Protrusive Dental Podcast

Expert treatment coordinator Emma shares her experiences and guidance on the evolving role of a treatment coordinator in a dental practice. Topics discussed include the advantages and disadvantages of treatment coordinators, the timing of appointments, patient consent processes, and introducing virtual treatment coordinators. Emma's insights provide valuable information for dental practitioners considering implementing a treatment coordinator model.

The podcast discusses the concept of fremitus in dental occlusion, including its definition, classification, and implications. It also explores the relationship between tooth mobility and fremitus, the role of the periodontal ligament in tooth protection, and the importance of avoiding fremitus in dental restorations. Additionally, the speakers express gratitude, promote an upcoming webinar, and provide updates on their online course.

Dr. Emma Ray-Chaudhuri, a pediatric specialist, discusses pain assessment for children, radiographs, and treatment options. Topics include building rapport, fissure sealants, pulp therapy, and the FiCTION trial. They also explore managing abscesses, reversible vs. irreversible pulpitis, and dental conditions like MIH. The episode highlights international variations in dental management and provides useful resources for further information.

‘Easy Dentistry on Difficult Patients is still Difficult’ - Dr Lincoln Harris Patients with small mouth opening can be a huge pain in the back for Dentists - but did you know there are ways we can significantly improve their mouth opening through physiotherapy? https://youtu.be/v_u9sBAGliU Watch GF020 on Youtube In this episode I’m joined by Dr. Tzvika Greenbaum, a specialist TMJ physiotherapist who's here to spill the beans on his journey from headaches to jawaches. We bring to light the jaw-dropping collaboration between dentists and physiotherapists, making dental treatment easier for both you and your patients. Need to Read it? Check out the Full Episode Transcript below! Highlights of the episode:00:00 Intro01:02 Dr. Tzvika Greenbaum03:39 Dentistry meets physiotherapy09:33 Range of movement10:23 Asymmetry11:20 Prevention12:20 Advice to dentists14:34 Stretching16:17 The dental gym16:57 Sleep bruxists vs. awake bruxists19:28 Reducing sleep bruxism20:52 Obstructive sleep apnoea22:03 Statistics and diagnostic criteria25:16 At-home exercises27:20 Pain and discomfort28:39 Rehabilitation30:14 When to involve a physiotherapist31:12 Expected results32:21 Screening34:15 Dr. Greenbaum’s event39:04 Outro Dr. Greenbaum’s upcoming course: protrusive.co.uk/greenbaum If you liked this episode, you will also like 3 Simple TMD Exercises Did you know? You can get CPD from the Web App or Phone App and watch premium clinical videos, for less than a tax deductible Nando’s per month? Click below for full episode transcript: Jaz's Introduction: One of my mentors, Dr. Lincoln Harris, once taught me that easy dentistry on a difficult patient is still difficult, and nothing makes our dentistry more difficult than that patient who just can't open, or the patient that keeps closing their mouth. Like, it's impossible to do high quality work in that kind of a patient. Jaz's Introduction:Hello, Protruserati. I'm Jaz Gulati, and in this Group Function where we just focus on one theme, today's big topic is "Help! My patient Can't Open Their Mouth!" And you'll be amazed with some physio with some exercises with some training if you like your patient can actually open significantly more allowing you to do better dentistry and allowing the patient to get better outcomes. We're joined today by our first ever Israeli guest Dr. Greenbaum who is a physiotherapist who specialized in the area of TMD and he'll be coming soon to the UK. So I thought ahead of his visit, let's talk about a really important topic that I think is going to help you guys in the real world where our patients are struggling to keep their mouth open. What causes this and how can we get involved either just by yourself or working in tandem with a physiotherapist? Let's join the main episode now and I'll catch you in the outro. Main Episode:Dr. Greenbaum, welcome to the Protrusive Dental Podcast. How are you? [Tzvika]Hey, hi Jaz. I'm very well. Thank you very much. And thank you for inviting me to speak about my favorite topic, which is Rehabilitation of Patients with Temporomandibular Disorders. [Jaz]It's great to be able to help our patients in pain. And this is exactly what it's about, pain and discomfort. And I'm going to really try and extract all the knowledge and experience that you have. But just share with the Protruserati listening right now, what is your background? How did you niche into rehabilitation of temporomandibular disorders and psychogenic and in that area? [Tzvika]Well, my bachelor's degree was back in 2004 in Haifa University in Israel. And after that, I headed up to Australia, South Australia to learn a master's degree in musculoskeletal and sports physiotherapy and a very well-known degree. But in that degree, I started to get into the topic of cervical spine. Upper cervical spine rehabilitation of patients with headaches. It was a new thing for physiotherapists to rehabilitate patients with cervicogenic headac...

