Protrusive Dental Podcast

THIS is the most impactful interview podcast I have published in almost 6 years of podcasting. Do you resent bringing your work home with you (treatment plans, letters, CT scans)? Do you struggle with work-life balance? Do you have days where you feel unfulfilled? The honest advice and mindset from Jorge Andre Cardoso might just change your career and YOUR LIFE. This is the real deal, Protruserati! https://youtu.be/GJExz_vEH2w Watch IC048 on Youtube As Stress Awareness Month continues, we're taking a close look at the challenges dentists encounter, from making clinical choices to achieving work-life harmony. Protrusive Dental Pearl: Explore Jorge Andre Cardoso's Cementation Guide. This resource allows you to access specific protocols tailored to your needs by simply selecting the type of abutment, retention type, and the cement restorative material you plan to use. Highlights of this episode: 02:39 Protrusive Dental Pearl 03:41 Catching Up with Jorge Andre Cardoso 05:50 Jorge Andre Cardoso’s Introduction 08:32 Practice Ownership: From Stress to Success in Dentistry 13:17 Balancing Clinical Work and Life 19:38 Education and Work-Life Balance 22:34 Embracing Diversity in Dental Practices 24:19 The Importance of Foundational Knowledge in Dentistry 30:27 Maximizing Practice Efficiency and Personal Fulfillment 37:44 Learning More with Jorge Andre Cardoso For those interested in attending the Conscious Leadership Course this October or November, please act quickly. Visit Soft Bites online to learn more from Andre and Manuela and secure your spot. If you are interested in joining a Protruserati cohort - please indicate your interest in Protrusive Guidance. Got stress management tips of your own? Share them in the comments! just tell us about what was the most impactful thing that you gained from Andre in this episode. Access the CPD quiz through our app on https://www.protrusive.app, either on your browser or by downloading our mobile app. For the full educational experience, our Ultimate Education Plan gives you access to all our courses, webinars, and exclusive monthly content. Join us on Protrusive Guidance, our own platform for dental professionals. No need for Facebook anymore! 😉 If you love this episode, be sure to watch Dentistry is STRESSFUL with Manuela Rodrigues

I remember being a dental student and a simple 'check up' could take HOURS! Then the tutor would come along and complete the observation in 30 seconds... ‘How does a routine general dental examination work in the real world?’, asks Emma, our Protrusive student. The humble ‘check-up’ - as far as you can get from sexy before and after cases. The stuff no one is posting about on socials…until now! https://youtu.be/AutQvQBlg4o Watch PS003 on Youtube Jaz and Emma dissect a ‘routine oral health exam’ and Jaz even includes a full video of a standard check-up, complete with the banter, bitewings and bad explanations! ;) Be sure to check out this additional video freely accessible on our platform, Protrusive Guidance! Need to Read it? Check out the Full Episode Transcript below! HIGHLIGHTS OF THIS EPISODE:04:28 - Emma's Dive into Dentures05:45 - Pop Quiz Time: Testing Dental Composite Knowledge06:30 - Success in Dentistry: It's in the Details 08:13 - What Does a Check-Up Look Like?09:20 - Personal Touch: Jaz's Check-up Style10:50 - Defining a Healthy Mouth14:55 - Neck Lumps Discovery16:33 - Masseter Muscle Insights18:29 - TMJ Movement Evaluation21:21 - Temporalis Muscle Assessment38:27 - Patient History39:10 - Soft Tissue Evaluation39:28 - Basic Periodontal Exam40:25 - Magnification Importance51:10 - Confidence Access the CPD quiz through our app on https://www.protrusive.app, either on your browser or by downloading our mobile app. For the full educational experience, our Ultimate Education Plan gives you access to all our courses, webinars, and exclusive monthly content. Join us on Protrusive Guidance, our own platform for dental professionals. No need for Facebook anymore! 😉 If you liked this episode, you will also like PS002 - Adhesive Dentistry for Beginners Click below for full episode transcript: Jaz's Introduction: When I was a dental student, I remember being on clinic and doing an examination, and it would just take me so long. And it's overwhelming when you're learning and you realize, oh my goodness, there's so much to check. You try and remember the oral medicine lectures. They tell you to check every single lymph node under the sun. Jaz's Introduction:And then of course, you remember the occlusion, the very few occlusion lectures you had, and you get the patient to bite together and you don't know what you're doing. You don't know what you're checking for, but you're just checking that the bite exists. And then to try and compute all the things you're seeing and try and put it in some sort of diagnosis and explanation, when you're a student, it's tricky. Which is why I've got Emma, our Protrusive Student on today to talk about routine, just routine, gold standard, daily examinations, something that you will see in general practice in the future. Whilst I am recording with Emma Hutchinson, the student, this is suitable for anyone who wants to learn, any dentist at any stage of career, who just wants to get back to basics, back to foundations. For a, what I call a Real World Examination. The reason I call it a real world examination is because the things that I'll be discussing today and what I'll be sharing video form on the Protrusive app under the student scholarship section is a real world exam. So, for example, a comprehensive exam evaluation could take an hour, 90 minutes. You ask different people. Some people do two hour full examinations. And they have my highest respect, and that's amazing. But that level of service is not for the masses. It's not for the general public. Look, some of my colleagues just get 10 minutes to do an entire examination. So I've had to find somewhat of a halfway house. I've just kind of assessed, okay, well, these are essential and these are desirable. Actually, these guidelines already exist. In the practice at the moment, we're doing these audits. We're auditing each other's notes. It was actually been a really great exercise t...

When the patient feels pain during an ID block. When a matrix does not seal the cavity perfectly. When the shade of your crown doesn’t blend as well as you would like. When the endo you did last year failed. All of these cause us anxiety. All of these are failures in some form, and as Dentists, it eats at us. Let’s admit it: we are perfectionists. Life isn’t about being perfect, but it is all to do with the effort we apply to better ourselves day to day. Failure is a major part of success, but being hung up on our shortcomings will only lead to a downward spiral, which in turn will affect our results and general practice. In this episode we are joined by Dr Marco Maiolino, all the way from beautiful Sicily, Italy. One of the biggest takeaways from my chat with Marco was the abolishment of the ‘gold standard’ or the standard of perfection - but rather, let’s aim for the ‘daily standard’ https://youtu.be/jRbgvgSpqLk Watch PDP184 on Youtube Protrusive Dental Pearl: We cannot be depressed AND grateful at the same time. Let us find moments in our day and in our Dentistry to be grateful. Need to Read it? Check out the Full Episode Transcript below! Highlights of the Episode:01:43 DENTAL PEARL - Be Grateful!02:37 - Dr. Marco Maiolino05:13 - The Technician's Perspective 08:15 - Beating Imposter Syndrome10:55 - Ideal vs. Real: Marco's Take on Dental Perfection13:00 - Lessons from Aviation17:48 - Embracing Imperfection31:00 - From Failures to Standards42:08 - How to Bounce Back from Failure Learn more from Dr Marco Maiolino Access the CPD quiz through our app on https://www.protrusive.app, either on your browser or by downloading our mobile app. For the full educational experience, our Ultimate Education Plan gives you access to all our courses, webinars, and exclusive monthly content. Join us on Protrusive Guidance, our own platform for dental professionals. No need for Facebook anymore! 😉 If you liked this episode, you will also like IC030 - Toxic Work Cultures in Dentistry Click below for full episode transcript: Jaz's Introduction: Let's face it, no one really enjoys failure, but nothing teaches you as well as failure does. Failure really is the best educator in any discipline, especially in dentistry. Jaz’s Introduction:Of all the clinical educators that I know, the kind of people that I have the most time for are those who are happy and willing to share their failures with us. This next guest we have on today, Dr. Marco Maiolino from Siracusa in Sicily. Apparently on his three-day course on VertiPreps, the last day, like the half day is just dedicated to all his failures. And I really, really respect that. I try and emulate that. I love sharing. Well, I say love is a strong word, but I like to share my failures so we can all learn together. And with Marco, like, what he writes on his blog, it's just brilliant. There's a blog he had titled The Imperfect Dentist. And now we need to stop chasing perfection. Perfection should not be the standard. And so it's with great pleasure as part of Mental Health Month. April is Mental Health Month and so at least half the episodes will revolve mental health. It's a great way to kick off this theme by exploring this idea of perfectionism in dentistry. Dental PearlHello Protruserati, I'm Jaz Gulati, and welcome back to your favorite dental podcast. Before we join Marco to discuss about how it's okay to fail, let me give you the Protrusive Dental Pearl. This time it's a bit of a flashback to COVID times. I had Dr. Barry Alton on. I'm just going to echo something that he said. He was an interference cast, and he taught me that it is impossible to be depressed and grateful at the same time. Let me say that again. It's impossible to be depressed and grateful at the same time. So based on that, the Protrusive Pearl I want to share with you as part of mental health month is that every day when you finish work I would like you to write d...

