

Protrusive Dental Podcast
Jaz Gulati
The Forward Thinking Dental Podcast
Episodes
Mentioned books

May 31, 2020 • 53min
I Hate Cracked Teeth with Kreena Patel – PDP028
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,

May 24, 2020 • 1h 15min
A-Z of PPE for Dentists – IC007
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,

May 24, 2020 • 60min
To Drill or Not to Drill? – PDP027
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.

May 17, 2020 • 29min
CVs and Portfolios for Young Dentists – IC006
I was so happy to get feedback from 'Finding An Associate Position' interference cast episode. What you asked for was some more direction on Portfolios, and that's exactly what this episode sets out to do!
https://www.youtube.com/watch?v=1URCtgQdczo
Need to Read it? Check out the Full Episode Transcript below!
As well as showing my own CV (it does not need to be too fancy!) and Portfolio, I tap in to Barry Oulton's experience of hiring - what does he look for in an applicant?
Alan Burgin (@the.cornish.dentist) and I also chat about our journey and the gradual process of organically building your portfolio (it was a snippet from an episode yet to be released).
I echo in the episode that all these things are just to secure your interview - really what matters most is your emotional intelligence and your attitude.
If you know a DF1 that would benefit form this advice, help them out by sharing this podcast with them!
Click below for full episode transcript:
Opening Snippet: Don't think that you're the bee's knees, and the be all and end all, what you're doing is you're reflecting back, because, you know, we do need to reflect. And so demonstrate the reflection, demonstrate that there's the humble and that you are looking to improve things...
Jaz's Introduction:
Hi, guys, and welcome to another interference cast. This time I'll be talking about portfolios and their relevance. I've got a couple of guests, but a few snippets from a few other episodes, actually new content that will hopefully help in the decision of how to actually make a portfolio, the relevance of it and what principals are looking for, and the journeys of some successful associates and what advice they can impart. I'm going to be sharing with you my own portfolio and my own CV. And that's not to say that my CV is the best CV by any stretch of imagination. I know far more skilled dentist, young dentists who have brilliant, glowing CVS and portfolios. But I'm going to show you mine just warts and all because who does that right? So I'm going to try and be as helpful as I can be. Maybe they'll give you some ideas, some inspiration. And ultimately, I just want to remind you that none of this matters, essentially, as much as your emotional intelligence, your personality, how likable you are, your communication skills. Are you a team player? Everyone I know who is a principal that you really want to work for someone who is really forward thinking, they all have one thing in common, I think from what i've deduced, and that's they'll really hire for personality, rather than the credentials. I think the credentials play a role. And they're important. And that's where I'll show a little bit about portfolios, and what mistakes that I share in my portfolio as part of reflective learning. But ultimately, remember that your personality and your people skills are far far far more important than what's on any piece of paper. Also, making some cameo appearances in this podcast will be Barry Oulton, who will be talking about as someone who's hired lots of dentists before, what is he looking for. And I've also got Alan Burgin, who is such a fantastic guy to speak to, very successful young associate, who I think shares a few gems. If you're a young dentist, that journey that you take into finding your first job or the right job, and he's got a few gems to share. They all both have their own episodes coming up, but I took a few snippets, so they have a few cameo appearances in this episode. Okay, guys, so this is my CV, I've redacted some of my personal details. So it starts off with about me, but even before then, funny story, I used to have like a really stupid funny logo. And then a dentist who I really admire Tommy "Jaz, this a really stupid logo, get rid of it, it really ruins your sort of the hard work that you do and it's lovely, all the lovely things that you've done, you sort of, discrediting it by having this stupid logo.

