Protrusive Dental Podcast

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.

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