Protrusive Dental Podcast

We think we know what a tooth looks like....but most of the restorations that we see on a daily basis...how many of them have truly natural or morphologically correct tooth anatomy? I am joined by Dr Jurgita Sybaite who is the undisputed Queen of Tooth Anatomy! (Full video on main website) She works with Dr Basil Mizrahi and is passionate about Restorative Dentistry. https://www.youtube.com/watch?v=70KQXO9CGkY Full Episode only on Protrusive.co.uk Need to Read it? Check out the Full Episode Transcript below! The Protrusive Dental Pearl for this episode is to use a Thermacut bur (by Dentsply) to remove the interdental papilla when managing very deep, subgingival caries - an example case was posted on Instagram and Facebook for you to see how this works. https://youtu.be/thz07JOrDts What does Brad Pitt have to do with Tooth Morphology?! The three steps to learning and mastering anatomy: learn, draw, sculpt!What if you cannot draw?What tips would you give to anyone to improve their morphology (anterior and / or posterior)I play devil's advocate - is knowing anatomy THAT important now with digital wax ups and tooth libraries? Should we really invest our valuable time with Tooth Morphology?Which is the best way to learn, additive or reductive? Wax? Soap bar?Do we need to master tooth anatomy if we are not a 'cosmetic dentist'? Do check out Jurgita's Instagram profile to see clips of her producing stunning anatomy! She also is a prominent teacher in this field - check out her website! https://youtu.be/9sTqKOznXpA Do we need to learn Tooth Morphology that well? Now we have Digital Tooth Libraries...? See what Jurgita has to say If you enjoyed this episode, check out Composite vs Ceramic with Dr Chris Orr. As always, hit subscribe on your podcast platform and leave a review on Apple Podcasts! Click below for full episode transcript: Opening Snippet: I think what we very often believe is that 'oh, we need to have a very light hand and be so artistic in order to be reproducing a really nice shapes of the teeth which is not true. Our hands they are not you know organs with the brain themselves. Our hands, they're merely following what our brains tell them to do. So the better you've trained your brain, the better you can recall it from your memory, the easier your hand will be able to follow with any material... Jaz's Introduction: What makes your restorations look amazing? Well, the more natural they look, the better they will look. And I think to mimic nature, we need a really good understanding of anatomy. Now, this is something that we think we know when we qualify at dental school that we know our tooth looks like right? But actually, it comes with a lot of practice and determination and actually knowing in your mind's eye what a tooth should look like. And that can be easier said than done that we all know what a central incisor looks like. But until you appreciate that the gingival zenith, that's the highest point of the gum, for example, is usually around about a millimeter distal, or that the mesial line angle is straighter and the distal line angle is curved, these little subtle pieces of information that will be the difference between getting a flat and lifeless looking central incisor with something that looks really natural and reputable. And that's exactly why we have Jurgita on the podcast today. She is anatomy queen. We'll be talking about all things anatomy, how to make our restorations look better, starting from tomorrow, what is the work that you need to do now to get to a stage that you're improving your anatomy. The Protrusive Dental podcast I have for you is something I've posted on my Instagram recently I posted a case of deep caries. Now it was a lower second molar and the patient had a wisdom tooth. So lower second molar distal very deep caries, the kind of thing that would ruin a Thursday afternoon, right? And it's basically very subgingival caries.

