Protrusive Dental Podcast

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...

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,