May 13, 2020 • 36min
Rubber Dam Isolation – PDP026
In this interview I discuss with Harmeet Grewal about Rubber Dam Isolation:
https://www.youtube.com/watch?v=AEQ7bAuPWZQ
Need to Read it? Check out the Full Episode Transcript below!
How to get started with rubber dam isolation
We discuss our undergraduate experience of rubber dam isolation
How rubber dam reduces stress and improves the quality of your work
Reduce ballistic droplet spread of viruses AKA the cough
How to talk to patients about rubber dam - your mindset about rubber dam will affect your success rate and the patient experience of rubber dam!
Are we rubber dam police? NO - sometimes rubber dam can be a hindrance!
Me and Harmeet both love the mantra: Start now, get perfect later!
Which rubber dam to use?
Our views on IsoVac vs Rubber Dam
Harmeet shows some useful clamps for molars and top hacks for Rubber Dam
Check out Harmeet on Instagram @dr_harmeet_grewal
Click below for full episode transcript:
Opening Snippet: Hello everyone and welcome to another episode of Protrusive Dental podcast. I'm your host Jaz Gulanti. Today we'll be talking with Harmeet Grewal, all about rubberdam isolation, which is so topical and so pertinent with the COVID-19. And how will we get back to work? Might there be a need for those dentists who are not routinely using rubber dam isolation to start using it? Obviously, we're worried about the aerosols, but also worried about the ballistic events IE when someone coughs and that's one mode that the virus can transmit. So it's very topical episode if you like...
Jaz's Introduction: Thanks for everyone who voted on the social media channels. But what you voted was for Harmeet Grewal episode and rubberdam isolation. And the next episode will be to drill or not to drill caries with Louis McKenzie, so I'm looking forward to that one. I won't blab on for too long. I hope everyone out there. I hope you are doing really well. And I hope you're getting to spend time with family. And I hope you are thinking about the day that we come back into practice. How can we come back bigger, better, stronger. And of course I hope we can use this opportunity so when we head back to work we can be fresh. My Protrusive Dental pearl is that some episodes ago I shared my customer screen. Now since then, Richard McIndoe shoutout to him, has modified it and added the goals, the patient goals section, which I think is so important. But I had a lot of messages from a lot of people saying, Look, I've got this CSV file, the which is the customer screen, but I have no idea what to do with it. So I've gone ahead and made a video on YouTube about how to actually install a custom screen, and then also how to pre load the custom screen with text in there. So not having to always type the same thing. So for example, if you take a bite wing, usually 9 times out of 10, the justification for bite wing is to check bone levels and for interproximal caries. And that can be written there within the customer screen. So it's almost like a template within the custom screen. So if you're one of my email subscribers to the newsletter, and episodes, you will receive an email already with that. If you're not, then when you go to protrusive.co.uk pop up box will come up, sign up for the newsletter and the first email you'll get, the welcome email will have the custom screen and the YouTube link of how to install a custom screen. So that's all there for you. So that's getting you to think about when we head back to work. How can we make our note taking better, more efficient? How can we work smarter. So I hope that's useful to you. Now let's jump in with Harmeet Grewal and rubber dam isolation.
Main Interview:
[Jaz]Right, Harmeet, thanks so much for coming on the Protrusive Dental podcast. Great to have you.
[Harmeet]Thank you.
[Jaz]You are someone who's now redoing great things in education with rubberdam, which is such an important thing.

