Protrusive Dental Podcast

Is flapless implant placement really a solid technique? What percentage of cases are amenable to flapless implant placement? The cynic in me wondered if this is indeed a novel technique, or was it made mainstream to attract Dentists who seldom raise flaps? I brought on straight-talking Implant genius Dr. Pav Khaira on today's Group Function to discuss flapless implant placement - 'what's the deal?!' https://youtu.be/679HAttBQ1c Check out this full episode on YouTube Need to Read it? Check out the Full Episode Transcript below! Highlights of this episode: 4:36 The Rise of Flapless Implants7:04 Indications for Flapless implants9:43 Immediate implant placement13:59 Advice to Young Dentists considering implants18:56 Implant Mentorship24:11 Dr. Pav’s Implantology Course27:46 From Course to Implementation Check out The Dental Implant Podcast for information on dental implants and the Academy of Implant Excellence to learn how to place implants or upgrade your skills. If you enjoyed this episode, you will also like 'Can I Probe This Implant?' Click below for full episode transcript: Opening Snippet: You pay to learn in one fashion or another. This is something I've said before, right? Is you either pay your mentor to show you how to do it. And when you do it that way, you'll avoid most of the pitfalls, okay? Or you don't pay your mentor you have things go wrong and then you've got to pay out of your own pocket. Of those two scenarios one leads to a happy patient and another one leads to an unhappy patient. Jaz's Introduction:Are flapless implants a thing or are they a fad? I feel like there is a lure of some courses that want to attract the inexperienced GDP who perhaps is afraid of surgery or averse to surgery who can't raise a flap and they thought you know what, if we start teaching a guided system that doesn't involve flaps and maybe the dentist will come and learn implants and place our implants so that is the cynic in me thinking that but I got on the main man who knows everything about implants Dr. Pav Khaira on today on this group function about IS THERE A PLACE FOR FLAPLESS IMPLANTS? And of course from that we go into different directions in terms of okay, when is it suitable? When is it contraindicated? What are the problems? And how we can learn more and get into this field of implantology. If you are a novice if you are someone who's thinking about it, but you're afraid to make that next commitment. How does one get into the field of implants are huge daily topic for young dentists. Main Episode:So let's join this group function with Dr. Pav Khaira. Dr. Pav Khaira back again for the third time from the dental implant podcast. How are you, my friend? [Pav]I'm very good, how you doing? [Jaz]Amazing. And last few times you came on you really busted some myths and you helped us to understand some basic things. Can we probe implants? What happens when an implant is bleeding? The soft tissues are bleeding. How can you tell if you're too worried or not? So you cover these really fundamental topics. And you guys if you haven't listened to ready, listen to those. And of course we had you on for finding your niche in dentistry. So you've done some pretty big topics. And when this topic came along about flapless implants, which what we're talking about today, and I can't wait to dig into that. But just for those people who haven't listened to that those episodes yet, and I will urge them to check out those episodes right now, those watching on YouTube, the thumbnails be flying up, you need to listen to those previous episodes to really appreciate all the wonderful things we've covered so far. But just tell them about your week to week, day to day dentistry that you're passionate about. [Pav]Jaz, firstly, thank you for having me back again. Secondly, all I do is place implants. That's it, I don't do anything else. So what's the best way to frame it as an average implantologist and ...

