Protrusive Dental Podcast

**UPDATE** Discount codes for RipeGlobal valid until 31st January 2021 - thank you RipeGlobal for sharing these for the Protruserati! 20% off standard monthly membership Code: RipeLearn 30% off standard annual membership Code: RipeAnnual 30% off premium annual membership Code: RipeJaz https://youtu.be/-iSs8v3pz7Y This man has taught me so much! I would like to share with you 5 Key Lessons that Lincoln Harris has taught me (out of hundreds!). It was a tough list to whittle down to just Five. I have learned so much from this incredible Dentist, Mentor and Leader in Dentistry. When I first asked Linc to come on the podcast, I thought to myself, 'This guy is ridiculously gifted in every aspect of Dentistry. What should the theme be for this episode?!' https://youtu.be/QjM3YYM2o84 A great way to think about Written Consent: Setting Realistic Expectations Need to Read it? Check out the Full Episode Transcript below! I then settled on timeless, non-clinical lessons that I have picked up from him over time: Lesson 1 - The Stages of Grief I sometimes noticed that as I was explaining a treatment plan to a patient, their body language started to shift. They started to fold their arms. What was going on here? The penny dropped when Lincoln taught me how the stages of grief apply to Dentistry! Lesson 2 - When Dentistry get complex, slow down We all want to be efficient Dentists. However, Lincoln Harris taught me that the more complex Dentistry becomes, the more you need to slow down. This has been powerful. Lesson 3 - Photos - Every patient, every time!How that fits in to the workflow of a consultation Well, I was already taking a hell of a lot of photos before I met Lincoln. But now even the emergency patient that has been squeezed in at 4.50pm on Friday afternoon will get a few clinical intra-oral photos! Lesson 4 - There is no evidence for what is the best treatment for YOUR patient. How we give our patients too many options https://youtu.be/VhkTUOerLkw Evidence Based Dentistry, anyone? I have agonised and agonised over what is the best treatment plan for patients. You then end up sounding unsure of the plan yourself. Sometimes we have to go with our gut! Lesson 5 - How to overcome being uncomfortable discussing fees with patients We all have a number. Above this number, we get a funny feeling in your stomach. What's your number? If you enjoyed this episode, then do check out eMax Onlays and Vertipreps with Jason Smithson! Click below for full episode transcript: Episode Teaser: Sometimes you do have to say, look, this is not the right time in your life to do this because this type of dentistry is better not to do until you can really do it well and right at the moment I'm going to make too many compromises. It would be better for you to spend nothing than to do half a job. Episode Teaser:So let's keep you stable. We'll keep your maintenance cycle. We'll maintain your teeth as best we can. Make sure you don't lose any more. But this is not the best time for you to do it because we have to make so many compromises. You probably won't be happy and you'll have still spent most of your money. Jaz’s Introduction:Protruserati, I want you to think of a dentist who has inspired you a lot. Think of a dentist who has taught you so many clinical and non clinical gems. Think of a dentist who you really admire because they are just brilliant at everything they do and you just love interacting with their with their sort of content whether they put content out there or any sort of messages that they send you any mentorship they give you and you're just in awe of that dentist. For me, that dentist is Dr Lincoln Harris who I'm so so so happy to be sharing this episode with you guys. He has been such a huge Influence in my career, in my career trajectory. He's one of the dentists. He's probably the main dentist. Alongside with great dentists like Chris Soar,

TIME SENSITIVE - 50% off Maciek's Online Contact Point Ambassador Course! Click here https://youtu.be/xVWlZbzSrKE Need to Read it? Check out the Full Episode Transcript below! It's the big debate in General Restorative Dentistry: Which is the best Matrix band to rule them all? In the red corner we have the trusty circumferential Siqveland and Tofflemire bands that got us through dental school and have served billions of restorations...but surely they have no place in contemporary adhesive Dentistry anymore? In the blue corner, we have the sexier, younger sectional matrix systems that are the future (and hopefully the present for many of you!). But even within this category, there is a plethora of choice. Are bioclear celluloid matrices the King of Class II composites to create beautiful, voluptuous contact areas with an enviable seal and an Instagram worthy photograph? Or are the tougher, heavyweight metal sectional bands the one true matrix to rule them all? 