Dental Student in THREE different countries?! This is a story of grit and determination. I hope that it will allow us all to reconnect with that burning desire we once had to enter our profession. In this episode, we meet Nav, AKA the_stu_Dent who has had the craziest journey as a Dental Student. Not only defined as a mature student, but as a British born overseas one now working his way to qualifying in Slovakia, with hopes of eventually returning to the UK where he wants to practice full time in the near future. https://youtu.be/wK1INeI_gdQ Watch IC047 on Youtube Check out this entertaining episode, where we uncover what makes the_stu_Dent tick and why he ended up pursuing Dentistry with such determination, the highs and lows, and how he ended up trying at 3 different Universities in 3 different countries, just to fulfill his dreams. Need to Read it? Check out the Full Episode Transcript below! Highlights01:35 - Nav, the-stu-dent Introduction 04:25 - Why Ukraine and what year did The-stu-dent enter?09:18 - How did Egypt come about?14:16 - Failure was not an option16:24 - What happened when The-stu-dent visited Egypt first-time around?19:14 - 3rd STOP - Slovakia.21:54 - What are the fees like in Slovakia?25:13 - What was the decision behind choosing Slovakia over alternative countries in the EU?27:15 - What has The-Students experience of Slovakia been like, and how much clinical exposure do you get?30:58 - Are you working part-time to fund your dentistry?35:17 - What are The-Stu-dents final words of Wisdom? Access the CPD quiz through our app on https://www.protrusive.app, either on your browser or by downloading our mobile app. For the full educational experience, our Ultimate Education Plan gives you access to all our courses, webinars, and exclusive monthly content. Join us on Protrusive Guidance, our own platform for dental professionals. No need for Facebook anymore! 😉 If you liked this episode, you will also like PS002 - Adhesive Dentistry for Beginners Click below for full episode transcript: Jaz's Introduction: Imagine being a mature dental student who has to go to study in Ukraine. And then you realize actually the course you're on actually was potentially a fake course, and then you had to go to Egypt. Jaz’s Introduction:And then for one reason or another, which we will reveal on this podcast, you end up then moving, transferring to Slovakia, and it's now been something like seven years, but you're only still in your third year. Sounds crazy. I know, but trust me, this guy, Nav Bhatti. His desire and his hunger to get into dentistry is amazing. It's really admirable and I think he's got a really funny story if he doesn't mind me saying this. It's funny because, like, he's the type of guy who's very happy go lucky. He's very straight talking. He's humble and someone who you can look back and laugh about it. But he's been through a real tough time with all these countries. And I have so much respect for, again, once again, for his desire and his hunger. And so now he's in a good place in Slovakia, but it makes for a fantastic episode. I think guy's in for a real treat, something a little bit different. This is the kind of episode that you listen to once you've had a really hard day at work. And maybe you're not ready for like, immediate dentine sealing and deep margin elevation and air particle abrasion. You actually just want to just listen to a protrusive podcast that's a bit more light and you're just curious. You're curious as to what leads a dental student from country to country to country in the pursuit of their dental degree. So I hope you enjoy this interview with Nav Bhatti and I'll catch you in the outro. Main Episode:Nav Bhatti, aka The Student, the most international dental student ever, which there must be a record and you must have broken every single record. So where this stems from, let's dive right into it. Okay. What is your story, man?

Rubber Dam isolation can be tricky enough sometimes - it is especially awkward when the TERMINAL MOLAR needs restoring. How on earth does one isolate AND matrix this tooth? In this episode, Dr. Celine Higton delves into the intricacies of rubber dam isolation, particularly focusing on the last tooth in the arch. This discussion ties into the broader theme of mental health, highlighting how mastering such techniques can lead to a more enjoyable and stress-free practice. https://youtu.be/VeoPTNShAcs Watch PDP183 on Youtube Protrusive Dental Pearl: "Cow Mode" as a technique to improve access to the mouth's hard-to-reach areas, especially around the last molars. By instructing patients to shift their jaw to one side, akin to a cow's chewing, this approach aids in better oral hygiene practices and facilitates procedures like rubber dam isolation when clamping the terminal molar. Need to Read it? Check out the Full Episode Transcript below! Highlights of this episode: 02:24 Protrusive Dental Pearl 5:36 Introduction to Dr Céline Higton 7:07 The Journey from Architecture to Dentistry 9:15 Mastering Rubber Dam Isolation: Tips and Techniques 14:12 Types of Clamps Ideal for Isolating the Last Tooth (Upper) 18:01 Dental Pearl - Cow Mode 19:22 Accessing the Last Tooth 22:13 Dr. Céline’s Personal Choice of Rubber Dam 23:11 Proper Lubrication for Rubber Dam 25:00 Correct Flossing Technique 27:01 Matrixing the Last Tooth 32:09 Cavity Preparation 35:37 Isolating the Last Tooth (Lower) 37:28 Coronoid Process in Clamp Placement 38:36 How to get in touch with Dr Celine Reach out to Dr. Céline Higton via her Instagram, @drcelinehigton and via her website, #RUBBERDAMFAM Access the CPD quiz through our app on https://www.protrusive.app, either on your browser or by downloading our mobile app. For the full educational experience, our Ultimate Education Plan gives you access to all our courses, webinars, and exclusive monthly content. Join us on Protrusive Guidance, our own platform for dental professionals. No need for Facebook anymore! 😉 If you love this episode, be sure to watch 10 Commandments for Staying Out of Trouble Click below for full episode transcript: Jaz's Introduction: When you're going through the journey of learning rubber dam isolation, because you want to level up your restorative dentistry and become better at adhesive dentistry. Jaz's Introduction:And for me, I've talked about before, like for me, rubber dam is my tranquil environment. It's when I'm least stressed. I've got rubber dam on, the patient can't talk, the tongue is abolished, and I'm just falling in love with a little micro steps that makes our profession so much fun, right? But when you're isolating the last tooth, like let's say it's a wisdom tooth or whichever is the last tooth. And then that tooth also needs a restoration. Then we have some issues, i.e If you clamp that tooth, then how can you get a matrix on that tooth? And that's the problem that we're solving today with the real superstar of dentistry. Her name is Dr. Celine Higton. I know so many of you probably already have heard of her. And I think it's so fitting that April, we're focusing April on mental health. So I'm going to talk a little bit more about mental health this month. And how is isolating the last tooth rubber dam relevant to mental health? Well, I told you already, it reduces my stress. I'm in my happy place when I've got rubber dam on. I want everyone, I want all dentists to experience this level of isolation whereby they're just listening to classic FM and everything's under control and the patient's not going to lick anything. So it's a great stress reducer for me. But also because in the conversation that I had with Celine, I think it's so obvious that, look, you guys know I'm super enthusiastic about what I do in dentistry. And I think that's really important for a long career and fulf...

