Protrusive Dental Podcast

Emma Hutchison, a dental student with expertise in removable prosthetics, joins to simplify the complexities of dentures. They discuss the vital joint positions for fitting dentures and how to accurately calculate freeway space. The conversation dives into the nuances of Wax Jaw Registration, shedding light on what is genuinely recorded in the process. Additionally, Emma shares valuable exam revision tips and emphasizes the importance of continuous learning in mastering removable prosthodontics. It's a must-listen for students eager to enhance their denture skills!

The first EVER ‘Prospective’ episode of Protrusive - I interviewed new-grad Dr Triman Ahluwalia in 2023, then again 7 months later in 2024 to see how he gets on with his first year as a *real* Dentist ;) We uncover what it feels to be a freshly qualified Dentist, the pressures and fears that come with procedures such as endo and surgical extractions, but what we can do as growing clinicians to overcome these hurdles. https://youtu.be/9NtKCIVfMLs Watch IC052 on Youtube This episode is packed with lots of top tips to help you in your journey from the ground up, or as a reminder for those that have been there and done that, that we are forever learning on our journey and there’s always something out there to help us become better Dentists. Need to Read it? Check out the Full Episode Transcript below! Highlights of this Episode:02:02 Introduction to Dr Triman (2023)03:32 Experiences at Dental School07:15 Procedures You Fear + Sectioning Teeth11:25 Thoughts on Social Media in Dentistry15:26 Documenting Work16:30 Future Career Plans18:00 Additional Comments from Triman19:03 Back to the Future: 2024 Triman Update21:50 Dental Photography Progress23:08 Tricky Dental Procedures Update27:46 The Good and the Bad of DFT32:26 Career Path in Dentistry34:49 Triman’s Top Tips37:06 Wrapping Up Don’t forget to check out the Protrusive App where you can find more awesome tutorials on becoming a more efficient and effective practitioner. If you liked this episode, you will also like IC029 - Young Dentist Thrival Guide  This episode is not eligible for CPD/CE points, but never fear, there are hundreds of hours of CPD waiting for you on on the Ultimate Eduction Plan, including Premium clinical workthroughs and Masterclasses. Click below for full episode transcript: Jaz's Introduction: Welcome to the first ever Protrusive Prospective episode. You see, I interviewed Dr. Triman Ahluwalia in his first month of being a real dentist, i. e. newly qualified. I then interviewed him again seven months later to see how he got on. Jaz's Introduction:Hello Protruserati, I'm Jaz Gulati, and welcome back to your favorite dental podcast. Every year we make an episode to help those who are in their first year, i. e. they've just qualified and they're entering the big bad world dentistry. And this is a interesting one because I've never done a prospective episode whereby I've told the guest to wait six, seven months and then we'll continue the recording. Just to see if the perspective has changed. I think this is essential listening and watching for those who are literally about to enter the first year of dental school, or maybe you're returning to work again after some time off, or maybe you just want to gain some insight into the mind of the newly qualified dentist. Maybe you mentor some dentists, by the way, speaking of mentorships and big things, Intaglio is almost out. For those of you who don't know, Intaglio is a new platform we're making to allow one on one mentorship. Look, it doesn't matter. How much money you paid to these courses doesn't matter how many continuums or diplomas you've done. When you have that specific case and you need someone to sit down with to discuss that case, step by step for a good hour or even two hours, the course organizes the diploma teachers. They are busy. They don't have the time to do one on one, which is why we created this platform to allow mentors and mentees to connect and allow fair exchange. Because you know what when a mentee needs help they really value it and they value that one on one time so Intaglio is coming soon and also a big update number two is I'm in my new studio I've now moved from reading to West London quite close to Heathrow it's like little India it's called Southall. I'm close now to my parents my in laws we get lots of support for family so that was a big reason I'm still working in Reading. But yeah, it's been a crazy time with moving.