'But there are so many brands!', I hear you cry. You've got Palodent, Garrison, Tor VM to name just a few. Surely one is champion? We haven't even started talking about the plethora of Restorative Rings yet to get the ideal separation and adaptation of the matrix - even they differ from brand to brand. It's no wonder that it's sometimes easier just to pick the disposable circumferential matrix band and be done with this restorative debate... Oh but the wedges! Wooden? Plastic? Teflon floss? Wait, what? Yes you read that correctly. Maciek Czerwinski shares with us the Teflon Floss technique as a substitute for a wedge. It IS very likely the perfect Wedge! https://youtu.be/mEYpDtSNJUg Ladies and Gents: The Teflon Floss Technique! You're welcome. Most importantly, what is the best matrix - ring - wedge combination! If you have ever struggled with an open contact, an imperfect cervical seal, a collapsed matrix band or a cheeky wedge entering your cavity (hopefully not all for the same restoration), then this episode will blow your mind. As promised, the Matrix Selection System: Matrix Selection System has really helped me with Decision making for Class II Composites https://www.youtube.com/watch?v=u16rST2H5sk Teflon Floss Technique Check out Maciek's impressive Facebook page to stay up to date! Be sure to sign up to the newsletter for episode updates! If you are in the UK and Ireland and want to avoid fake Tor VM matrix bands from eBay, buy from a reputable source: Incidental Ltd If you enjoyed this episode, you might like Rubber Dam with Harmeet Grewal! Click below for full episode transcript: Opening Snippet: And probably like 1 of 20 ideas, 1 is good. So like teflon floss technique is really something that really changed my approach for matrixing and to be honest, I just switched almost completely like from the traditional plastic or wooden wedge to the teflon one... Jaz's Introduction: Class two restorations are not easy, let's face it. Matrix selection and matrix adaptation is only easy if you don't use magnification, I mean the first time I start using magnification, that's when I started to notice all these gaps and imperfect cervical seals on my matrix bands. And then we start getting into wedge modification, wedge selection, wedge enhancement with ptfe, rubberdam inversion, these little fiddly details will drive you nuts. You know what? All these challenges are part of the beauty of daily bread and butter dentistry. Protruserai, we've got an absolute treat day, were really going to give so many gems thanks to Maciek Czerwinski I mean, you're going to absolutely love this episode because for me, class two restoration, I love doing, okay? Because they're not easy and take it's taken me years to master and I'm still learning and I'm still improving, day by day, thanks to awesome dentists like Maciek Czerwinski, who's so selfless in sharing these tips like every little daily challenge that you c...

Learning Dental Implants can be confusing. There are so many layers of complexity, from space requirement, restorative components and surgical nuances. This 2nd part of the 2-part series on Implants with Dr Hassan Maghaireh looks to guide us through the fundamentals of assessing your patient for implants. https://youtu.be/VZfWZf1lpoU We cover A LOT of clinical Implantology for GDPs Need to Read it? Check out the Full Episode Transcript below! How do you assess the Implant space for the right mouth in the right patient?When patients ask how long Implants last for, what should we tell them? https://youtu.be/COtd1bpx0Jg How long will my Implant Last? How to respond to this? Can you place implants on Smokers? What is the protocol?Bisphosphonates - at what point are implants contraindicated?How can you tell if it's going to be a complicated case?How about Perio Susceptible patients and placing implants?How will Parafunctional patients fare with implant restorations?Who should take the tooth out?! GDP or Implant placing DentistI routinely section molars. Is that a good practice?What is ridge preservation and when to consider this? Protrusive Dental Pearl: How to use a pencil to draw line angles for anterior aesthetic composite restorations. I learned this from Dipesh Parmar on the Mini Smile Makeover course (next course in 2021) https://youtu.be/JDEibGUHA1w Please do not use your wife's Eyeliner If you enjoyed Dr Hassan's style of teaching, do check out the BAIRD Implant Course. If you liked this episode, you will love revisiting Complete Dentures with Mark Bishop! Click below for full episode transcript:  Opening Snippet: Name two patients gave you hell in these 35 years. And he said, people who had history of periodontitis before having implants are going to get or at high risk of getting peri-implantitis after having an implant, so there will always be at high risk. And people who have