Afleveringen
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CORE CPD ALERT! 🚨
How dare I veer away from our beloved clinical topics to talk about… decontamination!?! 😱
Have you ever wondered how you should be disinfecting occlusal mirrors without getting them scratched?
Should we be using PTFE inside the pulp chamber if it’s not been autoclaved?
What are the most common decontamination mistakes that we make day in and day out that are so easy to fix?
In this episode, Jaz sits down with Decon Pete, the go-to expert for all things dental decontamination, to drive into the nitty-gritty of keeping your practice squeaky clean (and compliant!). He shares practical tips to make your decontamination process safer, smoother, and stress-free.
Common decon mistakes, PPE slip-ups, distilled vs. RO water, HTM guidelines vs. manufacturer guidelines - this episode will help you feel more confident in decontamination and up your infection control game.
How to reach Decon Pete:
Facebook group: IPC Support by Decon Pete - a private space for dental teams to ask decontamination-related questions.
Website for practice support and consulting: www.deconpete.co.uk
https://youtu.be/013WuXzWE3g
Watch PDP218 on Youtube
The Protrusive Dental Pearl: Pete’s Expert Recommendation on Cleaning your Loupes
Ideally, loupes should be disinfected between every patient, but at the very least, at the end of each clinical session
Avoid submerging loupes in any liquid - instead, use distilled water and a microfiber cloth or cotton buds for frames and nose pads
For lenses, use 70% isopropyl alcohol wipes - no acetone or bleach!
If you’re using a visor with your loupes, you won’t need to clean them as often
Key takeaways:
Decontamination is essential for patient safety in dental practices.
Using proper protective equipment is crucial for staff safety.
Transporting instruments safely is a key aspect of decontamination.
Manufacturer guidance should always take precedence over general guidelines.
Policies must be relevant to the specific practice.
Manufacturer's guidance should always be followed.
Disinfecting instruments is crucial for patient safety.
Water quality impacts the effectiveness of dental procedures.
Distilled water should be used quickly after opening.
Reverse osmosis water is more sustainable for practices.
Proper storage of instruments prevents contamination.
Highlights for this episode:00:00 – Intro03:52 – Protrusive Dental Pearl: Pete’s top tips for cleaning your loupes06:02 – Introducing Decon Pete: Pete’s background in dental decontamination12:40 – Manual cleaning and PPE errors17:51 – Washer Disinfector27:06 – Instrument Transportation30:08 – Guidance vs. Manufacturer Instruction36:05 – PTFE Tape: Sterilization and best practices41:06 – Occlusal Mirror Care48:18 – Distilled vs. RO Water56:37 – Water for Ceramics57:22 – Outro
This episode is eligible for 1 CE credit via the quiz on Protrusive Guidance.
This episode meets GDC outcomes B and C. This is a GDC Recommended CPD Topic - 5 Hours of Disinfection and Decontamination every 5 year Cycle.
AGD Subject Code: 550 Practice Management and Human Relations.
Dentists will be able to:
Identify common decontamination errors and implement strategies to enhance infection control standards
Appreciate the appropriate methods for cleaning and maintaining dental equipment
Apply best practices for instrument handling, including proper PPE use, safe transportation, and effective sterilisation protocols
If you loved this episode, be sure to check out this one: PDP018 (Don’t Get Sued) -
Is Work-Life Balance a Myth?
How do you find the right balance between your professional responsibilities and personal life?
Can you truly have it all…without sacrificing your health or family time?
https://youtu.be/wkAv3noFXNk
Watch PS014 on Youtube
In this episode, Jaz and Emma Hutchison, ‘the Protrusive Student’, dive into the real challenges of balancing parenthood, clinical dentistry, and LIFE! Jaz shares his strategies for managing these demands, revealing that while perfect balance might not exist, navigating life’s seasons with intention can make all the difference.
If you’ve ever struggled with finding your own balance, this episode is packed with key takeaways for dentists at every stage of their careers.
Need to Read it? Check out the Full Episode Transcript below!
Highlights of this episode:
03:34 Emma's New Year Reflections and Study Habits
12:20 Balancing Family, Work, and Personal Time
19:50 The Importance of Planning and Support Systems
23:16 Recognizing Opportunities and Setting Boundaries
28:15 Understanding Circle of Concern and Influence
30:24 Eat That Frog: Tackling Difficult Tasks First
31:02 Burnout in Dentistry: Real Experiences
39:51 The Importance of Mentorship
41:07 Just in Time Learning
44:03 Decision Making and Confidence
49:15 Effective Time Management Strategies
51:16 Final Thoughts and Takeaways
Key Takeaways:
Preparation and good mental health are crucial for success during exam periods.
Internalizing knowledge helps in better understanding and retention.
Finding time for hobbies and self-care is essential for well-being.
Planning and prioritizing tasks can lead to more effective study habits.
Support systems play a vital role in managing stress.
You can achieve a lot by focusing on your big priorities.
Eat That Frog: tackle difficult tasks first.
Burnout is a real risk for dentists.
Finding a mentor is extremely beneficial for career growth.
Just-in-time learning is more effective than just-in-case learning.
This episode is not eligible for CPD/CE points, but never fear, there are hundreds of hours of CPD waiting for you on the Ultimate Education Plan, including Premium clinical workthroughs and Masterclasses.
If you enjoyed this episode, be sure to watch Stress in Dentistry 2024 – Life Changing Decisions – IC048
Click below for full episode transcript:
Jaz's Introduction: Guys, there is no such thing as work life balance. It's a myth. 'cause sometimes when I'm with my family and we're on vacation, it's all about my family. Nothing else matters, and that's really the way it should be. But there are other times where things get really busy at work and I'm not able to give my children the quality time that they deserve.
Jaz’s Introduction:And sometimes that happens. Or sometimes you are sacrificing sleep or your health, which really we shouldn't be doing. But sometimes this happens. 'cause of other events and other priorities at that time. So to find this daily balance and work-life balance that slots into everyone's magic week, it just doesn't exist because there's a season of life for everyone.
And so a lot of what we talk about today with Emma Hutchison, who's the Protrusive Student. So welcome to this Protrusive Student episode. About 20 or 30% of what we talk about in this episode is related to students, and about 70% is all to do with dentists in the real world. Because Emma asked me, how do I do it? How do I balance everything? How do I balance fatherhood, clinical dentistry, Protrusive? And so a lot of my tactics or the strategies that I use are revealed in this episode.
Hello Protruserati. I'm Jaz Gulati. Welcome back to your favorite Dental Podcast. It's the student series that we do, but as we've seen in the comments on YouTube, mostly dentists tune in because they find it's nice to reconnect with the basics and with a topic like work-life balance and priorities ... -
Zijn er afleveringen die ontbreken?
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When Your Size 10 File is not going to length, what is happening?
Your apex locator isn’t giving you a zero reading. Your file is stuck. You’re wondering—have you ledged? Or could something else be at play?
In this must-listen follow-up episode, Dr. Samuel Johnson returns to tackle the biggest endodontic dilemmas left unanswered from part one. If you haven’t checked that out yet, go back and listen—it’s packed with insights on working lengths, apex locators, and even the role of consent in endodontics.
https://youtu.be/1E6pK2iOPjY
Watch PDP217 on Youtube
Now, in part two, we go deeper. We’re talking blockages, ledges, portals of exit, and the mysterious phenomenon of file gripping. Plus, Dr. Johnson takes on your burning questions from the Protrusive community—like how he responds to biological dentists claiming root canals should be avoided entirely. (Yep, we’re addressing that controversy head-on!)
Protrusive Dental Pearl: For a more visual learning experience, dive into the Pre-Endo Build-Up on Protrusive Guidance and see Jaz and Samuel’s insights in action.
Sonic Pro Ultrasonic Bath - 15% OFF before 30th April with coupon code ‘protrusive’
Improve your Bond Strengths - purchase while stocks last: Sonic Pro Discount
Key Takeaway:
General dentists often overlook the importance of taper.
Removing too much dentin can weaken the tooth.
GP cones can be unstable and affect the procedure.
Reshaping GP cones can often resolve length issues.
Pre-bending GP cones can help navigate tight curves.
Biological dentists have controversial views on root canals.
It's essential to prioritize the patient's best interest.
Using endo frost can aid in manipulating GP cones.
Consent should be informed and comprehensive.
Communication between referring dentists and specialists is vital.
Continuous learning is essential for dental professionals.
Ultrasonic activation improves endodontic outcomes.
Pulpotomy and root canal treatments have distinct indications.
Building a supportive community can alleviate feelings of isolation in dentistry.
Dentists should charge for their time and expertise.
