Protrusive Dental Podcast

Jaz Gulati
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Jul 29, 2022 • 58min

Parenthood and Dentistry (Even if You’re Not a Parent!) – IC025

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,
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Jul 23, 2022 • 54min

Shell Temporary Crowns with Basil Mizrahi – PDP122

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...
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Jul 13, 2022 • 13min

Red Flags and Alarm Bell Scenarios – IC024

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,
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Jul 8, 2022 • 1h 18min

Additive Equilibration Technique – PDP121

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...
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Jun 29, 2022 • 33min

NITTY GRITTY Composite Techniques PART 2 – PDP120

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,
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Jun 22, 2022 • 52min

20 Years of Composite Excellence Part 1 – PDP119

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.
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Jun 14, 2022 • 59min

What Happens When Occlusal Splints Don’t Work? – PDP118

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,
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Jun 10, 2022 • 1h 2min

Non-Clinical Growth for the Busy Dentist (Your Health, Relationships, and Business) – IC023

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,
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Jun 4, 2022 • 56min

Dental Ceramics in 2022 – Which Ceramic Should I Use? – PDP117

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,
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May 31, 2022 • 52min

How Much Income is Enough for Dentists? – IC022

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,

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