Protrusive Dental Podcast

Jaz Gulati

The Forward Thinking Dental Podcast

All Episodes

Why do some patients have painful joints, whereas others get headaches? And why do MOST of our parafunctional patients not get any symptoms at all? Why do some peoples teeth wear away, whilst others teeth are riddled in cracks? https://www.youtube.com/watch?v=amdss07uN9s In this episode, I talk about the pros and cons of devoting your career in Dentistry to treating Temporomandibular disorders. Treating 'TMD' can be a complex field because it deals with all the complexities of chronic pain. However, it can be a very rewarding area. I also discussed why the umbrella term of 'TMD' is not really specific enough. We can do better as a profession to understand the diagnoses within 'TMD' a little better. Protrusive Dental Pearl: check out the Otter app for transcribing your voice, lectures or any audio/video! This is great for anyone who wants to convert audio in to notes, for students, and for content creators. I have uploaded the Diagnostic Criteria for Temporomandibular Disorders (DC/TMD) PDF file on to the Protrusive Dental Community group as promised to the listeners. If you enjoyed this episode, check out Myth Busting Occlusion and TMD with Dr Barry Glassman.

Sep 16

35 min

Which is the BEST Dental Splint? https://www.youtube.com/watch?v=BsXjNkmQf9s Best splint on YouTube - or listen on the usual podcast channels It is finally SPLINTEMBER and we kick it off with an all time important question - which is the best splint for your parafunctional/bruxist/TMD patient? Surely it's a Michigan…right? Or maybe it's a Gelb appliance? Or the humble soft splint…? Did I just say that?SURELY it's a A- Splint, B-Splint or a C-Splint?! Well, I have an answer for you…it's called the G-Splint! The G-Splint* is the best dental splint there is. There are so many factors that will determine this. In this episode, Dr Jaz Gulati explores many of the factors to consider for appliance therapy in the form of dental splints: What are you trying to achieve?Is the patient symptomatic?What is the 'purpose' of the splint? (Hat tip to Dr Michael Melkers)What is the goal?What about access, cost, airway, orthodontics and compliance with splints? Protrusive Dental Pearl: A quick way to remove temporary crowns and onlays using a haemostat! Tune in for the rest of Splintember where I will go deep in to different splints! *The G-Splint is just a metaphor for splint provision based on the history, exam and diagnosis for your patient! Remember to hit subscribe for updates and join the newsletter on www.protrusive.co.uk

Sep 9

34 min

It is the one you have been patiently waiting for since I announced it on Instagram....Personal Branding with Shaz Memon who wrote the BOOK 'Instagram for Dentists'. https://youtu.be/R9tU-lLlLlY What Shaz, from Digimax Dental, does not know about branding as a Dentist is not worth knowing. Protrusive Dental Pearl: Are you Google-able? Are you one page 1 of Google when patients and potential patients search for you? This is so important and is the reason companies pay MILLIONS for 'Search Engine Optimisation' or 'SEO' (not to be confused with SOE Exact!). A great way for Dentists to harness the power of being found in Google is to collect verified patient reviews using Doctify Collect verified reviews and add a widget to your clinician website Join our interview where I probe Shaz about all things personal branding: Should you have a logo as a Dentist?Learn about the hilarious error I made with an old, secret, stashed-away and destroyed logo that I am embarrassed about now!Is a Dentist website page, independent to the practice website, appropriate?What does Shaz think about doing it on the cheap via Fiverr or Canva?What makes a good dental website - BONUS: Shaz critiques my website (completely unexpected!)What are they keys to success for branding yourself online? The funny thing is that all the advice Shaz gave me on my Dentist website ...I have still not updated/improved it based on his advice. That is one of the pitfalls of doing everything yourself. Getting the advice, unscripted and 'live' during the show was the highlight of the episode! If you enjoyed this episode, please support the podcast by subscribing so I can continue to make this type of content!

Aug 31

60 min

In this episode we listen to Alan's story. His name is Alan Burgin and he's also known as The Cornish Dentist on Instagram. https://youtu.be/oF-yyrwPfm4 His story involves themes of mentorship, challenges, overcoming adversity, gaining a work life balance, (so actually going abroad to Australia for six months)....I don't give too much of the story away, but it involves so many real-world themes. And actually, it also involves a bit of luck and something that we touched on in Episode 34 with Richard Porter on emotional intelligence was the element of luck in your career trajectory is actually very important. The Protrusive Dental Pearl is about how to make cementing crowns less messy using Vaseline! I hope you enjoy listening to our reflective chat! NEXT MONTH will be Splintember! I will cover all things dental splints to simplify this confusing area of Dentistry. Listen to the FULL episode via direct download or via the following platforms: Spotify Apple Google Podcast Subscribe on Android

Aug 23

55 min

Case Acceptance - sounds dirty doesn't it? Well its kind of important. We can make a huge difference to the lives of our patients and do more of the Dentistry we love to do. But only if your patient sees value in your treatment plan and believes you are the right Dentist with the right solutions. I spoke with Dr Gurs Sehmi who shared all his secrets! (I kind of forced it out of him!) The protrusive dental pearl for the episode is a video I shared on Protrusive Dental Community (FB page) using a Endodontic tool to squirt peroxide gel deep in to the access cavity to treat an internal bleaching case (see images below!): Before internal bleaching. UR1 sustained trauma - it was root filled with an MTA plug and GP by my Endodontist, Dr Cesar Munoz After internal bleaching. What a difference! Unfortunately no Video podcast for this episode (technical error on my part!) but for anyone inspired by Dr Gurs Sehmi's protocols, do check out what he has to share: Here is the link to register for the mentoring program: https://accelerator.dentalnotebox.com/ This is a link where people can sign up for live cases https://dr-gurs-sehmi.lpages.co/live-case-stream The Dental Notebox Instagram/ FB link is: https://www.instagram.com/dentalnotebox/ https://www.facebook.com/DentalNoteBox/ If you like this episode, you will love Communication gems with Dr Zak Kara! Transcript: Jaz Gulati 0:29Welcome to the protrusive Dental podcast. Gurs Sehmi 0:32Jaz. Nice to meet you. Thank you for inviting me. Jaz Gulati 0:35It's finally good to have you on - I remember meeting you a few years ago at a charity event. It was a BSDO charity event. And even before then I knew about your online presence. But even since then, I have seen some really amazing video content that you've produced and you're a very good educator in the video content and recently, you came to mind when people were asking me, 'Jaz, do you you know any resources or where I can learn digital dental photography, and your teachable course came to mind straightaway and I shared that. And that's why I reached out to you - some amazing content that you produce. Gurs Sehmi 1:13Cool. Thank you. I'm glad you like it. Jaz Gulati 1:18Tell the listeners a little bit and people now who are watching on YouTube, tell them a little bit about yourself, where you practice what kind of work you do. Gurs Sehmi 1:27Sure, okay, so we're a little bit specialist. I work with Rahul Doshi who a lot of people will probably know he owns The Perfect Smile - I've been working there for the last 10 years or so. Recently, in the last three to six months, I've started just doing a little bit and just opened up a little bit closer to home. And when we do the more complex cosmetic kinda treatments that's that's really how we're we're pretty focused on completely, but people who are looking for a really robust, comprehensive solution. Those are the kind of people who we who we kind of attract and, and those are the guys who we normally treat as well. So typically larger cases as well. Jaz Gulati 2:18Well, what comes to mind and the reason I, the 'mission' I've given you today is the case acceptance because you could have all the knowledge up here, and you can have all the great hand skills, but until you can get the patient to be on board with the plan and have the same sort of expectation, same sort of vision, you're not going to get happy patient and you're not going to get to do the dentistry that you want to do. So the first thing I'm gonna ask you straight away off the bat is describe a little bit about what you've created now in our last 10 years working there. You've set something up now so congratulations with that. But what is your ideal patient journey and how does that feed into ultimately getting to the type of Dentistry that you want to do. Gurs Sehmi 3:04Yeah, sure. Okay, so that's like a super complicated question right?