Interproximal reduction (IPR) is a useful way to create space in Orthodontics, but it has to be performed carefully to make sure it looks good and is effective. If you are new to Orthodontics or have never performed IPR before - this episode is for you. I am joined by Dr Devaki Patel, specialist Orthodontist, to discuss IPR techniques and the nitty-gritty details and answer the questions you always wanted to ask about IPR...but never did! https://www.youtube.com/watch?v=v9dAcHtPiCU&ab Need to Read it? Check out the Full Episode Transcript below! GDP Orthodontics has boomed in the last 10 years. More and more of us are treating orthodontic cases and often this may be referred to as Short Term Orthodontics (STO), or Anterior Alignment Orthodontics (AAO). Protrusive Dental Pearl: If you view a ClinCheck or a similar 3D simulation, make sure that the initial bite/occlusion is set yup correctly. You will be surprised in how many cases this may be wrong and it has not been picked up! If you are starting out with Ortho cases, IPR may be something that worries you. You may have questions like: Which are the best strips? Are strips better than a bur?How should you hold/orientate your bur?How do you perform IPR when there is crowding?What are the secondary benefits of IPR?Should you place fluoride after, or is that overkill? A really great and helpful guide to IPR ipr-orthodontics-guide-dentistsDownload If you enjoyed this orthodontic episode, you may also enjoy my episode with Dr Almuzian on whether Class I molars are really that important? I appreciate you all listening - do subscribe on your preferred podcast platform so that you do not miss the latest episodes. Click below for full episode transcript: Opening Snippet: You know, 9 out of 10 patients, they'll come in saying, I don't like this. And like you said, as the teeth straightening, they spend so long looking at their teeth, they'll find other things that are like. So it's just always worth gathering this information at the beginning, you know, as much as you can. And so you can exceed the expectations rather than under deliver... Jaz's Introduction: Do you remember when you had to learn a new skill? Maybe in dentistry, you are learning a new technique, a new procedure? Maybe you were learning orthodontics? What were the things that you're most worried about back when you were starting out? Or maybe you're thinking about going into orthodontics? What is it that worries you? You know, for me at the beginning, I have to say IPR was a tricky subject, because it's not really the theory, because the theory makes sense. You know, you create some space, you move some teeth, the theories are fine. And we know evidence base suggests is pretty safe, if done well. And we'll talk about that in this episode. But it's more about the How to and How not to do it wrong. Because once you've seen the photos of when it has been done badly, then that's all haunts you. So when you're there doing your IPR, you're under doing it at the beginning, you're not doing, you're not creating enough space, and therefore you're not meeting your treatment objectives as fast enough. Or if your God forbid, removing it overzealously or your technique is such that it's leaving your teeth in a slightly suboptimal morphology. So these are all the considerations I was having when I was starting out IPR. So then I consulted some mentors and a principal who was very helpful in helping me to do the right techniques using the Bur. My principle taught me how to use it. And I'm very thankful for that. It can be a topic that can be of concern to some people, because we all want to do a fantastic job for our patients. And we all want to do it safely and effectively. So this episode will hopefully cover a lot of the nuances of interproximal reduction for orthodontics. And I hope it helps, I'm joined by Dr Devaki Patel, who is a specialist orthodontist.

I am joined by a young Dentist, James Martin, who started a really cool Facebook group called Dentists Who Invest. Well, if there is a group dedicated to Dentists who own Air fryers, then James' group definitely has a need! The advice we share on this podcast is aimed at Dentists who have no clue about Investing. Forget dental school, but even in our general education we are not taught personal finance and investments. https://www.youtube.com/watch?v=UHpkM-9Vg94 Protrusive Dental Pearl: have you been a victim to 'lifestyle creep'? This is when your income increases, your lifestyle and expenditure also increases. This is all good and well, but it is so important to watch your savings rate (how much money you save). Here are the 5 topics we cover in this episode aiming to improve your financial literacy: 1) How to get started with Investing?We share our individual journeys. His involves cryptocurrency, and mine involves accidentally stumbling upon Tony Robbins' book about financial freedom! 2) DIY vs Financial Advisor/Investment Broker. The Pros and Cons of doing it yourself vs picking a portfolio with an investments company 3) What is the best investment? Stocks? Real Estate? Cryptocurrency? Bank accounts? 4) WHEN should you start investing? 5) What other piece of advice do you give for Dentists looking to invest? If you enjoyed this episode, do check out Personal Branding for Dentists with Shaz Memon!