parafunctional habits will always go into grind and break these implants for you... Jaz's Introduction: Hello, Protruserati. Welcome to Episode 52 of the Protrusive Dental podcast. This is the part two of the implant series with Dr. Hassan Maghaireh. Hope you enjoyed that part one we think about when you're actually getting into implant when you're thinking about starting implant journey. Is it right for you? Because that was the last episode. In this episode. We're getting a little more clinical, reassessing, like what's suitable for your first case? How would you assess the space, the mouth, the patient that might be suitable for implants? What are the patients to avoid? What about smoking? What about Peri-implantitis? What about bisphosphonates? So you really look into the nitty gritty clinical details about selecting patients that are suitable for implants particularly if you're starting out. And in fact, I had to listen to this episode again, because so many gems in there about the timing of extraction. Sometimes I wonder, should I be the one extracting this tooth? Or should the person who's placing the implant be extracting it? So we cover that as well, as well as something I do a lot which is sectioning molars. I'm a big fan of sectioning and elevating molars. And I asked Hassan, Dr. Hanssan what he thought about that, is it right that I'm routinely doing this? Is that a good thing? Or can we run into trouble? So lots and lots covered in this very clinical episode with Dr. Dr Hassan Maghaireh. This episode is sponsored by enlightened smiles and mini smile makeovers. So I want to share a great pearl that again, I get from Dipesh Parmar from the MSM course, which I went on over a year ago. It's one of the best composite courses or courses at all I've ever done. The setup was great, the hands on was awesome. The food is always on point. Thanks to Payman Langroudi, that man. So the pearl I want to share with you is about line angles, right? So when we're placing our restorations,

When you present your patients with the ideal options, but they end up choosing 'patch-up' Dentistry...this is a real world problem, and we will tackle it in a comprehensive way in this Group Function! Thank you Anonymous Dentist on Instagram for sending in this BRILLIANT question: Hey jaz! I've been listening to your podcast and I'm a huge fan!I especially enjoyed the Chris Orr one and the communication one.I just wondered if I could have some advice please..I'm working across two practices at the moment, 1 fully private and 1 mixed practice.At the mixed practice, often patients with broken teeth don't want to pay for crowns/onlays even though I spell out the benefits, often they will go for a replacement amalgam (which I hate doing) or a large private composite (again risk of debond due to the size)What would you recommend? If a patient doesn't want to pay for a crown /onlay but you've spelt it all out then I'm not sure what else I can do?Thanks in advance! XAnonymous Dentist in the UK, Instagram https://youtu.be/Y9xGee14LMg Real world problem in Dentistry...what is the solution? Full episode above You all know what happens when you get Zak Kara to give a quick answer....there is not such thing! Dr Zak Kara goes way beyond the call of duty and delivers us solutions in his signature comprehensive fashion! We tried to steer away from the NHS vs Private Dentistry debate too much - but definitely your environment and the values of your patients plays a huge role. Thank you so much for sending this question in - if anyone has a question they want to submit, do contact me via the website or send your question via DM on Protrusive Dental Instagram. If you found this valuable, share it with your associates and principals. If you liked this, you will also like Zak's gems on Communication in Episode 10! Need to Read it? Check out the Full Episode Transcript below! Here are some comprehensive notes/episode summary was written by fellow Protruserati, Taha Adamji - Thank you, Taha!: PDP GF002 - Communication with Zak Kara - patients always choosing the inferior option ROLE PLAY  Building rapport as you’re coming up/welcoming them in  E.g. How was your journey in today?/How’s your day going today? Feel free to put your things over there and take a seat - give them clear direction when they come in about what to do  What can I do for you? My molar broke - yes I heard, (Receptionist name) told me you’re having a bit of trouble with a tooth on the UL  I’ve had a look through your notes/X-rays/photos etc - from your previous visits - this shows you are well prepared to help them  Sorry to hear that/ that can happen sometimes (empathy) Is this the first time this has happened to you or has it happened before? (History)  Am I right that it doesn’t/does it hurt right now? Is it rough to your tongue/uncomfortable? Patient mentioned the clinic/gave praise Thank you/that’s kind of you to say, I’m reassured by that/what do you already know about us?