Aug 10

77 min

If there is one piece of content I produce in my LIFE which I think MAY have a massive impact on your life - it might not get much bigger than this one right here! I will put the video up shortly, but you can catch it on Facebook premiere tonight at 8pm on Protrusive Dental Podcast Facebook Page. Do your grades at dental school influence your success as a Dentist?Is your IQ important? I would be surprised if any of you answered 'yes' for these questions. So what do Richard Porter and I believe is the most important predictor of success in your life, relationships and work? Two words: Emotional Intelligence. Find a quiet place, close your eyes* and take a dive in to the world of Emotional Intelligence as applied to Dentistry: *not while driving!! We discuss: How important is luck in your life and careerWhat is emotional intelligence and what tangible examples can Richard provide relevant to Dentistry?Why does high emotional intelligence mean more 'successful' and even higher earning Dentists?Are you born with Emotional Intelligence, or can you improve your EQ?Why is Emotional Intelligence important for Dentists, Dental Therapists and the entire dental team?How can you find out your level of EI? Richard suggested The Big 5 Ocean Assessment - such as understandmyself.com Resources as promised: Harvard Happiness StudyDunedin study Learn with Richard Porter and Aspire If you liked this episode, you will love 12 Rules for Dentistry

Jul 30

57 min

At Dental School I was taught that we have 2 opportunities as clinicians to save a patient's life. One was mouth cancer diagnosis (obviously) and the other was a patient with GORD who may develop Barrett's Oesophagus. However, as I look back now, I do believe dental school missed something out….and that is Sleep Disordered Breathing (SDB). There is no formal acknowledgement of Airway in the dental curriculum. https://youtu.be/TKiX-J046JA Full Episode on the YouTube channel and soon to be on Dentinal Tubules for 1 hour of Enhanced CPD/CE What you will learn from this episode with a leader in this field Prof Ama Johal is that a team approach is needed. If the Sleep Physician is Team Leader, we as Dentists are SECOND in the pecking order, above ENT! That signifies the massive role we have to play in treating SDB. We discuss: How and why did Prof Ama Johal get in to this micro-niche of Airway within DentistryBrief overview of anatomy with the 'party balloon' analogyWhat is Dental sleep medicine? What is sleep disordered breathing and sleep apnoeaWhat is the contribution we can make in the dental profession? Is it just mandibular advancement splints?What is a CPAPWhat is the effectiveness or oral appliances vs CPAP?Why is the training at undergraduate level in both MEDICINE and DENTISTRY lacking?What are the barriers to Dentists who want to help patients with Sleep disordered breathing?How can we significantly improve the lives of some of our patients?What is the association between parafunction and sleep disordered breathingShould YOU get involved in treating the airway for your dental patients?Does premolar extraction orthodontics adversely affect the airway?What about children with massive tonsils/adenoids causing airway obstruction? Prof Ama Johal is highly regarded within Orthodontics and dentistry, for the standard of his clinical work and published research. He is the Vice President of the British Society of Dental Sleep Medicine (BSDSM) and Professor at Bart’s and The London School of Medicine and Dentistry. Resources and Downloads: British Society of Dental Sleep Medicine S4S Course Snoring & Obstructive Sleep Apnoea - a Role for the GDP - listeners of the podcast can get 50% until the end of August 2020 - use coupon code ME50 (this is not an affiliate link and I do not get commission from this - I am thankful to S4S for offering this to the community) Partial Transcript Ama JohalLockdown has actually meant for us just really getting on with an awful lot more academic work, so I'm doing a lot of academia, we have noticed you probably are aware of the challenges of presenting their assessments for them during this lockdown period. And from the NHS side I've been redeployed and I'm working in a&e which is very very interesting place to be right now. So we're very much at the front line. And that's been quite interesting but again I've managed to kind of relate a little bit of my respiratory understanding. And so as you're probably aware, one of the treatments for some of these patients is one of the treatments we're going to talk about this afternoon so it's been yeah I've quite enjoyed it but a little bit out of the comfort zone, let's say! Jaz Gulatiwell, sounds like you've been very busy indeed not only with the academia, but with the this great role that you're doing as working on the front lines so I think a thank you for the hard work to people like you and my wife is also an assistant swabber for COVID-19 and everyone who's, you know, being redeployed is great stuff, so my version of your introduction is, you are quite famous in my orthodontic diploma that I did, because every time we'd see like, oh, "what's the reference for that one" we don't know when we're revising for exams, and we all had an in-joke that if you just reference Johal et al you're probably gonna get the mark! So that was that was why you're famous. Ama JohalThank you.

Jul 20

56 min

Dental Recruitment is Changing! https://youtu.be/1WmvW9-1YWE Would you rather work in a lavish dental clinic with all the bells and whistles, but with a high turnover of nurses and lacking a culture or ethos…OR, work in a 'mediocre' clinic with happy staff and a thriving culture? What makes an awesome dental practice, and how can associates and therapists find them? Where are they hiding? Are they as rare as a 'good associate'? What is that even about? In the latest episode I chat with Andy Saunders and Simon Tucker about how dental recruitment has evolved - it is a purpose built episode if you are looking for a new opportunity or even if you are a principal looking to hire the right team member. We discuss: Why traditional methods of hiring Dentists, Therapists and Nurses may not be effective or good value any moreThe three types of CVs you needThe power of the Video CVImportance of the same values within the teamHow to find your 'tribe' and the practice you belong in (and why you cannot just go by what their website looks like)The features and indicators we SHOULD be looking for in a new practice If you like the new face of dental recruitment (or finally, just a face!) and want Andy and Openwide to help you, reach out to Andy!

