Protrusive Dental Podcast

Welcome to PART 2 of composite excellence with Dr. Javier Quirós where we cover the procedural details such as the interproximal management of composites and the prevention of stains. https://youtu.be/6ESub-OVqgQ Check out this full episode on YouTube Protrusive Dental Pearl: There is a benefit of having nice tight contacts on our temporary crowns - but how can we polish our temporary crowns without ending up with open contacts? The trick is to get a Sharpie pen or indelible pencil and color in a small circle (maybe about two to three millimeters) mesial and distal of where the contact area is. Now finish and polish your temporary crown using burs/discs BUT do not touch that penciled mark. Ta da! You have just maintained the contact area. I know, why didn't anyone tell you before?! This episode is sponsored by Enlighten who are the sole distributors of Cosmedent Products who are the ones that sell  Casi 3C instrument. This is a non-stick instrument that provides a perfect curved shape that beautifully forms the palatal contours of your incisors.  Need to Read it? Check out the Full Episode Transcript below! Highlights of this episode: 7:23 Mylar Pull Technique 9:57 The 5 Ps of Composite Success 23:49 Digital Facebow Transfer Check out the upcoming courses with Dr. Javier Quirós! Be sure to watch the first part of this episode Composite Excellence Part 1 and you’ll surely love this series! Click below for full episode transcript: Jaz's Introduction: Welcome back to PART TWO of COMPOSITE EXCELLENCE with Dr. Javier Queiroz. Now usually I start the podcast by saying, 'Hello Protruserati! I'm Jaz Gulati', now I had someone messaged me the other day on the podcast page say, 'Jaz, what does it mean if you're a Protruserati? I don't get it.' So on that note, welcome to any new listeners and new watchers. It's great to have you. Jaz's Introduction:Protruserati is a dentist who listen to his podcast, but then finds themselves scrolling and then listening back to the old podcast that they haven't listened to before. And suddenly you've binged a lot of the episodes and therefore now you are a loved Protruserati. It means that you're passionate about dentistry or you want to be passionate about dentistry and you like tangible, productive tips and pearls to help you on Monday morning. So what I like to do with the podcast and what's evolved to become is a fun way to share. I'm hoping that most of the episodes you listen to aren't boring and there's a bit of humor or lightheartedness. We discuss real world dentistry or tips and themes that are really relevant and you can apply on Monday morning. So in this part two you're in for a treat. Like if you remember the three episodes we did with Dr. Devang Patel, let's go back and listen if you haven't already, they were on a ADHESIVE FULL MOUTH REHABS in three episodes. So how to do from right the beginning, from zero to 11 appointments over three episodes, how to do adhesive full mouth rehabilitations? So as we got more and more towards part three, it became MORE CLINICAL, it became MORE PROCEDURAL. And to this episode is no exception. So Dr. Javier Queiroz becomes a bit more procedural in this episode into a nitty gritty. So in this episode, Dr. Queiroz covers INTERPROXIMAL MANAGEMENT OF COMPOSITES. I left you on a bit of a cliffhanger last time if you remember, sort of about isolation. Is it always necessary to use rubberdam or even split dam or OptraGate like personally? For a lot of anterior bonding, I like to use the OptraGate. For my posterior especially lowers, I will use rubberdam. Lower incisors, I'll definitely use rubberdam. So for me it's it's variable and depends on the patient very much. So let's see what Dr. Queiroz has to say about that. PREVENTING STAINS. That's a huge one, right? So you'll hear from him what the protocols are to prevent stains and composites and the FIVE P'S OF COMPOSITE VENEERS. This episode, once again,

A Restorative Dentist once told me, "Composites are like being married to a supermodel....sometimes you forget how good looking they can be!" - I had the pleasure of hosting Dr. Javier Quirós who shares his vast experience with composite veneers and restorative rehabilitation with composite resin. https://youtu.be/D_ahHFXosqA Check out this full episode on YouTube Ready to learn the management of Bruxism and TMD online? Click here to enrol to SplintCourse The Protrusive Dental Pearl: Check out this Casi 3C instrument distributed in the UK by Enlighten who are the sole distributors of Cosmedent Products. This is a non-stick instrument that provides a perfect curved shape that beautifully forms the palatal contours of your incisors. Watch this video below: https://youtu.be/QDoD182j-DU “It doesn't matter what material you choose, porcelain or composite. What matters are your beliefs, your morals, and your principles of treatment