Is this the death of impressions for Dentures? Are digital dentures predictable? Time saving? Cost saving? Are all types of dentures suitable for the digital workflow? Even if you don’t use an intra-oral scanner, your lab may be utilising a digital workflow, so it’s a great time to dive deep into this area. Impression Club’s Dr Rupert Monkhouse joins us for another removable prosthetics themed episode where we discuss how digital dentistry is changing the way we make partial dentures and complete dentures. https://youtu.be/P8XBEU5I6kc Watch PDP195 on Youtube Check out Impression Club courses This episode is eligible for 1 CE credit via the quiz on Protrusive Guidance. This episode meets GDC Outcomes A and C. Dentists will be able to: 1. Understand the key differences between traditional impression techniques and digital workflows in denture creation, including the benefits and limitations of both methods. 2. Evaluate the accuracy and efficiency of digital dentures compared to traditional methods and implement best practices for integrating digital workflows into their clinical practice. 3. Effectively collaborate with dental technicians using digital tools, fostering better communication and teamwork to achieve optimal patient outcomes in denture fabrication. AGD code 670 Removable Prosthodontics (Emerging technology or techniques) Need to Read it? Check out the Full Episode Transcript below! Highlights of this Episode:03:18 Protrusive Dental Pearl - Understand the Why05:38 Introduction to Dr Rupert Monkhouse8:11 What kind of Dentures can we do Digitally?13:33 What work still requires Impressions?17:05 Which Scanners?19:55 How Accurate?28:24 Should Digital be the Gold Standard?30:55 Immediate Dentures38:55 Cobalt Chromes47:55 Finding great technicians58:08 Impression Club If you liked this, you will also like GF018 Intra-Oral Scanner Click below for full episode transcript: Episode Teaser: For the workflows where we scan the lab work or we did the reference denture, eight out of eight preferred- When I've got the macro flash on it and my 4G megapixel camera. Yeah. I can see the difference minorly aesthetically in the teeth and things. Beyond that, there's no real downsides from my perspective. So clinically for me- Jaz's Introduction:Is this the end of impressions for dentures? Have we finally reached a time whereby we can scan the tissues and we don't need any of that mucocompressive nonsense. Is digital dentistry there yet when it comes to dentures? For our clinical steps, the design and the manufacture of our dentures. Our guest today, Dr. Rupert Monkhouse, back again on the podcast, does a wonderful job of giving us an overview of how digital denture is employed within dentures, not only by us clinicians, but also the lab side and the manufacturer side. But I asked him to truly dive deep and focus onto what we do clinically. How much of what we do clinically can we now do entirely digitally? And the two workflows we discussed today in really good depth are the complete denture workflow and the Cobalt Chrome partial denture workflows. Get your onions ready because this is a really deep and really awesome episode. I think Rupert does a wonderful job. You will find out which scenarios we should be actually scanning and ditching the impressions and whether there are any game changing benefits of moving to a digital workflow for dentures. This episode is our highlight episode for removable prosthodontics month. And next month, i. e. September, will be occlusion month. Hello, Protruserati. I'm Jaz Gulati and welcome back to your favorite dental podcast. I feel like I haven't connected with you guys for so long. I know you've been having an episode every week, but a lot of those episodes actually recorded a while ago. I knew that when the summer would come and my son would be off school, that we would get really busy.

