Protrusive Dental Podcast

How does Orthodontist Mandeep Gosal feel about GDP 'Alignment Only Orthodontics' - in this hilarious episode (where I compared Orthodontists to builders) Mandeep 'Gos' shares his thought provoking views on how Orthodontics should be carried out (and how it shouldn't!) https://youtu.be/eH_gfNc0IqY Need to Read it? Check out the Full Episode Transcript below! This episode will be 'unlisted' on YouTube so it cannot be searched. For lots of reasons. Protrusive Dental Pearl: For better portrait photos (Extra-oral) - point the ring flash to the ceiling! I use F8.0, ISO 800 with my Canon 60D body, 100mm lens and Canon Ring flash. This is the difference in lighting compared to point the ring flash at the face: One of the best bits from this episode I thought was Gos' description of the 3 types of consent being carried out for Orthodontics. Which one did you identify with? If you enjoyed Mandeep Gosal's style of teaching, do check out his Orthodontic course for GDPs. If you enjoyed this episode, you will also like 5 Lessons from Lincoln Harris where we also discuss consent in Dentistry. Click below for full episode transcript:  Opening Snippet: The first statement I'm going to make is you cannot do any kind of compromise treatment if you don't know what the comprehensive treatment entails.. Jaz's Introduction: Hello, Protruserati. I'm Jaz Gulati and welcome to the second episode of straightpril today we have a specialist orthodontist Dr. Mandeep Gosal following on from that last episode with the general dentist, Dr. Nick Simon, who does a lot of ortho. Let's get the specialist perspective in because what we're talking about is alignment only orthodontics, right? How does that sit with a specialist? What do they think? And more importantly, how can we serve you the dentist listening to this who wants to do more orthodontic cases, but you're having to accept "compromises" right? Compromises in orthodontics, I explained it a little bit in the last episode. It's like imagine someone's got a large overjet and they got crowding but you only treat the crowding but you leave them with a large overjet, that is a compromised, that is potentially alignment only orthodontics, but is that the right thing to do? That's exactly why I had Mandeep on today to speak about really saucy, really controversial, really cool topic and I think 'gos' as we call him did a fantastic job today I think you're in for an absolute treat. He's no stranger or he's not fearful of the the beautiful controversy this poses and I'm know you're gonna find this episode really entertaining. The Protrusive Dental pearl I want to share with you is to help improve your portrait photography, right. So if you're doing orthodontics, you're probably already taking portrait photos, I use my normal setup my Canon body, my ring flash, my lens, my macro lens, so I'm just using it for also my portrait photography. Now, a tip that I learned from Dr. Alina Ruzanova who's an Estonian dentist, and she creates content for ripe global, and she has this fantastic several hour anterior dentistry series on ripe global, which I highly recommend you watch and I'll put it in the show notes. So you can click on it and find it when you go to a protrusive.co.uk website. The tip that she gave me which really improved my portrait photography with a ring flash is the following. So without having to change my flash system is instead of pointing the ring flash at the patient, when you're taking the photo, you actually detach the ring flash and you point it to the ceiling. And that gives you a much softer lighting like just look at the photograph I'm showing you now on the screen. This is before I started using this trick. And now this is after I started doing this trick now the annoying thing now is the poor before and afters I'm getting of those patients who I saw before I change the technique. It's annoying because the lighting is not consistent.