Jul 14

41 min

I left you on a bit of a cliffhanger last episode - but now you can finish off Andy's 'origin story' of Posterior Guided Occlusion (PGO) and understand how this is practically implemented on patients. If you missed Part 1 and the ebook by Dr Andy Toy, check it out. https://youtu.be/WJxr1JPpDO0 The Protrusive Dental Pearl for this episode is continuing on the theme of Dental Photography I have been posting about on my Instagram. When taking portrait photos for your patients with a ring flash, point the ring flash at the ceiling, rather than at the patient's face. This creates a softer, nicer image! If you missed out on my Butterfly Effect webinar, you can now check it out on www.protrusive.co.uk/butterfly - it's about how seemingly small events in your career can compound and change the entire trajectory of your dental career. I added a new book to the book list - the Danish Way of Parenting! In this episode we discuss: Structural school of thought vs Functional school of thoughtThe relationship between the condylar movement and the teethThe mathematical equation that is evidence for PGOI ask Andy questions to test PGOWhat does he mean by functional contacts?What is the healthy clench?We debate anterior guides vs posterior guidesHow does this apply to the patient with large masseter muscles who keeps breaking cusps?How many 'centrums' are enough?What Andy is prescribing in Clinchecks for the posterior occlusionHow to finish the occlusion on an orthodontic case - and how Andy makes this 'patient driven'How Andy finishes 60% of his Invisalign cases with a 'Dahl appliance'Is Centric relation important to achieve?Andy tells us the birth of Canine Guidance

Jul 5

73 min

Do you worship canine guidance? I think I went through a phase where I placed a very high importance on the presence or absence of canine guidance. I then got thinking...how and why are my patients with AOBs doing just fine? Why is it that some studies suggest that only 5% of the population has canine guidance, and others suggest up to 60%? Is group function really the villain? This is why I am open to listening to theories that explain this. Posterior Guided Occlusion is one such theory. I am joined by Dr Andy Toy to explore PGO concepts I wanted to delve deep in to PGO - so we split this episode in to 2 parts. https://youtu.be/k6T8cbqSY1I What we cover in this episode: We hear Andy Toy's storiesHow did he get in to 'Posterior Guided Occlusion', clear aligners and treating TMD?The journey that took him to PankeyThe story of how Andy met Ron Presswood and the influence that he had in his views on OcclusionWhat is patient driven splint adjustment?Why was Andy getting good results with PGO splints, just as he did with traditional tanner appliances?Why are we trying to switch muscles off, but Andy is trying to switch them 'on'!?The surprising origins of Bonwill's TriangleWhat is a functional occlusion?Realising that the the quality of the evidence in Occlusion is poor Link to Dr Andy Toy's eBook on PGO All the other downloads from every past episode is on the Protrusive Dental Community

Jun 23

60 min

Yes, you have read the title correct. I DID get Chris Orr on the Podcast...the silver lining of lockdown?! I am very excited to share this episode with you - Composite vs Ceramic, Direct vs Indirect. I have placed hundreds of humongous composites in my career that in hindsight should have been indirect restorations - I share the challenges that I faced in my journey and I am sure many of you will be able to resonate with it. https://www.youtube.com/watch?v=SGWcwkZD-kk We discuss: An extremely insightful episode with Dr Chris Orr (whom I refer to as 'the Rockstar Dentist' and I share the story WHY I give him this name) Is there a place for inlays? At what point does a composite become a ceramic (or read: direct becomes indirect) Is there a place for composite onlays? Does the parafunctional status of a patient influence the choice of restoration? Is eMax acceptable for 2nd molars? Dual cure cement vs light cure cement for onlays? How do you decide which cusps to cover? What kind of join is best to the tooth? Pressed eMax vs CAD/CAM eMax? What does Chris Orr think about BOPT/Vertipreps? As promised in the episode, if you are waiting for announcements of Advanced Dental Seminar courses by Dr Chris Orr - check out their ADS Facebook page Partial Transcript: Jaz: Well the next question then is: Composite Onlays - do they have a place in Restorative Dentistry? I mean… I'll put my hands up say I placed quite a few in my NHS days, not so many now. My default is lithium disilicate. But is there a role for Composite Onlays in Restorative Dentistry? (Indirect) Chris: Now, when we talked a little bit earlier on direct versus indirect, I chose my words carefully to say that the direct techniques are more conservative than indirect, not to say composite will always be more conservative and ceramic, because I'm not a big fan of composite onlays having done lots of them in 15-20 odd years ago. A couple of problems with them. Number one, they are less conservative than today's ceramic. Typically, for composite you need minimum 2.0mm of occlusal clearance to make it durable enough to have some chance of surviving. And that's a lot more to take off than, for example with most ceramics, lithium disilicate, you need one millimetre as a minimum - Second molars you might go to 1.5mm. On the first premolar, you might even get less, 0.7 millimetres. But let's say 1.0mm for the sake of comparison, gone half a millimetre. So from the point of view of conservation, NO - composite doesn't win from the point of view of longevity. When we're talking about onlays to patients, the conversation is along the lines of 'this tooth, classically would need a crown'. 'A crown involves cutting a little bit away from all the way around the teeth a little bit off the top, I'm gonna make it a little cap, called a crown that fits over the top and protects what is left of the tooth from breakage' and so on. The usual conversation with the patient, 'but the problem with the crown, it involves cutting away a lot of the healthy tooth is remaining. So an Onlay does the same job as a crown, only more conservatively'. We know again, from the literature that some of the survival rates that crowns versus onlays over a 15 year period… it's pretty much the same within a couple of percentage points. So I think it's a reasonable thing to say to the patients that are normally is 'kind of like an extended filling - it extends over the biting parts of the tooth' (and hopefully you're pointing this out on the screen while you're telling them). 'It covers over those things, it stops them from breaking it binds what's left of the tooth together, does the same job as crowns only more conservatively. The other thing… I have a huge collection of pictures of composite onlays that have failed, broken, debonded etc and they're all done by me…when I switched to ceramic, those problems went away.

Jun 17

71 min

With 'The Denture Guy' Mark Bishop who was also my first ever clinical tutor 11 years ago! https://www.youtube.com/watch?v=4BkBEK01P0o We discussed: 🎤 Occlusion with Dentures 🎤 Identifying red flags 🎤 At what point do you need to accept that the patient NEEDS to have implants to have success with dentures 🎤 What's more important? A technically excellent denture, or a patient with good adaptation 🎤 Why do patients who wear 'rubbish' dentures struggle with 'good' dentures 🎤 Which is the best impression material? 🎤 Which are the red flags patients for Complete Dentures? 🎤 How do you handle a patient who tells you how to do your job? 🎤 Communication Pearls via analogies 🎤 How can you achieve suction lower dentures? 🎤 Do all you dentures need to be in Class I ? 🎤 How can we improve our registration phase of complete dentures? 🎤 Why most Dentists trip up at the diagnosis stage of Complete Dentures, and how to overcome this 🎤 The importance of writing a letter to your complete denture patient The Atwoods classification and the Registration technique have been posted Protrusive Dental Community

Jun 10

53 min

I love Dentistry…but I FREAKING HATE CRACKS. CRACKS = DIFFICULT CONVERSATIONS with our patients. https://www.youtube.com/watch?v=IIsjE2Km-po 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?

May 31

53 min

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 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?!

May 24

75 min

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. 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!

May 24

60 min

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 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!

May 17

30 min

In this interview I discuss with Harmeet Grewal about Rubber Dam Isolation: https://www.youtube.com/watch?v=AEQ7bAuPWZQ 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

May 13

37 min

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. 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.

Apr 27

59 min

https://www.youtube.com/watch?v=yS6UAJmwz9A 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!

Apr 20

14 min

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 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!

Apr 18

64 min

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. 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, when the day is so busy and the children are so squirmy!