When we studied occlusion at Dental School, our textbooks forced the idea of having dots at the back and lines at the front. We are continually told about CR and how to manage patients into canine guidance, but does this all work in practice? Today we dive into the best way to approach occlusion cases with our patients, keeping in mind that there is no such thing as a silver bullet to treatment. Join Jaz and Dr Michael Melkers in this podcast to learn how it may just be time to throw away the textbooks and begin writing your own conclusions on occlusion… try saying that ten times quickly. https://youtu.be/3Sk1paKW8d0 Watch PDP182 in Youtube Dental Pearl Using PTFE in the dental sulcus offers a better seal compared to cord, functioning like a dam to keep the area free of gingival fluid, ideal for Class 5 restorations. However, PTFE may stick to instruments, which can be mitigated by moistening the instrument with water or saliva before positioning the PTFE, significantly lowering the likelihood of sticking. Check out Dr Melkers and Dr Lane Ochi LIVE IN LONDON on 27 and 28 July! Need to Read it? Check out the Full Episode Transcript below! Highlights of the Episode 00:00 Intro 02:05 The Protrusive Dental Pearl 02:52 Dr. Michael Melkers 02:53 Mentoring Journeys: AES and Beyond04:04 Foundational Influences: Splint + Occlusion Mastery 04:30 Fear of Failure: A Dentist’s Drive05:25 Early Beginnings: Lab Tech to Dental degree 06:00 Avoiding Full Mouth Rehab: A Dental Mission.07:20 Homage to a Mentor: The Positive Impact 07:25 Group Function Vs Canine Guidance08:00 Beyond textbooks: real-World Dental Challenges 09:00 Encouragement to Question: A lesson in Bravery 10:16 Chasing Perfection: A dental dilemma 12:00 Masters of Occlusion: Group Function Insights 14:31 Past as Prologue: Learning from destruction 15:10 Pain Points: Focusing on the At-Risk Patients 16:53 Smooth Transitions: The Ideal of Disclusion 18:30 Occlusal Schemes: Debunking the Malocclusion Myth20:20 CR Reconsidered: The Healthy Majority 22:44 Diagnostic Vision: Seeing Beyond Occlusion 25:15 Rebuilding with Purpose: Beyond Aesthetics 34:35 Appropriate vs Ideal: A New treatment Paradigm 47:00 Key to Dental Success Access the CPD quiz through our app on https://www.protrusive.app, either on your browser or by downloading our mobile app. For the full educational experience, our Ultimate Education Plan gives you access to all our courses, webinars, and exclusive monthly content. If you liked this episode please feel free to check out episode PDP160 - Fremitus and Occlusal Overload – Dental Occlusion Geekiness Click below for full episode transcript: Jaz's Introduction: In this episode, I'm going to share with you the four ways that I document my daily dentistry. And I'll give you six great reasons in reverse order. So like my top six, if you like. So six, five, four, the countdown all the way to the number one reason. So if you listen to the end of the episode, I'll tell you the number one reason to document your dentistry. Jaz’s Introduction:And when you grind your teeth left and right, the canines, for example, are taking a load at that point. And when this is happening the patient's joints are in centric relation. So the condyles are as fully seated position is snug position, and there are no quote unquote interferences or slides. I don't worry if you don't know what those things mean just yet, but some of you may remember seeing this. Maybe you don't understand or internalize what this actually means, but you learn what the perfect occlusion was. But then you started to see patients and you realize very quickly that these naturally dentate patients, your normal patients with the normal teeth. Whether they were 30, 50, or 70, they had all sorts of restorations, or sometimes no restorations. But they had anterior open bites, cross bites, and none of it looked like the bite in the textbook.

As part of Documentation Month, Jaz dives into the crucial realm of documenting dentistry. In this episode, he shares four methods he utilizes to document his daily dental practice, followed by six compelling reasons – in reverse order – why documenting your dentistry is indispensable. So, get ready as we count down from six to one! But first, let's recap: In our previous episode, we explored the marvels of employing AI to automate note-taking, saving precious time and boosting efficiency. If you missed it, make sure to catch NEVER WRITE NOTES AGAIN! HOW I USE AI FOR AWESOME AND EFFICIENT DENTAL RECORDS – PDP181. https://youtu.be/e6pNhWhyhNU Watch IC046 on Youtube Need to Read it? Check out the Full Episode Transcript below! Highlights of this episode:00:53 Utilizing Intra-Oral Camera2:30 Investing in good DSLR Camera3:16 Documenting with Intra-Oral Scans3:51 Camera Mounted on Loupes4:56 Portfolio Building7:34 Monitor Changes9:00 Patient Communication11:35 Good Mentorship13:24 Medico-Legal14:29 Fulfillment in Dentistry Access the CPD quiz through our app on https://www.protrusive.app, either on your browser or by downloading our mobile app. For the full educational experience, our Ultimate Education Plan gives you access to all our courses, webinars, and exclusive monthly content. Join us on Protrusive Guidance, our own platform for dental professionals. No need for Facebook anymore! 😉 If you loved this episode be sure to watch 6 Signs You are a Comprehensive Dentist – IC010 Click below for full episode transcript: Jaz's Introduction: In this episode, I'm going to share with you the four ways that I document my daily dentistry. And I'll give you six great reasons in reverse order. So like my top six, if you like. So six, five, four, the countdown all the way to the number one reason. So if you listen to the end of the episode, I'll tell you the number one reason to document your dentistry. Jaz’s Introduction:Hello, Protruserati. I'm Jaz Gulati and welcome back to your favorite dental podcast. This is kind of like the non clinical arm of the podcast, but actually you could argue that it is clinical. I've just got so many mishmash of episodes, and because it's still just about documentation month, like if it's March, and hopefully we managed, our team managed to publish it in March, then it was documentation month. In the previous episode, I talked about how I use AI to to auto generate my notes so I don't have to type my notes anymore, which is the most blissful thing ever. So if you haven't listened to that, please do check it out. But just to wrap up Documentation Month, I just want to go a bit deeper into what are the ways I'm documenting my dentistry and give you six great reasons to do so. So the first great way to document the dentistry is with an app. intraoral camera. Now, I know so many of you have suggested I make some content specifically for this and it's coming soon. We're just going, literally, by the time you'll be hearing this, I'll probably be coming back for my vacation. I'm going to Tenerife. Family holiday much needed. Oh, it's been so nice to have this holiday to look forward to. So when I come back, top of my list is to make a video showing you exactly which intraoral camera I'm using. And by the way, it's like super cheap. It's like amazingly cheap and it's been brilliant. I'll tell you how to look after it. So it's essentially nurse proof. And the ROI on that is just phenomenal. So I'll make bespoke content just about the intraoral camera. And this is just magic. Every dentist I truly believe needs to have an intraoral camera to take a quick snap of a tooth to explain something to a patient or an ulcer or a swelling or a sinus tract or a crack big time. Like I will air abrade a crack and I'll take a photo of it. And so just so handy and easy to do it. Like if you have to reach for a DSLR, then you have to get your mirror out and zoom in and take this s...