We don't refer all our extractions, root canals and crowns - then surely there is a role of GDPs to carry out Orthodontics? In the last 10 years we have seen a boom in GDP Orthodontics and much of this is 'Alignment Only Orthodontics'. Protruserati, welcome to Straightpril! https://youtu.be/EuHTN4CXCxs Dr Nick Simon shares his journey and advice with Jaz Need to Read it? Check out the Full Episode Transcript below! In this episode we discuss: How GDPs can get involved in OrthodonticsWhich, according to Dr Nick Simon, is the best Orthodontic system for GDPs?His views on all the Dentists jumping on the Invisalign bandwagonHow significant is the loss of anterior guidance in 'STO' (Short Term Ortho) casesThe 2 most common mistakes GDPs make while carrying out Orthodontics Sponsor: Did you check out the Mini Smile Makeover course? You can attend again in the future at no additional cost - THAT's awesome! Protrusive Dental Pearl: I use the Beauty and the Beast Mirror to ask patients what they hate most about their smile. It injects personality and humour - but you also find out exactly what the patient does not like about their smile! If you enjoyed this episode, you should also check out Are Class I Molars Important? With Dr Mo Almuzian Click below for full episode transcript: Opening Snippet: There aren't any systems that are better than each other. There may be an educational system and i do believe that the IAS from what i have experienced because it travels from simple to complex removable to fixed... Jaz's Introduction: What's the best thing about online courses like i mean i've done a lot of online courses and even more in-person courses and what i love about online courses is the ability to rewind and re-watch and skip forward and to go to that exact point which you need which sometimes in like an in-person course if you're watching someone do a technique or if you're in a lecture component you sometimes just relying on your notes thereafter and you lose that magic of revisiting that exact moment which you can with online courses. So i think the future of dentistry and dental education is very much online courses i mean i know in-person courses has its place but there is something magical about the revolution with online courses in dentistry, however and it's a big however is because i want to tell you about the mini smile makeover course this is a sponsored episode by enlightened and mini smile makeover but i wanted to give you some context and perspective right? So online course is awesome because you get to revisit. Now what i loved about the mini smile makeover course where i went around about 18 months ago so and really enjoyed all the pearls that Dipesh Palmer shared and i relied on my notes and the little handouts they gave but the beautiful thing about the course is that they allow you once you go on the course and you become a delegate, they allow you to come again in the future and sit at the back so you're not actually you don't actually get to the hands-on bit again because obviously that's for the paying delegates but because you've done their course you get to sit in the back and you can bring your laptop you know note making and sometimes the ability to re-watch that live presentation, the live lectures and the beauty of being able to network again with fellow dentists is just sensational. So i think that's a wonderful model to carry out dental education i actually really wish and hope that this catches on and other course providers will also allow you to you know once you go on their course allow you to come again in the future and just sit in the back and absorb and that's another reason why when someone asked me which composite core should i go on i'm very quick to recommend the mini smile makeover of course because of this ability to go again and i look forward to joining them this summer for my revisit. Hello Protruserati .

Canine guidance is overrated. Read that again. Crazy, I know. In this episode, one of my mentors Dr Riaz Yar explains the rationale of a functional occlusion whereby the pillars are the central incisor and the first molar. https://youtu.be/aQRQ43R4Obg Dr Riaz Yar is SUCH a good Educator I found some similarities to the Posterior Guided Occlusion (click to listen to the episodes by Dr Andy Toy) in that we place too much emphasis on canine guidance. Need to Read it? Check out the Full Episode Transcript below! Protrusive Dental Pearl: There is no joy in mediocre DentistryDr John Kois I hope you find this episode stimulating - and if you are a true protruserati, you will be grateful for another point of view AND NOT be upset that we all can't agree with each other, haha! Stay tuned for STRAIGHTPRIL! Did you miss out on SplintCourse enrollment? It will be relaunching in June - click here to register for the launch offer Check out Dr Riaz Yar's courses here - his book will also be launching in Q4 2021 - watch this space! If you enjoyed this episode, check out Posterior Guided Occlusion with Andy Toy! Click below for full episode transcript: Opening Snippet: I just couldn't get it out of my head. It took, you know, years and years of reading and reading and reading. I just, it just never comfortably sat in my head. And so there was always this niggling doubt and it always hit me when someone asked me a question, you know, and the biggest question that always got me. If the canine tip's well, why would you give them canine guidance again?... Jaz's Introduction: Hello, Protruserati. I'm jaz Gulati and welcome to Episode 66 of the Protrusive Dental podcast. Are you feeling a little bit less stressed off that phenomenal episode where Manuela Rodrigues which was Episode 65, which is all about how we can be more mindful in dentistry. So thank you again Manuela for that. This episode, I had to just squeeze in occlusion one more time before we came to the end