/it’s your first time seeing me /you saw (x) dentist previously is that right? - all shows you have taken the time time to read their notes/are interested in them and their past experiences Patient apologised for not coming  That’s no problem/Don’t apologise/there’s no need to apologise. What we do here is always blame free/judgement free dentistry Let’s see how we can help you with this problem tooth today: Because this is a “get you of of trouble type of appointment”/urgent/emergency appt, the aim for today is to focus on that one tooth I’m not going to do a full health check/exam today if that’s okay, I’m going to focus on this main problem for you But let’s also check there’s nothing else urgent going on and then we’ll see if we can get this problem solved for you by the end of the visit  What did you hope or expect was going to happen today? (Check expectations)

Dental Implant courses for Dentists are a significant pathway in terms of commitment. Have you ever attended a Dental course and not applied the knowledge…and then a few months or years later - you felt it was an absolute waste? For example, I did a laser course last year - I have hardly touched a laser since then - its my own fault and I take ownership of that...but what if the stakes were higher? https://youtu.be/rXYARG13AEQ Is it too soon to start Implants...? Need to Read it? Check out the Full Episode Transcript below! Implant courses are not a small investment and I know some Dentists who have invested heavily in implant training…but they never quite got going. Whatever the reason, it's sad. This is why I recorded with Implant Dentist Dr Hassan Maghaireh who is going to help us over 2 episodes to cover this mammoth topic. In this episode we look at getting started with implants - is it for you? https://youtu.be/dSgGnoTyC1c Should you be placing Implants? Stay tuned for a very clinical Part 2 where we will discuss case selection, implant assessment and Ridge preservation for Dentists. This two-part series aims to help you even if you are not placing or restoring implants, we're going to cover the fundamentals and scratch in itch we have all had since qualifying from Dental school with limited exposure to Implants! In this Episode, I asked Hassan: As you do not get to place or restore implants at Dental school, how can you know it is the right path for you?I know many young Dentists who dabbled with implants and then stopped placing implants - how can we ensure this does not happen to more dentists?There is a school of thought suggesting that with implants, you should either go all in, or do not touch them. How and where does the GDP fit in to this? Is there a place for 'dabbling' in implants?How can we start safely and positively? In this episode we promised you some downloads and resources: The ADI Whitepaper on Bisphosphonates The BAIRD Implant Course starting in October 2021 Wex for Refurbished Photography Equipment If you enjoyed this episode, you will also like Transition to Private Dentistry which changed my life. Click below for full episode transcript: Opening Snippet:You're absolutely right. I mean, it's sad. I'd also teach the one of the universities masters. And I can tell you people did MSC in implant dentistry, and they're not placing implants. And it's sad because I know they have the knowledge, but they did not get the after sale support... Jaz's Introduction: Have you ever been on a dental course and not applied the knowledge and because he never got to apply the knowledge, you felt as though it was absolute waste because really, if you didn't get to apply it, you didn't get to treat a patient with that new technique you've learned, it really goes to waste. So sometimes, you know, we do these courses, and they can cost a lot of money. And we don't get the best out of it. For example, I went on a laser course last year, I've hardly touched a laser since. So I feel it's a waste. And I know it's my own fault. And I take full ownership of that. But I think sometimes the states can be even higher beyond just a laser course. Imagine doing implants, for example, and investing heavily in implant costs. And they're not cheap, let's be honest. And imagine doing that. And I've got some friends who have done implant pathways and programs and have not been able to put it into practice. That can be a costly mistake is one way of putting it or a costly discovery that actually maybe implant is not the right path for you or whichever path you've done or invested in isn't best for you. That's why I've got Dr Hassan Maghaireh with me today for this two part episode. The first one is a mammoth topic, right? The first one is, how to know if implants is the right path for you and how to get started within dental implantology.

