Protrusive Dental Podcast

Emma Hutchison discusses practical tooth morphology, moving away from textbook ideals. Topics include changing tooth morphology, differences between premolars, and preserving natural morphology. Real-world application and nuances of dental structures are explored in this engaging episode.

Air Particle Abrasion! Images of Sandblasted teeth look cool but does it ACTUALLY improve clinical outcomes? What are the indications? When is it genuinely critical to use? More pragmatically, are there any decent alternatives eg. roughening with a bur? Air particle abrasion, a technique used to prepare tooth surfaces for bonding, has sparked considerable debate among professionals. This episode discussed its effectiveness, implications, and best practices with  Dr. Veronica Pereira de Lima.  https://youtu.be/oTGQBTyuY-k Watch PDP190 on Youtube Protrusive Dental Pearl:  Two advantages of slicing off a corner of the rubber dam are: Anterior Dam Stabilization: By flossing the cut piece through the front teeth, it acts as a makeshift wedge, securely fastening the dam in place without the need for traditional wedjet. Simplified Orientation: This technique aids in aligning the rubber dam properly, streamlining the entire setup process for more efficient dental work. Check out ‘Quick and Slick Rubber Dam’ online course (on-demand) only available via the Ultimate Education Plan on Protrusive Guidance Need to Read it? Check out the Full Episode Transcript below! Highlights of this episode: 00:44 Protrusive Dental Pearl 04:16  Dr. Verônica Pereira de Lima Introduction 07:07 Journey of Dentistry in Brazil 08:34 Academia vs Clinical Practice 09:20 Journey about PhD and Work Surrounding Air Particle Abrasion 11:12 Importance of Air Particle Abrasion to Clinical Dentistry 15:57 Health Concerns Regarding Air Abrasion Particles 18:10 Air Abrasion Contraindication 20:13 Size of the Microns -  Clinical Guidelines 22:25 Pragmatic Approaches in Clinical Practice 24:28 Cojet as an Air Abrasion Particle 27:37 Improper Use of Air Abrasion 30:07 Air Abrasion Guidelines Regarding Different Ceramics 31:40 Alternatives to Air Abrasion 33:29 Dr. Veronica’s Personal Guidelines - Air Abrasion Protocol and Unit 40:27 Learning with Dr. Veronica  Access the CPD quiz either on your browser or by downloading our mobile 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 watch Immediate Dentine Sealing Tutorial Part 1 – PDP173 Click below for full episode transcript: Jaz's Introduction: Air particle abrasion for the restorative dentist. How important is it? Hello, Protruserati. I'm Jaz Gulati and welcome back to the Protrusive Dental Podcast. In this episode, I'm joined by Dr. Veronica Pereira de Lima. Jaz's Introduction:She was the lead author and a systematic review in 2020 that looked into air particle abrasion and the significance for improving dentine bonding. Some of the key questions that we cover in this episode are how important actually is it? What micron of sand and which sand should we be using? Is there any benefit of CoJet? CoJet is like this sand with silica embedded into it. Does that really make a difference? And ultimately at the end of the podcast, we will answer the question. If you don't have it at the moment, are you really missing out? And the answer actually might surprise you. Dental PearlEvery PDP main episode, I give you a Protrusive Dental Pearl. Today's pearl, very fitting with air particle abrasion, because when do we use air particle abrasion? Well, we use it a lot when it comes to adhesive dentistry. And for adhesive dentistry, rubber dam isolation is often favourable. Now, I'm no rubber dam police, but I'm an avid user of rubber dam. And the tip I want to pass on to you today is, are you using things like Wedjet? You know, those stretchy silicon type strings that you use to anchor your rubber dam? And the terminal tooth for example, you're using a clamp on the molar and then all the way to an incisor, maybe you're using like a Wedjet or something to secure your rubber dam. Well,

Exploring the importance of dental associate contracts, from retention fees to exclusion zones. How bias towards principals can impact contracts. Tips on getting contracts checked and understanding vicarious liability in the dental industry. Also, the significance of tailored contracts and insurance for protection.

