Protrusive Dental Podcast

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,

In this podcast, Dr. Ajay Dhunna, a young dentist who graduated in 2018, shares valuable insights on excelling in your dental career. He emphasizes the importance of communication, attending conferences, and networking events. Dr. Dhunna and Jaz discuss strategies for managing stress and maintaining work-life balance. They also touch on topics like dental photography, career development, and reflection. Overall, it's an episode packed with practical tips for new dental graduates.

Are you a final year dental student or a recent graduate looking to kickstart your career as an associate dentist? In our latest episode we sat down with Dr. James Murray, a passionate foundation dentist who shares his recent insights and experiences on how to land a job as an associate dentist. Dr. Murray understands the challenges that come with transitioning from dental school to real world practice. He discusses the importance of building a strong portfolio and reflecting on your work to overcome imposter syndrome – embrace the learning process, seek feedback, and use every situation as an opportunity for growth. But what’s the best way to showcase your skills and make a lasting impression on potential employers? Dr. Murray reveals his secret weapon: an online portfolio accompanied by a thoughtful cover email. In this episode we also delve into tips for approaching dental practices that align with your values and interests. Struggle with taking clinical photos? Don’t worry, we’ve got you covered! Dr. Murray and Jaz provide helpful advice for improving your photography skills. So, if you’re ready to take the next step towards a fulfilling career, tune in to our podcast and unlock the secrets to securing your dream job! Access premium clinical videos by Jaz and gain CPD for Podcast episodes via the Protrusive.app https://youtu.be/AVREWCa8VN0 Watch IC041 on Youtube Need to Read it? Check out the Full Episode Transcript below! Highlights of the episode: 03:14 Dr. James Murray04:02 Dental school experience06:22 Imposter syndrome08:02 Curriculum vitae09:09 Covering emails11:01 Do the research11:30 Portfolios14:14 Having the right attitude19:37 How to make your portfolio20:45 Photography in dentistry23:52 Photography tips and tricks26:30 Resources for photography27:56 Advice to new graduates31:22 Just-in-time learning If you enjoyed this episode, you may also like Young Dentist Thrival Guide – First Few Years. Click below for full episode transcript: Jaz's Introduction: This episode is one of two being published this week, all about the topic of career development, your first few years after qualifying, making an awesome CV and portfolio, and the most important things you should focus on as a new graduate. So think of this as a new graduate week, two episodes this week. [Jaz]This episode is aimed at any student, any newly qualified dentist. Or someone who's just ready for a career change, i.e. either you're applying for your first ever role as an associate dentist perhaps or you've been stuck somewhere for a while and you want to broaden your horizons and elevate your dentistry and so now you need to start thinking about a portfolio. Back in the day dentists would hire other dentists by a handshake. Then things evolved into curriculum vitaes or CVs. Of course, there's always a place for a cover letter in an email, for example, to complement your CV, but nowadays it's all about the PORTFOLIO. Portfolios are a great way to show that you are a caring, reflective practitioner, and they really help you to stand out against the competition. I'm joined by a newly qualified dentist, James Murray. Who's going to give us a guide about what it takes to make a decent portfolio. Not because he's the most amazing portfolio in the world, but he's been in this space. He's been thinking about this a lot because he's in exactly the right stage of his career, newly qualified and has been very proactively. I've been very impressed with young man, very proactively building his portfolio, which helped him to get his associate position. Hello Protruserati, I'm Jaz Gulati and welcome back to the Protrusive Dental Podcast. This is an interference cast, which is like a non-clinical interruption. The themes covered in this episode are the portfolio, but everything that goes into the portfolio, what kind of stuff should you put inside there? What kind of photography should we be taking?

[Trigger warning: this episode discusses topics related to mental health, depression, self-harm, alcohol abuse, and suicide.] Humans first, Dentists second. We will all have personal rough patches during our career - but how does this impact our work and our patients? A Protruserati shares his experiences of a toxic marriage, self harm and alcohol dependence - I am so grateful he anonymously shared his valuable insights and lessons for dentists seeking to prioritise their mental well-being. https://youtu.be/ZED_yS8v8sc Watch IC040 on Youtube Throughout the episode we touch on coping strategies, emphasising the value of exercise and physical activity for mental well-being. We also explore the guest speaker's path to recovery from alcohol abuse, including their positive experience with the Allen Carr course, which aimed to change their perception of alcohol. We delve into their experiences with counselling and highlight the importance of being in the right mindset for therapy to be effective. In addition to this we touch on the HeartMath technique, a powerful self-regulation approach that our guest found beneficial in managing emotions and achieving a sense of calm. Below you can find links to these resources, including the ConfiDental helpline - an accessible and confidential listening service designed specifically for dental professionals. Allen Carr EasyWay – www.allencarr.com/easyway-stop-drinking/HeartMath – www.heartmath.comConfiDental – 0333 987 5158 Access premium clinical videos by Jaz and gain CPD for Podcast episodes via the Protrusive.app Need to Read it? Check out the Full Episode Transcript below! Highlights of the episode:04:22 Our guest’s story12:32 HeartMath14:59 Poker face18:33 Going to work mentally unwell21:00 Leaving toxic environments27:38 Advice for those struggling31:34 Reaching out If you liked this episode, you should check out Toxic Work Cultures in Dentistry – Time for a Change? Click below for full episode transcript: Dr. Anonymous: I didn't enjoy going to work. I think, I always thought, I wasn't very well slept and I didn't have the energy and I had to put it on, and it was a lot of effort. So, yeah, I think it was, it was difficult for me. I didn't want to go to work. Jaz's Introduction:Do you remember practicing dentistry when you had a cold or you weren't feeling well? Well, you must remember how difficult that was, right? Because dentistry is such a stressful thing. We're dealing with people's emotions all day long. We're dealing with intricate procedures in small places, so when you're not feeling your best. Man, that adds even more to an already stressful profession. There are various times in our careers that we will enter a rough patch. Now, before I give you examples of this, I want to give a warning for this episode that this episode does contain a lot of triggers that might upset some listeners. We tackled some very dark themes in this podcast episode. My guest, who is a dental professional, discusses episodes of self-harm, divorce, excessive alcohol intake. And these are the kind of themes that we'll be discussing under the broader umbrella of difficult, rough patches that we may face as professionals. And the reason why you made this episode today is to help anyone who's listening who may be. Going through a rough patch and of course will. It's inevitable. We will all go through rough patches. We'll all have an argument one day. We won't be feeling our best every day. I don't feel my best every day, despite what you guys might think, right? I have bad patches. Everyone has bad patches. This is life and we need the resilience to navigate through those bad patches. A lot of talk nowadays, more and more, which is brilliant about mental health, looking after your mental health. So I'm hoping this episode will help someone, will inspire someone. If it helps just one person, it is worth it. Because of the nature of this episode,