This is the very first Group Function and we are tackinling RBBs! I will take questions from the fellow Protruserati - I will use your help to come up with some helpful solutions. TLDR: You can do Dahl RBBs, but it doesn't always mean you should. A little prep of enamel will not be THAT detrimental for the tooth. https://youtu.be/VtRlzodts8c Need to Read it? Check out the Full Episode Transcript below! Thank you Aaron for helping this episode happen as our first question! It is about a technique dear to my heart - Resin Bonded Bridges! Firstly, if you know nothing about the Dahl technique, you totally need to listen to the episodes with Tif Qureshi on Dahl Part 1 and Part 2. It CAN be a good way to place Resin Bonded Bridges in a way to eliminate any preparation for the occlusal surface - in young patients it can be very successful. However, it just seems a shame to prop someone's bite open on just ONE tooth and allow what naysayers refer to as 'unpredictable orthodontics' to work it's sweet magic. I am totally fine with a little prep - staying in enamel (which is so key!) - every case is unique so treat on it's merits. In a younger patient, I am more likely to consider that approach. I hope this helps! If you find this useful - send it to a colleague. I cover Dahl RBBs extensively in the Resin Bonded Bridges CPD Online Masterclass as well as Zirconia RBBs. Click below for full episode transcript: Opening Snippet: You know sometimes when you get asked a question and then you help to answer that question or you know someone who knows the answer and you connect them and then the topic that you discuss becomes so helpful, so useful. You kind of wish that 'hey you know what i wish more people had access to this' because i'm sure if this person benefited from these answers that many others will also benefit from these answers... Main Topic: So this is why, this is the first ever group function okay? So i'm calling this series group function because it's us, you and i working as a group. You guys the listeners, myself, the previous guest of the podcast, the future guest podcast and those on the Protrusive D,ental community facebook group we're going to ask questions, we're going to answer questions. They're going to share answers, we're going to try and be i guess a fly on the wall when these helpful conversations happen. So for the first ever group function, someone messaged me yesterday with a question his name's Aaron Raju. Aaron, thanks so much for the question and he gave his consent for this to be go on an ama so i can ask me anything but of course i'm calling this the group function. So what Aaron asks is to do with resin bonded bridges so aka maryland bridges you know i don't like that term but anyway maryland bridges and using maryland bridges as part of the dahl technique. Now if you are totally unfamiliar with a dahl technique you need to end this episode now and go back to episode 16 and 17 where we are joined by Dr Tif Qureshi and we talk everything and anything about dahl, about how it works, the mechanisms, the indications, contraindications. So this is a really important background knowledge to have, to be able to answer this question and resin bonded bridges are something very dear to my heart. I've got a little mini series online on rbbmasterclass.com so i placed hundreds of resin bonded bridges. I've published on this technique in dental update. So Aaron thanks so much for the question basically i'll read it out "Dr Gulati.." Well first you don't need to call me Dr Gulat. I am Jaz, you know that. Hope you don't mind answering quick query. I read your papers in dental update regarding resin bonded bridges. I have a case where a resin bonded bridge is used to replace an upper right five with the upper right six as an abutment with the wing overlying the palatal cusps and the palatal surface. This was no prep and the plan is to dahl to reestablish posterior occlusi...