Have you ever considered Dental Aid Work? Imagine giving up your morning starbucks and your air conditioned dental surgery to work in a developing country that has just 7 dentists. Fellow Protruserati, Dr James Hunter and his young family will be doing just this - they are preparing for a four-year mission to Liberia, Africa, to dedicate themselves to dental aid work. Follow along as we delve into their story of skill, passion, and humanitarianism. https://youtu.be/lzKVmuuUvBI Watch IC050 on Youtube Need to Read it? Check out the Full Episode Transcript below! Highlights of this Episode:00:00 Introduction2:52 From Theology to Dentistry5:35 Dr. James on Dentistry06:44 The Decision to Move to Liberia for Aid Work09:52 Understanding Liberia's History and Needs15:28 The Future Plans for Dental Aid in Liberia18:37 Motivations Behind the Mission20:04 The Challenge of Committing to Charity Work20:57 Financial Planning, Schooling and Adaptation for Children Abroad26:40 Sharing Experiences and Encouraging Aid Work28:13 Raising Awareness and Support for the Mission32:09 Closing Thoughts and Encouragement Be sure to visit https://www.thehuntersinliberia.co.uk/ for details on supporting charity work in Liberia. Additionally, explore other charity websites in your country for more ways to make a difference locally. This episode is not eligible for CPD/CE points, but never fear, there are hundreds of hours of CPD 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. This includes Vertipreps for Plonkers and clinical videos demonstrating Onlay Preps. If you enjoyed this episode, don't miss out on watching "The International Dental Student – From Ukraine to Egypt to Slovakia – IC047” Click below for full episode transcript: Jaz's Introduction: As dentists, we are in a privileged position. I know it's sometimes hard to fathom that and hard to come to terms with that because of all the doom and gloom that we sometimes like to focus on. Jaz's Introduction:But really, we are in a beautiful profession, and we can actually mold our profession how we want to. Now, there might come a time in your life, if you're that way inclined, to take your career towards dental aid. This could be at the start, the middle, or even towards the end of your career, which is quite popular, to donate yourself, donate your skills to charity. This could be in a refugee camp, this could be in a third world country, to provide a much needed dental service. So on today's episode, I've got Dr. James Hunter, who, with his family, so him, his two kids, his wife, are moving to Liberia, which is a small country in Africa, and he's going to be, hopefully, working there for about four years. That's his provisional plan, along with his family, providing dental aid, which I just think it's so so noble. So, what this episode wants to do is basically let you know about the different aid opportunities out there. And actually, just had this interview with James to find out what are his motivations. How do you get involved with this? But how did you even have that difficult conversation with your spouse, with your children, that you're going to move to this country in Africa and for the next four years of your life you're going to leave the rat race? You see, a lot of us would struggle to say, you know what, I'm going to give up the income, I'm going to give up the house, give up the practice, give up the cars and move to a third world country and work for free and just do a beautiful charitable thing, which is exactly what James and his family are doing. But James and his family are very, very rare individuals. They are gems. They are the gems of this planet. And I want his story to come out and it might inspire you. It might inspire you to maybe take two weeks out of the year to do some dental aid work...

Dr. Alan Burgin and the host discuss the shift towards lithium disilicate onlays, the relevance of full crowns, and factors influencing restoration choices. They share decision-making trees for indirect restorations and highlight the importance of clinical factors in selecting overlays vs. Vertipreps. The episode offers insights into restorative dentistry trends and practical tips for smile trials and bis-acryl mock-ups.