I want to talk about maximising your learning potential from all the courses that you attend, but particularly the online ones. I was inspired from listening to a book called Limitless by Jim Kwik (check it out if you're in to maximising your potential and the human mind). It had so many gems in there which I thought would be so useful for Dentists to learn when we're attending courses so they have more impact on us. https://www.youtube.com/watch?v=F6Qc0BwTGRU Need to Read it? Check out the Full Episode Transcript below! More importantly, now that with COVID-19, a lot of the education is going online. You now commonly hear the phrase "I'm webinared out" - we are attending too many webinars and are itching for in-person courses again. Over lockdown it was definitely the case, you could fill your whole day with webinars during lockdown. That just gave us digital fatigue. I want to refresh and recap on what are the ways that you can maximise your learning while you're on dental courses, but particularly on the online courses, so you don't feel "webinared out" or "digital fatigue". We can apply this to any online education - in fact, as a Dentist you probably already subscribe to membership only platforms for dental education. However, like many of us in our busy lives, you may be guilty of not giving these platforms enough time to gain from them. It is so important to make time to actually watch that content and actually immerse yourself in that content. I like to call this 'protected time'. Time is scarce. This is why when you do find time to watch these videos on the online platforms or actually attend these webinars, your time is so valuable. You really have to maximise what you gain for every single course that you do, and every single video that you watch, and every minute that you invest in them. This is why I want to share the FAST protocol to maximise your learning, inspired by Jim Kwik and Limitless. F = Forget A = Action S = State T = Teach F stands for forget, which sounds crazy. Let's imagine you're doing a course on veneers - maybe a webinar or an online course on veneers. The way to maximise how much you learn from that particular course is to forget everything you know about veneers. One of my favourite quotes is from someone called Malcolm Forbes, and it's "the role of education is to replace an empty mind with an open one". The A stands for action, and it can also be interpreted as active learning. For me, it's definitely the case that I learn better when I'm taking notes. One thing that Jim Kwik teaches is that we do not learn from consuming. We learn from creating. When I'm creating notes, or when I'm creating mind maps, and some people like typing manually on their iPads or on their laptops, basically almost transcribing what the lecturer is saying... you gain so much more from that process! So note taking or whatever you need to do (whatever creative way that you learn), it's so important to have that rather than just consuming blindly or consuming blankly, you need to be able to create and that way you will learn more. The other thing that comes with active learning is that multitasking is an absolute myth. We can't multitask effectively. For example, have you ever been on a course and maybe you're sat in the front row with all good intentions...but what happens is that you get a text message from your practice manager or patient emails you and now your attention is completely somewhere else. And now you're dealing with a staffing issue or a patient issue. Of course then you leave the the course to make a phone call. You're now dealing with the patient or the staffing issue. You're absent from the course. It's basically that you're trying to juggle a few things at the same time, and it's just not going to work. You're not going to maximise your learning potential. You have to focus intensely on that course in front of you and forget everythin...

Get ready for the best summary of bridges you ever heard, including diving deep in to this mystical design of bridgework called 'fixed-movable' bridge. You cannot search about Bridge Design on Google without landing on the great content that Prof Paul Tipton has released. https://youtu.be/h9mmRiFtHmU Need to Read it? Check out the Full Episode Transcript below! Protrusive Dental Pearl: where to place your grooves for crowns and bridges?Crowns: place grooves mesial or distal, or mesial AND distal. Ideally in tooth and not in core material (we elaborate in the episode). Why mesial and distal for crowns and bridges? The forces will be transmitted bucco-lingually on a crown - therefore grooves perpendicular to this force vector to resist it would be mesial/distal. How about for bridges then? For conventional bridges the grooves are placed buccal or lingual, or buccal AND lingual. This is because the forces are now acting antero-posteriorly on the bridge via forces on the pontic(s). The buccal/lingual grooves will resist antero-posterior forces. Prof Tipton and I discuss: The benefits of fixed-movable bridges (such as negating the need for parallel preps of abutments)The contraindications of Fixed-Moveable bridges (such mobility of abutments)Why fixed-moveable bridges should be the default designMyth-busting Ante's lawWhat is the maximum span of fixed-moveable bridgework?What are the rules that govern cantilever bridges?what about mesial cantilever vs distal cantilever? Why is Distal