Protrusive Dental Podcast

Are you a final year dental student or a recent graduate looking to kickstart your career as an associate dentist? In our latest episode we sat down with Dr. James Murray, a passionate foundation dentist who shares his recent insights and experiences on how to land a job as an associate dentist. Dr. Murray understands the challenges that come with transitioning from dental school to real world practice. He discusses the importance of building a strong portfolio and reflecting on your work to overcome imposter syndrome – embrace the learning process, seek feedback, and use every situation as an opportunity for growth. But what’s the best way to showcase your skills and make a lasting impression on potential employers? Dr. Murray reveals his secret weapon: an online portfolio accompanied by a thoughtful cover email. In this episode we also delve into tips for approaching dental practices that align with your values and interests. Struggle with taking clinical photos? Don’t worry, we’ve got you covered! Dr. Murray and Jaz provide helpful advice for improving your photography skills. So, if you’re ready to take the next step towards a fulfilling career, tune in to our podcast and unlock the secrets to securing your dream job! Access premium clinical videos by Jaz and gain CPD for Podcast episodes via the Protrusive.app https://youtu.be/AVREWCa8VN0 Watch IC041 on Youtube Need to Read it? Check out the Full Episode Transcript below! Highlights of the episode: 03:14 Dr. James Murray04:02 Dental school experience06:22 Imposter syndrome08:02 Curriculum vitae09:09 Covering emails11:01 Do the research11:30 Portfolios14:14 Having the right attitude19:37 How to make your portfolio20:45 Photography in dentistry23:52 Photography tips and tricks26:30 Resources for photography27:56 Advice to new graduates31:22 Just-in-time learning If you enjoyed this episode, you may also like Young Dentist Thrival Guide – First Few Years.

[Trigger warning: this episode discusses topics related to mental health, depression, self-harm, alcohol abuse, and suicide.] Humans first, Dentists second. We will all have personal rough patches during our career – but how does this impact our work and our patients? A Protruserati shares his experiences of a toxic marriage, self harm and alcohol dependence – I am so grateful he anonymously shared his valuable insights and lessons for dentists seeking to prioritise their mental well-being. https://youtu.be/ZED_yS8v8sc Watch IC040 on Youtube Throughout the episode we touch on coping strategies, emphasising the value of exercise and physical activity for mental well-being. We also explore the guest speaker’s path to recovery from alcohol abuse, including their positive experience with the Allen Carr course, which aimed to change their perception of alcohol. We delve into their experiences with counselling and highlight the importance of being in the right mindset for therapy to be effective. In addition to this we touch on the HeartMath technique, a powerful self-regulation approach that our guest found beneficial in managing emotions and achieving a sense of calm. Below you can find links to these resources, including the ConfiDental helpline – an accessible and confidential listening service designed specifically for dental professionals. Allen Carr EasyWay – www.allencarr.com/easyway-stop-drinking/ HeartMath – www.heartmath.com ConfiDental – 0333 987 5158 Access premium clinical videos by Jaz and gain CPD for Podcast episodes via the Protrusive.app Need to Read it? Check out the Full Episode Transcript below! Highlights of the episode: 04:22 Our guest’s story12:32 HeartMath14:59 Poker face18:33 Going to work mentally unwell21:00 Leaving toxic environments27:38 Advice for those struggling31:34 Reaching out If you liked this episode, you should check out Toxic Work Cultures in Dentistry – Time for a Change?

Learn about five techniques the speaker does differently now compared to dental school, including sectioning and elevating multi-rooted teeth, using air abrasion for plaque removal, using a 'wedge guard' during proximal drilling, opting for onlays instead of full crowns, and the resurgence of vertical preparations in dentistry.

Dr. Pasquale Venuti, a dentist specializing in biomimetic and restorative dentistry, joins the podcast to discuss critical thinking to improve patient outcomes. They cover topics such as outcome-based reasoning, controversial use of posts, and the role of ribbond under composite restorations. They challenge the status quo and encourage dentists to embrace critical thinking for better results. Plus, the importance of using mouth props for patient comfort during long appointments is highlighted.

