Protrusive Dental Podcast

Half way in to a tricky extraction you hear a voice..."Maybe now is a time to raise a flap?" You ignore this voice and keep sweating with the luxator in hand, because it has been far too long since you raised a flap and you dread the nurse's reaction. If this is you, then we got you. I brought on Consultant Oral Surgeon Dr. Sami Stagnell to share his tips and pearls in Oral Surgery, specifically WHEN and HOW to raise cleaner flaps, as well as what types of flaps to consider for each situation and when NOT to consider extending beyond an envelope flap. https://youtu.be/cx6HvrZtjcw Check out this full episode on YouTube Need to Read it? Check out the Full Episode Transcript below! Protrusive Dental Pearl: Nice and Clean Extraction Sites - Use the spoon end of Mitchell's trimmer to clean the surgical site for 30 secs to 2 minutes. Highlights of this episode: 1:27 Protrusive Dental Pearl: Nice and Clean Extraction Sites13:43 How to gain confidence in raising a flap21:51 Envelope Flaps30:09 Guidelines regarding relieving incisions37:32 Raising a nice clean flap41:45 Guidelines in lifting the papilla44:56 Blades - 15 vs 15C vs 12 blade Improve your Oral Surgery Sectioning with this speed-increasing electric handpiece at Incidental Limited. And get 5% OFF their entire products with the code ‘onions‘! Check out the Oral Surgery Course that Dr. Sami Stagnell will be launching in 2023. If you enjoyed this episode, check out Make Extractions Less Difficult: Regain Confidence by Sectioning and Elevating Teeth Click below for full episode transcript: Opening Snippet: /Sami/ So the first word you said was purposeful. And that is it like you're doing everything with direction and purpose and meaning. You're doing it for a reason. So get your blade down to bone, to hard tissue, be confident in where you're putting that blade and know where you are, raise the papillae first. So I tend to sort of raise the outer edges and round the margins because those are the bits that tear. And those the bits that you then don't want to sort of have to try and repair if they don't want it. /Jaz/ What instrument are you using to raise the papilla and beyond? Jaz's IntroductionHello, Protruserati. I'm Jaz Gulati and welcome back to another episode of The Protrusive Dental Podcast. This time, Oral Surgery specifically how to raise cleaner flaps and the principles of raising flaps in oral surgery, for exodontia. I'm joined today by Dr. Sami Staggnell. I know you will love his humor, and his humility. He's a really humble guy. He's a consultant oral surgeon, but he's so down to earth. So I know you'll enjoy all the tips and pearls he'll share with you. The main themes that we'll cover in this episode are like, when should we raise a flap like I've been in the past struggling with a difficult extraction, I'm thinking, it is now the best time to raise the flag? Or should I just keep going? Should I keep luxating, elevating and maybe the truth will come out? Or should I really start getting my handpiece in and start raising a flap, I mean, nowadays, I'm raising less and less flaps, I mean, I probably section 80 to 90% of all molars, and I do it flapless. So it's something that I'm having to do less and less. But obviously, for third molars, I'm raising flaps. And so I had lots to learn from Sami as well, in terms of how to make my own flaps cleaner and nicer. We're going to revise the different types of flaps and when to consider an envelope and when to extend beyond an envelope. And also, we talked a little about blades, are all blades build equally? Are there any that you should be avoiding? It was a surprise that he taught me today, which I'll be sharing with you as well. The Protrusive Dental Pearl, it only has to be oral surgery related. So one way I feel I have zero evidence for this maybe it exists, but I haven't read it, is how to reduce dry sockets. I was taught by this oral surgeon in Singapore,

My worst nightmare: a patient complaint. We share with you a story of triumph as one of our colleagues SUCCESSFULLY defended a complaint. We reflect on the lessons learned and how to manage complaints (including the emotional side). Dr. Gulshan Murgai spoke about a long and arduous case that was resolved in his favor, demonstrating that he has patience and determination in spades. We will also discuss the importance of attending risk management lectures and how to deal with this nasty situation you might face with unhappy patients. https://youtu.be/v342FiEete0 Check out this full episode on YouTube Need to Read it? Check out the Full Episode Transcript below! Highlights of this episode: The scenario that led to the patient’s complaint 8:41 Insurance-based scheme 16:40 Patient’s Complaint 19:07 Legal narrative 22:08 Dealing litigation emotionally 31:29 Emotional help for dentists 34:45 Importance of risk management courses 38:32 Lessons from the case 41:27 Head over to Confidental for Emotional Support for dentists in distress. Connect with Dr Gulshan Murgai If you enjoyed this episode, you will also love 10 Habits of Highly Successful (and Most Valued) Dentists Click below for full episode transcript: Jaz's Introduction: I haven't been sued yet and I say yet with a