THIS is the best thing in Dentistry since local anesthetic! I HATE typing notes even more than I hate cracked teeth. The quest for good, detailed, contemporaneous record keeping in 2024 means so many of us stay behind after patients to ‘tidy up’ our notes. With the power of audio recording and AI, I am pleased to present to you NOTES THAT WRITE THEMSELVES! In this episode I share my current protocols using DigitalTCO - a website that uses live transcription and AI to write your notes for you (genuinely awesome notes). https://youtu.be/F1RKQ_qZfrc Watch PDP181 on Youtube Protrusive Dental Pearl: Register for a free EXTENDED trial with Digital TCO and transform your note-taking process by simply speaking into a microphone connected to your computer. Forget about typing out notes after appointments— the intelligent AI will craft them for you as you dictate, making everything sound fantastic. Using the Protrusive link to sign up DOES mean that we get a commision, but I also ensured you get 50% off (for the lifetime of your subscription) AND 28 days to try this instead of 14. ‘Jaz Mode’ lets you speak to patients and nurses during consultations, with AI compiling the notes for you. Named "Jaz Mode" in my honor by Kevin, it's still in beta but offers a glimpse into innovative note-taking. To try it out and see why I'm excited, visit protrusive.co.uk/notes. Watch for a demo video, including my recommended microphone. Need to Read it? Check out the Full Episode Transcript below! Highlights of this episode:04:28 Introduction to Kevin Shannon07:10 Kevin Shannon's Journey: From Clinical Dentistry to Tech Innovator10:03 AI-assisted Note-Taking Journey12:21 Downfall of Templates15:27 DigitalTCO - Never Write Notes Again23:19 Jaz Mode!27:55 The Protrusive - DigitalTCO Collaboration37:51 Let’s Talk AI As promised, this video shows an example of how I use DAN and DigitalTCO to write my notes for me. https://youtu.be/mI5qplWxMQs Watch this video on Youtube Let's compare the Blue Yeti microphone: https://amzn.to/3INYop3 (Affiliate link) Vs the Rode Wireless Go 2 microphone: https://amzn.to/49ffgzA (Affiliate link) Access the CPD quiz through our app on https://www.protrusive.app, either on your browser or by downloading our mobile app. For the full educational experience, our Ultimate Education Plan gives you access to all our courses, webinars, and exclusive monthly content. Join us on Protrusive Guidance, our own platform for dental professionals. No need for Facebook anymore! 😉 If you loved this episode, be sure to watch Audio Recording Your Consultations? The Future of Dental Record Keeping Click below for full episode transcript: Jaz's Introduction: How much time do we spend laboring over our notes and record keeping? I know so many of us who are there after work and we long to be with our families, but we're there typing, making our notes watertight, checking, recapping the day. Jaz's Introduction:Oh, did I add this piece of information for Mrs. Smith's appointment? Oh, I need to add to those notes for my 3. 30 appointment. Oh, and I need to go back and tidy up the notes for the other three patients. It's like the worst thing ever being away from family and having that stress to make your notes awesome. Hello, Protruserati. I'm Jaz Gulati, and I have two dreams in life. That's it. Just two dreams. One is to never have to wash dishes ever again. At the moment, our kitchen is not big enough to accommodate a dishwasher, so that dream isn't coming true anytime soon. But my second dream is to never have to write notes again. And I mean it, this is a serious dream of mine and it's almost come true. And in this episode, I will reveal to you with my guest, Dr. Kevin Shannon, about this amazing way that Kevin has come up with for the notes to write themselves. Let me say it again, notes that write themselves, you don't need to stress and stay away from family and have insufficie...

"How long should I tell my patients their posterior composites will last?" - what a great question from dental student Emma Hutchison! As part of our new Protrusive Students segment we'll be bringing you monthly episodes packed with valuable insights, tips, and tricks specifically tailored to dental students like Emma. https://youtu.be/PP1XICgI-lg Watch PS002 on Youtube Whether you're navigating clinical rotations, honing your skills in phantom head, or gearing up for those daunting exams, we're here to support you every step of the way. And kicking off this segment, we're diving headfirst into the topic of adhesive dentistry! Link for further reading regarding the longevity of direct restorations – A retrospective clinical study on longevity of posterior composite and amalgam restorations - PubMed (nih.gov) The Art of Treatment Planning – The Art of Treatment Planning: Dental and Medical Approaches to the Face and Smile: Amazon.co.uk: Romano, Rafi: 9781850971979: Books Need to Read it? Check out the Full Episode Transcript below! Highlights of the episode:00:00 Adhesive dentistry03:41 Bonding systems07:00 Self-etch vs. total-etch vs. selective-etch14:38 Post-operative sensitivity16:10 Communicating risk with patients17:42 Polymerisation shrinkage19:38 The snowplow technique21:13 Instruments23:19 Consent25:30 Longevity28:05 Risk factors37:37 The next episode If you liked this episode, you will also like PDP077 I Can’t Believe This Sticks Click below for full episode transcript: Jaz's Introduction: So welcome to Protrusive Students Episode 2. In Episode 1, we introduce you to Emma Hutchison, who's the Protrusive Student. I'll be releasing one episode with her every month to answer questions from a dental student's perspective. And every month, we will release some of her revision notes, which are absolutely epic. Jaz’s Introduction:I'll check them myself on the Team Brandsim. All of these notes are going to go in the Crush Your Exam section of Protrusive Guidance. Protrusive Guidance, if you're brand new through a podcast is our little family. It's our little home on the internet via the web browser, or even it's native app via Android, iOS. All dentists and students can join it, but if you want to verify yourself as student, you have to email student@protrusive.co uk. So when you apply to join the network, which is on protrusive.App. Once you apply, you fill in some details, you explain that I'm a student, and then you should email student at protrusive. co. uk with some proof that you're a student. That way we will add you to our secret space called Protrusive Vault. So as part of your benefit of being a student on Protrusive Network. You had access to a paid space. There's also student clinical videos, which we'll be adding soon, as well as more episodes, just like this one. Hello, Protruserati. I'm Jaz Gulati. Protrusive Students is part of the Protrusive Dental Podcast. If you are a dental student, don't hoard this, share it with your colleagues. Eventually they're going to find out anyway. So you might as well be the person who shared it with them. I'm hoping that on Protrusive Guidance, we can help you on your journey. Look, there's almost a thousand dentists so far on Protrusive Guidance, and these are the nicest and geekiest dentists in the world. And by being someone who is a keen learner, who listens to this podcast, right? Not everyone does, right? Only those who self select themselves as a keen learner listens to stuff like this. And so it's time for you to meet your tribe and start learning and growing together. Now in this episode, which was supposed to be released in February, but life got busy with kids. It's actually Adhesive Dentistry. Questions from Emma Hutchison all around the topic of adhesive dentistry. Like for example, some of the things we're going to cover is the longevity of composites. This is such a fundamental thing.

Managing patient expectations in Dentistry - there are some MAJOR lessons we can learn from facial aesthetics practitioners. We're diving into a conversation with Dr. Katherine Bell that's really going to open your eyes about communication. Despite beauty being subjective, we find a lot of similarities in how we talk to and get consent from patients, whether it's for facial aesthetics or dental procedures So, even if facial aesthetics isn't your cup of tea, think of this episode as a deep dive into communication and consent. Plus, it's Documentation Month on Protrusive Podcast, and this episode is just the beginning! https://youtu.be/28hRaMARgnA Watch PDP180 on Youtube Protrusive Dental Pearl: Tailoring consent to each patient involves discussing only the risks that matter to them, using standard forms for GUIDANCE, not for completeness. It's about clearly explaining how we'll minimize these risks, ensuring the patient feels secure and informed about the precautions taken. For example ‘Mrs Smith, your tooth is very badly broken down and this can be a very tricky extraction. The way we are going to make it easier is by carefully dividing the tooth in to 3 roots’ Need to Read it? Check out the Full Episode Transcript below! Highlights of this episode: 01:36 Protrusive Dental Pearl 03:33 Dr. Kathryn Bell Introduction 05:01 Dr. Kathryn Bell’s Journey in Facial Aesthetics 09:08 Perception of Facial Aesthetics 15:34 Discussion on Documentation and Patient Education 20:05 Patient Consent and Managing Risks 25:13 Screening for Body Dysmorphia 33:50 Considerations for Patients with Depression Seeking Aesthetic Treatments 38:06 Learn More with Dr. Kathryn Bell Access the CPD quiz through our app on https://www.protrusive.app, either on your browser or by downloading our mobile app. For the full educational experience, our Ultimate Education Plan gives you access to all our courses, webinars, and exclusive monthly content. Join us on Protrusive Guidance, our own platform for dental professionals. No need for Facebook anymore! ;-) If you loved this episode, be sure to watch Botox for TMD – Indications and Protocols Click below for full episode transcript: Episode Teaser: So red flag number one was that she walked in and you could clearly see that she'd had quite a lot of work done already. So it wasn't subtle changes. It was this lady has had treatment before and her history was that she had been to a number of other practitioners and she wasn't happy. So massive red flag right there. [Katherine]Okay. So she's seen lots of people, she's had lots of treatment and she's still not happy. Okay. And the second one, like I said to you earlier, is I often give my patients a mirror and then get them to kind of point out what their concerns are. [Jaz]Let me guess, her mirror was touching her nose. [Katherine]Oh, no, no, no, Jaz. She had her own mirror. It was a magnification mirror. Jaz’s Introduction:Oh my goodness. Protruserati, I know what you're thinking. Jaz is doing an episode about facial aesthetics? Is everything feeling okay? Everything is just fine, guys. Trust me on this one. This episode with Dr. Katherine Bell, one of our own Patruserati, is going to blow your mind when it comes to communication. There's so many parallels we can draw from when you're consenting patients to something that's so, like, subjective. Like, beauty is in the eye of the beholder. And that worries me about facial aesthetics. But actually there's so many parallels we can draw between communicating with our patients and consenting our patients for facial aesthetics and general restorative dentistry, especially like aesthetic dentistry, edge bonding, veneers. There were so many parallels. So even if like me, you have zero interest in facial aesthetics, think of this like a communication and consent episode, because this March 2024 is documentation month.

