Protrusive Dental Podcast

Heated confrontations with patients are never fun. Nobody likes to argue, and no Dentist likes being pressured or micro-managed by patients! In this episode we cover a lot of communication gems with Dr Vy Phan that will definitely allow you to remain calm and be effective the next time you face a 'difficult' patient (you know who I mean!) https://youtu.be/vDP5wIaK3Ok Check out this full episode on YouTube Need to Read it? Check out the Full Episode Transcript below! The Protrusive Dental Pearl: Never to say 'No' to patients. Instead, be tactful by pitching it and phrasing it in a different way - you are still saying 'No' but in a much less harsh and patient-friendly way. I give some concrete examples in this episode. “One of the ways of gaining patient trust is education - there's a breakdown of communication often when the patients don't trust you and they're not educated enough” Dr Vy Phan This is the IntraOral Camera I was telling you about - inexpensive, high quality and a modern day necessity in my opinion. Available on Amazon In this episode we discussed: Big Challenges young Dentists might face in terms of patient interactions and communications 10:30When to consider dismissing a 'difficult patient' 20:20Advice to young dentists when a patient questions the level of experience based on age/appearance/sex 31:08The ‘My Way or The Highway Approach’ 38:04Communication gems with Difficult Patients 46:16How to Write a dismissal letter to difficult patients 49:54Handling Patients who continually ask for discounts 59:41 Check out Dr. Vy Phan on Instagram! If you enjoyed this, you will of course love Think Comprehensive – Communication Gems with Zak Kara  Click below for full episode transcript: Opening Snippet: (Vy) I think my way or the highway approach is really appropriate when it didn't the best interest of the patient, you know, you know that it would be different, it will be risky, you know, there'd be more long term (Jaz) Inappropriate, risky, just not the, it will land you in legal issues. (Vy) Exactly... Jaz' Introduction:Hello, Protruserati, I'm Jaz Gulati and welcome to this or can I say it's an awesome episode? Oh, my God Vy Phan will blow your mind. This is a real world topic. There are so many communication gems shared in this episode. And really, when it comes to communication skills, when do they really matter? I mean, yes, it's good to get case acceptance and building value through user communication. But what really matters is so tough patients, those confrontations, those arguments that you might have with patients, you know the ones where your heart is racing? Words can really powerful. And I think communication skills are really tested in those tough scenarios. And we're talking all about those in this episode. When it comes to the word difficult in difficult patients, I was really debating whether to use it or not. Because really difficult patients are just difficult people and yet difficult people in every walk of life. Like if you take an arbitrary figure, like 1 in 20 people, well, I don't want to use the 'A' word. So 1 in 20 people are not nice people, right? And so 1 in 20 teachers will be not nice. 1 in 20 doctors will be not nice. 1 in 20 dentist were not nice, for example, right? So 1 in 20 of all your patients may not be the nicest people in the world. And so to deal with these patients, it can be tough. And these patients, we classify them as maybe difficult. But the funny thing about classing patients difficult is that what you might perceive as a difficult patient, your colleague, your associate, may find that they get along with a patient really well. And they think yeah, what do you mean, Mr. Smith is completely fine. What are you talking about? So it actually varies dentists to dentist and so our perceptions are equally important. When we decide who is "difficult". There are lots of themes that we cover in this episode, like for example,

The role of tongue position, posture and the airway on the developing occlusion is hardly covered in Dental School. Let's think BEYOND TEETH with Dr Bobby Supple, carrying on from PDP099. Follow Protrusive on Instagram! https://youtu.be/zfLK0qszdA8 Check out this full episode on YouTube Need to Read it? Check out the Full Episode Transcript below!  Protrusive Dental Pearl: When checking someone’s occlusion after a restoration, do not just check it while they are supine (lying down), sit them up then check their occlusion again because posture does change our occlusion, even just a little. In this episode we covered: Skeletal Bite vs Tooth Bite 4:45Trigger Points 13:28Myofunctional Therapy 17:14Dentistry and Other healthcare professionals 24:57Neuromuscular Dentistry 38:19 Check out the book Dr Bobby Supple recommends: New Trends in Myofunctional Therapy If you enjoyed this episode, check out the first part Occlusion Wars: Which is the Best Occlusal Religion?  