Dr. Neel Jaiswal, founder of Professional Dental Indemnity, discusses the difference between dental indemnity and insurance. He provides transparent advice on choosing the right policy for your career stage. The podcast explores the benefits of insurance, the shift from mutuals to insurance, and the importance of uninterrupted coverage. The speakers also emphasize the need for clear communication and understanding when choosing a provider.

Ovate pontics are what you choose when you want the best aesthetics for fixed dental bridges - but how do you go about prescribing this to your lab? https://youtu.be/ffg0gX4L8ng Watch PDP158 on Youtube How do you carry out 'pontic site development' and how can you assess the soft tissues for suitability? Get your onions ready, Protruserati, it's another cracker with that man Dr Jason Smithson who will make ovate pontics tangible. We've also made a kick-ass infographic for you to download alongside 2 PDFs recommended by Dr Jason Smithson, summarising all that Dr Smithson taught on this episode. [Also available in the Protrusive Vault for premium subscribers] Protrusive Dental Pearl: Jaz's Rule for Resin Bonded Bridges For Metal winged adhesive bridges, do not accept more than 1 compromise For Zirconia RBBs, do not accept any compromises! Examples of compromises: small abutment teeth (and thus smaller surface area for bonding), poor quality enamel, awkward path of insertion, dodgy occlusions etc Join us on Saturday 30th September for Occlusion and Communication Day at London Heathrow - amazing speakers on 2 huge topics! As promised, check out the PDF on Ovate Pontics by Professor Bill Robbins and more about the E-Pontic here. Learn more from Dr Jason Smithson and his Restorative Programme. Also, check out his courses with Spear Education. Highlights from this episode to follow. Robbins Ovate Pontics PDFDownload If you enjoyed this episode, you will also like PDP132 Success with Resin Bonded Bridges Did you know? You can get CPD from the Web App or Phone App and watch premium clinical videos, for less than a tax deductible Nando’s per month? Click below for full episode transcript: Jaz's Introduction: This episode will be the definitive guide to all things OVATE PONTICS. Now, we actually cover bridge pontics in general, and when we qualified from dental school, we only really learned the modified ridgelap or the ridgelap. Jaz’s Introduction:Look, they're okay pontics, they do the job, but they're ugly. Ovate pontics are egg shaped or bullet shaped, and they emerge from the soft tissues, and they look really natural. As well as that, they offer really good cleansability as well. So Ovate Pontic is the best kind of pontic you can aim for. But it's so difficult to find good content online when it comes to Ovate Pontics, until now. I got on, once again, Dr. Jason Smithson, who, to me, is the best dentist in the world. He is amazing. I've been to so many courses. He's taught me so much. And it's just always a pleasure to have him on the podcast. I tried to really extract as much as I could from Jason Smithson during this episode to try and cover a lot of depth, but also a bit more breadth around this topic. What I also did in the editing stages of this episode is I really stacked it with lots of visuals, because sometimes when you talk about topics like this, when it's not visual, it's very difficult to follow along. Now, for all my Protruserati audio listeners, don't worry, all of it can be followed along by audio, but when a visual is really going to enhance the learning, I've put that on the screen. So for those of you who are watching on YouTube or on the app with the premium notes, you're probably going to gain a bit more. So I encourage you if you can make the time to do this, like an on demand webinar kind of thing, right? Just study all the visuals that will really compliment what we're talking about. In this episode, we discussed case selection for ovate pontics and all the nuances, like how deep do you actually go into soft tissues, which kind of soft tissues are suitable. What if you don't have enough soft tissue and everything you have to do to actually develop your pontic site. At the end of the episode we also see the return of Am I Naughty If, because I shared with Jason a shortcut way of working with ovate pontics to try and bypass th...

