Protrusive Dental Podcast

Vertiprep? Dirtyprep? There are some Dentists who will literally opt for an adhesive onlay for every indirect restoration. That's not cool - they are not a panacea. On the flipside, there is a breed of Dentists who identify as 'Verticalists'. They will vertiprep their grandmother if they could. The answer lies somewhere in the middle - everything is case dependent. In this episode, with the return of my friend Jorge Cardoso, we revise Vertical Preparation, decision making protocols for indirect and then explore the nuances of digital scanning for vertical preps (even if they are super subgingival). https://youtu.be/AAWRJjEKN_U Check out this full episode on YouTube! Need to Read it? Check out the Full Episode Transcript below! Protrusive Dental Pearl: Impressions vs Digital. Remember, if you're going digital, you need to be more aggressive in your tissue retraction compared to impressions. If the light from the scanner tip does not reach beyond your margin, it will not be recorded. Whereas with impressions, the wash material can flow beyond the margin and capture the sulcus, even if you cannot see it. Treatment Plan Letters with MakeMeClear discount - all of the Protruserati clan get 25% OFF the monthly or Annual plan with the code 'protrusive'! Trial it for 21 days and generate letters and listen to Episode 49 - Crystal Clear Treatment Plan Letters Fancy joining us for a POTENTIAL trip to Portugal for hands-on Vertical Prep? Click here and I'll email you if/when this gets the go-ahead. We are thinking Spring 2022! In this episode Dr Jorge and I talked about: What is vertical preparation 8:17Two types of vertical preparations (BOPT / Edgeless vs Shoulderless) 13:57Guidelines on temporising vertical preps 17:40Traditional vs Digital in Vertical Preparation 23:29Criticism of Vertical Preparation with Biological width 30:19Concept of “kissing the bone” 35:33Spacer Protocols for Technician 40:54Common mistakes with verti prep 45:02Digital Scanning tips for Vertical Preparation 49:37 Sorry that Dr Jorge's screen share did not show in the main video, we had some AV issues. Please find below an 8 min snippet where he shares his screen at various points https://youtu.be/e8psNUVMQ5g As promised here’s BOPT by Ignazio Loi Do Check out Dr. Jorge Cardoso’s episode with Crystal Clear Treatment Plans that Wow Patients and are Easy to Understand If you want to learn more about vertical preparations check out eMax Onlays and Vertipreps with Dr Jason Smithson Click below for full episode transcript: Opening Snippet: At the beginning I was going to be skeptical but then study start to come out to say that A) Zirconia feather edge margins behave as well as shoulder ones. So in terms of literature, in terms of safety, we are safe to go. Now the main advantages, you are saving more teeth, you are making your life easier, your impressions are easier, the fitting is easier and something which really attracts me periodontal stability is much, much higher... Jaz's Introduction: Hello, Protruserati. I'm Jaz, Gulati. Welcome back to another episode of the Protrusive Dental podcast. Now this was supposed to be if you listen carefully to the outro of the last episode. This is supposed to be the basics of occlusion as part of the bigger picture, splintember series continuing on from the back to basics episodes from August which I hope you really enjoyed. But the problem is this man, it takes a long time to script my solo episodes. Like if you if you think back to September last year, so September 2020, we did the splintember series. And, man, I forgot how much effort it takes to put something together, but I'm still determined and keen to put something together, that's gonna be you know, while you're commuting, while you're chopping, onions, gardening, whatever you're doing to make it a really valuable episode, all about my perceptions of occlusion, and just the very basics from like centric relati...