In this episode, we're launching Protrusive Students, a segment dedicated to dental students while offering valuable insights for young and seasoned dentists. This section provides various resources including exam prep materials, clinical videos, and networking opportunities. A key highlight of this episode is the introduction of Emma Hutchison, a dental student hailing from Glasgow. Emma shares her revision notes and resources aimed at helping students excel in their exams. Together, we're bridging the gap between academic dentistry and clinical practice, fostering a collaborative learning community among dental professionals. https://youtu.be/Dx6xz1RAnSM Watch PS001 on Youtube Need to Read it? Check out the Full Episode Transcript below! Highlights of this episode: 3:32 Introduction of Emma Hutchison 5:49 Emma Hutchison's Dental Journey and Background 10:54 Collaboration and Protrusive Student Notes 14:19 Protrusive Guidance Alright, Protrusive Students, listen up! Here's how you can get involved and access exclusive student spaces, including the coveted 'Protrusive Vault', typically a paid feature within our network. Head over to the protrusive.app on your web browser. Select the community plan, which is completely free. Fill out the screening questions to ensure authenticity. We're serious about keeping our community genuine – no bots or impersonators allowed! When completing the information, simply indicate that you're a dental student. Now, here's the crucial step: 5. After filling out the form, shoot an email to student@protrusive.co.uk. Attach proof of your student status, such as your student ID card or a university letter. Also, let us know your expected qualification date. Once we verify your student status, you'll gain access to a wealth of resources and opportunities tailored to support your dental journey. Don't miss out – join the Protrusive Guidance Community today! If you loved this episode, be sure to check out another episode for students! Occlusion Questions from Students – AJ005 Click below for full episode transcript: Jaz's Introduction: This is the launch of Protrusive Students. Now, the intended audience is students, but it's also suitable for young dentists, and even experienced dentists looking to reconnect with the foundations and the basics. Look, I've been doing this podcasting for a little while now, and the focus is always dentists. Jaz’s Introduction:And when I speak to students, you guys are so keen for the content, you guys love it, but you guys do admit to me that sometimes the level that we're speaking at just goes above your head. So I really wanted to create a space just for students. So it's going to be the PS episodes, the Protrusive Student Episodes. Now as part of Protrusive Students, I've also created a brand new zone within our network, Protrusive Guidance, just for students. But again, anyone can join if they wish. It's going to have a crush your exam section, student clinical videos, and an opportunity to network and liaise with students all over the world. As per the values of Protrusive, you probably are the nicest and geekiest students in the world, so we deserve our own little place. Hello Protruserati, I'm Jaz Gulati, and this episode I have the great pleasure of introducing you to THE Protrusive student, Emma Hutchison. Emma's a dental student in Glasgow, and her chief mission is to provide you with revision notes and resources so you can truly crush your exams. You see, what I've arranged with Emma is for episodes where she gets to ask questions from a student's perspective. When you've been experiencing and practicing for a while, you kind of forget the struggles of when you're learning something for the first time. I think part of the success of Protrusive is that I'm such an avid learner and learning is one of my highest values, so I always try to reconnect with that.

LIVE from Chicago AES 2024 + Midwinter! Fresh off our thrilling journey to the American Equilibration Society (AES) Conference in Chicago, alongside the Midwinter event, this episode is your ‘access all areas’ to relive the highlights of our long-awaited expedition. Previously focused solely on equilibration, AES now embraces a broader spectrum, encompassing occlusion, comprehensive dentistry and the TMJs. Join me and Dr Mahmoud Ibrahim as we unpack the highlights of this dynamic event. https://youtu.be/3lQohxbKSig Watch this on Youtube Need to Read it? Check out the Full Episode Transcript below! Highlights of this episode:1:05 The Journey to AES3:20 AES Opening Ceremony 20243:52 Global View of Diagnosis and Treatment Planning5:29 Diagnostic Records in the Digital Practice6:19 Dr. Chuck Fischer 7:57 Dr. Glenn Kidder12:41 TM Joint Imaging from an Orthopedic Perspective14:15 Adopting a Top-Down Security and Privacy Strategy14:45 Lip Esthetics and Maxillary-Mandibular Advancement Surgery16:30 Indications of TMJ Replacement in Ortho-Surgical Case 17:04 Face First Treatment of the TMJoint18:11 AES Day 219:32 Occlusion - TMD from the Orthodontist’s Perspective20:53 Occlusion - TMD from the Periodontist’s Perspective21:39 Catch up with the Protruserati31:02 Case Study: TMD Panel32:41 Digital Occlusion: What Works and What Doesn’t Work33:48 Occlusion - TMD from Prosthodontist’s Perspective38:54 Insights and Reflections from Dental Giants: Kois, Spear, and More40:38 ‘Composite Challenge’42:44 Interview with Dr Alan Mead45:28 Reflections and Takeaways from the Conference53:11 Connecting with the Dental Community and Looking Ahead If you loved this episode, be sure to check out BACD Experience With Pascal Magne Discover more podcast episodes like this one and earn CPD or CE credits. Join our community to access exclusive content such as 'Verti Preps for Plonkers', Sectioning School tutorials, over 30 rubber dam demonstration videos, webinar replays, and clinical videos showcasing various dental procedures. Upgrade to our Ultimate Education Plan for comprehensive learning resources. Click below for full episode transcript: Jaz's Introduction: A, E, S. It's in the joint. Sorry, had to get that out of my chest, but we're back. We're back from AES TMJ conference in Chicago. I also went to Midwinter, and this episode will summarize mine and Mahmoud's trip to somewhere where we had longed to go for so long, the American Equilibration Society. Now, This society likes to be called AES because we've kind of moved away from the whole equilibration thing. Jaz's Introduction:It's way more than equilibration. It is occlusion. It is TMJ is the definitive conference sense that brings together all these occlusal camps. And I tell you guys, I was in heaven. I was in education heaven, and I was also in food coma heaven. So join me in Mahmoud on this, like on the field kind of different podcast, gain a sense of the magic of AES 2024 conference. You'll kind of feel like your presence was there. And of course I'll share at least one key lesson per lecture. As well as some interviews from the amazing Protruserati and mentors that I met. Like, I shook hands with John Kois and Frank Spear within an hour, and I didn't even wash my hands. So how did this trip begin? Well, it began with what we call level one permission. Now I joke about this level one permission whenever we organize a trip like last year, a few years ago Porto, this year we're going Sicily in June for Vertipreps and of course for Chicago, I needed level one permission. So people ask me on Facebook, what is level one permission? Okay, level one permission is when you have to ask your spouse if you can go. I know that sounds really weak, but it's a reality when you're a father of two boys, young boys, I had to absolutely beg Sim to let me go to Chicago. I'm so thankful, me and Mahmoud were both thankful to our wives for letting us go.