How long do you spend at the end of the day writing notes? Are you always home late? I used to spend HOURS writing up notes after a long day in the clinic, but not anymore. I have been on a journey to find tools that make record keeping easier, more efficient and higher quality. The toughest sessions were TMD consultations where there was so much to take in that my poor nurse struggled to get everything down – that’s when I discovered Dental Audio Notes. I brought on the founders, Dentist Ala and Engineer Adam – to discuss the audio recording (and transcription) as part of dental records. Disclaimer: I have ZERO financial interest in DAN software. I just think it’s bloody brilliant. Dental Audio Notes (DAN) is a service designed to revolutionise record-keeping in the dental industry. DAN offers secure audio recording and transcription of patient interactions, allowing dentists to master record-keeping effortlessly. https://youtu.be/dRlvlGUyQQQ Watch IC039 on Youtube Here’s what makes DAN an invaluable tool for dentists: 1. Accurate documentation – DAN captures the entirety of the conversation. Dentists can later annotate the recordings, providing additional context and making the documentation even more robust 2. Time efficiency – writing notes can be burdensome, especially when dentists have a high patient volume. With DAN’s transcription feature, dentists can save valuable time by automatically generating accurate and comprehensive clinical notes 3. Security – DAN takes care of storage, security, and privacy. Dentists simply need to press the record button, and DAN handles the rest, maintaining the recordings in a secure and confidential manner 4. Easy access and sharing – With DAN, dentists have the option to refer back to recorded consultations whenever needed. This feature enhances communication and aids in treatment planning. Additionally, dentists can choose to share the recordings with patients, fostering transparency and patient engagement For those interested in DAN, early registration before September 1st 2023 offers the opportunity to take advantage of the SUMMER2023 pricing. This includes a subscription of £30 per month for 30 hours of recording, with additional hours available at an affordable rate of £1 per hour. DAN offers a free trial period, allowing dentists to record up to 6 hours for free, providing ample opportunity to explore the features and evaluate the service’s suitability. Dental Audio Notes Website Need to Read it? Check out the Full Episode Transcript below! Highlights of the episode: 03:37 An Introduction to Ala Rozwadowska and Adam Marsh10:34 The benefits of audio recording consultations15:12 When to use dental audio notes23:12 Elevating your communication skills27:53 Gaining Consent31:47 Dento-legal feedback34:06 What will DAN be able to do in the future?38:30 Free trial and prices42:43 What Ala and Adam hope for users of DAN44:13 Dental coaches and mentors47:22 Microphones If you enjoyed this, you will also love Consent Is Like An Onion – Are You Consenting Your Patients Correctly?

In this thought-provoking episode, Dr. Pasquale Venuti represents Tomorrow Tooth aka ‘the other voice of Dentistry’. He is a renowned dentist who is not afraid to express his controversial views. While he may challenge the modern techniques taught in dental schools today, he brings attention to the shortcomings in current practices and encourages critical thinking. Dr. Jaz and Dr. Pasquale explore various topics that challenge traditional dental practices, including subgingival caries, flat onlays, post crowns, and cement selection. By raising practical and applicable questions, they encourage dentists to question established norms and seek better solutions for their patients. https://youtu.be/tZp4s0Wj2zY Watch PDP152 on Youtube Protrusive Dental Pearl: New Restoration Needed and the Patient has an existing occlusal appliance. What can you do? Imagine a Stabilisation Splint –  For patients who rely on an occlusal appliance – how do you manage the scenario if they need a restoration? Do you need to make a new occlusal appliance? ? Not really. You just have to gouge out the acrylic where the new restoration was placed (intaglio surface of splint). If the splint fits well, no further adjustments are needed otherwise additional acrylic can be added to provide retention (like a partial reline of the splint over your new restoration. Don’t forget that vaseline!) Need to Read it? Check out the Full Episode Transcript below! Highlights of this episode: 02:36 The Protrusive Dental Pearl05:25 Pasquales introduction16:53 Subgingival Caries and Gingivectomy22:10 ‘TableTop Onlays’ – Where is the limit?28:30 Pasquale on C-Factor31:12 What are the Limits of Adhesive Dentistry?36:55 Guideline for Adhesive vs Mechanical If you enjoyed this episode, check this another episode by Dr. Taylor Paton: Biomimetic Dentistry – What Actually Is It?