Apr 27, 2020 • 59min
Got Your Back – Physios and Dentists – PDP025
I speak with a Musculoskeletal Physiotherapist (Ben Pollock) and a Physio-turned-Dentist (Samuel Cope) about back pain and Dentistry - I was left SHOCKED about the relationship (or lack of!) between bad posture and having pain as a Dentist, Therapist or Nurse.
Need to Read it? Check out the Full Episode Transcript below!
Protrusive Dental Pearl: check out my favourite (non-dental) books (my reading list) for self-development, social sciences and personal finance.
https://www.youtube.com/watch?v=a7sdALEGp80
How can we prevent back pain becoming a problem for our professionAdvice for dental professionals suffering from back painWill saddle chairs work? Does magnification really help your back? (this one was surprising, too…)Back pain myths debunked - is there a role for massage? Pilates? Mobilisation and manipulation? Acupuncture?How to know if your Physiotherapist is evidence based?What can we do AT WORK to help our backs?Are you moving around while doing your Dentistry? Shout out to @Ian Dunn at 34 minutesIs stretching good for back pain?What relation does stress have with your back?I somehow manage to bring occlusion in this one…sorry not sorry!We draw parallels between the Physio world and Dental world
If people want regular updates on back and neck pain in dentistry they should follow:
Twitter: @Toothphysio and @Ben_FYS
Instagram: thetoothphysio
If you are looking for an evidenced based physiotherapist in your local area then find followers of @MSK-Reform on twitter and see if any of them can help.
Message from Sam and Ben:
We will also be starting a novel neck and back pain musculoskeletal pain programme later on in the year that will be advertised through the Toothphysio on twitter and Instagram.
This will include dental specific:
· Education on prevention
· Management of neck and lower back pain
· How to manage colleagues with back and neck pain
· How to cope with acute back and neck pain and how to overcome it with pain relieving strategies
· Case studies
· Exercise class
The course will be run by Sam and Ben, two qualified musculoskeletal specialist physiotherapists who will guide participants though exercises and education.
Click below for full episode transcript:
Opening Snippet: What do dentists, hygienists, therapists and nurses need to do to make sure we don't end up retiring with or due to back problems? Yeah, tell us tell us Ben about posture. So have we as a dental industry overplay the role of posture?...
[Ben]Most definitely. If there's one thing to take from this podcast, is that
[Jaz]Surely being like this, like surely just like, you know, you when you see those photos on people on Phantom head courses, and they're like, they're like this, and they're like, polishing something. And they're like that. I mean, granted, we won't be probably not like that for longer than a couple of minutes at a time, you know, when you're doing the distal lingual of a six or a seven. And you just have to do it. I think after listening to today, and listen to you guys, I'm gonna feel less guilty about doing that. And I'm just gonna just move along afterwards.
Jaz's Introduction: Hi, guys, it's Jaz, again. I want to ask you a question. How much money do we spend as a profession, on our practices, on our chairs, on the service and maintenance of our equipment, on scanners, hand pieces, and generally just making sure that we have our favorite kit available? What is the most valuable piece of equipment, or maybe not equipment, but most valuable asset in your practice? It is your health, your hands, your mental health, your physical health. And of course, when you consider that 94% of dentists will retire with backache. And apparently 100% of nurses will retire with backache, it makes you really wonder about our priorities do we actually look after our health as much as we should be? And combine that with a stressful position with a sort of confined envir...