of March because April is straightpril. Okay? Doesn't quite have the same ring to it as splintember but, you know, give me some props here straightpril is not bad. So it's all about orthodontics. Next month, we're gonna talk about retention protocols, the do's and don'ts of aligners elastic in aligner therapy, and the whole GDP vs specialist debates. So we have a GDP, and specialist on so you get both perspectives. So that's all coming in a few weeks very soon. Before we dive into the meat and potatoes of the main episode, just want to share some news with you guys some really cool news, the splintcourse enrollment, which some of you, many of you took part in, has ended and oh my god, it was phenomenal. I'm so pumped to have delegates from all over the world from Taiwan, Singapore, UAE, India, Australia, New Zealand and Europe. It's great to have a real community of people who just want to learn about splints. And already we've got this secret Facebook group, everyone's posting cases. And it's a really special group that's really engaging, I just want to share with you the feedback I got from the very first delegate who finished splint course his name is Nasir Javaid. And this is what Nasir had to say about the splint course, "What a brilliantly put together online course. This course is bursting with educational gems, patient videos, detailed explanations and easy to follow and digest format, you can tell a lot of thought has gone into preparing and delivering this course. And it's directly relevant to everyday practice makes it most engaging. One of the most value for money courses I've ever done. Thanks Jaz." Well, that is just spectacular. For my first delegate who's finished it, what can I am just absolutely made up after that feedback. Nasir, thanks for being the first delegate to finish and since now I'm recording this five people have finished a splint course entirely. And the feedback is just great.

This is THE most common question I get - 'Jaz, can you just tell me which camera to buy for dental photography, I am so confused!' I'm no mug when it comes to Dental photography, but I wanted to get a real expert to help answer this important question. I present to you Alessandro Devigus from Switzerland who owns the @dentist.camera Instagram page (which I love). https://youtu.be/q3VkbMLhsn8 Need to Read it? Check out the Full Episode Transcript below! I was shocked that he recommended a Mirrorless set up - but I totally understand his rationale. Here are the links to the products he mentions: Budget Setup Nikon Z50 Mirrorless Camera Body - ensure the kit comes with a FTZ Nikon adaptor so it works with the lensNikon 85mm Macro Dx LensMieke Ring Flash for NikonBudget setup for excellent Dental Photography The 'Posh' Setup A Canon or Nikon Full Frame camera, with a 100mm macro lens and 2 x flashes mounted on a bracket - pick your favourite brand eg Nikon or Canon. It's all good! If you enjoyed this episode, you may also enjoy the IMPORTANCE of taking photos in your Dental Journey, check it out! Click below for full episode transcript: Opening Snippet: Hello Protruserati. I'm Jaz Gulati and welcome to another group function. Today’s mission is to help you figure out, which camera to buy? Like I am absolutely inundated with messages and one of the messages I get is, “Jaz can just tell me which camera I should buy?” Like people we don't want to do all the homework and the research and why should you right? Jaz’s Introduction: Nowadays there’s too much variety there’s Sonys, there’s Nikons, there’s Canons, there’s a lot of variety and it can get very confusing to know which setup is for you especially when some gurus will recommend a 60 millimeter lens and others will recommend a 110 millimeter lens or something and a different ring flash and a bracket system. It can get really confusing especially if you’re buying your first camera.So I got an expert Dr Alessandro Devigus who owns the instagram page dentist.camera which is just brilliant right? Because what he shares is every dentist who’s passionate about photography they share their setup, what are they using on that instagram page. So definitely check that one out. The question I’m answering for you today guys is if you’re on a budget, you’re a new grad and you’re going to buy your first camera, which camera does Alessandro think you should buy and then also he’s answering the question if you are an established dentist in the sense that you’ve got a bit more money and you’re maybe looking to upgrade your set which is the bells and whistles one that he would advocate.Now bear in mind that Alessandro is team Nikon and I’m team Canon, so obviously he’s going to recommend Nikon right? So it’s totally cool honestly. When you get a Nikon or a Canon, it’s not going to make a world of difference at all. I would probably go with the setup that he recommends which I’ll keep in as a suspense for you obviously. The thing that people will probably also want to know is what is my setup, what am I using.Well I’m using a very old model. I bought this like eight years ago right? I’m using a canon 60d if I was getting my setup all over again if I was a new grad and instead of getting the 60d which was pretty good back then I’d probably now get the canon 850d, I’d get the 100 millimeter macro lens which is still the same one I have today and I’d get a ring flash. Now I know you can get twin flashes and you get the sexy line angles and stuff but I think when you’re starting out in photography you want consistency and you want to be able to take effective occlusal shots and you don’t have to faff around too much.So I think start with the ring flash. It was designed for this kind of stuff, it’s brilliant and it’s going to get you a lot of good shots and you cannot, you can even be artistic with it. You can actually detach the ring flash part and sort of p...

