Protrusive Dental Podcast

It's my sister's wedding but the Protrusive team managed to get this out for you - and boy it is a good one! Dr Omid Azami AKA The Noobie Dentist will inspire to you adopt a growth Mindset. https://youtu.be/NSEbShIeD04 Check out this  full episode on YouTube Need to Read it? Check out the Full Episode Transcript below! “Have that mindset like 'it's a journey', you're never 'there' necessarily. You can always get better, and do more.” - Dr. Omid Azami Here with me, Dr. Omid Azami, host of Noobie Dentist Podcast, who inspires and gives voices to clinicians all over the world and inspiring Dentists. In this Interference Cast, we discuss all about: Tips on making life more efficient, better and more productive. (09:26)Key attributes that help a young dentist to become great. (16:33)Tips and tricks to make a habit of taking photos. (20:54)Journey of self-discovery. Finding your pathways and niche. (24:20)Importance of mentorship, even remote mentorship. (32:58)Most inspirational guest from Noobie dentist and their takeaways (39:03) If you want to learn more, please do subscribe at  Dr. Omid Azami’s Noobie Dentist Podcast If you liked this episode, you will definitely love and will learn a lot from the episode 10 Habits of Highly Successful (and Most Valued) Dentists  Click here for Full Episode Transcription: Opening Snippet: As an example early on i was all about the money right? I was, you know, in toronto I was a new grad I was like I want to make you know x amount of dollars per year and day to day like my happiness was like up and down on how much production I had and how much I was making and it was pretty early on I was like man this is not a good way to like think about dentistry of just like how much money am I making. Let's instead focus on my clinical outcomes like is my restoration is looking better today? Is my marginal contours better? Is my contacts better? Is my extractions faster and cleaner? Is my post-op comforts? So that's I had that mind you know mindset change and it really made me happier because I was challenging myself to you know learn the craft better day to day instead of just focusing on the money and the outcome side of it... Jaz's Introduction: Hello, Protruserati. I'm Jaz Gulati. Welcome to this interference cast with Omid Azami better known as the host of the Noobie Dentist podcast. This episode was actually shot many months ago. Right now when i'm recording this introduction I'm quite nasal. I'm so sorry. I have got a bit of a non-covid bug. It's a bad timing but at least it's non-covid. I've got that confirmed. It's my sister's wedding at the moment and for those of you who are familiar with Indian weddings It's not like a one-day affair, I wish it was a one-day affair. This is like a three-week bonanza I am so grateful I have just one sibling but anyway let's make the most of it. I've got my son. I've got good food to look forward to. Dancing. Indian colors and festivities and traditions. So I've got a lot of that going on. I've got a lot of the episodes on autopilot that have been pre-recorded So they'll be getting released by the team over the next few weeks. So you won't go a week without having a Protrusive dental podcast episode, don't worry. This themes, the themes that we cover in this episode are very much related and intertwines some of the previous themes that we'd cover The theme of journey. The theme of career decisions. The theme of mindset and the theme of just being the best version of you. The two biggest takeaways that you might get from this episode is funnily enough something I like to call toilet university and yes I have no shame and number two is something that only describes later in the episode as the social multiplier effect and something that's so relevant in dentistry. So i hope you enjoyed me and Omid just you know have vibing out chatting about dentistry in Australia. Dentistry in UK and how to power up your mindset in dentistry....

