Protrusive Dental Podcast

If there is one piece of content I produce in my LIFE which I think MAY have a massive impact on your life - it might not get much bigger than this one right here! I will put the video up shortly, but you can catch it on Facebook premiere tonight at 8pm on Protrusive Dental Podcast Facebook Page. Video: https://www.youtube.com/watch?v=HZ8yKV0MTr4 Do your grades at dental school influence your success as a Dentist?Is your IQ important? I would be surprised if any of you answered 'yes' for these questions. So what do Richard Porter and I believe is the most important predictor of success in your life, relationships and work? Two words: Emotional Intelligence. Find a quiet place, close your eyes* and take a dive in to the world of Emotional Intelligence as applied to Dentistry: *not while driving!! Need to Read it? Check out the Full Episode Transcript below! We discuss: How important is luck in your life and career What is emotional intelligence and what tangible examples can Richard provide relevant to Dentistry? Why does high emotional intelligence mean more 'successful' and even higher earning Dentists? Are you born with Emotional Intelligence, or can you improve your EQ? Why is Emotional Intelligence important for Dentists, Dental Therapists and the entire dental team? How can you find out your level of EI? Richard suggested The Big 5 Ocean Assessment - such as understandmyself.com Resources as promised: Harvard Happiness StudyDunedin study Learn with Richard Porter and Aspire If you liked this episode, you will love 12 Rules for Dentistry Click below for full episode transcript: Episode Teaser: Obviously, the nirvana. Is if you have high EQ and you can use your hands and you can use your brain, your cognitive part of your brain, and you can deploy all three. And that really is like the triple threat weapon of the truly successful dentist. Jaz's Introduction: Throughout my career so far, I've really tried to stand on the shoulders of giants. And I've tried to learn from my mentors, learn from people who've got significantly more experience and people and dentists who are successful, quote unquote successful. Now. What does it actually mean? And what did it actually say? Well, we'll get to what that means a bit later, but all these dentists, when I asked what makes a great dentist, they all say the following things. They say empathy. They say communication skills. They say soft skills. They say the ability to explain to patients in a way that they can understand it. And the ability to build fantastic rapport with your patients and all these sorts of things, basically. So it's very much the soft skills. Now, if I was to summarize all these things in two words, It would be emotional intelligence. And that's what this episode is all about. We're going to talk about how to be successful, not only in dentistry, but in life. Because I think what I truly believe from reading more and more and more and listening to people is that it's emotional intelligence, which is actually far more important than your IQ. So I've got someone awesome to talk on this topic with me today is Dr. Richard Porter, who so many of you asked to come on the podcast back when there's some episodes. I asked who you guys wanted to come on the podcast. And so many of you had messaged me on Instagram to say you wanted Dr. Richard Porter. So we've got Dr. Richard Porter on today and I won't take too much of your time. Protrusive Dental PearlI'm going to give you the Protrusive Dental Pearl and we'll go straight to what hopefully will be a really impactful and dare I say life changing episode for you. The Protrusive Dental Pearl I have for you is a lesson that I learned as a dental student and recently speaking to someone who's recently qualified has resurfaced as like a lesson that I've sort of almost rekindled with in a way. So,

At Dental School I was taught that we have 2 opportunities as clinicians to save a patient's life. One was mouth cancer diagnosis (obviously) and the other was a patient with GORD who may develop Barrett's Oesophagus. However, as I look back now, I do believe dental school missed something out….and that is Sleep Disordered Breathing (SDB). There is no formal acknowledgement of Airway in the dental curriculum. https://youtu.be/TKiX-J046JA Full Episode on the YouTube channel and soon to be on Dentinal Tubules for 1 hour of Enhanced CPD/CE Need to Read it? Check out the Full Episode Transcript below! What you will learn from this episode with a leader in this field Prof Ama Johal is that a team approach is needed. If the Sleep Physician is Team Leader, we as Dentists are SECOND in the pecking order, above ENT! That