Managing black triangles with composite resin - often these are periodontal patients. Doesn’t that mean you’ll be bonding to root dentine?! Continuing our Adhesive Month series in to March (oops!), we're excited to bring you Part Two of our journey into the Bioclear Adhesive Philosophy. Building on the rich discussion from Part One (PDP 178), we're joined once again by Dr. David Carroll and Diana McKenna as we shift our attention to anterior restorations. We focus specifically on the intricacies and challenges of closing black triangles. https://youtu.be/AFlhZXTm32w Watch PDP179 on Youtube Protrusive Dental Pearl: Protect the unrestored teeth and restorations from air particle abrasion! Using a soft steel matrix strip, similar but softer than a matrix band, protects the adjacent tooth's enamel when air abrading the tooth. Example one I found on the market: Polydentia soft matrix strip (no financial interest) Need to Read it? Check out the Full Episode Transcript below! Highlights of this episode: 1:33 Dental Pearl - Protect from Air Abrasion 04:19 Ceramic vs Composite Debate 11:17 Informed Decision Between Ceramic and Resin 19:22 Bonding to Root Dentine 22:33 Anterior Restoration Protocol - Heated Composite 29:57 BT Matrix System of Choice 34:35 Guidelines for Anterior Bioclear Composites 39:55 The Importance of Proper Set-up 41:46 Learn more from David and Diana Take advantage of our upcoming Documentation Month this March! If you want CPD or CE credits from this episode, just take the quiz. For premium app users, scroll down to download the notes. You'll also get access to our special content like ‘Verti Preps for Plonkers’, Sectioning School, over 30 rubber dam videos, webinar replays, and clinical videos on various dental procedures. All these are available with our Ultimate Education Plan. If you liked this episode, you will also like PDP178 - The Bioclear Philosophy of Adhesive Dentistry - Part 1 (Posterior) Click below for full episode transcript: Jaz's Introduction: Hello Protruserati, I'm Jaz Gulati and welcome to PDP 179. Now I know we are well into March at the time of publishing and we're still stuck on adhesive month, which was February. March is supposed to be documentation month, but don't worry. I've got some cool stuff coming to catch up in March, including what software I'm using at the moment to write my notes for me. Jaz's Introduction:I know it sounds crazy. I have two, I have two dreams in my life. One is to never have to wash dishes ever again. And no, I don't have a dishwasher. My kitchen is not big enough at the moment. And number two is to never have to write my notes again. So, you know, dishwasher can wait, but number two is actually almost happening. And I've been on this crazy journey to discover the best software or the best way. So as part of documentation month, I'll make it up to you by the end of this month to reveal which softwares I've tried and tested and which one I've decided was the best. This episode, of course, is the part two following the discussion that we had on the Bioclare Adhesive Philosophy. Like, I don't want this two part episode to be about the Matrix. Like, the Matrix is awesome. Like, we know that Bioclare matrices, they do very well, but I'm not here to shine a light on, on just the Matrix. I'm here to shine light on a philosophy like sometimes when we're closing black triangles the nature of the beast is that we're now bonding composite to root dentine that's the kind of stuff i want to uncover that's the geeky kind of stuff i want to discuss with dr david carroll and diana mckenna who did such a great job in the part one if you haven't listened to it already PDP 178 discussing the posterior Bioclear protocol on this one we're shifting our focus to Anteriors, think black triangle closures for example. We'll discuss the nuances of the Bioclear technique and understand a few more nuances about ...

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

Is this the death of composite layering and the tedious cusp-by-cusp build up? This episode might just change how you place posterior composites for good! I know so many of us have reservations about bulk fill composites - when I was exposed to the Fast Modelling technique in 2016 I had too many doubts. All those doubts were cleared in this 90 minute episode - grab your onions Protruserati! Joined by Dr. Ahmed Tadfi, we explored this innovative approach that promises increased efficiency without compromising on quality. We delve into the details of the fast modeling or the ‘Espresso’ technique, its benefits, and how it can transform your practice. Whether you're seeking greater efficiency or curious about new techniques, this is your guide to elevating your posterior composite restorations https://youtu.be/YXJ6oW6qUKU Watch PDP177 on YouTube Protrusive Dental Pearl: Composite does not like to be dragged - consider using composite brushes or a cutting action, as opposed to a dragging action, especially if using the Fast Modelling Bulk Technique. Need to Read it? Check out the Full Episode Transcript below! Highlights of this episode:04:26 Protrusive Dental Pearl - Composite Handling06:07 Protrusive Guidance Platform09:24 The Journey of Dr. Ahmed Tadfi17:44 Ahmed’s Struggle with Posterior Composites27:46 Help Save Nafisa's Life30:03 Evolution of Espresso Technique31:30 Importance of Proper Cavity Design33:01 Step 1 - Pre-Operative and Caries Removal40:03 Step 2 - Pre-Wedging, Matrixing, and Final Clean 46:04 Step 3 - Etch and Bond58:51 Step 4 - Final Adhesive Layer01:01:21 Step 5 - Managing Marginal Ridge01:08:18 Step 6 - Restoration Process01:15:00 Clarifying Use of Microbrush to close the fissures01:16:02 Step 7 - Restoration Process Continued01:19:03 Step 8 - Glycerine Application and Polishing01:21:07 Step 9 - Occlusion Check01:24:56 Learn more from Ahmed Tadfi01:28:02 Ahmed’s Advice about Implementing the Technique Check out Dr Tadfi's Composite Artistry courses Join the Nicest and Geekiest Community of Dentists in the World: Protrusive Guidance - we will be able to comment and discuss on this episode and share more with each other that way. The clinical papers and Composite recommendations have been shared there. Please do donate to Smiles for Nafisa - we are almost there to saving her life - this will be HUGE for our community to help one of our own! If you loved this episode be sure to check out Composite Veneers vs Edge Bonding – Biomimetic Dentistry with George The Dentist – PDP075 Click below for full episode transcript: Jaz's Introduction: How are you placing your posterior composites? Are you doing like me? Are you doing cusp by cusp? Or have you discovered another technique? Well, I'm going to start by giving you a warning, Protruserati. This episode may completely change the way you place your posterior composites. I'm talking here bread and butter daily restorative dentistry. Jaz's IntroductionIt might just completely foundationally change it to the core. And of course it's got to be for the better. So the technique that we talk about today, the fast modeling technique or the fast modeling bulk technique, this could be an absolute game changer for you in your practice. I know I have internalized it and thanks to our chat with Ahmed Tadfi today, even now I myself am changing the way I place my posterior composites. Because although I enjoy the cusp to cusp and getting the nice anatomy, it's something I was taught on course many, many years ago, and I've just been doing it, and I'm in a good flow. I just feel that the efficiency can be a bit lacking. Doing two millimeter increments, use something called the snow plow technique, which Ahmed also uses, so I'll let him explain that in the middle of the episode. And whilst I'm happy with how my composites look, and thankfully post op sensitivity is not an issue in my hands. So for me to change,

