Protrusive Dental Podcast

Sometimes associates moan that they can't improve their Dentistry or provide better outcomes because their principal/corporate will not buy them that fancy composite/instrument/air abrasion unit/orange floss (okay maybe not the last one!). Here's a tip: buy it yourself! https://www.youtube.com/watch?v=JQKiaZgHbk4 Need to Read it? Check out the Full Episode Transcript below! I'm not saying you should go crazy and buy ALL your materials - thats the role of the practice - but if after having a good conversation with your principal about investing in the new gear and it is not bought for you....there are some major advantages of buying it yourself. In this episode I am joined by Dr Rosh Panju who, as an associate, bought his own intra-oral scanner (iTero) - that speaks volumes about his mindset. In a nutshell, this episode is about making your own luck. For those asking about where to buy the 'associate box' to transport kit between practices, here it is: https://amzn.to/3v1li3S If you enjoyed this episode, you will like the episode on Emotional Intelligence with Richard Porter - check it out! Click below for full episode transcript: Opening Snippet: But you okay went out and you bought your own Itero right? So I just want to let that sink in guys okay and I'm not saying that for you to show off in any way, Rosh, nothing like that okay? I just really value your mindset. Jaz’s Introduction:Welcome, Protruserati to episode 62 of the Protrusive Dental Podcast. In this episode we’re going to explore some very big themes about as an associate, how can you make yourself indispensable to practice? And what we can learn from Dr Rosh Panju, who is a friend of mine, who is known for many reasons, good reasons but he bought an itero scanner. Now these things aren’t cheap. So what goes inside the mindset of an associate who goes out to buy his scanner versus the associate who refuses to even buy a flowable composite for example.And the associates that are missing out on using the best techniques for their patients just because my principal won’t buy this for me and therefore they’re not living up to their true potential. They’re perhaps not doing the dentistry to the level they want to be and they’re blaming it on the materials that they don’t have because of the principal that won’t buy it for them but then guess what, sometimes you have to make your own luck.So part of the Protrusive Dental Pearl I want to give you is A) make yourself indispensable to your dental team. If you're an associate listening to this, how are you indispensable to your team? Do you help out with team training? Do you boost team morale? Are you really helpful in collecting reviews for your practice? Because nowadays we can’t be leeches but it works the same way as a principal, are you providing value for your associate?So I think there should be a synergetic relationship between an associate principal and we’re going to cover some of those themes today in this episode. The second Protrusive Dental Pearl, oh my goodness you’re getting two is when I used to work between three different practices I found it really difficult, a real challenge to transport my camera, transport my loops, transport all the composite and stuff that I actually bought a lot of instruments over the years. How do I transport that around?So I’m going to show you one way that I did it. I was using like this big black parrot box. It wasn’t actually parrot brand but I’m going to show you an example, there’ll probably be a video now playing in the background as I’m speaking here but essentially it’s a big box that you could buy heavy duty and you get these like cut out foam areas that you just have to sit down one day and do the hard work and design the measurements yourself. So that you can slot your camera in perfectly.Because what you don’t want to do as an associate is have to dismantle your camera every time you’re moving from one practice the next p...