Click below for full episode transcript: Opening Snippet: Okay, so Teeth are together for long periods of time at nighttime, then the sympathetic nervous system stays on. The sympathetic is fight or flight. That's what apnea is. Squeeze, AH... Jaz' Introduction:Hello, Protruserati. I am Jaz Gulati, and welcome to episode 101. It's a continuation from Episode 99, which was Occlusion wars: Which is the best occlusal religion? And just to give you a flavor of that episode, like a quick recap, I wanted to find out, which is the best training institute for occlusion. Is it Spear? Is it Kois? Is it Dawson? Is it Pankey? Is it neuromuscular? That kind of thing, which is a common question that we all ask on our journey after dental school. And we think that, okay, we need to upskill and learn about comprehensive dentistry and how occlusion fits into it. Very often, we'll be faced with this choice. And some people go for koiss, and some people go for Dawson. And I got someone on Bobby Supple, who continues in this episode. And he blew me away, because he's done so much training with all these greats, he's been in the same room, you know, Kois and spear and Dawson. And everyone's together debating, and he's been very much part of that. And it was great to learn from him. And essentially, it doesn't matter who you train with, they argue and they challenge you on the different processes, the outcomes are going to be very consistent. So the answer is train with whoever you want, whoever is most convenient for you, best price for you, best mentors, maybe your principal, or your boss has also done Kois so you should do Kois. So you can speak the same language maybe, or maybe because your principal's on Kois, you should do Dawson. So you can exchange notes about the how to, and how to get from point A to point B. But essentially, you will do your patient service. And you will do a great job, whoever you choose for your training partner, you make sure you implement it fully, and you do your best. And I think that was a really cool lesson. And going further now from that episode to this episode. The main thing I want to leave you with before we join the main interview is that sometimes, especially when it comes to occlusion, the first time you hear something from an educator, from a speaker, it doesn't quite make sense. And sometimes you have to hear something like for the fifth time, and it's eight years later, and then it clicks in your head because by then you've accumulated enough failures, you've got a bit more experience under your belt, you've got a bit more deep thought and experiences to reflect on. So if this episode is a little bit beyond you, because we do talk about higher level stuff, relevance of the airway, tongue posture, posture in general, this is all stuff that even I'm just learning, grasping more into, because very much, you know, my training was at the two teeth and the skeletal level. The teeth and bones,

Only a dental superstar could do episode 100 justice! For this very special episode I have deviated from the usual flow - it's kind of like a Vlog. We're going to go through some major takeaways from the BACD conference in Edinburgh, when Pascal Magne came on stage and completely blew the audience away. We have Dr Ricky Bhopal some Protruserati cameo appearances! https://youtu.be/TINNRw1_iUM Check out this full episode on YouTube Need to Read it? Check out the Full Episode Transcript below! Protrusive Dental Pearl: If ever you wanted to read or just take notes of everything we’ve said on the podcast, just scroll down below the blog post. Every episode has been fully transcribed! Celebrate the 100th episode with us! Join the 'Hoodie' giveaway in three steps: 1. Follow @protrusivedental on Instagram 2. Share the promotional video on Instagram story, tag @protrusivedental 3. Tell us your favorite Protrusive Dental Podcast episode when you share the story or in the comments! If you are interested in the RipeGlobal Fellowship in Restorative Dentistry (FRD) click here to learn more. “I think one of the things that really stuck out to me today from the course was that it's not necessarily what some one person does, it's what works in your hands.” Dr Ricky Bhopal In this episode, we discussed: The 'Enamel CADCAM' case Pascal Magne shared 13:27Importance of the Ferrule effect 14:30The fourth generation bonding system 15:47Silane coupling agent 17:32Ricky’s takeaway tip from the Pascal Magne 20:17Managing PTFE for Interproximals 22:07 Click below for full episode transcript: Opening Snippet: Oh my goodness. Welcome to Episode 100, Protruserati. I'm Jaz Gulati, your host and it's so great to have you here. This is a special episode. To celebrate 100, We're doing like a documentary, mockumentary, vlog kind of episode, but I still hopes and give you so much value... Jaz' Introduction: We're gonna talk some key lessons that I learned and we learned even I mentioned about Ricky's involvement in this from the BACD conference in Edinburgh, where Pascal Magne came and just absolutely blew the stage away. So some key lessons from that. But also speaking to other dentists, some of my colleagues, some of the