Protrusive Dental Podcast

Which type of sedation is best for my patient? Are Temazepam tablets good enough? Is that even allowed? How can I safely provide Sedation in my practice? We are joined by the calming tones of Dr. Roy Bennett who busts some myths and guides us clinicians on Sedation in Clinical Practice. https://youtu.be/F6tf6HqqxD8 Check out this full episode on Youtube Download Protrusive App on iOS and Android and Claim your Verifiable CPD/CE by answering a few questions + You can get EARLY ACCESS to the episode + EXCLUSIVE content Protrusive Dental Pearl:  Communicating Risks to your Patient: Be calm and SLOW your pace down when communicating with your patients to EMPHASISE certain words. Becoming a visual educator to the patients is also a really good way to communicate risks - intra-oral camera is the best investment you will ever make. FocusDent MD740 Dental Intraoral Camera Need to Read it? Check out the Full Episode Transcript below! Highlights of this episode: 1:07 Protrusive Dental Pearl - Communication4:27 Dr. Roy Bennett’s Introduction5:40 Pre-medication - is Temazepam any good?9:27 GDPs entering the world of Sedation13:48 Which Type of Sedation, When?15:12 Level of training required to provide sedation in practice17:32 Sedation and Clinical Dentistry at the same time?19:09 Learning Sedation21:48 How long can we Sedate a patient for? Is it just 1 Hour Max?23:41 Offering sedation in YOUR practice25:41 Ideal personality traits of operator-sedationist28:15 Thing to know about implementing sedation32:21 Two good qualities that an operator-sedationist should have: 34:24 The “New Drug” - Remimazolam Check out Dr. Roy’s training site: Web: mellowdental.co.ukAs a senior clinical advisor - Webinar and Presentations: uksedation.com  UK Sedation will be presenting at the Royal Society of Medicine on the 15th of February on the new drug If you enjoyed this episode, you may also like another sedation episode: What Every Dentist Should Know About Managing Dental Anxiety  with Dr. Mike Gow Click below for full episode transcript: Jaz's Introduction: What's the deal with prescribing Temazepam as part of oral sedation or pre sedation? Are there any concerns about giving this to your patients or maybe sometimes the doctor, the general practitioner has given this to your patients? Jaz’s Introduction:And what about deciding whether inhalation station, AKA gas and air versus intravenous sedation is best for your patient, and what is the correct path you have to take to be able to safely provide sedation in practice? These are all the questions we'll be covering in today's episode. Hello, Protruserati. I'm Jaz Gulati, and welcome back to your favorite dental podcast. It's not often we do an episode on sedation. It's quite a niche thing, but it complements some of the previous episodes we've done such as the one about hypnosis with Mike Gow. You have to listen to that one. And Mike and Roy, today's guests are actually really good friends, and it makes total sense. You know, Roy was a fantastic calm communicator. I would feel very safe in his hands as a patient. And that's what we all want. We all want our patients to feel safe around us, and that come from how we communicate to our patients. So, before we start on this episode about sedation, all those things that I just discussed, let's get to the Protrusive Dental Pearl. Protrusive Dental Pearl:So, if you're new to the podcast, every main episode, every PDP episode, I will share a Protrusive Dental Pearl. One tip that you can apply straight away. And this one is about communication. I very often like to do well communication one and this is not because I am some sort of master of communication. This is far from it. This is just something that I've been very much in tune with myself. I try to reflect on my communication skills and try to improve, and I try to look at other clinicians when I shadow them or when I see them in practice.

