting herself about James Marsden literally living across the street, and you've got a jam-packed episode full of laughter, relatability, and the kind of storytelling only Halley and Jaz can deliver.Timestamps 0:18 - Celebrating the royal engagement6:34 - Halley's health updates13:20 - Pale girl exposure therapy 18:17 - Gyno appointments and drinking water22:35 - Maid of honor controversy 26:40 - Haircuts and husbands 29:46 - “Not looking for a husband, but looking for a father”35:19 - Stacy updates 40:29 - Providing context 45:53 - The US OpenLinks DraftKings: Download the app and sign up with code DELUSIONALSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Halley and Jaz are back this week with a jam-packed episode that swings from fair food to full-on meltdowns. Jaz shares her whirlwind trip to Alaska for the state fair, complete with nostalgia, fried food, and accidentally getting the best sleep of her life in a bunk bed. meanwhile, the two catch up on home life, debating bed sizes, dogs hogging the sheets, and how to actually get a night of rest in New York City.the conversation takes a raw turn when Halley opens up about her ulcerative colitis and recent colonoscopy. from the stress of prepping, to her full-blown panic at the hospital, to adjusting to new medications, she doesn't hold back about how draining chronic illness can be. Jaz balances things out with her never-ending food cravings, late-night kitchen raids, and even considering Ozempic just to quiet the “food noise.”also, the girls spiral over Camp Rock versus Camp Star, rant about bizarre internet drama, Jaz's dog's very unfortunate medical moment, and of course dive into Taylor Swift theories and the very infamous podcast appearance. this episode is chaotic, it's candid, and it's exactly the kind of unfiltered girl talk you come here for every week.Timestamps0:18 - Jet lagged and our trip to Madrid 6:06 - Alaska State Fair 9:45 - Loves a frozen face 15:09 - Halley's health updates 34:31 - The girl who fell in love with her psychiatrist36:01 - The food noise 38:47 - What happened to Frank42:10 - Camp Rock: The Final Jam46:58 - The Life of a ShowgirlLinksSeatGeek: Use our code for 10% off your next SeatGeek order*: https://seatgeek.onelink.me/RrnK/DELUSIONAL10 Sponsored by SeatGeek. *Restrictions apply. Max $20 discountGourmand Beauty; Delusional10 for 10% off your order https://www.gourmandbeauty.com/?srsltid=AfmBOoo99sl3FDzLjvj-aJ_UORzzdaxXkOk8eD1uR6aalqo0yChup-3wSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.