No Ferrule? No problem! Dr Peter Raftery, Endodontist, discusses the contemporary use of the 'Surgical Extrusion Technique' to make hopeless teeth restorable. Crazy, I know, so take a listen because the science makes sense! https://youtu.be/gXN-2tgxtbU Need to Read it? Check out the Full Episode Transcript below! All the way back in Episode 9 with Dr Aws Alani (Restorability with a Restorative Specialist) we briefly mentioned this technique in passing...which led to a cascade in events and Dr Raftery reached out to me with enthusiasm because I called out to the audience if they knew anyone using this technique! I love that! Essentially you are (gently!) extracting a tooth and then intentionally re-implanting the tooth, except this time you are going to be a little greedy and 'grab' some ferrule. Then, a customary Root Canal Treatment 2 weeks afterwards, and you have yourself a restorable tooth. As someone who loves saving teeth, this is just fantastic. We know the science works because we DO re-implant dirty, grotty avulsed incisors of 12 year olds with some decent success rates. Protrusive Dental Pearl: have you used Viscostat clear? It is my preferred astringent and will not interfere with bonding How to restore teeth which appear to be restoratively hopeless aka no Ferrule Compared to SCL or Ortho extrusion - could this be more cost effective and less invasive? Surgical Extrusion technique - either with humble luxator or a posh Benex device I will have to add the resources later - right now I am running late for work! Click below for full episode transcript:  Opening Snippet: So yeah odds of it still being there 12 years later still 93% and that was with forceps removal so I’d argue that the Benex only stands to last longer... Jaz’s Introduction: Okay, so you have your patient they’ve come in, they’ve fractured their upper premolar at gingival level. Kaput. There is no ferrule like you can maybe get your perioprobe inside and feel maybe a millimeter subgingival but there’s hardly any tooth structure left. What are you going to do right? Because most of the times it’s going to be for the bin right? Like it’s hopeless, let’s extract it.Now if you want to get really extravagant you could arrange for orthodontic exclusion which takes time and it’s costly or you can do surgical crown lengthening also incur a fee but also involves surgery obviously and it will also mean that the patient will have potentially black triangles and the gingival zenith of that tooth will now no longer be the same as the adjacent tooth so again that all takes time and money and effort so a lot of times people say let’s just take it out and stick an implant in, a bridge in, whatever.Now what if I told you there was one more way? This way I was exposed to it on social media actually in about 2017 and in 2018. I attended a bard lecture about the surgical extrusion technique and it was interesting. It was Italian chap Dr Bachiani talking about this technique and it was the first time I've seen it presented in a scientific way. And then if you remember in 2019 I did a lecture or a podcast with Dr Aws Alani restorative consultant it was restorability with the restorative consultant and I discussed a technique whereby you can partially extrude, surgically a tooth and then gain ferrule and restore it. And I said in the podcast hey I don’t know if anyone’s doing this technique in the UK please get in touch if you are. And fast forward a year someone’s doing it in the UK and they’ve done a lot of cases and he got in touch so Dr Peter Raftery is joining us for this episode.Protruserati, welcome this episode on the surgical extraction technique aka the partial exodontia technique and this is going to blow your mind if you’ve never been exposed to this you’re going to think whoa how is this even possible? It’s basically taking that aforementioned broken down tooth and extruding it surgically so be it with a luxator or ...

I recorded an Instagram Live with Dr Prateek Biyani of The Dental Notebook to answer a question sent in from the Protruserati: Hi Jaz, I hope you are well. I'm working as a NHS associate for nearly 3 years and I was thinking whether it's worth doing DCT training or if it's better to keep up with private courses to improve skills?Anonymous question from a fellow listener https://www.instagram.com/tv/CKRxwRGJv6H/?utm_source=ig_web_copy_link Full IGTV Video Listen to find out what me and Prateek recommended! Need to Read it? Check out the Full Episode Transcript below! Check out Prateek's new book, Single Best Answer Questions for Dentistry! If you enjoyed this episode, you might also like Making your Dental Portfolio by Jaz Click below for full episode transcript: Opening Snippet: Welcome to group function where the Protruserati work together to find good solutions to worthy problems in dentistry with your host, Jaz Gulati... Jaz's Introduction: Hi guys, if you've ever wondered about doing a residency post or a senior house officer or just a year in hospital, then this episode is to help you whether you're newly qualified and you're looking for that next step, or like the question that was sent in for this group function if you're a couple years qualified and you're still considering having that year in hospital, is it worth it for you? But as you may gather this was done live on Instagram so do excuse the live shoutouts but I'm still hoping there's a lot of value in you listening today. So thank you Protruserati, hope you enjoy. So guys, I'm not gonna waste time because this is a group function is another one the arms of the protrusive dental podcast and someone has sent in a question and would answer it in the best person I have to answer it is Prateek Biyani, aka the dental notebook. He makes some fantastic content around this very topic. Hello, dental bro. Thanks so much for joining. Hi, Andy. I'm