Apr 6

53 min

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 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

Mar 25

18 min

I recorded this a few weeks ago and recently finished editing it (always enjoy chatting with Barry G) – I was pretty much ‘shy’ and dare I say ’embarassed’ to post this/make it public because in the grand scheme of things, our world is being rocked by Covid-19 at the moment and we have so much to worry about… But then two people independently sent me a photo on Instagram of them at home watching my YouTube/IGTV interviews I posted recently telling me they are learning so much from the guests on Protrusive. If this video or any of my content can get you to chill on your sofa and learn while you #stayathome – then that would be awesome. Sending my best wishes to all – stay home as much as reasonably possible 🙏🏼 I hope all this will reunite our profession. https://www.youtube.com/watch?v=n1Bla9N9PS8 In this episode: – Jaz shares a Parable of the 12 Blind Men relevant to TMD and makes a mess of it! – We discuss if the role of teeth/occlusion/malocclusion/Restorative really has a role to play in TMD/pain? – What is macro trauma and micro trauma, and how is it relevant to TMJ pathology? – What is Barry’s message? What does he mean by ‘Occlusion does not matter unless you’re occluding?’ – Why MIP is pathalogical – We discuss Confirmation bias in Dentistry – Can we reliably stop parafunction? – What adjunctive support therapies are prescribed for complex oro-facial pain patients? – Can you use an AMPSA with a patient with Degenerative Joint Disease? – The first 20mm of opening is pure condylar RO- NOT! It’s not pure rotation! – What is an Enthesis and why is that relevant? – Can you give an anterior only appliance to someone with clicking? – Why might a patient say their click has now stopped? YouTube Link: www.jaz.dental/YouTube

Mar 23

62 min

Last week it was International Women’s Day, which makes me especially proud to share this absolute clinical blockbuster with one of the most inspirational Women in Dentistry – Dr Manrina Rhode. In this very clinical episode of PDP, she teaches us about Veneers – she has been placing them for several years and has developed awesome systems in her practice for this. Full Video version on YouTube or IGTV @jazzygulati https://www.youtube.com/watch?v=1_AZh3spMUU The Protrusive Dental Pearl in this Episode is a Communication one! Let me know what you think. We discuss: Manrina’s journey with cosmetic Dentistry and veneers – how did she get the exposure early on in her career? Ceramic vs composite veneers – composite has lifted off last few years, what has been your experience? What percentage of her patients have pre-restorative orthodontics? Which burs does she use for her preps? (Bur codes listed on Protrusive Dental Community: www.facebook.com/groups/protrusive/ ) What prep protocols does she use? What kind of stents? How do you communicate shade with lab and the patient? Does Manrina follow an ‘Occlusal Philosophy’ to ensure (para)functional longevity of her veneers? How do you manage patients with ultra-high expectations? How she uses Photoshop to show patient possibilities with their own smile Why awesome temporary/provisional veneers are so important How does she fabricate good looking, long lasting provisional veneers? What is her bonding protocol? How does she reduce mistakes during a stressful bonding appointment? Hint: teamwork! She gives a very good veneer bonding hack towards the end! Instagram @DrManrinaRhode Ask Dr Manrina every tuesday on @DrManrinaRhode in stories Ask her your dental questions! Her Veneer course (next cohort in June 2020) : https://designingsmiles.co.uk/ Bur codes listed on Protrusive Dental Community: www.facebook.com/groups/protrusive/ Or pasted here: Bur Kit Dental Directory Mandril KTM010 Mandril K5F009 582 (red mosquito) BD582F Komet 6844.314.014 (red/green prep bur) 6844.314.016 379EF.314.023 (rugby ball shaped yellow bur) 856EF.314.012 (yellow polishing) 834.314.021 (depth cutters) 834.314.016 (Thank you for selflessly sharing these, Manrina!)

Mar 18

73 min

In this episode I am joined by Restorative Specialist, Dr Kushal Gadhia who is one of the educators for ACE Courses. He is one of the most passionate people about Occlusion I have met, so it was great to geek out with him. Protrusive Dental Pearl: Have you located your local physiotherapist who has an interest in treating Temporomandibular Disorders? You can find them on the following website: ACPTMD You can download the latest Glossary of Prosthodontic Terms from Protrusive Dental Community Facebook group alongside hundreds of other papers and downloadable resources. What we discuss in this episode: We discuss our reason and love for continual study in the field of occlusion Definition of Centric Relation (CR) (applicable one!) and why we have to rely on teeth as references Why is the ‘reproducibility’ of CR useful? When should you NOT use CR as the position to rehabilitate? 2 Good examples given (a 3rd one I suggest at the end) In those situations you use an arbritary treatment position, how can you ensure success? We briefly discuss about Orthdodontics and the controversy of whether Orthodontists should be planning from CR What happens to patients rehabilitated in CR position over time If you restore someone in CR – can you stop their Bruxism? There may also be an anatomical reason not to use CR which we discuss at the end Remember – most of our Dentistry is Conformative and in ICP/MIP – Become a GOOD conformer first! Handouts:Glossary of Prosthodontic Terms 9th Edition Loads more episodes to come out this month to make up for February – we had the first successful ‘THE Dental Splint Course’ hosted at Precision Dental Studio in Reading. View this post on Instagram If You're Not in Centric Relation, You will Die! 😉 Protrusive Dental Pearl - how to find your local 'TMD' Specialist Physiotherapist: http://www.acptmd.co.uk/find-your-nearest-tmd-specialist/ What we discuss in this episode: - We discuss our reason and love for continual study in the field of Occlusion - Definition of Centric Relation (CR) (applicable one!) and why we have to rely on teeth as references - Why is the ‘reproducibility’ of CR useful? - When should you NOT use CR as the position to rehabilitate? 2 Good examples given (a 3rd one I suggest at the end) - In those situations you use an arbritary treatment position, how can you ensure success? - We briefly discuss about Orthdodontics and the controversy of whether Orthodontists should be planning from CR - What happens to patients rehabilitated in CR position over time - If you restore someone in CR – can you stop their Bruxism? - There may also be an anatomical reason not to use CR which we discuss at the end - Remember – most of our Dentistry is Conformative and in ICP/MIP – Become a GOOD conformer first! Listen on your favourite Podcast Player. Direct Download MP3 file on the blog: https://jaz.dental/centricrelation Handouts: Glossary of Prosthodontic Terms 9th Edition Link to group: https://www.facebook.com/groups/protrusive Subscribe on Apple: http://jaz.dental/apple Subscribe on Spotify: http://jaz.dental/spotify Thanks again to Dr Kushal Gadhia for sharing his knowledge with us all. A post shared by Jaz Gulati 🦷Dentist 🎤Podcaster (@jazzygulati) on Mar 10, 2020 at 10:46am PDT

Mar 10

39 min

In this short episode I discuss 3 reflections from a composite veneer case: https://www.youtube.com/watch?v=JAGyIySRQUc 1) Communication – regarding case communication and case acceptance in an ethical manner 2) Using the Mylar Pull technique for interproximal management Full Youtube video for mylar pull technique: https://www.youtube.com/watch?v=L-fqXLi78P0 3) A bur which I LOVE to use to shape composite (Bur code is 831.204.012) If you liked this mini episode, please share with a Dentist friend and subscribe to my podcast. Thanks for watching!