I think self development and emotional intelligence is foundational to our relationships with others. It's how we interact with our patients, significant others, children and family members. Investing in your personal development makes you a better communicator. That's why you should listen to Dr. Agi Keramidas in this episode! We discussed how to begin your self-development journey and what are the important areas for dentists to focus on. We hope you'll apply just ONE THING whether it's a book title that we recommend or implement one tip to better yourself or your interactions. https://www.youtube.com/watch?v=HzItyEV3x_c Check out the Video for Free on YouTube Need to Read it? Check out the Full Episode Transcript below! Highlights of the episode: 4:58 Dr. Agi Keramidas’ Introduction10:57 Getting started with self-development14:05 Important areas to develop for Dentists21:04 Dr. Agi’s communication style30:03 Roadmap to self-development35:13 Practical tip for self-development Check out these books recommended by Dr. Agi Keramidas How to Win Friends & Influence People by Dale CarnegieRich Dad Poor Dad by Robert KiyosakiThe Biology of Belief by Dr. Bruce LiptonThe Daily Stoic by Ryan Holiday and Stephen Hanselman Check out Dr. Agi Keramidas’ podcast: Personal Development Mastery for more personal development episodes Website: agikeramidas.comPodcast: personaldevelopmentmasterypodcast.com If you loved this episode, you will like 12 Rules for Dentistry Click below for full episode transcript: Jaz's Introduction: One of the most common questions I get to the podcast is, WHICH SCANNER SHOULD I BUY? 'Hey, Jaz, I'm starting to make this venture into digital dentistry.' And it's overwhelming, right? Jaz's Introduction:There's so much out there in terms of different types of scanners, different requirements, so which is the best scanner? Which is the most appropriate scanner for your clinic and your requirements? Well, that's exactly what we're covering today with Dr. Gulshan Murgai. If you haven't listened already to IC027, it was his story that we covered and it's titled, 'He got Sued and he won.' So essentially, it's his entire legal case how it led to that. And we learned so many different medical legal lessons and it was just great to hear about his triumph. So, if you haven't listened to that, please do listen to that. But if you've clicked on, because of the title of digital dentistry in which scanner to buy, there's so much meat in here because Gulshan has tested and tried all these scanners, and now he's gonna summarize for you which scanner he thinks is the best and why that might change depending on your needs and the needs of your practice. Now, Gulshan doesn't keep it a secret or hide it or anything. He has got some financial interest in a digital scanning company. But I still think there's so much of meat in terms of gaining the knowledge to know what are the differences in the different scanners and how you can choose which scanner to invest in. Let's join Dr. Gulshan. I'll catch you in the outro. Main Episode:Dr. Gulshan Murgai, after that really enlightening episode about how you triumphantly won the case and so many lessons shared. Welcome back to the Protrusive Dental Podcast. This group function today is to answer one burning question, and I've seen you lectured before. I know you're super passionate about digital dentistry. For those people who haven't listened to that episode yet, just introduce yourself again and why you are so involved with digital dentistry why you are so passionate about digital dentistry. [Gulshan]So, my name's Gulshan Murgai. I'm a practitioner, general practitioner practice in Watford, Northamptonshire. So, I'm basically got exposed to digital dentistry as an undergraduate. So year 2000's thanks to Professor Burke at University of Birmingham. He brought in the guys that were selling Cerec at the time.

Biomimetic Dentistry is the use of Restorative techniques and materials to mimic (and preserve) the structure and function of natural teeth. Dr. Taylor Paton will discuss his journey in Biomimetic Dentistry: how it differs from Adhesive dentistry and how it can be used to develop innovative treatment strategies for patients. In this episode we also discussed philosophies and guidelines following the literature for optimal bond strengths, so that your clinical protocols may benefit from Biomimetic principles. https://youtu.be/UFTwT86Urs8 Check out the full Video The Protrusive Dental Pearl: How to block out a metal post. Use something like 'Ivoclar Direct Opaque flowable resin', a masking agent that is highly