Ask 10 Dentists for a treatment plan, and you will get 12 different recommendations. Treatment planning is an art, but our diagnosis should be highly scientific. Making decisions of what specific treatment we should recommend to our patients is the very foundation of daily practice. With the experienced Dr Paresh Shah we discuss the How, What and Why of the Treatment Planning process in this Back to Basics in Dentistry series. https://youtu.be/raZiERy8U4o Check out this full episode on YouTube Need to Read it? Check out the Full Episode Transcript below! Protrusive Dental Pearl: If you are unsure what is the best treatment plan for your patient, it likely means you haven't asked enough questions. Ask more questions and seek your patients' drivers and goals. “Find an experienced mentor that will walk you through gathering the information.... [discover] why it's important to mount the cast rather than just holding it in with your hand.” - Dr Paresh Shah In this Episode, we discussed: Step by Step thorough Examination 12:50Importance of having a Checklist 27:34Records needed for a Comprehensive Exam 30:46Communication between patients and Dentists about Treatment Plan - in a way that doesn't confuse our patient 36:59Talking Money and Fees 47:18 Check out Dr. Paresh Shah’s Instagram to learn and be inspired! If you enjoyed this, you will of course love Zak’s Presenting Treatment Plans the Comprehensive Way  Click below for full episode transcript: Opening Snippet: And I don't know what it's like in the UK, but I'll tell you in North America, I've seen a lot of it. It's just hard. There's just not enough time because you're so focused on requirements and surfaces and canals and amount of teeth you're taken out rather than going 'Okay, let's just take a step back and let's focus on comprehensive dentistry.' And occasionally, you'll get a part time instructor that pulls you aside and teaches you all the stuff... Jaz's Introduction: Hello, Protruserati. I'm Jaz Gulati, and welcome to another episode of the Protrusive Dental podcast, back to basics series. Today we're covering this mammoth topic of treatment planning, right? Where do you even begin with treatment planning? Well, you begin here, because I'm going to break it down with Dr. Paresh Shah from Canada, all about the fundamentals of the kind of conversations you have with your patients. What is the sort of mindset you have when you're on treatment planning? What are the stages? How can you actually use your experience and use what the patient's goals are to help inform the best treatment plan possible for your patient? So it's something that I used to really puzzle me when I was a newly qualified dentist, I'd see a plan that was more complicated than just single tooth dentistry. And it will be like, how do I apply what I've learned from dental school to this patient in front of me. So it's something that you sort of refine as you gain more experience. Now, I'm hoping that after this episode, it shouldn't just give you that little bit more of an edge to allow you to think more rationally about your treatment planning. So like I said, hope you're enjoying this back to basic series. And it's been great fun to make it and the guests have been absolutely brilliant during this month. Thanks so much for watching. Now, if you have any more recommendations for topics, I'm always happy to hear them, you can DM me on Insta, you can comment below or you can email me jaz@protrusive.co.uk, I would love to hear your suggestions and I can get the right guests on as well as you want. The Protrusive Dental Pearl I have for this episode is very relevant to treatment planning. And it's this. If you have a patient and you're treating planning them, and it's a it's a bigger, more complicated problem. And I'm thinking like not just that it's multiple teeth, but even something like missing teeth, like something that's so common, right?

Want to upgrade your practice with dental photography but unsure where to start? I got early adopter and dental photography legend Dr Alessandro Devigus (the main man behind dentist.camera Instagram page) to share with us his fundamentals to make dental photography routine in for your clinical documentation. https://youtu.be/6WtCv9nb7HA Check out this full episode on YouTube Need to Read it? Check out the Full Episode Transcript below! Protrusive Dental pearl: AACD Dental photography guide, have this document at hand when start taking dental photographs because it will help you to remember your settings before they eventually become second nature. AACD_2013_Photo_Guide And also be sure to check this video tutorial I made on how to take perfect Occlusal Dental Photographs (the trickiest shot!) https://youtu.be/PGTtZJnp9Pk “Every picture you didn't take is a missed one...” - Dr Alessandro Devigus In this episode we talked about: Setting up the camera 12:37The basic of taking photographs 14:19Importance of magnification ratio on lens 17:48Selection of materials ie mirrors and retractors 21:38Making your own signatures on photography 26:39Storing and Organizing photos 30:42 As promised, here are the basic dental photography camera settings by Dr Alessandro Devigus: Check out Dr Alessandro Devigus’ instagram page, the dentist.camera, to learn more about cameras. If you enjoyed this episode, you may also enjoy the ‘Which Dental Camera Should I Buy’? also with Dr Alessandro. Click below for full episode transcript:  Opening Snippet: So once you buy the camera, the second barrier I find Dentists have in terms of actually picking up and using it is because they've never devoted the time to actually sit down and learn what is the aperture? What is ISO? Why is this relevant? And then what they do is they just haphazardly put it on auto and they take photos and they get unpredictable inconsistent results, they get frustrated... Jaz's Introduction: When I qualified as a dentist, and I got my first ever paycheck, the first thing I did was buy a camera like yes, it was used because I need save money. But it was the