Feb 5

10 min

In this mammoth episode (boy, it’s a long one but I hope you like it!) we have the legend that is Dr Jason Smithson. If you are a Dentist and have not heard of Jason Smithson, you have been living under a rock! The calibre of cases that Jason posts on Social media and lectures is always unbelievable and we as a profession learn a lot from from him, as well as the courses he runs. I went on his Onlays and Veneers course about 4 years ago and I was really engaged throughout the entire 2 days. We will be talking all thinks eMax onlays and vertical preparations. Protrusive Dental Pearl: for all my listeners, a group just for you where we can share content, knowledge and files for each other: Protrusive Dental Community First half we discuss all about lithium disilicate onlays including: Indications and contraindications When an onlay really should be a crown Thickness of eMax Why flat top onlays are not recommended How thin can we go if on virgin enamel? (Think of OVD increase cases) IDS (Immediate Dentine Sealing) and and DME (Deep Margin Elevation We also discussed Vertipreps in great detail! What is “vertiptrep “or “vertical crowns”? Why have they ‘suddenly’ become fashionable? Tips for temporising for Vertis (see eggshell technique reference) What to tell your technician Trouble shooting Vertical crowns (overcoming friction!) And we also discuss a gem right at the end about how I help to improve the longevity of my anterior work by a simple trick that takes 4 or 5 minutes with only with a disc….and Smithson agreed it is a good thing to do! Resources shared with this episode on the Protrusive Dental Community Facebook group: Eggshell temporary technique Loi’s paper on BOPT Bur codes for the Vertical prep burs we discuss Lots of news to share with you all: Those of you who follow me on Instagram (@jazzygulati) or like the Protrusive Dental Podcast Facebook page (I’m pretty active) will have seen the news that starting from the next episode (which by the way is with none other than Kushal Gadhia) you can get enhanced CPD! My guest and I will produce A&Os and have some questions for you to answer. The only caveat is you have to be a Dentinal Tubules member – if you listen to my ramblings, you either LOVE dentistry or you WANT TO TRY to love dentistry or you want to reignite your passion, and that’s exactly what Tubules is about and I am provide for them to quality assure and issue my CPD. For information about Jason Smithson’s next courses, visit: Jason Smithon’s website His Restorative Program This Podcast on Youtube: https://www.youtube.com/watch?v=UAEenV8Ct90

Jan 29

69 min

I am joined by Dr. Stephen Hudson of Dental Law and Ethics Blog Protrusive Dental Pearl: Download my EXACT examination Custom Screen for free! (I had to move the link to the Facebook group where you fill find all the custom screens - wait for group approval) Once you are in the group, this is the post with the download: In this episode we cover: Who can call themselves an ‘Expert’ and why it’s stupidWho was Montgomery and why did they have such an impact on our profession?Where do you draw the line in terms of ‘explain every single option’If you feel uncomfortable treating this patient – how can you tell your patient?Consent forms – are they really necessary?What happens when a child attends with the father, not with the mother?Under age Teeth Whitening – would you do it?Do you always need a PA for extractions?The GDC says you should make a recommendation – what happens when the patient says ‘No’ to the recommended treatment? The over arching theme of this episode is the importance of building rapport with your patient! If you like what you hear, please Subscribe, leave a review on Apple Podcasts and share with a friend who may find it useful! https://www.facebook.com/protrusive/videos/589415178518912

Jan 15

38 min

Dr Tif Qureshi is back for Dahl Part 2! We build on that awesome first episode (Episode 16) and discuss: Contraindications of Dahl Technique Maximising success Uses of splints during Dahl Technique – is that even possible? What type? When? Communicating with our patients Assessing the Envelope of Function What if Dahl fails? Deprogramming prior to Dahl What if the Dahl wears down years down the line – how to ‘recycle’ Dahl technique Influence of Digital on Dahl technique? On the show, I promised Tif I would share a full protocol case with him – you can see this on my Protrusive Facebook page here. *PROTRUSIVE DENTAL PEARL* A £30 composite heater! This mug warmer looks really posh and can be used to heat composite and local anaesthetic.   https://www.youtube.com/watch?v=Y6WuuHI__oA

Jan 9

49 min

Welcome to my 2nd Interference Cast – based on Jordan Peterson’s book 12 Rules for Life. David Bretton and I came up with our very own 12 Rules for Dentistry! I had David come on for this because he IS Mr. Positivity in UK Dentistry. We hope you find these relevant, engaging and ‘real’. This is the audio version of my Video Podcast recorded earlier this month – if you prefer to watch the video (which I prefer, you get to see our silly facial expressions!) then you can watch it on YouTube or my Facebook page Facebook.com/protrusive or my IGTV https://www.youtube.com/watch?v=3qvDBz06WC4 Rule 1 – See Everyone (and it's not quite what you think this means!) Rule 2 – Create a Positive Environment Rule 3 – The patient in front of you is the most important person Rule 4 – Don’t own the patient’s problem Rule 5 – Do not care about your patients’ teeth more than they do Rule 6 – Trust your gut Rule 7 – Take time to take care of yourself Rule 8 – Focus on your own journey Rule 9 – Have mentors (it has never been easier!) Rule 10 – There is no shame in admitting you do not know something Rule 11 – If you’re not enjoying things, something needs to change Rule 12 – Enjoy the present moment and the journey

Dec 2019

65 min

I am joined in this 2 part Episode by Dr Tif Qureshi, the undisputed ‘King of ABB’ (Align, Bleach, Bond). We really and truly geek out over the Dahl Technique over the 2 episodes. There were just WAY too many gems to cram in to one episode, and not all of it was about Dahl! This episode (Episode 16) focuses on: The prestigious award that Dr Qureshi recently won Importance of long term follow ups for your learning as a Dentist Why you should not chase the big ticket treatment An interesting reason why Tif is not chasing new patients Are young associates moving job positions too frequently? Why the patients that are referred to you are special The Dahl Technique as an interceptive treatment modality Who is the ideal patient for the Composite Dahl Technique? Would you ever do the Dahl technique straight to Ceramic? At what point does a Toothwear case become a Full Mouth Rehab instead? What is the maximum recommended amount of anterior toothwear you should restore predictably with Dahl? How Tif uses Dahl principles to approach a Full Mouth Rehabilitation The next episode will be more focused on the clinical side of the Dahl technique. I promised you a good resource where you can read in-depth about the Dahl technique – as in this episode I assumed you had a basic grasp: BDJ Article about Dahl Technique If you found this useful, tell another Dentist! UPDATE: Dr Michael Melkers Occlusion Course has been moved to November 27th and 28th 2020! Reserve your seat at Occlusion2020.com for Dr Michael Melker’s signature 2 day course Listen to the Episode with Dr Michael Melkers