going to speak to you in about 45 minutes, I think what meeting? Hello, Chris. Nice to see you, buddy. So yeah, thanks for for joining me guys. This is mostly for someone who is stuck as an associate and they're considering further training. Hello, amen. Hey, guys, Alex. Hey, everyone. So the question that was sent in I'm gonna get Prateek in a moment is a question that was sent in was "Hi, Jaz, have been an NHS associate for three years, it's been an associate for three years, I was wondering if DCT training is worth it? Or is it better to keep up with private courses to improve skills?" So basically, three years qualified, NHS associate full time I imagine. Should I do DCT now, or private courses? So let's get. Hi Haley. Hey, everyone. Let's get Prateek. Main Interview: [Jaz]Hey, buddy. How you doing, man? I'm good. How are you? I'm good. Do I look fat now? Like, you know the camera adds 10 pounds, right? You have a little bit, that's how much it's fine. The camera really does add 10 pounds. Look at that. So at the bottom, I'm reading the comments, Ali. Oh, man, Ali, I love your work. Manual photography, your flow is awesome. And you said you love DCT. I also had a very positive well, mostly positive DCT experience. One of my posts was phenomenal in Sheffield, the other one in Guys was a bit, half and half. But we can we can touch on that in this episode. But listen, this is a group function. So it has to be time efficient, right? So I'm not going to make it a full one hour long. It's going to be a 10 minute 15 Minute. So Prateek, I'm going to say the question again, for those who just joined us and for you again. "Hi, Jaz I'm an NHS associate. I've been qualified three years. I was wondering Should I do DCT? Is it worth it now? Or should I continue to invest in private courses to improve my skills?" So the first thing I'm thinking Prateek before you jump in is like why do anything? What's the purpose? Right? And I think the very end of her question is to improve my skills.

The ORE exam to practice Dentistry in the UK is not easy - listen to Yazan Duedari's top tips to pass this gruelling 2-part exam and find out what the ORE Exam has in common with a Beyoncé concert! https://youtu.be/qCPUsqPmino Dr Yazan Douedari gives away all the secrets! Need to Read it? Check out the Full Episode Transcript below! Dr Yazan Douedari reached out to me as he was a student of the Resin Bonded Bridges Masterclass. I loved connecting with Yazan. He had so much in common (we are both Refugee's who came to the UK and are grateful for the opportunities) and listening to his hardships and struggles with the ORE process and how he triumphantly overcame it was very inspirational. There is so much hardship and sacrifice associated with the ORE Parts 1 and 2 - imagine having no income, studying several hours per day and supporting a family at the same time. To top it all off, even once you PASS the ORE Part 2 - how will you find a job? https://youtu.be/sc6HnlsyccY Don't stress - it will not help you! Yazan shares everything: Step by Step application process How to get your GDC paperwork in order How long to study for each part of the ORE Revision tips How much does the ORE UK process end up costing you? How he failed Part 2 How he overcame Part 2! How he found a job in Private Practice I am so grateful to Yazan who shared his successes and failures in such a humble fashion. He also shared some good ORE resources: ORE Part 1 Facebook Group ORE Part 2 Groups: https://www.facebook.com/groups/645587355509380/ https://www.facebook.com/groups/161356114038001/ https://www.facebook.com/groups/orepart2/ https://www.facebook.com/groups/498077606922801/ Companies to buy materials and equipment from: https://www.mrdental.co.uk/https://www.dentalzonetrade.com/store/ Some thoughts from Yazan on MFDS Exam - is it worth it?: Actually, I wanted to mention MFDS & MJDF during the episode saying it would be good for those doing ORE to do one of these exams DURING their ORE journey (not after) as there are a lot of similarities and require minimum extra preparation. I have done MJDF while I was doing my ORE, I prepared for 1 week for part 1 and 5 days for part 2 and was able to pass from the first time. The drawback is that you need to spend extra money on exam costs (around £1000), but the benefit that you get a diploma degree with a few extra days of preparation.  Now to answer your question, MFDS/MJDF do not add much (or anything!) to your information or skills if you're doing ORE. The only benefit is to improve your CV generally and esp if you are considering applying for further education degrees in the future, it ould be an asset. Additionally, in my case, my dentistry CV was very weak, so I felt having this extra degree in my CV would help me get a job and would give me some advantage over others.  Yazan on MFDS Exam Some thoughts from Yazan on the LDS Exam vs ORE Exam: One last thing I just remembered and I think it would be useful to mention in the episode is LDS, which is another exam one can take to be able to work in the UK. It is almost identical to ORE, however, it is less frequent (part 1 once a year, part 2 twice a year) and considered slightly easier than ORE, esp part 2. Dr Yazan If you enjoyed this episode, why not check out the advice on Finding an Associate Dentist position! Click below for full episode transcript: Opening Snippet: 've never fainted or almost fainted in my life although like I was near death several times in my life because of the war I was close to getting kidnapped maybe two or three times, isis like I've been through many things but they didn't scare me as much as this Exam... Jaz’s Introduction:Imagine coming to a new country and you’re learning a new language, a new way of life maybe you have your family with you, maybe you’ve got a spouse, a child to support but you can’t work.