You place some veneers and your patient leaves in tears of joy. Imagine getting a letter a few weeks later to tell you that the patient now HATES her veneers and would like a full refund. That is soul destroying stuff, and it's NOT about the money! https://youtu.be/LCAhjm9ymy8 Dr Rhode to the Rescue! Need to Read it? Check out the Full Episode Transcript below! Within the context of this specific scenario where 6 veneers were placed, we discuss: A. How this could have been prevented B. How to handle the veneers that are 'bulky at the gumline' C. How to handle this refund request...! I want to thank Dr Manrina Rhode for yet again adding so much value for the Protruserati You can check out her course on Designing Smiles website If you liked her episode and want a full hour of Veneers from preps to Temps, check out Everything Veneers with Manrina Rhode Click below for full episode transcript: Opening Snippet: You pour your heart and soul into a treatment. You like study extra, you go on extra courses, you want to give your patient the best they can get so when it comes to like cosmetic dentistry, veneers remember your first couple of veneer cases like you really think about it. You really go that extra mile to make sure your patient is ecstatic at the end and then you get a letter saying that I would like a refund for my veneers like that crushes you right? Jaz’s Introduction: So this my friends is something that was experienced by one of the Protruserati. She’s going to remain anonymous and I really wanted to help her. So I’m recording here on Sunday as in like an emergency episode I message Manrina Rhode, veneer queen who else right? About how to tackle this scenario.So the scenario is basically you do some, you place six veneers for a patient and she’s really happy, she approves the try-in, she approves a mock-up even, she signs your consent form, she leaves really pleased on the day that you fit the veneers and then you get a letter and you think this letter is going to be a thank you letter but actually it’s letter say that I have gone and got a second opinion from so-and-so dentist pg, dip aesthetic dentistry and implant density blah blah and we both agree that the veneers are too bulky.So the main complaint was actually I think by the gum line they’re too bulky and I don’t like them anymore without actually telling the dentist. They just wrote in like out of the blue right? And I would like a full refund of all the treatment. So this dentist wrote to me to say that she’s really upset that this has happened and she followed the whole protocol and she worked so hard and she’s a really awesome progressive forward-thinking dentist who has put a lot of time and money into her education so I felt really crushed for her because of one sentence she said that she’s really lost confidence in herself. And we will all lose confidence in ourselves in some procedures throughout our career.It happens it’s inevitable and I want to make this episode to help her out and so that we all as a group can learn because we all have patients, veneers patients in particular right because I’m happy to say that patients who come seeking veneers they’re all a little bit crazy let’s face it. They’re a little bit crazy I think and we have to be wary of body dysmorphia. So I pitch this scenario to Manrina Rhode, how would she advise handling a scenario A) had to prevent this from happening in the first place that you don’t have an unhappy patient. B) now that a patient has complained of bulk veneers, is it okay to prep them down? How do you manage that? and C) should this dentist give the money back to the patient? What does Manrina think? I actually felt bad about asking Manrina this last question because very tough question to ask. I really twisted her arm at the end so anyway I hope you enjoyed this group function and I hope you gained value from it thank you so much.Main Episode:Veneer queen,

I gave Manuela Rodrigues one task: to reduce the stress levels of Dentists and the Dental team who listen to this episode. https://youtu.be/cNY_2QLWTuI With Mindful.Dentistry Manuela I know what you're thinking...the whole positive mental attitude thing goes straight out of the window when a file has separated or the palatal root of the upper molar has been swallowed by the sinus. This is why I wanted Manuela to make this a highly relevant to the daily stressful scenarios we face. How can we make our profession less stressful, Manuela?! I pitched to her 3 different scenarios: When things are just not going right at work - think of TOUGH treatments/patients Litigation. Having a case over your head is one of the most stressful, gut-wrenching, confidence-destroying experiences a Dentist can have. Running late. I am SOOOO guilty of this and is the number 1 daily cause of stress for me! As Manuela promised, you can get 25% off her Mindfulness in Dentistry training