Download our Prescribing Antifungals for Dentists Cheat Sheet! Miconazole? Nystatin? Amphotericin B? What dose? When should you refer, and to who? How often do we prescribe antifungals as a GDP? I always need to brush up on the guidelines and best management of oral fungal infections whenever I make a diagnosis – which is why brought on Oral Medicine Specialist Dr. Amanda Phoon Nguyen to make diagnosing and managing oral fungal infections less painful! Dr. Phoon Nguyen shared her experience and insights into diagnosing and treating oral fungal infections. Here’s a glimpse of what we covered: Primary Oral Candidosis: Explore the three types: pseudomembranous candidosis, chronic hyperplastic candidosis, and erythematous candidosis. Learn how to identify each type and when further investigation may be necessary. Candida-Associated Lesions: Understand the different candida-associated lesions, including denture stomatitis, angular cheilitis, median rhomboid glossitis, and linear gingival erythema. Discover the significance of these lesions in relation to systemic health. Treatment Approaches: Gain insights into effective antifungal medications, such as miconazole oral gel (Daktarin), amphotericin B lozenges (Fungilin), and fluconazole mouthwashes. Consider interactions and precautions when prescribing antifungals for patients on specific medications. Denture Hygiene: Explore the role of dentures in oral candidosis and the importance of proper denture hygiene. Learn practical tips for denture maintenance to prevent candida colonization. https://youtu.be/-RqoVZVVnsI Watch PDP151 on Youtube The Protrusive Dental Pearl: What are you Waiting for? If there’s something you’ve been putting off (meditation, exercise, diet, work, etc.), the best time to start was years ago. The second-best time is today! Write it down, tell someone, keep yourself accountable and start right now. Need to Read it? Check out the Full Episode Transcript below! Highlights of this episode: 01:31 The Protrusive Dental Pearl02:47 Dr. Amanda Phoon Nguyen06:43 Candida Albicans08:37 Primary Oral Candidosis14:48 Modifiable Factors18:40 GP vs. Oral Medicine – Where to Refer?21:44 To Prescribe or Not to Prescribe?24:10 Antifungal Medication31:44 Interactions35:48 Angular Cheilitis39:06 Median Rhomboid Glossitis and Denture Stomatitis39:57 Denture Hygiene If you enjoyed this episode, check this another episode by Dr. Ben Pollock and Dr. Samuel Cope, Got Your Back – Physios and Dentists.

What should the occlusion look like when you are restoring or replacing a Class IV restoration? This question is so basic yet so complex which is often not talked about enough. We go on all these composite courses and talk about the layering, but we don’t talk enough about how to put the principles of occlusion into action. In this episode, Dr. Ibrahim will be talking about how Class IV Restorations can be optimised to get a long term predictable result. We also shared the two mechanical failures in dentistry and the step-by-step process of a Class IV restoration with occlusion in mind. https://youtu.be/JgbO6PDjSOg Watch PDP150 on Youtube The Protrusive Dental Pearl: Occlusion Whisperer – Ask your patient to bite together and listen – in a “good” occlusion you should hear lots of tooth-to-tooth contact, whereas a thud indicates an issue. Use this in addition to more traditional methods of assessing the occlusion, and make sure you are satisfied with the occlusion before asking the patient “how does that feel?” Are you ready to learn Occlusion in a way that makes sense, in your own time, with first class support and career boosting confidence to deliver Restorative Dentistry to the highest standard? Then join Occlusion Basics and Beyond Online Course with IAS Academy Download Protrusive App on iOS and Android and Claim your Verifiable CPD/CE by answering a few questions + You can get EARLY ACCESS to the episode + EXCLUSIVE content Need to Read it? Check out the Full Episode Transcript below! Highlights of this episode: 00:49 The Protrusive Dental Pearl02:23 Dr. Mahmoud Ibrahim03:07 Class IV Lesions07:21 Mechanical Failure09:28 The “Envelope of Function” and “Chewing Space”13:50 Dealing with Limited Chewing Space17:49 Mock-Ups19:35 Dots and Lines21:14 The Process If you enjoyed this episode, check this another episode by Dr. Mahmoud Ibrahim, Next Level Occlusion (Basics Part 2).