How are periodontal diseases managed in general practice? Join us for an engaging conversation with Emma Hutchison, our Protrusive student, as we explore Periodontology (Perio) in the real world. This conversation delves deep into the practical protocols, patient communication strategies, and real-life scenarios every dental student and practicing dentist should be aware of. https://youtu.be/X5ahZ9bzsc4 Watch PS008 on Youtube Need to Read it? Check out the Full Episode Transcript below! Highlights of this Episode: 0:37 Emma's Dental School Experience: Special Care Dentistry 03:02 Emma’s Denture Adjustment Case  06:11 Periodontics Month  06:54 Communicating with Patients about Gum Disease 10:15 Managing Non-Engaging Patients 15:04 The Psychology of Habits 17:13 Referral Protocols in Dental Practice 20:00 Risk Factors in Periodontal Treatment 25:03 Genetic Factors in Periodontal Disease Don't miss the special notes on An Introduction to Periodontal Diseases available exclusively in the Protrusive Guidance app! This episode is not eligible for CPD/CE points, but never fear, there are hundreds of hours of CPD for Dentists waiting for you on the Protrusive App! For the full educational experience, our Ultimate Education Plan gives you access to all our courses, webinars, and exclusive monthly content. If you love this episode, be sure to recap PS007 - Basics of Indirection Restorations Part 2 - The Crown Fit Click below for full episode transcript: Jaz's Introduction: Welcome to another episode of Protrusive Students. We're joined by Emma Hutchison, our Protrusive Student, to talk about Perio. Look, I'm no periodontist. I'm no specialist, but I can share a few pearls of wisdom for treating Perio in the real world. [Jaz]Emma had some absolutely fantastic questions about protocols, communication, and what to do if you have a non engaging patient. Because let's face it, that's what happens in the real world. Our patients don't floss and they don't brush how well we want them to. So how do you manage that? Here at Protrusive Students we try and cover the themes just for you guys. And of course, if you're a dentist watching this, then it's also relevant to you. We just go back to basics. Let's get to the main part of the interview and I'll catch you in the outro. Main Episode:Emma Hutchison, our Protrusive Student. It's now perio month, so it's great to have you back. Just give us an update, basically, in terms of what new things have you learned at dental school? What are the interesting experiences that you've had? Any ups or downs that you'd like to share with us? [Emma]So, I've only seen one patient in the last week, because I've had a few no shows last week and it was for a denture ease, so it wasn't anything too tricky, which was fine for me. But, yeah, it was good, just a wee denture ease. The elderly gentleman was very happy, so that made me happy. In terms of lectures, lots of special care dentistry at the moment. We're very heavy with special care dentistry in our second half of third year at Glasgow. [Jaz]I know in some countries they don't have that as a speciality. Can you explain to everyone listening and watching what special care dentistry is? [Emma]Yeah, so I suppose special care dentistry, a lot of patients that have very complex medical histories. I mean, this week we were doing people with mental health problems, schizophrenia. We've been doing cardiology, oncology, patients with very learning disabilities as well. Patients that I suppose you could consider a bit more medically compromised or that can be a bit more trickier to treat. So we're very heavy on that in our third year at Glasgow. [Jaz]So if you can treat those medically compromised patients and you can treat anyone, right. It really tests us in terms of what medicines are on, which antibiotics you can and can't give, what the guidelines are in terms of when it's safe to...

It’s your first night on-call and you are bleeped at 3am - there’s a nasty facial laceration waiting for your urgent attention. You have never sutured the face before…”who you gonna call?” - well sometimes even the Ghostbusters will be more helpful than the on-call trainee! https://youtu.be/3RKZG3yy2sU Watch PDP194 on Youtube Our good friend Dr Ameer Allybocus joins us again for another episode where he gives us a lowdown of his experience when he was a DCT trainee many years ago. There is a lot to learn in this podcast from Ameer as he dives into the Trials and Tribulations of being an Oral and MaxilloFacial Surgery DCT during the early years of his career.  There are laughs and tears in this one, so hold on to your seats for an emotional podcast that will leave you wanting more. Need to Read it? Check out the Full Episode Transcript below! Highlights of this Episode:  00:00 Introduction01:37 Protrusive Dental Pearl03:26 Introduction to Dr Ameer Allybocus19:40 The MaxFax Beginnings24:00 MaxFax at UCL29:37 MaxFax isn’t all bad36:05 DCT Oral Surgery 42:16 On Call 48:26 Book Recommendations49:15 Working at the Queen Elizabeth Hospital54:13 A Life Changing Experience59:57 MaxFax: Benefits, Tips & Tricks65:26 Tips from Ameer66:25 Trauma and Accidents70:56 MaxFax Puts Dentistry Into Perspective74:33 Closing Words For the full educational experience, our Ultimate Education Plan gives you access to all our courses, webinars, and exclusive monthly content. If you liked this episode, you will also like: Getting Ahead after Dental School 2023 – IC042 – Protrusive Dental Podcast Click below for full episode transcript: Jaz's Introduction: Is a maxillofacial surgery post right for you? Maybe you've already done one before and you want to like reminisce about your time as a DCT, as a part of a residency or any post and standalone post you've done in a maxillofacial department. Jaz's Introduction:Now my colleagues who've done it tell me that it gives you thick skin, it's character building, it's these amazing experiences and they have no regrets. Whereas I have other colleagues who have major regrets about doing a maxillofacial post. My guest today, returning again, Dr. Ameer Allybocus, does absolutely fantastic job of summarizing the highs and the lows of working in a maxillofacial position as a dentist. Now in the UK, we have these DCT, Dental Core Training positions, but around the world, being attached to a hospital in the maxfax department and helping the registrars and consultants with everything from trauma to cancer and sometimes not always exodontia. And we'll talk about all these themes with Ameer. I actually really wish I had an episode just like this when I was considering whether to do a maxfax position or not. There's actually a bit where Ameer actually cries in this, and I'm just respecting so much for making himself vulnerable and sharing those feelings. It was related to a patient story, and there's so many great tips and different characters and different personalities that he describes in his stories of working in these different posts. There's so much incredible value provided in this episode. It's a longer one, and I didn't want to split it into two. So you might need a couple of commutes or lots of onions to get through this one. The Protrusive Dental Pearl today is provided by our guest, Dr. Ameer Allybocus, and it gives you a flavor of the rest of the podcast of what's to come. There's so many great tips and stories attached to it. So let's hear today's protrusive dental pearl. Dental PearlSo Ameer, what is the protrusive dental pearl for today? [Ameer]My Protrusive Dental Pearl is whatever procedure you're doing, if it isn't going the way you want it to, if you find yourself getting stressed, hard, you're not seeing what you want to see, there's nothing in dentistry that you can't stop and take a pause, give the patient a break, set them up. Walk away,

