Protrusive Dental Podcast

Welcome back to the second episode of #AskJaz where I answered questions from the Protruserati - from communication to caries management, I will try my best to help. When I don't know the answer (far too often!) I usually know someone who does! https://youtu.be/Pvt-czUEZ3Q Click Here to watch on YouTube In this #AskJaz I tackled: Picking Courses - Which Year Long Restorative Course? 4:45 Which Facebow should I buy? 10:16 When giving the patient some options goes too far 12:02 Reduce Root Resorption Risk for relapse cases 17:50  Do join our Protrusive Dental Community Facebook Group. It has so many great gems and pearls shared in our little community! Click below for full episode transcript: Opening Snippet: Hello Protruserati, I'm Jaz Gulati and welcome back to the second ever AskJaz Jaz's Introduction: I've just come back from Porto in Portugal. And it was an amazing trip. Let me tell you about it because it's very relevant to the podcast. The way this trip came to be is that in Episode 89, I had Dr. George Andre Cardoso on the podcasts and we were discussing Digital VertiPreps IE, how to scan when you do the BOPT, or the shoulder less technique, they're slightly different, right? So one's shoulder, this one's edgeless. We can talk about that another time. But essentially, this crown preparation or bridge preparation technique, which is pretty much all the rage at the moment, and for good reason. You know, I'm a big believer in vertical preps, they are much more conservative, they help you to gain ferulle, they help you help you to preserve the horizontal ferulle, and their soft tissues. Love it. So I'm a big fan of this prep. I've been doing it for some years now. But I knew that so many dentists in the UK wanted to learn. And so in that episode, Episode 89, Andre says, Hey, why don't you guys come on over and we can do something, we were just chatting. And I was like, Yeah, that sounds great, you know, maybe if anyone's interested if you want to go on his website and register your interest. [Jaz]Fast forward, maybe six to eight months later, and we had enough people interested that I'm actually organized 16 dentists. They happen to be all from the UK. And we flew over to Porto in Portugal, and George Andre Cardoso and his team. Thank you, Catia. Thank you, Joanna. Thank you, Gustavo. They treated us to a fantastic course on vertical preparation hands on. So morning was theory, afternoon hands on. All the dentists that came walked away with their own bur kits. But the best thing about it all was the people, the company because it reminds me very much of being at Andre's dad's restaurant, his dad seafood restaurant in Porto, which is part of a package, you know, you come. We do a course. We include lunch. We include dinner at Andre's Dad's seafood restaurant in Espinho. It was phenomenal. And we're there at dinner. And George Andre Cardoso, he shares some life philosophy, we're talking philosophy. And he says Jaz, you know, I came to realize that life is not about the destination. And I said, Yeah, of course not. We all know it's about the journey. He goes, No, life is not about the destination. Life is not even about the journey. Life is about the company. And at that moment, with this packed restaurant full of all these colleagues, which are some of them I've never met before. They are Protruserati, which I met for the first time, which was amazing. It made me realize, Wow, this is special. You know, when you go away for trips, it reminded me of being at Uni. We just got these ski trips at dental schools and that they were the best. And so the vibe here was just amazing. It was just so much fun. It was a great city tour of Porto. We had great food, Francesinha, if you guys don't know Francesinha is I mean, I'll just wrap this up really quickly because you probably want to get to the AskJaz questions. Francesinha, you can't call it a toasty because Portuguese people will get very upset if you ...