Protruserati that have appeared on the podcast before and hope to make it like a fun and entertaining listen for you. Now before we dive right in, the Protrusive Dental Pearl for you is that you may or may not know this, now, maybe you do. But if ever you've listened to any of the previous episodes and thought, You know what I wish, like maybe you take notes, but some I know some of the Protruserati they show me on Instagram, they take notes of the episodes because they find it very valuable, very educational, which is awesome. I love that. I think it's great to be an active learner. So if you're taking notes, but sometimes you wish you could just like copy and paste segments of some of the things that the guests say or I say and like a little communication gems, then every episode is actually transcribed fully. They like about 99% accurate, my colleague Krissel, who's like my scientific adviser, she does all the transcriptions, so you can check them out on the Protrusive website. Under the episode blog if you like, scroll down, and every episode is fully transcribed. So that's your big pearl that if you ever wanted, like a database of everything that we've said on the podcast, it's all fully transcribed and ready for you. And by the way, also to celebrate episode 100. There's a little competition or giveaway on Instagram. So if you want to win one of the hoodies that, if you're watching on YouTube and you can see that I'm wearing, the new hoodies are even better than this. They're blue and gold. And it's pretty cool. If you're in a chance to win a hoodie, no matter where you are in the world, then log onto Instagram, share the promotional video that I'm putting on. You'll see like the giveaway video,

It's the ultimate question: Which is the best Occlusal Camp/Training? Is there really a difference between Occlusal religions? Is Kois better than Spear and Dawson? Do you really need to study each one of them? Hear what Dr Bobby Supple says about the 'Occlusion Wars'! https://youtu.be/tlhrBcodzbA Check out this full episode on YouTube Need to Read it? Check out the Full Episode Transcript below! Protrusive Dental Pearl: Check the Video on How to successfully give lower first molar anesthesia using buccal articaine (without an inferior alveolar nerve block) https://youtu.be/cCXacw5DE4M “So, as it kind of turned out, they were all the same, except for neuromuscular. Neuromuscular was the odd one out." Dr Bobby Supple In  this episode, we discuss about History of Occlusion 14:35True Meaning of Anterior Guidance 17:04Bio-Aesthetics Group 22:015Different Occlusal Religions 27:31Equilibration 41:19Airway and TMD 51:12Differences between Occlusal Camps 52:09 If you enjoyed this episode, you will love Myth Busting Occlusion and TMJ Click below for full episode transcript: Opening Snippet: (Jaz) I think you said that when it comes to the Spear group, Kois and Dawson, what I think what you're trying to say is really they're not too different. They're just arguing a little bit about slightly different ways to fix the problem. Would you say there's any more nuances or differences that perhaps we didn't go into that is well worth mentioning between those religions? (Bobby) So, as it kind of turned out, then they were all the same, except for neuromuscular. Neuromuscular was the odd one out... Jaz' Introduction: Hello, Protruserati. I'm Jaz Gulati and welcome to Occlusion Wars episode 99 with Dr. Bobby Supple. This episode was inspired by a blog post I saw Dr. Bobby Supple right in his website. And it was about the differences between the different occlusal camps or these occlusal religions. Hencewhy the name occlusion wars because the most common questions I get is Jaz, What should I do? Should I study with Dawson? Or should I study with Pankey or Should I study with Kois or Spear and neuromuscular? So there's a lot of these occlusal religions and that's what we call them throughout this episode, you know, tongue in cheek kind of thing. And which one is the best one, which is the correct religion. That's what we're hoping to answer in this episode. And the main question I asked Dr. Bobby Supple was exactly that. And really, I don't want to give too much away from this episode. But one thing to consider is that the end goal of no matter who you train with, whether it is Spear or Pankey, Kois whoever. You will do wonderful dentistry, you will do it for the benefit of the patient, you will have more fun as a comprehensive dentist. So whoever you train with, just do everything they say and do it properly and follow that system. But don't be afraid to expose yourself to other ways of thinking because essentially, what these religions, these occlusal religions argue about is the processes. How do you get from A to B, the B is the same, A is the same. A is your patient. B is a stable position, whereas a better smile, a nice comfortable bite, all those things, right? So A and B are the same. What we're fighting about is everything in the middle. And that really doesn't matter. We should be outcome based ie a longevity in our restorations, happy patients. And I think all those whose religions deliver exactly that. That's one of the sentiments that Dr. Bobby Supple passed on. I just want to echo that. Now if you want to really skip to that bit. It's probably somewhere in the middle to the end of the episode where we really get to nitty gritty. We start off in this episode, discussing the origin story. I mean, origin stories always really powerful of these clinicians that we speak to Dr. Bobby Supple has so much experience to share. So we learn about his origin story,