Need to Read it? Check out the Full Episode Transcript below!
Highlight of this Episode:
01:03 Protrusive Dental Pearl
01:49 Common Scenarios and Tips for Young Dentists
05:30 File Gripping and Canal Anatomy
08:30 Master Apical File: The Common Dilemma
11:18 GP Cone Issues and Solutions
17:03 Addressing Root Canal Myths
23:35 Cracks in Teeth: Prognosis and Treatment
25:44 Ninja Access Cavities: Pros and Cons
28:21 Common Mistakes in Emergency Endodontic Treatments
33:51 Obturation: Overextended vs Short
34:41 UltraSonic vs Sonic Irrigants
36:15 Pulpotomy and General Dentistry
39:25 Building a Dental Community
As promised, here are the ESE Guidelines on managing cracked teeth.
Watch and learn from Dr. Samuel Johnson on Instagram and YouTube!
Don't miss the first part of this series: PDP216 – Working Lengths and Troubleshooting Apex Locators
#PDPMainEpisodes #EndoRestorative #BreadandButterDentistry
This episode is eligible for 0.75 CE credit via the quiz on Protrusive Guidance.
This episode meets GDC Outcomes B and C.
AGD Subject Code: 070 ENDODONTICS (Emerging concepts, techniques, therapies and technology)
This episode aimed to provide deeper insights into troubleshooting endodontic challenges, particularly when files fail to reach working length. It explores common pitfalls, advanced techniques, and expert strategies to improve clinical outcomes in root canal treatments.
Dentists will be able to -
1. Recognize common endodontic challenges and strategies to navigate them effectively.
2. Evaluate the role of master apical files and resolve common dilemmas in achieving optimal shaping.
3. Identify frequent errors in urgent cases and improve treatment approaches. -
‘Mentorship is more important than courses’ - said lots of wise Dentists, and I think they’re right!
Do you have a mentor guiding you in your dental career?
How do you know if you're making the right clinical decisions?
https://youtu.be/5N0kj2YuFtA
Watch IC058 on Youtube
In this episode, Jaz is joined by Damian Panchal and Shivani Sadani to discuss the power of mentorship in dentistry. They explore why having a mentor can accelerate your growth, boost your confidence, and help you navigate complex cases with ease.
They also introduce Intaglio, a brand-new platform designed to connect dentists with experienced mentors—so you can get real-time guidance, solve cases faster, and elevate your practice like never before.
Listen in to learn why mentorship might be the best investment you make in your career.
Key Takeaways:
Mentorship is essential for professional growth in dentistry.
Post-course support is increasingly important for new dentists.
Real-world experience is crucial for applying theoretical knowledge.
Investing in mentorship can lead to long-term benefits in practice.
Effective mentorship can significantly improve clinical confidence and skills.
Mentorship is accessible and affordable for all levels.
The value of mentorship lies in its application of knowledge.
Mentors can help navigate career challenges beyond clinical skills.
Relatable mentors can provide the best guidance.
Learning from others' mistakes can save time and effort.
Need to Read it? Check out the Full Episode Transcript below!
Highlights of this episode:
00:00 Introduction
00:48 Introducing Intaglio: A New Mentorship Platform
01:45 Damian Panchala and Shivani Sedani - Personal Journeys
04:46 Mentorship Crisis in Dentistry
11:51 The Role of Social Media and Forums in Mentorship
17:41 The Value of Paid Mentorship
21:03 Exploring the Intaglio Platform
23:44 The Role of Mentors Beyond Clinical Help
31:05 Intaglio's Vision and Future Plans
This episode is not eligible for CPD/CE points, but never fear, there are hundreds of hours of CPD waiting for you on the Ultimate Education Plan, including Premium clinical workthroughs and Masterclasses.
Click below for full episode transcript:
Teaser: Are people willing to pay for mentorship? Okay. And actually, I think it was very validating because this is already happening in the implant space to a very big degree. Like, okay, I don't know the details there. Maybe you guys do.
[Jaz]But if you're someone who's learning to place implants, though, your first X number of implants, you're probably going to make a loss on because you're going to buy all the stuff, buy all the kit, give up your clinical time, but all the fee that your patients paying you, you're pretty much paying to your mentor. And so that's a huge investment in yourself, but the ROI is exponential.
[Damian]So there's only one way to learn these cases, which is you need someone holding your hand until that confidence builds. So yes, you may lose a little bit of money, lose a bit of time in the early days. But it's all going to come back in a full circle and that confidence and that money will return.
Jaz's Introduction:Protruserati, I'm going to say it how it is. Mentorship is the number one thing you need to excel and grow as a dentist. It's more important than courses. The courses are important because they give you the skills. They give you the knowledge. But you know when you get stuck? At the point of application.
That's when we bounce ideas off each other, even like basic stuff, like should I extract this tooth on this patient on that medication? And thankfully with the Protrusive Guidance app and having a community of practice and like minded individuals, we can help each other. But sometimes you just need in depth help, like someone to just hold your hand and talk you through exactly how to solve a problem or a case. -
What makes apex locators reliable—or completely misleading?
How do you determine the true working length of a root canal?
Why is relying solely on radiographs for endo success a risky move?
Dr. Samuel Johnson joins Jaz for a game-changing episode that will make you rethink everything you know about endodontics. In this first part of a two-part special, they dive into the nuances of apex locators, the difference between the radiographic apex and apical constriction, and why our radiographs might be lying to us.
They also explore the power of glide path files, how to improve your endodontics workflow, and an incredible way to consent patients—something that extends beyond just root canals. Because mastering endodontics isn’t just about technique—it’s about communication, precision, and making the right calls for long-term success.
Stay tuned for Part 2, where we go even deeper into endo essentials!
https://youtu.be/M2z8Dl_g4XY
Watch PDP216 on Youtube
Protrusive Dental Pearl: Buy a small whiteboard and marker for patient communication. Draw details, highlight the treatment plans, and list pros, cons, and fees. This builds trust, improves consent, and makes treatment clearer. Snap a photo and upload it to the patient’s records.
https://amzn.to/3DzUJfn
Key Takeaway:
Understanding the difference between radiographic and anatomical apex is crucial.
Apex locators are essential tools for accurate working length measurements.
The anatomy of the root canal system is complex and requires careful navigation.
A well-informed patient is more likely to have realistic expectations about treatment.
Glide path files can significantly reduce treatment time.
Avoid forcing files into hard stops to prevent damage.
Complicated anatomy can lead to unexpected challenges during treatment.
Taking radiographs can help clarify uncertain situations.
Need to Read it? Check out the Full Episode Transcript below!
Highlights of this Episode:
01:40 Protrusive Dental Pearl: Patient Communication
02:39 Welcoming Dr. Samuel Johnson
04:36 Samuel's Passion for Endodontics
07:07 Reliability of Radiographic Measurements vs. Apex Locators
11:15 Canal Anatomy
14:30 Overextension vs Overfilling
16:23 Combining Apex Locators and Radiographs
20:52 Apex Locators and Hypochlorite: The Perfect Combination?
24:00 Efficiency in NHS Dentistry
26:10 Transitioning from NHS to Private Practice
27:42 Understanding Radiographic vs Anatomical Apex
29:26 The Importance of Consent in Endodontics
33:07 Mastering Apex Locators: Tips and Tricks
37:07 The Role of Glide Path Files in Endodontics
39:19 Troubleshooting Endodontic Challenges
Watch and learn from Dr. Samuel Johnson on Instagram and YouTube!
If you loved this episode, be sure to watch Elective Endodontics? It’s all about Communication – PDP202
#PDPMainEpisodes #EndoRestorative #BreadandButterDentistry
This episode is eligible for 0.75 CE credit via the quiz on Protrusive Guidance.
This episode meets GDC Outcomes B and C.
AGD Subject Code: 070 ENDODONTICS (Emerging concepts, techniques, therapies and technology)
This episode aimed to enhance clinicians' understanding of endodontic diagnostics and workflow, focusing on apex locators, working length determination, and effective patient communication. By refining these skills, practitioners can improve treatment accuracy, efficiency, and patient outcomes.
Dentists will be able to -
1. Differentiate between the radiographic apex and the apical constriction and understand why radiographs alone can be misleading.
2. Evaluate the reliability of apex locators and recognize factors that affect their accuracy.
3. Apply the use of glide path files to improve efficiency and reduce treatment time in root canal procedures.
Want More Clinical Gems?
Join the Protrusive Guidance App to get access to masterclasses, premium videos, -
Are you confident in managing patients on bisphosphonates or biologics?
Which medications increase the risk of medication-related osteonecrosis of the jaw (MRONJ)?