by using the code 'protrusive' Do follow Manuela @mindful.dentistry on Instagram If you enjoyed this episode, you will like 10 Habits of Highly Successful Dentists Click below for full episode transcript: Jaz's Introduction: Dentistry is a highly stressful profession, so you have to be able also to balance it with investing on your mental health, investing on your mental well being with things that better prepare you for the highly stressful days. Jaz’s Introduction:Hello Protruserati, I'm Jaz Gulati, and welcome to another episode of the Protrusive Dental Podcast. Today is going to be really monumental, we're talking about stress. This is an episode I hope will change your life. Let's face it guys, we're part of a really stressful profession. The thing that really brings it home to me is that actually, every profession can be difficult. Like, even ask the guy who works at McDonald's. He will tell you his job is stressful. Right? Or ask the hairdresser when she's got a long queue of customers and she's got a really picky client who she's cutting hair for. Then she will tell you that, oh my goodness, this is a lot of stress. My profession is the most stressful. So everyone has a case and an argument for their profession being the most stressful. So, in dentistry are we really such a stressful profession? Well, I think so. Let me tell you why, right? I listened to a podcast episode who my good friend, Payman Langroudi and Prav Solanki run, Dental Leaders Podcast, which by the way, I was on recently, so if you haven't checked that one out, do check it out. And he had someone called Tom Youngs, who was a dentist not even just a dentist, a phenomenal dentist, like a really amazing clinician who posted lots of YouTube videos lots of great clinical cases, and you'd think, wow, what a great dentist, but then he left our profession. He started to work for a, I believe it was a, a startup, like a tech startup. And then he had a few years with them and he's, I believe he's moved on perhaps from there. I'm trying to remember that podcast episode I listened to, but the long and short of it is that he has been a dentist and he's experienced lots of other sort of professions as well. And then on the podcast, he says that. Dentistry is by far the most stressful profession. So that's one example I can give you about but you don't need to know that, right? You don't need me to convince you that our job is super stressful. Let's face it, right? As Lincoln Harris said in many episodes ago on the podcast that we're a surgical specialty and really it should take about 11 or 12 years to train us like in the medical fields. But we only get 4, 5, 6 years of dental school and we come out of dental school with not so much confidence and not so much experience. So we're kind of learning on the job as we go along. It's the truth and it can lead to very stressful moments in our career. So that's why I've got Dr Manuela Rodrigues,

'What on earth is Clubhouse?' I hear you ask. Well, it's kind of like being in a Whatsapp room with Richard Branson...and instead of typing you're all just leaving live voicenotes. It's like a Live Podcast and you get to contribute (sometimes). It's also like a cult - it's super addictive and invitation-only (at the time of publishing this). https://www.youtube.com/watch?v=s9POp8N9-Os Kevin Rose - who helps Dentists 'Think' Need to Read it? Check out the Full Episode Transcript below! My favourite thing about Clubhouse is that sometimes you're not in the right state or environment to be on video - this audio-only platform has gained a lot of popularity! I have seem some great Rooms (like a Whatsapp group) within Dentistry where a lot of knowledge bombs have been dropped. There is something beautiful about Live content that is difficult to get a replay for - the FOMO factor is real! In this Interference Cast I am joined by Kevin Rose who helps drive better conversations in Dentistry. TLDR: I think Dentistry has a home in Clubhouse - we can learn and share great content (live podcast, right?) - we can also use it to change public perceptions of Dentistry. It's probably not going to land you many patients in your chair, if that's why you're on it. You need to see a bigger picture! Click below for full episode transcript: Opening Snippet: Hello, Protruserati. I'm Jaz Gulati and welcome to this interference cast on something very topical, it's clubhouse. Jaz’s Introduction: You were thinking what the hell’s clubhouse, don’t worry we’ll cover what clubhouse is but before you continue it’s basically a new app it’s like a new form of social media where you’re just listening and you’re speaking there’s no video involved so imagine like the way I described in this episode is it’s like a WhatsApp group except everyone’s constantly like talking and interacting in that way rather than by video so that’s what clubhouse is.Is there a place for