As a Dentist, the first years are always the hardest. You have to adjust to unfamiliar situations and people constantly. A newbie's nerves can lead to self-doubt and hesitation whilst navigating this steep learning curve. I brought on recently qualified Dr. Saeed Cheraghi to guide you through the first few years of the 'University of Life'. https://youtu.be/PXt3hvsV9LI Check out this full episode on YouTube “You come out of Dental school thinking you know things and then you go into the real world and you realize you actually don't know that much at all!” Dr. Saeed Cheraghi. Need to Read it? Check out the Full Episode Transcript below! Highlights of this episode: 8:31 Indirect Dentistry experience 10:15 Challenges in terms of treatment phasing12:17 Level of support being a newbie dentist15:03 Dental training18:07 Overcoming lack of experience30:34 Worrying about litigations35:05 Importance of Health39:59 Lesson from experience This episode is not eligible for CPD but you can check out other CPD-verified episodes on our Protrusive App on a web browser or you download the iOS App or the Android App. This episode is brought to you by Enlighten Smiles, a premium brand of teeth whitening. They also run the Mini Smile Makeover Course - a composite course I really recommend. If you liked this episode, you will love How to Win at Life and Succeed in Dentistry – Emotional Intelligence Click below for full episode transcript: Jaz's Introduction: I remember my first few years out dental school extremely well, I was actually really nervous, really scared. I wasn't sure I was worrying about things like taking a bitewing. Can you believe that? The initial worry was how will I take my first bitewing? And actually remember it happening. Jaz's Introduction:I'm like, 'These are different holders to the ones I had at dental school. And this is a different unit and do I need to try to memorize the timings and the exposure and radiation?' And just making really simple things really complicated because let's face it, you haven't done this a long time when your first day of the real world of dentistry comes. The other thing I remember about my first few years was CONSTANTLY DOUBTING MYSELF and not being able to make decisions because you can't really make decisions or you struggle making decisions when you have a lack of experience. You're constantly doubting your judgment. So, this is why it's a very UNIQUE CHALLENGE. Being a dentist, fully fledged dentists out in the real world after dental school. So, this episode is dedicated to those in their first few years of career, after qualifying, and all the unique challenges that you face as a newbie dentist. I've got someone on today, Saeed Cheraghi, who is literally just finished their first year out of dental school. And so he's in a great position because even though I remember, he has just felt all those emotions, he's actually literally has been through it all. So together, we share our stories and our advice. And the aim of this episode is to inspire SUPPORT GUIDE and encourage you to KEEP GOING, you've got this. So, I hope this non-clinical interruption because this is an interference cast. It's very clinical actually this one, but it's not eligible for CPD. So, the ones that have got enough meat in terms of clinical gems, they're the ones who are eligible for CPD and how you can get CPD is now by joining Protrusive Premium. So, if you go to protrusive.app on your web browser, or if you download the iOS or the Android app, you can actually join Protrusive Premium and actually get CPD episodes after listening or watching the episodes. Not this one though, because this one doesn't qualify. But most of the other ones about 99%, are eligible for you to get CPD. So, straight after you listen or watch, answer some questions and get your CPD. Otherwise let's join Dr. Saeed Cheraghi to talk all about HOW TO THRIVE IN YOUR FIRST FEW YEARS OUT OF DE...

My story of coming to the UK as a refugee from Afghanistan aged 6 and my journey in to Dentistry. I share some tough times and what drives me today. I explained why I think Dentistry was mis-sold to many of us as a 9-5 job (HA!) and my top books and influences. I'm delighted to be a guest on the Soft Bites Podcast. The hosts, Manuela and Jorge, have both been guests on the Protrusive Dental Podcast in the past. https://www.youtube.com/watch?v=pznVMyEDwTE Need to Read it? Check out the Full Episode Transcript below! Highlights of this episode: 4:48 My Story: Refugee 19967:17 Life adversities17:13 Importance of going through difficult moments22:31 Podcasting Journey27:38 Practicing a positive mindset31:51 Importance of education and information35:36 Good communication skills45:38 Balance between the professional and personal life55:25 Core values in life59:30 Future goals for The Protrusive Dental Podcast and clinical dentistry Dr. Mahmoud Ibrahim and I are launching an occlusion course called OBAB (Occlusion Basics And Beyond). This course is o help you design and execute restorations from a single tooth to anterior aesthetic cases to full mouth rehab. Also, sign up for our monthly occlusion tip for you to get the kind of clinical content that we are preparing with OBAB If you loved this, be sure to watch Dentistry is STRESSFUL – this Podcast will help you Click below for full episode transcript: Jaz's Introduction: Hello, friend hope you're well it's a super busy time for Team Protrusive. Let me tell you, we've got the iOS and Android app almost ready so it's like so, so, so tantalizingly close. We're super super excited to launch it. Jaz's Introduction:It's gonna complement the web app on protrusive.app really well. And if you are Protruserati through and through, you will love the additional content on there. So, keep a close eye out in the next couple of weeks for the massive launch of the Protrusive app on iOS and Android. The other big news I want to share with you before we joined the main episode today is that Mahmoud Ibrahim and I are launching an occlusion course called OBAB. Now, OBAB stands for Occlusion Basics And Beyond. Mahmoud, once joke with me, they come for the OBAB but stay for the kebab, so we don't know where which direction is gonna go in terms of food in the future. But this is predominantly an online course actually. So, it's called Occlusion Basics And Beyond. And we think we'll be ready in a few months now, we're really trying super hard. But in our busy lives, it is a tough thing to do to actually plan and create the content recorded, get it edited. We've got beta testers lined up already. So, we're really excited to get it out them to make sure that we get the correct feedback to enhance it as much as we can. Because ultimately, our goal is to help you design and execute restorations from single tooth to anterior aesthetic cases. And then later actually, in module five, we also cover full mouth concepts that will help you feel confident to deliver all this type of dentistry to patients and not worrying that things will break or chip, because we will teach you to apply keyword APPLY in capital letters. Because the principals, I'm going to show you in the videos and cases, if you can apply them in practice, that's where you're going to get success. So, if you sign up to our monthly occlusion tip, you can get flavour of the kind of content we have planned and we're putting together to make it extremely tangible. So, head on over to occlusion.wtf so www.occlusion.wtf, sign up if you haven't already. And if you're a newcomer to this, if you sign up today, for example, if you haven't signed up already, then what I'll do is that when I send an email, I'll make sure the previous videos I've sent will also be sent to you. So, for example, the first one was how to adjust the occlusion on resin-bonded bridge. And the second one coming in a few days is how to ma...