opaque. Paint it on the dark tooth substrate or cover metal (eg a cast post) with it. Other brands include Pink Opaque by Cosmedent Inc Premium users on the App can download Premium Notes by PDF and PDF Transcript. Need to Read it? Check out the Full Episode Transcript below! Highlights of this episode: 2:52 The Protrusive Dental Pearl7:15 Biomimetic Dentistry 13:17 Dr. Taylor's journey to Biomimetic Dentistry21:48 The Hybrid Layer 24:11 Improving Bond Strengths 26:58 How Decoupling with time works 31:41 Immediate dentin sealing concept 36:19 Caries Detector dye 42:58 Biomimetic Philosophy regarding crack management  Check out Dr. Pav Khaira's Academy of Implant Excellence which would give you a comprehensive course encompassing A-Z of implantology If you like this episode, you’ll also like Composite Veneers vs Edge Bonding – Biomimetic Dentistry with George The Dentist  Click below for full episode transcript: Jaz's Introduction: What actually is Biomimetic dentistry? I think in the last few years it's become like a buzzword in clinical dentistry. Is it the same as adhesive dentistry? What is this decoupling time or decoupling with time? And how can we follow simple steps to improve our bond strengths? Jaz’s Introduction:Because essentially, from my understanding of BIOMIMETIC DENTISTRY, it is like EXTREME BONDING. Basically, it's extreme adhesive bonding and using a set of philosophies and guidelines following the literature to get the best bond strengths possible. Today I've got on Dr. Taylor Paton, and I love him because he's a young dentist, like he's super young, and I respect that a lot because he's got something to share. He's got fantastic online resource, all about his passion and his learning and his journey with Biomimetic dentistry. And sometimes what happens in education is that the grand master, the king of any discipline within dentistry, they are so far removed from the plight and the struggles of that learner that sometimes they may not be the best person anymore to introduce someone to that topic. So, I think Taylor, what he presents today is a young Scottish dentist and I just love his energy and his knowledge. You know how much I love geeky dentists, and so therefore I've got him to talk about Biomimetic dentistry, answering my questions from the lens of a young dentist who's just very well read up and very keen in this field, and that way he's also learning and therefore, as us, we are all learning together with him. I think this episode is more impactful as an introduction to Biomimetic Dentistry than if I got on an established superstar that's already well known. So, Taylor, keep up the good work, my friend. Hello, Protruserati. I'm Jaz Gulati and welcome back to the Protrusive Dental Podcast. If you're listening to this, I love you. Thank you so much. If you're watching this, then you can see the hoodie that I'm wearing. Oh, my goodness! Dr. Nekky Jamal, the dentist who made the Third Molars Online course. The course I always rave on about as the course to learn wisdom tooth surgery wherever you are around the world, because it's online. It really helped me start tackling cases. He has this fantastic merchandise.

One of the most common questions I get from colleagues is 'Which Intra-Oral Scanner should I buy?' - I don't have the breadth of experience of testing all the scanners out there, but Dr. Gulshan Murgai does! We discussed which scanner is best for your practice and how to choose the correct one for your needs. I hope you gain insight into the differences between the different scanners and help you move forwards a decision. For me, one of the biggest takeaways was that it may not be so much about which scanner, but more about 'what is the customer support and guidance like after I invest in one?' https://youtu.be/ERvzjlQaBRc Check out this full episode on YouTube Highlights of this episode: 2:00 Dr Gulshan Murgai Introduction5:43 Which intraoral scanner should I purchase?8:03 The best scanner on the market today and why?12:37 Aligner system available for different scanners15:17 Customer support on scanner companies18:11 Scanner Prices19:12 Caries detection within scanner20:27 Importance of scanner and what’s the best for your practice Check out Dr. Gulshan Murgai supply company Implant Solutions Direct and also 4D Ceramix, which is a full-production crown and bridge lab Connect with Dr Gulshan Murgai If you liked this episode, you might enjoy the Story Of Digital Occlusion This episode is not eligible for CPD/CE points, but never fear, there are hundreds of hours of CPD waiting for you on the Protrusive App!