sense of realism because it's a sad state of affairs that we live in. That litigation is extremely high, especially we are in the UK and under my US colleagues will also agree that this can be a real issue. Jaz’s Introduction:The issue that really is at heart here is the emotional trauma that dentists can go through when a complaint happens and when it proceeds to the courts and whatnot. And we are talking a lot about that today. And we're going to be sharing today a triumph, an actual triumph, because this is what we need. Our profession needs to hear it from someone who's been through a very long and arduous case and come out the other side with a victory. I hope it leaves a very pleasant taste in your mouth at the end of it. But also what I want to extract today from our guest, Dr. Gulshan Murgai, is while the human emotion sides, because I've got colleagues who've been through complaints, formal complaints, and it cripples you. It really cripples you. It makes you doubt your judgment. It makes you lose your enjoyment and fulfillment. Personally, I haven't been sued yet, and I know it's going to come, right? It's going to happen. We have to face off, and when that happens, I really hope that I'll be robust enough for it not to affect my mental health. And one of the things that I'm supporting with this episode today, is the charity confidential. I'm going to be leaving the phone number in the show notes. If you need support emotionally because the themes that will be discussed in this episode resonate with you and you need help. Please don't be afraid to pick up the phone to call confidential, who are an independent charity dedicated to your emotional health as dentists to help you overcome these nasty episodes that we may sometimes have to endure. Hello, Protruserati. I'm Jaz Gulati and this is an interference cast, something nonclinical, and I just cannot wait to get this out to you. I think every single dentist in the world should hear this story to hear about the challenges. Because one of the themes that we cover is just because a patient likes you doesn't mean that they won't complain. And when that complaint lands, it can really turn your world upside down. Now Gulshan, our guests, very robust man, very forward thinking, amazing how he handle it. But we're not all built like that. And so sometimes we may need more emotional support. So if anything, I hope this episode inspires you. I hope this episode gives you hope. I hope this teaches you something about the importance of going to risk management lectures and understanding what it takes to come out the other side when someth...

Being a dental student is tough - you're learning a clinical and surgical discipline alongside all the challenges of relationships, studying and social interactions. In this episode with Dr. Lincoln Harris, we talked about three key themes relevant for dental students: overcoming fear, leveling up your skills, and being able to cope with failures. https://youtu.be/sl3CcLJYQUk Check out this full episode on YouTube Need to Read it? Check out the Full Episode Transcript below! “You only get confident once you DO the thing that you're afraid of” Dr. Lincoln Harris. Highlights of this episode: Students pursuing growth vs Students enjoying uni life 12:07Overcoming Fear 16:44Coping with Failure 26:01Discovery throughout Dental Career 31:36 For Dental Students who want to have a head start in their Dental Career, join us LIVE on Friday 30th of September with Dr. Lincoln Harris. Register Now! For Dentists who want to see Lincoln Harris LIVE in London for a full-day keynote lecture: From Class 1 Composites to Complicated crown preps. Email or DM us on Insta for a super special student rate. Check out Ripe Global, one of the biggest groups in Dentistry with 80,000+ members! If you enjoyed this episode, then do check out this 5 Lessons from Dr. Lincoln Harris  Click below for full episode transcript: Opening Snippet: The reason that failures hurt so much when you're a new grad is because you always think it's your fault. And you think it's your fault because you're no good. Jaz's Introduction:This episode is specifically for dental students. So if you're a dental student, keep listening. If you're a dentist, I think you'll actually still gain a lot from the latter parts of this episode. Who doesn't love listening to Lincoln Harris after all, but if you're a dentist and you haven't checked out some of the big episodes, we've had this year, like Basil Mizrahi on Shell Crowns, we've had Ed McClaren on Ceramics, and of course, the other Lincoln Harris episode on Retraction Cords, do check those out, if you haven't already. They're huge. But if you're listening today, about three things we wish you'd known as a dental student who wants to improve, who wants to no longer be scared, and who wants to be able to cope with failures, then this is the episode for you. Thanks so much for listening wherever you're listening from guys. My name is Jaz Gulati. I'm the chief Protruserati and I've got Lincoln Harris, again, to talk about all those things I just mentioned, essentially about all the things that are all emotions I had as a student, so I want to help you guys out. So just to give you a