Protrusive Dental Podcast

Learn TMD and Bruxism Management as a GDP - SplintCourse launches on Monday! Register for the Big Update Being a good learner, on a fundamental level, is the very foundation of becoming a great clinician. In this interference cast episode I host Dr. Ferhan Ahmed, a dually-qualified Dentist limited to Implants and the author of the book 'Unstoppable'. Ferhan teaches us mindset hacks and the power of visualisation to being an unstoppable force in Dentistry! https://youtu.be/yQZ3qTjeDxk Check out this full episode on YouTube Need to Read it? Check out the Full Episode Transcript below! “Always put learning before earning. Increasing your knowledge is immensely, immensely powerful, and it will never hold you back.” - Dr Ferhan Ahmed In this episode we talked about: Ferhan’s journey from dental school to medical school 5:57Advice to young dentists in pursuing Masters or medical school 9:33Power of visualization 16:09Kind of learning styles 22:26Takeaway message of the book ‘Unstoppable’ 29:17Rewarding yourself 35:38Communication tip 38:55 Grab a copy of Dr. Ferhan’s Book: BEING UNSTOPPABLE As promised, the books that recommended by Dr. Ferhan 'Atomic Habits' By James Clear (Jaz can also vouch for how awesome both these books are)'Rich Dad, Poor Dad' By Robert Kiyosaki If you enjoyed this episode, you will also like 6 Signs You are a Comprehensive Dentist with Dr Jaz Gulati! Click below for full episode transcript: Opening Snippet: Hello, Protruserati. I'm Jaz Gulati and Welcome back to an interference cast. Now, if you're new to the podcast, welcome. It's great to have you. An interference cast is a non clinical interruption. And if you're a usual listener, welcome back... Jaz's Introduction: In this episode, we have Ferhan Ahmed. Now Ferhan is an awesome clinician. And he wrote this book called 'Unstoppable', which is a great contribution because it does so much for charity. But it's one of those books, which is very much in the realms of personal development. I'm a sucker for personal development books, I love anything in that genre of personal development. So the reason I like this book by Ferhan, is that it's personal development book, but it talks to me. It talked to me as a dentist, because he is a dentist, turn medic. And now he focuses on full arch implant work. And it was very inspiring. I think it's something that you know, we need to focus more on the non clinical sometimes, be it the mindset. So what do you expect to gain from this episode is to explore a little bit about your learning style, what is your learning style, and really focusing on bigger picture type stuff. And one of the biggest takeaways, I think, is the power of visualization. Now, let Ferhan do the honors explain a bit. But yeah, the times where I use visualization is like, macro visualization, like bigger projects, like, when I'm developing the podcast, I'm visualizing things, when I do public speaking, or lecturing or whatever, I am going to be doing some visualization in my head, I would have given that talk, my eyes closed and when I'm in bed, and I would have spoken to people how I'm going to look, how I'm going to say things, what I'm going to say. So a lot of times I've rehearsed things in my mind, but also, like, if I'm doing a surgical wisdom tooth that is just beyond my comfort zone, I will mentally rehearse that surgical procedure. Or if I'm doing anything complex, multiple crowns, things that are just stepping out of my comfort zone, I'm always rehearsing it in my mind, what could possibly go wrong? How am I gonna accept the instrument for my nurses hand? Like to this tiny little details. So one big takeaway from this episode is the power of visualization. Anyway, hope you enjoy this interference cast with Ferhan, and let's become unstoppable. Main Interview: [Jaz] Ferhan Ahmed, welcome to the Protrusive Dental Podcast, my friend. [Ferhan] Thanks, man

We’ve now come to the last bit of this 3-part Oral Surgery Complication series with Dr. Chris Waith. I'm going to be honest, I have a lot of concerns about Tuberosity Fractures - they scare the bejeebers out of me! We all know that it can be a really nasty complication. Fear not! Dr Waith will teach you how to prevent and manage maxillary tuberosity fracture. https://youtu.be/ZQuDeViQiX4 Check out this full episode on YouTube Need to Read it? Check out the Full Episode Transcript below! “If there's a really tight contact between those three molars, the two teeth you're extracting, just spend a minute skimming the contact points.