Consent. It's one of the most important parts of your practice—and it's somehow turned in to a tick-box/paperwork exercise. Is it truly possible to automate the consent process for an individual? Dr. Shaun Sellars and Zak Kara are here to break it down for you, so you can get your patient on board with the treatment they need while keeping yourself out of legal trouble. We've covered some of the laws that govern consent in Dentistry, as well as how to level-up your patient communication skills. https://youtu.be/_8O5CqoYIS4 Need to Read it? Check out the Full Episode Transcript below! Protrusive Dental Pearl: Be sure to subscribe to my email newsletter for the PDF Flowchart for Consent made by Dr. Shaun Sellars  This episode is sponsored by Enlighten Whitening – thanks for your support Dr. Payman Langroudi and team! Please do check out their online training. Within their Live online training, they cover so many points related to consenting our patients for teeth whitening - from the onset of white patches to predicting and managing expectations of different whitening cases. Highlights of this episode: PDF Flowchart for Consent by Dr. Shaun Sellars 5:53Ramifications of Montgomery 7:43Consent forms - are they worth it? 10:00Stages of Consent Process 17:38‘Protocolization’ 22:05Process of getting Consent 26:25Getting Consent with the help of Technology 33:42 If you loved this episode, check out the first part of this episode Record Keeping and Emotional Intelligence Click below for full episode transcript: Opening Snippet:Replacing missing teeth, do nothing denture bridge implant, this is classic, okay? How to replace missing teeth writing consent. Do nothing is always an option. So you must must must must must always say you doing nothing is not even if your pain the patient comes in massive amounts of pain. Do nothing is an option, you can say it's not a good option and you should be able to recommend the treatment option. Jaz's Introduction:Consent is like an onion. What does that even mean? Well, you have to listen towards the end of the episode to find out what I meant by consent is like an onion. Now this episode is going to go in the Protrusive Hall of Fame like think of episode 10. I always refer back to Episode 10 with Zak Kara because I know how much you guys loved it because the stats always show me that people are listening to that one again and again and again. That's probably the most repeat listen-to episode there is and I've got a funny feeling that this episode is going to actually surpass that as the most listened-to and repeat-listened-to. And I even I can't wait to listen to it again. Because there are so many great non clinical communication gems, which I know we all crave. Protruserati, Welcome back to the Protrusive Dental Podcast. I'm your host, Jaz Gulati. I've got Shaun Sellars and Zak Kara on today. And this is gonna blow your mind. Some of the laws that we discussed in terms of consenting are specific to the UK. But if you're in the US, Australia or around the world, we all consent our patients and you will definitely take away some very tangible points on how to be an effective communicator and consent your patients properly and that does not mean you tell them every single damn option. You'll find out why when Listen. This episode is brought to you by enlightened smiles. This is the premium brand of teeth whitening. They guarantee a B1 shade and it's just a slick system. The branding is on point, the passing on point, patients love it very low sensitivity from my experiences. And so the reason this is relevant to consent is I did their online training some years ago with Payman Langroudi and it's brilliant. It covers so many points related to consenting our patients probably for teeth whitening from the white patches that can arise, from the expectations of result for the treatment durations, for different cases, for example, tetracycline staining,

Protrusive Colonel Dr. Zak Kara and Dr. Shaun Sellars discuss record keeping and emotional intelligence. Topics include building rapport with patients through personalized note-taking, the role of showmanship in dentistry, the importance of self-awareness, using Loom.dental for communication and consent, and the shift towards electronic record keeping.