Move over, traditional crowns! These ceramic onlays are way more conservative and just downright sexier. But let's not go crazy - like with all aspects of Dentistry, case selection is key. https://youtu.be/Rl9BF-sIHqI This is going to number 1 for 2021 - it HAS to! Need to Read it? Check out the Full Episode Transcript below! This episode is one for true Dental Geeks. Nik Sethi will adhesively blow your mind (wait....what did I just say?) Imagine a 1 hour podcast episode after which you will improve your Onlays like never before - THIS is that episode. From the painful temporisation of onlays to the delicate bonding procedure, Nik leaves no stone unturned. Grab a pen and paper! Protrusive Dental Pearl - use air abrasion on your Tanner/Michigan splints to help to see articulating paper marks more easily. Also it can be used to test compliance of your patients, as they will polish/grind away the abraded surface. Thank you Dr Tilly Houston for sending that one in! In this episode we cover: When to place large composites vs opting for indirect ceramic restorationsHow to incorporate Immediate Dentine Sealing in to your workflow without feeling you have done anything different or additionalHow to become more efficient with your adhesive onlay prepsWhen to start overlaying cusps, and when to leave them be (the answer may surprise you...)The full bonding protocol with heated composite (etch and all!)HOW TO TEMPORISE THE BLOODY THINGSWhen to shoulder....when to bevel? Nik was really great - my only contribution to the show was the term 'Vonlay'. You're welcome, everyone! If you loved Nik's down-to-earth style of teaching, do check out their courses: Elevate 6 – Elevate Dentistry (elevate-dent.com) By very popular demand Riaz and Niks hands on 2 day course covering their FIPO protocol: Leeds 12th & 13th March 2021 London 9th & 10th April 2021 London 23rd & 24th April 2021 Leeds 7th 8th May 2021  Leeds venue- Optident, Valley Drive, Ilkley, LS29 8AL London venue- Blue room venue 220, Headstone Lane, HA2 6LY 2 Day – FIPO – Elevate Dentistry (elevate-dent.com) Finally their pride and joy: Advanced Aesthetic Diploma. Diploma – Elevate Dentistry (elevate-dent.com) If you enjoyed this episode, you will love Emax Onlays and Vertipreps with Jason Smithson! Click below for full episode transcript: Opening Snippet: This episode will improve your ceramic onlays from that painful, temporarisation stage, which everyone worries about to the full bonding protocol with Nik Sethi... Jaz's Introduction: Hello, Protruserati and welcome to Episode 59 of the Protrusive Dental podcast. Thank you so much for joining me. As always, this episode is wow like so jam packed. Like every sentence like you'll have to definitely grab a pen and paper for this one is one of those crazy ones. And I know you will love it so much and I'm so excited to share it with you. Before we get to that I have some cool news. I've done a few extra videos I have one on YouTube on how to take occlusal photographs which you can just search for it. But recently one of my buddies [name], he asked me can you make one on how to take posterior quadrant photographs. So I show how to use the long buccal mirror and that's all on the website also on YouTube. So check out my channel if you're interested in how to take photos for posterior quadrant dentistry. I want to say a warm welcome to all the new members of the Protrusive Dental community. Thanks so much for joining guys really appreciate it. If you haven't checked out the Facebook group, it's called Protrusive Dental community and one of the listeners, one of the Protruserati, shall I say message on that asked if we have a whatsapp group. We don't but now because of the demand like that thread has got like 80 plus comments of dentists of the Protruserati who wants a whatsapp group. So it's coming soon guys, as soon as the splint course is done,