“ - Dr Chris Waith In this episode, we discussed about: Risk factors of tuberosity fractures 1:40How to manage when you hear the crack of the tuberosity 3:57High risks patients 6:35Leaving a loose bone as a space filler in soft tissue 9:07 Join us in our Telegram group! Let us help each other out! If you loved this episode, be sure to check out the first part! Dry Sockets – How to Prevent and Manage Them? Click below for full episode transcript: Opening Snippet: Welcome to group function, where the Protruserati worked together to find good solutions to worthy problems in dentistry with your host, Jaz Gulati... Jaz's Introduction: Tuberosity fractures are super scary, like, you know, when we did the first group function with Chris Waith about dry sockets, dry sockets don't worry me, okay? When it comes to OACs, Yeah, a little bit concerning, but after that episode, I feel much more confident. But when it comes to Tuberosity Fractures, man, I have to tell you, I'm really worried about causing them. And I've seen on social media people posting these photos, you know, I try to take out the upper left molar, and then the whole premolars and all the molars came out with it. And that is a scary sight. So in this group function, we're going to ask Chris Waith, how to prevent and how to manage that dreaded tuberosity fracture. Let's hit it. Main Interview: [Jaz]Then the next one is and the last one is tuberosity fractures. Like, this is scary when you see on social media, some you know, sometimes a big group of people posting their tuberosity fractures, and you see the first molar, the second molar and a third molar, come out with this massive chunk of maxilla. I do not want to ever be in that position that must be so stressful and like how do you even begin to have that conversation like you know, we always warn our patients before doing an extraction, maxillary extraction about these kinds of things. But Never Have I Ever warned a patient that look me taking out this wisdom tooth, I might also take out three other teeth while I'm doing this, for example, it's just so rare, unfortunate. So what are the risk factors? How can we manage it when you hear that crack, and so on and so forth. [Chris]So, I've been in that scenario of having a big unit, I think, if ever, you're taking out an upper six, or upper seven. And if there's a really tight contact between those three molars, the two tooth you're extracting, just spend a minute skimming the contact points out. So drill the contact points, make a physical space in between that tooth and the two neighboring teeth. Because then when you're Elevate, you're much less likely to engage the your neighbor and hopefully less likely to put stress on a wider area of alveolus. I think if you just take in the wisdom tooth out, look for the risk factors. And you know, I sometimes go on when I'm teaching that I say I feel bad now about how we used to teach the undergraduates because there was definitely this mentality where you gave them some notes and just said take that. I'm probably didn't spend long enough saying this is how you should take that type. And I think of parades is one of those where depending where you went, somebody would have put a cryers in your hand or a coupland and would have just said just push back, actually,

"Wait, Dentists still carry out Equilibration?!", that was the reply in our recent discussion on the Protrusive Telegram group when I announced this episode. Yes, Saranga, they still do! The topic of occlusal equilibration is a very controversial one. In this episode you'll realise the WHY and HOW an equilibration is carried out by one of the best Dentists I ever had a pleasure of shadowing (and also one of the most precise and OCD Dentists I know!) Dr Koray Feran. https://www.youtube.com/watch?v=0CjKu24R5GU Check out the full episode on the Protrusive YouTube Channel! Need to Read it? Check out the Full Episode Transcript below! Let us learn more about the potential benefits and challenges of equilibration with Dr. Koray Feran, who is a wet fingered practitioner of the highest calibre. Protrusive Dental Pearl: When you have a patient who has a crowding and they want veneers, and you want to convince them to have some orthodontics first..... Instead of saying, “Oh, I have to remove this part of the tooth.” You could instead say “I don't want to have to remove your healthy body parts to be able to achieve this goal.” Language is powerful! “Equilibration is one bit of the pie, it's a tool. It's not a magical process. It's to resolve a situation that you've diagnosed.” - Dr. Koray Feran In this episode, we talked about, Does equilibration matter? 9:38What is equilibration? 11:59What are we trying to achieve in equilibration? 21:12When should finding centric relation be a part of examination protocol? 29:18We discuss full mouth comprehensive dentistry and preventing failure 33:32Orthodontics is full mouth rehab! 49:26Risks and Benefits of Equilibration 46:00Fundamental rules of Occlusal Equilibration 52:33Protocol after equilibration 57:09Why is equilibration not routinely practiced by Dentists?  1:02:12 To learn more about equilibration, check out Dr. Koray's occlusion course! If you loved this episode, you will definitely like If You’re Not In CR, You Will Die with Dr Kushal Gadhia! Click below for full episode transcript: Opening Snippet: And then suddenly you're through the enamel. Ouch that hurts. Equilibration should never be, never go through the enamel, never. Okay? If the equilibration has to go through that enamel you finally have to chop a large amount of a tooth. You should consider orthodontics or you should consider additive reconstruction to the whole occlusion. You shouldn't need to adjust three, four millimeters off a tooth. It's ridiculous... Jaz's Introduction: Equilibration is just one of those really controversial topics within occlusion and within dentistry in general, right? It