What makes us reject crowns and send them back to the technician? What are the standards/guidelines to consider before accepting and luting indirect restorations? Join us as we explore the key factors that determine the quality of a crown. From the initial lab communication to the final occlusal checks, we cover it all. This episode is packed with essential tips that are perfect for dental students and professionals alike.  https://youtu.be/ftafglxcBbM Watch PS007 on Youtube Need to Read it? Check out the Full Episode Transcript below! Highlights of the episode: 1:33 Emma Hutchison: Student Life and OSCEs 06:44 Handling Lab Work and Fitting Crowns 14:15 Crown Rejections 18:12 Understanding Occlusal Tolerance 20:09 The Importance of Occlusal Precision 22:24 Building a Strong Dentist-Lab Technician Relationship 24:17 Tips for Dental Students 27:46 Microbiology in Dentistry Don't miss the special notes on Microbial Ecology and Infection Transmission available exclusively in the Protrusive Guidance app! (Join the free Students Section) This episode is not eligible for CPD/CE points, but never fear, there are hundreds of hours of CPD for Dentists waiting for you on the Protrusive App! For the full educational experience, our Ultimate Education Plan gives you access to all our courses, webinars, and exclusive monthly content. If you love this episode, be sure to recap PS006 - Basics of Indirect Restorations Part 1 - Decision Making Click below for full episode transcript: Jaz's Introduction: Welcome to Part Two of Indirect Restorations for Dental Students, but it's actually suitable for all dentists. But the person who's asking all the questions is our Protrusive Student, Emma Hutchison. Students are so curious and so great at asking questions. I want to make sure that we tailor these more basic episodes to what actually students, young dentists, and those returned to dentistry actually need. Jaz's Introduction:In part one of this series, we covered what are the different types of crowns that we might go through. In part one of the series, we discussed direct versus indirect, and when we are choosing indirect, which materials can we opt for? Especially focusing on all ceramic restorations, which from my time, were not done that much. As a student, we did PFMs, and it sounds like PFMs are still being done in dent schools. Let me tell you, PFMs are not done that much in the real world. So that's why we focus a lot on all ceramics. We also discussed on crowns versus onlays. That was in part one. In today's part two, we're talking about the clinical details. When you get the crown back, how you assess if this is a good crown or a bad crown? When should you reject? What are the different parameters that we tick off? And how can we avoid? Mistakes from happening so you never have to reject lab work. I'll give you a clue involves communicating with your lab technicians, so, so important. Another interesting thing we discuss is what about if you try in a crown and it's completely shy of the bite. So it's not proud. It's not popping the patient open. It's not like eyes too big It's actually completely shy of the bite. Should we reject that? Should we accept it? What is the standard of care? So we covered this real world scenario and so much more in this episode. So I hope you enjoy. Please do comment below and give us a like, if you like what we do. I'll catch you in the outro. Main Episode:Emma Hutchison, welcome back again to the Podcast Student Version. Just give us an update in terms of what's been happening in your world. Are things getting a little bit heated academically? Are you feeling the strain? Are you feeling the pressure? [Emma]Yeah, I'm really starting to sort. At the moment we're in sort of the end of February when we're recording this and I'm just becoming a bit more aware. Exams probably end of April, start of May time.

