Protrusive Dental Podcast

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.

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,