can really split a room. Like the other day on Facebook and on the telegram group when I asked you guys which episode Do you want next? And I suggested we could have one about a Equilibration. My buddy Saranga said, Hey, we still do a Equilibration? I thought we didn't do equilibration anymore? And I remember attending a BDA event. I think I was maybe one year qualified. And Professor, actually I was a dental student, and Professor Robert Ibbotson, who was there, you know, very experience towards the end of his career, restorative consult at that time, he said he hadn't done an equilibration since 1984. And he thought it was pointless. Whereas I know other great clinicians who I really respect who carry out equilibration, a fair amount because they're doing bigger cases, and they see it as a really vital tool, a really vital step as part of their reconstruction. So which is the right answer? Hopefully in today's episode, you'll get a bit more information about equilibration, which is actually really difficult to find if you open your textbooks or if you search online, it's not much out there about equilibration, which is why I'm so excited to bring on an absolute superstar guest today. His name is Dr. Koray Feran, an absolute legend. I saw him lecture when I was just two months qualified...

After the last group function where a juicy bit of dry socket has been tackled, I was again surprised by Dr. Chris Waith that managing OACs was such a simple matter of using your existing tools - there is some super real-world GDP-friendly advice in this episode. https://youtu.be/aHV15R0SNaw Check out this full episode on YouTube Need to Read it? Check out the Full Episode Transcript below! "If the OAC is bigger than 5mm, you really get into the point where I don't necessarily think we should be expecting GDPs to do something super courageous at that point." - Dr. Chris Waith In this group function we talked about: The Classic OAC regimen  1:31Oro-Antral Communication Management 6:37Medications for an OAC 8:55 If you loved this episode, be sure to check out the first part! Dry Sockets – How to Prevent and Manage Them? Click below for full episode transcript: Opening Snippet: Hello, Protruserati. I'm Jaz Gulati and welcome back to another group function again, Oral Surgery, we're doing a three part for surgery with Chris Waith, we already covered dry sockets. And his answer was very surprising to me. This one OACs was a bit more of what I expected to hear. And so we're gonna jump straight in, right? You are now very familiar with these group functions. So how do you prevent and manage an OAC? Shall we move on to now?... Main Interview: [Jaz]OACs. Okay, so, OACs, I was taught at dental school that a lot of times when we take tooth out, we probably make an OAC without even realizing. And it's a very common thing. And actually the probably heals up, especially when it's less than x millimeters, maybe that's four millimeters or whatever it might be. I was also taught and here's why I've been a little bit naughty. So let's play Zak's stuff 'Am I naughty, I get my, if I'm really not sure if there's an OAC and then I want to start them on the regimen, which we'll talk about shortly and see if our regimens are the same. But if I'm really not sure, then am I naughty if I get them to pinch their nose and try and blow out the nose aka the Valsalva maneuver, because I was taught not to but a few times, I'm really not sure whether I'm about to start this patient on the regimen. I have done it. What do you think? [Chris]I'd say yes, you are naughty. I mean, my logic is that I think we must close OACs all the time. But 99% plus they just heal. Some of the time will be because the membranes completely intact. And the whole, the communication is actually it's just a bony break. Sometimes the hole in the membrane will be so small that your body can heal it. If you've got a small hole, and you squeeze your nose and blow. Essentially, what we've just got them to do is what we're about to instruct them not to do for the next two weeks, because we know it might open up the OAC. So I would say if you got, if you're going to check and grab your suction off of your Nurse (so that she's not tempted to put it down to the bottom of the socket), just get your suction over the top of the socket, either get the light from your loupes or your chair light in a decent position. And just look. And I think if you can't see anything obvious, it's not to say it's not there. But if you can't see it, that's good. Because I usually teach five millimeters, I say less than five millimeters, I think you can kind of sit on that. Give them the instructions. And I try and make myself feel better - I put some collagen cubes in the coronal portion of the socket. [Jaz] So do I [Chris] If it's bigger than five millimeters, you really get into the point where I don't necessarily think we should be expecting GDPs to do something super courageous at that point. If you were thinking that that actually needs some kind of physical closure. I think if you're the GDP, the quickest, simplest thing you could do is just take an alginate, take an alginate send it to the lab, just say to the lab this needs to be kind of processed now.

