Protrusive Dental Podcast

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

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

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

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

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,