‘Tell all my patients I’m running 20 minutes late..’ - sound familiar? If so, this episode is for you! Punctuality goes beyond habit; it reflects our respect for others' time and professionalism. In this episode, we delve into mastering punctuality in dental practice, exploring the balance between patient care and schedule. Join Nikhil Kanani as he unveils his five actionable strategies for refining workflows, improving communication, and boosting efficiency in your practice. https://youtu.be/ixkHjJGKGl0 Watch PDP176 on Youtube Protrusive Dental Pearl: Explore the Greater Curve Matrix Band for your restorations - it's now my preferred choice for around 70% of my cases. Wherever you are in the world, find a Greater Curve dealer and discover their range of products. Claim £100 voucher towards this matrix system when you sign up to the DRE Composite course - use coupon code PROTRUSIVE on www.drecomposite.com Need to Read it? Check out the Full Episode Transcript below! Highlights of this episode: 05:28 Protrusive Dental Pearl 11:08 Nikhil Kanani Introduction 16:13 Preparation 20:33 Stick to your Time Allocation 25:39 Have a Protocol List 28:39 Work Simultaneously and In Flow with your Nurse 31:33 Use Templates/Pre-written Procedure Protocols 35:58 Learn more from Nikhil Kanani Join the Nicest and Geekiest Community of Dentists in the World: Protrusive Guidance If you loved this episode be sure to check out 10 Habits of Highly Successful (and Most Valued) Dentists – PDP042 Click below for full episode transcript: Jaz's Introduction: I hate running late, like I rarely use that word hate, but I generally hate run late. My wife knows it very well because she sees in me that I am the most anxious. I'm the most worried when I'm running late for something, because for me, when you agree to meet someone or go somewhere for a certain time, it's like a promise that you've made. Jaz’s Introduction:So in my values, not breaking that promise and being punctual is actually really important. Now, interesting thing that I think maybe Jordan Peterson said, or I read somewhere, was that this isn't like a blanket rule. Like, even with me, if I'm running late, I'm not happy. However, there are some things that I value more than other things. So, for example, going to a party. Like, if I'm late to a party, I'm chill. I'm okay. Because parties aren't my highest values. Not anymore, they used to be, but that was a long time ago, right? So they're not my highest value. So if I have to do a few tasks or quick do a few emails before I have to go to a party, for example, and I end up running late for that party, it's okay with me. That can sit okay with me. But if I've agreed to meet a friend at a cafe or some friends at restaurants, then you bet I'll be there on time, maybe even early. Because I value those kinds of encounters and those relationships. Now bringing about dentistry, a long time ago I made an episode called Six Signs That You're A Comprehensive Dentist. And one of the signs was that you're running late a lot because you're trying to give your patient a lot of value. And you talk to them, and you nurture them and you answer all their questions and give them that little bit extra of yourself. And if that sometimes means you're a few minutes late. I think that's worth it. But I have got to terms that in operative dentistry, we can sometimes run late and it's okay. You've got to accept that sometimes you underestimate the situation, especially when we have less experience. For example, that caries cavity, which was way bigger than you anticipated, or that extraction where you didn't actually notice that that mesial root had a bit of a curve on it. So these little things, sometimes we underestimate it. Sometimes what happens is that the air abrasion sand needs changing, and the water needs changing at the same time, and your ID block didn't work,

Welcome back to another Interference Cast! Today's episode is a bit unique—for once Jaz wasn't the one asking the questions. Instead, he had the pleasure of being interviewed by the a cool dental student, Nav Bhatti. During the interview, we explore Jaz' story, origins, and what fuels his passions. It's a deep dive into who he is and what drives him. Plus, he shared insights into one of his top strengths, according to Tom Rath's Strengths Finder 2.0: being a learner. Join us as he discusses the importance of focusing on our strengths and the joy of continuous learning and sharing. https://youtu.be/JyQ3qpZNQLk Watch IC045 on Youtube Need to Read it? Check out the Full Episode Transcript below! Highlights of this episode: 6:51 Get to know about Jaz Gulati 8:35 Jaz’s Journey in Dentistry 11:49 Ensuring Quality in Dentistry vs Income 15:33 Highlights and Challenges in Studying Journey 18:42 Advice for Dental Students: Balancing Academic and Social Well-being 21:18 Journey to the World of TMD 26:36 Difference between TMD and TMJ 28:13 Q&A: Dentistry and Kids - is it possible? 29:12 Why is Dentistry better than Medicine? We recently took a bold business risk, urging subscribers to cancel with the 'Old App' and switch to Protrusive Guidance for a sleeker, more user-friendly experience. The response from the Protruserati has been overwhelmingly positive. It's our free Community! We also offer paid plans for educational content and CPD options. Students, stay tuned for exciting updates coming soon! Join us on Protrusive Guidance for the home of the Nicest and Geekiest Dentists in the World! If you loved this episode, be sure to check out Value Your Skills – How to Stop Underselling Yourself – AJ006 Click below for full episode transcript: Jaz's Introduction: Hello, Protruserati, I'm Jaz Gulati and welcome back to an Interference Cast. This one I feel kind of selfish posting this one, but it was interviewed. It's about me today, right? It's my story, my origin, what drives me. But I was interviewed by a very fascinating dental student called Nav. Jaz Introduction:Nav Bhatti And he's an up and coming content creator. I liked his style. I liked his realism. Very real world. I always got time for people like that. He's actually a British citizen studying dentistry history in Slovakia, previously having studied in Egypt and Ukraine. So he's got a really interesting story and we didn't actually get time to unpack it because he came to my practice where I work and he shadowed for a bit and then the plan was to record. But while recording about 25 minutes in, which is why this podcast is as long as is, which is why it's a kind of shorter episode. My wife calls me and at this stage, it kind of sums up the entire sort of month I've had, right? My family has been plagued by illnesses like my baby, Sihaan 10 months had like back to back viruses and when the kids are not sleeping we'll get like 2 -3 hours sleep a night and then unfortunately my eldest, almost 5 years old, he was in hospital for 2 nights on IV drips, severe dehydration, projectile vomiting, you name it, the whole shebang and then it finally got to my wife as well. I was the last man standing, I kind of told the universe and this is crazy, I had Gary Vee say this once, he said, I told the universe I'm too busy to fall sick. Right? And so that's my theory of why I didn't fall sick. I just told the universe, no, not today. But anyway, it's been a really challenging few months and then it kind of got epitomized by what happened while we were recording that my wife called me and she was in bed, she just couldn't move. And she had a baby and I was like, oh my God, I better rush home. And thankfully I live very close to where I work. And I said, Nav, I'm so sorry. I've got to go. And so the reason to share that with you is just to remind you that we're all going to have bad months. Okay?

Dr Lane Ochi is such a legend that I wanted to throw ALL of Dentistry’s tough questions at him - and as you guys requested, it’s MOSTLY about CRACKS! Dr Ochi practiced in Beverley Hills for 43 years and embodies the Protrusive values of a lifelong learner, avid sharer and with so much humility. Dr Lane Ochi and another of my mentors Dr Michael Melkers will be visiting London on 27th and 28th July in London for a 2 Day course. Click here to book on! https://youtu.be/ox9Jqc_f4pY Watch PDP175 on Youtube The Protrusive Dental Pearl – Intraoral Photographs: encourage your patient to capture intraoral photos on their phone, giving them a copy for reference. This empowers the patient to stay informed, facilitating their understanding and ownership of the situation Need to Read it? Check out the Full Episode Transcript below! Highlights of this Episode: 01:24 The Protrusive Dental Pearl 03:40 Dr. Lane Ochi 09:11 Amalgam Restorations 16:16 2 Types of Wearers 19:27 Virgin Teeth 20:00 Mechanical Failures in Dentistry 27:33 Force Management to Prevent Cracks 34:35 Micro Leakage - When to and When Not to Intervene? 39:32 Should you chase cracks? 45:17 Second Molar Problems 48:41 Posterior Severe Wear without Anterior Tooth Surface Loss 53:42 Management of Symptomatic Cracks 57:42 Direct Composite Overlay Protocol Join the Nicest and Geekiest Community of Dentists in the World: Protrusive Guidance ​​If you liked this episode, you will also like I Hate Cracked Teeth with Kreena Patel – PDP028 Click below for full episode transcript: Jaz's Introduction: Should you chase cracks? Should you be concerned when composites come back with staining? Is that actually caries though? Or is it just harmless staining? Is there something we can do to prevent our patients from cracking their teeth? And that age old question of when should we think about intervening on someone who's exhibiting hairline cracks in their teeth? Jaz’s Introduction:You see, Protruserati, these are dentistry's tough questions. There's no hard and fast rules. There's lots of opinion because we lack the clinical trials. But you know what? If I was going to ask someone their opinion, I'd want this person to be very experienced. So how is 43 years? Is that good enough for you? I think that's pretty good. Okay. What kind of dentist should this person be? Okay. Well, let me tell you the guy who we have on today. This is Dr. Lane Ochi. Not only is one of the most brilliant dentists ever, he's also the most humble dentist ever. This is a beautiful combination. And he really embodies everything that Protrusive is about, everything our community is about. This guy practiced for 43 years in Beverly Hills. He treated Miss Americas and celebrities, but when you speak to him, he's just the loveliest, most humble man. So it's a great pleasure to host him here today. We actually went live on YouTube and Facebook, but now this is the sort of polished and cut up full PDP episode complete with Protrusive premium notes and CPD. We've got one hour of CPD credits in store for you today by answering the quiz at the end. Protrusive Dental PearlThe Protrusive Dental Pearl is actually taken from this episode. It was just so brilliant yet so simple. Many of you are probably already doing this, but you know, sometimes it resonates with me that you know what, this simple little tweak, I can use this in my practice and what it was and what the pearl was, is to get the patient's photos. What I mean by that is the intraoral photos that you take, for example, of cracks like the big theme of this episode is talk about communication and crack teeth and predicting longevity. All the tough questions, like I said. But a powerful tip is to take a photo of the crack. Now, we've said that tip before. You know that already, but how about now escalating this and getting the patient to take out their phone and use their camera ...