How do you decide when to extract a tooth and when to refer to a specialist?
In this episode, Jaz is joined by oral surgery consultant Dr. Pippa Cullingham to explore the complexities of MRONJ. They break down the key risk factors, share expert advice on when to proceed with extractions, and discuss the latest guidelines for managing patients at risk.
They also discuss the importance of early assessment - by identifying at-risk teeth early, you can help prevent serious complications and ensure the best outcome for your patients.
https://youtu.be/KnQoI8Z-FhM
Watch PDP215 on Youtube
Protrusive Dental Pearl: it is so important to assess patients before they start taking high-risk medications like bisphosphonates or biologics, using radiographs to identify potential issues. Extractions should ideally be done before medication starts to avoid complications, as MRONJ risk increases once treatment begins.
Key Takeaways:
Medication-related osteonecrosis of the jaw concerns medications other than bisphosphonates.
Risk assessment is crucial when considering dental extractions for patients on certain medications.
Guidelines from the Scottish Dental Clinical Effectiveness Partnership are valuable resources for dentists.
Higher-risk patients require careful management and communication with their medical teams.
Denosumab has a different risk profile compared to bisphosphonates.
Patients on long-term bisphosphonates may still have risks even after stopping the medication.
Dentists should feel empowered to manage certain extractions in primary care with proper guidance.
The decision to extract a tooth should weigh the risks and benefits for the patient.
Always assess the patient's risk before extraction.
Eight weeks is a critical time for assessing healing.
Antibiotics are not recommended for preventing MRONJ in the UK.
Radiotherapy history significantly impacts extraction risk.
Referral to specialists may be necessary for high-risk patients.
Need to Read it? Check out the Full Episode Transcript below!
Highlights of this episode:
02:15 Protrusive Dental Pearl
03:52 Interview with Dr. Pippa Cullingham: Insights and Experiences
06:40 Medications and Their Risks
10:02 MRONJ: Incidence and Prevalence
13:13 Biologics and other medications
14:19 Guidelines and Best Practices
17:22 Managing High-Risk Patients
25:03 Prophylactic Antibiotics
26:55 Risk Assessment
28:47 Radiotherapy & ORN Risk
31:49 Tips and Key Takeaways
33:32 New Medications & Prevention Strategies
For the best approach to managing MRONJ, check the SDCEP Guidelines and the American White Paper.
This episode is eligible for 0.5 CE credits via the quiz on Protrusive Guidance.
This episode meets GDC Outcomes B and C.
AGD Subject Code: 730 ORAL MEDICINE, ORAL DIAGNOSIS, ORAL PATHOLOGY (Diagnosis, management and treatment of oral pathologies)
Dentists will be able to -
1. Be aware of the medications that increase the risk of MRONJ.
2. Learn how to assess the risk of MRONJ in patients, particularly before starting high-risk medications.
3. Understand when to proceed with extractions and when to refer patients to specialists for management.
If you liked this episode, check out PDP206 - White Patches
Click below for full episode transcript:
Teaser: Patients prescribed a bisphosphonate for cancer were at about a 1% risk of developing an MRONJ following a dental extraction. There's been an update. So it's closer to 5%, we think, but we're not sure if that's because there's increased follow up, increased awareness, more reporting of the condition. So closer to 5 percent on the cancer patients for an osteoporosis. It's bisphosphonate medication, it's around 0. 1, 0. 2, -
Not quite happy or set with being a GDP? Have you just started as a GDP and want to streamline your learnings for a brighter future? Is an MSc the right plan of action for you? How important are mentors in all of this?
In this episode we discuss Dr Kiran Shakla’s journey from University to Australia to working as a Dentist at a Specialist Practice. She shares with us her top tips on how Dentists can make the most of their weekly schedules and reduce stress while dealing with different cases.
https://youtu.be/IiecXSpsJmc
Watch IC057 on Youtube
Key Takeaways:
Hard work and determination are key to success in dentistry.
Work-life balance is crucial for long-term satisfaction in dentistry.
The first ten years post-graduation are vital for career development.
General dentistry can be fulfilling without the need for specialization.
It's important to recognize when to refer patients to specialists.
Kiran emphasizes the value of personal growth and continuous learning..
Finding joy in everyday practice is essential for a sustainable career. Australia taught me valuable skills in private practice.
Private dentistry focuses more on patient care than money.
Communication is crucial for patient satisfaction.
Finding mentorship can be challenging but essential.
Shadowing experienced professionals enhances learning.
Balancing work and education requires sacrifices.
Need to Read it? Check out the Full Episode Transcript below!
Highlight of this episode:
02:34 Introduction to Dr Kiran Shankla
06:18 Correlation between Uni and the Real World
07:29 Selling a Dream
10:13 Going Hard Early
12:43 Taking Work Home
14:55 General Dentistry
20:48 Kiran’s Journey
24:23 What did the experience teach Kiran?
31:33 Mentoring
34:38 Work Schedule
37:38 Bone to pick with Master's
43:33 Orthodontic Position
48:53 Working with Nurses
54:33 Networking
56:33 Wrapping Up
Connect with Dr. Kiran on Instagram!
This is a non-clinical episode without CPD. For CPD or CE credits, visit the Protrusive Guidance app—hundreds of hours and mini-courses await!
If you liked this episode, check out: Stress in Dentistry 2024 – Life Changing Decisions – IC048
Click below for full episode transcript:
Teaser: They don't have the clinical skill, but they've seen so many people do it, they know what works and what doesn't. And if you get on with them and if they can teach you something, it's like going on a course and someone, I could have paid to go on a course for someone to teach me how to do that. Well, why would I, when my nurse has seen it done a hundred times and she's like, Kiran, this is how it's done. Come on, I'll help you.
Teaser:If anyone stops saying, I don't know which course to do. This is another course you can create. And you know, often, it's a secret. It can be free. Often it can be free because there's so many lovely people out there that are willing to say, you know what, if you want to shadow me 12 times in a year on this, like, once a month, I'm happy.
You don't have to pay me anything yet. Some people will charge and that's okay. That's worth it too. But if it's free, wow. And if even if it's charged, it's still worth it because to be able to shadow you learn so much.
Jaz's Introduction:Being a general dentist is the toughest gig in dentistry. You have to literally be good and know everything. In this episode I'm joined by Dr Kiran Shakla, a general dentist just like me, and we talk about her journey. I feel there's so much we can learn when we dissect an individual's journey. And Kiran's mindset is really quite special. It's really going to inspire anyone who's in the early stages of their career.
Or even if you're established in your career but you're not quite happy, you're not quite settled, you have that itchy foot like Kiran had, then this episode will be really helpful to you. You see, Kiran takes massive action. -
How do we decide whether speciality training is right for us?
Is the best time to specialise straight after Dental School? Or should we gain some experience in practice first?
Dr Beant Thandi joins us today to share his journey into specialising and shares some key experiences that will surely help guide you along the way.
We discuss the different specialities within Dentistry as well as what personality types may suit them. This episode will really help you understand what it takes to specialise and how to get there.
https://youtu.be/f8ZM8EkjSQY
Watch IC056 on Youtube
Key Takeaways:- Beant is starting his specialization in periodontics.- His journey began during COVID, leading to a desire to specialize.- Proactive learning and mentorship played a crucial role in hisdevelopment.- Financial planning is essential when considering specialization.- Choosing a specialty should align with personal interests and strengths.- Periodontics offers a breadth of practice that appeals to Beant.- The importance of community support in dental education cannot be overstated.- Reflection and documentation of cases can enhance learning and confidence.- Understanding the financial implications of specialization is vital.- It's important to stay grounded and not rush into specialization.
Need to Read it? Check out the Full Episode Transcript below!
Highlights of this Episode:00:00 Teaser02:38 Intro to Dr Beant Thandi04:03 Dental Journey06:10 What Influenced You?12:56 Too Young to Specialise17:50 Judgement by Jaz21:00 Never too Young26:05 Cost of Specialising28:23 Why not the USA?31:30 Roasting Prostho34:45 Roasting Endo37:42 Roasting Ortho39:49 Roasting Oral Surgery45:00 Shoutout to Lucy45:30 Final Thoughts47:28 End Outro
If you liked this episode, check out a classic: Should You Specialise? PDP006
This episode is not eligible for CPD/CE points, but never fear, there are hundreds of hours of CPD waiting for you on the Ultimate Education Plan, including Premium clinical workthroughs and Masterclasses.
Click below for full episode transcript:
Teaser: But one thing I learned from a nurse when I was doing a DCT job was people all progress at different rates. It should be competency based, not necessarily time based things. People learn at different rates. And this was a max fax nurse who's obviously seen regists for decades, where I'm sure like, the junior regists are better than the senior regists. Just because they soak it up more.