When did they change the ingredients of Alvogyl?! It's the return of Oral Surgery Specialty Dentist and sensible man Dr. Chris Waith - this time to answer our Oral Surgery Complication questions starting with Dry Socket prevention and management! https://youtu.be/QiOJAwxAZE8 Check out this full episode on YouTube Need to Read it? Check out the Full Episode Transcript below! “It will be better no matter what we do, whether we dress it or not, it's just whether you can live with that timeframe.” - Dr Chris Waith In this group function we discuss: How can we prevent dry sockets? 3:54Can suturing help in preventing dry socket? 10:43How to manage patients in pain with dry socket 15:39Does Irrigation and Alvogyl actually help in managing dry sockets? 19:09 Click for ->Chris Waith's Oral Surgery Course If you enjoyed this episode, check out Make Extractions Less Difficult: Regain Confidence by Sectioning and Elevating Teeth Click below for full episode transcript: Opening Snippet: Welcome to group function, where the Protruserati worked together to find good solutions to worthy problems in dentistry with your host, Jaz Gulati... Jaz's Introduction: Hello, Protruserati. I'm Jaz Gulati and welcome back to another group function this time with all surgeons specialists, Chris Waith. Yes from that epic episode on how to section and elevate teeth. Listen, if you haven't listened to Episode 85, it is huge, because it just gives so much. I wish I had that when I was just one or two years qualified. In fact, let me tell you a story. Kamila. Kamila, you posted on YouTube when you watch the video which got like over 1000 views now, which is awesome. Guys, I appreciate it very much. Now, Kamila posted on one of the comments saying that, 'Thanks for you know, I discovered your podcast. And thanks for this episode. I was able to on my last day in dental foundation training, I was able to section and elevate a tooth with confidence, and is only possible due to this episode.' So thanks for epic episode with Chris Waith, she was able to do that, which is just amazing. That's the kind of feedback I absolutely love. And that's the reason I keep this podcast growing. So thanks so much guys who always comment and like on the YouTube or if you listen on your commute, I really appreciate it. Now, this episode is very fundamental, right? Like dry sockets. Such a huge thing. Actually, Lucky you. I've got Chris Waith to talk about three things over three group functions. We're talking dry sockets, OACs, and those dreaded tuberosity fractures. So let's listen to what Chris Waith has say about what's the best way to prevent a dry socket. And if you are unlucky enough to have a patient's who've got dry socket, how can you manage it? And I'll be honest with you, I don't think I'll be doing what Chris says like on reflection. I don't think I'll be doing what he says because it's a very interesting approach. It surprised me and it will might surprise you. And you may or may not do what he says. So let me know, you know, reach out to me the protrusive Instagram pages @protrusivedental, so it'd be great to connect on there. But let me know what you think about Chris's advice. Main Interview: [Jaz] Chris Waith, a man who needs no introduction after that podcast episode we did about extractions and how to section and elevate. Chris, how you doing, mate? [Chris]I'm really good. Thanks, man. [Jaz]I'm brilliant. And we were just chatting before I hit the record button. I asked you have had you seen the comments that we got on our YouTube video. And it's had like over you know, 1.2k views on it, which is great. But overall, over 4000 dentists over the world have listened to that episode. And I sometimes thinking why do I do this? Why do I do what I do. And when I get comments, like I saw, it was amazing. It was young lady, foundation dentist who said that, on my last day of FD, I was able to tackle a difficult molar and I had ...