When Mike Gow first told me that he helped place dental implants on patients WITHOUT local anaesthetic, I thought he was lying. Then I found out they have also done a sinus lift without LA...what?! You read that correctly! Mike Gow has centred his practice around the management of nervous and anxious patients. Don't you think we can learn so much about management of dental anxiety from someone who has achieved the above? This is exactly why I brought him on as my guest of honour for Episode 50 (50 not out!) and you will love this, gem-packed podcast with valuable ways to help us become better Dentists to anxious patients. https://youtu.be/dkMByGXwI1A Full episode with Dr Mike Gow only on Protrusive and Dentinal Tubules Need to Read it? Check out the Full Episode Transcript below! The Protrusive Dental Pearl is to check out Anydesk (it's free!) to gain remote access to your work computer in a secure way, so you can access X-rays and treatment plans any time, from any where! This has helped me on so many occassions! Also check out the 1 hour free training on Teeth Whitening by Dr Payman Langroudi of Enlighten Smiles. https://youtu.be/jO0bIetHLtY We discuss: How and why he found himself in a situation to hypnotise patients and place implants without LAMythbusting about Inhalation SedationTop tips in making patient feels calm and cared for (gold)Gow Gates vs Akinosi - which ID Block alternative is better?How to have a thriving practice centered on anxious patientsThe powerful secrets of managing dental anxiety https://youtu.be/uqiXh6QUjXw Inhalation Sedation is massively underutilised https://youtu.be/LevjbyjOTIM Hypnosis is powerful! Mike's resources as promised: ISDAM Website ISDAM Facebook page His practice, the Berkeley Clinic And of course, Mike on the news!: https://www.youtube.com/watch?v=D04uduXkYJ0 Dr Mike Gow also runs InterDental TV for the latest in Dentistry. If you enjoyed this episode, you may also like Dr Libi's 2 episodes on Paediatric Dentistry! Click below for full episode transcript: Opening Snippet: I see myself like, cocktail waiter, okay? The patient presents and tells me what kind of you know we work on what kind of thing is needed. And now it's up to me to decide how much of this is going to be pharmacological, how much behavioral, how much technological, and we make this mixture that's unique to that person... Jaz's Introduction: Managing anxious patients is not only one of the most difficult things in dentistry, and sometimes they can be very stressful encounters, but they are actually some of the most rewarding experiences sometimes this defines us as dentists, a dentist who cares, attentive who can really give people hope. People lose hope. And that's part of the anxiety. They won't know if they will get along with you. But they won't know these patients. If they can never trust another dentist again, they're too scared of pain. They're too scared of just general dentistry. And I think if you could master the art of treating the anxious patient, you will be so so so busy, profitable, or more important, your value and your sort of self worth as dentists and enjoyment and fulfillment can really really increase and that's why out today on this episode, Protruserati, PDP050, 50 Episode 50 raising my bat. Thank you so much for sticking with me all the way to 50 episodes. I've got an amazing person. This clinician, Dr. Mike Gow, if you've ever met him, I met him in Switzerland course few months ago in , this guy is just something else like, Here I am, right? I'm placing local anesthetic, sometimes when I'm placing retraction cord, right? So I take the temporary crown off. And I need to get scanner impression to go to a definitive crown for example, and I'm placing local anesthetic for retraction cord. Yeah, I'll put my hand up. I do that sometimes. Right? Where as this guy, Okay, Dr Mike Gow.

As our level of Dentistry gets more comprehensive or complex, sometimes it is useful to write a treatment plan letter to your patient. In some practices, this is considered absolutely essential. https://www.youtube.com/watch?v=_sMt7QLaPCk Full episode with great gems from Dr Jorge Cardoso Need to Read it? Check out the Full Episode Transcript below! The problem with writing treatment plan letters to your patients is that....it's not easy! It takes time. It takes thought. You need to come up with solutions to the unique and complex problems for our patients, and be able to present an estimate of fees at the same time. Not only that, but the letter should ideally be easy to understand, visual, detailed enough to be valuable but at the same time concise enough not to complicate it. Oh and by the way...after all that time and effort, the patient may not proceed with treatment. There goes that Saturday afternoon away from family, totally wasted, right? https://youtu.be/bo-fA-o4OC0 I found a solution. Kind of. It's called MakeMeClear and it generates easy to understand, visual and beautiful treatment plan reports and letters. Once I got slick at using Make Me Clear, I still found it takes time. There is no shortcut/hack to good treatment planning. But there is a shortcut to creating wonderful letters that increase your case acceptance. Thank you, MakeMeClear! Protrusive Dental Pearl - Do the 21 Day Free Trial for MakeMeClear and do not make the same mistakes I did of not taking action! (It will be more clear when you listen to the episode). All of the Protruserati clan get 25% OFF the monthly or Annual plan with the code 'protrusive'! If your dental practice subscribes to MakeMeClear then all of the associates and Specialists can use the same membership. Let that sink in! Thank you to Jorge for this awesome deal. https://youtu.be/pfuG8Q08rck Click here to check out a sample report / example treatment plan letter produced using