bit more information about the three main things we're discussing today is upskilling as a student, because what frustrations I had was that, as a student, you are just learning the basics. If you can just get the very, very, very basics correct, then the rest you can build on. I was really hungry as a student, I really wanted my composites to look nicer. I really wanted to know more about occlusion. And I just felt as though I didn't have the access now. Now in this world we live in in 2022, with Instagram and etc. The education is everywhere. It's actually amazing. We had such little to learn from when it comes to the big bad world of internet, when we were students, you guys, you students have got so much at your disposal. It's actually amazing. But it's also a little bit confusing and it can be a bit scary as well seeing all this dentistry on social media. And you can't even take a bloody impression. And I know I've been there, right. So it's one of those tricky things, which poses its own unique challenges. I mean, I think you're in a far better position than I was, as student. I think it's great that you can see what's out there. It's great that you can pick up tips from all these educators posting great stuff, great cases online for you to learn from. But at the same time,

We have switched roles! In this episode Jaz gets interviewed by Dr. Devang Patel on The Ultimate Dentist Podcast. The focus here is bigger picture stuff: trying to improve your clinical skills, finding your niche, dealing with imposter syndrome, burnout and the need for FOCUS! https://youtu.be/ituRPR_UNWE Check out this full episode on YouTube “Gain some self-awareness, figure out what your strengths are, and play to your strengths in your life, in your relationships, in your career, and everything!” Dr. Jaz Gulati Need to Read it? Check out the Full Episode Transcript below! Highlights of this episode: 3:34 Motivation and Challenges in doing Dentistry7:17 Niching down in Dentistry11:55 Becoming more focused on the path you chose16:35 Journey in implementing what you learned in clinical practice17:38 Protrusive Dental Podcast Journey21:51 Dealing burnout in Dentistry25:26 Future Plans29:41 Criteria on CPD Courses31:33 Lesson learned on the journey36:50 Golden tips for the new dentists42:16 Improving your Dentistry Want to expand your horizon with TMD and Splints? Check out SplintCourse for a comprehensive online course. If you enjoyed this episode, do check out Adhesive Full Mouth Rehabs in 11 Appointments with Dr. Devang Patel Click below for full episode transcript: Opening Snippet: /Jaz/ But you can't own the patient's problem. /Dev/ Yes! /Jaz/ You still have to care as a clinician, be a caring clinician, but you cannot take that problem home with you. So, if I learned that sooner, I think live in a better place. [Erika from Team Protrusive]Hi guys! This is Erika from Team Protrusive. Jaz is sick with man flu and Ishaan has chickenpox. Please enjoy this episode from the Ultimate Dentist Podcast with our friend, Dr. Devang Patel. And we will be back next week for a protrusive episode. Enjoy! [Dev] Main EpisodeHi, everyone! So today we have famous Jaz Gulati with us. He is actually my mentor. When it comes to doing podcasting, and learning other skills. I've learned a lot from his SplintCourse. And I would like Jaz to elaborate on that as well. But Jaz, there are very few people who doesn't know you, could you please just introduce yourself as to who you are, what you do, and you know how you divide your time? [Jaz]I'm a guy who's wearing his scrubs in his conservatory holding a Thano's mug. That's who I am. Dev, thanks so much! My name is Jaz Gulati. I'm a general dentist. And I guess what I'm about is learning, sharing, and having a good time making people fall in love with dentistry all over again, and having a good time. And that's essentially my mission statement. [Dev]Okay! So Jaz, as we discussed, when I started this journey, I thought you were the first person, I contacted you. Because your podcast is really inspiring. This podcast, I want it to be for people who are graduate or who are, whatever time in their journey. They want to now up their skill. And then they're looking forward to emulate or model someone else's success. And what I'm trying to do is I'm trying to capture those people's journey. So, someone can look at and listen to the podcast and say, 'Okay! you know, what, Jaz did this.' And in general, if you do that, if you put in that hard work, you do tend to reach that goal. But my aim is not to reach that goal in that time. Probably you reach your goal in 20 years time. I would really like to get some tips from you. So the journey is shorter for the newer dentists who are listening to this podcast, and they pick up on things and you know, they learn faster. So how does that sound? [Jaz]Dev, it's such a great idea! Because essentially, you're journaling everyone's experience, and you're going to fast track everyone. So you know how they say, stand on the shoulders of giants. Essentially, that's what you're doing. What you're going to be doing with this podcast, and I can't wait to see it watch and grow is helping people to be the best version of themselves...