Be proactive. Be the master of your destiny. We have another non-clinical topic all about 'making your own luck' in Dentistry and in life including landing your dream associate position with Dr. Rupert Monkhouse, the removable prosthodontic wizard from Suction Lower Complete Dentures – Improve your Removable Prosthodontics   https://youtu.be/7AODxoWKwTs Check out this full episode on YouTube Need to Read it? Check out the Full Episode Transcript below! “I made my own luck by thinking, you know what, I AM going to go for this. It's the same as rocking up to somewhere like the BACD conference or the ITI conference, or Tubules” Dr. Rupert Monkhouse The highlights of this episode: How Dr. Rupert landed his ideal associate position 7:04How Dr. Rupert managed to work full time 13:12Advice for a young dentists looking for their ideal associate position 18:43Dr. Rupert’s journey of development in finding his niche 31:22 Don't forget to check out The Impression Club and also Dr. Rupert Monkhouse's Instagram If you loved this episode, you will like How to Find An Associate Position in 4 Mins Flat  Click below for full episode transcript: “Opening [Rupert] Well, I think from my sort of perspective doing those Saturdays the reason why she asked me to do those Saturdays is because especially when none of our associates want to do Saturdays, they're all that was, they're all that little bit older or they've you know, they've got their two kids or whatever, they don't want to do Saturdays. And that's true of a lot of private practices. They don't want to do Saturdays. They also don't want to do Wednesdays or whatever. So whenever people ask me, I always say go and find, go and research 5, 10 practices in your area that look fantastic. And just go to them say look, do you want someone to work on a Saturday because probably they do. Jaz's Introduction:Hello, Protruserati! I'm Jaz Gulati and welcome back to this interference cast, where we take a slight non clinical ditto it's with our friend Dr. Rupert Monkhouse from #impressionclub. Listen, if you don't follow this guy on Instagram, you are missing out. This guy is like making removable prosthodontics sexy again, and you may remember him way back in episode 73, where we discuss lower complete suction dentures, right? So this guy is a wizard, you need to check him out. And today we talk about something a little bit different. Rupert actually works quite close to me. So we met up and I like to hear stories of how he got his first or not his first associate position. But where is that at the moment, a beautiful practice. And it very much covers this theme, which is a question I get a lot of how do I go about getting my first associate position. And just if you scroll down on Apple or Spotify or wherever you're listening, if you're watching on YouTube, I did an episode recently how to get an associate position in four minutes. Okay, so if you haven't seen that, please check it out. But essentially, this is a story of how I got my first associate position, his story of how Rupert got his first associate position. And how the relevant theme here is to be proactive. Nothing will happen if you're reactive. So if you're reactive, you wait for things to happen, and then you will respond. Whereas when you're proactive, you are forcing change, you are a force to be reckoned with. You are actually a master of your own ship. You're in charge of your own destinies, does that makes sense? This is what it's all about. So the message and the lessons from this episode will hopefully inspire you to change the way you look at the world and look at dentistry and look at your career options to hopefully put yourself in a better position going forward. Let's catch the main interview with Rupert and I'll catch you in the outro. Main Interview: [Jaz] Rupert #impressionclub Monkhouse. Welcome back to the Protrusive Dental Podcast, my friend how are you?

Hi Protruserati! Welcome to the first episode of #AskJaz. This segment is all about sharing some gems I have learned from my mentors - I will address a combination of the questions YOU have sent in over the last few weeks. https://youtu.be/qMEGcs1XP4A Check out this full episode on YouTube Need to Read it? Check out the Full Episode Transcript below! In this episode, I answered some of these questions: Inlay that kept coming out 3:15Stable Income vs Risks 5:18Mentorship 6:36Injection Moulding Mistake 7:38 Step by Step PDF Infographic. Click here If you loved this episode, be sure to check out the first episode of the ‘Occlusal Adjustment’ How To Plan Your CPD/CE to Maximise Learning  Click below for full episode transcript: Opening Snippet: Welcome to the first-ever AskJaz, I'm doing it live, okay, Because I am literally so strapped for time right now, tomorrow is my holiday, I'm going to Dubai on a family holiday... Jaz's Introduction: Man, I have never needed a holiday so badly. So for those of you who know me, you'll know what I'm like, for those of you who don't know me so well, I only really switch off when I'm abroad. It's just a funny thing about me. So if I'm not playing my son, or if I'm not chopping onions, or if I'm not writing a treatment plan letter, or doing some admin or doing the podcast stuff, or the courses stuff, I literally don't switch off. So this pandemic has been very difficult for me in a way that I've been desperate for an opportunity to switch off. So that's coming next week. But I want to explore this concept of AskJaz, because I'm no like, you know that I'm No expert. There are so many people who know so much more and do great work and I admire what they do. For me, it's just sharing. And the reason why I think that's