Stop taking OPGs/Panoral radiographs for TMD...they have limited benefit! In this episode I discuss the Piper Classification of TMJ with Dr Jim McKee from the Spear faculty. We also cover exactly when and why imaging of the TMJ may be beneficial (MRIs and CBCTs). I have found the Piper classification easy to implement and I hope this episode helps you understand it. https://youtu.be/n4lRWAQeA5A Check out full episode on YouTube Need to Read it? Check out the Full Episode Transcript below! Protrusive Dental Pearl: Observe the patient's path of opening. If someone's jaw opening makes a 'V' shape, that's a DEVIATION. If someone's jaw opens, and then it goes all the way to one side, and it doesn't go back to the middle, that's a DEFLECTION. If you want to Download the PDF version of the Piper Classification of TMJ Infographic we made, click here! Piper Classification PDF Dr Jim McKee is part of Spear Education - a platform that has taught me so much of my occlusion. In this episode I asked Dr. Jim McKee: What is the Piper Classification of TMJ?What are the risks of having to rehabilitate someone where you haven't the health of the TMJ? (19:22)Are there any other useful TMD classifications? (21:01)Is there any benefit of taking a Panoral radiograph? (24:48)What is the difference between an MRI and CBCT for someone with a TMJ pathology? (26:51) What type of imaging is best for TMD? (28:58)What additional information can a CBCT provide above an MRI? (33:59)How do we decide the most appropriate imaging technique? (35:22) Dr McKee's thoughts on idiopathic condylar resorption in adult patients? (32:58)Should we be taking routine MRI/CBCT for TMJ health diagnosis? Or only for patients who have a joint based history? (36:62)Is there a clinical way to determine which classifications patients are in (Piper III vs Piper IV)? (39:23)Is TMJ disorder always a progressive disorder? (40:51)How to manage asymptomatic clicks? (42:17)Deviation or Deflection as part of full workup and imaging of the way to get the exact diagnosis? (44:07)How does the Piper classification influence Restorative management? (47:12) If you enjoyed this episode, check out TMJ Physiotherapy – When to Refer and How They can Help  Check out SPEAR EDUCATION, a two-day seminar, where Dr. Jim McKee teaches 25% of the course! Click here for Full Episode Transcription: Opening Snippet: I used to work in the emergency department of a very large dental hospital. This is like a year and a half out of Dental school and I’ll never forget this one patient I had, right? She came in and it’s an emergency that had never seen before. Jaz’s Introduction:Like 99% was like acute pulpitis or an abscess. And you know we were doing extirpations and stuff. Now, this lady came in and she was literally like her mandible was all to one side. She was literally all deranged, she was in agony, she’s pointing to a jaw joint, I forget which side she was pointing on now, but she was in absolute agony and just everything about her bite looked way OFF, right? and I had no idea or the diagnosis was. I didn’t know. I had no idea what to do. So naturally what I did.The first thing I thought was okay. Looks like it could be something to do with the TMJ. I’m thinking TMD. Therefore, what do we do? Why don’t we get a radiograph? Okay? Because that’s we do with teeth, right? We take a radiograph. So, I suggested again O.P.G. okay? So I sent this lady for an OPG. Okay? Anyway, the OPG/OPT comes back and you can’t really notice anything unusual in it. And I show it to my consultant and my consultant absolutely flips to me. I mean it’s like ‘Jaz, what the hell you take an OPG for?” Right? Because an OPG is not going to show you much when it comes to TMD. Alright?So that was the lesson number one I had several years ago, and I want to share that with you. And on that topic, I’ve had brought on, someone absolutely amazing today is from the spear faculty.

Does Biological Width, apparently now known as 'Supra-crestal tissue attachment' confuse you? Or would you like an introduction or a refresher on the clinical stages of Crown Lengthening? Fear not, I twisted specialist Periodontist Reena Wadia's arm and finally got her on the show to teach us! https://youtu.be/No-8hjFsWNs Check out this full episode on YouTube Need to Read it? Check out the Full Episode Transcript below! Protrusive Dental Pearl: How to find out what kind of biotype you're dealing with: Use a ball ended Perio probe and use the ball-end/tip (sometimes it's coloured) and probe in to the sulcus - if you can see the tip of the probe shining through the gingiva then that's a THIN biotype. and if you can't see the tip of the probe then that is a THICK biotype. “Don't complicate things, if something works in your hands and you're doing it well, keep things simple, don't have too many variations because then it just starts getting unpredictable. So test everything out, go on courses, and then see what works in your hand and then stick with that.” - Dr. Reena Wadia In this episode, we discussed: Bone sounding (10:35)Aesthetic crown lengthening (13:06) and Functional crown lengthening (18:02)Altered passive eruption and active eruption (14:21)Fundamental difference between the