planning” Dr. Javier Quirós Need to Read it? Check out the Full Episode Transcript below! Highlights of this episode: 7:32 The start of Composite Veneers11:23 Which Type of Composite is Best?14:07 Composite Veneers of Lower Incisors17:39 Ceramic Rehab vs Composite Rehab23:35 Composite Prep in terms of Occlusion33:31 Minimum Thickness for Composites38:26 Injection Moulding43:44 Treating Toothwear with Composite Stay tuned for Part Two! Check out the upcoming courses with Dr. Javier Quirós! If you enjoyed this episode, you'll surely love this Composite vs Ceramic with Dr. Chris Orr  Click below for full episode transcript: Opening Snippet: Because lower veneers, you need a lot of space if you want to do porcelain. I only do porcelain veneers on lower incisors whenever I'm raising the vertical dimension of occlusion. Because then, I can have a lot of space, Jaz. But if I don't have that space which we never do have that space, then we can do a very thin layer of composite. Jaz's Introduction:Hello Protruserati! I'm Jaz Gulati and welcome back to another episode of Protrusive Dental Podcast. Today we're joined by Dr. Javier Queiroz, from Costa Rica, who is one of the best dentists I know when it comes to composite resin artistry. This guy has been doing it for so long to such a high caliber. I look at his work and I think, WOW! And I want to basically piece apart his thinking process. How he uses composite? What are the best ways to get the maximum results using composite resin? And what are the sort of limits? When should you consider ceramic? Which is a theme we've covered before in the podcast. But it's always great to have new perspectives. And what I gathered after recording with Dr. Queiroz is that he's very pro composite. But he's also someone who's placed, thousands of units of ceramic as well. So, he can give us the lowdown on them both. Some of the main themes we cover in this part one episode, because again, it's one of those amazing episodes, that it's full of so much value that I had to split it into two and you guys voted for it on the Protrusive Dental Community and on App protrusive dental Instagram page. I gave you a couple of options. I gave you composite additive equilibrations, and I gave you high end cosmetic rehabilitations. So, one was like more occlusion base, one was more actually composite as the material itself, and you guys selected COMPOSITE for this round. So, after the part two, then I'll release the one about additive equilibration with the composite. So, that'd be a really good one as well. But for this one, the kind of themes we cover in today's episode is HOW MUCH CAN YOU LENGTHEN TEETH SAFELY WITH COMPOSITE. Which is kind of an occlusion question as well. But it gives us some guidelines to follow in terms of what substrate, what kind of composite, and planning your occlusal design and smile aesthetics. I asked Dr. Queiroz his experience on how long composite veneers are lasting.

What happens when conservative care fails? What if you have prescribed patient education and the 'best' occlusal appliance and none of it is working? That's where surgery MAY be indicated for certain diagnoses. Listen or Watch my podcast with Professor Andrew Sidebottom Maxillofacial surgeon (who is limited to the management of TMJDs) to help us make timely and appropriate referrals to provide the best possible outcome for our patients. https://youtu.be/7m30jvUPlMA Need to Read it? Check out the Full Episode Transcript below! Ready to learn the management of Bruxism and TMD online? Click here to enrol to SplintCourse Protrusive Dental Pearl: Head over to the Protrusive Dental Community Facebook group where I posted an 8-minute walk-through video on how to screen which patients are at risk for getting a bite change or AOB after an occlusal appliance and how you can minimize that risk. The highlights of this episode: 12:47 Why you need to provide Conservative Care first15:57 TMD is a Spectrum19:21 Early Surgical Intervention?21:42 Acute disc displacement without reduction26:40 Imaging used when managing TMD patients35:10 Pain Management41:03 Arthroscopic procedure for TMD50:29 How much does TMJ Surgery cost in the UK?53:22 Successful management of temporomandibular disorders Check out these studies as mentioned on the podcast. Orofacial Pain Prospective Evaluation and Risk Assessment StudyDownload A Real-Time screening tool to aid management of Post-Traumatic Stress Disorder in facial traumaDownload Temporomandibular-joints-in-asymptomatic-and-symptomatic-nonpatient-volunteers-prospective-15-year-follow-up-clinical-and-MR-imaging-studyDownload Also check out Prof. Andrew Sidebottom’s website for more information and download leaflets. Check out the Tubules Congress in Heathrow October 2022 If you enjoyed this episode, check out Stay away from TMD! [SPLINTEMBER]  Click below for full episode transcript: Opening Snippet: So I think understanding TMD is about understanding that it's a spectrum of care from joint related right down to muscular related, and patients are somewhere in the middle of that. Probably about 90% of the patients I see down at that muscular end as you say. Jaz's Introduction:What happens to our TMD patients when conservative care fails? Like you've done your patient education, you've given him the best occlusal appliance, you've worked alongside your TMJ physiotherapist, you've been through exercises, and you've even counseled them about the importance of recognizing awake bruxism, a huge player, and all this stuff isn't working. What happens next? Well, depending on your diagnosis, the next step for some patients will be see a maxillofacial surgeon, but not any old maxillofacial surgeon, you ideally want to send someone who's got an interest in TMJ and TMD. So I've got today a private physician, private maxillofacial surgeon in the UK, who exclusively treats TMD. So what this guy doesn't know about surgery and TMJ. And what happens in the latter parts once conservative care fails, how the referrals manage, when should we refer these patients, which patients are suitable for referral to Maxfax, once conservative care fails. Let me give you a clue, if your primary diagnosis is muscular, then really, you know, really need to go and exhaust conservative care and the physio and by the way, most TMDS are of a muscular nature that myalgia and myofascial pain and there's no real scope for surgery when it comes to muscles that are upset. That's when we really to give the best conservative care we can and involve a pain specialist sometimes potentially Botox and lots more which we will discuss. Now if you want to learn more about occlusal appliances, bruxism as a GDP as a restorative dentists who wants to just not be afraid of doing a TMJ exam when the patient comes into an emergency slot and they're complaining of pain from their jaw,

I'm so excited to bring you another one of my favorite people today: Prav Solanki. I've said it before and I'll say it again, "for every CLINICAL course you do, do a NON-clinical one". This is super important. We talk health, relationships, business growth - and if you listen all the way to the end, you'll learn a BRILLIANT way to build social proof in to a consultation that is elegant. https://youtu.be/zmQsC99_MoU “The definition of success for me: To be able to do what you want, when you want, with whom you want; without any financial constraints.” Dr. Prav Solanki Need to Read it? Check out the Full Episode Transcript below! The highlights of this episode: 8:46 How Prav became a Dentrepreneur17:28 Work Life Balance in Dentistry31:50 Importance of Pitching43:57 Importance of Social Proof on a Consultation Appointment All of the Protruserati clan get 10% OFF the Business and Mindset Mastery with the code ‘protrusive‘! Check out this blog with Dr. Prav and his 21-day fast experience If you enjoyed this episode, you will also like Being Unstoppable with Ferhan Ahmed Click below for full episode transcript: Jaz's Introduction: Do you remember how I say how important it is to do a NON-CLINICAL COURSE for every clinical course you do? I think that's super important because we are dealing with humans, we are dealing with emotions, we are COMMUNICATORS when we're in the practice. So I've brought on someone today who's gonna blow your mind. Jaz's Introduction: The lessons we share, and I need you to, guys, I needed to listen all the way to the end of this one because the main takeaway, my favorite thing that Prav Solanki shares with you today is gonna absolutely change the way of how you do social proof at your consultations. Now what I mean by that is this awkward moment in the consultation potentially a bigger case where you're like, well, let me show you some examples of my work, kind of thing. Right? That's what the sales gurus teach, right? it's funny because we need some sort of social proof because usually proud of the work you did and sometimes patients wanna see what other patients have had done, because it's inspiration for them. But it's always very awkward to sort of pull up a PowerPoint or whatever and show them what technique Prav teaches us is just fantastic. It's gonna change the way how you introduce that to your consultations in such an elegant manner. So that's around about the 15 minute mark where they're about, so towards the end, but there's so much value built in before then we talk about that old thing, work-life balance, right? What is a balanced life look like? How we can actually live life more purposefully that's the kind of themes that we cover with that. We also talk about the importance of PITCHING. Whether you like it or not, we are constantly pitching to our patients, to our reception team, to our nurse, to our family. We are pitching all the time. So have you ever