I am joined by a Dentist fellow podcaster himself, Dr Payman Langroudi, to help you improve your teeth whitening results right away! https://www.youtube.com/watch?v=n-PSjGsICbw Yes - that's a fluorosis case I treated in the thumbnail! Need to Read it? Check out the Full Episode Transcript below! Protrusive Dental Pearl: Using the patients' aligners as a whitening tray - and better yet, the use of Vivera retainers and Enlighten whitening to Guarantee B1 shade! https://youtu.be/VSQp-etyhZI Are all whitening gels the same? In this energetic and conversational (yet educational!) episode, we discuss: Light based systems - surely it's all BS? OTC products? Is there a dark horse? Why and HOW to do more whitening cases (simple but effective!) Predictors of poor whitening response (watch out for these patients) Why impressions are still better than scans Whitening tray seal The best way to improve sensitivity If you enjoyed this episode and want more free training with Dr Langroudi, check out his free online training for Dentists You will also like my episode with Manrina Rhode on the nitty gritty details of Porcelain Veneers Click below for full episode transcript:  Opening Snippet: But you know, if we don't talk about this, where is the dentist? Where's the patient going to get this information from? They're going to get it from the hairdresser. They're going to get it from high smile on the internet. They're gonna get it from their best friends. They're going to look for this information. There's no doubt about that. You don't even need to be in the dental field to understand that the color of teeth is the most important thing... Jaz's Introduction: Hello, Protruserati. This is Jaz Gulati, and welcome to Episode 58 of the Protrusive Dental podcast. I appreciate you for joining us. Today is such an impactful hour that we have on teeth whitening. Now a lot of you thinking teeth whitening, come on, Jaz that's so basic. Just get a tray, wax, some gel in and that will whiten the teeth, right? Well, no, there's so much more to it than that. And this is going to be probably the most impactful Real Talk 60 minutes of teeth whitening content you ever heard. I think everyone needs to hear it because today's guest is Payman Langroudi. He was a dentist. And then he founded Enlighten Whitening, which is the premium brand of teeth whitening in the UK. And what he's doing is amazing. He's such a massive supporter of young dentists and dental education. So it was an absolute honor to have him on and he really covers it in a real talk fashion, right? We don't know it's not to scientific, it's not to blah, blah. It's actually so easy to listen to Payman Langroudi talk about these things. I hope you enjoy and follow along with great ease. We talk about all the important things that you should know as a practitioner for teeth whitening like comparing the different tray designs, what might surprise you is that a gel is not a gel is not a gel so all the gels may not be the same and you know we'll look into why that might be the case, how to maximize success by reducing sensitivity and how and why you should be doing more teeth whitening right now. The Protrusive Dental Pearl I have for this episode is whitening related. Did you know that you could be whitening your patient's teeth during tooth alignment. So a lot of my Invisalign patients will be whitening as they go along. But the magic really happens at the end like some of my patients will whiten so well during their aligner phase that there's hardly anything to do at the end. But that's rare. That's when they got all the best enamel and their protocol is really good and everything just aligned. But a lot of patients will need the final teeth whitening at the end in their retainers. But the Vivera retainers by Invisalign and this is not sponsored by Invisalign or anything. They are fantastic, right? We all know how good Vivera retainers are.