There is WAY too much plastic in our profession - it's insane. How can we do our part in Dentistry to make better choices for our environment? NOW is the time to spread positive messages for the environment to make a better world for our children and our children's children. In this interference cast, we are joined by Dr. Mike Gow and Marcus McLeod who basically have started the journey to Net Zero Dentistry https://youtu.be/n8rSYpf0ld0 Check out this full episode on YouTube Need to Read it? Check out the Full Episode Transcript below! “So even if you can do a small thing.....get involved, get active and we will make a difference. This is going to happen. So be part of it!” Dr Mike Gow In this episode, we talked about Implementation of Managing Net Zero Dentistry 6:42Mental Health element of Dentistry 13:59Similar Advocates Internationally 16:50Aligner recycling Companies 17:49Quick wins Practices that aren't doing Net Zero Dentistry 20:46Being green in dentistry 24:55 Check out the Net Zero Dentistry and Let’s all contribute on becoming a greener world  If you enjoyed this episode, you may also like What Every Dentist Should Know About Managing Dental Anxiety Click below for full episode transcript: Opening Snippet: You're going to save money. Okay? And we look at the bottom line in Dentistry, we look at our profits at the end of year, you will have more bottom line profits if you follow Net Zero dentistry and follow the stuff that we're going to be talking about and that is a simple fact that will be true. You will also motivate your team. Okay? This is something that everybody in the clinic can get involved with... Jaz' Introduction: Hello, Protruserati. I'm Jaz Gulati and welcome this really, really important interference cast on how we as a profession can be greener? The time is now. It's right now, we take some massive action in our profession throughout the world, so we can have a better future for our children and our children's children. Guys, I hope this episode makes Greta Thunberg proud. I'm joined today by Dr. Mike Gow and Marcus McLeod, who basically have started this initiative, this free initiative for us all called Net Zero dentistry. I think it's a great idea. I'm fully in support of it, I want you to listen to this episode so badly. So you can implement something like for example, when I recorded with these gents, I made a promise to walk to work every day. So it doesn't have to be just like purely dental reducing plastic, which obviously we're gonna cover all that in this episode, what we can do at the workplace to be greener, even thinking outside the box. But what can we do in our lives having a meat free day, walking, being mindful of our energy consumption? All these things are so important. So yes, this is dentistry, it's very relevant to dentistry, and how we can be as a profession greener but just you personally as well. Hope you find value in this episode if you do share it with someone. Okay? Now is the time to spread positive messages for the environment like this one. Anyway, I catch you in the outro. Main Interview: [Jaz] Marcus and Mike, Welcome to Protrusive Dental podcast. How are you gents? [Marcus]Thank you very much. Excellent. [Mike] Very well. Thank you. [Jaz]Amazing to have you both. Recently I was at the BACD conference in Edinburgh, Mike I was able to reconnect with you. And on that same evening we were discussing about Net Zero dentistry. I thought this is amazing. I want to give this a voice. I want to get people to start talking about how we can be more green obviously recently with COP26. Everything's very topical. We shouldn't have to wait for two Taco to have these kinds of discussions. But here we are. It's a start. And also on the same evening, just a slight little tangent on the same evening. I also met Jeremy Cooper and he was talking about confidential and the mental health aspects of dentistry and the sad areas,