Learn about five techniques the speaker does differently now compared to dental school, including sectioning and elevating multi-rooted teeth, using air abrasion for plaque removal, using a 'wedge guard' during proximal drilling, opting for onlays instead of full crowns, and the resurgence of vertical preparations in dentistry.

Dr. Pasquale Venuti, a dentist specializing in biomimetic and restorative dentistry, joins the podcast to discuss critical thinking to improve patient outcomes. They cover topics such as outcome-based reasoning, controversial use of posts, and the role of ribbond under composite restorations. They challenge the status quo and encourage dentists to embrace critical thinking for better results. Plus, the importance of using mouth props for patient comfort during long appointments is highlighted.

How long do you spend at the end of the day writing notes? Are you always home late? I used to spend HOURS writing up notes after a long day in the clinic, but not anymore. I have been on a journey to find tools that make record keeping easier, more efficient and higher quality. The toughest sessions were TMD consultations where there was so much to take in that my poor nurse struggled to get everything down - that’s when I discovered Dental Audio Notes. I brought on the founders, Dentist Ala and Engineer Adam - to discuss the audio recording (and transcription) as part of dental records. Disclaimer: I have ZERO financial interest in DAN software. I just think it’s bloody brilliant. Dental Audio Notes (DAN) is a service designed to revolutionise record-keeping in the dental industry. DAN offers secure audio recording and transcription of patient interactions, allowing dentists to master record-keeping effortlessly. https://youtu.be/dRlvlGUyQQQ Watch IC039 on Youtube Here’s what makes DAN an invaluable tool for dentists: 1. Accurate documentation – DAN captures the entirety of the conversation. Dentists can later annotate the recordings, providing additional context and making the documentation even more robust 2. Time efficiency – writing notes can be burdensome, especially when dentists have a high patient volume. With DAN's transcription feature, dentists can save valuable time by automatically generating accurate and comprehensive clinical notes 3. Security – DAN takes care of storage, security, and privacy. Dentists simply need to press the record button, and DAN handles the rest, maintaining the recordings in a secure and confidential manner 4. Easy access and sharing – With DAN, dentists have the option to refer back to recorded consultations whenever needed. This feature enhances communication and aids in treatment planning. Additionally, dentists can choose to share the recordings with patients, fostering transparency and patient engagement For those interested in DAN, early registration before September 1st 2023 offers the opportunity to take advantage of the SUMMER2023 pricing. This includes a subscription of £30 per month for 30 hours of recording, with additional hours available at an affordable rate of £1 per hour. DAN offers a free trial period, allowing dentists to record up to 6 hours for free, providing ample opportunity to explore the features and evaluate the service’s suitability. Dental Audio Notes Website Need to Read it? Check out the Full Episode Transcript below! Highlights of the episode: 03:37 An Introduction to Ala Rozwadowska and Adam Marsh10:34 The benefits of audio recording consultations15:12 When to use dental audio notes23:12 Elevating your communication skills27:53 Gaining Consent31:47 Dento-legal feedback34:06 What will DAN be able to do in the future?38:30 Free trial and prices42:43 What Ala and Adam hope for users of DAN44:13 Dental coaches and mentors47:22 Microphones If you enjoyed this, you will also love Consent Is Like An Onion – Are You Consenting Your Patients Correctly? Click below for full episode transcript: Jaz's Introduction: As dental professionals, I'm talking dentist, therapists, hygienists, everyone. What's important to us when it comes to our dental records? What's important to you? Jaz's Introduction:Now, some of you might say that it's important, that's really contemporaneous and it's good legal defense in case anything goes wrong, fine, that's important. But you know what's really important to me is HOW MUCH TIME I would spend at the end of a working day and I'm knocked, I'm tired, and I'm having to just go over my notes and make sure that everything is correct and proper, and this can take a real long time that I know associates and colleagues who spend, gosh, about 90 minutes after day of work, just going through their notes, make sure they haven't missed anything,