Dec 2019

28 min

Not only did I finally get Michael Melkers to finally come on my Podcast….I also managed to get him over in November 2020 for his signature 2 day occlusion program! The event was rearranged from May 2020 to November 2020 due to Covid-19 - therefore new tickets will be added. Check out Occlusion2020.com for tickets. I present my first ever Video Podcast below – but as always, the audio version is available by direct download above, or from iTunes, Apple Podcasts, Google Podcasts, Spotify etc. This episode’s Protrusive Dental Pearl is shared by one of the talented Dental Technicians I use, Hit Parmar – how can we give our patients the experience of what a splint might feel like, as if to test tolerance and compliance? “How will I know I will not gag or be able to wear one in my sleep?” – a common and valid concern. Listen to the audio podcast to find out how you can manage this and test the waters! (within the first few minutes of the introduction to the episode) In this fun and informative episode, we discuss: – What is the point of using a Facebow and Articulator? (you may be surprised by his answer..!) – Are we really designing Occlusal schemes for optimum function (spoiler – we’re not!) – Why is our understanding of Occlusion…’sub-optimal’ once graduating? – Which is the best Occlusion camp? Dawson? Pankey? Kois? LVI? – Which is the ‘best splint’? – We discuss his upcoming 2-day Occlusion in Everyday Practice program in Heathrow 27th and 28th November 2020 Do join us in November for occlusion and lamb chops at Occlusion2020.com You will never find a better value Occlusion or even Michael Melkers course ever again! https://www.youtube.com/watch?v=UpQQg9daDak

Nov 2019

36 min

I am joined again by one of the most passionate people I know, Dhru Shah! He also helped me with Episode 3 – Transitioning to Private Dentistry which is one of the most listened to episodes on my podcast. What drives you? How you can be more engaged as a Dentist? What are your values and how it is relevant to your career? Where and how you can develop passion for Dentistry – the best thing is that it answers a burning question I get asked a lot – ‘Jaz you’ve done a lot of courses, which one should I do next?’ – Dhru talks about a system where you need your day list and a highlighter to figure that out yourself How can we get more Dentists in a state of Flow As promised in the podcast, do check out Scott Jeffrey’s Value Discovery System and be sure to get your family and staff involved! For the video teaser of the podcast:

Nov 2019

41 min

In this mini episode (interference cast – see what I did there?), I discuss about key lessons in protocols and philosophies I have learned from 3 awesome Dentists: Prof Nicolas Martin, Dr Rajiv Ruwala and Dr Jerry Lim. https://youtu.be/_CEXnLyE_rw Full episode also transcribed and on Video to watch, including my IGTV. Take home points: Have protocols in place in Clinical Dentistry so that your workflow becomes predictable Train your staff well and make them familiar with your systems and protocols Have a Philosophy for Occlusion – does not matter if it is Spear, Dawson, Kois, Pankey, Neuromuscular or whatever! Have A philosophy Go all in – immerse yourself deep with knowledge, we owe it to our patients!

Nov 2019

8 min

This episode is for all dental students, but particularly those in 4th and 5th year. I was joined by my friend Prateek Biyani who runs an awesome resource for students at Dental Notebook (check it out!) Our aim was to give away all our tips and advice that helped us during finals. We cover: MCQs App Key books that helped us Importance of study clubs Great resources SoundNote app Integrating evidence base in to your answers Top tips for OSCEs How to do well in a Seen patient or Finals patient exam If you found this useful, be sure to share it with your dental student colleagues. Good luck everyone!

Oct 2019

38 min

Sorry about the delay fellow dental geeks – I have been enjoying fatherhood, revising and sitting my Ortho Diploma exams, and then was part of the epic experience that was Dentinal Tubules Congress 2019! Now I am ready to edit more episodes =) In Episode 12 I am joined by Ivan, aka The Implant Ninja! In this episode we discuss: Checking occlusion of your implants Implant protected occlusion Grey area of implant occlusion – at what point do you shift the load and share it with implants? Canines that are restored with implants – do we still aim for canine guidance? Do we need balanced occlusion in full arches? What do you tell your patients about implant longevity? Work/Life balance How to identify red flag patients (absolute GEM!) Having a system for your practice to produce content for social media As promised in the episode, the link for early, early bird registration for Tubules Congress 2020: https://www.dentinaltubules.com/congress-early-bird Implant Ninja’s Instagram to learn about his books and courses: Implant Ninja

Oct 2019

49 min

Have you ever encountered the patient with all the signs of bruxism/parafunction, yet they deny this passionately? I see this daily. Patients are in denial that they parafunction – how can we communicate better with these patients? I am joined on this Protrusive Dental Podcast episode by Dr Barry Oulton to help us communicate better with bruxers! In this episode, which has a brilliant Protrusive Dental Pearl about ‘colouring in your dental splints’, we discuss: How to get patients to accept accountability of their parafunction and how it may attribute to restoration failure Are you looking for the signs of parafunction in your patients? Travell and Simon pain chart for referred pain Muscle examination video (linked below) The role of your team in communicating Bruxism How to show patients their wear facets What if your patient declines a splint? (They are allowed to!) How to communicate with them the consequences Have you ever restored an incisal edge that keeps chipping? Use analogies and stories to communicate – here we share the Fence Post analogy Sci splints and B splints How to PROVE to your patients with a splint that they have actively been grinding on it! Dr Barry Oulton B.Ch.D DPDS MNLP, Owner, The Confident Dentist Academy Dr Barry Oulton owned Haslemere Dental Centre in Surrey for 20 years, turning it into an award-winning practice with a reputation for outstanding customer service before joining the Portman Dental Care Group in 2018.  In 2017, he founded The Confident Dentist Academy to help dental professionals learn effective communication skills and sell with integrity so they can have more impact and make a bigger difference, both professionally and personally. His 2 day course ‘Influencing Smiles’ course teaches Dentists and their teams how to communicate and sell  that translates into happy patients, a great working environment and, ultimately, sees profit increase.  He also offer in-house training programming and coaching for practices and dental companies and also online training products. He is on the editorial board for The Probe and lectures for companies such as Septodont, Cerezen, S4S, Practice Plan, Henry Schein and Wisdom Toothbrushes.  His website is – www.theconfidentdentist.com Take a look at his muscle exam video which is currently on www.theconfidentdentist.com/s4s which is very helpful demonstration of how to carry out a dentally relevant muscle examination. Social media sites – Twitter – @drbarryoulton  Facebook – The Confident Dentist  Instagram – drbarryoulton 

Sep 2019

53 min

Zak Kara is one of the best communicators I know. He is too humble to even entertain that statement, but it’s true! He shares with us real-world communication gems and they will blow your mind. In this episode we cover: How to communicate to our patients about longevity of dental work Importance of asking questions – ‘how long are you expecting this to last?’ What’s a linchpin and how we can ‘lead from the bottom’ Helping the team see the bigger picture – empower them – for example, how to handle the patient that walks in late? Why you should not care to treat everyone in your area What NOT to say to your patients Are you practicing proactive or reactive dentistry? Are we under-diagnosing? How to present a comprehensive plan Are you in the right practice? Design your work life The importance of ‘showing your working out’ in your clinical notes (you will love this one!) How Zak uses his iPad Pro to draw on his patient photos and explain – PDF Expert app Protrusive Dental Pearl Episode 10 – Use a UV torch to clearly see composite! Perfect for removing aligner attachments. UV torch for composite available on Amazon. I have tried this and it’s a game changer! Dr Zak Kara Whilst only a ten year career to date, Zak draws together a wealth of experience in dentistry from various parts of the world.From years spent developing his skills in practice on the East Coast of Australia, to relationship-focused independent private practices here on the South Coast, Zak has developed a reputation for providing a unique modern dental experience with old-fashioned rapport.Along the way, he has made valuable additions to the ‘patchwork quilt’ with a Postgraduate Diploma at the University of Bristol, further training at the world-renowned Pankey Institute in the USA, and Expert Witness Certification at Cardiff University.But on reflection, the most significant influences on his day-to-day approach come from humble beginnings. He grew up ‘behind the shop counter’ of his parents’ record shop learning to understand others and what makes people tick, and he annually leads dental teams in volunteering their skills with Bridge2Aid in rural East Africa.This unique personal journey informs his personable and unhurried style. Colleagues have described his approach as ‘contagious’ and ‘refreshing’.