[Jaz]The whole pros element, right? Multiple crowns, four rehabs, lots of general dentist do four rehabs, lots of general dentists do all on fours, that kind of stuff. So, nowadays it's like blurred lines between, okay, what do they actually need a Prosth for? However, prosth, I think they're very employable. However, lots of people who do an MClinDent Prosth end up being general dentist. We're just like really good general dentists in practice and still doing checkups and stuff. I have seen that.
[Beant]The fees are 37 and a half thousand pounds a year and they're subjects-
[Jaz]For a home student.
[Beant]This is for a home student. I'm a home student.
[Jaz]What? How much is it for an international student?
[Beant]60, 000 pounds. Jaz's Introduction:I think every dentist in the world at one stage of their career has thought about specializing. And most of us never do, right? About 90% in UK anyway are general dentists or at least non specialists. Only 7% actually enter specialist fields of dentistry like perio, prostho, endo, oral surgery, you name it.
How do we decide whether specialty training is for you? There are huge sacrifices one must make both in terms of time and finances. And how can you be sure that you really want to niche and narrow your scope of practice into that one field that you might choose? Is the best time to specialize like straight after dental school? Or is it good to gain a few years experience or many years of experience before you ... -
Two weeks ago I suffered a spontaneous pneumothorax and it shook me. This episode came at the PERFECT time as such health scares remind us that our health and wellbeing are the highest form of Wealth.
Should Dentists have a therapist to manage stress and anxiety?
Did you know that a BDA survey found 1 in 5 practitioners have seriously considered taking their own lives?
Is it the intense work environment, the pressure from patients, the fear of litigation, or the added burden of business ownership?
More importantly, how can we address this issue and support dental professionals?
Dr. Simon Chard, a cosmetic and implant dentist and co-founder/CEO of Parla (as seen on Dragon's Den!), joins Jaz to discuss the often-overlooked realities of the dental profession.
https://youtu.be/rH7PtjFTOpk
Watch IC055 on Youtube
Here are the two books Jaz recommended during the intro:
The 5 Types of Wealth by Sahil Bloom
Hold on to your Kids by Gabor Mate
Check out The Dental Growth Retreat by Dr Simon Chard
Need to Read it? Check out the Full Episode Transcript below!
Key Takeaways:
Simon emphasizes the importance of balancing personal and professional life.
Mental health issues in dentistry are alarmingly high, with many professionals considering leaving the field.
Therapy can be beneficial for everyone, including dentists, to manage stress and emotional challenges.
Building mental resilience is crucial for handling the pressures of dental practice.
Sleep quality and routine significantly impact overall health and productivity.
Mindfulness and meditation can reduce stress and improve mental health.
A structured approach to self-care can enhance resilience in the dental profession.
Exercise is a key component of maintaining mental and physical health.
Creating a supportive community among dental professionals is essential for mental well-being.
Proactive self-care strategies can prevent burnout and improve job satisfaction. You can't mess up meditation; awareness is key.
Diet significantly impacts mental health and well-being.
Interpersonal relationships are crucial for mental resilience.
Exercise is a powerful tool for physical and mental health.
Purposeful living leads to greater fulfillment.
Hydration and nutrition are foundational to health.
Loneliness can have severe health implications.
Creating time for relationships is essential.
A value-based calendar helps prioritize what matters.
Retreats can provide tools for personal growth and accountability.
This episode is not eligible for CPD/CE points, but never fear, there are hundreds of hours of CPD waiting for you on the Ultimate Education Plan, including Premium clinical workthroughs and Masterclasses.
Highlights of this Episode:00:00 Intro04:25 Introduction to Dr Simon Chard10:10 Why is Dentistry so Stressful?14:00 Therapy for Dentists19:20 Strategies for Mental Resilience25:20 Mindfulness31:57 Intake40:32 Love45:12 Value Based Calendar48:32 Exercise51:57 Managing Everything54:34 The Retreat
If you enjoyed this episode, check out: Mental Health in Dentistry - PDP185
Click below for full episode transcript:
Jaz: The BDA, which is the British Dental Association, it had like something like it was 18% or nearly 1 in 5, right, had thoughts about and we'll just say it taking their own life, right? And I'm sorry to everyone to go in this direction, but it's important that we address it head on.
Teaser:Incredible the number of individuals who are vitamin D deficient in this country. So I vitamin D test all of my surgical patients. We have a finger prick, point of care blood tests that we do ahead of the surgical appointment. I would probably say in my patient cohort, 75% are vitamin D deficient. The digital connection that we have with people is like a junk connection, like junk food and the real interpresonal relationship that we have with people is like whole food and whole c... -
What is the best technique for fabricating temporary veneers?
How do you ensure they are retentive but not TOO retentive?
What’s the best way to shape, polish, and remove them efficiently?
In this episode, I’m joined by Aodhan Docherty—an absolute sensation in Sydney when it comes to veneers. He’s mastered the art, and today, he’s on a mission to share everything you need to know to get crisp, stable, and well-shaped temporary veneers every single time.
We break down different protocols, troubleshoot common issues, and, most importantly, make sure your temporaries stay put until it’s time for the final fit.
https://youtu.be/BI_xMlSXgvc
Watch PDP214 on Youtube
Protrusive Dental Pearl: Aodhan recommended a chlorhexidine-based mouthwash to reduce inflammation but advises using an ADS (Anti-Discoloration System) mouthwash to avoid staining. The ADS system helps maintain healthy tissue response, preventing bleeding and inflammation on the day of veneer placement while eliminating the discoloration commonly associated with standard chlorhexidine products.
Key Takeaways:
Temporary veneers serve as a blueprint for final restorations.
Facially driven smile design enhances patient satisfaction.
Patient adaptation is key to successful cosmetic procedures.
Oral hygiene is vital for maintaining temporary veneers.
Effective communication with the dental team improves outcomes.
Understanding patient biotype is essential for treatment planning.
Stress management is a critical skill for dental professionals. Patient-centric approaches are essential in modern dentistry.
The shrink wrap technique offers better control and aesthetics for temporaries.
Effective communication with patients enhances their experience and satisfaction.
Hands-on training is crucial for developing practical skills in dentistry.
The importance of assessing temporaries before finalizing restorations cannot be overstated.
Need to Read it? Check out the Full Episode Transcript below!
Highlights of this episode:
01:17 Protrusive Dental Pearl
04:42 Welcoming Dr. Aodhan Docherty
06:30 Challenges and Rewards of Managing Practice
10:00 Facially Driven Smile Design
14:53 Temporary Veneers: Practical Tips and Techniques
20:51 Non-Staining Mouthwash
22:27 Temporaries: Pros and Cons
26:49 Proximal Papilla Care
31:14 The Trial Smile Approach
35:14 The Shrink Wrap Technique
39:41 Detailed Steps for Shrink Wrap Technique
40:56 Spot Etching & Bonding for Retention
43:08 Removing Temporaries Atraumatically
51:22 Porcelain Veneers Workshop: Course Overview
56:12 Learning from Failures
This episode is eligible for 1 CE credit via the quiz on Protrusive Guidance.
This episode meets GDC Outcomes B and C.
AGD Subject Code: 780 ESTHETICS/COSMETIC DENTISTRY (Tooth colored restorations)
Aim:
Aimed to provide dental professionals with a comprehensive understanding of temporary veneers, covering techniques to improve their fit, durability, and aesthetics.
Dentists will be able to -
Implement predictable protocols for creating stable and well-shaped temporary veneers.
2. Apply the shrink wrap technique for improved aesthetics and retention.
3. Assess and adapt temporaries effectively before finalizing restorations.
Ready to take your veneer skills to the next level and create stunning, long-lasting smiles? Join the Exceptional Porcelain Veneers Workshop with Dr. Aodhan Docherty and Dr. Kamran Ashraf!
📍 2025 Course Schedule:🦷 Sydney: March 8–9🦷 Melbourne: May 3–4🦷 Perth: July 26–27🦷 Auckland: April 5–6🦷 London: May 24–25
🚀 Upcoming Course:🔹 Bulletproof Dentistry – The Foundations of Occlusion & Restorative Dentistry (April 25–26, Surrey, UK)This two-day hands-on course is the ultimate foundation before tackling full-mouth rehabs and tooth wear cases. Join Jaz and Mahmoud to strengthen your force management, longevity strategies, -
A Clinician’s guide to TMD Management
Walkthrough of the latest TMD Guidelines with the authors!
What’s the right approach when a patient presents with both acute and chronic painful jaw symptoms?