signifies the massive role we have to play in treating SDB. We discuss: How and why did Prof Ama Johal get in to this micro-niche of Airway within Dentistry Brief overview of anatomy with the 'party balloon' analogy What is Dental sleep medicine? What is sleep disordered breathing and sleep apnoea What is the contribution we can make in the dental profession? Is it just mandibular advancement splints? What is a CPAP What is the effectiveness or oral appliances vs CPAP? Why is the training at undergraduate level in both MEDICINE and DENTISTRY lacking? What are the barriers to Dentists who want to help patients with Sleep disordered breathing? How can we significantly improve the lives of some of our patients? What is the association between parafunction and sleep disordered breathing Should YOU get involved in treating the airway for your dental patients? Does premolar extraction orthodontics adversely affect the airway? What about children with massive tonsils/adenoids causing airway obstruction? Prof Ama Johal is highly regarded within Orthodontics and dentistry, for the standard of his clinical work and published research. He is the Vice President of the British Society of Dental Sleep Medicine (BSDSM) and Professor at Bart’s and The London School of Medicine and Dentistry. Resources and Downloads: British Society of Dental Sleep Medicine S4S Course Snoring & Obstructive Sleep Apnoea - a Role for the GDP - listeners of the podcast can get 50% until the end of August 2020 - use coupon code ME50 (this is not an affiliate link and I do not get commission from this - I am thankful to S4S for offering this to the community) Click below for full episode transcript: Opening Snippet: Hey guys, it's Jaz here and welcome to Episode 33 of the Protrusive Dental podcast. We're talking about airway. Jaz’s Introduction: Now airway for me what I think is that in dentistry, it really is the elephant in the room like we qualify from dental school, and this mammoth topic of airway and how relevant it is to dentistry. I mean, come on, we’re looking down the mouth, we’ve got a huge view of the airway. And it’s something that’s completely neglected in dental education. But the more I sort of delve deeper into this, it’s actually neglected in medical education as well. But it was taught turning that around slowly. So that me and Prof Ama Johal, who’s the guest today.We’re thinking that perhaps in 10 years time, it’s going to have its rightful place near towards the top of what we learned at Dental and medical school for that fact. So we’re talking about what is the elephant in the room and it’s airway. The way that I got into airway in my journey is something I discussed with Prof Ama Johal was when I was a DCT1 at Guy’s Hospital, I’d have like this one clinic like every two weeks, where I’d be making these mandibular repositioning appliances, and they were like, it’s like a soft splint for a top, a soft splint for the bottom and this sort of glue together with a mandible in a slightly protruded position or what Prof Ama Johal describes a very much as a first...

Dental Recruitment is Changing! https://youtu.be/1WmvW9-1YWE Need to Read it? Check out the Full Episode Transcript below! Would you rather work in a lavish dental clinic with all the bells and whistles, but with a high turnover of nurses and lacking a culture or ethos…OR, work in a 'mediocre' clinic with happy staff and a thriving culture? What makes an awesome dental practice, and how can associates and therapists find them? Where are they hiding? Are they as rare as a 'good associate'? What is that even about? In the latest episode I chat with Andy Saunders and Simon Tucker about how dental recruitment has evolved - it is a purpose built episode if you are looking for a new opportunity or even if you are a principal looking to hire the right team member. We discuss: Why traditional methods of hiring Dentists, Therapists and Nurses may not be effective or good value any moreThe three types of CVs you needThe power of the Video CVImportance of the same values within the teamHow to find your 'tribe' and the practice you belong in (and why you cannot just go by what their website looks like)The features and indicators we SHOULD be looking for in a new practice If you like the new face of dental recruitment (or finally, just a face!) and want Andy and Openwide to help you, reach out to Andy! Click below for full episode transcript: Opening Snippet: Hello, Simon Tucker and Andy Saunders and welcome everyone who's listening to the Protrusive Dental podcast today... Jaz's Introduction: This episode is all about careers as an associate and a bit of a continuation of the episode I did about