cantilever worse, and is there any evidence to back this up?The steps in planning for Bridges: 1. Design anterior bridgework first 2. Choose your abutment teeth 3. What Design? (F-F, F-M, Cantilever?) and 4. Type of retainers for the abutments (Adhesive retainer, conventional crown, onlay etc)We discuss an actual case and live planning for a Fixed-Movable bridgeWhere is the fixed-movable attachment housed? Anterior or posterior? Inside the abutment or outside of it?The one thing you must do when placing Fixed-moveable bridges or you would have wasted the time and effort:Remove a small portion of the male component - about 0.25mm on average If you enjoyed this episode, you will like the complete denture tips given by Dr Mark Bishop - check it out! To learn more about Tipton Training, check out their website for courses. Click below for full episode transcript: Opening Snippet: For me, this is 100%. Okay? I know we should never say 100% in dentistry for 99% that the fixed movable attachment is always on the distal aspects of the anterior retainer... Jaz's Introduction: Hello everyone and welcome to another episode this time with Professor Paul Tipton. Listen, if you've ever been a student, or in your foundation year, and you want to find out more about fixed prosthodontics, you turned to Google and you start searching about bridges. You can't get very far on Google without coming across Paul Tipton's papers. In this episode by the way is absolutely full of bridge work gems, which I think are so helpful. So we're going to talk about all things fixed movable bridges, the common mistake areas that dentists make when it comes to bridge work and bridge design. We also talk about grooves, so my Protrusive Dental pearl for you is when you're placing grooves for crowns, placed them mesial and distal. When you're placing grooves for bridges, placed them buccal and lingual or buccal or lingual. Same with the mesial distal is mesial or distal or mesial and distal. And so does that make sense? We go into in more depth. So to find out exactly why those rules exist, then you have to listen all the way to the end of the episode. Because towards the end of the episode, we discuss all that. But there's so many gems in them. The meat and potatoes of the episode is basically about fixed movable bridge work, the nuances of it, when to choose it, what are the contraindications to fixed movable bridge work?

One night when Dr Rajiv Ruwala was up all night as his daughter would not sleep...he came up with a very inspired list... He was interviewing Dentists for associate positions and asked himself, 'What are the habits of the most successful and valued Dentists?' He came up with this awesome list which we discuss point-by-point in this episode of the podcast: https://www.youtube.com/watch?v=NJeMUF05T18 Here are the 10 habits below: They can listen to the patients story and find a treatment to become a solution for the patient. I asked Rajiv if he has any tips in encouraging patients to tell their story or their goal? They often do not offer this info up front. They are proactive in recommending treatment, not reactive. I asked Rajiv to give a tangible example of being proactive. I also asked how to handle the situation when a proactive Dentist inherits the list of a reactive Dentist. They don’t get validation from how much patients pay them, but from how much the patient values what they have to say. If the patients value what the dentist has to say, they naturally accept the treatment. How do we serve patients who do not value Dentistry? They work with their nurses to make sure everything is ready and set up before the patient enters the room. The value of a great nurse is monumental - are you a checklist kinda guy? You may be surprised by the answer he gives... They do not moan about their working environment, the “system” or their staff, they help find solutions to problems and improve the situation. I like this because I always like to approach people or managers with solutions not problems. Rajiv has lots of solutions to work effectively in the NHS. They are happy to refer out and develop a skill/niche that allows people to refer to them. I have my views on this but how do you think one should find their niche? Rajiv gives his ideas. They don’t ask for something for nothing. Instead they build value before investing/ asking for investment. This is massive. How can you build value in to the care you provide? They look to improve in three key areas; clinically, financially, and personal growth, and aren’t afraid to ask for help to do this. Tell us how you, Rajiv, have looked to improve in those 3 domains for inspiration? They are not adversaries, they want to associate/collaborate. I find most successful dentists are so willing to share and help! They take adequate time off to be fully charged/energised. How much time off do you recommend, or is it personal?How about 10,000 rule when you are newly qualified? Rajiv talked about courses for communication which also features making the NHS system work, rather than moaning about it! You can find out more about that here: Course for Associates - PYP course Course for Principals - KYN course If you would like to pre-register for the Splint Course (limited delegates to allow mentoring and support), please subscribe for updates and surprises if you are looking for a comprehensive, step-by-step, clinical splint course.