How can the latest RCS guidelines simplify your diagnosis and treatment process?
In this episode, Professor Justin Durham and Mrs. Emma Beecroft join Jaz to unpack the latest Royal College of Surgeons TMD guidelines designed specifically to help GDPs navigate these tricky cases. Together, they explore practical strategies for managing TMD, breaking down the step-by-step flowchart that makes handling these cases less intimidating.
From understanding the key principles to applying them in everyday practice, this episode will help you feel more confident in delivering better patient care for TMD.
https://youtu.be/R0NaBJr5g5E
Watch PDP213 on Youtube
Protrusive Dental Pearl: Important takeaway: Download the New TMD Guidelines
The folder includes:
A patient version of the guidelines
A dentist version of the guidelines
The full guidelines document
Video of delivering an equilibrated soft bite guard using heat technique
Key Takeaways:
The guidelines for TMD are designed to simplify diagnosis and treatment.
Self-management is crucial for TMD patients and can lead to better outcomes.
Understanding the difference between muscle and joint pain is essential in TMD management.
Early intervention in TMD can lead to significant improvements for patients.
The importance of patient-centered care in managing TMD effectively.
TMD is a common issue that requires a collaborative approach among dental professionals.
The role of pain management in TMD is about improving quality of life, not just curing the condition.
Continuous education and training are vital for dental professionals dealing with TMD. Understanding the pathogenesis of TMD is crucial for effective treatment.
Stabilization splints can provide relief but should be used judiciously.
Effective communication can significantly impact patient pain experiences.
Tailoring treatment to individual patient needs is vital.
Need to Read it? Check out the Full Episode Transcript below!
Highlights for this episode:
00:48 Protrusive Dental Pearl
05:20 Introducing the Guests: Prof. Justin Durham and Mrs. Emma Beecroft
13:05 Stigma and Complexity of TMD in Dentistry
17:01 Challenges of Navigating TMD Treatment Perspectives
22:07 Diagnosing TMD: Tools and Techniques
27:09 Simplified Approach to TMD Examination
30:54 Muscle Palpation Pressure
32:20 Acute Limited Opening: Muscle vs. Joint Origin
40:20 Diazepam for Acute Myogenous TMD
54:58 Debating Soft vs. Stabilization Splints
57:17 Patient-Centered TMD Management
01:09:28 Conclusion and Resources
This episode is eligible for 1 CE credit via the quiz on Protrusive Guidance.
This episode meets GDC Outcomes B and C.
AGD Subject Code: 200 OROFACIAL PAIN (Diagnosis and treatment)
Dentists will be able to -
Explore the varied approaches to TMD care and how to align them with evidence-based practices.
Emphasize the importance of self-management strategies and their role in improving patient outcomes.
Advocate for a patient-centered approach, focusing on listening, communication, and individualized care plans.
If you loved this episode, be sure to check out this episode: TMD Full Exam with ‘The TMJ Doc’ Dr Priya Mistry – PDP064
Click below for full episode transcript:
Teaser: A standard extroral exam involves, the examination of temporalis and masseter, which are the only two muscles that international recommendations would suggest.
Teaser:So you don't need to bother with that lateral pterygoid because you've got to be, have a bit of a strange finger to reach it, firstly up and around the back of the tuberosity and not evoke kind of vomit on your shoes.
And a medial pterygoid similarly, -
In this episode, Jaz dives into the complexities of Temporomandibular Disorders (TMD) management with Dr. Suzie Bergman, a US-based dentist and TMD sufferer. They discuss why treatments for TMD vary so much and examine the current state of evidence-based approaches.
https://youtu.be/r3QpkMYeTWk
Watch PDP212 on Youtube
Dr. Bergman shares her personal journey, highlighting conservative treatments, the role of occlusal appliances, and the power of multidisciplinary care. But just when you think you’ve got it all figured out—Dr. Bergman reveals a game-changing insight that could completely shift your approach to TMD management. Ready to find out what it is?
Need to Read it? Check out the Full Episode Transcript below!
Highlights of this episode:
02:40 Protrusive Dental Pearl
04:32 Meet Dr. Susie Bergman: A Personal Journey with TMD
7:27 The Wild West of TMD Treatments
10:32 Challenges in TMD Research and Treatment
13:34 Suzie’s TMD Journey: From Trauma to Advocacy
21:42 Evidence-based Therapies and Occlusal Appliances
27:11 Orthodontics and TMD: A Complex Relationship
33:40 The Role of Occlusal Appliances
35:05 Debating Disc Displacement
39:17 Comprehensive TMD Diagnosis
44:09 Orthopedic Stability in Dentistry
51:04 Splints and TMD
53:52 Managing Bruxism Effectively
58:16 Suzie’s TMD Course and Final Thoughts
Listen to Dr. Suzie Bergman’s "Why is healthcare disjointed?" | TEDxStrathcona Women
Check out Dr. Suzie’s Course “21st Century TMD Protocols"
Looking for an Online course to allow General Dentists to treat 80% of TMD cases and 100% of Bruxists? Check out SplintCourse Online by Jaz Gulati
This episode is eligible for 1 CE credit via the quiz on Protrusive Guidance.
This episode meets GDC Outcomes B and C.
AGD Subject code: 200 Orofacial Pain (Diagnosis and treatment)
Dentists will be able to:
1. Recognize the multifaceted nature of Temporomandibular Disorders (TMD) and the various factors influencing treatment variability.
2. Evaluate current evidence-based treatments for TMD and their effectiveness, including conservative methods and occlusal appliances.
3. Discuss the importance of a collaborative approach in TMD management, integrating different specialties for optimal patient outcomes.
If you loved this episode, be sure to check out Deep in to TMD – An Orthopaedic Perspective – PDP172
Click below for full episode transcript:
Teaser: I tell them T. A. T. U., which stands for Teeth Apart, Tongue Up, so during the day as much as possible, try to keep your teeth away from each other so that you're not clenching. I tell them, we want you to do the three S's, which are-
Teaser:I always tell people it's unrealistic with chronic pain patients to think that there will be a day that you go to zero in pain. I don't know what it's like to not be in pain. Some days might be a little bit better, but there's never a time that I'm not in pain. And part of that is because- When we have pain for so long, it can become a central nervous system issue. So when we have that central sensitization, our brain interprets non painful stimuli as painful.
We have patients who have discs that are either anteriorly and medially displaced, which is most common. It's very uncommon for there to be a posterior displacement of the disc. We have to think about how that patient's body has responded to the changes if the disc has been displayed. Some people will adapt beautifully and some people will not. And so, it's really about the individual patient.
Jaz's Introduction:The management of Temporomandibular Disorders is like the Wild West. I know for a fact that for the same issue you can go to one dentist who will suggest orthodontics, you can go to a surgeon who may suggest some form of surgery, even if it's like an arthrocentesis, you can go to another person they might suggest some botox to calm those muscles, -
How far should you extend composite resin?
When does edge bonding become a composite veneer?
How do you decide where to finish the restoration?
And most importantly, how do you avoid that dreaded yellow-brown stain line that can form on anterior resins?
These are just some of the burning questions tackled in this episode with my guest, Dr. Mahmoud Ibrahim. We dive deep into the artistry and engineering of decision-making in anterior composites.
https://youtu.be/_q2O57-Y-d4
Watch PDP211 on Youtube
Protrusive Dental Pearl: use a zirconia primer which contains 10-MDP (e.g. Monobond, Z-Prime Plus) on the intaglio of crowns to enhance bond strength, even with conventional cements like GIC. This low-risk, high-reward tip improves retention, especially for teeth with limited height. Incorporating a zirconia primer can significantly improve outcomes without switching to resin cement.
Interested in the Unchippable 2 Day Course? Click here to register your interest!
Key Takeaways:
Choosing between edge bonding or veneers is not a black-and-white decision.
The height of contour is key in cosmetic dentistry.
Seamless transitions between composite and tooth are pivotal.
Aesthetic considerations vary based on individual cases.
Material choice is influenced by patient risk factors.
Layering techniques enhance the natural appearance of teeth.
Patient previews are essential for managing expectations.
Thickness of composite affects durability and aesthetics.
Understanding angles is key to successful restorations.
Not all patients require the same approach to bonding.
Need to Read it? Check out the Full Episode Transcript below!
Highlights of this Episode:
02:43 Protrusive Dental Pearl
04:49 Personal Anecdotes and Health Goals
09:37 Anterior Composites: Edge Bonding vs Veneering
16:00 Importance of Finishing Composite Correctly
17:09 Understanding the Height of Contour
18:36 Importance of Layering in Dental Procedures
21:35 Choosing the Right Materials for Layering
23:56 Importance of Layering in Dental Procedures
27:14 Challenges and Solutions in Composite Layering
32:31 The Marshall Hanson Method
36:29 Mockups and Wax-Ups: Planning for Success
43:03 Treatment Considerations
This episode is eligible for 0.75 CE credits via the quiz on Protrusive Guidance.