done exercise where you've looked at your pitch? We kind of do that with you. So we're gonna go through that as well. And finally, the importance of being a good storyteller or introducing stories into your consultations. And that's kind of like the main thing I wanna take away. And the one word, the one magic word. This begins with M that Prav taught me. And it's just an elegant way to build social proof, like I said. So I know you're gonna gain so much. So I'm not gonna talk on for too long. I want you to gain so much from this. Main Episode:So here we are, over to you Prav. Prav Solanki. Welcome to the Protrusive Dental Podcast, my friend. How are you? [Prav]Really well, buddy. I'm in London today. I'm in enlightens offices, but I've got a couple of meetings in London, so, I've just caught up with payment and I've stolen his meeting room for this podcast. But I'm well, I was up at four o'clock this morning, did a mini workout, fasting. So, two days,

Zirconia Veneers!? eMax vs LiSi? Which type of Zirconia should I use (and yes, there are 3 main types of Zirconia!) and is there still a place for Feldspathic veneers? These burning questions is why I brought on the OG: Ed McLaren. What Dr Ed McLaren does not know about dental ceramics is not worth knowing, and he gives it all away on this cracker of an episode which is sure to go down in Protrusive Hall of Fame! https://youtu.be/ZR-V-ekhMv0 Protrusive Dental Pearl: How to mask a metal post? For me, a post-core is just a space-filler, it's a way to retain some sort of foundation/core restoration. I do not mind cutting it back a little bit - below I share a video of how to mask a metal core using Paracore White Opaque, to help my ceramist. You can also use an opaquer resin such as Ivoclar Direct Opaque - it's like Dental Tipex! Want to download the 1 page summary of all the indications for free? Click here to access the download. https://www.instagram.com/reel/Cd0P2mJqNUn/?utm_source=ig_web_copy_link Enlighten Smiles sponsor this episode. I know some of you feel that we can't make composite look as good as ceramic. Well, you need to check out the work by Dipesh Parmar. His course is called Mini Smile Makeover where he teaches his techniques using Renamel Composite and other brands to give you some amazing results working with composite resin.  Need to Read it? Check out the Full Episode Transcript below! Highlights of this episode: 11:07 Feldspathic Ceramic in terms of Patient demand and Dentist skill set18:26 Shortage of skill set from Technicians in the future20:41 Composite vs Ceramic Veneers23:11 APC Protocol in Zirconia for Veneers29:10 Posterior Zirconia Onlays31:42 Decision Making regarding Biomechanical status of the patient37:29 Ivoclar eMax vs GC LiSi39:57 Different types of Zirconia50:00 Restorative protocol for wear cases Check out these studies as mentioned by Dr. Ed McLaren - if they are not showing up on your usual podcast player, be sure to visit the show notes on the protrusive website. Influence of Enamel Preservation on Failure Rates of Porcelain LaminateVeneersDownload Check out the Hands-On Courses by Dr. Ed McLaren If you like this episode, you’ll also like Dr. Chris Orr’s Composite vs Ceramic Click below for full episode transcript: Jaz's Introduction: Is it just me or can dental ceramics get really confusing sometimes? It seems like every other year, new types of ceramics are coming out, new protocols are being recommended. And it's difficult to sometimes keep up. So, that's why I brought on the Ed McLaren. Jaz's Introduction:None other than Ed McLaren who's like this most AMAZING RESTORATIVE DENTIST EVER. You may also know him from making these epic like movie trailers, dental movie trailers, a prolific speaker, a master ceramist himself, as well as, being a dentist. He has so much knowledge about ceramics. Where he doesn't know is probably not even worth knowing. Hello, Protruserati. I'm Jaz Gulati. And welcome back to your favorite dental podcast for your hit of knowledge and clinical tips. The kinds of things I asked Dr. Ed McLaren are like, what are the LATEST UPDATES when it comes to CERAMICS? What are the different TYPES of ZIRCONIA? Let's take a step back for a moment there, you know. These Zirconias have been there for a while, but there's different generations. When do we know when to use each generation? Zirconia bonding has come so far. Can we now start doing ZIRCONIA VENEER? I know some clinicians are. Is that okay, is that kosher? We asked Dr. Ed McClaren. And finally, what is the difference between Emax and LiSi and which is better? Protruserati we're in for a treat. Now, before we joined the main episode, let's have today's Protrusive Dental Pearl. I posted this on social media recently about how to MASK A METAL POST. So, let's say you're treating a tooth like an upper central or lower central incisor, in my case,

