Protrusive Dental Podcast

Dr. Mahmoud Ibrahim and the host discuss occlusion philosophy, longevity, predictability, and the impact on restorative work. They cover different schools of thought, failures without conforming to occlusion, and the importance of individualized treatment. The episode highlights the OBAB course, emphasizing its practicality and comprehensive training on occlusion.

Dr. Karl Walker-Finch shares his journey of pain to passion as he reveals the secrets to finding YOUR passion in Dentistry. We started by discussing our crippling imposter syndrome as we left public Dentistry to practice privately. Along that theme we highlight the importance of taking control of your own destiny. Karl’s new book, ‘In The Loupe‘ raises money for Confidental (emotional first aid for Dentists) and is a powerful book for Dentists that wish to practise without fear and establish the right work-life balance. https://youtu.be/YPv71yr62tE Check out this full episode on YouTube 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 “We do not need thousands of specialists in full mouth rehabilitation” – Dr. Karl Walker-Finch Highlights of this episode: 3:12 Dr.Karl Walker-Finch’s introduction 5:48 Experiencing Imposter Syndrome 11:40 Private Practice vs Public Practice 16:31 Finding Passion – Ideal work for dentists 20:59 Top tips to help dentists find their ‘whys’ – Dr. Karl’s pathway before niching down 29:34 Taking control of our own destiny 39:32 Implementing the power of atomic habits in Dentistry 44:12 Dr. Karl supporting ‘Confidental’ – helping dentists with their mental health You can now grab a copy of In The Loupe: The Secrets to Finding a Passion in Dentistry by Dr. Karl Walker-Finch! If you enjoyed this episode, you will love Passion and Values in Dentistry with Dr. Dhru Shah

I will reveal a little ‘trick’ that might ‘recapture the bite’ on a patient who develops an anterior open bite (AOB) after wearing a nightguard/splint/occlusal appliance. There is a degree of risk and uncertainty when we prescribe occusal appliances as it hinges on patient compliance and factors that are out of our control. There are certain risks that come with treatment that we should consent for, and this includes bite changes. Occlusal appliances are not an exact science – the evidence base is not high quality. That does not mean they do not work, it just means that we need more data! We don’t even know the mechanism of HOW occlusal splints work as that is yet to be proven. Hello Protruserati! Welcome back to the third episode of #AskJaz where I answered three main questions from our Protrusive Dental Community – 1) developing anterior open bite after an occlusal appliance, 2) how to scan/bite register at a desired OVD, and 3) what should the occlusion look like on composite veneers or edge bonding? https://youtu.be/Li2W-ysYRIE Check out this full episode on YouTube 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 Dr. Mahmoud Ibrahim and I are currently working on a huge project called OBAB, Occlusion Basics, and Beyond – it will be the best occlusion resource in the Milky Way…and that’s our mission! We want to finally demystify Occlusion and make it Tangible AF! Join the waiting list HERE! Highlights of this episode: 1:51 Risk of having AOB after an Occlusal Appliance 15:48 Trick to recover an AOB that has developed 26:49 Bite Records for Stabilisation Splints 30:25 Checking the Occlusion after Composite Veneers 37:02 Occlusion Basics and Beyond Do join our Protrusive Dental Community Facebook Group. It has so many great gems and pearls shared in our little community – ONLY FOR LICENSED DENTAL PROFESSIONALS. If you enjoyed this episode, check out this episode with Dr. Barry Glassman – Do AMPSAs cause AOBs?

This episode gives it all away – every micro-step on how to successfully treat white patches with Teeth Whitening and ICON Resin Infiltration. If you are an experienced clinician or new to White Spot management with ICON, you will gain something from this blockbuster. After the success of the ‘Teeth Whitening Under-18s’ episode, Dr. Linda Greenwall is back to make resin infiltration tangible. Dr. Greenwall shares everything from assessment to troubleshooting! https://youtu.be/CYLXUGTXPRI Check out this full episode here 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 The Protrusive Dental Pearl: Download the Protrusive Treatment Guide for White Patch management Icon Resin Infiltration inspired by this episode – the Infographic that summarizes this episode with the exact micro-steps and the little nuances with helpful diagrams and tips all in one flowchart. Please show your support by signing up as a Protrusive Premium member – once you’re in you can download our mighty flowchart and infographic from the Protrusive Vault section (as well as the many benefits of membership!) Highlights of this episode: 1:42 ICON Treatment Flowchart 7:39 The science behind Icon Resin Infiltration 16:35 Using Resin Infiltration Posteriorly for Caries 19:33 White Patches Anterior Resin Infiltration Protocol 22:08 Resin Infiltration Treatment – Air bubble Analogy 32:50 Patient Communication – Treatment Planning and Fees 34:50 Resin Infiltration Technique – after the etching process 40:36 Predictors of success and failure 45:02 Expected longevity of Resin Infiltration 47:02 Etiology of white spots 47:57 Dr. Linda’s advice when starting a white spot cases Learn more about Molar Incisor Hypomineralization with THE D3 GROUP FOR DEVELOPMENTAL DENTAL DEFECTS Check out the Tooth Whitening Techniques Book, a compilation of before and after photos of patients produced by Dr. Linda Greenwall If you enjoyed this episode you will also like Teeth Whitening Secrets for Success