Clinical Dentistry is a steep learning curve - it can be frustrating, frightening and quite frankly exhilarating. This episode (better late than never! My wife finished her MSc so now I’m back on track!) picks up the theme of Stress Awareness and I discuss with Emma Hutchinson, our Protrusive Student, how students can manage stress effectively, prioritize their studies, and identify their unique learning styles.  We also address imposter syndrome and the various difficulties encountered while learning something as complex as dentistry. https://youtu.be/EIXeUvlTams Highlights of this episode:00:00 Introduction03:25 Welcoming Emma Back04:16 Protrusive Students06:30 Dentistry Students vs Other Courses08:24 Hobbies and Activities Outside of Dental School12:50 Communication Style14:48 Student-Life Balance19:01 Past Papers during Exam Time21:00 Networking in Dentistry28:51 Burnout and Mental Health Perspective33:45 Next Month - Orthodontics This episode is not eligible for CPD/CE points, but never fear, there are hundreds of hours of CPD 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. Join us on Protrusive Guidance, our own platform for dental professionals. No need for Facebook anymore! 😉 If you love this episode, be sure to watch Adhesive Dentistry for Beginners – PS002

Dr. Joe Bhat and Neel Jeiswal discuss the medico-legal implications of dental implant failures at 6 months post-restoration. They cover topics like patient management, effective communication, collaboration between dentists, and handling upset patients. Insights on implant complications in bruxism patients and the importance of communication and research in dental procedures are also shared.

Jaz is joined by Dhruti Mysore from Plymouth University to discuss themes of student-life balance, 'Just-in-Time' learning for post-graduate development, preventing burnout, the power of a supportive network, and of course, Occlusion and Facebows. The podcast also covers topics like evolving dental techniques, continuous learning in dentistry, career development, balancing work and personal life, and seeking support from online dental communities.

Hear how Aidan went from anxious about exodontia to now feeling confident and enjoying his oral surgery list. https://youtu.be/cYl6zYMsRY8 Watch IC049 on Youtube We cover the themes of career progression, overcoming procedural fears and decision making early in our careers. At the end, Aidan shares a clever way to deliver saline when washing out sockets! Need to Read it? Check out the Full Episode Transcript below! Highlights of this Episode:00:00  Intro 01:47 Imposter Syndrome02:45 Aiden’s Story05:16 Daunting Experiences with Stubborn Canine06:48 How Aiden would approach things now07:33 Dental Pearl - 6 second rule09:56 What happened during COVID?18:08 After the Ipswich post, what happened?25:04 Aiden’s advice for young dentists 29:53 Lesson about photography35:13 Whole tooth extraction vs. sectioning?36:26 Sectioning School39:31 Outro Sterile Saline Pods Check out Sectioning School and the entire collection of masterclasses for just $450 Check out the First Video of Sectioning School for Free: https://youtu.be/mgVXGN_uiyg Case 1 of Sectioning School Occlusion Online Summer Sale - £100 OFF Expires 3rd June Click below for full episode transcript: Jaz's Introduction: Naturally when we qualify as dentists, we're not the most confident in a lot of procedures, especially oral surgery. It's a common theme, and obviously it depends on where you qualified from and how much surgical experience you had, but a common theme is being scared of extractions. Like, I've definitely been through it, I've talked about it a lot in terms of the power of sectioning teeth. [Jaz]But today I speak to a young dentist, Aidan, who went from being scared to now being really confident. And he's still a young dentist, about five years out, and he's found himself in an environment where maybe 50 percent of his diary is extractions. And this is what he wanted. This is what he designed. So listen to this interference cast today to explore Aidan's journey. There's a few little exodontia tips thrown in there and a really cool tip right at the end about how to actually get saline into your socket a really clever way, which I didn't know about, and I think is going to blow your mind. So if you want to hear that tip, you have to go all the way to the end. Hello, Protruserati, I'm Jaz Gulati, and welcome back to an interference cast. This is kind of like the non clinical arm of the podcast, although this is probably one of the most clinical ones that we've done. This one doesn't have premium notes. It doesn't have CPD, but this is a really warm episode when it comes to being inspired about someone's journey and the steps they take and learning about how someone came to a decision. Like I love something that Aidan says that he recognizes that he's not the best at multitasking and he really enjoys the idea of having focus and oral surgery ended up becoming a focus of his and this young dentist is now pursuing an implant masters and how one thing leads to another. So this is a really cool journey to unpack. So I hope you enjoy it. And if you gain something from this episode, don't forget to hit that like button. If you're watching on YouTube, if you're listening on Spotify or Apple, thanks so much for always coming back, really appreciate it. Do make sure you are subscribed so you don't miss an episode. It also helps Protrusive to grow. So I'd really appreciate that. Now let's join the main episode. [Aidan]I feel a bit like an imposter today. I feel like I've not really, I've just done what I've loved and enjoyed, and I've not really felt there's anything particularly that's special about it. [Jaz]I disagree completely. Aidan, I think everyone's got a unique story and you're going to be amazed about how many young dentists will just get some ideas. So, I mean, let's just say we've kicked off . Aidan? Yes. Welcome to the Protrusive Dental Podcast, my friend. How are you? [Aidan]Thanks, Jaz. Yeah,