Sub-Gingival dentistry: the dark, scary, bloody world you don't see as much on Instagram. Straight talking Dr Lincoln Harris will help you choose the right retraction cord protocols to reduce your stress during subgingival caries removal and crown/onlay preparations. https://youtu.be/RyOIO61wfpE Check out this full episode on YouTube Join us to see Lincoln Harris LIVE in London for a full-day keynote lecture: From Class 1 Composites to Complicated crown preps.  Protrusive Dental Pearl: When inverting/tucking in the rubber dam, instruct your DA to blow air continuously at your flat plastic instrument as it works around the sulcus. This will effectively and efficiently tuck/invert the rubberdam for a better seal (and sexier photos!) Need to Read it? Check out the Full Episode Transcript below! Highlights of this episode: 3:33 Protrusive pearl regarding inverting/tucking the rubber dam6:40 Deep Subgingival Caries cases11:44 Deep Subgingival Caries Protocol22:44 Which Retraction Cords to Use25:10 Retraction cord protocol on Silicone Impression30:50 Retraction cord protocol on Digital Scanners 31:48 Teflon as Retractor35:53 Isolation of Class V restorations42:02 Place of rubberdam on class V restorations Check out Ripe Global, one of the biggest groups in Dentistry with 80,000+ members! As a bonus, check this one-page summary of this episode Head over to protrusive.link under the Infographics Tab for the other one-page infographics summary of the past episodes If you enjoyed this episode, then do check out this 5 Lessons from Dr. Lincoln Harris and also this Rubber Dam Isolation by Dr. Harmeet Grewal Click below for full episode transcript: Jaz's Introduction: Hello Protruserati. I'm Jaz Gulati and welcome back to this episode on such a huge topic. We are finally talking about the DEEP DARK WORLD of SUB GINGIVAL DENTISTRY. Jaz's Introduction:This is the real world of dentistry that you don't see on Instagram as much. It's bloody. It's fiddly and it just gets a little more complicated when it's sub gingival. Every now and then I ask you guys for a recommendation for a topic to cover on the podcast. And so many times you guys have requested SUB GINGIVAL DENTISTRY and RETRACTION CORD. Which cord shall use when? Shall I always use double cord? Single cord? Shall I use PTFE? Should I soak both cords or soak one cord? Is it okay to sometimes remove the gingiva? Sometimes, can I remove the papilla to allow my matrix to access the restorative margin? All these things we're going to cover today with Dr. Lincoln Harris. Now as a Protruserati you probably already know who Lincoln Harris is, but just in case you don't, you should totally check out Episode 54. Dr. Lincoln Harris is one of my heroes and one of my mentors. I've seen him twice once in Sydney, once in Singapore live. These are live lectures. His energy, his engagement. He is well known all over the world. He's got one of the biggest groups in dentistry of 80,000 members of Ripe Global's. I'll put the link in the show notes. This is a movement that he started. He encouraged dentists to share full protocol photos and now it's evolved into ripe global. Which is making dental education accessible to all the world and in a brilliant way with remote dentistry. And we talked about that a few episodes before, but essentially today, I'm going to steal him and his expertise to talk about this very sought after topic of sub gingival dentistry. Lincoln Harris is the definition of a super GDP. He's just annoyingly brilliant at everything with all facets dentistry. His communication powers that he shares. His trim planning advice he shares is the best that I've ever come across. It helped me a lot in my career so far. If you're in Europe or anywhere near London, then I would invite you to come and join us to see Lincoln Harris live in London for a full day keynote lecture. From class one composites to complicated crown preps.