As Dentists we do not treat headaches - however, we can manage the parafunctional forces and you will be amazed at how many patients will reduce their use of analgesics after these appliances. This is the big one....we finally delve deeper in to Anterior appliances as part of Splintember! https://www.youtube.com/watch?v=0jX7mB_jDKc Need to Read it? Check out the Full Episode Transcript below! Lets talk about these really evil devices [/sarcasm] - the anterior only or segmental appliances, the ones dental school told me to stay away from... There are lots of names/derivatives/ and brands for these such as: B splint or Dawson B splintNTI /SCi/MciBitesoftFOSE-splint named after Jimmy EubankDAASAor the umbrella term for this splint family which is called AMPSA I have decided the only way to make this work for those that listen to the podcast on your commutes and while you garden is that I will urge you to go on to the Protrusive Dental Community where I will post example photos and videos of the various appliances. If you have not listened to Episode 8 with one of my mentors Barry Glassman - I really urge you to, we talk about these appliances and whether or not they cause an anterior open bites. In a nutshell - many dentists condemn this appliance. They believe that by having a splint only on the front teeth, that the back teeth will over-erupt or dentoalveolar compensation will take place. Does that happen? - NO, they do not tend to cause a Dahl effect for the following reasons: AMPSAs are only worn during sleep Dahl effect you need bone deposition - its not going to happen from 8 hours a night! I was careful with my words, I specifically said they do not cause an AOBs due to the Dahl effect. Technically, ANY appliance can cause an AOB due to muscle deprogramming and condylar repositioning +/- postural changes depending on which camp you believe in. You can actually predict which are the patients this might happen to - once again, from any appliance, but because the anterior ones are more efficient at relaxing the lateral pterygoids, this is why they are implicated for it. How does it work and which records do you need? The way it works is similar to the concepts or rationale of anterior guidance which I discussed in the previous episode. By not involving the back teeth - you are furthest away from that powerful nutcracker AKA the TMJ, and also due to the proprioception from anteriors, you are able to switch off the anterior temporalis muscles. What does this mean? What records do you need? Why do I like leaf gauges? Find out all in this episode of the podcast - I will go even deeper with Part 2 - watch this space! If you would like to join us for Occlusion2020 Virtual 2 day intensive program on 27th and 28th November, there are a few tickets left! Join me in Part 2 where we will talk about: Deciding upper arch or lower arch, or sometimes both archesWhat is the difference between these various anterior appliances and is one better than the other?Why even an AMPSA can be an overkill and which patients may actually benefit from simpler devicesHow many of my patients have developed AOBs, which splints caused them, and how to manage such a scenario Click here for Full Episode Transcription: Opening Snippet:As dentists we don't primarily treat headaches but we can manage the power function now you'd be amazed about how many patients have stopped taking analgesics after i prescribed these sorts of appliances... Jaz's Introduction: Hello everyone and welcome to episode 41 of the Protrusive Dental Podcast. This is the fourth one i think for Splintember. We've already covered which is the best dental appliance so that was like the g splint theory, we also covered some basic TMD anatomy and the weakest link theory. I talked the last episode about why michigan splints are totally overrated and now this episode we're going to focus on anterior only ...

Michigan Splints AKA Stabilization Splints are the 'gold standard' occlusal splint according to many occlusal camps. https://www.youtube.com/watch?v=DIfqn2Zkjp0 Check out the Youtube channel for video versions of the podcast. At 10 minute mark there is an error - I showed a Facebow being used whilst talking about Leaf Gauges. Need to Read it? Check out the Full Episode Transcript below! Dental School told me that this Splint is the only one I will need to know and it will cure all. If this does not work...maybe the patient has 'atypical facial pain' ;-) Now before you all attack me.... I have to confess. It is actually a great all-rounder splint - but there are some key reasons why Michigan appliances (or Tanner for the lower) is massively overrated! Listen to this episode as I cover: What is a Michigan splint?How does this splint work?What records do you need for a Michigan splint?Do you need a Facebow?What are the limitations of Michigan occlusal splints? Why might other splints be better for many scenarios?Why you should be careful prescribing Michigan splints to primary clenchers Protrusive Dental Pearls were sent in by fellow listeners regarding patient care and rubber dam hole spacing. Have you checked out the rest of the episodes from Splintember? Here is a rough transcript: Lets face it - Dental school barely scratched the surface in a lot of areas, including Occlusion and splints - so it should come as no surprise to you that Michigans splints are not as great as you were taught they were. Michigan splints are actually a really good all rounder splint for all the main diagnoses within 'TMD' - quite often when I find a tricky case and I am unsure if the issue is more muscle or joint, I will recommend a Michigan - but still, it is a massively overrated appliance and is totally overkill for most of our patients. Lets start the basics - what is a Michigan splint? It is classically a hard upper splint.The lower is called a Tanner. Aka