Aug 2019

53 min

Disclaimer: Opinions expressed within this interview are those of Aws Alani and do not necessarily represent the opinions or viewpoints of Kings College Hospital NHS Foundation Trust or Kings College London In this episode we discuss: Restorability is subjective – are there any objective criteria we can rely on? Implants vs teeth – implants are not a panacea. Implant systems go obsolete, teeth are timeless Importance of informing patients and managing expectations What to do in scenarios where one wall of a molar is completely missing – how would YOU restore it? A few case examples discussed Importance of the pulp for proprioception Importance of both the vertical and HORIZONTAL FERRULE How do you manage patients with asymptomatic cracked teeth? Influence of parafunction on predictability and restorability Partial exodontia technique Implants vs teeth – advantages of teeth over implants Protrusive Dental Pearl: Use an Iwanson gauge to measure crowns, burs, cusp thicknesses and anything else! You can buy one on the cheap from Amazon. Occlusion symposium September 7th: https://www.eventbrite.co.uk/e/key-topics-in-restorative-dentistry-presents-the-occlusion-symposium-tickets-58076533475 Operative Dentistry Diploma-Applications open:https://www.kcl.ac.uk/study/postgraduate/taught-courses/operative-dentistry-pg-dip Aws Alani qualified in 2003 from King’s College London. He completed vocational training in Essex and held junior hospital positions at Guy’s Hospital and King’s College Hospital, before completing an MSc in Endodontics at the Eastman Dental Institute. He moved to Morriston Hospital in South Wales to work in the Maxillofacial Unit, initially as a Senior House Officer before becoming a Specialist Registrar. After three years in Wales he moved to Newcastle, where he completed his specialist training in Restorative Dentistry. During his training he completed relief work trips to Romania and Ghana with ‘Young Smiles for Romania’ and ‘Global Brigades’. In 2013 Aws became the International Team for Implantology Scholar in Toronto, Canada, working at the Hospital for Sick Children and Bloorview Kids Rehabilitation Hospital. He returned to London in 2014 to become a full time Consultant in Restorative Dentistry at King’s College Hospital. His main remit is the management of congenital and acquired defects within an MDT environment, working alongside Paediatric Dentistry and Orthodontics. He has published over 40 peer reviewed papers  and maintains an active interest in current clinical issues and research. He has won grants from the British Endodontic Society and the Royal College of Surgeons to examine novel tooth filling materials. He is a previous British Society of Restorative Dentistry and British Endodontic Society council member. He recently completed a Masters Degree in Medical Law; his dissertation was titled ‘Social Media and the Dental Patient: A medicolegal perspective’. He is the course director for the Diploma in Operative Dentistry at KCL which looks to upskill in a multifaceted manner through seminars, hands on simulated exercises and clinical treatment. More information on the course can be found here.  He has built 4 separate websites from scratch, his most recent platform (www.restorativedentistry.org) has over 100,000 reads and is subscribed to by dentists from all over the world. He administers 4 dental facebook groups, the largest of which has 28,000 members. BLOG www.restorativedentistry.org ​ Facebook Group Restorative Dentistry For All Facebook page Key Topics in Restorative Dentistry Insta restor6tive_dentistry

Aug 2019

52 min

The use of anterior mid-point stop appliances (AMPSAs) in Dentistry is surrounded with controversies and misconceptions, so I am joined by Dr Barry Glassman in this episode to answer this much debated question. Attending Dr Glassman’s lecture last year was eye opening and career-transforming for me. It changed the way I thought about Occlusion! Attending Dr Glassman’s lecture last year was eye opening and career-transforming for me. It changed the way I thought about Occlusion! In this Episode with Dr Barry Glassman we discuss: To what extent are occlusions designed for Function? How much does Occlusion matter? Why canine guidance? Do Anterior midpoint stop appliances cause posterior teeth to over-erupt? When to avoid using AMPSAs? What mechanism is behind patients developing AOB after splint therapy?   This is an example of a lower NTI or SCI (Sleep Clench Inhibitor). This falls in to the category of an anterior mid-point stop appliance (AMPSA) TLDL (Too Long Didn’t Listen): Jump to 22 mins and 30 seconds if you want the main question answered. Protrusive Dental Pearl: The BRB technique for incisor Class IV build ups to create an ‘instant wax-up’ within the putty. You can read more about this technique at Style Italiano. Do not miss out on the next Dentinal Tubules Congress in October! Dr Glassman will be lecturing again in the UK on ‘Myth-busting Occlusion for the General Dentist‘. He will be lecturing in Sheffield and London and this can be booked on the S4S website. If you use the discount code BG-PODCAST, this will give 30% off (RRP £179.99).   Barry Glassman, DMD, maintained a private practice in Allentown, PA, which was limited to chronic pain management, head and facial pain, temporomandibular joint dysfunction and dental sleep medicine.   He is a Diplomate of the Board of the American Academy of Craniofacial Pain, a Fellow of the International College of Craniomandibular Orthopedics and a Diplomate of the American Academy of Pain Management.  He is a member of the American Academy of Orofacial Pain and the American Headache Society.  He is on staff at the Lehigh Valley Hospital where he serves as a resident instructor of Craniomandibular Dysfunctions and Sleep Disorders.  He is a Diplomate of the Board of the Academy of Dental Sleep Medicine.  He has published articles that have appeared in both peer and non-peer reviewed journals in the fields of dental sleep medicine and orofacial pain. 

May 2019

53 min

Is this a silly question? Now that I know the answer, perhaps so. But I do think that many students and GDPs fail to see the main role of Class I molars in a pleasing smile… I am joined in this episode by Dr Mohammed Almuzian, Specialist Orthodontist and one of the best educators I have ever had the pleasure of learning from. What we cover in this podcast: What is the significance of Class I molars? How you can calculate what the overjet may be if you carried out alignment only orthodontics in fraction class molars Is there ever a suitable situation to accept a compromised orthodontic result? Does it always have to finish in Class I molars? As promised in the podcast, here are some helpful links: A guide for Orthodontists and Dentists for treatment planning Orthodontic cases: http://www.aviosanalyser.co.uk/ Dr Almuzian’s academy website: https://www.orthodonticacademy.co.uk/ The FAMOUS Almuzian notes which have been, to date, downloaded more than 350,000 times! https://www.orthodonticacademy.co.uk/almuzian-note