finding an associate position and about your CVS. It's a very hot, sunny day today, end of June. Main Interview: [Jaz]So Gentlemen, thank you so much for joining me if you just kindly introduce yourselves, and tell us about why I might have interfered in terms of what you think why I've got you on the episode today to talk about finding an associate position and start with you, Andy. [Andy]Yeah, yeah. Good afternoon. My name is Andy Saunders, as you alluded to, I am the founder of the Openwide Group. We're a careers consultancy for the dental industry. I've got a bit of a different take on how I believe recruitment should be undertaken. I have over 10 years experience of running a recruitment business, we launched it, we took it from naught to 25 million in eight years, it was then sold to one of the big boys. So I feel that I'm in quite a good position to tell people how to position themselves so that they are maximizing their output for how they can best show themselves off to potential new principals. They might want to be owning their own practice how they can then recruit their own associates. But ultimately, I'm really passionate about how dentists A) how they recruit. And we've come up with a mythology, the three R's of recruitment, which I'm sure will allude to a bit later on, or [Jaz]Andy, I think what you're doing is you're taking your experience from your recruitment of days, in these successful companies that you know, help with, and you're bringing that into the dental industry, you really shaking it up. And the reason I wanted to bring you on is because one thing you said to me was 'how CVS are now changing,' because over the past few weeks, I've been involved with helping lots of dentists with their CVS, because then, you know, then, since that episode I released about CVS, they've been sending me their CVS for my opinion. And I've been happy to help. But one thing that you told me about how CVS may not be the best way anymore, that really say the back of my mind, and I really want to talk about that today, as well, Simon, please tell us a little about yourself. [Simon]Hello, Jaz, thanks for inviting me on. I'm a salesman. And for over 35 years of my life, I've been selling dental products and services, to dental practices all over the world. I've lived in the States,

I left you on a bit of a cliffhanger last episode - but now you can finish off Andy's 'origin story' of Posterior Guided Occlusion (PGO) and understand how this is practically implemented on patients. If you missed Part 1 and the ebook by Dr Andy Toy, check it out. https://youtu.be/WJxr1JPpDO0 Need to Read it? Check out the Full Episode Transcript below! The Protrusive Dental Pearl for this episode is continuing on the theme of Dental Photography I have been posting about on my Instagram. When taking portrait photos for your patients with a ring flash, point the ring flash at the ceiling, rather than at the patient's face. This creates a softer, nicer image! If you missed out on my Butterfly Effect webinar, you can now check it out on www.protrusive.co.uk/butterfly - it's about how seemingly small events in your career can compound and change the entire trajectory of your dental career. I added a new book to the book list - the Danish Way of Parenting! In this episode we discuss: Structural school of thought vs Functional school of thoughtThe relationship between the condylar movement and the teethThe mathematical equation that is evidence for PGOI ask Andy questions to test PGOWhat does he mean by functional contacts?What is the healthy clench?We debate anterior guides vs posterior guidesHow does this apply to the patient with large masseter muscles who keeps breaking cusps?How many 'centrums' are enough?What Andy is prescribing in Clinchecks for the posterior occlusionHow to finish the occlusion on an orthodontic case - and how Andy makes this 'patient driven'How Andy finishes 60% of his Invisalign cases with a 'Dahl appliance'Is Centric relation important to achieve?Andy tells us the birth of Canine Guidance Click below for full episode transcript: Opening Snippet: The occlusion becomes more simple. You have to work less hard because all you got to do is make sure there's good posterior guides. And all that work you do not the front of the mouth. As long as you don't get too much of a clash there, okay? Then life becomes much, much more simple and you can, canine guidance isn't a bad thing. But it's not essential to a healthy functional bite. Okay?... Jaz's Introduction: Hey, guys, and welcome to Episode 32. This is posterior guided occlusion part two, with Dr. Andy Toy. I know I left you on a massive, massive cliffhanger last time. And I hope