How do you manage cracks? The 'Direct Composite Splint Technique' is kind of controversial. Whilst it may seem intuitive to take cracked teeth OUT of the occlusion, this technique builds composite on top of the cracked tooth in to SUPRA-Occlusion. So what's the crack? (Sorry) - I brought on the pioneers of DCS, Professor Shamir Mehta and Dr. Subir Banerji who enlighten us about this minimally invasive technique. https://www.youtube.com/watch?v=SpkrUBIJji4 Have you subscribed on Youtube yet?! Need to Read it? Check out the Full Episode Transcript below! Protrusive Dental Pearl: Get the largest magnification loupes you can afford and you can think you can sustain. I personally use 7.5x for EVERYTHING! A sharp probe has a resolution of 40 microns, at 8x magnification the resolution is 25 microns. We need high magnification to treat cracks! In this episode we discussed: What is the Direct Composite Splint Technique? 9:23Decision making and Sequencing of Direct Composite Splint Technique 11:05DCS Technique protocol in term of of thickness and bonding 16:54Aiding disclusion with canine risers 19:55 DCS Technique Protocol 22:20How does DCS Technique work in terms of the relative actual movement? 27:15Patient Communication for Cracked Teeth 33:22Re-established occlusion after DCS? 42:53Are you sure we can leave it in Supra-Occlusion? 50:55Should you chase cracks? 54:33Favourite Sectional Matrix Bands 56:56Tips and Tricks in making patients comfortable 58:25 Check out this paper by Professor Shamir Mehta and Dr. Subir Banerji about DCS Technique Cracked-tooth-syndrome-Part-1Download Cracked-tooth-syndrome-Part-2-1Download Check out the PG Dip / Master's in Advanced Aesthetic and Restorative Dentistry: Aesthetic-Dentistry-PGDipDownload If you enjoyed this episode, you will love I Hate Cracked Teeth with Kreena Patel Click below for full episode transcript: Opening Snippet: I would encourage you to read more about it before you actually do it. And it may even save you from a tricky situation. Even if you just use it diagnostically, ie, you suspect there's a cracked tooth, you then place the composite on top, and now the pain goes away. That is a diagnostic event. So even if you don't think you're gonna go the full hog and use this technique because it's too controversial for you, I think you can still use it as a diagnostic aid... Jaz' Introduction: Hello, Protruserati. I'm Jaz Gulati. And welcome back to another episode of The Protrusive Dental podcast. On this episode, today, we're talking about something called The Direct Composite Splint Technique for managing cracked teeth. Now, if this is the first time that you're coming across this, it is a completely alien, weird, crazy concept like the first time I came across this, like, you know, our natural instinct when managing crack teeth is to take it out of occlusion, right? You see a crack, ah, let me remove it out of occlusion. But what this technique actually does is the opposite, it actually puts that same cracks tooth in Supra occlusion, right? And by doing that, you will by wrapping some composite over the crack molar, let's say, basically prevents the cusps from flexing and therefore maintaining the crack rather than allowing it to propagate. So that's how it works. And then to even add the controversies of this technique, what happens over time is that, that composite is left in the patient's mouth over the offending tooth, the cracked tooth, right? And then what happens over time is what we call relative actual movement. So that tooth, which is proud in the bite, eventually, over time is no longer proud in the bite. And suddenly, it's almost pretty much in the patient's maximum intercuspal position. So that when you remove that composite, you now have restorative space. Now, if I've gone too fast then don't worry, we've got a whole hour or something with two leading experts on this technique. So if you're listening,

The best articulator is the patient's TMJ, but you knew that already, right? As a dental student I was always confused by Facebows in Dentistry and their role. Lots of clinicians I respect used facebows....but many others do not! What role do Facebows play in relation to Articulators? How can we make sure that articulators mimic the human articulation as accurately as possible? I am joined by Dr Salman Pirmohamed to end our confusion with Facebows! https://youtu.be/l3MrLVTYsz8 Check out this full episode on YouTube Need to Read it? Check out the Full Episode Transcript below! Protrusive Dental Pearl: If you're planning to increase the occluso-vertical dimension (perhaps for multiple restorations or an occlusal appliance) and you know the final vertical dimension, try recording your Centric relation record (or whichever bite religion you follow) AT that desired vertical dimension and NOT at the 'first point of contact'. This is because traditionally when we send the technician a first point of contact bite, they will open up the pin to give you the space that you need for the restorations and optimal aesthetics. The problem with this is that it introduces an error because the arc closure/opening of the patient is likely going to be different (even with the best Facebow in the world) to the arc on the articulator. Therefore, reduce that error by doing your bite registration, not at the first point of contact, but doing it at where you want to finish. Read that again! In this episode we discussed: Implant cases in MClindent in prosthodontics at Eastman 8:32Microbrush Technique (Stickbite) 12:24The ‘Putty Bite’ technique 16:05When to use the ‘Putty Bite’ technique? 