This episode meets GDC Outcome C - Maintenance and development of your knowledge and skills within your field(s) of practice.
AGD Subject Code: 250 OPERATIVE (RESTORATIVE)DENTISTRY (Direct restorations)
Aim: To enhance clinicians' understanding and decision-making in anterior composite restorations, focusing on when edge bonding transitions to a veneer, optimizing aesthetics and functionality, and minimizing common challenges such as staining and occlusal complications.
Dentists will be able to -
Understand the key factors that influence the transition between edge bonding to full veneers.
Apply guidelines for minimum composite thickness and bonding angles to enhance durability and aesthetic outcomes.
Identify high-risk patients and tailor material choices, layering techniques, and bonding approaches to individual needs.
If you loved this episode, make sure to watch Composite Veneers vs Edge Bonding – Biomimetic Dentistry with George The Dentist – PDP075
Click below for full episode transcript:
Jaz's Introduction: How far should you extend your composite resin up a tooth, i. e. like when is it just edge bonding and when is it a composite veneer? Is it somewhere in between? How do you decide where to finish that resin up a tooth? And then how do you avoid that horrible stain line that can sometimes form on your resins anteriorly?
Jaz's Introduction:So that horrible yellow brown line that you see around a composite. And when should you layer like different tints and shades? And when should you stick to monoshade? Just one shade. -
What influences your decision when choosing ceramics?
What are the main ceramics nowadays—and do porcelain-fused-to-metal still have a place in dentistry?
Are the protocols different for various types of ceramics and crown materials?
How important is rubber dam isolation, and is a split dam good enough?
In this Back to Basics Protrusive episode, Jaz teams up again with Emma Hutchison, ‘the Protrusive Student’, to break down these critical questions and simplify the world of ceramics. From decision-making frameworks to practical rubber dam tips, this episode is packed with insights to elevate your practice.
Whether you're a student navigating the foundations or a seasoned clinician revisiting the essentials, this discussion offers a fresh, evidence-based perspective on mastering ceramics in dentistry.
https://youtu.be/z4a8Hv6peVU
Watch PS013 on Youtube
Key Takeaways:
Understanding the role of metal ceramic crowns is crucial in modern dentistry.
Monolithic ceramics are preferred for posterior restorations due to their strength.
Layered ceramics can enhance aesthetics but may compromise strength.
Proper crown preparation is essential for successful restorations.
Communication with lab technicians is vital for successful bonding.
The choice of ceramic material largely depends on the amount of enamel available.
Following manufacturer protocols is key to achieving optimal results.
Bruxism patients require careful consideration in material selection.
Rubber dam isolation is crucial for predictable bonding.
Digital scanning requires more aggressive tissue management.
Impressions are still valuable, but digital methods are advancing.
Need to Read it? Check out the Full Episode Transcript below!
Highlights for this episode:
03:52 Emma's Exam Experience
07:28 Feedback on Previous Episode
08:00 Discussion on Ceramics in Dentistry
10:51 Practical Applications and Material Choices
19:45 Monolithic vs. Layered Ceramics
24:18 Exploring Milled Cobalt Chromes and Gold Crowns
26:14 Challenges in Fitting Restorations and Bonding Techniques
30:03 Rubber Dam Techniques and Benefits
37:01 Intraoral Scanners vs. Traditional Impressions
40:14 Effective Communication with Lab Technicians
44:25 Conclusion and Future Plans
This episode is eligible for 0.75 CE credit via the quiz on Protrusive Guidance.
This episode meets GDC Outcomes B and C.
AGD Subject Code: 010 BASIC SCIENCE (Dental materials)
Dentists will be able to -
Identify the suitability of ceramics based on their strength, aesthetics, and application.
Highlight the importance of proper crown preparation and manufacturer protocols for optimal results.
Emphasize the importance of rubber dam isolation and compare the benefits and challenges of analog impressions versus digital scanning.
If you love this episode, make sure to watch Composite vs Ceramic with Dr Chris Orr – PDP030 and make sure to read the Protrusive Notes!
Click below for full episode transcript:
Teaser: I do not place lithium disilicate and I cement it. So for me, the way my mind works is if I'm cementing and not bonding, if I'm cementing just using a GIC based cement, so I'm not relying on enamel for adhesion, why would I use lithium disilicate? Using lithium disilicate posteriorly and bonding it, excellent strength, good, it's going to be fine, as long as you give it enough thickness, 1.5-2mm, you're golden, okay.
Teaser:If you don't respect the thickness, or if you use cement and you don't bond it, you're going to really compromise on the strength, you're not going to get the high strength. So therefore, the same material, lithium disilicate, cemented is a completely different ceramic to the same ceramic lithium disilicate, bonded.
You need to know your material and the correct protocol for your material. You're not supposed to air abrade lithium disilicate. -
What’s the best way to reduce post-op pain after extractions? And why should we never use the term “painkiller” with patients? What to do when you hear the dreaded *crack* of a tuberosity?
In this episode we talk about all things post-operative extraction complications! And I’m joined by one of the nicest guys in dentistry - Dr. Nekky Jamal
Complications are something we ALL experience, so this episode is great for any dentist. Whether you're brushing up on dry socket prevention, mastering post-op communication, or just curious about advanced healing hacks, tune in for real-world advice to make extractions smoother - for both you and your patients
https://youtu.be/BvB3hDESYDY
Watch PDP210 on Youtube
Protrusive Dental Pearl: The "Niche Kebab" concept encourages dentists to narrow their focus by reducing the variety of procedures they perform and prioritizing those they genuinely enjoy. By evaluating every new skill or treatment added and strategically dropping less-loved procedures, dentists can avoid overextension and the "jack of all trades, master of none" pitfall.
Learn how to Extract Impacted 3rd Molars, don't miss out on Third Molars Online and use the coupon code ‘protrusive’ to get 15% off!
Key Takeaways
Pain management is about setting realistic expectations.
Dexamethasone can be beneficial but must be used cautiously.
Dry socket is often overhyped; proper care can prevent it.
Effective communication can alleviate patient anxiety and prevent misunderstandings and complaints.
Preoperative care can help manage pain expectations.
Understanding the signs of infection is essential for diagnosis.
Chlorhexidine rinses can significantly reduce dry socket risk.
Patients appreciate being informed about their unique dental situations. PRF can significantly reduce the incidence of dry socket.
Dentists should embrace new techniques like PRF to enhance patient care.
Patient involvement in post-surgical care is crucial for healing.
Dentists should not hesitate to refer complex cases to specialists.
Need to Read it? Check out the Full Episode Transcript below!
Highlights of this episode:
02:54 Protrusive Dental Pearl
04:05 Dr. Nekky Jamal
08:39 Managing Post-Extraction Pain and Swelling
21:37 Infection
25:02 Identifying Dry Socket and How to Prevent it
28:30 Case Selection and Communication
37:13 Mitigating Dry Socket with Platelet-Rich Fibrin (PRF)
39:47 The Importance of Nicheing in Dentistry
43:19 Cryotherapy and Post-Surgery Care
47:32 Handling Tuberosity Fractures
55:08 Patient Consent
57:55 Litigation and Patient Communication
This episode is eligible for 1 CE credit via the quiz on Protrusive Guidance.
This episode meets GDC Outcomes A, C and D.
AGD Subject Code: 310 ORAL AND MAXILLOFACIALSURGERY (Exodontia)
Dentists will be able to:
Identify and differentiate common postoperative complications, and recognise the key symptoms associated
Evaluate the ethical and clinical considerations of case selection for extractions
Communicate effectively with patients regarding potential complications
If you loved this episode, be sure to check out another epic episode with Dr. Nekky Jamal - Wisdom Teeth Extractions – SURGICAL TOP TIPS
Click below for full episode transcript:
Teaser: Overexplain and then have them on your page, have them take ownership for their anatomy before you even start. You know what I mean? Dentistry is about talking to patients and Jaz, you've seen how I talk to my patients. I keep everything light, but after I joke around, I say, okay, but seriously, do you understand that this is a risk like this could actually happen and in this case scenario I don't want that to happen for you.
Teaser:I'll do everything I can for you. But there's things that are out of our control. Do you understand? And patients have to take ownership of it? Otherwise, I'm not doing work. -
In this special recap, we’ll explore 12 key lessons from 2024 —insights that have shaped our practice, validated our protocols, and sometimes, inspired small but meaningful changes.