Is it time to ditch the analogue occlusion tools like facebows in favour of Digital Dentistry workflows? In this special feature episode with Ian Buckle, we will explore the world of Digital Occlusion. https://youtu.be/M0OR0XJdUvg I was tempted to make this a 2 part, but the flow is too good. Need to Read it? Check out the Full Episode Transcript below! Protruserati, get your onions ready for chopping (lots of them) - this is a behemoth episode! We tackled a lot of key themes, include Specialising vs Private courses route (a common question I get sent by Dentists). One of my fav quotes from this episode:'If you don't have a clear goal, don't be surprised if you end up somewhere you didnt expect' - what we can learn from this is to MAKE a best guess! I also mentioned how it was through Ian that I learned about the FACE Group (Roth) of Orthodontists. These are Orthodontists who are well versed in articulators, facebow, occlusion and 'stable condylar position' (or Centric Relation, to many!) There are a good few gems in here about face scanning apps, use of photography, inciso-facial mock-ups, but my favourite gem I want to share on this blog is this:If you record your bite registration AT the DESIRED vertical dimension, you will eliminate any errors in opening the bite on an articulator/digitally. You may need to read that again or listen to that part of the episode again. Once it sinks in, it can be a 'ah-ha!' moment. If you want to find out more about future courses by Ian, check out his website. The SplintCourse is just weeks away from the launch offer - have you signed up for the big update? If you liked this episode, you might enjoy the Posterior Guided Occlusion 2 parts with Dr Andy Toy! Click below for full episode transcript: Opening Snippet: Which is complete dentistry and full mouth rehabs or whatever you want to call them only happen when the patient says yes. And, you know, we as dentists are dreadful communicators. And we say things like oh Mrs. Jones, you know, you then need 17 crowns you need to have equal intensity contacts and posterior disclusion and this this, this. So when would you like to get started? And we wonder why they don't do. Digital is a fantastic communication tool... Jaz' Introduction:Hello, Protruserati. I'm Jaz Gulati and this is episode 57 of the Protrusive Dental podcast. Thanks so much for joining me. In this episode, we will talk about digital occlusion and not the nitty gritty over complicated kind of stuff when it comes to occlusion. The really important stuff like for example, how to use digital photos and digital scanning to make sure that you do not get cans in a patient smile, how to predictably raise the occlusal vertical dimension, using these two techniques to make sure that when it comes time to fitting the provisionals, or fitting the definitives in the patient's mouth, then everything will be much more likely to work and need less adjustments. Because really, that's what occlusion is about, doing less adjustments and more predictability. Okay, so I'm sorry, not sorry that this is such a long episode, right? This is a mammoth episode, I really appreciate that so much to do it. Like in two commutes, or three commutes, or that's a lot of onions, you have to chop to listen to this episode. But there is a reason for this, right? The flow was just too good. Like, originally, I was gonna do this as a two part episode. But I just loved in storytelling. So for those of you who know Ian Buckle, he was an educator for the Dawson Academy in the UK, which I don't believe exists anymore. But I did all the modules of Dawson with Ian. And you know, what I hung on to his every single word. He's such a great educator, great storyteller, I learned so much about occlusion from him, but also about communication. But to you my friend, I appreciate that this long episode is not for everyone. So if you are really hungry for that special knowledge,

Think of this episode as a love letter to the Protruserati. We share the same struggles, and this episode could easily have been called the 6 STRUGGLES of a Comprehensive Dentist. https://youtu.be/DCTgR93Tk3c The struggle is real Need to Read it? Check out the Full Episode Transcript below! Here they are: You take your work home with you Dentistry was either mis-sold to me, or I was just naive. When I was a Dental student I read a young dentist magazine. It had a segment dedicated to interviews with DF1 Dentists who had finished their first year in practice. 