two types of crown lengthening (20:06)Biology of keratinised tissue (24:13)Steps involved in crown lengthening surgery (26:32)Using dental stents as a guide (29:44)Post-op management for flaps (30:35)Pre- and Post-operative care (33:05)Ideal case for beginner Dentists (35:19)Placement of sutures (36:28) Check out Dr.Reeda Wadia’s Perio School Check out Reena's Crown Lengthening Live course on a Sunday in London! If you liked this episode, you might also enjoy How to Save ‘Hopeless’ Teeth with the Surgical Extrusion Technique  Click here for Full Episode Transcription: Opening Snippet: When you start taking on more complex restorative cases or you start doing smile design cases. These kind of cases you tend to appreciate that there are two other types of disciplines or too hard skills that really benefit a lot of these patients. Jaz’s Introduction: Number one is orthodontics like a lot of my restorative patients, they will really benefit from pre restorative orthodontics and that makes sense. Okay?With ortho you can actually intrude teeth get the gingival levels even you can actually make your dentistry less invasive, less prep by getting the teeth in the right position. But the second one is actually soft tissue related more and more and more to get the gum lines even or what we call aesthetic crown lengthening. There is a huge role in the Perio.So, this episode is focusing on that THIS with Reena Wadia. Reena Wadia is someone who has really inspired me so many years and when I was a dental student, she qualified, and she’s always been a mentor to me. In fact, I’ve mentioned Reena’s name in the previous episodes as you know what Reena taught me this or Reena taught me that. So, she’s such a great giving clinician, she’s a specialist periodontist.I know you will love her, and today’s episode is talking about just CROWN LENGTHENING SURGERY where it comes to aesthetic crown lengthening. i.e. doing some sort of surgery to make the gum lines or gingival zeniths more even and presentable or functional crown lengthening. This is when you’re actually doing crown lengthening to allow you to get more of a Ferrule so you can actually restore a tooth. We’re going to talk differences how to plan for each one. What’s a post op advice to give and many more gems.Protrusive Dental Pearl:The Protrusive Dental Pearl I have for you is how to find out what KIND of BIO TYPE you’re dealing with. And the classic way to do is use a ball ended perio probe and use the perio probe has like a black ball, right? So, it’s like a black painted ball, and then you put it inside the sulcus. Okay?

Are you enjoying a fulfilling career? Is this how you imagined life would be in Dentistry? If not, are you going to do anything about it? My guest, Laura Bailey did! Growth and improvement is not linear. Taking MASSIVE action is the answer! https://youtu.be/nDloghDpYsE Check out this full video episode on YouTube! Need to Read it? Check out the Full Episode Transcript below! Protrusive Dental Pearl:  Write something down that you're going to change in your life or your work, and then COMMIT to it until you get the desired result. I’ll say it again, commit until you get the desired result! Here with me is someone who commits to take a massive action, Laura Bailey, whom I work with on Fridays (we are both a little crazy and we love cricket - dream team!) “But you can't expect to know everything and be able to do everything.” - Laura Bailey In this episode, we discussed: Principals taking risk with their young associates - business side, implementing treatment?Building healthy relationships with colleaguesSigns to look in a clinic for young dentists/therapists to work inTaking a leap of faithHaving a nurse support system Check out Laura Bailey on Instagram! If you liked this episode, you might also enjoy How to Win at Life and Succeed in Dentistry – Emotional Intelligence Click here for Full Episode Transcription Opening Snippet: Have you ever been in a situation in your clinical practice that you’ve been unhappy, or you felt something is lacking? Or you just think that where you need to be as a dentist, as a therapist, as a student, whatever you are, you’re not living to your full potential. Jaz’s Introduction: I’ve been through something similar before, and I guess I took massive action. And I don’t want to elaborate too much of my story because my guest today is just going to do so much justice with this episode and I want you to hear her story because it’s just so inspiring.I just love everything that Laura Bailey has achieved and you know, she’s going from strength to strength and I’m going to introduce her properly in a moment, but to just rewind the year a little bit with myself, when I woke up from my Saturday job was working in this mixed fixed practice, I got to a stage where I had this sick feeling in my stomach and I looked at my wife and I said “Sim, I don’t think I want to go to work today.”This is something that I’ve never felt this way forward, I’m a bit of a workaholic and I just I just felt like it was toxic, not because the practice was toxic, whatever it’s just that I at the time, in the system, in the place I was working, I felt that I was just overworked and I felt