Happy New Year from Team Protrusive! As we kick off 2025, we want to express heartfelt gratitude for your incredible support throughout 2024.
What were the standout moments that shaped your learning this year?
Which episodes gave you that “aha” moment?
Whether you’re a seasoned listener or just jumping in, this recap will help solidify the lessons that you can apply to your practice every day.
https://youtu.be/OxfRmNhQ7Wk
Watch PDP209 on Youtube
Protrusive Dental Pearls:
Take time to reflect on your goals for 2025 and consider what sacrifices you're prepared to make to achieve them. Emphasizing the importance of writing down both your objectives and the trade-offs they require, align your time and priorities with your personal and professional aspirations.
“You overestimate what you can achieve in a year and underestimate what you can accomplish in ten years.” Productivity is about knowing how badly you want something and what you're willing to sacrifice to achieve it.
Take a deep dive into this literature: Clinical considerations for increasing occlusal vertical dimension: a review
Australian Dental Journal - 2012 - Abduo - Clinical considerations for increasing occlusal vertical dimension a reviewDownload
Need to Read it? Check out the Full Episode Transcript below!
Highlights of this episode:
01:08 Protrusive Dental Pearl
06:25 Value Your Skills
11:54 Importance of Photography and App Launch
14:42 Audio Notes in Dentistry
16:41 Rubber Dam Mastery
18:07 Composite Techniques and Innovations
21:07 Onlays vs Full Crowns
25:54 Best Bonding Agents
28:55 Digital Dentures Revolution
31:24 Mastering Vertical Dimension
32:29 Perfecting Posterior Composites
34:58 Creating Awesome Dentures
36:27 Extraction Techniques and Avocado Analogy
37:47 Looking Forward to 2025
Here are some episodes and webinars mentioned in this episode that are definitely worth checking out:
Value Your Skills – How to Stop Underselling Yourself – AJ006
Your Occlusion Questions Answered by Dr Michael Melkers – PDP015
Cracked Teeth and Dentistry’s Tough Questions with Dr Lane Ochi – PDP175
NEVER Write Notes Again! How I Use AI for Awesome and Efficient Dental Records – PDP181
Canine Guidance vs Group Function – Does it Matter?! – PDP182
Class II Composites WITHOUT a Wedge + Contact Opening Technique – PDP188
Onlays Vs Full Crowns – Decision Making 2024 – PDP189
Quick and Slick Rubber Dam
Vertipreps for Plonkers
Premium Clinical Videos
My Productivity Secrets Revealed Webinar REPLAY
Deep and Dark Class III Restorations
Which Generation Bonding Agent is the Best? 2024 Adhesive Systems – PDP192
Digital Dentures for Every Dentist – The Death of Impressions? – PDP195
[OCCLUSION MONTH] Vertical Dimension – Don’t Be Scared! – PDP197
How to Place Posterior Composites without Destroying Your Anatomy – PDP200
Making Awesome Dentures – Border Moulding and Beyond – PDP205
Exodontia for Beginners – Extractions via Avocados! – PS012
Take your practice to the next level with DigitalTCO, Dental Audio Notes, and the Greater Curve.
This episode is not eligible for CPD/CE points, but never fear, there are hundreds of hours of CPD waiting for you on the Ultimate Education Plan, including Premium clinical workthroughs and Masterclasses.
Click below for full episode transcript:
Jaz's Introduction: Happy New Year, Protruserati. 2025, from all of us here at Team Protrusive, honestly, thank you so much for an awesome 2024 and looking forward to so much in 2025. In this episode, we're going to look back at all the gems from 2024 and looking forward to 2025. So I'll give you at least 12 takeaways, 12 key lessons from the episodes of 2024. -
Are you focusing enough on pink aesthetics in smile design?
What role does gingiva play in achieving a truly stunning smile?
When should you refer for recession around lower incisors or upper canines?
Can you get the gum to grow back through orthodontics? And how about class 5 restorations? Should we do them, or should we work on the gingival recession first?
In this episode, Jaz is joined by the expert Dr. Tidu Mankoo, who shares his extensive knowledge on the importance of gingival health in aesthetic dentistry. They dive into the crucial role of the dento-gingival complex.
https://youtu.be/Ao_vgJ-IbOg
Watch PDP208 on YouTube
Protrusive Dental Pearl: Shade Matching
Composite button technique - a small blob of composite is applied to a dry tooth without etching or bonding to assess shade match and translucency, avoid excess thickness, which can affect opacity and aesthetics (Jason Smithson’s Tip: take a black-and-white photo to evaluate the composite's value and ensure it matches the natural teeth)
Using a custom composite shade guide like Smile Line by Style Italiano for more precise shade matching.
Key Takeaways
Gingival architecture plays a vital role in aesthetics.
Dentists should focus on patient-centered care.
Understanding tooth position is key to treatment planning.
Orthodontics can sometimes resolve gingival issues without surgery.
Communication with patients is essential for effective treatment.
Aesthetic dentistry requires a comprehensive approach.
The dental field is evolving, and practitioners must adapt. Root coverage procedures can be effective with proper techniques.
Understanding prognosis is crucial for successful treatment outcomes.
Aesthetic considerations are a primary reason for root coverage.
Restorative dentistry should consider the position of the gingiva.
Crown lengthening should not expose root surfaces unnecessarily.
Mucogingival surgery plays a vital role in implant aesthetics.
Education and training are essential for dental professionals.
Need to Read it? Check out the Full Episode Transcript below!
Highlights for this episode:
4:29 Protrusive Dental Pearl
6:16 Dr. Tidu Mankoo's Journey and Inspirations
11:48 Reflections on Comprehensive Dentistryand Lifelong Learning
15:59 Balancing Work and Family in Dentistry
17:52 Understanding Gingival Architecture
19:49 Creating a Harmonious Smile
21:52 Addressing Gingival Aesthetics & Limitations
26:56 Orthodontics and Surgical Interventions
29:40 Root Coverage Procedures
33:49 The Value of Early Diagnosis and Referral
35:01 Indications for Root Coverage
36:03 Root Coverage vs. Class V Restorations
39:50 Managing Gingival Zenith Irregularities
41:23 Role of Mucogingival Surgery inImplant Success
47:47 Course on Mucogingival Surgery with IAS
This episode is eligible for 1 CE credit via the quiz on Protrusive Guidance.
This episode meets GDC Outcomes B and C.
AGD Subject Code: 780 ESTHETICS/COSMETIC DENTISTRY
(Esthetic diagnosis and treatment of intraoral soft tissues)
Dentists will be able to -
Discuss when and how to manage gingival recession, including the role of root coverage procedures.
Explore the anatomy and function of the dento-gingival complex and its influence on smile aesthetics.
Promote the value of early diagnosis and timely referrals to specialists for successful treatment.
🚨 Join the Ultimate Masterclass on Implant Soft Tissue and Complex Cases! 🚨
📅 Dates: April 2024🌟 Event: Implant Soft Tissue and Complex Case Masterclass
Join this two-day masterclass to elevate your skills in:
✅ Implant soft tissue management
✅ Root coverage and crown lengthening
✅ Complex case planning and aesthetics
If you loved this episode, be sure to check out PDP035 - Case Acceptance in Smile Design with Dr Gurs Sehmi
Click below for full episode transcript: -
In this episode, we focus on the link between periodontal disease and the systemic effects on the human body. There’s more to oral hygiene than just saving our teeth, so let’s dive into this fascinating episode with Dr Reena Wadia to learn more about the importance of perio and how it is associated with the rest of our health.
https://youtu.be/fldpB_8h2Dc
Watch GF024 on Youtube
Key Takeaways:
There is a strong link between gum health and systemic health.
Diabetes and cardiovascular disease are key conditions linked to gum health.
Understanding correlation vs. causation is crucial in dental practice.
Effective communication with patients can improve treatment outcomes.
Treating pregnant patients for periodontal health is safe and beneficial.
Proper diagnosis is essential for effective dental treatment.
Patients are often unaware of the links between gum health and overall wellness.
Motivating patients with health benefits can enhance compliance.
Evidence-based dentistry is vital for accurate patient information. Add the word diagnosis to templates for clarity.
Team collaboration (dental and medical practices) enhances patient care effectiveness.
Screening for conditions like diabetes can save lives.
Holistic care in dentistry is becoming increasingly important.
A periodontal protocol is crucial for consistent care.
Need to Read it? Check out the Full Episode Transcript below!