'What do you love most about being a Dentist?,' was one of the questions. One answer caught my eye: 'I love that I do not take my work home with me.' I loved that! But after almost 8 years out of dental school, I can tell you (and my wife can testify!) that I find it impossible to be a comprehensive Dentist and NOT bring my work home with me. Treatment planning, organising photos, letters to patients, clinchecks and the list is endless - it will be a longer list for practice owners! New patient examinations will drain you It takes a lot of emotional energy to see new patients. There is a difference between the 15 minute new patient exam and the 45 minutes or 1 hour new patient exam. The longer appointments to learn what the patients goals are and help find the right solutions can be extremely challenging and require intense focus, and dare I say, showmanship. As my principal (Hap Gill) once taught me, we are in show business. You have more to give and more to say The classic sign of this is that your Nurse is always nagging you that 'you talk too much'. You just want to make the patient's experience as valuable as possible! You dont earn enough moneyControversial. I know. If I could double your income but simplify your Dentistry and limit you to single tooth dentistry - you would probably say no. THAT speaks volumes.You do it for the bigger picture and for passion.Yes the comprehensive Dentist MIGHT gross more, but the amount of money you spend on equipment and courses can be eye-watering. That, and your hourly rate from all the work you do it home is ever-diminishing. Patients always say 'you are the first person who told me this' or, the more sinister cousin, 'why has no dentist ever told me this before?!'I never know what is the right way to handle this. I just smile and say 'I love my job so much, that sometimes I care more about a patient's mouth than they do!' To clarify, I am suggesting I care more than the patient (not more than any previous Dentist - we should never throw our colleagues under the bus). 6. If someone ever stole your laptop, they would be so dissapointed Admit it. Your phone and laptop is full of forum screenshots, lecture photos, teeth, abscesses, shade matching photos (heaven forbid) and the odd bitewing for good measure! If you enjoyed this episode, you will also like 12 Rules for Dentistry with David Bretton! Click below for full episode transcript:  Opening Snippet: Hi guys, it's Jaz Gulati here from the Protrusive Dental podcast. And I really should be doing this live right now like this would be such a great topic to have live on Facebook or instagram to see people's comments and stuff but unfortunately timings don't work out, right now the time is 4.15 p.m. and there's like zero audience for me right? Jaz’s Introduction: So I’m pitching this and recording this just to the camera and I hope you enjoy this. I’ve just been one of those things where you just daydream and you sometimes get carried away and I thought what this would make a really cool interference cast episode which I haven’t done in ages. So let’s roll with it.These are 6 Signs that You are a Comprehensive Dentist and I also thought about calling it the Six Struggles of a comprehensive dentist because every one of these signs I’m going to give you is a struggle.

Finlay Sutton has made Dentures sexy again. His teaching style is world-famous and it was an absolute thrill to chat to him. Protruserati - this one is going to be clinically IMPACTFUL. https://youtu.be/6Hz208Zv6yU The KING of Removal Prosthodontics Need to Read it? Check out the Full Episode Transcript below! We started by discussing the benefits of using Loom for video communication with patients and lab - it adds a personal touch. Genius! What do you do when the framework does not fit?!Finlay will firstly trial the denture on the model. If in doubt, rehearse the path of insertion several times and you can ask your lab.You can use occlude spray on the denture fit surface Regarding Immediate Dentures: Leave your patients in immediate denture (plus relines) for 9-12 months to get maximum shrinkage before upgrading to Chrome. Sometimes you move quicker but need to reline (use ZOE) and then alginate pick up 12 months later. Should you use high impact acrylic? It seems a sensible idea!How about metal mesh? What if your partial denture wearer is a bruxist? We talked about how your partial denture can BECOME a splint. Precision Attachments and Milled Crowns Why Finlay has moved away from precision attachments and true 'milled' crowns as they are maintenance heavy. It is simpler to have crowns that are shaped appropriately with guide surfaces that will improve the denture. He does use Stud Attachments, which he uses just twice a year, to resurrect a root-filled retained root to negate the need for a clasp in a high smile line patient. Tell the patient the root may split, AND the tooth in front will need a clasp in the future. Metal backings are amazing for bracing - 'My dentures are like removable resin bonded bridges'. Hidden away but provide great resistance to rotation and adds rigidity and bracing. Another gem was the use of dimples in to the crowns palatally and distal guide surfaces - with metal backings. The metal backing would have small balls that would slot in to the dimples. 