first purchase because I knew I was taught by some mentors that to take good dental photographs is so so important to your career development. And I cannot echo this enough. So today I'm joined by Dr. Alessandro Devigus, the chap who owns dentist camera Instagram page, he's a world leading expert on dental photography. And we're going to cover the basic settings, how to get consistency and photos, and all the best tips to help you get started in dental photography. So if you're not already taking photos, you hopefully will be by the end of this episode, feeling more confident to start picking up the camera and taking more shots and becoming more consistent and a better dental photographer. Again, this is another episode as part of the back to basics series of August and this has been incredibly popular. I've been amazed at the comments, had one dentist, let's have a look on the previous episodes, I had Brendon Parker comment on the YouTube channel saying "Hey, Jaz just found this series and love it. I wish I had this 20 years ago." And honestly I didn't know the impact of such a back to basic series would have been you know, it's amazing. And thanks so much for for joining me in these episodes. I hope you find the real value from them. Now we're going to give you the Protrusive Dental pearl. So if you're new to the podcast, I give you a Protrusive Dental pearl in every main episode, and then we'll join the main interview with Dr. Alessandro Devigus. So the Protrusive Dental pearl I have for you is that on the comments below in YouTube or on the website protrusive.co.uk under this episode, I will have you ready to download the AACD Dental photography guide and what this is, and I found this really useful back in 2013 when I qualified the first purchase I made was it was...

When treating periodontal disease there is more to it than removing biofilm. Our role is to be a motivator and lifestyle coach - only then can we see successful periodontal outcomes in the longterm. What's your spiel to patients to explain what periodontal disease is? Do you show diagrams, draw or use your fingers? Listen to how Dr Ian Dunn explains Perio and you will want to implement his way of communicating on Monday morning! Brought to you by the Back to Basics series of August on Protrusive Dental Podcast. https://youtu.be/KAGHaWyacZs Check out this full episode on YouTube Need to Read it? Check out the Full Episode Transcript below! Protrusive Dental Pearl: Have some tools to be able to communicate via drawing (draw teeth, draw bone or periodontium etc) whether it's digitally, on whiteboard or paper. There is beauty and magic about being able to draw something while your patients are watching beside you. “Communication has to be a two-way street. It shouldn't be a monologue, it should be a discussion.” - Dr Ian Dunn In this episode we discussed about, Communication Masterclass between Dentists and Perio patients (12:38)How to communicate with more resistant patients (17:33)Referrals done by GDPs that could have been manage at their own practice  (21:22)Trying to get out of comfort zone in Perio (26:20)How to communicate risks in Perio treatment (32:08) Catch Dr. Ian Dunn’s Perio courses and be able to communicate to patients effectively about periodontal diseases. Do join us on our Facebook community, the Protrusive Dental community! If you like this episode, be sure to watch Finding Your Niche in Dentistry with Dr Pav Khaira Click below for full episode transcript:  Opening Snippet: So this is the bit where you explain to a patient that they're rubbish at brushing their teeth but you do it in a way that you don't offend them because that was the thing I find most difficult. Mrs. Jones bacteria builds up on teeth. It reaches your trigger points. Your body triggers inflammation, that inflammation damages the bone... Jaz's Introduction:I'm Jaz Gulati and welcome to another episode in the back to basics series of the Protrusive Dental podcast. You are going to be blown away by today's episode is with Dr. Ian Dunn of periodontist, on communicating. Communication in perio specifically, for example, how do you explain to a patient that they have periodontal disease like six significant things a chronic condition that could potentially live with for the rest of their life? It's such an important thing for them to grasp so that they can get better outcomes. And you can get better success as a clinician. Like what's your spiel? What's your way of communicating that I think lots of Dentists have different ways of doing it. Now, you will probably get your way whichever way you're doing at the moment. And Ian will show you the way to do it. I mean, his way of explaining to patients, how periodontitis works, and to get them on board is just the best I've ever heard. So I'm so excited to share these gems with you, we will talk about communicating risk of treatment with patients. And he does that in such a great way as well. And the relevant Protrusive Dental pearl I have for you today is to have something one-eight, whether it's digital, or whiteboard or paper base, an opportunity for you to be able to draw certain things because certainly one of the tools that Ian Dunn uses is to draw certain things draw teeth, draw bone or periodontium. So therefore, I think it's a really useful thing sometimes to be able to draw something. Yes, we have our intraoral cameras or DSLRs. But sometimes there's a beauty and magic of being able to draw something while your patients watching, you know annotating as you're talking to them. So that's the main Protrusive Dental Pearl. I hope you enjoy this episode. Stick around for the outro and if you're watching on YouTube, and if you haven't already,

Dr Zak Kara, an oral surgeon, helps dentists regain confidence in extractions by discussing the importance of sectioning and elevating teeth. They also cover topics such as reassessing difficult extractions, effective communication with patients, overcoming equipment limitations, and tips for successful tooth sectioning.