you can join us again, to get the complete story of how to actually apply the PGO concepts. Now something like I told you guys, it was me learning a bit about this concept for the first time like many of you, so it might take me some time to implement this, if I do end up fully going that way. But it's just great to hear other points of views and other theories out there. So I'm so glad that Andy, Dr Andy Toy was able to share that all with us. Before we join Dr Andy on the show, again, with part two, I'm gonna give you the Protrusive Dental pearl. And this is a photography one, which has been quite big on my Instagram story recently, I sort of gave a hint that I've ever invested in some new sort of photography, flashes and lighting. And I'm gonna go into a lot of detail about that, because loads of people inquired about how to get that nice softer lighting. So I'm going to do a whole segment on that, I think it'd be cool for everyone, and also how I can do it for way cheaper than buying it from some other places. So I'm going to show you the sort of the DIY method of how to make the softer lighting and save you lots of money at the same time. A dental photography tip for the Protrusive Dental pearl for today, which is when you're taking your portrait photo, which is important to do. And I think with more experience, you realize the importance of it as you go on. And if anyone's doing orthodontics, you're probably used to taking portrait photos anyway. So when taking portrait photo, especially with a ring flash,

Do you worship canine guidance? I think I went through a phase where I placed a very high importance on the presence or absence of canine guidance. I then got thinking...how and why are my patients with AOBs doing just fine? Why is it that some studies suggest that only 5% of the population has canine guidance, and others suggest up to 60%? Is group function really the villain? This is why I am open to listening to theories that explain this. Posterior Guided Occlusion is one such theory. I am joined by Dr Andy Toy to explore PGO concepts I wanted to delve deep in to PGO - so we split this episode in to 2 parts. https://youtu.be/k6T8cbqSY1I Need to Read it? Check out the Full Episode Transcript below! What we cover in this episode: We hear Andy Toy's storiesHow did he get in to 'Posterior Guided Occlusion', clear aligners and treating TMD?The journey that took him to PankeyThe story of how Andy met Ron Presswood and the influence that he had in his views on OcclusionWhat is patient driven splint adjustment?Why was Andy getting good results with PGO splints, just as he did with traditional tanner appliances?Why are we trying to switch muscles off, but Andy is trying to switch them 'on'!?The surprising origins of Bonwill's TriangleWhat is a functional occlusion?Realising that the the quality of the evidence in Occlusion is poor Link to Dr Andy Toy's eBook on PGO All the other downloads from every past episode is on the Protrusive Dental Community Click below for full episode transcript: Opening Snippet: Know what goes there's no evidence for this stuff that we're doing really, if you get down any sort of textbook like Dawson, right? Sitting up there, you go to the end of the chapter masses of references. And I had learned to look at those references in. Well, you know, they weren't nothing... Jaz's Introduction: Hello, Ron and welcome to another episode of Protrusive Dental podcast, a very special episode, something very different. Do you believe in canine guidance? It's the first thing that we're taught at dental school is the only thing that you remember about the occlusion aspect of dental school. Whereas having been to many occlusion courses, and then championing the role of canine guidance, I did always think why is it that some of my AOB patients are just fine? Why is it that some of your patients in fact, most of your patients, according to some studies, do not have canine guidance? And why is that okay? I think we've covered it a little bit in some of the episodes with Barry Glassman before, but I want to bring something completely different to the table. So today, I'm joined by Dr. Andy Toy, who is a fantastic dentist and mentor, based in Nottingham. He is an educator for Invisalign, and he treats TMD, does orthodontics and he has a massive interest in occlusion, hence why I connected with him. The story about Andy and you'll hear his story throughout is very fascinating how he did all the traditional routes of occlusion was also in favor of the traditional mainstream sort of knowledge about canine guidance, and then how he met some people, and how he also considered that they may be another way to think about