Stabilisation splint. It's a centric relation appliance. What does this mean? I explain in the podcast (so listen up!). I go in to this appliance in a lot more detail and all the shortcomings. Fellow geeks, to conclude: It's a great all rounders splint. And if ever you're unsure of joint vs muscle diagnosis and you can convince your patient to spend hours in the chair, spend that money and you think they'll comply, then go for it. It's a great splint. But if you're more concerned that your diagnosis is muscular, or the asymptomatic patient, and perhaps as an appliance to deprogram your patient....there are definitely more efficient ways to deprogram your patient. And that's exactly what we'll talk about at the next episode....stay tuned for the rest of Splintember! Click here for Full Episode Transcription: Opening Snippet:Dental school scratched the surface in so many different areas including occlusion and splints so it should come as no surprise to you that the grand michigan splint that they taught you is the best ever may not be as great as you were taught... Jaz's Introduction: Hello fellow dental geeks and welcome to episode 40 of the Protrusive Dental Podcast, now this is the third one of Splintember and it's gonna totally upset so many dentists. Gonna make you guys some of you very angry, very hurt, very upset and I make no apologies for it. You know this needs to be out there and let's try and keep an open mind and learn and maybe I’ll learn something from you guys as well from the backlash but really I've done my homework now and I’ve come to a conclusion that Michigan splints are overrated but before we go there I’m going to share with you two Protrusive Dental pearls, two brand new ones and these were sent to me by the Protrusive Dental Community. Thanks so much, guys for listening and i want to put your stuff out there as well.  So the first one is from my buddy Sim Singh,

Why do some patients have painful joints, whereas others get headaches? And why do MOST of our parafunctional patients not get any symptoms at all? Why do some peoples teeth wear away, whilst others teeth are riddled in cracks? https://www.youtube.com/watch?v=amdss07uN9s Need to Read it? Check out the Full Episode Transcript below! In this episode, I talk about the pros and cons of devoting your career in Dentistry to treating Temporomandibular disorders. Treating 'TMD' can be a complex field because it deals with all the complexities of chronic pain. However, it can be a very rewarding area. I also discussed why the umbrella term of 'TMD' is not really specific enough. We can do better as a profession to understand the diagnoses within 'TMD' a little better. Protrusive Dental Pearl: check out the Otter app for transcribing your voice, lectures or any audio/video! This is great for anyone who wants to convert audio in to notes, for students, and for content creators. I have uploaded the Diagnostic Criteria for Temporomandibular Disorders (DC/TMD) PDF file on to the Protrusive Dental Community group as promised to the listeners. If you enjoyed this episode, check out Myth Busting Occlusion and TMD with Dr Barry Glassman. Click here for Full Episode Transcription: Opening Snippet: Hey, I mean it. Stay away from TMD. Hello everyone and welcome to the second episode of splintember this one's called stay away from TMD. Now it's an interesting title and I appreciate that and I really really gave it a lot of thought before I came to this title because I wanted to take Splintember in a certain direction. Jaz’s Introduction:Now if I dived straight into talking about different appliances, different splints without first covering the context of the temporomandibular joint anatomy, the muscles the teeth and there I even say the occlusion and the role that has in it probably lacked a lot of direction and context right? So I’m going to go back to basics. I'm going to talk about anatomy and its relevance to the different so-called temporomandibular disorders that we see and hopefully that will tie in with the future episodes and you can sort of follow along in a more logical manner. So that’s what this is about.So the reason I pick the title stay away from tmd is because I genuinely mean it like, stay away. Do you really want to get involved in tmd patients unless you genuinely have a passion for it and you have a genuine passion for treating chronic pain now it’s a serious question because it is something that you need to be waking up on Monday morning going to work and you gotta say to yourself okay today I’m excited to go into work today to see my six patients who all have severe chronic pain and they’ve been going from one specialist clinic to another specialist clinic and they’re finally going to see me and I’ll solve all their problems. This is really complex dentistry and it’s very niche density so that’s what I mean by chronic pain and tmd. Do you really want a practice built around thatAnd of course don’t take my word for it if it’s something you generally want to do then that’s totally cool but what I found is that I molded my practice and the type of care that I provide I don’t advertise on my patient-facing website or in any sort of public-facing YouTube sort of content I make for patients that I like to treat tmd or that sort of stuff it’s something that I don’t advertise myself because I don’t want to be swamped with these patients because they are challenging and complex a lot of these patients are chronic pain patients which is a whole different field. In fact a member of the public or a prospective patient actually commented on the first splintember episode on my YouTube channel and she commented saying ‘hey I’m not a dentist but I’d like to know are you going to be covering the treatment of an anteriorly displaced disc?’ So I sort of said no I’m not going to be covering this it...