Ever considered moving to Dubai to practice Dentistry? Dr. Mark Georgy practiced in Abu Dhabi for 5 years, and Dr. Fraaz Ahmed moved to Dubai 5 days ago - on today’s episode we are lucky to get BOTH perspectives of life and Dentistry in the United Arab Emirates. Fancy tax deductible Skiing + CPD next month? Check out Destination CPD by Mark Georgy From qualifications to registration process and income potential, we covered it all in this episode. https://youtu.be/KGCk3YcK-e0 Check out this full episode on YouTube “You have to have your license already sorted out, a lot of people just won't reply unless you have your license, which you can do remotely, you DON'T have to come in to the country (UAE)” Download Protrusive App on iOS and Android and Claim your Verifiable CPD/CE by answering a few questions on hundreds of episodes + You can get EARLY ACCESS to the episode + EXCLUSIVE content Need to Read it? Check out the Full Episode Transcript below! Highlights of this episode: 2:32 Dr. Mark and Dr. Fraaz introduction6:46 Considering Dubai as the place for practice10:34 Dental Health Authority (DHA) License12:19 Taking risks of moving to other countries13:54 Requirements for foreign dentists to work in the UAE17:06 Dental Protection in UAE19:22 Family-run clinic22:05 Contractual issues abroad 30:00 Things to consider before moving abroad33:34 Quality of life and schooling in UAE37:26 Income tax and income levels in UAE44:42 Daily life in the UAE48:38 Language Issues49:48 Advice in considering moving to the UAE Enlighten Smiles sponsored this episode with their great whitening products and also their course flagship composite bonding course called Mini Smile Makeover, which is really heavy duty full sequence from peg laterals to composite veneers by the famous Dipesh Parmar. If you enjoyed this, you might also like this episode The American Dental Dream with Dr. Kristina Gauchan Click below for full episode transcript: Jaz's Introduction: Did you know that the very first episode of Protrusive Podcast was about my experiences and Surinder's experiences when we were in Singapore? And that was kind of the reason why I started PROTRUSIVE DENTAL PODCAST. Jaz's Introduction: Well, so many hundreds of episodes later, another opportunity has come to talk about moving to the UAE, from wherever you are in the world, be at US, Australia, UK, New Zealand, wherever you are, and starting a new life, a new career in the United Arab Emirates, think Abu Dhabi, think Dubai kind of thing. And those are where my two guests have got experiences from. And I'm really excited to share this episode, because we've got Mark, who was practicing in Abu Dhabi for five years. And we've got Fraaz, who literally arrived in Dubai, two days ago from the UK, and is living the entire sort of initiation process right now. And he's hoping to get started working there next month in January. So, a lot of takeaway points for anyone who's even thought about moving to the UAE? What is it take? Are there other exams? What's the income, like? What's the tax situation like? All the things that you'd want to know, before you move out to the UAE to practice dentistry, funny enough, one of the the hygienist, Bev who I work with is also there now. I haven't caught up with in a while. So I'm actually reached out to her. But there's lots of people I know over the years, who've experienced dentistry in the UAE. And it's a place that I've been to a fair bit, my wife actually grew up in UAE, and we're going there again, on vacation. So it really piqued my interest, you know, my wife is actually expecting number two in summer. So looking forward to a summer of sleepless nights. And one of the things that we are looking for in the future and a couple of years is a bigger place, because we're in a cozy to bed, and we're gonna need a bigger space. So before we decide on that, my wife was like, 'But you know,

I admit it. I have relied FAR too much on my lab technicians to help design my chrome partial dentures. This needs to change! I realised that I want to take control of the denture design process - who better than the King of Removable Prosthodontics education Dr Finlay Sutton to help us 'Make Dentures Great Again'! In this episode, Dr. Finlay Sutton clarifies the philosophy behind Scandinavian Chrome Dentures. He also explains what each appointment entails to help those earlier in their career. https://youtu.be/3aS7kZZUM_0 Download Protrusive App on iOS and Android and Claim your Verifiable CPD/CE by answering a few questions + You can get EARLY ACCESS to the episode + EXCLUSIVE content The Protrusive Dental Pearl: DENTURE DESIGN CHEAT SHEET! Dr. Finlay came up with a Universal Design Sheet. It covers all aspects of missing teeth - all different combinations and patterns of tooth loss. It covers teeth with good prognosis and also teeth with dubious prognosis Need to