I think we owe it to our patients to a know some fundamentals of full arch implant Dentistry, even if you do not currently place or restore implants. Make a big cup of coffee because this is one of those longer episodes! I am joined by Restorative Specialist Dr. Harpal Chana to breakdown FP1 to RP5 and exactly what GDPs should know about full arch implant prostheses. https://youtu.be/QY_3SZKdc0U Check out this full episode on YouTube Protrusive Dental Pearl: Instead of booking patients for a ‘fit appointment’ for crowns or bridges, rebrand it to ‘try-in appointment’. This takes the pressure off of you and your technician - in the small chance that things are not perfect, you can correct it and book their fit. If everything is good at the 'try-in' you can go ahead and fit your work definitively. It's just a good way to manage expectations and reduce the chance of disappointments and surprises. Need to Read it? Check out the Full Episode Transcript below! As Promised! Infographic summarising FP1 - RP5 classification In this episode we talked about: Dr Harpal Chana’s journey to full arch dentistry 8:19The initial stages of full arch complex implant reconstruction 15:18What determines a terminal dentition? 23:52Implant Reconstruction Options for GDPs to know + Classification 31:03Difference between Implant retained and Implant Supported 37:10How many implants? 40:56Research about the quality of life that impacts clinician’s decisions 48:40Learning how to place the first implant 56:56Advice for dentists who wants to learn implants 1:08:00 If you liked this episode, you will love to listen and learn about Implant Assessment for GDPs: from Space Requirement to Ridge Preservation Implant Overdenture and All-on-4 course Sponsored by Nobel Biocare 12-13th March 2022 at Elmfield House Dental Education, Teddington, London. Hosted by - Harpal Chana, Harjot Bansal, Pynadath George, Manish Patel, George Xirogiannis, Hannah YoungSummary: Beginners course for fixed and removable implant retained and supported bridges and dentures. Cover implant planning, bone grafting, prosthetic planning and execution, dealing with failures and maintenance of appliances and implants. Register your interest by emailing: info@elmfieldhousedental.co.uk Click below for full episode transcript: Opening Snippet: And one of the procedures they always used to make me do was to do a workup make them a new set of dentures. And it was interesting that half the patients I made new dentures for say, thank you very much. I don't need implants now. I'm actually quite happy with these. And they're much better than they were before. I really don't think I want implants. So okay, maybe a lot of these patients don't always need implants. They just need to have well fabricated dentures... Jaz's Introduction: FP1, FP2, FP3. Do you know what I'm talking about? No, I'm not talking about filtering facepieces ie FFP3 masks like we're all experts now on FFP2 masks and FFP3 masks, unfortunately, due to the COVID pandemic, but do you know what I mean, when in the context of implant restorations, what I mean by FP2 and FP3. Well, I'm embarrassed to say I had zero idea when it came to talking to our guest, Dr. Harpal Chana, who's a consultant restorative dentist, and the pinnacle of full arch implant prosthesis like this guy does some most complex work. The kind of work Harpal Chana does is based on referral work, complex full arch prosthesis work. So it's a great honor to have him on the show today. He is someone who I've looked up to for many years, like all the clinicians that I have on the show, I had a impromptu lunch with him in Pizza Express actually just behind his practice in Denton, when I was absolutely starstruck. I was like one year qualified, and that then I knew who he was and I knew he was about and I went to a few more of his study clubs in the local area, and he just has a brilliant clinician.