important is because when I started to share some years ago, so the specific example is when I worked in Singapore, and then I came back to the UK. And then what we found is that, like, I was on the phone to a different dentist every single day on my commute, to from Oxford and to back to London. And I was telling them the same story. They're asking me the same questions. Hey, what's it like in Singapore? How much do you earn? What's the language like? Are there any exams that you have to pass to be able to practice in Singapore and that kind of stuff? So I decided to share and I made a podcast called Protrusive Dental Podcast, you may have heard of it. And I thought it was just a great thing to be able to do to free up time for me that was amazing, It was a selfish reason why I created the podcast, okay, if I can now just make this and the next episode was like, USA, one of my friends was going to USA she's studying there. Okay, how can we now help people who might be considering the USA and then Episode 4 (I meant Ep 5, my bad!) was Australia. So the way it developed initially was like, I was kind of like this immigration agent for dentists, right? But then I started to be myself, I started to share my geeky things. I'm a massive geek when it comes to dentistry, as you guys know, so I think it's so important to share. And one of the questions instantly I had in was about a dentist who was so nervous to share and post his cases on social media. And I said, Listen, if you can post your cases on social media, you will develop so fast, so quick, and so much that it's going to be, it's going to bring about great, great vibes, great energy when someone shares. So part of the Ask Jaz is although I felt like a massive imposter syndrome, so you know, ask me, I'm the expert, nothing like that at all. I'm just literally here to share. So let me share with you some questions that we've had over the past few weeks, obviously, on YouTube, we had that question about the bonding protocol. He said, Saline but he meant Silane. And so I shared that to the Protrusive Dental Community Facebook group, if you're not part of it, do join it. And on that group,

Psst! Hurry, www.splintcourse.com Enrolment ends Thursday night! No matter what kind of Dentist you are and what niche you are in, chances are that you will encounter TMD acute pain patients. This practical episode with TMJ Physiotherapist Krina Panchal is going to equip you with 3 simple exercises you can confidently prescribe your patients and WHY they are effective. https://youtu.be/fNay0J6NlS4 Check out this full episode on YouTube Need to Read it? Check out the Full Episode Transcript below! Protrusive Dental Pearl: Handing Composite for a Class 4 Restoration: When you’re restoring a Class IV on incisors you will need to decide how to manage the interproximal area. In the 'immediate' technique (called Immediate because you will manage this straight after the palatal wall build up) you can use some form of an interproximal matrix (posterior sectional matrix used vertically, for example). The tip here is to roll the composite between your gloved fingers first, roll it into a sausage, then you will then place that 'sausage' into the interproximal area. This will help you get a better interproximal shape. Inspired by Dr Dipesh Parmar from Mini Smile Makeover course. In this episode we discussed: How Physios assess their TMD patients 13:46Joint Exercise (Rotation) 15:03Muscle Exercise 19:25Tongue Scrape Exercise 26:13Advice for Patients who are in Pain 29:43Bucket Analogy 32:10 If you enjoyed this episode, check out another episode from Dr. Krina Panchal TMJ Physiotherapy – When to Refer and How They Can Help  Contact Krina Panchal Click below for full episode transcript: Opening Snippet: Hello, Protruserati. I'm Jaz Gulati and welcome back to your favorite dental podcast. In this episode you will learn how to prescribe three really simple, really easy but super effective exercises to all your TMD patients Jaz's Introduction:The thing I discussed with TMD Physio Kreena Panchal today is that as dentists, we don't really get taught exercises that well what the indications, how to do it, how many seconds to hold it for, because usually we ourselves learn it from Googling, finding a PDF, and following the images and just giving the patient the leaflet or a brochure and so that yeah, just do these exercises, you'll be fine. But from this episode, we're gonna make it super clear, super tangible. So you can start implementing this right away. Before we join Kreena, some important announcements that by time you're listening to this, if you're one of my listeners who listens on the day the podcast comes out, my superfans, the real Protruserati, thank you so much. There are just two days left to join Splint Course online, if you want to learn how to manage bruxism and TMD in practice now, the exciting announcement I have to add to that is that by the end of next week, the splint course will