as though I was not achieving my goals as a dentist. Achieving my goals as someone who loves to learn and grow as a dentist. So, at that time I felt as though I had to take massive action.And I took massive action because I handed in my notice and eventually, we moved to Singapore, like we did something absolutely crazy. Okay, so the theme of this episode is to take massive action. Now, my favorite definition of massive action. What I mean by massive action is to commit to taking action until you get the desired result. Let me say it again, you commit to taking action until you get your desired result, and it sounds very easy to do, but how many people think of us about doing something? They toy with an idea, or the risk is too great and they and they shy away.What I mean is that you commit to something and then you work on it until it gets done okay? They make it even more tangible for you. Okay? Imagine you’re a dentist who has done lots of courses, now an implant, okay? And you’re just getting one or two implant cases a month and you’re like, whoa, this is I mean, I made this huge investment in time. I feel as though implants are my passion and I’m just not getting enough cases to actually make it worthwhile.And maybe then you lose your mojo, you lose your excitement,

TIME SENSITIVE - 50% off Maciek's Online Contact Point Ambassador Course! Click here Let's face it, Class IIs may be our bread and butter Restorative Dentistry but they are ANYTHING but simple. In some scenarios, achieving a perfect contact on a class II restoration seems impossible.You have likely been in a scenario where everything is going to plan and your matrix is looking like it will achieve a lovely contact area - however, as soon as you insert the wedge or tighten the band (circumferential matrices) the matrix leans away from the adjacent tooth, revealing a ghastly looking open contact. How can we overcome this? Is soft tissue removal an option? In this Group Function, I’m again joined by my boy Dr Maciek Czerwinski who answers this emphatically! https://www.youtube.com/watch?v=V6pu7FLb9Kw The full episode! Minor video issues with Maciek https://www.youtube.com/watch?v=cvX-oaEaqUI How to do Teflon Floss Technique - the Main Interview Podcast Video has some syncing issues, please bare with us! Need to Read it? Check out the Full Episode Transcript below! “If you use the stiff wedge, if the wedge is too big it will just move the matrix (and you lose your contact), but if you've got something soft, it will go under the curvature of the matrix, and then it will just self adapt.” - Dr Maciek Czerwinski In this group function we also discuss: Is it necessary to remove soft tissue? - Why? How? What to use? How to improve the contact areaWhy and when to place an orthodontic separator to help your future restoration Tired of spending hours just to customise your stiff wedges and matrices? Check this gem shared by Dr Maciek - FINALLy the video on how to do the Teflon Floss technique (as promised in the episode): Also, Dr Maciek is giving 50% off to all Protruserati up until June 30. Click here to check it out! I have done his online course and it was very comprehensive and is guaranteed to improve your contact points no matter how tricky the situation. It is an all-encompassing direct restorations online course - with play by play explanation of matricing, wedging, ring selection and isolation! Click on the image to check out Maciek's course! If you have any other questions that would make a good group function, please do message me on @protrusivedental Instagram page or the Facebook Page If you enjoyed this, you might also like my other episode with Dr Maciek Czerwinski on Which is the Best Matrix System for Class II Restorations  Click here for Full Episode Transcription: Opening Snippet: When I first saw this I was disgusted when I first saw this I was like you're removing healthy papilla, you're gonna destroy the biological width. The patient will die, the patient will get necrosis you know all these things. Jaz’s Introduction: Have you ever had that scenario where you’ve got your matrix band in and you’ve got this lovely looking contact area and thinking great there’s gonna be a home run restoration but then you put in your wedge and okay the whole contact is now open right? The matrix that was beautifully contacting the adjacent tooth before is no longer contacting that tooth. What’s happened there and how can we overcome this really simple basic but daily bread and butter issue? I’ve got none other than Maciek Czerwiński obviously came on to do an amazing episode all about Matrix Selection which is the best Matrix and I hope you enjoyed that episode.So today we’re gonna be talking about this class two woes. Do you make these class two mistakes? We’re gonna be talking about the importance of recognizing how to overcome this issue that as soon as you put wedge in the contact area opens or the second scenario is the importance of soft tissue removal. Like I couldn’t believe that when I spoke to Maciek, He revealed that in 70% of his Class II cases he’s having to remove some soft tissue.Now if you’ve seen some of his work on Facebook you’ll see why he’s dealing with some p...