18:29 What is the role of a Facebow? 20:52Benefits of a Facebow registration 23:41Communicating to the technician in terms of using an average Value Articulator 25:23Making Facebows a part of your Clinical Practice 31:02Kois DentoFacial Analyzer 36:40 Guidelines for using a Facebow 38:34 Check out this papers as mentioned by Dr Salaman on the Podcast! Face-bow-transfer-in-prosthodonticsDownload Dogmas-in-prosthodonticsDownload If you liked this episode, you might enjoy A Story of Digital Occlusion with Dr Ian Buckle Click below for full episode transcript: Opening Snippet: So that makes the best type of articulator, which is the patient, the patient is the best articulator. Like when you have temporaries or mock up so you can try something, you know, you've got complex restorations, just putting temporaries in the mouth, but lab provisionals checking the patient, if it will make sense, cement them in temporaries, see how it goes and when you're happy, just take a copy and use that because that's actually the best articulator you'll get... Jaz' Introduction: Let's say you have a patient in front of you and you're observing their movements, you're observing their left lateral excursion, their right lateral excursion, and this just a bite in general with their delicate, wear facets and now you're planning some restorations. Let's say you can do some crowns and veneers on this patient. Now, you send the case to a technician, a technician that you'd like to work with and what they will do is they will design some restorations. And what they hope is that as they are planning the excursions on the restorations, when they send you back that work and you try-in in the mouth, the movements that the lab was making is the same as what you're finding in the mouth. So essentially, going from patient to the technician and back to the patient. Okay? So how can we make sure that this is as reliable and as predictable as possible? Well, that's why we use articulators, right? So we use articulators to mimic the TMJ and mimic the upper jaw and the lower jaw and all the movement. So that's essentially why we use articulators, but we know that the best articulator is the TMJ. So now we have tools. Tools that help to sort of supposedly help to impro...

Hello, Protruserati! Welcome to the first ever 'Occlusal Adjustment' episode! This is an opportunity for me to go a little bit deeper, have a little rant sometimes, or go off on different tangents based on a recent episode. This episode is Audio only - sorry YouTube family! In this very first Occlusal Adjustment I will be talking about how to plan your CPD, inspired by the recent episode with Dr Emma Courtney. Need to Read it? Check out the Full Episode Transcript below! “Knowledge is good. Knowledge is power...but implementation is king.” Dr Jaz Gulati In This episode I talked all about:   'Just in time learning' 1:19When is the right time to go on a course? 4:45Importance of Shadowing 11:00How to choose your next Course 11:55Loss Of Earnings (LOE) 12:51Importance of considering courses abroad 15:46 If you want to learn more about wisdom tooth extraction, be sure to check Dr Nekky Jamal’s THE ULTIMATE THIRD MOLAR EXTRACTION COURSE and get a 15% OFF with the code ‘protrusive’ If you’ve been dying to learn more about Bruxism and TMD and want to help your patients that parafunction then be sure to check SPLINTCOURSE - Registration for 2021 ends on 24th November. Click below for full episode transcript: Opening Snippet: In this very first Occlusal Adjustment, I'll be talking about how to plan your CPD. My opinions on which is the next course that you should do... Main Episode: In this very first Occlusal Adjustment, I'll be talking about how to plan your CPD. My opinions on which is the next course that you should do. Hello, Protruserati, I'm Jaz Gulati and welcome back to another episode this one is an Occlusal Adjustment. So basically the whole point of an Occlusal Adjustment is sometimes I have these amazing guests on and I am just captivated by their story. And when they're speaking and I'm listening, you've probably seen it for those of you that catch me on the video episodes is that I've got these facial expressions like I'm in deep thought. And my brain is like absolutely bouncing with so many activities and thoughts. And sometimes I want to ask certain questions or take in a different direction, but then we end up going on a tangent. So what an Occlusal Adjustment is about is an episode where I get to go a little bit deeper and give you my perspectives and my opinions. And that's all it is really. It is very much my opinion. So everything I say on anything that I say on my podcast ever, always take it with a pinch of salt, okay? There's just me and my opinions and my paradigms, which I'm very happy to share with you. But always remember the philosophy of listen to everyone and do what feels right to you. So this is an Occlusal Adjustment for the planning your CPD and burnout episode I did with Emma Courtney, it was just so great to hear her story and how