be available as a podcast. So it's designed for the busy people who are commuting who don't have time to watch the videos just yet. Therefore, even when you're commuting, like you listen to this podcast, I'm going to let you consume the course, entire 13 plus hours as a podcast. And then all you have to do is refer back to the ebook, and refer back to the videos for the little clinical bits here and there. But you will absorb so much more just from driving and listening. So if that's been, if you're on the fence about it, because you're gonna struggle to find the time but you always find time to listen to podcasts, then this is done for you so that you can access that information. And then you can drastically reduce the screen time you need to be able to get the knowledge that you need to start making splints on Monday morning. Now some of you email me saying Jaz, when are you going to bring the splint course as a live course because the online course really isn't for me, well, good news and bad news, okay? Good news is that the live day is coming, okay? So me and Karina and a maxillofacial surgeon,

Welcome back to the third part of this EPIC series! I hope you gained more value from this than from PAID education. Dr. Devang Patel guides us through Appoint 5 of the Adhesive Full Mouth Rehabilitation - this is when things very saucey as we discuss sequencing and staging the rehab. Onions on the ready, my fellow Protruserati! This episode is sponsored by Enlighten Whitening - thanks for your support Dr Payman Langroudi and team! In this episode we also squeezed in a discussion about stressful White Patches appearing after Teeth Whitening - what causes them and how to 'treat' them! https://youtu.be/I6IB1FxY8fA Check out this full episode on YouTube Need to Read it? Check out the Full Episode Transcript below! Protrusive Dental Pearl: This is a video pearl from the Protrusive Dental Community Facebook Group on How to diagnose a Myofascial Pain that mimics 9/10 severity toothache https://vimeo.com/687007193 Head to the Protrusive Dental Community Facebook group where this video came from for more resources like this. For the Summary of Appointment Sequencing 0 - Mindset for Full mouth Dentistry 1 -  Full mouth Assessment Examination 1A - Diagnosis and Treatment Plan 2 - Patients’ Records  3 - Mock-up and Temporaries 4 - Checking Patient’s occlusion 5 -  Anterior Direct/Indirect Adhesive Composite Rehab 6 - Checking Occlusion and Taking Impression (within 4 weeks)  6A: Checking Occlusion (2 weeks after - 1st Visit) 6B: Taking Impression (2 weeks after 1st visit) 7 -  Posterior Direct/Indirect Adhesive Composite Rehab 7A: Lower Posterior Arch or Upper and Lower Right Side 7B: Upper Posterior Arch or Upper and Lower Left Side 8 - Polishing  9 - Assessing for Occlusion  10 - Maintenance or Giving Protective Appliance  The highlights of this episode are: Indirect Full Mouth Reconstruction Protocol 7:53Appointment 5: Anterior Direct Adhesive Composite Rehab 15:59 Upper and Lower Anteriors Build-up Techniques (Using Putty/Exaclear indices from wax-up) 16:41Checking of Occlusion 26:56Posterior Stabilization (Using GIC or Bis-Acryl) 28:59Appointment 6: Checking Occlusion and Taking Impression (within 4 weeks) 6A: Checking Occlusion (2 weeks after - 1st Visit) 35:496B: Taking Impression (2 weeks after 1st visit) 36:08Appointment 7: Posterior Direct Adhesive Composite Rehab 38:45 7A: Lower Posterior Arch or Upper and Lower Right Side7B: Upper Posterior Arch or Upper and Lower Left Side Appointment 8: Polishing 46:52Appointment 9: Assessing for Occlusion 47:45Appointment 10: Maintenance or Giving Protective Appliance 48:00 Join Dr. Devang Patel's Facebook Group where you can find tons of useful resources! Also, be sure to check out Dr. Devang Online Dental Courses to be able to offer a full mouth reconstruction treatment to your patients! If you enjoyed this episode, be sure to check out the first part Adhesive Full Mouth Rehabs in 11 Appointments and the second part Adhesive Full Mouth Rehabs Part 2 – Wax Up and Temporaries Click below for full episode transcript: Opening Snippet: But if you ask anyone who has seen their cases 10 years on which I have, the mentality changes a little bit. I'm very, I do not select composite resin because they are cheaper modality I tell patients that look in a long run, they will cost you the same as porcelain... Jaz's Introduction:Hello, Protruserati. I'm Jaz Gulati and Welcome back to the big one, this is going to be the big one, because we've built you up from part one, part two. And now this is part three. So if you remember, in part one, we talked about the mindset of that full mouth clinician, how to treatment plan and communicate to your patient. In part two, we looked at how to get a wax up and how that wax up might be different for an adhesive rehab, compared to a conventional rehab, and then how to actually put that temporary in the patient's mouth and let them walk away with temporari...