dentistry in clubhouse? I think there is and hopefully you’ll be able to see that there is a role that all dentists can have in clubhouse. So if you are already on clubhouse join the room, the clinical dentistry and communication room. I’m calling it teach preach and leech and I nicked it from a group I am part of in Singapore and this is going to be a room to just discuss clinical dentistry, your clinical issues I think in the next episode we’re discussing composite veneers versus ceramic veneers, the do’s and don’ts.The sort of things on case selection for each of those and why one may be superior than the other that kind of stuff so it’s like a live podcast if you like. So join me on Wednesday evenings at 8 p.m. I’ll put the link on protrusive.co.uk and every time I go on clubhouse at the moment I’m putting on the Protrusive dental community Facebook group. Joining me in this episode is Kevin Rose, I’ll let him introduce himself in the episode so I hope you enjoy and brings you value about clubhouse in dentistry. Main Episode:Kevin Rose, welcome to the podcast how are you?[Kevin]Very, very, well indeed thank you good morning. How are you?[Jaz]Very good, thank you. It’s my son’s first day at nursery today so I am actually super anxious, excited like he’s had like these little settling sessions but today’s like first whack so yeah I’m kind of scared.[Kevin]How old is that these days? When they go to nursery is it four, three?[Jaz]It depends. He’s 19 months so it really depends like some kids I know been you know in nursery since who are six months old or young so he’s 19 months and we thought this is the best time now for him to start picking learning a few extra things plus we’re moving out soon so at the moment I don’t know if you know, Kevin I live with my parents so since I came back from Singapore 2017, been living my parents. Finally fleeing the nest because it’s just the way it worked out. It’s somewhere closer to work so a can cut out the commute and th...

Two 'TMJ Queens' in Two Days - another tribute to International Women's Day last week and what better than having Dr Priya Mistry from USA who has limited her practice to the treatment of Temporo-Mandibular Disorders. https://youtu.be/FGVSbFjFrlw Step by Step Examination Protocol Need to Read it? Check out the Full Episode Transcript below! I first discovered Dr Priya Mistry's fantastic content on YouTube - I really enjoyed her style of content presentation. I quickly saw her grow on this platform and help so many of the public with their TMD concerns. I realised that a lot of what she has to share is not just helpful for patients, but is really useful and helpful for Dentists, especially as many of us find the TMJ to be a mystical joint! I probe Dr Mistry about her full examination protocol for a typical TMD patient so we can gain insight in to how Dentists limited to TMD get to a diagnosis - arguably the trickiest part! Some parts of her specialised exam is already familiar to us - the usual palpation and range of motion measuring. Other parts are very different, such as measuring leg-length and really analysing the postural chain. Also, there are a lot of pre-appointment questionnaires that patients need to fill in advance of the appointment. The main take-home from this episode is to figure out when to treat TMD patients yourself in practice, and when to refer to someone like Dr Mistry. I enjoyed her '4 levels of TMD' which was very easy to follow. If you enjoyed this episode, do check out the episode with Dr Gurs Sehmi where I probe him for the full protocol examination for his Smile Makeover treatments! Enrollment for SplintCourse ends on Friday (thanks for all of you who joined from around the world!) I look forward to catching you on the Monthly Live Webinars: Click here for Full Episode Transcription: Episode Teaser: Yeah what really, excuse my French but what really pisses me off right is when Dental Professionals right like we have this like closed mind and we don't accept that there are other ways there are unknown unknowns and they go by the very poor quality evidence that exists right? So I hope when I commented on your video I hope you didn't feel like I was like disagreeing with you I was just coming at a different angle I kept a very open mind. Jaz’s Introduction: Hello, Protruserati! It’s Jaz Gulati and welcome to today’s episode all about the perfect TMJ exam. I’m joined today by someone really cool. Her name is Dr Priya Mistry. She’s based in Oregon, USA and I found her on YouTube. And honestly she is such a cool girl she makes brilliant content for patients actually but I think as dentists we can learn so much.In this episode we cover about what a TMJ examination entails for her. Now, remember a lot of these things we won’t be able to implement in our practices especially for GDPs because she is limited to TMJ. She’s limited to treatment of people