When is Botox an appropriate option for the management of Temporomandibular Disorders? Knowing this will help you make better referrals, or even consider Botox as a management strategy. Dr. Sheila Li guides us on the use of Botox/Toxins for TMD pain management. We discuss indications, protocols and regulatory requirements (which surprised me!) - as well as learning if these patients will now require Botox indefinitely...? https://youtu.be/QJyxF0EGwsM Check out this full episode on YouTube Protrusive Dental Pearl: How do you routinely check the masseters and the temporalis at your new patient examination? As a restorative dentist, the most important thing I want to know (and what will influence the occlusal risk for my patient) is the size of the masseters. Start palpating and feeling for the size of the masseters to understand how much force these patients can generate! If you want to learn more, join the Facebook Group: Protrusive Dental Community because I'll be doing a little blog post on that about the significance of masseter size on Occlusal risk. Need to Read it? Check out the Full Episode Transcript below! Highlights of this episode: 2:50 Checking Masseters and Temporalis13:34 Dr. Sheila’s journey in managing TMD pain patients16:13 Ideal case selection for Botox regarding TMD21:15 Botox as a standalone vs Botox as an adjunct to splint therapy24:26 Patient communication about the frequency of Botox treatment26:39 Place of Botox for myofascial pain patients30:01 Additional indemnity for GDPs in doing Botox33:31 Functional Perspective of Botox34:47 Success rates in using Botox for TMD pain management39:53 Experience of having Botox41:55 Long-term side effects of Botox Learn more about Botox with Dr. Sheila Li on her functional toxin course just for dentists to treat functional elements!  Want to level up occlusal appliance therapy and TMD management? Check out SplintCourse for a comprehensive online course. If you enjoyed this episode, do check out TMD Full Exam with ‘The TMJ Doc’ Dr. Priya Mistry  Click below for full episode transcript: Jaz's Introduction: Hello, Protruserati! I'm Jaz Gulati and welcome back to the podcast that makes dentistry tangible. Today, we're covering a favorite topic of mine. Now, if you're new to the podcast and don't know me yet, it was a topic that confused me so much at dental school that I was drawn towards once I qualified from dental school. Jaz's Introduction:So, that things like occlusion, orthodontics and temporomandibular disorders. Today, I've got none other than, Dr. Sheila Li on the show, who really is the best person to discuss the USE OF BOTOX OR TOXIN for the management of TMD. I've actually wanted to get into this field. But for those who watch the videos on YouTube, does this look like the face of someone who is interested in facial aesthetics? I really didn't want to learn lips and eyebrows to get to the really important stuff like the masseters. But, Sheila is great at both of those things. And teachers dentists like me who are more interested in the functional aspects like TMD and gummy smiles. So, by the end of this episode, you will know which diagnoses, symptoms or patient features lend themselves to Botox. Now, this is really important because on the dental groups, I see Botox suggested in the word bandied all the time, all over saying, 'Yeah refer for Botox or you can treat this Botox.' But really, not all TMD lend themselves to the management of Botox. Now, BOTOX CAN HELP for TEMPOROMANDIBULAR PAIN, but you're not going to treat clicking and locking joints with Botox. You have to get your diagnosis right. We also discuss what regulatory requirements there are for dentists who only want to do Botox for the TMJ pain. And the answer might pleasantly surprise you. And finally, we DISCUSS THE PROTOCOL. How many visits? How often? Is it something you have to do for the rest of your life?