she fought burnout and now she's come back with a vengeance. She's so passionate and purposeful, everything she does, and she's doing a great podcast, herself. Fang farrier should definitely check that one out. Now, what I want to tell you about is my favorite type of learning as a dentist, my favorite way of getting my CPD hours in and something I like to call just in time learning. Okay? So very much the opposite of just in time learning is that, for example, many years ago, I didn't know anything about Crown Lengthening surgery. And so one day I say to myself, Okay, I don't know anything about Crown Lengthening surgery, so therefore, I'm going to open up a textbook, or I'm going to go on a course on Crown Lengthening surgery, okay? That's a very erratic way of learning. And that's a very random way of learning because you can look at your entire knowledge base and skill base and history base. And you can pick out easily lots of areas within dentistry, which you think you have limited knowledge in. The problem is if you willy nilly just go about learning in any direction, without having a goal at the end,

If you refuse to whiten under-18s without any exceptions (perhaps because you are blindly following shameful legislation) - then you may be denying children their human right to health. Sorry if that stings - it's the truth. The impact that white and brown spots on teeth can have on teenagers can be very negative for their mental health. I hope that in this episode with Dr Linda Greenwall you will find answers and gain confidence in treating patients who are in dire need of teeth whitening for health reasons. https://youtu.be/uaHNk_fPzgA Linda Greenwall was on fire! Need to Read it? Check out the Full Episode Transcript below! Protrusive Dental Pearl: When taking before and after photographs of teeth whitening cases, switch to manual flash settings instead of ETTL in order to provide the same colour of your patient’s skin and gums.  Pre-register for the 21-day Dental photography challenge!  In this episode, we talked about: Dr Linda’s journey to Whitening Publications 5:32GDPs and their knowledge about Whitening 13:00Why dentists can’t do whitening under 18s 22:10Molar Incisor Hypomineralization 28:43 Lower Age limit for teeth whitening 35:02Can Dentists get in trouble carrying out whitening under 18s 43:34Unique considerations for specific age group 45:29Communication between patients about Whitening 49:52 Tooth whitening for the under-18-year-old patient PDFDownload If you want to read other publications on whitening, be sure to check Dr Linda Greenwall’s Publications and also don’t forget to visit Dr. Van Haywood’s Publications  Also be sure to visit Dr Linda’s Facebook page and Please do support her trusted Charity: Dental Wellness Trust  SCCNFP’s Study about the Safety of Hydrogen Peroxide: "Hydrogen Peroxide in Tooth Whitening Products" Learn more about the Molar Incisor Hypomineralization with THE D3 GROUP FOR DEVELOPMENTAL DENTAL DEFECTS If you enjoyed this episode you will also like Teeth Whitening Secrets for Success Click below for full episode transcript: Opening Snippet: So you're telling me that any dentist who had whiten before 2011, technically was breaking the law? (Linda) Yeah. (Jaz) That's hilarious. (Linda) Correct. But also, the General Dental Council were very clear in the direction. And they said, if this treatment of disease for under 18s, then it's appropriate to treat for whitening... Jaz' Introduction: Protruserati. I'm Jaz Gulati and I'm not going to waste any time in this introduction. I really want you to get into the heart of this episode. This episode will really get the fire in your belly going. This is such an inspirational episode by Linda Greenwall. If you don't know Linda Greenwall, which you should do, you should know Linda Greenwall. She is the undisputed queen of teeth whitening. What she doesn't know about teeth whitening is just not worth knowing. And it all stemmed from a discussion on our Facebook group, the Protrusive Dental community Facebook group, which is a thriving group of dentists who are passionate about dentistry. So it's great to have you all on there. Now, Protruserati, what happened is that someone posted about teeth whitening in under 18s. Now there are cases where you may need to do this for example, fluorosis, MIH, these are things that we'll actually touch on in the episode. And there are some strong opinions by dentists that I really respect, really careful, really admire on the group that actually you shouldn't do teeth whitening on under 18 in the UK, where it is technically illegal, it's technically illegal, right? It's against the law, because some silly European directive. So this episode, I'm hoping will give you the confidence, if you've got a child who's getting bullied and they're 14 and you feel as though you're at a loss and you have to have no choice but to cut the teeth or plaster composite all over them and whereas all what they might need is some whitening this episode will really give you so mu...