A fun little comparison episode discussing the differences between Dentistry in the States and in the UK - in this episode I am joined by the host of Dentistry Rising podcast, Dr Bette Robin! https://youtu.be/N_u8LkD8EnY Need to Read it? Check out the Full Episode Transcript below! Dr. Bette Robin, who desired to make a massive change in her life and left clinical Dentistry some years ago and went in to Law and practice sales - she never looked back!  Join us in this light hearted discussion where we chat about: Cultural differences in USA vs UK Dentistry - dental school, earnings, biggest barriers, treatment plansHow the national health systems compare Finding different paths out of DentistryHow to become a better communicator  SplintCourse update: Enrolment ends on Monday 21st June! Enroll now by clicking here to join a community of Dentists around the world who want to End Splint Confusion!  If you enjoyed this episode, then do check out Dr. Bette Robin on her Dental Rising Podcast You might also enjoy The American Dental Dream – PDP002 with Dr. Kristina Gauchan! Click below for full episode transcript:  Opening Snippet: Is another cultural difference I mean dental cultural difference is that we have this perception in American dentist that you guys are, no offense. You guys are really aggressive like treatment plans is that you guys are like you know you got like two hand pieces of his big fat burs and rages crowns everything. Jaz's Introduction: Hello, Protruserati. I am Jaz Gulati and welcome to this interference cast all about the differences between UK and US dentistry. It's quite a light hearted interference cast view today with someone very special. Her name is Dr. Bette Robin, and she's the host of Dentistry Rising podcast. And it's from podcasting. And her being a dentist actually doesn't practice dentistry anymore, which is actually interesting. So we'll discuss that in a moment. But her also being a podcaster in the dental niche, we sort of connected on this software podcasting platform. We joined this weekly mastermind all about communities and online courses. And we're both part of that. And what are the odds that two dentists, who podcast who re also interested in running successful online courses were eeting together. So that's what he story of how I got to meet Dr. Bette Robin. And then I got o listen to her podcast and t's really great. I really like er voice actually. So we had a ery light hearted discussion bout the differences, the ultural differences in USA ersus UK as a dentist, what are he earnings like? What are the iggest barriers like? One hocking thing for me was the evel of debt that US graduates an land themselves in. But also he understandably was quite hocked to learn about how the ational Health System works ere in the UK. So it makes a ery interesting sort of fly on he wall sort of listening istenership you guys, let's oll to the main interview, and I'd catch you in the outro. Main Interview: [Bette]Well, I'm here on the Dentistry Rising Podcast today with Jaz Gulati, who's a dentist in England. And Jaz and I met on an online study club on how to do online classes. And I was just absolutely thrilled that in the small little study group that another dentist joined. So what part of England are you from Jaz? [Jaz]Hey, Bette, thanks so much for being on. I'm enjoying doing this sort of joint thing with you. And like you said, you mentioned, what are the odds of two dentists in this very small, little micro niche, finding each other. So that's been fun in the last, I guess, three or four months connecting with you on that I'm based in London and Reading. So it's a place called Reading, but I guess most of your listeners will obviously know, London in England. And that's where I practice as an associate. I also have my own podcast, the Protrusive Dental Podcast, obviously this is going on both of our podcasts.

How to do Deep Margin Elevation? What are the most important factors in achieving high bond strengths for our restorations? I sometimes look at modern onlay preps and think, 'God MUST exist', because I think it's a miracle how these flat, table-top onlays stay on! I am joined by a world-famous educator in Biomimetic and Adhesive Dentistry: Dr David Gerdolle David Gerdolle, based in Switzerland, introduced me to contemporary ceramic onlays 8 years ago. It took me 3 years to convince myself the techniques would work in my hands! In this episode I want to fast-forward your progress so you can gain more perspective on adhesive restorations and DME (Deep Margin Elevation). https://youtu.be/cOkEAaawgdI Super pragmatic and scientific bonding principles! Need to Read it? Check out the Full Episode Transcript below! Protrusive Dental Pearl: How can you show patients what shorter anterior teeth might look like to them discing them down? Use a black Sharpie marker, colour in the part of the edge (maybe 0.5-1mm) that you’re considering removing. Take photograph and show it to them! It helps if their mouth is open for the photo so we see the dark backdrop of the oral cavity. With the knowledge of Dr. David Gerdolle and biomimetic dentistry, we discussed how it is possible to bond a material to the tooth structure in those 'table-top' style, flat onlays.  It doesn’t happen magically. It’s about the nitty gritty detail, the micro steps and respecting certain criterias. “If you don't remember anything of your bonding protocol, just remember that, it has to be clean and rough” - Dr. David Gerdolle Clean and Rough, that's it right there! In this episode, we also talked about: Failures in using biomimetic dentistry and what we can learn from that How these restorations have resistance form Bonding protocol step-by-step for adhesive dentistry Deep Margin Elevation - how to do it As promised, DM me on Instagram @protrusivedental for the PDF copy of the steps of deep margin elevation.  