occlusion, that might be another theory that we should consider. And that theory is the PGO, which is posterior guided occlusion. So imagine everything you know about occlusion, and turning upside down. And then thinking, whoa, I mean, this blew my mind when I first came across it. So I want that as part of the handout of this episode, I'm gonna leave Andy's ebook about PGO for you to read, because it's a two part episode. Part one, this one is more of the introduction how Andy had done all the other occlusion bits and bobs, and then learn about PGO, and then we talk a lot, we get a little bit deep into the PGO and I leave you in a bit of a cliffhanger. Sorry, not sorry. And next episode, we're going to get into how to actually apply PGO concepts, not patients,

Yes, you have read the title correct. I DID get Chris Orr on the Podcast...the silver lining of lockdown?! I am very excited to share this episode with you - Composite vs Ceramic, Direct vs Indirect. I have placed hundreds of humongous composites in my career that in hindsight should have been indirect restorations - I share the challenges that I faced in my journey and I am sure many of you will be able to resonate with it. https://www.youtube.com/watch?v=SGWcwkZD-kk Need to Read it? Check out the Full Episode Transcript below! We discuss: An extremely insightful episode with Dr Chris Orr (whom I refer to as 'the Rockstar Dentist' and I share the story WHY I give him this name) Is there a place for inlays? At what point does a composite become a ceramic (or read: direct becomes indirect) Is there a place for composite onlays? Does the parafunctional status of a patient influence the choice of restoration? Is eMax acceptable for 2nd molars? Dual cure cement vs light cure cement for onlays? How do you decide which cusps to cover? What kind of join is best to the tooth? Pressed eMax vs CAD/CAM eMax? What does Chris Orr think about BOPT/Vertipreps? As promised in the episode, if you are waiting for announcements of Advanced Dental Seminar courses by Dr Chris Orr - check out their ADS Facebook page Click below for full episode transcript: Opening Snippet: Bruxism has a lot in common with periodontal disease. Because we have to have these difficult conversations with our patients that you have this problem. I can't cure this problem for you. I'm happy to help you. But it's your problem... Jaz's Introduction: Hello, everyone, and welcome to another episode of the Protrusive Dental podcast. I have got an absolute Rockstar and I use that term purposefully because I've got a story associated with Chris Orr. Dr Chris Orr who's coming on the show, say to discuss about a mammoth topic, which is basically composites versus ceramic, which is best and how do you choose? So the story with Chris Orr is when I was a student, when I was about a fourth year student, we'd have these dentists who were several years qualified, come in, and they will be learning how to place implants. And we'd be like on these clinics just floating around as students do doing nothing much. So anyway, I got talking to another dentist, and he was giving me some advice as me being a fourth year dental student, he wanted to give me some advice, just thought was very kind. And basically, he was basically blowing off some steam. He was having a rant about the state of dentistry in the UK, he wasn't a very happy dentist in terms of how dentistry was in the UK. And he kept saying, look, if you really want to be a great dentist, if you really want to be an amazing dentist, you have to go transatlantic, you have to go to the USA and do some training there or get to a American Dental do a postgraduate degree or do some courses in USA, and basically move to USA is essentially what he was saying to me. But then he said, however, there is one dentist in the UK that I think is amazing. He said, Have you heard of Chris Orr? At the time I hadn't heard of Chris Orr, and he said to me, Chris Orr is a rockstar dentist. And that has never, I've never forgotten that, that has never left me. So whenever I see the name Chris Orr I always think Rockstar dentist basically. So obviously, that dentist, I think I see where he was coming from. But I think nowadays, with the UK also producing such we already have lots of great dentists. And I think that perception that USA has better dentist and UK, I don't think it's 100% true at all. Whether the training is better may be a different story, but definitely the color of dentistry in the UK, something I'm proud of. And we have some huge names and one of them is Chris Orr so it'd be great to chat to Chris Orr today. The Protrusive Dental pearl I have for you is I'm going to show you ho...