'What I hate is patients coming back with problems after they spent lots of money. If it all fell apart in a few years time, which these do, we're in dickie's meadow' - there we are, keep it simple! You can use Zirconia crowns with rest seats and dimples but ensure, smooth, round, organic shapes. Be careful about making upper palatal too bulky as affects speech - hence why preferences to make these dimples substractive. If you want to learn more from Finlay, do check out his website for denture courses and learning resources. If you enjoyed this, you may also like the episode about Complete Dentures with Mark Bishop! Click below for full episode transcript: Opening Snippet:Welcome Protruserati to Episode 56 with Finley Sutton. Now, we've all had these situations with dentures before, right? You're trying to fit the framework which has just come back from the lab and it doesn't fit. And you have this heart sink moment like oh my god, like, what do I do now? Right? So if you're ever in that situation and you want to know how to fix it, Finlay Sutton, who is a phenomenal dental educator, will answer this question on this podcast for you, as well as so many others, like what do you do in a deep bite And there's no space for the chrome? Or how about milled crowns? And how to incorporate that with your Chrome dentures workflow. So stick with this episode to learn all about that with Finlay Sutton... Jaz's Introduction: I know I've been teasing you for a while about this episode with a fantastic educator in the field of dentures, which let's face it, I mean, since I was a student, I've always found dentures confusing. I don't do many at the moment. It's just the nature of I think demographics has a lot to do with how many dentures you make. At the moment, I'm not making load. But certainly those struggles I've had with dentures, they never leave you even throughout student young dentist,

In this long overdue (sorry, Protruserati!) episode I will go deeper in to Anterior Midpoint Stop Appliances as an occlusal splint for bruxism, myofascial pain and headaches. If you have not already, you must absolutely check out Understanding AMPSA Part 1 as this is the sequel! https://youtu.be/_dSkQFZa55w Need to Read it? Check out the Full Episode Transcript below! Protrusive Dental Pearl 55: Remember at Dental School where they taught us that 3 fingers worth of mouth opening is considered 'good' or normal? Well, make sure you remember it's the patient's fingers, not your fingers! I showed how to use a range of motion scale and the benefits of checking mouth opening objectively: https://youtu.be/LAlKNwedd6w I am so excited to announce pre-registration for SplintCourse - Splints Simplified for GDPs. Sign up for the launch offer which is just weeks away! You dig my logo, right?! I teach what I know, and I know Resin Bonded Bridges and Splints for GDPs as I have devoted my career to their study! "No amount of canine guidance or posterior disclusion or level of osseointegration of your implants will save you from the destructive forces of Bruxism" Jaz Gulati, PDP055 So here is a recap from AMPSA Part 1: Anterior appliances are not as evil as you were taught We myth busted the Dahl-concept-type occlusal changes with normal wear of such appliances I gave the analogy of the 'locked-in' patient, and how when you allow them freedom of movement (reduce the resistance in grinding motions) it is like weight lifting and the weights have been removed We looked at some of the contraindications - intra-capsular issues which are rarer - but also those who are just higher risk of anterior open bites Remember, sometimes you WANT patients to get an AOB! In this Episode I summarise: What is the difference between these various anterior appliances and is one better than the other? Deciding upper arch or lower arch, or sometimes both arches? How many of my patients have developed Anterior open bites, which splints caused them, and how to manage such a scenario? Why even an AMPSA can be an overkill and which patients may actually benefit from a soft bite guard, for example! These appliances can bring HUGE solution to a MASSIVE problem for our patients. Many of my patients are pain-free and no longe require painkillers for headaches and jaw pain. My strongest bruxists (whose teeth I have restored) are religious at wearing the appliance (despite a favourable occlusal scheme) and they love it and KNOW that their Dentistry is protected. This is not a cheap piece of plastic. It is a custom made Orthotic Appliance - I charge anywhere from £450 - £1,300 for appliances (simple AMPSAs, complex AMPSAs, Michigan/Tanner appliances - every case is different). One of my previous delegates from The Splint Course (when it was delivered live) called in to the show and asked 'I am concerned about charging a high fee for this appliance? What is the appliance does not work?' - towards the end of this episode we discuss this in full depth! If you enjoyed this episode, you will like why Michigan Splints are overrated! Don't forget to sign up to The Splint Course for an exclusive launch offer. Click here for Full Episode Transcription: Opening Snippet: And patient number one might be like, hey you place these anterior restorations for me and they keep breaking my fillings keep chipping my crowns are chipping I’m not happy versus the patient who's taken ownership of their bruxism and they're the ones who come to you and after they chip something they're like hey I’m so sorry and they're apologizing to you. They're not blaming you. They're blaming themselves. Why? Because they know. Jaz’s Introduction:Happy New Year to the Protruserati Welcome back to the show. I covered a lot of stuff regarding splints and occlusal appliances in September.