How much money is enough? Let’s face it, General Dentist is one of the most challenging jobs in the world - what level of income is worth the stress and health risks? This is a very personal question and will vary according to each Dentist's money mindset and personal values. Dr. James Martin joins us again to discuss personal finances for Dentists. https://youtu.be/QwtQ43cU2uY Check out this full episode on YouTube “Your rich life is determined by your little network, your family, your friends, your nearest and dearest - THAT is worth more than any amount of money.” Dr. Jaz Gulati Need to Read it? Check out the Full Episode Transcript below! The Highlights of this Episode:4:28 How much money is enough for Dentists?11:42 How does one decide how much money is enough for them?15:16 When do you envision Retirement?18:57 Financial Independence23:23 Importance of Saving36:40 Should associates look towards practice ownership?41:41 Summary Points Check out this book recommended by Dr. Jaz: I Will Teach You To Be Rich By Ramit Sethi If you enjoyed this episode, do check out Money – 5 reflections to help you get started with Investing Click below for full episode transcript: Jaz's Introduction: Let's face it guys. If dentistry didn't pay what it did, would you actually go into work? I think we have one of the most TOUGHEST JOBS there is. I mean, obviously I'll be biased when I say that, and so would you, but really think about it. We don't have a pleasant job at times. It's highly rewarding, but we take a lot of risks. [Jaz]We risk our health to do what we do. So if we didn't pay what it does, would you still do it? Probably not. I know I've spoken to a lot of you about this and we all seem to say, you know what? You know it should pay more if anything, but if it paid any less, then you definitely wouldn't do this job. Now it got me thinking how much money is enough because we're in danger of doing this horrible thing where we look at other people's lives and they say, oh yeah, he's gone to Maldives on holiday and how many cars this person have, and you start to look over the fence and the grass is greener on the other side, we start buying things. We don't need to impress people, we don't like, you've heard this all before, obviously, but the topic of today is something very sensitive. HOW MUCH MONEY IS ENOUGH? It's a funny one, isn't it? Right? What are your goals? We talk about retirement, we talk about how much money is your rich life, and I talk about the origin of that in the main podcast episode. Just give some context. I went to the podcast show in London today, which was a nice, fun day out, and I went to be able to serve you guys better because it is become a big part of my life, the podcast. I love doing it. I'm so appreciative that I have an audience. You guys, you listen to me. Thank you so much for listening to me. It means everything to me and I want to serve you more. So that's why I went to the podcast show, pick up few tips and tricks. I invited my buddy James Martin from Dentist who invest come along. He of course did episode 44, if you remember. So if you're beginning into investing, like if you're a beginner in investing, then you should to totally listen to that episode. We cover a lot of personal finances in that episode, but today we're covering this, you know, it's like a group function almost. Right? This episode we're going to cover this one topic where how much money is enough, and I also cover this theme towards the end of as an associate, should you be looking to become a principal. Because principals earn way more according to the figures that I quote, which are the NASDAL figures, which are like a bunch of averages. So we'll share all of that and hope this episode doesn't offend anyone. It's sold very much based on averages and whatnot. And of course, finance is such a personal thing, right? Main Episode:So let's join the interview with James,

Today, we will share with you some of the lessons that Dr. Avi Patel and I learned at the very beginning of delivering clear aligner treatment. If you're just starting out, this is an excellent episode for you because it'll help you avoid some of the pitfalls that we encountered. For example, best protocol for attachments or accurately estimating what level/complexity of aligner treatment is needed by a patient. https://youtu.be/4831y3g4MOI Check out this full episode on YouTube Need to Read it? Check out the Full Episode Transcript below! Protrusive Dental Pearl: Correct a rotated tooth by means of HYPERCORRECTION. This means adding a few extra clicks of rotation so that on the clincheck it looks like you have done a little bit too much. This works because orthodontic movements are NOT 100% predictable. This episode is brought to you by Enlighten Smiles which is a premium brand of teeth whitening that guarantees B1 in your Viveras. If you want to know more about teeth whitening and get better results for your patients, do check out their webinar, Enlighten Online Training. The Highlights of this episode:  11:39 Invisalign does not teach you Orthodontics 16:49 Basic rule in Orthodontics 21:49 Patient Communication regarding fees 26:59 Comprehensive Orthodontic Treatment 34:06 Refinement and Additional Aligners 38:02 Patient Communication in terms of treatment duration 41:23 Planning IPR - Best practices 43:53 Best Composite for Invisalign Attachments? 