The podcast explores the link between airway issues and bruxism, emphasizing the need to screen for airway problems before treating bruxism. It discusses the three levels of diagnosis for sleep bruxism and highlights the importance of considering the airway in dental care. The podcast also explores the factors and challenges involved in diagnosing bruxism, as well as the complexity of studying the link between bruxism and airway obstruction. It provides guidance for dentists in diagnosing and communicating about bruxism, and discusses the significance of micro-arousals in the brain.

You’re faced with a beautiful crown with what seems like a decent root filling – but there’s an apical infection present. Is the answer always endodontic re-treatment? When should we instead consider apical surgery so we can clear the infection WITHOUT drilling through the crown or having to dismantle posts? In this episode, specialist endodontist Dr. Peter Raftery and his associate Dr. Manpreet Dhesi will be talking about the Apicoectomy procedure that can be used to treat root-filled teeth using a ‘retrograde’ approach. They will discuss about how it fits into general dentistry, its indications and contraindications, its cost analysis vs implants and and the entire protocol for performing Apicoectomy https://youtu.be/sZOsLuuf-Vo Watch PDP148 on Youtube Protrusive Dental Pearl: The periradicular surgery guidelines issued by BES and the Royal College of Surgeons. Download the guidelines about periradicular surgery or on the app under the Protrusive Vault (where all the different files and infographics and the different things that you get as a Protrusive premium member) BES-RCS-Peri-Radicular-Surgery-GuidelinesDownload Download Protrusive App on iOS and Android and Claim your Verifiable CPD/CE by answering a few questions + You can get EARLY ACCESS to the episode + EXCLUSIVE content Highlights of this episode: 1:37 The Protrusive Dental Pearl  3:32 Dr. Peter Raftery’s introduction 4:05 Dr. Manpreet Dhesi’s introduction 5:16 What is Apicoectomy? 6:29 Oral Surgeons vs Endodontists? 8:48 Is a Microscope mandatory for Apicoectomy? 10:08 Apicoectomy for posteriors 11:00 Isolation Protocol for Anterior Apicoectomies 11:35 Apicoectomy Protocol 15:03 Disinfection Protocol 18:41 Moisture control from the bleeding 20:43 Risk of surgical emphysema – Is special handpiece needed? 21:52 Indications and Contraindications for Apicoectomy  27:46 Endodontic Re-treatment 29:05 Cost benefit analysis of Apicoectomy 31:20 Success rate for Apicoectomy 34:19 Case Scenario 1: 82-year old patient with a singular crown, root filling and a radicular pathology 42:10 Retrograde fillings of choice   44:09 Grafting after Apicoectomy – is it needed? 45:04 Equipments for Apicoectomy 47:11 Learning more about Apicoectomy Apical Microsurgery Instrument Kit- the mirror, the pluggers, and the little curettes by Hu-Friedy UK Apical-Microsurgery-Instrument-KitDownload If you enjoyed this episode, check this another episode by Dr. Peter Raftery: How to Save ‘Hopeless’ Teeth with the Surgical Extrusion Technique