Being 'Mum' is the hardest (and most rewarding) job in the world. What are the unique challenges of Parenthood for Dentists? I'm thrilled to be sharing this non-clinical episode with you about work-life 'balance', especially if you’re thinking of starting a family one day (or just want to reminisce about real-world challenges facing young Dentists that are parents). Even if you're not a parent, I think it will help you in your career and personal life. Dr. Hardeep Basi and I also discuss why Women in Dentistry sometimes do not get the recognition they deserve. https://youtu.be/FRP3vUQQdQI Check out this full episode on YouTube Need to Read it? Check out the Full Episode Transcript below! Highlights of this episode: Dr. Hardeep’s Journey 6:33The ‘complaint’ that changed Dr. Hardeep’s perspective in  life 13:01Motherhood affecting career progression 19:34Parenthood and Dentistry 28:14Female (Mothers) Support Group (Lead Her) 33:57Work-Life Quality 38:20Worrying about the Future 52:51  Check out the Support Group LEAD HER that Dr. Hardeep established to support females especially mothers in having the work-life quality they deserved! If you enjoyed this episode, you will also like Being Unstoppable with Ferhan Ahmed Click below for full episode transcript: Opening Snippet: There are so so many challenges. I could spend an entire day talking about this and I made a list of about 25 unique challenges to particularly mothers in dentistry and things that I've experienced. Jaz's Introduction:Hello, Protruserati. I'm Jaz Gulati and welcome back to the Protrusive Dental Podcast. This is an interference cast which is a non clinical interruption. For those who are listening, I don't know if I sound different. For those who are watching, you'll notice this crack on ceiling and my room looks very different. And where's my background gone? Hi, I'm recording in my sister's old bedroom in my parents place because Hardeep, our guest today who is a just a fantastic person. She's a shining light in dentistry, she's blossoming into this amazing voice for females in dentistry. And I brought her on to talk about parenthood in dentistry. It was so difficult to plan this date that it actually worked out that I'm recording not in my usual studio. So do excuse the acoustics and the video if it's a bit different. For those of you that know me parenthood is something that's really important to me in my life. And I'm so happy to be sharing this episode with you guys. Even if you're not a parent, and you never want to be a parent, I think there's so much you can gain about our discussions at work life balance, like Hardeep maybe changed my thinking about it not being balance. It's about work-life quality. So we discussed that towards the end. We talk about family planning and how especially for females and mothers to be, this could really change your career trajectory. And we kind of touched a little bit on why, perhaps, in dentistry, women in dentistry sometimes not get the spotlight they truly deserve especially when you look at the lecture circuit, there are many more male dentists on the lecture circuit despite there being more females in dentistry up and coming than males. So motherhood may have something to do with that. The challenges, unique challenges like being mum is the most difficult job ever. I remember Lakshmi. Lakshmi kind of got the I know you're listening to this. You're one of the loyal Protruserati and you came to our live splint course day and we just talked about being mum and being a practice owner and how it poses such unique challenges. Now one thing I discussed in this episode with Hardeep is I have been like the broodiness guy ever, for the longest time, like it was a dream come true when I became a father. So this was an episode I was really looking forward to recording. And I think dentistry does pose some unique challenges. And some of the challenges that Hardeep talks about,

Let's demystify what is often considered an 'advanced' Restorative technique: Shell crowns. My guest Dr. Basil Mizrahi is known for Comprehensive Dentistry and teaches Dentists the art of perfect provisionals- we go from A to Z of Shell Crown, how to reline them and cover all the nitty gritty details of this useful technique. https://youtu.be/6-a3XGBKZWM Check out this full episode on YouTube Protrusive Dental Pearl: Preventing Bisacryl Temporary Crowns from cracking: Hollow out the inside of the temporary crown (just enough space for the cement) and therefore create the space for the temporary cement to flow and exit, preventing cracking of the temporary crown. Check out @Dental.Story IG page "You should become familiar with acrylic before shell crowns" Dr. Basil Mizrahi Need to Read it? Check out the Full Episode Transcript below! Highlights of this episode: Preventing Bisacryl Temporary Crowns from cracking 5:35Temporary Crowns 12:08What is a Shell Crown? 13:59Technician role in creating Shell Crowns 15:22Acrylic Shells vs Bis-acryl Temporaries 20:07'Relining' an Acrylic Temporary Shell  21:20Using Bisacryl instead of Acrylic inside a Shell 24:14Relining Acrylic Shell with Fresh Acrylic 25:00Use of Vaseline? 