45:33 Protocol for Bonding Invisalign Attachments If you're finding a mentor to implement clear aligners at your practice, be sure to check out Clear Aligner Advisor also Dr. Avi's YouTube Channel for some career advice. If you liked this episode, you should check out Do’s and Don’ts of Aligners with Dr. Farooq Ahmed  Click below for full episode transcript: Opening Snippet: When you will have an adult and you're trying to move their teeth with plastic, that does not mean that you cannot improve their situation, right? You can. So if you are coming from a place of function, health and improving, the clear aligners will check all those boxes. It's as dentists we get hung up, I think on perfection. And I'm not saying to not strive for perfection, always strive for it, but we also have to be realistic. These are humans. Jaz's Introduction:Hello, Protruserati. I'm Jaz Gulati and welcome back to your favorite dental podcast. This one is really for the new dentists, new grads, or maybe you've been qualified for some while but you're new to the world of clear aligners, and I know the title of this episode, and we discuss Invisalign a lot, it's actually applicable to any clear aligner system, clear correct or any, you name it. It's not specific to the Invisalign brand. But the lessons that me and Avi are going to share with you today can be applied to all of those different aligner systems. Essentially, it's about the challenges that we had at the very beginning. For example, I didn't know what to quote the patient in terms of which comprehensive or light or express like which level of aligner therapy the patient needed ie how many aligners the patient needed, how long the treatment would be little tips for IPR, all these things I just didn't know, I didn't appreciate how to do your attachments. We're gonna discuss all of that in this episode. So essentially, this episode is the episode I wish I had, when I was new to clear aligners or new to Invisalign. By the time you listen to this, the app, the Protrusive app is actually out. And it's being used by around about 185 beta testers, these are people who signed up to a Splint Course, as a bonus, like early, you know, fast action bonus, if you sign up for Splint course, in this time, you get the protrusive premium. So these people qualified for first access to the app, and they can now get CPD or CPE certificates for all episodes. As in when they listen,

This was the most difficult interview I ever recorded for Protrusive Dental Podcast. I was approached by a representative from Smile Direct Club to appear on the podcast. I had mixed feelings but knew this was an opportunity to ask some good questions and gain an insight into how this active and significant stakeholder in clear aligner therapy (whether we like it or not) operates. https://youtu.be/6Sjwr52_EkM Video to this episode has not been made public and only those with a link can watch it - OR on the Protrusive APP releasing for general sale next week Need to Read it? Check out the Full Episode Transcript below! Protrusive Dental Pearl: In terms of efficiency in doing your IPR, be sure to plan your IPR and your ClinCheck so that a lot of the IPR happens in one go when the contact is more aligned.  https://youtu.be/x6K2o9tS0GU The highlight of this episode: 10:13 Current market trends for clear aligners 12:59 Animosity Between Smile Direct Club and Dentists 17:19 Patients that are suitable for Smile Direct Club 19:33 Smile Direct Club’s Workflow/Patient Concern 30:32 Patient Education about Direct Smile Club 33:44 SDC’s 'Lifetime' Aligners? 37:11 SDC’s Night Time Aligners?! 43:20 SDC’s pop up shop within Dental Practice 46:55 Dental Boards vs Smile Direct Club 53:16 Patient Support Network? If you enjoyed this episode, you will also like GDP Alignment vs Specialist Orthodontics Click below for full episode transcript: Opening Snippet: Carrying out orthodontics is radiographs, temporomandibular joint assessment, Periodontal probing, periodontal diagnosis. Where is that in the workflow? So essentially what I'm asking Dr. Ataii is if someone doesn't see you and goes to perhaps to one, the pop up shops in the street, what is the workflow? And do you think there's something that should be improved in the workflow and let's learn about the workflow first I think before we can then as dentist be critique that. Jaz's Introduction:Hello, Protruserati. I'm