with temporomandibular disorders so what she does is way above and beyond what we do including like CBCT scans, a full body examination while they’re laying down so you get to hear her workflow.So what we can learn from this episode is what do these people do that are limited or specialized in the practice of just TMD. We also answer towards the end of the podcast about what is her approach to someone with disc displacement without reduction these are people who used to have clicks and suddenly they’re locked and they cannot open very much. So how does she treat this very difficult condition to treat?You see, I’ve been reading the evidence I’ve been checking out and the evidence is very varied. There’s many different ways to approach it so I’d like to listen to her schools of thought and I want you all to keep a very open mind, keep an open mind because a lot of what she teaches is not evidence-base, it’s not taught in dent schools but that doesn’t mean it’s wrong. I’ll tell you why it’s likely not wrong because the t...

When it comes to the management of Temporo-manidbular Joint Disorders, we often NEED to adopt a multidisciplinary approach. I am a strong advocate of Dentists involving TMJ Physiotherapists (yes, they exist!) to help their patients. In this episode I am joined by The TMJ Physio Krina Panchal! https://youtu.be/5KcMOfdoDhg TMJ Physios are invaluable in the multidisciplinary management of TMDs Need to Read it? Check out the Full Episode Transcript below! Interestingly enough, Physiotherapists in the UK do not cover the TMJ in their studies - it is a postgraduate niche that Krina has travelled the world to learn - which is why I respect her even more! Protrusive Dental Pearl - have you checked out the 'Bruxchecker' foil as a tool to help diagnosis of Bruxism and much more? I comprehensively reviewed this product and thought it was very clever! https://www.youtube.com/watch?v=eQLGFc82EM0 In this episode I ask Krina: Whats the evidence that Physiotherapists can help our TMD patients? What does she think is the biggest aetiological factor for TMD? What is the most common diagnosis she makes, and what is her management of that diagnosis What should a Dentist do if, after a long procedure, the patient gets acute disc displacement without reduction? What kind of cases should we be working with physios for? I will add the promised downloads on to the Protrusive Dental Community Facebook Group (are you part of the Protruserati?!) If you enjoyed this episode, check out Stay Away from TMD - why you should think carefully before niching down to TMD as a Dentist. If you want to learn about Occlusal appliance as a protective appliance, to help with pain or as part of pre-restorative management, do check out the SplintCourse which launched a few days ago with a big bang! https://www.youtube.com/watch?v=2-Yt5YmEyes Click here to download the full Course Outline Enrollment ends 19th March at 10pm UK time so I can focus on Monthly Coaching! Thanks for your support, Protruserati! Enroll now to SplintCoure Online to finally understand Occlusal appliances! Click below for full episode transcript: Opening Snippet: Because I think my most difficult patients who have found some success with splints I think you raise a great point that they're not wearing the splints during the day and I think that's where really you guys come in to re-strengthen and to stretch and relax everything. Jaz’s Introduction:Hello, Protruserati. I’m Jaz Gulati and welcome to another episode of The Protrusive Dental Podcast. Today, I am recording this introduction on international women’s day. I’m so proud to be sharing this episode with a fantastic woman. Her name is Krina Panchal.Krina Panchal is a TMJ physiotherapist and I'm a huge believer in physiotherapy to the management of your TMD patients. And I'm going to let her explain why it’s so important and how we can collaborate. So this episode basically covers when, why and how to involve a physiotherapist in the management of your TMD patients like I often refer to my patients especially when they have chronic pain.Chronic pain is a completely different beast to someone's got acute tmd. So chronic is like when it’s been more than six months and what happens with chronic pain is that they develop something called chronicity meaning that the the nerve signals that fire from the brain to the site of pain they get sensitized over time and even though that initial inflammation or strain it heals, the pain signals are still firing. So chronic pain is a completely different beast.So we can’t just rely on advice and appliances, we need to involve a fantastic speciality of physiotherapy because they are really really useful for helping our patients who suffer from tmd. And if you’ve ever wondered how to get in touch with one, what kind of diagnosis they can help with then this episode will clear that out for you.