This episode is deep. Burnout is a syndrome of chronic workplace stess that has not successfully been managed. It is unfortunate but it does and can affect so many of our colleagues. In this episode with Dr Emma Courtney, we discuss how to identify when someone is in a difficult patch or experiencing burnout and how to cope with it. The second half of this episode is about planning your CPD/Dental CE appropriately. https://youtu.be/0M9BocLGQBk Check out this full episode on YouTube Need to Read it? Check out the Full Episode Transcript below! Protrusive Dental Pearl: Before starting on a course or program, be sure to have a patient in mind already that will benefit from you going on this course or gaining this piece of education. That way you will be able to apply what you learned ASAP and implementation is key! “One of the the components of burning out is that emotional exhaustion - that kind of depersonalizing and trying to distance yourself from things” Dr Emma Courtney In this episode we talked about: Dr Emma’s journey moving to New Zealand 7:42Dr Emmas’s personal experience with burnout 18:02Dr Emma’s source of stress and burnout 26:03How to overcome burnout  34:56How stress and burnout affects Dr Emma’s dentistry life 39:21The importance of help even outside Dentistry 50:27How to think differently about your CPD 56:04 Check out Dr Emma’s Podcast The Fang Farrier  If you loved this episode, you will like How to Win at Life and Succeed in Dentistry – Emotional Intelligence Click below for full episode transcript: Opening Snippet: The physical injury turning into complaints turning into a lack of faith in my own treatment and trying to avoid more complicated treatment leading to probably borderline supervised neglect because it was easier not to do risky treatments than to feel like I was risking a complaint... Jaz's Introduction: So we've all heard about burnout in dentistry and how it can be really catastrophic for your career. Now, the guest I have on today, Emma Courtney went through a period of burnout which was cause interestingly, by a major earthquake. So all the different things that could affect your life is fascinating her story based in New Zealand how a major earthquake rattled her life so much, excuse the pun, that it set her in a cascade of events, and she experienced a burnout and she left dentistry thinking that she would never join dentistry ever again. She's now a passionate dentist, she's a fellow Protruserati and it's great to always have Ems' support and feedback on the podcast. So Ems, thanks for being with the journey of the Protrusive Dental podcast over the last three years or so. You've been a big part of it. You've been early adopter. So thank you so much. In this episode, we discuss Ems and how she moved from UK to New Zealand to practice dentistry. And what are the cascade of events that lead to burnout and how we can look out for the signs of burnout. So if you're in a difficult patch, right now, EMS and I will hopefully discuss in a way, that'll help you to identify the signs of burnout and how you can overcome it. And it's interesting that we talk about burnout and CPD because the other theme that we're gonna explore in this episode is picking your CPD and deciding what's part of your personal development plan. And it's interesting anytime in my career, where I have felt jaded or burnt out, I've always found learning something new or going deeper and delving deeper into an area of dentistry, ie through in courses or further education has actually been the antidote for my burnout. So I find that by learning new things and keep myself interested that that's helped me to overcome the burnout. Whereas in some people, it might be that you're doing too many courses, and you're burning out. So it's it, we explore themes like that. Now, because I want to give lots of time to Ems' a story, I want to do my own little section.