MakeMeClear. I am joined by Dr Jorge Cardoso, founder of MakeMeClear, to discuss: How and When to Write Letters to patients - is it always?What about when there is more than one option - how can you put that in a treatment plan letter without it being confusing?What is the role of digital smile simulation images?What is you give a 'global fee' or 'ballpark figure' but things turn out more complex than anticipated? So many great themes of challenges with comprehensive Dentistry discussed with Jorge. If you missed his eBook I gave out in the last episode, check out 16 Steps to get More Treatment Plans Accepted Today. If you enjoyed this episode, you will love Think Comprehensive with Zak Kara. Click below for full episode transcript:  Opening Snippet: One advice that I wish I knew that out when I was starting comprehensive dentistry is that the worst thing that can happen to you is to start to be successful in comprehensive dentistry. That's the worst thing. Because success in comprehensive dentistry brings a lot of complexity. Exactly what you said... Jaz's Introduction: When you start doing more comprehensive dentistry, there comes a point where just giving a verbal treatment plan to a patient just doesn't cut it and you have to start writing letters. Now, this can be a very frustrating process. Now, of course, there's a couple of benefits of writing letters, it helps with patient communication. And I think it really does help the patient's, hopefully if the letters are good, understand the plan more. But secondly, it's good for consent. And it's I know, it's a shame to say this, but sometimes a letter is not just for the patient, it's for some potential lawyers should something down the line not go to plan. So it's both for the patient, and unfortunately, medical legal, especially as your plans become more comprehensive. Now, the problem with writing letters is that it takes so much time like I sometimes spend weekends locked up in my off...

Do you make 'shotgun' treatment plans? A shotgun treatment plan is like a shotgun wedding. It is rushed, on-the-spot and poorly consented.. https://youtu.be/mAnXcTUdFuM Shotgun Treatment plan vs being Comprehensive I am back with a Fan favourite - Dr Zak Kara who absolutely bamboozled with his communication gems from episode 10 (must listen if you have not already!) In this mammoth 80 minute episode we dissect how to PRESENT treatment plans to patients. Should we use their chart? Should they get a quote for extensive work at Day 1? Should it be at a second visit or all at their first visit (after all...this what they expect from us, right?) Do we need a separate consultation room (LOL)? https://youtu.be/cFHE2nnCM5E FULL episodes only on the main website and on Dentinal Tubules for CPD/CE Protrusive Dental Pearl 1: ebook Download for 16 Steps to get more Treatment Plans Accepted Today Protrusive Dental Pearl 2: Thank you for Mini Smile Makeover Composite Course and Enlighten Smiles for sponsoring this episode! Need to Read it? Check out the Full Episode Transcript below! I talked about my favourite composite instrument I learnt about from attending Mini Smile Makeover - it is called the CASI 3C and it is the perfect non-stick instrument for anterior bonding. Those in the UK can get this from Enlighten Smiles, and those in the USA or Worldwide can get it from their Cosmedent supplier. https://youtu.be/Ob9srJZu3hM The CASI 3C We also discussing about getting comfortable talking finance with patients - what are our limiting beliefs about money and fees? Is that holding us back? It did haunt me for many years... Do we need to give exhaustive documentation afterwards? What is the point of all this? What is the patient and you do not share the same ethos and values? This is the App Dr Zak Kara mentioned he uses: DDS GP only on the App Store What I loved about the episode was learning why Zak DOES give an itemised plan for Phase 1 treatment, but not Phase 2 or 3: https://youtu.be/plIpA6AjtBg If you gained value from this episode, be sure to subscribe and share it with a friend! If you enjoyed this, you will of course love Zak's first episode on Protrusive: Think Comprehensive! Click below for full episode transcript: Zak: Jaz, the other thing is that it's not just because I'm a caring, sharing kind of guy. It's actually quite selfish without being a nasty person about it. I don't want to treat people who are a pain in the ass. And if we haven't got a connection at appointment two or appointment three, well, I'm cool with cutting all losses at that point, because I don't want to have to get to appointment 10 and find out. Jaz Gulati: How do you like to present your treatment plans? And I mean that like, in terms of your body language, and your verbal communication, and your written communication. Do you just say, hey, you're gonna need three appointments and it's a crown and the splint and that's it? Or do you like to take a screenshot of their chart and you print the appointment schedules with the fees there? Or do you like to just present verbally and that's it? Or do you like to invite them back for a second visit? We can show them all the photos and present them all the options. And they walk away with 78 pages of a plan. Now, none of these options are wrong or right. It really depends on. Your workflow, but I really want to tap in to Zak Kara's workflow because he is someone I admire so much. I do believe he has mastered the art of treat ment plan presentation because he spent so much time focusing on this one element and of course he is a massive fan favorite. So, Protrusive Dental Community, I still don't have a better name for you yet. Welcome to episode 48 of the Protrusive Dental Podcast. I've got Zak Kara on today who 38 episodes ago. So episode 10, he came on and wow, like his episode was so popular.