Do your ID blocks work all the time? How about your management of the dreaded 'hot pulp'? As a part of the Back to Basic series this August, I asked Dr Pynadath George, who practices advanced surgical and implant dentistry, about dental hacks for success with every dimension of local anaesthesia in Dentistry. https://youtu.be/F6l9glsEbuc  Check out this full episode on YouTube Need to Read it? Check out the Full Episode Transcript below! Protrusive Dental Pearl: Give painless local anaesthesia (aside from topical anaesthetic, we know that already!) by massaging the mucosa and the lip with your index finger and thumb. Get just a few drops of LA first and give it a minute to work. Then you can go back in and deliver your anaesthetic much faster and the patient will love you for painless anaesthesia! “If you want good success with the ID blocks, you need to look at and study the anatomy, even if it's on a skull, and then relate that to your patient..” - Dr George In this episode we discussed about: Is Lidocaine/Articaine enough to numb patients as a GDP, or do we need to stock other anaesthetics such a Mepivicaine? (15:09)Avoidance of Articaine for ID block in some countries - if that really necessary? (18:35)Shift of mindset with young dentists practicing defensively (20:38)Tips on achieving successful ID blocks (27:04)Hitting bone during ID blocks - do you HAVE to hit bone? Can that be harmful? (33:38)How to manage the dreaded hot pulp! (36:39)Moderate and advanced local anaesthetic techniques in Dentistry (47:31)Tips on getting painless palatal injections (especially on ultra nervous patients) (51:05) Want to learn more? Check out this Advanced Implant Training by Dr George Pynadath I hope you are enjoying this Back to Basics series of episodes! If you liked this episode, you will also enjoy Basic Implant Occlusion and Work Life Balance – PDP012 with Implant Ninja! Click below for full episode transcript: Opening Snippet: As i gave the intra pulpal, I didn't realize the sound was being recorded but as i gave myself an intra pulpal, as i was reviewing back the videos all i could hear was myself grunting going 'ah because it was that painful I had to keep my mouth open while i'm numbing myself up through the pulp but honestly after that was done it was like magic i could you know i found all four canals, extirpate it, done... Jaz' Introduction: Now to answer these questions I’ve got George. His first name is far too complex from around so we shall call him Dr George, who is a very well known name in the UK. He actually does lots of advanced surgical dentistry, pterygoid implants, zygomatic implants, full arches that kind of stuff. He also does some general dentistry as well but that’s his real niche that he’s known for and along with that he does teach on very advanced local anesthesia techniques like how to give extra oral blocks for example or how to give anesthesia in areas where you’re not really taught at dental school but we’re gonna really bring it back to basics in this episode to go through how to get success from the more basic techniques like what are the the factors involved in getting success in anesthesia and right at the end we even cover the top tips in getting painless anesthesia for palatal, those dreaded palatal injections.  Now it’s interesting when i was in Vietnam on my elective, I was with these dentists who are 25 years qualified and they were celebrating like having a reunion and we’re on this charity project in a village near Da Nang and it was a school. So were at the school. We were about to do restorations extractions and basically any sort of dentistry these children needed and there was a queue of children and before they’d have their treatment like for example a restoration or a tooth out, we would numb them up. I’ll never forget how these children were given id blocks so inferior alveolar nerve blocks before they had their restorations on their lower t...