Dental school does not teach us everything we need to know to succeed in Dentistry (hardly surprising). There are certain procedures that we learn (just about!), but it doesn’t give us those soft skills, the people skills and a heck of a lot of basic competencies. This episode is NOT about bashing Dental Schools. It's about recognising where were were 'let down' and taking the steps to 'fix it'. There is so much we must gain from being mentored by people who’ve been there and done it before us. Dr. Paul Goodman is one of those good people in Dentistry that we need to look out for. https://youtu.be/LpOEBcmguR0 Check out this full episode on YouTube Need to Read it? Check out the Full Episode Transcript below! “[There is a] lack of fundamental skills for surviving and thriving [once graduating].” Dr. Paul Goodman Check out this How to Speak By Patrick Winston as mentioned by Dr. Paul Goodman. https://www.youtube.com/watch?v=Unzc731iCUY Highlights of this episode are: Dentists’ make up for Dental School’s shortcomings 6:30Lack of Clinical Skills after Dental Schools 9:16Advice for Fresh Dentists 12:17Limited experience at Dental School 16:38Advice for Dentists in terms of finding their niche 19:59Best way to overcome Dental Schools’ shortcomings 23:55 Send an email with the subject 'Nacho gift' to Dental Nachos and they will send you back a free resource. Also, check out the Dental Nachos website! If you enjoyed this episode, you may also like 12 Rules for Dentistry – IC002 Click below for full episode transcript: Opening Snippet: And my secret to getting high case acceptance is one sentence. My secret to getting high case acceptance is one sentence Jaz's Introduction:Hello, Protruserati. I'm Jaz Gulati and welcome to this interference cast. I've got Dr. Paul Goodman from Philadelphia, USA. He runs this amazing community called Dental Nachos. Just a great resource of positivity in dentistry, and so much help and courses for dentists all over the world. It will be so obvious to you from our conversation, his enthusiasm and his great analogies and way of communicating. I'm just a huge fan of Paul Goodman. And I love the theme that we discuss, you know, how dental school let you down. Now please, please, please. I have so many colleagues are working in dental schools and I'm well connected with dental schools. Listen, we are not bashing dental schools. Okay, we are not bashing dental schools. We are merely just raising a few real world points that perhaps, perhaps in some areas of dentistry, and maybe even clinical experience that there was a little bit of a shortfall. Now it's okay. It's alright. We get it. We understand why okay? There's only so much dental school can fulfill and it takes you back to being on orthodontic clinic and one of the tutors goes to me, she goes tp me, Jaz, did you learn to drive before passing a driving test? Or after passing a driving test? And I've only recently got my license, I was like Well, I think afterwards because I still really don't know how to drive yet properly. So it's just same in dentistry, okay? Dental school will give you that certificate, will give you that license to drill. But actually how you communicate with patients, how you can formulate really good treatment plans that are appropriate, how you can get your hands skills to whether you want them to be where they need to be. That takes time, devotion, mentorship, and it is universal, that we have to learn that once we qualify. That kind of process is only enhanced and fast tracked through good mentorship and being around good people in dentistry. And let me tell you what Dr. Paul Goodman is a good person in dentistry. Let's listen to the interview. Main Interview: [Jaz]Paul Goodman, Dr. Paul Goodman from the USA from the Dental, from the nachoverse. How are you? [Paul]I'm doing awesome Jaz, really thrilled to be talking with you. I love this topic.

Articulating paper has been around for over a hundred years, and it's still the most common way we evaluate the way our patients' teeth touch or occlude. But there's so much we cannot tell by looking at those marks! We cannot tell which ones are higher force or low force, and we definitely cannot tell anything about the timing of contacts. In this episode with Dr. Robert Kerstein will enlighten you about the T-Scan! https://youtu.be/YsxjGGitJr8 Check out this full episode on YouTube Need to Read it? Check out the Full Episode Transcript below! Protrusive Dental Pearl: Classically on glazed ceramic, articulating paper marks will be difficult to show up. A little hack to overcome this is to get a tiny smear of vaseline on a micro-brush, paint the articulating paper and get the patient to bite together because the Vaseline has an effect on the articulating paper which allows it to stain or ink the teeth more effectively. In this episode Dr. Rob and I discussed: Traditional way of using articulating paper and its disadvantages 14:55T-scan in terms of occlusal adjustment 19:34T-scan in terms of differences in adaptive capacity 24:53Importance of patient’s feedback 28:58Treating patients with TMD through occlusal equilibration 35:45Dentists’ concern about the thickness of the T-scan 41:20Level of precision in diagnosing patients 46:50Why does T-scan seldom meantion on occlusal courses 54:18 All of the Protruserati clan get £200 OFF the T-Scan™ from Clark Dental with the code ‘protrusive‘! As promised in the episode, if you would like to read some studies/evidence base for the T Scan click here. Click here to email Dr. Rob Kerstein If you enjoyed this episode, check out Philosophy of Functional Occlusion with Riaz Yar Click below for full episode transcript: Opening Snippet: Articulating paper marks are lying to you. Now just think about it for a second, right? When you stick some articulating paper in, and you get the patient to bite together, you often get false positives. So you get these red or blue marks in areas where the teeth aren't actually touching. And you also get false negatives, areas of teeth which actually touching and you don't see a mark and I'll tell you in my Protrusive Pearl later on how to overcome that when it comes to ceramic, glazed ceramic sometimes doesn't pick up the articulating paper ink, and therefore I'll share with you a little tip on how to make it appear... Jaz's Introduction:I just want to just elaborate on this point a little bit. When we see articulating paper marks, we see small dots we see big dots. We kind of have different beliefs if you ask different dentists some will say oh, it's the bigger marks that mean that there's more force, whereas other people think No no smaller marks because pressure is force over area therefore, a smaller mark often means higher pressure. The reality of it is, is that this has been studied, and we cannot tell by looking at articulating paper marks, which ones are higher force or low force, and we definitely cannot tell which teeth are hitting first before they eventually, more or less come together. We don't know anything about the timing of those contacts, which is what this episode is all about. Hello, Protruserati I'm Jaz Gulati. Now, let me elaborate on that a little bit more still. When we're dealing with single tooth dentistry, this really isn't so important because you're just working on one tooth. And how important is that one tooth-like to be in the grand scheme of the entire occlusion of the patient. In most patients, you can get away with a lot, you know, our patients are great at adapting. But when you have an arch of temporaries, or multiple units, let's say five or six units, and you want to be able to make sure that the patient's occlusion is comfortable, and that no one restoration is taking too much load. We're relying on this articulating paper ink, but you don't know where to adjust.