Periodontology has some good studies and evidence base - but what is the current thinking in the role of occlusion/parafunction in the aetiology and progress of periodontal diseases? I am joined by Specialist Periodontist, London-based Dr Richard Horwitz to discuss exactly the correlation and link between occlusion and periodontitis. https://youtu.be/QhZfDxR4SoY Are those with Anterior Open Bites more likely get to get Perio? Full video episode out soon. Need to Read it? Check out the Full Episode Transcript below! This episode's Protrusive Dental Pearl I picked up from Dr Dipesh Parmar on his fantastic Composite course Mini Smile Makeover - it is to use a sectional posterior matrix band (like the B100 from Garrison or Tor VM) in a vertical fashion to create perfect mesial and distal contours for your anterior composite restorations such as Class IVs. Maestro Dipesh Parmar teaching Composites I also revealed that the team at Doctify are offering all listeners to this podcast 50% off for the first 4 months - you just need to tell them you listen to Protrusive Dental Podcast. https://youtu.be/bpBSFyCFrN0 Full video episode with Richard's cases - only on the website and on Dentinal Tubules I had a really fun chat with Richard which included so much: When and why would you consider occlusal adjustment/equilibration in a periodontally compromised patient, perhaps to reduce occlusal trauma?Can Periodontal splinting help in these parafunctional patients?How can you check for fremitus?What role can appliances have in the stabilised periodontal patient?Listen to how I ruined Richard's canine guidance! If you enjoyed this episode, you will like my episode with Endodontist Kreena Patel on Cracked Teeth! Click below for full episode transcript: Opening Snippet: I'm checking the occlusion as part of your periodontal examination is a must, is something which is often left. And it is really important and valid. Just because I don't feel it's the primary cause of periodontitis doesn't mean to say I find it any less important in the progression of periodontitis and it has to be addressed, especially when I show you those cases where they were in part exacerbated by a trauma from occlusion. If you don't treat the trauma from occlusion, when it's exacerbated a periodontal problem, it's never going to be treated. So it's really important... Jaz's Introduction: I am getting very nervous and very anxious. Why? Because it's been so many episodes, since I talked about something occlusion related. So when this happens, I get very nervous. So let's focus back in, let's pull it back into occlusion. Can we? Today is all about perio and occlusion. I'm joined by my good friend, specialist, periodontist, Richard Horwitz, and we're gonna sort of do some myth busting or perhaps some changing of perceptions, can occlusion cause perio? I'm about to say can perio cause occlusion? That would be stupid. Can occlusion? And what I mean by occlusion is Can someone with a dodgy bite, are they more susceptible to perio? Is that a thing like you know, occlusal trauma, we know that occlusal trauma exists. But what role does occlusion actually play in periodontal bone loss? So that's the kind of stuff we're covering today. So welcome, everyone to Episode 47 of the Protrusive Dental podcast. Now another massive thank you is due for everyone. around about a month ago now something pretty awesome happened. We crossed and I say we because you know, you guys are like family to me now. A lot of you on the Protrusive Dental community Facebook group. And I love seeing you guys there. We crossed 50,000 downloads, right. And this is pretty big, right? A lot of podcasts that get created. It's like businesses like nine out of 10 new businesses will fail in the next five years or something like that, it's a famous quote, right? So a lot of podcasts started and they never reach 50,000 downloads. And so I am so,