Class II’s are only easy when they are small (but not too small), supragingival, easily accessible with straight-forward anatomy. In other words, about 1% of the Class IIs we encounter - because the vast majority I see are subgingival, wide, with awkward root concavities and tricky access. I went from using sectional matrices 97% of the time to now just using them 30% of the time - this is thanks to a circumferential matrix I started to use last year which is a game changer. I now do not need to use a wedge in most scenarios (something I used to think was a crime!) and have been using the ‘contact opening technique’. Meet Dr Sunny Sadana, who has brought the Greater Curve system to the UK and taught me a lot about efficiency with direct restorations. We also discuss fee-setting and patient communication - this part of the video is only available for those on our Protrusive Guidance network. https://youtu.be/QF3b8V_29Vw Watch PDP188 on Youtube Protrusive Dental Pearl  Pre-wedging; use this technique before beginning any restorative work on the tooth you are working on, this will allow a greater field of view to work in. It also helps suppress the papilla to get better access to the caries. This can all be achieved by numbing the area first and wedging with adequate enough pressure for there to be separation. It also reduced iatrogenic damage and is also worthwhile considering using a wedge-guard/fender wedge. Check out the DRE Composite Course Need to Read it? Check out the Full Episode Transcript below! Access the CPD quiz through our app on https://www.protrusive.app, either on your browser or by downloading our mobile app. For the full educational experience, our Ultimate Education Plan gives you access to all our courses, webinars, and exclusive monthly content. Join us on Protrusive Guidance, our own platform for dental professionals. No need for Facebook anymore! 😉 If you liked this episode, you will also like PDP104 Back to Back Class II Secrets (Sectional Matrix Troubleshooting) Click below for full episode transcript: Jaz's Introduction: The humble wedge gives us so many benefits when it comes to class II. Like, going back to basics, you put a wedge in for your class II, and it ensures that the matrix is right up against that cavity margin. So, wedging is important. Jaz’s Introduction:The other benefit, of course, is that it gives you some separation. And this helps to accommodate for the actual width of the matrix span, so that once you finish your restoration, you remove the wedge and hopefully the teeth will rebound and you'll have a contact. Another benefit of wedges is actually suppressing or depressing that papilla. It allows you to manage those deeper cavities with much more ease. So as you can see, I'm a fan of wedging and I even invest in all sorts of different types of wedges and those low profile diamond wedges for those trickier and deeper scenarios. So why is this episode on doing your class two restorations without a wedge? Isn't that a little bit crazy? Hello Protruserati, I'm Jaz Gulati and welcome back to your favorite dental podcast. So let me tell you, it was like a paradigm shift. It was a big shift in my thinking when I started to use this technique without a wedge because the wedge has so many benefits, but how many times have you introduced the wedge and seen that your matrix band has completely now moved away from your contact? You have an open contact now. And sometimes a bit like the ring, the wedge can distort your matrix. So if there is a way to do good quality class three restorations and get a contact and get a seal without needing to use a wedge, then that is worth exploring. And that's exactly what we're doing today. My guest, Dr. Sunny Sadana is a major fan of the greater curve matrix band. He's a distributor in the UK. Now, many of you in the States watching, listening to this.