May 2019

26 min

I am joined in this episode of Protrusive Dental Podcast by the likes of Harjot Bansal, Mahul Patel, Dhru Shah, Catherine Tannahill, Lourens Bester, Kiran Juj and Sunny Luthra. Yes, that’s an awful lot of guests! It HAD to be done to help answer such a monumental question that crosses every Dentists’ mind: Should you specialise? My main guest, Harjot Bansal, is studying his MClinDent in Prosthodontics at The Eastman (London). He is always happy to help and his instagram is @harjsb Protrusive Dental Pearl: Show your human side! This will help calm your patients down and create rapport. Here is the photo, as discussed in the podcast, I have in my surgery which has been eye-opening: Dental Elective April 2012, 1 hour from Da Nang Here is what we discuss in this episode: Why specialise? The true cost of specialising – think loss of earnings! Financial planning for specialising How to know which speciality is right for you? Endodontics? Perio? Prostho? Ortho? Can you be fulfilled and skilled as a General Dentist? Is it right for you? A massive thank you to all my guests on the show! Music credits: Life by KV https://soundcloud.com/kvmusicprod Creative Commons — Attribution 4.0 International — CC BY 4.0 https://creativecommons.org/licenses/by/4.0/ Music promoted by Audio Library https://youtu.be/jH8ryRw1cWgBedtime Stories by mezhdunami. https://soundcloud.com/mezhdunami Creative Commons — Attribution 3.0 Unported — CC BY 3.0 https://creativecommons.org/licenses/by/3.0/ Music promoted by Audio Library https://youtu.be/WCYCRged0r0Escape by Declan DP Music https://soundcloud.com/declandp Licensing Agreement 1.0 (READ) http://bit.ly/DeclanDP_MLA1 Music promoted by Audio Library https://youtu.be/PiQK_KYirio

Apr 2019

38 min

Episode 5 is an interview with Dr Robert Conville (@robconville) who shares his experiences of working in Australia with a BDS degree from the UK. This episode’s protrusive dental pearl is about how to get perfect moisture control for those difficult class V restorations. This episode covers: Visas and the recent change in codes Sponsorship AHPRA Finding an Employer How to look for a job Do you need a Chest X ray? Entrance exams? How do the dental care system and health funds work out there? What is the remuneration and earning like as a Dentist in Australia? Applying for permanent residency Experiences in Australia Work, Travel and Living in Australia Dentistry.co.uk article written by Rob

Mar 2019

26 min

I hope you enjoy my discussions with Dr Neel Jaiswal who founded the British Academy of Microscope Dentistry. This episode’s Protrusive Dental Pearls: Use Fiverr.com for purchasing logos, soundbites, artwork and creative services How to minimise occlusal adjustment of composite restorations and avoid ruining your beautiful anatomy! In this podcast we discuss: Which Loupes to buy for Students Benefits of Loupes vs Microscopes Features to look for in a Microscope purchase Communication gems and adding value to your Scope Photography and ergonomics with Scopes If you liked the sound of Mahul Patel’s PrepEvo course, find out more about how to make your preps awesome.

Feb 2019

48 min

In this podcast episode I am joined by Dr Dhru Shah, Periodontist and founder of Dentinal Tubules. Have you been thinking about a change of scene, or to move away from the shackles of NHS Primary care Dentistry? Many Dentists have considered making the switch to Private Dentistry. We discuss what it takes in terms of: Investments Mindset Education Early career choices Mentorship Above all, make sure you go in to any new career choice with decisions based upon PASSION, not upon FEAR.

Feb 2019

46 min

Have you ever thought of moving to the United States to practice Dentistry? Where do you begin? Join us for this podcast with Dr Jaz Gulati as he navigates through the experiences and journey of Dr Kristina Gauchan who is a UK Dental graduate and is on track to work in the USA. If you qualified with your primary Dental degree from anywhere outside of USA and Canada, you will need to follow the pathway Kristina shares in this episode. Some helpful resources that Dr Kristina has kindly shared as part of the Podcast notes: Tips for International Dental Students | ASDAMembership in ASDA. We encourage you to join ASDA to gain access to resources and education on the dental school application and licensure process.www.asdanet.org ADEA CAAPID DirectoryADEA CAAPID Directory ADEA CAAPID 2019 Application Cycle March 1, 2018 – February 22, 2019. Many U.S. and Canadian dental schools that offer advanced standing programs for international dental graduates participate in ADEA CAAPID.www.adea.org Licensure Information by State – ada.orgLicensure Information by State State Licensure Tables. The ADA attempts to keep this information current based on information from state dental boards, clinical testing agencies and state dental associations.www.ada.org Dr Kristina Gauchan graduated from the University of Liverpool in 2015. Having married an American resident, she has now entered a new chapter in her life. She is ready for the next academic venture as she will start her two year international dental program at Boston University in order to obtain a DDS/DMD to gain her US dental license. 

Jan 2019

37 min

A podcast interview with Surinder Arora (@DrSurinderArora) Dr Surinder Arora qualified from the School of Clinical Dentistry, Sheffield in 2011 and has been practicing Privately in Singapore since 2014 Why should you move to Singapore if you are a Dentist? This should really be a personal choice – only you can determine and discover your WHY. It is important to consider how this affects your children/spouse/partner/family and business commitments. Why Singapore? Singapore is Asia Lite. It is a Metropolis. Dental standards are high, and the weather is 30C every day! I cover lots more of this in my article about returning from Singapore and my experiences. What was it like finding a job then, and is it any different now? It is much more difficult now compared to 2-3 years ago. This is because the Corporates are less likely to hire foreign graduates because you first need to be on Conditional Registration with the Singapore Dental Council (SDC). This is not really a big deal, except you need to be assigned 2 supervisors, and it is due to a lack of supervisors that can be troublesome. Only once you have had 2-3 successful years, under the eyes of a ‘Supervisor’, can you then work ‘solo’ with Full Registration. First, you need to find a corporate or a Dental practice that is willing to take you on and they will help you with your application to the SDC. Where can I look for an associate position? The Singapore Dental Association classifieds is your best bet! What can Overseas Dentists expect in terms of salary Expect anywhere between 35 – 55% remuneration. Average GDP can make $6 – 20 K SGD per month, net. A lot of practices/corporates will put a safety net for you in your first 6 months so you can get a ‘base’ minimum salary e.g. $7K per month. Bare in mind, however, that Tax is pretty damn low! What is Dentistry like in SG? High standard – but varies massively depending on where you are practicing. Even in this tiny island-country, the demographics of just a few miles are massive and will influence if you are busy or not. When I was there, I was doing very run-of-the-mill family Dentistry, perio, extractions and Dentures! Words of caution to UK/US Grads looking to work in Singapore? Although you do not need to sit any exams to work in Singapore, it has become very difficult to find a Job as a foreign graduate. Should you continue to pay GDC subscription? Short term answer: Yes, to avoid the hassle Long term answer: eventually, after working for few years in Singapore, you may wish to stop paying GDC subscription. Surinder emailed the GDC and as long as you keep all your documentation and evidence of CPD, theoretically it should take 10-15 days to get back on the register. Found this useful? Subscribe on Google Podcasts and Apple Podcasts and Like us on Facebook!

Dec 2018

47 min

Cookie policy

We and our partners use cookies to personalize your experience, to show you ads based on your interests, and for measurement and analytics purposes. By using our website and our services, you agree to our use of cookies as described in our Cookie Policy.