How do you obturate yours? When I have had the equipment (and training) I have used warm vertical compaction - no doubt that IS the gold standard. However, what is the humble GDP using all over the world? I would argue that not only are we using cold lateral compaction with sealer, but in many cases, we are sticking a big, fat, tapered GP cone in the canal with a splodge of sealer around it. Is that legit? https://www.youtube.com/watch?v=GkWR7XzTHCs The million dollar endodontic question that no one asks! Need to Read it? Check out the Full Episode Transcript below! Obviously the landscape is changing with the popularity of bioceramic sealers in Endodontics - I use this time to ask Dr Ammar Al-Hourani about this too. Is single point obturation cheating? Should GDPs start using bioceramic sealers? Does it even matter? I hope you enjoy this group function - you can follow Dr Al-Hourani on Instagram via @theendoguys If you enjoyed this, you might also like my episode with another talented Endodontist, Kreena Patel, on why we hate cracked teeth! Click below for full episode transcript:  Opening Snippet: Hello, Protruserati, I'm Jaz Gulati and welcome to this group function where we answer one burning question. Today's burning question has been sent in by someone regarding endodontics, is single point obturation good enough? Jaz’s Introduction:What I mean by that is you prepare your chemo mechanically prepare your canal and now when you come to the obturation stage you just stick one of those fat master gp cones in there potentially a matching size to a rotary file you just used and then you just fill up the rest with the sealer is that good enough? See?I think this is what GDPs all of the world are doing. We’re not doing warm vertical compaction, we can be doing cold lateral compaction as a whole but a lot of times you stick the fat gp cone in and it fits well enough and there’s not enough space for cold lateral compaction. So is this technique of obturation up to the mark?So that’s what I’m going to find out today from Ammar Al-Hourani, who’s a specialist endodontist and we’re going to jump straight away. Just one thing to say is the splint course is now just under two weeks away. I'm looking to launch it on March 12th. It’s the first time I’m revealing this. So on March 12th it should be launched online. This splint course is 100% online. It's packed full of videos like my resin bonded bridge course. I thought I’m really proud of it. It got loads of rave reviews but it lacked video so I took that several notches further with the splint course and you’re basically like watching me like you’re like over the shoulder kind of training while I’m adjusting splints, while I’m going through the diagnostic process. It very much teaches you the very basics of anatomy as a gdp and building up to a diagnosis and how to choose which splint will help your patient the most.Sometimes we’re looking just use a protective splint but also with that protective splint to protect your restorative work or prevent the patient from pathologically destroying their teeth, there’s a bit of a decision-making tree as to which splint why and when and what are the risks of certain splints. So I’m going to go through A to Z of that including the delivery from a stabilization splint to AMPSAs, the whole lot in between.So I’m so excited to share that if you’re interested why don’t you download one of my flow charts I've got a free flow chart for you to download which pretty much even if you don’t do the course you’re going to find it valuable because it’s going to show you when I prescribe certain appliances. Now just a disclaimer I made a flowchart and really it’s a guide but you should be deviating away from guide any sort of guideline you should always be happy to deviate away from a guideline because there’s no such thing as a cookie cutter approach to occlusion. So just read it with caution is there just to help my stu...