A daily dilemma in Dentistry is deciding when (and HOW) to restore that extensive MODL amalgam restoration that was placed over 30 years ago! We go deep in to this, looking at single-tooth factors but also a full mouth 'bigger picture' view with Dr Andrew Chandrapal who has been trained by world-class clinicians including Dr John Kois and Dr Didier Dietschi, https://youtu.be/lulpENm4swo Check out this full episode on YouTube. Need to Read it? Check out the Full Episode Transcript below! Protrusive Dental Pearl: How to make sure your equipment doesn't keep getting lost? Use color coded tapes on your own equipment and tell your team that stuff is super important because it belongs to you. https://www.instagram.com/tv/CNUi20EJ9Pk/ “Using things like air abrasion to then try and remove the apical amalgam whatever you can do to try and be gentle in your removal of that material is a good way to go” - Dr Andrew In this episode I ask Dr Andrew Chandrapal,  When to classify the large restoration has failed (12:45)Risk factors of a tooth with large restoration would undergo necrosis (18:33)About restricted anterior restriction or constriction (22:21)How to prevent yellow stains and if you should intervene for a long time restorations? (29:16)Little tip on special burs to use when cutting out caries (31:21)Cutoff point whether to cap the cusp tip or not (33:26)When to decide if you should intervene because of marginal staining and communicating to patients (37:44)What factors to consider moving from direct restoration to indirect restoration? (39:59)Treatment plan to reduce the risks of fracture (42:31) As promised in the episode, if you want to learn more of Composite courses by Dr Andrew Chandrapal - IndigoDent Education If you enjoy this episode, check out this Composite vs Ceramic with Dr Chris Orr Click below for full episode transcript: Opening Snippet: I've shied away many times I've made a treatment plan for a patient for quadrant but I will just work around that upper first molar we've got that behemoth amalgam because I don't want to touch it. Any help you can give me? We should not be responsible for owning the clinical problems that the patient presents with... Jaz's Introduction: Most of my patients are above the age of 60 actually nowadays and when I look into their mouths I see these huge amalgam restorations you know like it's MODB they've got very very thin cusps you can see the amalgam shining through. You can see craze lines, crack lines but they've been there for so many years, they've been there for two three sometimes even four decades i mean you look at these studies about longevity of amalgam and composite and you know my patients are the heavy metal generation patients are a living testament to longevity of amalgam however when things go wrong they can go catastrophically wrong like remember when you find secondary caries around amalgam it can be a huge huge mess and of course, we know that in time cusps can fracture around amalgams and that's like the most common emergency we find which is when someone just broken off a cusp and lo and behold there's a huge amalgam left behind. So when should you look at amalgam and say you know what I’m gonna decide now is a good time to crown this tooth or now is a good time to remove this amalgam because I worry about secondary caries or I worry about microleakage because if they've been like this for 30 years 40 years and I can't really justify enough a good reason to drill into it then why am I drilling into it okay? This kind of debate that I have with myself. So to help answer this as part of this back-to-basics series for August, I’ve got Dr. Andrew Chandrapal from the UK, who is just such a gifted clinician.He's well known throughout the world actually and I think he's done a really good job of covering these basics of you know when do I need to remove the stained composite like is that staining around a margin,

Recession is one of the those diagnoses we make all the time - lots of our patients have recession. I always struggled to decide when we should be proactive with recession and suggest surgery - it is very easy to monitor recession through photos and measurements. Specialist Periodontist Dr Amit Patel discusses his decision making when it comes to recession defects. He also discusses his journey which is very encouraging as it teaches us that you DON'T have to have it all figured out from the start.... https://youtu.be/A1b0sL4rJUk Check out this  full episode on YouTube Need to Read it? Check out the Full Episode Transcript below!  Protrusive Dental Pearl: What do you do if your patient is bleeding after an extraction and you're struggling with haemostasis? You can try placing a hot tea bag on the socket (no, really!) - the tannic acid in the tea bag will aid blood clotting. So next time you have a bleeder in the chair, remember, 'time for a cup of tea!' In this episode we discussed: Knowing when to refer recession to a Periodontist for surgery vs monitoring (23:39)Communicating to patients whether to have some treatment done now or later (26:02)Miller’s classification (30:05)Why can we get 100% root coverage (32:36)Do GDPs have a role in carrying out Perio surgery (42:53)Advice for patients to prevent recession to get worse (48:30)Realistic expectations to patients about what kind of aesthetic complications to accept as a compromise (52:01) If you liked this episode, you might also enjoy the episode, Should you specialise? Click here for Full Episode Transcription: Opening Snippet: I've got to be honest the referrals that I've had, the patients don't want to have the surgery okay which is interesting because you know they've obviously been told that they've got a problem, they've got recession but they're just thinking i don't want to go through this hassle, right? So which is fine but what i have noticed during lockdown, I've had a lot more patients