All of the Protruserati clan get 15% OFF the third molar experience with the code 'protrusive'! A brilliant course by Dr Nekky Jamal A tricky Third molar surgery can humble even the most experienced of Oral Surgeons. Surgical removal of Wisdom teeth has become somewhat of a post-graduate discipline, with many Dentists lacking the confidence or even the appetite for their removal. We have today the very enthusiastic Dr Nekky Jamal who is a GDP that lives and breathes third molar surgery. He shares with us his top tips for the planning and execution of M3Ms surgery! Protrusive Dental Pearl: When you are sectioning a mesio-angular impacted tooth, start your section 1-2 millimeters more mesial to where you think the furcation is - you will have a tendency to drift distally and therefore more likely to HIT that furcation which is when the magic begins. https://youtu.be/Cc_dp2ktt2w Check out this full episode on YouTube Need to Read it? Check out the Full Episode Transcript below! (Regarding disto-angular third molars) “If you lose your crown, you almost lose your ability and your orientation of where that tooth is.” Dr Nekky Jamal Click Here to visit Nekky's Third Molar Experience Course - coupon code is PROTRUSIVE. In this episode, I asked Dr Nekky about: What clinical and radiographic features suggest an easier third molar? 9:51Main features that identify a tricky third molar worthy of referal 15:15The two characteristics to determine the difficulty of third molar removal 16:37Things to look out to determine a high risk of inferior alveolar nerve damage 20:15Does CBCT help in planning tooth removal for Wisdom Teeth 24:19When to consider a coronectomy? 26:37Tips and Tricks on how to get cleaner flaps 30:54The Hydraulic flap Technique 32:34Armamentarium for wisdom tooth removal 35:30Three magic Nekky tips 38:33 Join us in our Telegram Community, where we can always help each other out! If you enjoyed this episode, check out Make Extractions Less Difficult: Regain Confidence by Sectioning and Elevating Teeth with Dr Chris Waith Click below for full episode transcript: Opening Snippet: The situations where I failed in, I noticed when the third molar roots are directly touching the second molar roots. Okay? That's what makes it difficult and if you look at at the classification of that, that's a distal angular impaction. But what makes it so difficult is you can't get your instruments between the second and the third molar. And if you break off the crown of that third molar, you can't even see the mesial root because you can't see past that second molar crown. Jaz's Introduction: In this episode, Dr. Nekky Jamal will cover all the points you need to know as a GDP if you're extracting wisdom teeth, and that's surgically what makes it an easy case, what makes it complex case. What about those cases where you're worried about nerve damage? When do you need take a CB CT? What about coronectomy? How to get cleaner flaps so you could take out wisdom teeth in a much more cleaner field, what equipment to use, and how to get cleaner flaps as well as Nekky's main tips to improve your success rates with surgical third molars. Hello, Protruserati. I'm Jaz Gulati, my journey with wisdom teeth began when I was a DCT, a Dental Core Trainee at Guys hospital, I was doing my oral surgery post. And that's when I started to see my consultants the way they were moving it. But when I got to do some easier cases, it felt good. And then a few times I got stuck and I needed rescuing. Now when I went to Singapore, the fascinating thing about practicing in Singapore and how that's so different to UK when it comes to wisdom teeth is like in the UK, we have the nice guidelines and we touched on that in this episode. But in Singapore, I felt as though like the only people that wouldn't have third molars removed is that if you actually had hypodontia, if you didn't have a wisdom tooth,

Building on from Basics of Occlusion Part 1, I am joined Dr Mahmoud Ibrahim who takes us on his journey from hating Dentistry to eventually loving occlusion and aesthetic Dentistry. We geek out over occlusal contacts, the occlusal examination and freedom in centric! https://youtu.be/emfAS95VARU Check out this full episode on YouTube Need to Read it? Check out the Full Episode Transcript below! Protrusive Dental Pearl: When you’re checking occlusion after placing your restoration, check on the contralateral side with the articulating paper (19 microns, for example) to see if it is 'passing through'. If it does pass through, double up the articulating paper (now 38 microns). You can keep doubling-up if you need to, until the paper holds. How does this help? You'll know right away if you need to adjust anything, and if so, you'll get a better idea of how much adjustment is likely. “Keep everything nice and smooth, the patient has nothing to grab hold of and push against. That's probably going to make sure your restorations last a lot longer.” - Dr. Mahmoud Ibrahim Jaz Edit to the above quote: By 'Smooth' we don't mean highly polished or glazed. We refer to the movements of the mandible being smooth, rather than jerky or abrupt. 