Read it? Check out the Full Episode Transcript below! Highlights of this episode: 2:15 Protrusive Dental Pearl4:05 Dr. Finlay Sutton’s Introduction to Partial Denture6:31 The Scandinavian Partial Dentures vs other designs11:24 Scandinavian approach for Chromework12:56 Acrylic-based Partial Dentures18:04 Indications for Chrome Palate on Complete Denture21:17 Acrylic dentures with a wire mesh inside?22:49 Cast Partial Dentures Protocol - Appointment by Appointment32:13 Patient Reviews 34:39 Average treatment fees Join us for The Scandinavian Approach to Partial Dentures with Dr. Finlay Sutton in Reading, UK on the 13th of January OR the 14th of January If you enjoyed this, you may also like another episode with Dr. Finlay about Chrome Dentures Made Easier Click below for full episode transcript: Jaz's Introduction: I love restorative dentistry. But the thing I always enjoyed the least I guess is DENTURES, complete dentures because I had a bit of experience. And I did a restorative post and I did loads of complete dentures I quite enjoyed. Jaz's IntroductionBut chrome dentures, for whatever reason, demographics exposure, didn't get enough chance to practice the art of chromed dentures. And to be honest with you, I never got on with surveyors and I never really understood denture design. Now fast forward many years, and I started to get a more elderly patient base and the demand for good quality denture work increased. So, I had to match that demand. And I've been relying too much on my technicians to help me with the denture design and touchwood, I've had some good results so far. And what that did, it inspired me to learn more, I want to take control of the denture design now, hence why I've got Finlay Sutton coming next month. So, now it's December. In January 2023, he’s coming to Reading I'm bringing him down south because I'm allergic to the north. And I'm just so excited to start implementing everything he's teaching, but this episode will go a long way in teaching you about the philosophy of SCANDINAVIAN CHROMED DENTURES as well as for the younger dentists, every single sequence of Chrome Denture Provision, what is done at each appointment and why you do it in that order. Hello Protruserati. I'm Jaz Gulati, and welcome back to the Protrusive Dental Podcast. It's almost coming to the end of 2022. It's been a crazy year for the podcast. We've had so many episodes, we launched the app this year. Like I am so proud of what our team put together. Thank you for hundreds of you who've been downloading on iOS and Android and sending the feedback and good vibes overall. So, really appreciate that. This episode like 98% of the episodes of Protrusive are eligible for CE or CPD certificates. All you have to do at the end is answer a few questions to validate your learning. And my team will email you a certificate, you also get early access to the episode. You get exclusive monthly content. So,

This podcast will change the way you think about pulpotomies and endodontics in general.  Georg Benjamin explains that severe throbbing pain (or classic signs of IRREVERSIBLE PULPITIS) does not necessarily mean a pulpectomy is needed. Instead, we can consider a pulpotomy for permanent teeth to preserve radicular pulp tissue and maintaining a vital tooth! Download Protrusive App on iOS and Android and Claim your Verifiable CPD/CE answering a few questions + EXCLUSIVE content: https://youtu.be/PoWDRz714uQ Check out this full episode on YouTube Protrusive Dental Pearl: Check if your anesthetic is successful by carrying out an objective test by placing EndoFrost (-50 C) on the tooth (about 10 secs) and checking for a cold response. If the patient is not fully numb yet, they will still feel something. If they are sufficiently numb, this test gives you (and some nervous patients!) confidence. I like this before placing rubber dam as I hate ever removing the dam to top up LA! Need to Read it? Check out the Full Episode Transcript below! Highlights of this episode: 2:02 Protrusive Dental Pearl4:47 Georg Benjamin’s Dental Podcast Journey7:10 Georg’s Endodontic Journey11:46 Case Discussion: Pulpal Diagnosis16:17 Pulpotomy19:37 Direct Pulp capping 22:26 Indirect Pulp Cap23:58 Pulpotomy Protocol26:59 Classifications of Pulpotomy 30:52 Bleeding Time Protocol33:31  Patient Communication 35:34 Treatment Decision-Making38:57 Success rate of pulpotomy41:10 Early and Late failures42:30 Long-term treatment45:14 Unhealthy pulp48:08 Materials and Products for Pulpotomy50:54 Leaving carious dentine as base For our German Protruserati, check out Georg's Dental Podcast If you enjoyed this, you might also like this episode with  Dr Ammar Al-Hourani 'Is Single Point Obturation Acceptable?' Click below for full episode transcript: Jaz's Introduction: Grab your onions Protruserati, because this podcast will change the way you think about a pulpectomy, you