Apr 20, 2020 • 14min
Finding an Associate Dentist Position – IC005
https://www.youtube.com/watch?v=yS6UAJmwz9A
Need to Read it? Check out the Full Episode Transcript below!
In this interference cast I discuss my opinions and experiences of finding associate positions and what strategies DF1s and Dentists looking for associate positions should consider.
Is BDJ jobs obsolete?
Can social media help?
Is a dental portfolio over-rated?
Surely, you need to know the right people?
Questions and comments on the video welcome!
Click below for full episode transcript:
Opening Snippet: Hi, guys, and welcome to this interference cast today on a very important topic, something that I get asked about quite a bit from our younger colleagues...
Main Podcast: And that is basically I'm in df one, how do I go about getting my first associate position? And actually, the things I'm going to share with you today are applicable to those if you're looking for your second, and God forbid your 18th associate position. So there are some things that are parallel or similar between all those stages of your career. So basically, if you're looking for an associate position. What's the best way nowadays? While I'm recording this, we're in lockdown. COVID-19. So yes, what I'm saying may not be applicable right this moment in time, because everything has been sort of disrupted by COVID-19. But the principles are hopefully apply for whenever you're about to find or look for your next associate position. And if you're in df one right now, this is probably something at the forefront of your mind right now, when we come out of COVID-19, you're going to be probably looking for that associate position, your first associate position. And having said that, I'm someone who's done DCT one and DCT two posts in Guys hospital and Charles Clifford Dental hospital respectively. And they're very useful for me, but I'm very much and I've said this before, in a previous episode I recorded with Dhru Shah is make sure you're doing a hospital job for the right reason, do it because you want to, because you enjoy that and not because you're afraid to go into the real world of GDP land, if you like. So make sure you do it for the right reasons. I've said that before. However, nowadays with the COVID-19, and the fact that who knows how long it will take for practice and certainly private practice to get back to normal, it might be another year. So now more than ever, I have to say a hospital DCT position is looking quite favorable for this extra reason of COVID-19. And just job security, income security. So if you're already on the fence about whether you should do a DCT post or go into an associate position, you know, it's not a bad time to be considering doing a DCT position. Even if your ultimate goal is to become a general dental practitioner or a specialist or whatever. It's not a bad thing to consider at this moment in time. So where do you go about looking for your job? Well, firstly, back when I was applying when we like, you know, seven years ago there about the BDJ Jobs was there and I used it. But what I found when I was applying on BDJ Jobs was that the principal would write back to me saying, sorry, we were inundated with applicants and we made our decision. And that's generally why I'm fine, you know, with the with BDJ jobs, those who post a job on there, they're quite often going to be swamped with hundreds of applications, especially if you're in London and south east. So I don't know how effective that is. Whether you're actually posting a associate position in your practice or as an associate when you're applying, you're actually competing against a lot of people. And it's difficult for principals to sort of go through and differentiate, especially if you're only been one year qualified, two years qualified, then I think it's very easy for the principal to say, Okay, I'm going to dismiss these 150 CVS, because these people don't have at least three or four years experience,

Apr 18, 2020 • 1h 3min
Paediatric Dentistry Masterclass – Clinical Part 2 – PDP024
Following on from the hugely successful Part 1 with Dr Libi - we present a very clinically focussed Part 2 where we discuss:
A case of a deep cavity on a deciduous molar - how would YOU treat it?Stainless steel crowns and Hall crowns - lots of troubleshootingBrilliant analogies and communication pearls yet againLA vs No LA when treating Children?Management of Molar Incisor Hypo-mineralisation (MIH) in primary careWhen should you refer?
https://www.youtube.com/watch?v=9bo85tC2s-o
Need to Read it? Check out the Full Episode Transcript below!
Downloadables for watchers/listeners in Protrusive Dental Community FB group:
Guide to Hall crowns [PDF]Paeds Blog [Link]SDCEP guidelines [PDF]
If you missed Part 1 - do check it out on YouTube, on the podcast, or on this site.
Please Subscribe and share if you found this useful, it's how my cast grows!
Click below for full episode transcript:
Opening Snippet: You can when you're saying something you know the truth. So taste your cement. See what it tastes like? Okay?...
Jaz's Introduction: Hello, everyone. And welcome back to part two with Dr Libi Almuzian after the first episode all about prevention, we're going to follow on a little bit more about the clinical stuff. So for example, we're going to discuss this type of cavity, this type of presentation, a deciduous molar with a cavity like that, how would a pediatric specialist manage that, we're going to talk about the use of local anesthetic in children, is it always necessary? We're going to have a big part of the podcast episode discussing about stainless steel crowns. And we're gonna discuss why GDPs are not taking routine bitewings on children. As before, there's gonna be quite a few downloadables and I'll put them on the Protrusive Dental community. So it's going to be the whole crown booklet by Dundee University, some more by SDCEP and a pediatric dental blog that I'll put on there as well. So for those who are interested in this, they can follow up on that by joining the Protrusive Dental community on Facebook. I'm hoping that you've noticed that the audio is a bit cleaner for this part of the episode. When I switched to recording with a different software, it actually downgraded the quality of the audio. So I used to get a lot of messages in the initial episode saying 'Jaz, how's your audio so good, what kind of setup do you have?', but I feel as though the audio quality has dipped in a little bit. So I apologize for that. But we've got a way around it. So I'm hoping this already sounds better in your headphones while you're on your job while you're cooking or in your car. So I'm hoping that in future episodes unfortunately got bit of a backlog of three or four episodes before this technology with improve sound. Hat tip to Dr. Zak Kara who helped me improve my sound. So in a future episodes, around three, four episodes time from now, the entire episode hopefully will have as crisp as audio as you can hear it now. Anyway, we'll join Dr. Libi in just a moment. But I want to give you a Protrusive Dental pearl for this episode, which is basically this, during this lockdown period, it can be quite difficult to be your usual productive self because everything is now alien. It's weird being at home, you know, the temptations of daytime television, daytime drinking, all these sorts of things are in the way and you may be feeling that you're not as productive. So I certainly felt that way. So one thing I started to employ is a trick by someone called Brian Tracy, who has numerous books, which I read. And one of them I believe is called Eat That Frog. And the way he says is Eat That Frog. So what Eat That Frog philosophy means is when you wake up in the morning, do the most difficult thing and get it out of the way. So that thing that you really can't be bothered with, can't be asked with, you really don't want to do, do that thing first. So that's what I've started to do over the last week or so in t...