Preserve bone, be kinder to the tissues - but NOT necessarily at the expense of time. A great insight in to Atraumatic Extractions from Dr Diyari. Some say that ALL extractions should be atraumatic, and therefore this is a 'made-up' term by implant bods. By clarifying some misconceptions today, Dr. Diyari Abdah gives us an inside look at WHY and HOW atraumatic extractions can be efficient and effective. https://youtu.be/gS7h0L69hJ4 Check out this full episode on YouTube Protrusive Dental Pearl: Life Advice: "Never take advice from anyone who you wouldn't switch places with" This episode is brought to you by Enlighten Smiles which is a premium brand of teeth whitening that guarantees B1 shade. If you want to know more about teeth whitening and get better results for your patients, do check out their webinar, Enlighten Online Training. Need to Read it? Check out the Full Episode Transcript below! Highlights of this episode: 1:28 Protrusive Dental Pearl: Life Advice12:08 Atraumatic Extractions15:02 Additional skill set and tools to achieve atraumatic extractions24:24 Atraumatic Extractions Protocol27:19 Literature regarding Piezosurgery33:01 Collagen Plug Check out these studies regarding Piezosurgery: Clinical-Success-Bone-Surgery-with-Ultrasonic-DevicesDownload Essentials-in-Piezosurgery-Clinical-Advantages-in-DentistryDownload Learn more about Implant Dentistry with Dr. Diyari's The Most Accelerated Practical and Comprehensive Dental Implant Course with ADDITIONAL 10% off (including the Early Bird pricing) If you enjoyed this episode, check out Make Extractions Less Difficult: Regain Confidence by Sectioning and Elevating Teeth Click below for full episode transcript: Jaz's Introduction: Is there such a thing as an ATRAUMATIC EXTRACTION? I remember one lecturer in oral surgery, she was up in the podium, and she said, this is BS because all extractions should be atraumatic, but in the real world, from my experience, I know that my implant colleagues would do something called an atraumatic extraction. Jaz’s Introduction:Be very proud of it. And from what I understood, it takes a bit more time, like you need to be a bit be more gentle, need to preserve that precious bone. But from speaking to our guest, Diyari Abdah today, using specialized tools such as the Piezo, like this was all pretty new to me in terms of its applications for atraumatic extractions. But using that, your atraumatic extractions don't have to be very slow. They can actually be very efficient. So that was a real takeaway for me. Hello, Protruserati. I'm Jaz Gulati, and welcome back to another episode of your favorite Dental Podcast. Today I've got Dr. Diyari Abdah, who's such a fascinating man, like to me he was this like educator and implant dentist in Cambridge. From our conversations, I figured out that he's been nominated for an Emmy before. He's got an MBA. He's a bestselling author. He is got books on business, completely not related to dentistry. He's a really smart cookie and I'm sure you'll finding very fascinating, but in terms of what we're covering today, it's all about atraumatic extractions. What do you need to use? Can you just use luxators and do everything you need to do with that to call in atraumatic extraction? What is different about a traumatic extraction compared to a regular extraction, and what are the benefits of doing it in this way? Protrusive Dental Pearl:Before we get to that though, the Protrusive Dental Pearl. So, today's pearl is philosophical in a way. It's gonna give you just generic life advice, and it's something I just came across in a book. And I just wanna share with you guys, never take advice from anyone who you wouldn't aspire to be like. So, there might be an amazing dentist, let's call it a male, for example, male dentist, who's really cool. But I wouldn't take advice from this dentist, even if they're an awesome dentist.

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?