Welcome back to part two of this ‘Restoring the Single Implant Crown’ podcast series that's about to kick start your implant career. We've teamed up with the uber-knowledgeable Dr. Devang Patel, a dental wizard with over 13 years of spellbinding experience under his belt. Leading on from the previous episode that focussed on case assessment to impression taking/digital scanning, we now cover the step by step protocol for fitting the implant crown, maintenance, and troubleshooting. https://youtu.be/FDB72GtYAAs Watch PDP157 on Youtube Dr. Patel's got your back (or should we say teeth?) every step of the way! Check out his social media platforms for further information about his upcoming implant restoration course: @dr_devangpatel info@drdevangpatel.com www.drdevangpatel.com Need to Read it? Check out the Full Episode Transcript below! Highlights of the episode:00:00 Intro01:12 Restoring Implant Crowns Infographic02:03 Recap Part 103:45 Inspecting the labwork05:52 Assessing the occlusion06:22 Keeping the implant clean during the fit appointment07:21 Anaesthetic Prior to Implant Crown Try-In?08:20 Screwing in the crown11:13 Occlusion and guidance17:18 Temporarily restoring the access hole18:33 Review19:49 Definitive torque and sealing the access hole25:46 Yearly review of Implant Crown27:18 Radiographs29:21 Excessive blanching when fitting crown31:21 High occlusion management32:06 Open contact points for implant crowns34:43 Other implantologists’ work38:29 Angulated screw channels43:24 Loose implant crowns45:52 Implant passports46:57 Adjusting the occlusion48:24 Dr. Devang Patel51:13 Outro You can now download the infographic that sums up Part 1 and Part 2 of An Idiot's Guide to Restoring Single Implant Crowns. Just head to protrusive.co.uk/idiot If you liked this episode, you will also like Full Mouth Rehabs Part 3 Did you know? You can get CPD from the Web App or Phone App and watch premium clinical videos, for less than a tax deductible Nando’s per month? Click below for full episode transcript: Jaz's Introduction: Hello, Protruserati. I'm Jaz Gulati and welcome back to Part Two of an Idiot's Guide to Restoring the Single Implant Crown. Now, if you haven't yet listened to the first part of this episode, that's PDP156. Jaz’s Introduction:You should probably start there first because Dr. Devang Patel, our esteemed guest, he talks us through from the very beginning, like how do you assess the site that might be suitable for an implant and what to actually do if someone else's placed implant is coming to you for the restoration. And let me tell you, I learned so much. The episode is called an Idiot's Guide. I'm the idiot, right? So I was learning so much as getting along. He taught us about internal hex, external hex, conical, or butt joints, all these things I was learning about implants. Then we talk about impressions and scanning. And now we're going to be talking about what happens when the lab work comes back from the lab and you're going to assess it. You want to take a radiograph. You're going to actually screw the screw retain crown in. But what are you checking for? Do you have to give local anesthetic, for example? How much talk do you need to give at that point? How do you then restore the screw access hole? And what should be the follow up protocol going forward, as well as the all important troubleshooting? It's really important when you learn a new skill, that you learn about the troubleshooting. So any of the common complications that you can get ahead of it. Protrusive Dental PearlSo just before we go and join Devang for that Part two, I'm going to give you the Protrusive Dental Pearl. It's basically a summary of both these two episodes, so PDP156 and this episode, because I imagine as a learner, it can become quite overwhelming, especially if you're commuting, chopping onions, and then to try and remember and think, you need like an aid memoir.