Apr 6, 2020 • 52min
Paediatric Dentistry – Communication and Prevention Part 1 – PDP023
I am joined by Paediatric Dentist Dr Libi Almuzian who is so passionate about Paeds!
https://www.youtube.com/watch?v=wPxMqET7Y8s
Watch the entire episode on YouTube
There were so many knowledge bombs that I made broke this in to a 2 part series. Part 1 (this episode) will focus on Communication and Prevention, and Part 2 will be a bit more clinical with specific scenarios discussed.
Need to Read it? Check out the Full Episode Transcript below!
If you love seeing Children, you will gain a lot from this episode, but if you currently do NOT like Paediatric Dentistry, Dr Libi shares her top tips to help you!
We discuss:
How to make a dental visit more playfulTechniques in managing children co-operationImportance of creating a no blame culture and gaining and trust of theHow you can use an App called Social stories to get maximum engagement with the child patient (this is genius!)We reveal what the MOST IMPORTANT Question to ask your paediatric patient history taking! (this may surprise you!)Lots and lots of techniques shared to improve communication with children and the flow of the appointment during operative proceduresDr Libi reveals The Sugar Bug Story - you will LOVE this.Top tips for prevention!
Any downloads promised (SDCEP guidelines, references to apps) are compartmentalised in the Protrusive Dental Community group (closed group), or also viewable below:
Here are Dr Libi's top tips for Dentists:
1. Wear something or have a prop which might be familiar to a child (character sunglasses, a toy, a sticker of a character on your scrubs) This will break the ice and give you something to talk about.
2. Be excited! Your excitement will rub off on them. When you collect them from reception tell them how happy you are to see them and how excited you are about the visit today (So excited to meet your teeth!/ count your teeth!).
3. Teach your nurse to distract the child when you need to talk to the parents, this will make them less worried when you talk to the parents in a more formal manner.
4. Never use an instrument without introducing it, even a sharp probe can be introduced in a way that makes it non-threatening (show them the probe and tell them it helps you to be able to tell if something is hard or soft, then run the side (not the tip!) of it along their nail and fingertip and say “see, now I know your nail is hard and your finger is soft, I’m going to do the same with your tooth to check it”
5. Use child friendly words, even if they make no sense, in fact better if they don’t make sense! This actually makes them laugh and relax.
6. Even if the child is cooperative they will lose patience, so always go for the simplest treatment option with the least steps involved. That way you will retain their cooperation rather than lose it, so go for a Hall crown rather than conventional filling when you can because there is less of a treatment burden involved.
7. If you lose cooperation, try to do something (anything) before they leave, this will build their confidence and stop any avoidance behaviour. For example if you were trying to do a sealant or other treatment and were not able to, reassure them that sometimes it can be hard for some people to do this procedure the first time but they will definitely manage something easier, then apply fluoride (if they are not due a fluoride treatment then even just painting their teeth with water and a micro brush will help build their confidence), just remember to explain to the parents why you are doing this.
8. Motivate the parents to talk positively about the visit when they’re at home, tell them to only refer to the positive aspects and give them a goal to work towards, for example, next time we will polish your teeth with the dentist’s special electric toothbrush and it will tickle, how exciting!
9. Be empathetic with parents, tell them you know it’s difficult it is to brush twice for two minutes,