Jaz Gulati and welcome back to the most difficult interview I've ever had to do. When the opportunity first came to discuss with a representative from Smile Direct Club, you can imagine my initial thought I was like no way, I'm not giving them any airtime, right? That was the initial thought. And then I just pause and I thought okay, this is an opportunity. So I posted this about this invitation to our group on Facebook Protrusive Dental Community and oh my god, you guys are hilarious. The amount of stuff you guys came out with saying do this, do that, ask him this some real tough questions or whatnot. And then Jonathan Doron, one of my buddies, one of the Protruserati, he made an awesome comment, right? And he got me thinking, okay, so amongst all of them on there, read his comment out it says, "If you think Smile Direct Club are doing something wrong, as most dentists do, then why not have them on and debate it. They're already here and providing the treatment whether you do or not. It would be an interesting break from the usual format, which you know, I love already. And it would genuinely like to see them come on and have a discussion in good faith." And that was the most beautiful thing. So Jonathan, thank you so much, because that really helped me and it was a guiding comment for me in terms of how I'm going to approach this interview. Because look, I'm gonna be straight up with you all. A) I don't want to get sued. Okay, I want this podcast and I want to be able to feed my family in the future as a dentist, so I don't want to get sued by anyone for any kind of thing, defamation, right? So I came and approached this podcast in a sensitive way. And I feel as though would I have asked certain questions in a different way. Had I seen Dr. Ataii, Dr. Payam Ataii, our guests and he was lovely. So thanks so much for being so lovely, Dr. Payam Ataii. So had, I would have asked him in a different way?

Is every dental CPD/CE really awesome? I think the best investment I ever made was in postgraduate courses, but with escalating costs and ever-expanding choices for courses, how does the confused Dentist pick a course? Is there a toxic culture whereby Dentists are afraid to give less than perfect reviews for a course? https://youtu.be/Idgy1YfXaTY Need to Read it? Check out the Full Episode Transcript below! The highlights of this episode: 7:07 Importance of Feedback on Dental Courses23:17 Too Many Positive Reviews!27:22 What kind of learner are you?30:11 How to Choose the Courses you should take Check out the book recommended by Druh Shah called The Long Game: How to Be a Long-Term Thinker in a Short-Term World by Dorie Clark If you enjoyed this episode, you will also like Being Unstoppable with Ferhan Ahmed Click below for full episode transcript: Opening Snippet: Are you six months later still using stuff from that course, right? Are you still, have you changed your practice because of that course? How was the after support, how's everything like that? Jaz's Introduction:You know how we always moan that dental education at dental school is kind of letting us down and we come out qualified. And we feel underprepared. This episode is kind of moaning not about undergraduate dental education, which I'm actually, I'm not moaning I want to say but we're debating okay, because I've got Dhru Shah and Niall Hutchinson, we're debating about the current state of art when it comes to dental CPD or dental CE, so that's continuing education, continuing professional development, all the courses that we go on, after dental school, there is kind of like a toxic culture. And I spoke about this, in the previous episode #AskJaz. And this is what sort of stimulated or created this debate because in that episode, I kind of answered a key question where people are saying, Should I do this course or should I do that course, this course because it's a significant investment. And all the reviews are really confusing. I don't know which one to pick. And I kind of said, well, it kinda doesn't matter. Because from all these reviews, you're probably very unlikely to go wrong. But then after the episode, I've had two of the Protruserati who I really respect and really loved, they messaged me, and they said, Jaz, I'm really regretting, they said, Thanks for tackling that topic it's not really spoken about enough. But they said, I'm doing this course, one is a restorative course very well known UK. And the other one is a very well known orthodontic course in the UK. And these two guys, these are like course junkies, that course connoisseurs, they're no like spring chickens that are just doing their first course they've done several courses. And they reached out say, You know what Jaz, you had a point because I kind of went by the hype of this course and the reviews. And I'm extremely disappointed after investing, probably in five figure course here we're