contacting me about their gum recession... Jaz's Introduction: Hello, Protruserati. I’m Jaz Gulati and welcome to PDP 082, all about the management of recession defects not like the crazy like you know get the scalpel out let’s all start doing root coverage. More like how to assess it as a GDP because i find that recession is one of those things right? Where it’s like tooth wear in the sense that it’s common but that doesn’t make it acceptable, that doesn’t make it something that we don’t write down as a diagnosis because i find that you know people ignore tooth wear and people ignore recession because why we see it all the time of varying degrees. Some patients will take it really seriously whereas others will have recession for years and you might be the first dentist to have that conversation with them about recession and it can obviously lead to sensitivity and aesthetic issues So it’s a huge issue and i think soft tissues as a whole is something that needs better coverage i guess if that’s a pun I’m allowed to use.  This episode, I’m joined by Amit Patel, who is a I want to say youthful like. This guy’s like got a baby face right and he’s such a good guy. He’s one of the nicest guys in dentistry very knowledgeable and he’s been on the lecture circuit for like years and years and years. Although you wouldn’t tell from his face he like i said he’s a baby face. He’s going to talk all about how he assesses as a periodontist specialist the tissues and how he manages the cases that get referred to him with the recession and it’s amazing how a lot of these cases, he’s just reassuring patients he’s not actually picking up a scalpel and it’s great to know when we can reassure patients and how far we can go that versus when we actually kind of need to intervene or refer so that the situation doesn’t get out of hand so we cover all those things including prognoses and the beginning we also cover the journey like Amit Patel’s journey and it’s anothe...

Online reviews for Dentists are a big thing in 2021 and it's only really just lifting off now. A few years ago I had an appointment with an ENT consultant and the first thing I did was google his name. Most of our patients are googling us and our online reputation is critical. In this episode I am joined by the founder of Doctify, Dr Suman Saha to help you get more high quality reviews for your practice. https://youtu.be/LiHSvoWBuPA Check out this  full episode on YouTube Need to Read it? Check out the Full Episode Transcript below! Protrusive Dental Pearl: How to increase the success rate of capturing review: Consider text messaging and/or having a tablet in your practice so they can leave it immediately after treatment. In this Group Function we discussed: What is the role of patient Reviews dentistry? (07:02)Doctify vs different online review sites/apps such as Google Reviews (08:39)How can we make sure the reviews are accurate? How to overcome fake reviews (12:18)How to create a win-win scenario between Principals (the practice) and associates (that want their reviews to stick with them) (17:48)How to get dentists (who might be introverts) to have awkward conversation with patients and ask for reviews (24:20) If you enjoyed this episode, you might also like this episode Think Comprehensive – Communication Gems with Zak Kara Click here for Full Episode Transcription: Opening Snippet: You know even if you're not paying for it yourself just knowing that actually this person's an expert or can deal with the condition that i know i'm going to see him for or her is like it's so powerful and i think that's what we want to try and solve... Jaz's Introduction: Hello, Protruserati. I’m Jaz Gulati and welcome to this group function where we answer a really big and important question i get quite a lot from our colleagues. Now you guys know that I’ve been using something called Doctify to collect reviews but the number one objection or query I get from dentists is that hey Jaz, you use Doctify but my principal is being really funny about me collecting my own reviews. How did you overcome this or something related to the fact that there’s some sort of friction between principals and associates? Like even if you collect google reviews as an associate when you are doing all the hard work to gain the google reviews to uplift the goodwill and the reputation of the practice but what if you leave that practice those reviews don’t go with you. So we asked Dr. Suman, who is actually an orthopedic surgeon, who actually created Doctify to answer this very important question as well as how to harness the power of dental review so even if you don’t use Doctify you will gain something about how to use reviews in a clever way. How to collect more reviews and how to actually improve the social proof of your practice. Hope you enjoy this group function.  Main Interview: [Jaz] Part of this podcast is journeys. Learning what motivates people learning about the different routes people take. So Suman, do you practice clinical density at the moment?  [Suman] No, so my background is so I’m not a dentist. So I’m gonna put it out there now, I’m not a dentist.  [Jaz] You know, what I totally thought you were. I totally thought you were.  [Suman] So this has been super interesting learning because I’ve been in and around dentistry for three, four years now and I’ve got a lot of dental friends. So I’m an orthopedic surgeon by background so i trained in London, myself is an orthopedic registrar when we found the Doctify and then I guess we’ve been in dentistry because we started the healthcare and medicine and surgery because that’s what I knew but we suddenly went on to our site and I think the third most searched thing was dentistry even though we had no dentist, we weren’t working with dentists about four years ago and so we basically just knew one of the things people not even patients just people care about is...