3-minute Occlusal Examination PDF - Click here In this episode, we talked about: 7:59 Mahmoud’s journey in Falling in love back to Dentistry13:16 Tripodized Contacts19:55 How to maximize cusp to fossa26:54 Bonus little trick on avoiding high restorations28:40 What do we check in a basic occlusal examination?38:15 Freedom from Centric/Freedom in Centric49:11 Relevance of the Centric Relation Contact Point56:41 Disadvantages of doing MIP vs Centric Relation Contact Point Join us in our Telegram Community, where we can always help each other out! If you loved this, be sure to watch the Part One of the Basics of Occlusion! Click below for full episode transcript: Opening Snippet: As the mandible is moving, everything should be smooth, and then also everything to be shallow. If you can do that, like you will dramatically reduce your rate of failures with the anterior restoration, just those two gems that you gave there... Jaz's Introduction: Hello, I'm Jaz Gulati. And in this episode, we go one step further carrying on from basics of occlusion part one, right,? Thank you so much for the awesome feedback you guys gave for part one, and I'm so happy to have my brother from another mother cut from the same occlusal cloth, Mahmoud Ibrahim, who is a fantastic dentist, you see his work on Instagram. He is amazing. But just learning about a story from this episode is so, so great, because it's the first time we had a proper chat. I've been following him for a few years now. And I didn't realize that he hated dentistry when he qualified right? And I look at his work now. And I think whoa what happened so as well as so many clues or gems. So I'm going to give you a little preview of in a moment that we share with you. I love just him sharing his story with you of what happened, what was the spark that changed him from hating dentistry and actually trying to follow a career of making websites to then falling in love with Dentistry again in a big way. And they're really killing it at the whim as he is. Now, I hope you got your coffee ready because there's a lot of stuff that we're gonna cover in this very intense but very jam packed episode. Hope you like the analogies and stories and in cases that we discuss, we're trying to make it as friendly as possible for all my beloved listeners. The watchers is great to have you if you're on YouTube, hit subscribe. But for those who listen, you are the originals, I will always make sure that the content is easy for you to consume on your commutes. Right? So the kind of things that we cover is what is the difference between the so called tripodized contacts, and is it really better than cusp to fossa and how can we maximize stability w...

Dr Jane Lelean will teach us how to implement 'Hypnodontics' techniques so that we can calm our patients, create a positive environment and even reduce post-operative clinical complications! https://youtu.be/oesEIRfJvdE Check out this full episode on YouTube Need to Read it? Check out the Full Episode Transcript below! “Hypnodontics isn't just for patients, many dentists are using it to reduce their stress levels and their anxieties too” - Dr Jane Lelean In this episode, we discuss: Is there an official qualification before practicing hypnodontics? 8:24Two general types of hypnotherapy 9:13Evidence-Base of hypnodontics in Dentistry 11:57How can we incorporate hypnodontics in our practice 15:45Reducing post operative complications and pain with hypnodontics 26:43Changing the post operative instructions 30:02Help from Hypnotherapist regarding Bruxism 36:28 Check out The Institute of Dental Business to learn more about Hypnodontics and Hypnotherapy with Jane Lelean. If you loved this episode, please do check out What Every Dentist Should Know About Managing Dental Anxiety with Dr. Mike Gow Click below for full episode transcript: Opening Snippet: So Hypnodontics isn't just for patients. Many dentists are using it to reduce their stress levels and their anxieties too... Jaz's Introduction: Hello, Protruserati. I'm Jaz Gulati, welcome to this interference cast a non clinical interruption today on Hypnodontics, hypnosis in dentistry and how you can apply it on Monday morning. I'm joined today by Jane Lelean. Now I hope you enjoyed that previous occlusion episode, I did the basics of occlusion. I've got basics of occlusion two coming up, I'm recording with Mahmoud Ibrahim tomorrow, and we're gonna put together our philosophies to come up with something even more impactful, try and build on that first episode, really just set the scene on why occlusion is confusing, why occlusion is both perhaps overplayed at some points and when it might be super important. So if you haven't listened to basics of occlusion, go back one episode and listen to that one. Anyway, today is about hypnosis in dentistry. And not like, not in a wishy washy kind of way. Like I want you to be able to apply some techniques on Monday morning with your patients to get results. The kind of results I'm talking about is this, right? I am very used to now when I'm explaining risks to patients, or once I've done let's say a deep restoration, I say to my patient, "Hey, you know what, you could get a severe throbbing ache. And if that happens, that's a sign that the nerve is dying. And that can be a very painful thing. It might be worse at nighttime. If you get a spontaneous pain, please give me a call, take some painkillers." This is very much a risk from this procedure, right? So I set them up, In my mind, what I was doing is I was underselling and over delivering so that when they don't get that pain, they think, 'Wow, Jaz is awesome.' So there's a benefit in that, I guess. So I guess I'm happy with the way I've done things. But today, what Jane showed me, what she's gonna share with you is to think about it in a slightly different way. How can we use the power of hypnosis? Which is basically like an altered state of the mind to benefit you and benefit your clinical outcomes. Like, if you tell your patient Look, there are certain patients who are almost like easy to hypnotize. So if you tell them, "Look, you're gonna get swelling, you get pain, like this." And then they come back two days later say "Yeah, it's swollen and painful." And you're like, "Well, that's normal." But they sort of, they made this like Mind-Body connection, they make themselves worse, they make themselves more sick. So equally, if you can sort of hypnotize people in a way for want of a better word, put these people in an altered state of emotion, altered state of mind, then your clinical outcomes might be better, might get less swelling, less dry sockets.