With 'The Denture Guy' Mark Bishop who was also my first ever clinical tutor 11 years ago! https://www.youtube.com/watch?v=4BkBEK01P0o Need to Read it? Check out the Full Episode Transcript below! We discussed: 🎤 Occlusion with Dentures 🎤 Identifying red flags 🎤 At what point do you need to accept that the patient NEEDS to have implants to have success with dentures 🎤 What's more important? A technically excellent denture, or a patient with good adaptation 🎤 Why do patients who wear 'rubbish' dentures struggle with 'good' dentures 🎤 Which is the best impression material? 🎤 Which are the red flags patients for Complete Dentures? 🎤 How do you handle a patient who tells you how to do your job? 🎤 Communication Pearls via analogies 🎤 How can you achieve suction lower dentures? 🎤 Do all you dentures need to be in Class I ? 🎤 How can we improve our registration phase of complete dentures? 🎤 Why most Dentists trip up at the diagnosis stage of Complete Dentures, and how to overcome this 🎤 The importance of writing a letter to your complete denture patient The Atwoods classification and the Registration technique have been posted Protrusive Dental Community Click below for full episode transcript: Opening Snippet: Hello everyone and welcome to this episode on complete dentures with Dr. Mark Bishop... Jaz's Introduction: Dr. Mark Bishop was actually one of my first ever, he was my first ever clinical tutor at dental school. It was in second year, early in second year doing complete dentures. And what this guy doesn't know about complete dentures is frankly not worth knowing. We share so many great gems, as always, we talk about talking to your edentulous patients, or your dentate patients about expectations, how to manage occlusions in dentures, we talk about which is the best impression material for dentures, how can we get a lower suction denture? Is there a technique? Or is there something else that's there to it? Another couple of things, we talked about his red flag patients and how to identify them, as well as at what point can you actually say, actually, this patient in front of you will actually benefit massively from implants. And actually, the dentures just won't cut it. So that's something I often think about is actually with such a resorb ridge, are they going to get any success with this complete denture I'm about to make? Or do they actually need to have implants as in NEED to have implants. So we will touch on that as well. The Protrusive Dental Pearl I have for you quite fittingly is actually mentioned in the podcast episode, but it's something that Dr. Mark Bishop taught me about complete dentures. And it's basically when you have a patient who has complete dentures, and also due to the complete denture, and you're trying to adjust that bit on the or ease that denture so that it's not rubbing against the denture anymore, so it's a bit more comfortable for them. How do you actually know exactly where to adjust, so you're not adjusting inappropriate areas or adjusting too much. And you only want to adjust the fitting surface where the ulcer is. So what Mark taught me to use, and when I still use this days, the only reason I have Dycal in the practice, I use the base paste of the the white one of Dycal, and I've put put it, dry the ulcer, and I put it a little bit around the ulcer area, and then you press the denture on, you actually inserted and you press it on and you remove it, and you'll have the base paste of the Dycal on the fit surface of the denture. So now you know exactly where to adjust for that patient. So hope you enjoy the episode with Dr. Mark Bishop and I'll catch you in the outro. Main Interview: [Jaz]Right. So usually is Dr. Mark Bishop for you, our relationship I know you're happy for me to call you Mark. Mark thanks so much for coming on the podcast. [Mark]It's a pleasure.

I love Dentistry…but I FREAKING HATE CRACKS. CRACKS = DIFFICULT CONVERSATIONS with our patients. https://www.youtube.com/watch?v=IIsjE2Km-po Need to Read it? Check out the Full Episode Transcript below! Protrusive Dental Pearl: When checking for cracked cusp syndrome using a tooth slooth, make sure to jiggle it a little bit because it can help to get a more accurate result! I am joined by Endo Queen Dr. Kreena Patel - @kreenaspecialistendodontics to discuss all things cracks to make our decision making process clearer in General Practice! We discuss: How do you manage situations where pain is difficult to localise and you're in a diagnostic dilemma?What if you just CANNOT find out which tooth it is? What should you say to the patient? 