Clinician Development Tool: https://protrusive.co.uk/cdt Did you know, there’s a cheaper, quicker and more natural treatment option than using Dental Implants, WITHOUT compromising on longevity? Sounds too good to be true right?  You already know about it. You most likely studied it already at Dental School and just haven’t given it much thought in a clinical scenario. Meet Dr Lukas Huber who will remind us of the power of Autotransplantation for such cases, which in turn can massively help our patients who have missing or hopeless teeth, all while keeping laboratory costs down and success rates up. https://youtu.be/CjUdDsuCWQA Watch PDP193 on Youtube Need to Read it? Check out the Full Episode Transcript below! Highlights of this Episode:02:10 Clinician Development Tool03:34 Introduction - Dr Lukas Huber07:40 Autotransplantation Procedure12:45 Example Autotransplantation18:40 Step by Step Autotransplantation26:35 Placing the Donor Tooth30:15 Transplant Restorative Augmentation35:00 Learn more from Lukas I thought that Dr Lukas is an inspiration to all the general Dentists and am so grateful he is part of our Protrusive Community - thanks for sharing your entire protocol! Don't forget to claim CE Credits on Protrusive Guidance by completing the quiz. Check out Dr Lukas Huber’s Instagram! If you liked this episode, you will also like Atraumatic Extractions Click below for full episode transcript: Jaz's Introduction: You may already be familiar with an auto transplantation. Essentially, it's a scenario whereby, for example, you remove a pre molar from a patient, and on that same patient, you put that pre molar and you re implant that pre molar in to the central incisor socket. So for example, you've got a central incisor of poor prognosis, you remove that, and then you put this recently freshly extracted pre molar in to the central incisor. Jaz's Introduction:And essentially you let nature do its thing, you let it heal. And literally you've kind of given this patient the best implant there is. You've given them a human tooth, their own human tooth. Another common scenario is replacing a premolar, for example, an upper premolar, with an upper wisdom tooth that's potentially over rupted or non functional. That's another common indication. But all these things, we've all seen it in like an orthodontic lecture at dental school. And then it lives somewhere at the very far back of our minds. And it's not really an option that we discuss with our patients very much. Or when we're treating planning, we kind of have it in our blind spot. It's just not something that we see a lot of, which is why I'm very excited to welcome to you, Dr. Lukas Huber, a general dentist, ladies and gents, who has a few of these procedures up his sleeve and is happy to share the full protocol. Look, some of you will go away today and the stage of your career, where you're at, you will probably be able to offer this treatment to your patients. And you'll actually remember that, ah, yes, this is an option. And if I follow the steps, I can get a good result. In fact, Lukas very kindly shared all the evidence space that he uses in his decision making. So I will put that in the Protrusive Vault on Protrusive Guidance app. Now, for the rest of us mere mortals, who may not feel confident despite the full protocol being shared with you on the podcast today, most of us will be like, you know what? I'm actually just much more educated about this option now. I know what to say to a patient. I now know which kind of cases would be suitable for an auto transplantation and which ones are not suitable. And so now hopefully this option will not be living in the very back in the corners, deep dark areas of our mind somewhere. It's come a little bit more to the front of our minds. So we can actually consider this as a realistic and actually damn right cool option. Dental PearlHello, Protruserati, I'm Jaz Gulati,

Dr. Sam Sherif, an expert in bond strength, delves into the best bonding agents for long-lasting adhesion in adhesive dentistry. He discusses the importance of following manufacturer guidelines, evolution of bonding agents, differences in dentine and enamel bonding, and optimizing bond strength with various materials like OptiBond FL and SE-Bond 2.

Delving into the world of crowns and bridges, the podcast discusses the materials used in real-world applications and the ongoing debate between direct and indirect restorations. Topics include the decision-making process for onlays versus full crowns and the challenges faced by dental students in treatment planning.

Dr. Jason Smithson discusses decision-making in discolored incisors and their management. Topics include non-vital bleaching success, restorative approaches, ceramic vs. composite, masking metal posts, and shade selection. Explore biomimetic dentistry, evidence-based practices, and the art of versatility in dentistry. Learn about choosing between ceramic and composite materials, enhancing dental skills, and community engagement in dentistry.