If you enjoyed this episode, then do check out Dr. David Gerdolle for more courses. You might also enjoy Ceramic Onlays from Preps, Temporisation and Bonding Protocols by Nik Sethi! Click below for full episode transcript: Opening Snippet: We have to compensate with the thickness of the inlay so that when we see fancy inlays, 0.3, 0.5 thickness of ceramic on Instagram, it can work if it's bonded on enamel. So if it's Niroshan case, bonded on enamel, which is very stiff, it's okay we don't need two millimeters that most of the time, which is that on dentine. Jaz’s Introduction: I know I’ve covered the theme of onlays before, it’s not new for us. But do you remember the first time you saw one of those onlays, the lithium disilicate onlays, which are like bonded on essentially what looks like a quite a flat tooth. And the first time I saw it, I was like, no way, this is not going to stick. I don’t believe it, I don’t buy it. I’m going to stick to my conventional crown preparations. But you know what, seeing these more and more now is great. And in my hands, they do work. And it needs a proper discipline and protocol, which we’re going to discuss today with someone who’s absolutely awesome. It’s David Gerdolle. And it was David Gerdolle around about eight years ago, I attended one of his Dentinal Tubules lectures live in London. And I just couldn’t believe it. That’s the first time I thought, whoa, this is crazy. This is insane. How could this ceramic stick to the tooth, it just didn’t make sense to me, right? But what I learned from that day has stuck with me for such a long time forever as part of my clinical protocols. And that is the following A) you just need a clean substrate and B) you need to have enamel. If you’ve got enamel circumferentially, these onlays can be extremely successful. And to take that a few steps further. I’ve got David on today to share some steps,

'The Riches are in the Niches', apparently. In the last episode we already touched on the topic of finding your niche but this time we were able to dive deep in to this. Will your career sky rocket when you find your niche? Or are you better off being the jack of all trades?  What are the benefits of finding a niche, how to go about it? And what does it ACTUALLY mean? https://youtu.be/aGniihvrNpg Need to Read it? Check out the Full Episode Transcript below!  Protrusive Dental Pearl: a Challenge for you - grab a pen and paper and write down ALL the clinical procedures that you LIKE to do, and then also what procedures you would like to do MORE OF. Figure out where your niche could lie. And don't forget, it's not a race! It helps helps to make a list of procedures that don't excite you (for me, I have no affinity to facial aesthetics!) My guest, Dr Pav Khaira is a MASSIVE geek and I loved that he quite openly admitted to failure in the past and helped us learn some lessons. I also enjoyed hearing that it is TOTALLY FINE to change your niche as you mature as a clinician. In this episode, we talked about: Being a super GDP vs niching down?Young dentists rushing to find their nicheIs it okay to niche too soon or is too late to find your niche?The opportunities of learningBecoming a ‘go to dentist’The downside of niching  If you enjoyed this episode, then do check out the Dental Implant Podcast by Dr. Pav Khaira. You might also enjoy 6 Signs You are a Comprehensive Dentist! Click here for Full Episode Transcription:  Opening Snippet: So I think the issue with trying to niche down too soon is have I jumped into implants right from the start. Well, actually, I'm actually a better implant surgeon now, because I understand chronic pain, I understand well, actually, I understand the forces going through my implants, forces going through my implant prosthodontics. I know how to deal with them... Jaz's Introduction: Find your niche. Now, that's a saying that's probably been bonded around a lot, in all the sort of circles of career advice is something that I heard a lot in early on my career. And it never fully made sense to me. I'm hoping it's gonna be this episode that's gonna make the whole concept of finding your niche tangible. What are the benefits of finding a niche, how to go about it? And what does it actually mean? Now, I'm joined by someone who is quite inspirational for this episode, because he is someone who's quite openly admitted to failure in some ways. And I do believe failure makes you stronger. And we talk about some struggles and failures early on in his career. And I'm very honored that Dr. Pav Khaira shared those failures with us because that's how we can learn about others experiences. It's not all rosy out there. And with that failure, or with the struggles, he was forced into trying different procedures, try and boost revenue for the practice. And through all that, eventually, he found his niche. And then he changed his niche. So he is a living example of no matter how qualified how many years of experience you have, that if you still are looking for that right niche for you within dentistry, then opportunity is still there. And if you're at the very early start of your career, just use this episode, use the lessons from Dr. Pav Khaira as an inspiration to helping you finding your next steps and your niche. Protruserati,I'm joined by Dr. Pav Khaira from the dental implant podcast to talk about his niching down into implants, my fears about dabbling into implants and my challenges in terms of getting started with implants and the recipe to finding your own niche, whatever that may be for you. So the very relevant Protrusive Dental Pearl I have for you today is to sit down. And maybe at the end this episode, just take five minutes to get a pen and paper and write down all the procedures that you like to do, all the procedures that you'd like to do more of and get known for.