🤔What % chance of success should you give to the patient based on clinical findings?Can you use a cotton wool roll as an alternative to a tooth slooth?SHOULD YOU CHASE A CRACK???When you open a molar access cavity and trace a crack - where is the cut off for the extent of the crack before it is deemed not worth saving?Any advice for GDPs dealing with CTS?What is the evidence for RCT in patients with cracks?What is the consent conversation you have regarding cracks? And right at the start we touch on: Impact of CBCT in EndodonticsCan you spot a crack on a CBCT? Click below for full episode transcript: Opening Snippet: Hello guys and welcome to another episode of the Protrusive Dental podcast... Jaz's Introduction: Today I've got endo Queen, Kreena Patel on the show today and we're talking all about cracked teeth, something as you will hear, I absolutely despise in general practice, I think it's the bane of my existence. It's one of the most difficult things to sort of diagnose sometimes. And the amount of conversation that's involved with the patient, the amount of sort of discussion and complexities and nuances and possibilities your tooth might not be able to, might not even be able to save your tooth, we might have to put a crown on. But if then it fails, you might end up have to remove it. You may or may not be better off having an implant, the success isn't that good. I'm not even sure which tooth it is. These are sort of things that you sort of end up discussing when it comes to cracked teeth. So we're going to be discussing things like how far into a canal orifice does a crack need to extend before you look and say, You know what, this is unrestorable and when discuss about diagnosis of cracked tooth, which is one most challenging aspects of cracked teeth. And we'll also discuss about how Kreena suggests is managed endodontically and also buy us in terms of cuspal coverage. So I hope you enjoy the episode. The episode as well as everything from Episode 20 onwards is going to be eventually on Dentinal Tubules for enhanced CPD, so thank you Dentinal Tubules for quality assuring my CPD. So if you wanted to get your CPD hours in, then you can go to Dentinal Tubules search Protrusive Dental podcast and answer a few questions, acknowledged the aims objectives and they are you will have CPD, enhanced CPD for this meeting. We know with all the outcomes written there. It's all well and proper. So the Protrusive Dental Pearl I have for you is an endodontic one. And it's the one that actually Kreena gave me in the middle of the episode actually, she told me when we're using a tooth slooth, which is one of those rigid plastic thingies that you put on the teeth, and you get the patient to bite together and what it does is it flexes the tooth to then see if you are confirming the diagnosis of cracked tooth basically is essentially how you do it. And Kreena talks a little bit more about that. When you're using that one thing that I don't do as much at the moment I had an occasion I found Oh yes, this helps. But I never really made it protocol was to actually once you get the patient to bite down on the tooth slooth, you jiggle it a little bit,

This episode aims to navigate the Dentist around the complicated world of Respiratory Protective Equipment (RPE). I literally start from the basics and we build up - hope this helps! https://www.youtube.com/watch?v=30dNlplwdoI Need to Read it? Check out the Full Episode Transcript below! What is a Fit test vs Fit checkWho should be paying for the FFP masks?! Associates?!Oops I failed my fit test - what now?Should we just drop FFP2/FFP3 and just use re-usable RPE that is way more cost effective?UDCs are reportedly keeping the same FFP3 mask on for several patients (1 per session) with a surgical mask on top - if they are getting away with it, can we do it in practice to save money?Does FFP2 NEED to be fit tested? Can you get away without one if you compensate with a face shield?What's the difference between FFP2 and FFP3?What does a FFP even mean?Should you be stocking up now?Watch out for the fakes!Will there be a phased return or 'chaotic return'?If I am antibody positive, do I need to bother with all this?DO we need more fit testers? How to get involved?How are we going to meet the healthcare demand of fit testing?When do you think I'll get to place composites again?! Click below for full episode transcript: Opening Snippet: Hi, guys, welcome to another episode of Protrusive Dental podcast... Main Interview: [Jaz]This one's all about respiratory protective equipment. It's a massive, massive topic at the moment. And I just want to help out by covering a little bit mostly because I felt as though I knew nothing. And I had some people reach out to me, what do we do about our beards? Do we get FFP2s, fit test it, this will make a good topic for your podcast. So I reached out some guys, it culminated in this episode, which is going to cover all the very basics of the more sort of political ethical questions around RPE in dentistry, for whatever it is that we'll be getting back to work. I know the UDCs are working under some conditions whereby they have access to some forms of RPE. So discussing all that, I have to give a disclaimer that one of the reasons I made this episode was because I am concerned as a Sikh man, with a turban and a beard, but how I'm going to go back to work and certainly for those in my community, how are we going to get back to work and I want voice or my community to be heard. So that's one of the reasons but that makes up around about 0.2% of this podcast. This podcast episode is applicable to everyone. But I do want to reach out to my community and sort of offer them something. And basically, there's not much in it in terms of how I can help people with