One of the reasons I did not proceed further in Implant training is the sheer frustration and confusion surrounding all the components and nuances of restoring Implants. This is why I have Dr. Devang Patel sharing his 13 years of experience in the field to break every stage of restoring a single implant crown. All the terms, components and stages for implant restoration are explained during this 2 part series. https://youtu.be/TAzbZW_Yk_Y Watch PDP156 on Youtube The Protrusive Dental Pearl: How I use the software Motion to better manage my time and productivity. Check out the 7-Day Free Trial Here Need to Read it? Check out the Full Episode Transcript below! Highlights of the episode:00:00 Intro01:56 How I use the Motion App04:26 Where to start?07:03 Dr. Devang Patel13:30 Assessment and treatment planning22:19 Space requirements27:49 Temporaries28:48 Occlusion and diagnostic wax-ups30:10 Impression technique39:31 After the impression42:29 Connections48:19 Screw-retained crowns vs. cement-retained crowns58:18 The lab67:39 Digital impressions72:15 The next episode74:48 Outro If you liked this episode, check out Adhesive Full Mouth Rehabs in 11 Appointments (Part 1) – PDP103 Did you know? You can get CPD from the Web App or Phone App and watch premium clinical videos, for less than a tax deductible Nando’s per month? Click below for full episode transcript: Jaz's Introduction: If you're like me and you don't restore implants and you want to learn more about this area or if you're new in the game and you've got your first couple of cases on the go, this episode will be absolutely invaluable. If you remember Devang, he did a few episodes with us about full mouth reconstruction in 11 appointments and he went through appointment by appointment, and that episode is like a Protrusive Hall of Fame. Jaz's Introduction:In that same style Devang covers over the crosses two next episodes, the Five Different Stages of Restoring the Single Implant Crown. We're going right to the basics, starting from assessment all the way to screwing or cementing your implant crown, and we leave no stone unturned. Hello, Protruserati. I'm Jaz Gulati and welcome back to the Protrusive Dental Podcast. For me, implants are super confusing. When I was in the first few years after qualifying, I did go on some courses to learn about restoring implants, even learning about placing implants. But I just decided it wasn't my bag. It's not what excites me. Orthorestorative excites me, occlusion excites me, and implants are at the moment in my career is not something that I'm spending more energy and time on. I'm doing a lot more TMD now I'm doing restorative but who knows what's in store for my future. But as we know dentistry is a long game and that could change in the future, but I definitely needed to serve my patients better by learning more about implants in general. I think we can all do with foundational knowledge and where better to start than learning about restoring implants which is exactly what Dr Devangkumar Patel will do today. Now, please, no one be offended by the episode title, An Idiot's Guide. If you listen to the end of the episode where we discussed naming of this episode, it's a bit funny actually, but I mean this with the best intentions because actually when you listen to the interview, you'll see that I'm stopping Devang and I'm like, hang on a minute. When you say this, do you mean this? And I'm learning as we're going along. And when we're talking about internal hex and external hex, for me, that just got really confusing. So I made this analogy of like a belly button, like sticky-innie, sticky-outie. So, you'll see lots of Jazz-isms in there about me just trying to break things down, trying to make it tangible. So please, no one be offended by the title. Protrusive Dental PearlThe Protrusive Dental Pearl today is from the recent webinar I did. I did All My Productivity Secrets Revealed.

We speak with Dr. Pav Khaira, a total implant nerd, who shares 4 of his top tips for maximising osseointegration: Biological ageing: discover the time-sensitive nature of implant bioreactivity and its impact on integration (and how to improve the bio-reactivity of your implants) Mastering the osteotomy: fine-tune your skills in shaping the osteotomy based on bone quality and type Disinfection: explore disinfection techniques of the osteotomy Systemic factors: optimise early-stage healing and understand long-term immunological balance Don’t miss an upcoming exclusive live event on “Superosseointegration” on 15th and 16th September 2023 in London hosted by @Dr.Pav.Khaira – www.academyofimplantexcellence.com https://youtu.be/fBfnxubdgpc Check out PDP155 on YouTube Maximise the osseointegration of your implants and uncover the intricate relationship between the skeletal system and the immune system (known as osteoimmunology) and its impact on implant success. Need to Read it? Check out the Full Episode Transcript below! Highlights of the episode:00:00 Intro01:19 The Protrusive Dental Pearl03:11 Dr. Pavandeep Khaira04:29 What is osseointegration?05:04 Osteoimmunology07:39 Early-stage failure09:52 Success and survival rates12:33 Biological ageing15:45 Decarbonisation for Implants21:18 Bone density24:10 Overheating the bone27:16 Disinfecting the osteotomy29:21 Systemic factors33:03 Superosseointegration36:58 Outro If you enjoyed this episode, you will love Why Should You Avoid Flapless Implants? – GF015 Did you know? You can get CPD from the Web App or Phone App and watch premium clinical videos, for less than a tax deductible Nando's per month? Click below for full episode transcript: Jaz's Introduction: We know that implants are a great way to restore an edentulous area. It is not a replacement for a tooth, because teeth are still the best, but the next best thing for a missing space at least, are IMPLANTS. Now, implants can get very complicated, different stages, surgical, restorative, but the very initial stages is all to do with ossteointegration, which is essentially, in a crude way to describe it, would be the fusing of the implant to a patient's bone. Jaz's Introduction:Or as I like to call it, how long it takes for the implant to cook, so it's ready to accept load. Today on the show, I've got Dr. Pav Khaira on again, he's our resident implant expert and a titanium nerd, and he's going to cover four techniques he uses, and most of these are very quick to act on, very simple, and something that you can apply straight away. One of them does involve you to buy some extra kit, but the reasoning is really solid, and it's something I hadn't heard of before, so it's four ways to BOSST your OSSEOINTEGRATION. That's the success rate overall, and the quality of your osseointegration itself. Like Pav taught me in this episode that most implants, when they're placed, about 56% of the implant is covered by bone, or rather 56% of the implant is actually directly contacting bone. And with his techniques, he's getting that much higher, which he believes results in a longer lasting, more successful implant. So he calls this all super osseointegration. Protrusive Dental PearlNow before we join Pav to reveal those four ways, I've got your Protrusive Dental Pearl. Now please bear with me because I do have an ulcer on the inner side of my upper lip. It's a little bit painful, but the show must go on. And my son is home today because of school holidays. So I'm hoping he doesn't barge in and have to record this all over again, but let's go, let's do our Protrusive Dental Pearl, which is not an implants one. I don't do implants myself, but I can tell you is about COMPOSITE BONDING. Here's a tip I picked up when it comes to anterior composite bonding. You need to evaluate what percentage of your appointment are you going to actually devote to the placement of your composite and what perc...