Mar 25, 2020 • 18min
Emotional Boost during Covid-19 – IC004
During this crappy time in our lives (there is never a good time for a Pandemic, right?!) I turn to one of the most positive people I know, Barry Oulton. This 18 minute chat really uplifted me and I think it will help you all.
We discuss– Mindset– How to view a problem as an opportunity– The importance of love (verb)– Importance of power posing– Importance of Exercise
Need to Read it? Check out the Full Episode Transcript below!
https://www.youtube.com/watch?v=xSmEP0H-R_w
Link to Amy Cuddy video so we can all ‘do Amy’ haha
https://www.youtube.com/watch?v=RWZluriQUzE
Instagram – @drbarryoulton
FB – The Confident Dentist
Twitter – @drbarryoulton
www.theconfidentdentist.com
www.dentalinjection.com
www.oneminutemindset.co.uk
Click below for full episode transcript:
Jaz's Introduction: It's going to be a quick little birth session to help dentists because the reason I thought of you Barry was when all this kicked off and there was doom and gloom, I'm usually quite a positive person, and I didn't react very well personally in myself, a bit of going through all the stages of denial, stages of grief.
[Jaz]I was in denial, then I was getting really depressed and upset about things, and I sort of thought to myself, when was the last time I'd felt this bad and not to take it the wrong way Barry, because I think you know where I'm coming from, but the last time I felt this bad was when I was on your course.
[Barry]Well, it's on me! Yay!
[Jaz]Sort of. So just for the benefit of the audience listening and watching right now, what I mean is the reason I felt the last time I felt this bad in life was when I was on Barry's course is because Barry really brought home and taught me the value of your mindset of the way that you see the world.
Cause one of the exercises, one of the first things you do on your course is the way you see the world, so you walk across the corridor, and you see the world, as if it's a beautiful place. And then you do that walk across the corridor and walk back. And then you see the world as if it's dangerous.
And then you walk across and that same walk, but the world was completely different. And that's the last time I felt this much doom and gloom in life. So I thought you are the best person to come and just give us a five, ten minute nugget on what can you say? What can you say to everyone? Dentists, nurses, therapists, but what can you say Barry? What's your message? How can you help us?
[Barry]So the first thing to say is, there is a lot of doom and gloom, isn't there? That if we only focus on the negative stuff, then you're absolutely right. To talk you through that exercise that we did, we put on some metaphorical glasses, right? The first pair was that the world is a dangerous place.
So, I left you on a high, because the first one is, the world is a dangerous place. And through that mindset, through those lenses, what you're seeing is everything that fits into that mindset. Now a mindset can also be called a belief. So, if I have a belief that all men are bar stewards, then you will only really see men doing things that fit into that framework.
You'll only really meet men that fit into that framework. The world is a dangerous place. You look around the room, you'll only see tripping hazards, electricity, danger all around you. And so encouraging you to change your mindset is like putting on a fresh pair of glasses. A pair of glasses that is, the world is full of beauty and love.
And I look around and I see electricity, connectivity, the ability to see your lovely face and have this conversation. And sunshine being outside, whereas you could see sunshine as being carcinogenic to the skin, or it's how you process information, and it's putting on the mindset. Now, it doesn't take away the fact that SH1T is happening out there.
We are in a very uncertain time in our profession. Being that most of us, certainly you and I,