will probably do way LESS EXTIRPATIONS and committing to a root canal. Jaz's Introduction:And this episode really challenges our beliefs that we hold in terms of what requires a root canal treatment, ie we were trained that irreversible pulpitis equals pulpectomy, which is a root canal right? Now, that's what I was taught to. But what is happening now in endodontics, is brilliant. And Georg explains it really well, with his lovely German accent, we go over the fact that nowadays, whenever a patient comes to Georg, with irreversible pulpitis , that you know, severe throbbing ache, it does not mean root canal for him anymore, it means a PULPOTOMY OF THE PERMANENT TOOTH, it means a pulpotomy of a vital permanent tooth, which then hopefully, will preserve that radicular pulpal tissue, and therefore, the patient will not require a root canal treatment anymore. So, it's pretty different. Now, maybe you're already seasoned in this, maybe you've already using MTAs, and whatnot. And that's amazing. Good for you. But for a lot of dentists, I imagine this is like, wait, what do you what do you mean, we don't have to do I commit to a root canal anymore like we can, we can actually do a pulpotomy for an adult, let alone one that we have diagnosed as, quote unquote, 'irreversible pulpitis', which actually Georg argues, is a poor term. Welcome, Protruserati. I'm Jaz Gulati, I'm your host. And if you're new to the podcast, welcome. It's great to have you. If you're a veteran, and you've been with me for many years, it's always a pleasure to have you. This one's a really cool episode, I didn't think before I recorded it, that I'll be having so many moments of laughter with our guests, Georg Benjamin, who was not a specialist in Germany, he is pretty much limited to endodontics. And he's been following vital pulp therapy or pulpotomy of vital adult teeth for a long while now. And he's got some great views on it. And if you listen to the end,

Did you know that Dentistry was voted the unhealthiest career in the world? Multiple times. That's right, we're number one! The grim reality is that we take on all sorts of professional and personal risks on a daily basis. I had the opportunity to sit down with Dr. Rohan Verma, a clinical dentist and fitness coach to record this wholesome episode. We talked about what steps we can take to improve our health. At the end of our conversation, we also talked about diet as well. I hope this episode will address our unique professional challenges and help you become healthier and more mindful about everything you're doing for mental and physical well-being. https://youtu.be/xubc_XpSrzI Check out this full episode on YouTube Need to Read it? Check out the Full Episode Transcript below! Highlights of this episode: 1:51 Dr. Rohan Verma’s Introduction3:46 Mental Health Awareness6:39 Biggest mistakes dentists are making with their health 11:09 Posture Issues14:50 The significance of sleep16:52 Importance of setting a routine for better health improvement24:16 Working out routine29:09 Dr. Rohan’s stand on different kinds of diet31:29 The benefit of calorie counting Check out Dr. Rohan Verma's Instagram to get some tips on how to improve your health - as well as a Dentist he's an online fitness coach. Monitor your calorie intake with this MyFitnessPal: Calorie Counter available on: iOS: MyFitnessPal: Calorie CounterGoogle Play: MyFitnessPal: Calorie Counter 📨 Download Protrusive App and Claim Verifiable CPD/CE + EXCLUSIVE content: iOS: Protrusive AppAndroid: Protrusive App If you enjoyed this episode, then do check out 5 Lessons from Lincoln Harris  Click below for full episode transcript: Jaz's Introduction: Did you know that Business Insider ranked DENTISTRY as the MOST DANGEROUS PROFESSION in the whole world for your health, and they did this multiple years in a row. So, why is it? Why is our job so dangerous? Jaz's Introduction:I think we know the answers. We're in this horrible posture, we've got this infection control risk, we are sat in this four walls with just one other person, usually. That's gonna drive you mad, as well as the extreme stress that we undertake in our profession of clinical dentistry. So, whether you are a dentist, a nurse or a DA as they're so affectionately called in the US, or if you're a therapist or hygienist. I think you have something to gain from this episode about looking after your health in the space of dentistry. Now, who better than Dr. Rohan Verma, who is a clinical practicing dentist, and also a fitness fanatic and a fitness coach to professionals. So, I brought him on to talk about different things like what are the big mistakes we're making in our profession? In terms of how we're NEGLECTING OUR HEALTH? How can we IMPROVE our WELL-BEING in this profession? And we also pivot and talk about some other things that I'm quite interested in like towards the end, we