35:41'Fit Checker' for shell crowns 38:26Anterior vs Posterior relining 39:23Shell Crowns vs Lab Made Acrylic Crowns 40:19Shade decisions in relining the shells 42:47How to Remove shell crowns 44:08Polishing after relining 45:59Multiple Shells at increased OVD 46:49 Head over to protrusive.link for the one-page summary of this episode and for the other summarized infographics of the past episodes To learn more about it, check out Dr. Basil’s Courses and other wonderful stuff on his website! If you enjoyed this episode, be sure to check out the Adhesive Full Mouth Rehabs in 11 Appointments (Part 1) Click below for full episode transcript: Jaz's Introduction: Hello, Protruserati. I'm Jaz Gulati and welcome back to the Protrusive Dental Podcast. If you follow me on the socials, you'll have seen that I've been quite busy these last few weeks. Jaz's Introduction:In fact, the whole of last week I was nonclinical because I took some time off for my brother-in-law's wedding. Now this is the same brother-in-law who you saw in that famous, has become pretty famous now, the IPR video I made. So, I did this whole experiment with using different types of IPR, burs and oscillating handpiece, disks, et cetera. And that got greatly received on YouTube and all the platforms as a helpful aid. Now, if you haven't seen that yet, just Google search for IPR Ultimate Review video. You'll find it. It's like number one on Google at the moment. And in that video, my guinea pig patient was my brother-in-law. And there we are. He got married. I was his dentist. I was proud. And also his wife, I whitened her teeth and they both had wonderful smiles. And it made me really happy. But I was experiencing a different type of stress. Now, usually it's clinical stress. This was non-clinical stress. What I mean by that is this was life. The thing I was stressed about was having to do a performance on the wedding reception. And actually at that wedding reception, 700 people, in attendance and me and my wife were like hosting it and going around, make sure everyone had their seats, okay, food and drink. So it was a really big affair in there. Lots of stress. But it went well. Performance went down really good. We streamed it live on Instagram actually, so you can follow @jazzygulati. That's my personal account. If you want to catch our little Bollywood dance. I'd also booked out a Spider-Man for the kids, so I kept Ishaan, my son busy. So it's been a pretty eventful week and I kind of feel like I need a week off just to recover from the wedding. But hey, ho, life goes on and tomorrow I'm back to work clinically. And now it's 11:00 PM at night, my son is asleep and I'm able to record this intro to a phenome...

Listen to that voice inside your head! We all get those clues and a bad feeling in your gut when you see a red flag patient. The challenge is being receptive to this feeling and acting upon it tactfully. I share 2 examples of encounters where I either ignored the alarm bells, and 1 scenario recently where I avoided a disaster. https://youtu.be/UBvJxhgzQp0 Check out this full episode on YouTube Need to Read it? Check out the Full Episode Transcript below! Highlights of this episode: 1:34 'Alarm Bells Scenarios' 2:20 Case No. 1 (Extraction on a 78-year-old patient) 7:47 Case No.2 (Heat Burn on Patient's inner cheek/lip) 9:20 Warning Signs If you loved this episode, you will like 12 Rules for Dentistry  Click below for full episode transcript: Opening Snippet: Hello, Protruserati. I'm Jaz Gulati and welcome to one of my ramblings, okay? We're gonna do this as an interference cast. And I'm gonna teach you a few lessons that I've learned before, I guess I've learned them in very traumatic ways. Jaz’s Introduction:When you make mistake and think, Wow, I never want to make this mistake ever again. And then you want to share it with everyone so that it helps others too.So the theme of today’s rambling is the following. It’s about listening to that voice that we all have inside of us, during a consultation or during a patient interaction, you know that deafening sound of alarm bells you sometimes get. And yet, for some stupid reason, you might decide to ignore it. Well, today, guys, I’m happy to report that I didn’t fall for it. I heard those bells, loud and clear. And I acted appropriately, and I dodged a bullet. Okay, let me give you the exact example.And in fact, I am going to liken this example to a really significant thing, which I picked up from a book, like one of my favorite books is Outliers by the author Malcolm Gladwell, if you haven’t read Outliers yet, please check it out. It is my all-time favorite book. And I think it’s in chapter seven, where it discusses why aeroplanes fall. It’s a random divergence, I know, but hear me out. Aeroplanes fall not because the engine has an error. And that’s it. And that’s why airplanes fall and that could happen. That’s rare.