In the previous episode, Jaz and Zahid explored the foundational concepts of IDS and its transformative potential in preserving dentine integrity for bonding. In this Part 2 of Immediate Dentine Sealing (IDS) series, Jaz and Zahid turn their focus onto the critical stages of the fit appointment and reactivation process to ensure you realise the full benefits of IDS. https://youtu.be/CFbek4ZOXJk Watch PDP174 on Youtube Protrusive Dental Podcast: Summarized Infographic of Immediate Dentine Sealing (IDS) Clinical Step-by-Step PDF Click Here to Request your PDF Copy Need to Read it? Check out the Full Episode Transcript below! Highlights of this episode: 00:00 Local Anaesthetic after IDS? 03:19 Trying in the Onlay 11:53 Ceramic Bonding Protocol 16:28 Immediate Dentine Sealing (IDS) Re-Activation 18:31 Disadvantages of Immediate Dentine Sealing (IDS) 21:56 Zirconia For Indirect Adhesive Dentistry? 23:22 Evolution of Immediate Dentine Sealing (IDS) If you didn't see the first episode, don't forget to check out Part 1 before you dive into this one. Check out Zahid's courses Click below for full episode transcript: Jaz's Introduction: So after listening to part one of this episode, you now can do immediate dentine sealing, but it's kind of not finished yet because when the patient comes back and you remove the temporary onlay, be it a bisacryl temporary like we discussed, or like a clip or a Telio, you still have to reactivate your immediate dentine sealing. Jaz's Introduction:So this episode will walk you through that entire process and I'm so glad that part one was received so well. In fact, while I'm recording this introduction, I'm having a look. We just published 173, which is the part one of this episode of Immediate Dentine Sealing, and I'm reading your comments and I'm just amazed about how well this episode has done. Ayesha Iqbal said it's so good. Well, thank you so much, Ayesha. Muhammad Hammoda says, thank you for your priceless efforts. Well, we really appreciate that. It's a team effort. One of these episodes I've calculated takes about 32 hours of time to edit. So really appreciate that. And Jayaraj Menon says, hi from Malaysia. Well, hello back to you from Malaysia, Jayaraj I went to Malaysia and had such a lovely time. I visited Penang and Kuala Lumpur and also Langkawi. So all of these beautiful places. And I had such a great cultural experience, such great food. My biggest regret. It's because I didn't know about it. I didn't know about Ramly Burger, right? I only found out about Ramly Burger while I was in Singapore and I didn't get to go back to Malaysia. So huge regret is not eating at Ramly Burger in Malaysia. So if you have the chance to eat at this place, apparently it's absolutely iconic. Anyway, I digress. In the last episode, I left you on a cliffhanger. I'm asked Zahid about whether you can skip the local anesthetic if you've done a good immediate dentine sealing. So the first thing you'll hear is us discussing that. But if you haven't listened to part one already, please do check it out. Protrusive Dental PearlThe Protrusive Dental Pearl for this episode is a beautiful infographic that Team Protrusive has made for you. Our infographics are pretty famous now. Like, they are exactly what you need to summarize an entire episode, and much more. It's a helpful visual guide. So if you'd like to download this infographic, if you're a Protrusive Guidance member, just check out the Protrusive Vault section. Or, under the Premium episode, you'll see that the PDF download is there for you to check out, it's also available as an image. If you're not yet a premium member then you can check out protrusive.co.uk/ids. That's forward slash ids and I'll be able to email you that pdf myself. Just before we go to the main episode just want to say thank you so much. I've been absolutely blown away because just yesterday we opened the door to Pr...

How and Why to do Immediate Dentine Sealing: In this first episode, Zahid and Jaz not only explored the fundamental principles of IDS but also offered a practical guide for its smooth implementation in clinical settings. Every single step of IDS is broken down and made tangible. https://youtu.be/UrrnSNWouf8 Watch PDP173 on Youtube Protrusive Dental Pearl: When dental work fails after a long time service, remind the patient that 'it does not owe us anything' and 'What could they buy today that would last X years?' Need to Read it? Check out the Full Episode Transcript below! Highlights of this Episode: 00:00 Introduction07:13 Zahid Shaikh Introduction11:39 Immediate Dentin Sealing (IDS)14:54 History of Immediate Dentin Sealing18:47 Onlay vs Overlay?21:33 Occlusal Reduction for Ceramic Onlays23:28 Caries Removal and Isolation24:58 Air Abrasion in Adhesive Dentistry27:36 Clinical Steps in Immediate Dentine Sealing35:48 Thickness of IDS Layer40:12 Enamel Refinement42:02 Preventing Temps from Sticking to Your IDS51:11 Liquid Dam to Temporise Onlays52:47 Removing Temporary Onlays In part 2 of this episode we will explain how to reactivate your IDS layer. Check out Dr Zahid Sheikh on Instagram! We're thrilled to announce the upcoming arrival of our Protrusive Guidance App, not only just a great source of CPD but a community of the nicest and geekiest Dentists in the world. Keep an eye out! 📅 Coming Soon: Protrusive Guidance App If you liked this episode, you will also like Dental Ceramics in 2022 – Which Ceramic Should I Use? Click below for full episode transcript: Jaz's Introduction: When I qualified in 2013 from dental school, I had never at that stage done a ceramic onlay or any sort of overlay restoration. In fact, it was full crowns when I was qualifying. A lot of the training that I had was on PFM. So porcelain fused to metal crowns and I look at and reflect on my dentistry and how much of it is adhesive and how much I rely on lithium disilicate onlays and overlays. Jaz’s Introduction:Now, part of the learning process, I learned about immediate dentine sealing, which is what today's episode is all about. And I've been doing this since about 2015. It's something I implemented in my protocol because I went on a Jason Smithson course and I saw that he was teaching it and he recommended it. So me being a good listener, I said, okay, if Jason says do IDS, I did IDS. But over the years, the more lectures I've been to, the more literature I read, the significance and power of immediate dentine sealing really cannot be underplayed. In terms of the improvement in your bonding and the overall success and longevity of restorations just makes a lot of sense, which is why I know you're going to love this episode with Dr. Zahid Sheikh, all about immediate dentine sealing, step by step, every little geeky detail will be covered, but more importantly, whether you've never done IDS before, you will feel confident to do so. And if this is something that you do all the time, you get to understand a bit more of the rationale, the science, and the alternative options, different ways of doing it. Zahid does it differently to how I do it. And so you get to listen to both views. In fact, this episode was full of so much goodness, I had to split it into two episodes. So in this episode, we're focusing on the preparation appointment. How do you actually perform the immediate dentine sealing? And then the part two. will be the fit appointment. You've got your lab work back and now you're going to remove your temporary and then reactivate that IDS, whatever that means. You'll figure out what that means. We'll go through it in extensive, protrusive style detail. Now, these two episodes will be part of February's Adhesive Month. That's right. I'm reintroducing themes for 2024. I think a few years ago we did it. We had like Splintember for September and we had Straight Pearl for Orthodontics.