talked about diet, right? I know many of you know I do a lot of intermittent fasting. So, I will not eat my first meal quite often until, you know, one or 2pm and then I'll have like a five or six hour window where I consume all my food. So, what does Rohan think about that? What does he think about paleo diet or carnivorous diet or keto? So, I asked him about this kind of stuff. But before then, we talk about how we can recognize that something's not working for our health and what are the actionable steps that we can take to better improve our health. Welcome to the podcast. My name is Jaz Gulati. You are the Protruserati because now you're listening to this and if you're new to the podcast, welcome. This segment of the podcast is an IC, so an interference costs. So, slightly pivot away from clinical dentistry. If clinical dentistry is more your thing, then most of my episodes are that but I do like to talk about things that I'm interested in. So, whether it's well-being,

Do you believe that Resin Bonded Bridges are exclusively a temporary or short-term solution? Lots of our colleagues around the world mistakenly believe this. It's not a secret that I am a fan of this treatment modality—I want to break down the misconceptions about them because IN THE RIGHT CASE they can be a very predictable tooth replacement option. In this episode, Dr. Salman Pirmohamed shared successes and failures and what we can learn from them to improve our clinical protocols from abutment selection to adhesive techniques. Claim 75 minutes CE on Protrusive App. https://youtu.be/rKJyqcb6uqI Check out this full episode on YouTube The Protrusive Dental Pearl: Always visualise your path of insertion - do you need to do some additional prep to get a more favourable path of insertion? It's not just for dentures! For any indirect crowns/bridges, it is important to assess for a path of insertion. Make a visualisation of this - you may have to prep more or prepare the adjacent tilted teeth to allow for a suitable path of insertion sometimes. Salman's Webinar on Sunday 4th Dec LIVE: https://buy.stripe.com/4gw14Pb8Q47Q8yk5kk Need to Read it? Check out the Full Episode Transcript below! Highlight of this episode: 1:48 The Protrusive Dental Pearl3:17  Dr. Salman Pirmohamed’s Introduction 8:16 Resin-bonded Bridges being underutilized9:43 Resin-bonded bridges over the years and its Protocol12:18 RBB - functional for patients?17:26 Case Selection Criteria20:25 Case Number 122:43 Case Number 223:16 Dahl Technique on RBB24:57 Cantilever as the standard design of choice for RBB27:40 Case Number 329:25 Case Number 432:47 Mesial cantilever vs Distal Cantilever37:34 RBB Lab Prescription39:43 Incisal Overlap42:06 Pontic Design ideal for RBB47:48 RBB Clinical Protocol1:00:09 Zirconia RBB protocols1:06:46 Periodontal Splinting1:15:21 Two failures with Resin-bonded bridges Have a read about this evidence-based literature as referenced by Dr. Salman Survival-characteristics-of-771-resin-retained-bridges-provided-at-a-UK-dental-teaching-hospitalDownload Also, check out this paper written by Dr. Jaz Gulati Resin-Bonded-Bridges-−-the-Problem-or-the-Solution Part 1Download Resin-Bonded-Bridges-−-the-Problem-or-the-Solution-Part-2Download If you loved this episode, you might also love this Group Function talking about Dahl Technique and ‘Maryland Bridges’ Click below for full episode transcript: Jaz's Introduction: This episode is dedicated to any dentist in the world who thinks that RESIN BONDED BRIDGES, or dare I say Maryland bridges are a temporary or SHORT TERM SOLUTION. Jaz's Introduction:I've got plenty of friends in North America and in Singapore who felt that way. And I just feel like it's a massive misconception because resin bonded bridges, or sticky bridges or adhesive bridges, call them what you want. They are such a fantastic and UNDERUTILIZED TREATMENT modality to replace missing teeth. Hello, Protruserati. I'm Jaz Gulati. And it's no secret that I'm a huge fan of these bridges. I've published about this technique before and something that I did a lot of in dental hospital. And I took this into private practice. And the funny thing is that when I started to work in the practice that I work in now in Reading the dentist whose list I inherited, who was working there for 30 plus years, he was also a huge fan of resin bonded bridges. So, I've had the privilege of looking after and reviewing patients who've had their resin bonded bridges, both anterior and posterior in service for 34 years, 32 years loads in the 27, 28 year mark, plenty in the 20 year plus mark. So, he was fantastic at doing them. It really validated my belief system in resin bonded bridges. But I know what you're thinking, you're thinking, 'Jaz, that's like N equals 15. How is that even valid in this world of evidence based dentistry?' Well, let me tell you, the evidence is out there.