talking about, so not a cheap course. And education is worth every penny, I think. And we can go on and on talk about value and the importance of implementation to gain the most out of courses. But essentially, these two guys who are really great dentists, they were left disappointed. And I think that stems from the fact that whenever we search about reviews of courses, we always hear that this course is amazing. That course amazing. This course is life changing. So how do you know which one to pick? Well, the way I think about it, everything in life, everything in life, okay, that's the quality of dental care that we give, or the quality of the lawyers or teachers or the quality of food that's out there in the world. Like it's everything follows a bell curve. There's most of it, which is average and maybe above average. And then there's a 5% outliers on either side, which are just abysmal and absolutely awesome. But when he read the reviews for courses, apparently,

Virtual Hands-On Suturing Masterclass enrolment ends 2nd May 2022 - click here to get your hands-on kit + video instructions Your suture is the signature you leave on your surgery. I actually suck at suturing, and so does my handwriting, so I'm really not winning at signatures! This was a really selfish episode because I really wanted to improve my suturing skills - I enrolled on the Suturing Masterclass with Dr Cajee and brought him on to level up our sutures! In this episode, Dr. Nabeel Cajee will help you break down the basics of different suture techniques and share some tips for use in practice.  https://youtu.be/37rY0q6v2cg Check out this full episode on YouTube Need to Read it? Check out the Full Episode Transcript below! Protrusive Dental Pearl: Use the power of video messages to communicate with patients (think post-op instructions) or your lab technician (they love the detail). Currently I am using LOOM which allows me to seamlessly record my screen and my voice/video and creates a sharable link. “Excelling at suturing does three things, it helps patients heal better, less complications, eliminate dry socket. With good suturing, it allows you to grow as a clinician and take on more surgery cases” Dr. Nabeel Cajee In this episode we discussed: Dr. Cajee's pathway to Implant Dentistry 4:03Types of suturing materials 11:03Types of Sutures for specific cases 17:33Different Techniques of Suturing 19:04Vertical vs Horizontal Mattress Suture and when to use them 24:05Guidelines in tying the knot 26:21How to Improve Suturing skills 30:00Best type of Suture for a Functional Crown Lengthening 33:00 Check out the SUTURING MASTERCLASS (scroll all the way down the page) to gain confidence in your overall surgical skills with a hands-on kit to get stuck in! $70 OFF with code 'Protrusive' All of the Protruserati clan get $70 OFF the SUTURING MASTERCLASS with the code ‘PROTRUSIVE'! Click below for full episode transcript: Opening Snippet: What was your first experience of suturing like? If you're like, my guest, Nabeel Cajee, then it was probably like, you know what, I got this, he had a background in embroidery Jaz's Introduction:But for me, I was absolutely hopeless. And to be fair, I’ve improved a lot since the first days in dental school, but there’s so much I still need to improve on, which is why I found you one of the best people to teach on sutures. This guy is brilliant. He’s got a whole online portfolio of videos to watch. And it is something that’s really helped me and I’m continuing through his course. And I want to bring him on to share with you some nuggets of inspiration to improve your suturing come Monday morning. We covered this episode. But no, there are two types of courses, there are courses that you do, which will ultimately, it may not be the main goal, but ultimately it will improve your return on investment, or it will give you a return on investment. So I know that if I start placing implants, and I got an implant year long course, it might cost me a lot of money on this one year long course. But I know that there’ll be a return on investment, I can offer my patients implants. And that should reflect my bottom line. That shouldn’t be the reason I do the course, ideally, but it will have an ROI. There are other courses that you do, and other things that we’ve purchased like microscopes for example, or suturing, for example that you do because you know that you can give the highest quality of your care to that patient. One of the things that Nabeel says that when you place a suture, that is your signature of the surgery. I love that saying, right? And to be fair, from my experiences with suturing, I can definitely do with a helping hand hence why I’ve come to this sort of episode, I think I can share this with everyone to help you all. In this episode, we’re going to cover what are the types of sutures available. If there was one suture,