Highlights of this episode:
3:50 Introduction to Dr Reena Wadia
7:14 Systemic Link
12:24 Under Investigation
13:54 Using this with our Patients
17:04 Birthweight-related Studies and Pregnancy
20:14 Make a Periodontal Diagnosis
23:34 Medicine and Dentistry Collaboration
26:29 Understanding the Patient
29:14 HbA1c Machine
32:19 The Perio Handbook
This episode is eligible for 0.5 CE credits via the quiz on Protrusive Guidance.
This episode meets GDC Outcome A, B and D.
AGD Code: 490 PERIODONTICS (Pathophysiology of periodontal disease)
Aim: To enhance dentists' understanding of the link between periodontal health and systemic diseases, enabling them to integrate evidence-based periodontal care into their clinical practice.
Learning Outcomes:
Knowledge and Application: Dentists will gain a thorough understanding of the bi-directional relationship between periodontal disease and systemic conditions such as diabetes and cardiovascular disease, and learn how to apply this knowledge in clinical practice to improve patient outcomes.
Patient Education: Dentists will acquire practical strategies for effectively educating patients about the systemic implications of periodontal health, using analogies, visual aids, and evidence-based communication methods.
Holistic Treatment Planning: Dentists will learn how to incorporate systemic health considerations, such as screening for diabetes or collaborating with medical professionals, into their periodontal treatment plans to deliver comprehensive care.
Enhance your knowledge with Dr. Reena Wadia's Perio School and establish a habit of implementing Perio protocols in your practice. Don't forget to grab a copy of the Perio Handbook by Dr. Reena for valuable insights!
If you enjoyed this episode, check out: Communication Masterclass for Periodontal Disease [B2B] – PDP086
Click below for full episode transcript:
Teaser: When you hear stories like that, it's like, could that have been undiagnosed diabetes, heart attack, et cetera, et cetera. So I feel so privileged being able to have that ability to do that test on our patients. And yeah, it's not the nicest thing to say to someone, you might have diabetes, but actually like that could save someone's life.
Teaser:The guidelines now are, for example, for diabetics, once they've been diagnosed with diabetes, they're supposed to see their dentist, but they need to push it more, because they definitely push the eye appointments, -
What are the steps involved in Functional Crown Lengthening?
Which scenarios/teeth are best for this type of surgery?
What is biologic width and why should we care?
Is Bone sounding a diagnostic test, or just a genre of music?
The answer to these questions and a lot more can be found in this packed episode with Dr Hiten Halai. We cover the right protocols when crown lengthening and understand the difference between aesthetic and functional crown lengthening.
https://youtu.be/KRlEtz16I8c
Watch PDP207 on Youtube
Protrusive Dental Pearl - Bone Sounding
Using a periodontal probe, go into the depth of the sulcus, pushing deeply until you hit bone, all while recording the measurement with the probe. This measurement will then guide you on how to carry out your crown lengthening procedure. Push hard to pass the connective tissue and ensure you are touching the bone.
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Need to Read it? Check out the Full Episode Transcript below!
Highlights of this Episode:03:19 Protrusive Dental Pearl06:10 Introduction - Dr Hiten Halai12:56 Functional Crown Lengthening15:41 Understanding Crown Lengthening Types18:42 University of Dental Instagram22:38 Biologic Width aka Supra-crestal Tissue Attachment25:51 Functional Crown Lengthening: Practical Considerations31:09 Assessments & Keratinised Tissue35:47 Understanding Tissue Phenotypes39:16 Case Study: Premolar Treatment43:17 Bone Sounding and Biologic Width46:58 Shape of Gingivectomy50:31 Flap Designs52:37 Burs for Crown Lengthening56:13 Healing and Restoration Timelines58:31 Learning and Training Opportunities
Key Takeaways:
Hiten's journey began with a passion for periodontics during dental school.
Managing time effectively is crucial for specialists with busy schedules.
Functional crown lengthening is often underutilized in practice.
Aesthetic crown lengthening can lead to complications if not done correctly.
Understanding biologic width is essential for successful crown lengthening procedures.
Preoperative assessments are critical for determining candidacy for crown lengthening.
The type of gingival tissue affects surgical outcomes and healing.
Proper surgical techniques can prevent complications and ensure better healing.
Postoperative care is vital for achieving desired aesthetic results.
Continuous education and mentorship are important for dental professionals.
This episode is eligible for 1 CE credit via the quiz on Protrusive Guidance.
This episode meets GDC Outcome C.
ADG Code: 490 PERIODONTICS (Mucogingival management)
Aim: To enhance knowledge and practical understanding of crown lengthening procedures, with a focus on distinguishing between aesthetic and functional crown lengthening, and the importance of biologic width in achieving predictable clinical outcomes.
Learning Outcomes:
Identify the key differences between aesthetic and functional crown lengthening and the clinical scenarios in which each is most appropriate.
Demonstrate an understanding of biologic width and its significance in the success of crown lengthening procedures, including the impact on long-term periodontal health.
Apply the principles of bone sounding to accurately assess the need for crown lengthening and ensure optimal restoration outcomes, minimising risks such as gingival recession and bone loss.
If you liked this episode, check out: PDP079 - Crown Lengthening
Click below for full episode transcript:
Teaser: Despite what the University of Instagram tells you, all cases cannot be treated by laser gingivectomy. And that is the truth. Four or five years down the line, when there has been enough time for that tissue to relapse, what happens is they'll come back with that persistent inflammation. And actually the management of it is much more complex now. -
Application points, luxation vs elevation, avoiding common mistakes - this one's an episode that I wish I had when I was at dental school!
How do you know when you've found the application point during extractions?
What are the key protocols that can help make your extractions more efficient?
https://youtu.be/rOBPnCTyAwM
Watch PS012 on Youtube
This week's Protrusive Student episode is all about exodontia - and again I'm joined by Emma Hutchison, our Protrusive Student Ambassador, to discuss some tips and tricks on how to make extractions that little bit easier.
Jaz also shares a memorable analogy—could removing a stone from an avocado be the perfect way to describe an extraction?!
Key Takeaways
Tactile feedback is crucial during tooth extractions.
Understanding application points can improve extraction techniques.
Using the right amount of pressure is essential to avoid breaking teeth during extraction.
Luxators are typically used to sever the PDL before extraction.
Atraumatic extraction techniques are important for preserving bone for future implants.
Luxators should not be used as elevators.
Understanding the mechanics of elevators is crucial for effective extractions.
The ‘six second rule’ helps in assessing extraction progress.
Having a plan for extractions can prevent complications.
Communicating with patients about the extraction process is essential.
Avoid tunnel vision; consider the surrounding teeth during extractions.
Breaking interproximal contacts can simplify extractions.
Always check the patient's medical history before procedures.
An audible checklist can prevent mistakes during extractions.
Need to Read it? Check out the Full Episode Transcript below!
Highlight of this episode:
00:00 Introduction
02:07 Catching Up with Emma
05:58 Teeth are like avocados!
11:13 Understanding Application Points in Extractions
17:01 Luxators vs. Elevators: Techniques and Safety
24:10 Extraction Technique
25:08 The Six-Second Rule
28:04 Having a plan
29:58 Common Mistakes and How to Avoid Them
38:17 Conclusion and CE Certification
This episode is eligible for 0.75 CE credit via the quiz on below.
This episode meets GDC Outcomes B and C.
AGD Subject Code: 310 Oral and Maxillofacial Surgery (Exodontia)
Dentists will be able to -
1. Recognise essential steps to establish secure application points
2. Develop approaches for patient communication around extraction procedures, potential risks, and expected outcomes
3. Implement the “6-second rule” and other practical techniques to streamline extractions and troubleshoot common challenges
If you loved this episode, make sure to watch Make Extractions Less Difficult: Regain Confidence by Sectioning and Elevating Teeth [B2B] – PDP085
Click below for full episode transcript:
Jaz's Introduction: This episode on basics of extractions is the episode I wish I had when I was learning extractions when I was a student. But also what I've found from this Protrusive Student series is that so many dentists are listening to them and they're commenting and they're enjoying and they're liking it.
Jaz's Introduction:What I've discovered is that it's so good to just reconnect with basics and actually by listening to these kind of episodes you do sometimes pick a few things up or it's validation.
It helps to validate some techniques, some ideas, some protocols that you're already using. It's also a wonderful way to see how far you've come. Sometimes we move so far in our career that we forget what it's like to have those struggles like we did when we were a student. So the reason I gave you that little preamble is because now from this episode, most Protrusive Student episodes, I think, will be eligible for CPD or CE credits.
And so this one is eligible for 0. 75 CE credits or 45 minutes, if you're in the UK. Protrusive Education is a PACE approved education pro... - Laat meer zien