What is Occlusion? Canine Guidance.....Group Function...that's all right?! If only it was that simple! I hope to simplify Occlusion no matter where you are in your journey starting with this back to basics episode. Occlusion is the backbone of complete dentistry and full mouth rehabilitations. https://youtu.be/nCRepLglJBk Check out this full episode on YouTube Need to Read it? Check out the Full Episode Transcript below! Protrusive Dental Pearl: If you think your patients are in Canine Guidance, check again. This time check while the patient grinds really hard. You will notice that most people are really group function and even have non-working side guidances! "It's very difficult to say that one occlusion is perfectly correct for all individuals. And I don't think we've identified an ideal occlusion for a specific person." - Dr. Ed McLaren In this first episode on Occlusion I shared: Canine Guidance vs Group Function 5:54Evidence base about Occlusion and TMD 10:34Challenges in researching Occlusion and TMD 13:13Different Schools of Thoughts about Occlusion 19:42Centric Relation 23:27Centric Occlusion 30:34What is Occlusion? 35:29Occlusion vs Occluding 37:12Test driving the changes 46:11 Check out my 9 point checklist to never have high restorations again on YouTube: https://youtu.be/zX4fcYn7POM No More High Restorations Be sure to check out the best Dental Event of the year, the Dentinal Tubules Congress And as a reference for the terms, here’s THE GLOSSARY OF PROSTHODONTIC TERMS 9th Edition If you liked this episode, you will also enjoy Posterior Guided Occlusion  Click below for full episode transcript: Opening Snippet: And we also have excellent clinicians like Ed McLaren, who said it's very difficult say that one occlusion is perfectly correct for all individuals. And I don't think we've identified an ideal occlusion for a specific person... Jaz's Introduction: Hello, Protruserati, I'm Jaz Gulati and welcome back to the big episode I was telling you about this is the basics of occlusion carrying on from the the back to basics series in August, a lot of you messaged me with your occlusion questions, so I'm going to answer some of them today, but not in like a Q&A format. Because we've done that already in question 15 I'm just gonna take you through a journey, right? I'm gonna take you through a journey that's going to be mirroring some of the things that I've picked up in my journey. And the point of this introduction is to just tell you that we are all in a different place, in our own respective journeys. So some of you may be listening and you might be a dental student, right? And you may be placing your first ever restoration tomorrow, let's say and you are just thinking, Okay, when I stick that colored paper inside, articulating paper, and you get I get the patient to bite together, what are those dots going to look like? And you're just like, that's occlusion to you, right? When the patient bites together, how will it look, right? Whereas some of you may be beyond that. Some of you may be quite well versed in raising the occlusal vertical dimension, opening up bites, placing multiple units and multiple restorations at the same time and having some degree of control of the occlusion. So each individual is in a different place in their journey and the learning never stops. Now, if you are brand new to the world of occlusion. Welcome to deep dark world occlusion, I'm going to try and not confuse you too much. But try and give you a few things to think about. I'll hopefully make sure that as you learn, right? It's going to head you in the right direction. Because the thing with dentistry and the thing with occlusion is that sometimes the first time you learn something, right, it doesn't really, really sink in until maybe a few years later, it's happened to me so many times where a few years later, the same concept has been repeated and explained to me in a slightly dif...