When and why should you use post crowns in contemporary Dentistry? Surely they are a thing of the past? Dr. Dominic Hassall, a restorative consultant, shares valuable insights on restorability and the essential concept of ferrule. He highlights the significance of restorability and the role of fibre posts in dental procedures, emphasising the ferrule effect in crown and onlay preparations. The ferrule effect ensures predictable outcomes by transmitting occlusal forces through the natural tooth structure, reducing the risk of failure. https://youtu.be/zQNReIIJCG8 Watch PDP154 on Youtube Protrusive Dental Pearl: How to Bone Sound for Ovate Pontics -Imagine you have a missing upper lateral incisor, and you want to use an ovate pontic for an aesthetic bridge. To achieve the ideal emergence profile, Jaz demonstrates how to assess gingival thickness using ‘bone sounding’ using a periodontal probe (please see video). This technique helps determine how thick the tissues are overlying the edentulous area and whether an ovate pontic is feasible (or perhaps a connective tissue graft is necessary). Throughout the episode, Dr. Hassall's expertise shines through, making it a must-listen for dental professionals seeking a comprehensive understanding of restorability and ferrule in restorative dentistry. Need to Read it? Check out the Full Episode Transcript below! Highlights of this episode:0:25 - Introduction to Dr. Dominic Hassall1:27 - Bone Sounding Clinical Video6:25 - Dr. Hassall's journey into restorative dentistry9:04 - Function of Post Crowns13:35 - Composite for Nayyar cores18:10 - Assessing restorability23:25 - Impact of ferrule position on treatment outcome30:30 - Advantages and disadvantages of post techniques38:55 - Post Crowns as Bridge Abutments?43:08 - Dr. Hassall's teaching institute details Dr Hassall gave a discount for his Diploma Course, head over to https://dominic-hassall-training.co.uk/contemporary-restorative-aesthetic-dentistry-online-blended-course-advanced/ and use the code “JAZ10” Jaz has no financial interest in this product. If you enjoyed this episode, check How to Save ‘Hopeless’ Teeth with the Surgical Extrusion Technique Click below for full episode transcript: Jaz's Introduction: We are using less and less post crowns now, but is there still a place for them? Now, recently I had Dr. Pasquale Venuti on the show and he had some interesting opinions. He was quite a big advocate of the cast metal post crown in certain scenarios, where today's guest, actually Dr. Dominic Hassall, is well known restorative consultant, has a teaching institute, is a well-established educator, and he's very anti cast post crowns. [Jaz]He's very pro COMPOSITE FIBER POSTS. So you'll find out today what his views are on that. But we take a big, broader view of all things to do with posts in terms of when we should be placing a post. What about restorability in general? If you're thinking about placing a post, then you are also debating, 'Hmm, is this tooth even savable in the first place?' We also cover the very foundational concept of the ferrule, which is so, so important when you're considering if you can rescue a tooth or not. And also in terms of the long term outcomes for post crowns in general. Lastly, if you stick all the way to the end, we talk about this real world factor of communicating fees to your patient, because if your patient needs a root canal retreatment, and a post and a new crown, you're kind of in the implant money territory, you know? So this is like a tough thing to help our patients decide which is the best scenario for their tooth. Hello, Protruserati, I'm Jaz Gulati and welcome back to another Protrusive Dental Podcast episode. Every episode I give you a Protrusive Dental Pearl. Today's Protrusive Dental Pearl before you join the main episode is about bone sounding. So what is bone sounding? There's a couple different scenarios we can use it,