beards, Muslims, Jews, Sikhs, those of us who have facial hair, essentially, we are at the mercy of the higher powers, the WHO, Public Health England, the CDO, NHS England. So all these bodies are advising us. And actually, they are all blind. And what I mean by that is that there is just not enough evidence yet. So I think the method that everyone is now adopting is a better safe than sorry, hence why at the moment, the guidance suggests that you should be using a filtering SPS for any AGP related procedures. So that's where that guidance comes from. It may be that just a surgical mask and a visor is just as good. But the thing is, we don't know yet. I think the due to political reasons, and due to safety first and being better to be safe than sorry, that's the reason that we're going a bit extreme into some of the guidance recommendations in terms of worker needs to wear these FFP2 or FFP3 masks. So I think that's where that comes from. The only thing I can say is that I was surprised to learn a little bit that all this RPE that we wear is actually mostly to do with protecting us, not so much the patient. Yes, the patient's important as a byproduct, the patient should be protected. But we'll also think about how to protect us as interesting that, for example, if I was to wear an FFP2 mask with my beard, technically,

Many Dentists still believe that caries in to dentine on a radiograph automatically means they need to start drilling - why might they be wrong? https://www.facebook.com/watch/?v=564343240902780 Remember that case I posted on my FB and IG page some months ago? It had SPLIT our profession down the middle as to whether you should drill those carious lesions or not. Need to Read it? Check out the Full Episode Transcript below! https://www.facebook.com/protrusive/posts/670960430338941 Well, I asked Louis McKenzie about this case, as well as about caries detections systems and WHEN we should be picking up the drill? Why should use a caries detection system (such as ICDAS)? Which is the best system? We share THAT case - the one that split the opinions of THOUSANDS of Dentists - find out what Louis would have done! Find out what I DID end up doing! What about cracks? Does that count as a 'cavitation' and therefore warrant restoration? We discuss a classification to describe radiographic caries. Pearl: when you place immediate resin bonded bridges, consider a split pontic technique! www.rbbmasterclass.com for the full online course - use MAY2020 before 31st May 2020 to get a discount! Click below for full episode transcript: Opening Snippet: If there's just one IGtv or YouTube episode that you watch on this podcast, in all of your existence, make it this one. This is all about to drill or not to drill, because frankly, I believe that many, many dentists all over the world on drilling caries too much, too often, and they should stop now... Jaz's Introduction: Hi, guys I'm Jaz Gulati, I will not keep you or bore you any longer. I won't go straight to the episode with the legend that is Louis McKenzie. The story behind this episode is that some months ago, I posted on the two main UK dentist Facebook groups as a UK Dentist and For Dentist, By Dentist and I post some photos of anterior caries. And I got around about I think 5000 dentists in total to actually view it according to stats I have, and 1500 or thereabouts engagement, so people actually clicking on several comments, and it split the nation down the middle. Half of you wanted to drill the life out of these legions, half of you want to slap on some fluoride and review it. So we'll find out what Louis McKenzie wanted to do was because he was anti lesions, approximately the crack line there. A lot of you are itching to get your handpiece out right now while you're watching this. But you know, it's a fun. It's a fascinating topic really is. So I'm really happy to have Louis on. Please join us for this full episode on to drill or not to drill. The answer is around about somewhere halfway, if you want to skip straight to that, but why would you? There's so much useful stuff that Louis McKenzie shares with us for caries detection process, and so much more insight and into the complexity of when or when we shouldn't be drilling into teeth. The Protrusive Dental Pearl I have for you is something that I borrowed from Louis McKenzie, and it's on my course, the resin bonded bridge masterclass, which, by the way, on the 31st of May, is going up to $90, or after the 31st of May, before 31st of May if you use the code may2020, it'll give you $68 off so it's $22 only, I'm doing this a lot for charity because a lot of the money is going to charity and the rest of its fees, ads I'm doing basically it's my way of contributing for lockeddown. And I've already had some great feedback people who said it's perfect for E-learning people who have messaged me to say that it's made RBBs very clear for them. I'm so pleased to hear it. I personally do think after spending weeks on creating this course that it is the best value CPD you will do the entire lockdown period. So if I'm wrong, I'll give you a money back. That's how confident I am. So please join me on the RBB masterclass The website is rbbmasterclass.