I’ve had a few questions from Dentists who are interested in learning how to place fixed retainers, something I personally have found so fiddly! The whole process can be a little intimidating at first, so Dr. Raj Jabbal takes the fear out of it and makes it fun and easy. We also talked about different types of Fixed Retainers and the daily conundrums that we have when deciding on the recipe for retention. https://youtu.be/iH8oTU5gjag Check out this full episode on YouTube https://youtu.be/GkePbSVLVm8 Need to Read it? Check out the Full Episode Transcript below! Protrusive Dental Pearl: Head out to my Email Newsletter for some goodies and updates from me and also for the upcoming Protrusive App! In this episode I asked Dr. Raj all about: Routine use of Fixed and Removable Retainers as part of his Specialist Plans 7:53The best type of Fixed Retainer 10:29How to avoid warpage on Braided Type of Fixed Retainer 12:21Step-by-Step on how to place a Fixed Retainer 15:14Chance of relapse on Fixed Retainer vs Removable Retainer 20:01Cephtactics Fixed Retainer Protocol 24:40 Be sure to check out the Cephtactics - Orthodontic Courses If you enjoyed this episode, you should also check out General Dentists Doing Orthodontics  Click below for full episode transcript: Opening Snippet: Do you want to see the best ever step-by-step video for how to place a fixed retainer completely stress-free? Then this is the episode where it's going to happen... Jaz' Introduction: Welcome back Protruserati to this episode on fixed retainers. We're continuing with our Ortho theme. Like I really hope you enjoy and gained so much value from that IPR techniques video like we and the team. And I say we, it was a team effort to put this video together. And it's been so great to see your comments and your feedback on Instagram, on YouTube comments, so please keep them coming if you found that video useful. In this one, I'm going to make another bold promise, okay? The video that will be part of this podcast. So if you're one of my loyal listeners, I appreciate you. If you're new to the podcast listening, thanks so much for joining from wherever you are in the world. This podcast will speak to Raj Jabbal about the different ways, the different fixed retainer types available. Is there a superior one? Is it a case that Raj Jabbal, the specialist orthodontist we speak to does he always place a fixed retainer? Or is there a place for removable retainers only. So we'll talk about the sort of daily conundrums that we have when we're deciding on the recipe for retention, which is unique to every patient, let's not forget that retention should be a unique thing based on the patient, based on the initial situation. Because initial situation, the crowded state is the most stable state. So if you're watching on YouTube, great, I will have a video step by step made by cephtactics, which is just the most beautiful video you'll ever see of someone applying a fixed retainer. It really helps make it tangible. And what I'll be doing is I'll be jumping in and out of that video and just giving you my sort of little pointers here and there. Okay, why I might disagree with some parts that video and how certain parts are just so mind blowing, and so much better than the way I used to do it. But again, if you're listening, then don't worry, I'll make sure that you'll have an easy place to click on tool. So wherever you listen, that you can jump straight to a video and watch it but you'll still gain so much more from the conversation with Dr. Raj Jabbal today. [Jaz]Before he joined the main episode, let me give you the Protrusive Dental Pearl. So you know that thing where if you only had one wish, what would that wish be? We all know that one wish should always be 'The I want unlimited wishes.' So if I had to give you just one pearl right now, it would be that I want to give you access to unlimited pearls. So how I'm going to do that?