How often do you review your risk management? Do you follow the appropriate radiography guidelines or palpate canines when you are supposed to? These are not the exhilarating or rewarding parts of our clinical practice but they are fundamental and foundational. In this episode with Dr. Lucy Nichols, a general dentist who also does some dento-legal work in the UK, she shares her 10 commandments for safer dentistry and avoiding dento-legal claims. https://youtu.be/0MhOC-LLxbI Protrusive Dental Pearl: 'I don't have time' is just not true. It's a lie we tell ourselves. We should reframe it. Instead, we should say "I'm not making [task / activity / necessity] a PRIORITY in my life right now". We should reflect on what are we making a priority in our lives right now. Need to Read it? Check out the Full Episode Transcript below! Highlights of this episode: 1:17 Protrusive Dental Pearl4:33 Dr. Lucy Nichols’ Introduction8:08 10 Commandments for Staying Out of Trouble: Thou Shalt Take Bitewings on Children 9:08Thou Shalt take Bitewings on Adults 13:31Thou Shalt Always be Suspicious of a Non-healing socket 15:29 Thou Shalt Always be Suspicious of Sore Patches on the Side of the Tongue or on the Cheek 18:21Thou Shalt Know How to Deal with a Hypochlorite Injury 21:24Thou Shalt Not Use Chlorhexidine Mouthwash as your Root Canal Irrigant 30:34Thou Shalt do Further Charting when you have 3s and 4s on your BPE 35:06Thou Shalt Not Rely on Only a Single Visit Scaling without Local Anaesthetic on Patients with Increased Pocketing 40:42 Thou Shalt Not Underestimate ID Nerve Injuries 45:29Thou Shalt Always Palpate for Canines at Age 10 53:39 PDF Infographic available in the 'Protrusive Vault' in the App (iOS and Android) Check out Dr. Lucy Nichols website If you loved this episode, please check out Passion and Values in Dentistry Click below for full episode transcript: Jaz's Introduction: When was the last time you did some risk management CPD? What I mean by that is, you went on a course to learn about how to be a more careful dentist, how to follow appropriate radiography guidelines or cross infection protocols, that kind of stuff. The stuff that's not sexy, unfortunately, right? Jaz's Introduction:Let's face it, you know, it's a composite veneers. That's where we gonna go on. But you know, this is super, super important stuff. And today's episode which we streamed live to Facebook. So thank you, Dr. Lucy Nichols, for being part of that live. And so we do have a few shoutouts here and there. And thanks to all of you who joined live on Facebook, it's on the Protrusive Dental Podcast facebook page, if you're not part of it already. Occasionally we do the live and it was a great episode. These are the 10 COMMANDMENTS FOR STAYING OUT OF TROUBLE. And where they stem from is Lucy Nichols who is a general dentist, she does some dental legal work. And as part of seeing lots of cases, she saw a pattern that dentists, us dentist we're getting in trouble. And were tumbling down as easy victims, booby traps, were falling into these obvious errors, which she wanted to share with you to make sure that we can be SAFER DENTISTS and avoid getting claims and having legal troubles. So, hopefully you'd like all these 10 Commandments by Lucy, so I only knew the first one and I loved it so much. I said, 'Okay, come on. Let's do the podcast, tell me the other nine.' So, we'll share them all with you. The Protrusive Dental Pearl:The Protrusive Dental Pearl I want to share with you before we get to that main episode is kind of related to the first thing I said in my introduction, which is DO WE MAKE TIME FOR THE RIGHT TYPE OF CPD? And on that topic of time, let's take a step back right? MAKING TIME. We all have just 24 hours a day, every single one of us whether you're Richard Branson, or Rishi Sunak, the new Prime Minister of the UK, I try not to get into politics. So, I'll stay away from that one.