Surely injection moulding composite resin is too ambitious to restore Toothwear? Well, let Dr Kostas convince you otherwise! Restorative Dentist Dr Kostas Karagiannopoulos will reveal all the the nitty gritty secrets from patient evaluation to the entire bonding protocol. https://youtu.be/hL5aAdzk-hk Check out this full episode on YouTube Need to Read it? Check out the Full Episode Transcript below!  Protrusive Dental Pearl: How to improve the resistance form of ceramic onlays: Use a big fat round bur, sink it into your composite core (be sure you're drilling into core material and not sacrificing healthy tooth structure) and allow your ceramic to extend into that to help your onlays stay on when you're trying them in. Whether this extension improves retention form is debatable Step by Step PDF Infographic. Click here In this episode we discussed: Role of injectable composites as a transition (and as a long term solution) (12:59)Follow-ups and maintenance of injection molded composites (16:52)Contraindication for injection molding (20:28)Indication for injection molding  (20:54)Minimizing voids when restoring with injection moulded composites (21:48)Filling the stent with composite (a thing of beauty!) (28:17)Other techniques vs Injection molding (31:29)Injection molding composite case sequence (35:04)Isolation during injection molding? (46:36) If you enjoyed this episode, check out eMax Onlays and Vertipreps Want to learn more? Do check out this one-day course by Dr Kostas with GC UK Click here for Full Episode Transcription: Opening Snippet: Wait hang on a minute you’re going to use flowable composite and you’re going to squirt it inside a clear stent and then you’re going to expect that to hold up when it’s restoring anterior tooth wear? Have I got that right? Jaz’s Introduction: This is exactly what I thought when I first came across this technique but you have to understand something. That is not regular old flowable composite and there are some micro details to gaining predictability which is exactly why I’ve got Dr. Kostas Karagiannopoulos Kostas, I’m so sorry if I perverse your surname there. He is a phenomenal dentist based in the UK. He’s a fantastic restorative dentist and he teaches on this technique so who better to talk about this technique than Kostas. He’s going to go through the entire workflow from case assessment to see who is suitable for injection molding composites to how to execute it and some key gems to take away. So, if you were to do it Monday morning, you’re going to gain a lot from this episode.Protrusive Dental Pearl:The Protrusive Dental Pearl before we go straight into this really cool episode is the following right? So many of you are placing let’s say Lithium Disilicate onlays, right? The problem is when you get them back from the lab on the model, they fall off really easily or when you put them on the tooth to try it in like there’s no resistance form. There’s a real lack of resistance form on these on layers therefore they just fall over the place. So, if you have a composite core in place.I’m a big fan of getting the biggest, fattest diamond bur you have which is around or spherical in shape and just sinking in until you get this kind and if those of you watching right now will describe. If you’re listening, it’s like you see like a semi-circle or a half sphere drilled into the composite and what this does is that the ceramic will now have this extension of this half sphere into it so that now it’s less likely to fall off the model and weigh less likely to fall off when you’re trying it in.Now it’s debatable whether this actually improves the resistance form of the restoration technically anything that opposes your finger removing a crown improves the resistance form so technically it does, but you do it for just convenience really and as long as you’re drilling into core material and you’re not sacrificing healthy tooth structure then i thi...