2021 UPDATE: This blew up! I was inspired to create a flowchart to help with Splint Decision Making - download the flowchart by clicking here Which is the BEST Dental Splint? https://www.youtube.com/watch?v=BsXjNkmQf9s Best splint on YouTube - or listen on the usual podcast channels Need to Read it? Check out the Full Episode Transcript below! It is finally SPLINTEMBER and we kick it off with an all time important question - which is the best splint for your parafunctional/bruxist/TMD patient? Surely it's a Michigan…right? Or maybe it's a Gelb appliance? Or the humble soft splint…? Did I just say that?SURELY it's a A- Splint, B-Splint or a C-Splint?! Well, I have an answer for you…it's called the G-Splint! The G-Splint* is the best dental splint there is. There are so many factors that will determine this. In this episode, Dr Jaz Gulati explores many of the factors to consider for appliance therapy in the form of dental splints: What are you trying to achieve?Is the patient symptomatic?What is the 'purpose' of the splint? (Hat tip to Dr Michael Melkers)What is the goal?What about access, cost, airway, orthodontics and compliance with splints? Protrusive Dental Pearl: A quick way to remove temporary crowns and onlays using a haemostat! Tune in for the rest of Splintember where I will go deep in to different splints! *The G-Splint is just a metaphor for splint provision based on the history, exam and diagnosis for your patient! Remember to hit subscribe for updates and join the newsletter on www.protrusive.co.uk Click here for Full Episode Transcription: Opening Snippet: The best dental splint in the whole world is _splint. Hi guys and welcome to splintember It's finally the episode about splits been waiting for starting off with which is the best splint... Like this is such a big question which splint is your go-to splint and basically you know you're gonna hear about my journey with splints. People who have influenced me mentored me but I'm gonna get right into it very quickly when i was gonna tell you what are the factors which i look for to determine which is the best splint for a patient i have so since i posted about Splintember on Facebook and Instagram everyone's been sending me a lot of love and everyone's looking forward to it which has been so amazing it's a really confusing topic for me, my interest in splints grew out of frustration I'll talk about that in a moment but thank you so much for everyone sending their love. One of the listeners Taha Alibi actually messaged me on Instagram say no i really like the splinter idea but for october can you do Orthooctober or Orthodontober to try and get all the orthodontic systems to sort of almost debate against each other to see which is the best orthodontic system and I thought that's pretty clever it's a great idea but I might say that until next year for example when everyone has enough time to prepare and stuff but thank you so much everyone for your suggestions. The Protrusive Dental Pearl even though it's a splint episode I'm going to give you like a a non-splint appeal and this is something i posted on my Instagram just a few days ago check out @jazzygulati for the Instagram and this is how I like to remove temporary crowns and temporary onlays. I use a hemostat or mosquitoes or archery forceps lots of words for them and if it's a posterior one like to use the curved ones and basically you squeeze your temporary crown or temporary only and that breaks apart any bonds that you have so for example for an onlay I would use a zinc polycarboxylate cement such as duralon for example is a popular brand and I would squeeze the only that would just compress it and that compression actually causes tensile stress at your sort of bond layer or the cement layer and that just gets really weak and suddenly you can just so very easily shake it off if you've got a really thick crown you know like normal even if you use convent...