‘Alarm Bells Scenarios’Airplanes actually fall, when they do fall, when there’s an issue, a big problems do happen in aviation when lots of little things, lots of minor things that all happen at once. And they usually surrounding communication, and teamwork so it’s accumulation of all those minor errors that would result in it. So for example, the pilot was hung over, right? That’s one thing, right? And then the pilot was working with a co-pilot, and they’ve never worked together before, okay? And the guy who was supposed to do the final checks on the aircraft vehicle, had COVID or something, and he couldn’t come into work that day. And therefore, all of those little things combined and bad weather that day, is the reason that the airplane fell not because of one big error, it’s accumulation of little errors.Main Episode:So what lessons can we learn in dentistry? Well, think of those little errors lining up in your patient in front of you. So let me give an example.Case No. 1 (Extraction on a 78-year-old patient)I saw a 78 year old patient today who was referred to me for some surgical extractions, okay? Age doesn’t bother me too much. Yes, we know sometimes it can be more difficult to extract and we need to take care, but it’s a medical history that really bothered me. So let me tell you the accumulation of minor errors. So error number one, there was no up to date medical history, it was last filled-in in 2019, okay? So I was like, oh, god dammit, why is this patient referred to me without a medical history?Error number two, he comes in and I get an update of medical history from him. And he conveniently has forgotten his sort of long list of medications and he’s going by memory, okay,

In this episode with Dr. Carlos Sanchez, we're going to take a look at the concept of additive equilibration as a way of managing tooth wear. In other words, it's an occlusion-based technique that involves adding composite or ceramic to achieve the ideal restorative results and we're going to try to help you understand what that is. There are also some themes that are discussed in the same way as the Dahl technique. https://youtu.be/TZ5FKkiscco Check out this full episode on YouTube Need to Read it? Check out the Full Episode Transcript below! Protrusive dental Pearl: Keeping PTFE tape secure - a straightforward trick I found to keep the PTFE so it doesn't get sucked away is to floss the PTFE through more distal contacts. It gives the PTFE some security and resistance to being sucked away. So it's not going to make that horrible sound and you get to keep that PTFE in the stable place! If you want to improve your skills and your understanding of occlusion, I've set up a free monthly resource for you starting this August! Just head to www.occlusion.wtf to sign up for monthly occlusion goodness. Highlights of this episode: 2:40 Protrusive Dental Pearl - Keeping PTFE tape secure 9: 43 Fundamentals of Additive Equilibration37:28  Journey of Additive Equilibration44:22 Additive Equilibration workflow in generalized wear cases1:00:37 Restoring lateral and central incisors for aesthetic reasons (after canines)1:06:36 Anterior coupling in class two increased overjet cases Check out CaSi 3C Instrument and all the other instruments that Dr. Carlos has made. Distributed by CosmeDent and Enlighten Smiles in the UK Another instrument you need to check out on Dr. Carlos’ website is this Vacu-Grip. This little plastic insert that fits in your suction would hold your crown like an extra gravity.  Check this Easy Peasy technique that Dr. Jaz mentioned: The ESIPC Jig ESIPC-JigDownload If you liked this episode, you will also enjoy Basics of Occlusion Click below for full episode transcript: Opening Snippet: Hello, Protruserati, I'm Jaz Gulati and welcome back to your favorite place to grow as a dentist. In this episode, we're discussing ADDITIVE EQUILIBRATIONS for managing tooth wear. Jaz's IntroductionSo, this is an occlusion based one. Dental students and young dentists, it's a lot of things that we discussed that might stretch your mind a little bit. So, if you're new to the world of occlusion, you might have to listen to it a couple of times, you have to hit the books, you have to speak some mentors. It's okay to listen to something that might be a little bit beyond your depth at this stage. Certainly, when I was learning occlusion, I had a lot of that. And I slowly, slowly, slowly, you know, gained more knowledge, spoke to more mentors, gain new perspectives. So, just because we cover some themes that you might not understand in this episode, doesn't mean you shouldn't give it your best shot. Now on that note, if you are looking for some basic, but powerful, impactful, actionable, and practical occlusion tips, then I've set up a free monthly resource right to your inbox. Starting from August, it's worthwhile just joining now, if you head to www.occlusion.wtf, that's right. It's www.occlusion.wtf. Listen, I'm on a mission to demystify occlusion. So, with this very practical gem that I'll send you every month, I'm hoping to go a long way to help our peers. So do check it out, sign up, and I look forward to sending you some occlusion goodness. In this episode with Dr. Carlos Sanchez, from North Carolina USA, we discuss treating the worn dentition with something called the ADDITIVE EQUILIBRATION TECHNIQUE. So people think a equilibration is usually when you get to a bur and start drilling teeth away. Well, this is additive equilibration, we are creating the "ideal occlusion" or "ideal occluding" scheme by adding for example composite or ceramic or whatever it might be to get to our ideal...