George Cheetham, known as George The Dentist, is a restorative dentistry expert and social media educator. In their discussion, he shares insights on the growing trend of composite veneers versus simpler alternatives like teeth whitening. George emphasizes effective patient communication and the significance of documentation in practice. He also delves into the pressures faced by young dentists today, offering tips on enhancing online presence. Plus, he shares thoughts on the importance of humility and collaboration in delivering quality dental care.

'An average Dentist working with an excellent Technician can go very far', was the message my old training program director gave me. Technicians are often the unsung heroes whilst the Dentists collect all the praise and accolades. Who do we blame when things go wrong? Our technician, of course! Not fair at all - this is why I welcomed RDT Graham Entwhistle of Trueform Dental Laboratory to air his frustrations at Dentists - you will pick up some great tips here to improve your working relationship with your dental technician! https://youtu.be/NRDdRCg-9QI How to work better with your dental technician Need to Read it? Check out the Full Episode Transcript below! Protrusive Dental Pearl: Use websites like Loom or even Whatsapp to communicate with video and voice with your technician. Great, clear communication will ensure expectations are met for both parties. SPOILER - the 5 things that Technicians wished we Dentists knew: Dentists need to improve their communication! Back to basics - if you want better work, you have to fill a better prescription form. Even just the lack of basic info drives technicians mad! We also discussed about Ivoclar Ingots for your ceramic Make sure your tooth preparation is appropriate for your material selection! Decide the material BEFORE you prep the tooth! Your impressions need to be clearer please! Do you always check for distortions, drags or voids? Could you consider trying Impregum? Shade guides - they can vary and can discolour over time. It's important to ensure the shade guide matches your technician's and the materials they use. Acrylic shade guides will discolour over time! We share some shade taking advice for Dentists Do you etch your own ceramic? If not, why not? Take control of your bonding, consider etching yourself to prevent ceramic over-etching. You can't hold your technician accountable for your bond strength! Check our Graham's work on Instagram! If you liked this episode, you will also enjoy the classic with Jason Smithson on eMax Onlays and Vertical preps! Click here for Full Episode Transcription: Opening Snippet: So do you trust your tech and if you ask for your etching to be done in the lab and then obviously the ultrasonic clean everything here but you're gonna hold me accountable for your bond because i've done the etch but then you've tried it in and you've had to re-etch i don't think your tech should ever be accountable for your bond i think that should be down to yourselves and when it comes to itching again back to communication tell me what you want and I'll do it... Jaz’s Introduction:When I was a foundation dentist, my training program director was Raj Rattan who some of you may have heard of his speeches, his stories are famous in the dental circles. He was a great guy, and he gave some really good advice to me. He said, ‘Jaz make sure you pick your technician very carefully.’ Because an average dentist with a good technician can go very far.Hello, Protruserati, I’m Jaz Gulati and welcome to this episode about five things your technician wish you knew. This episode is all about some things that we can learn as dentists from our buddies, the technicians, who honestly they work so hard and do such a great job for us. It’s such an important job, we’re the ones who take that final photo and upload it to social media. And we get all the accolades and the applause.But it was actually the technician who made those veneers or technician who made that beautiful crown and made it blend in with all that natural anatomy. So I think technicians need to get the praise that they deserve. And I’m hoping this episode, they can actually contribute in another way. i.e., I want Graham who is the technician. Graham Entwhistle, I want him to share his frustrations with us our basically learn what it is that we can improve so that it makes our technicians lives easier, and produce better work for us overall.