‘Doing’ Social Media is HARD work!’ Do you find it difficult to make time for this? Do you worry about professionalism and ethics on social media? How about the blurred boundaries between professional and personal life? Dentistry is no exception to the trend of using social media in today’s culture. Dentists are using social media to connect with their patients and create new opportunities for patient education. However, dentists face ethical challenges such as how to best communicate with patients online, and what is the best level of consent to get from patients when we post their photos and videos? In this episode, Dr. Alessandro Devigus also suggests how to use social media as a business tool and how to keep your personal life and professional life separate. https://youtu.be/TEBmlDlybLE Check out this full episode here 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 “React and interact with your audience how they WANT you to see” – Dr. Alessandro Devigus Highlights of this episode: 1:19 Dr. Alessandro Devigus’ Introduction 4:20 How Dr. Alessandro started on Social Media 6:30 Drawing the line between personal and professional account 9:41 Importance of having a social media for Dental practices 14:38 Dentists posting full protocol cases on social media – good or bad? 20:14 Spotting fake dentistry 24:57 Making time for social media 31:59 Consent from Patients for sharing their photos – how to do it? If you enjoyed this episode, you may also enjoy Personal Branding for Dentists, Logos, and Websites with Shaz Memon

There are a billion people globally who have sleep-disordered breathing and only 20% of them have been diagnosed and treated. In this episode we revisit sleep-disordered breathing and how it is connected to Dentistry. Dr. Aditi Desai, from British Society of Dental Sleep Medicine is just the most passionate Dentist ever about this crucial and often overlooked topic. You will hear the passion in her voice or see it in her eyes if you watch the video version of this podcast. https://youtu.be/0aG8iQdbkeY Check out this full episode here 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 The Protrusive Dental Pearl: Removing Aligner Attachments – A step-by-step protocol including the use a UV torch to see if there’s any resin left and which different burs and polishers I use. https://youtu.be/SP1irVhyzRw How I Remove Aligner Attachments Highlights of this episode: 1:27 Protrusive Dental Pearl – Removing Attachments 4:31 Dr. Aditi Desai’s Introduction 7:25 What is Sleep-Disordered Breathing? 14:51 Mandibular Advancement Splints for Snorers 16:14 Signs and Symptoms of SDB for Dentists 20:24 Referral Template for General Dentists 24:55 Adverse Effects of Oral Appliances 28:15 Link Between Periodontal Disease and Obstructive Sleep Apnea 31:05 GDP Referring Directly to a Sleep Physician 33:48 Home Sleep Testing 36:18 Patient Compliance with CPAP 41:32 Learning Basics about Sleep-Disordered Breathing Check out Dr. Aditi Desai’s website, aditidesai.co.uk. And if you are in UK, you can check out British Society of Dental Sleep Medicine and support their upcoming event on March 4th. If you’re interested in getting into space now, you should check this out! If you enjoyed this episode, you may also like Airway – Dentistry’s Elephant in the Room with Prof Ama Johal

Some dentists disagree with the use of Caries Detector Dye in Restorative dentistry. They say that they are experienced enough to know what is infected dentine and affected dentin. However, this episode might change your perspective— CCD can be an incredibly useful tool to provide objective data and increase your bond strengths! In this episode, Dr. Germán Dorgan spoke to us about caries detection dye and helped us understand how to use it properly. He also shared the evidence base behind this test and how to interpret the data that you get by using it. https://youtu.be/L8fScyRTet0 Check out the full episode here 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 Protrusive Dental Pearl: How can you remove the appropriate amount of caries to get the best bond strengths possible WITHOUT risking removing too much dentine and causing a pulp exposure: Use your perio probe and measure key landmarks. Measure 5mm from the cusp tip and 3mm from the adjacent marginal ridge – do not remove caries beyond this point. As a guide, this will help you not expose the pulp so you achieve very clean dentine for highest bond strengths, without worrying about ‘when to stop’. How to measure caries removal extent using a Periodontal probe and dental landmarks Highlights of this episode: 1:20 Protrusive Dental Pearl 4:27 Dr. Germán Dorgan Introduction 7:32 Caries Detector Dye 9:40 Rationale behind Caries Detector Dye 15:14 When should you use Caries Detector Dye?  19:49 Literature for reliability of CDD 22:19 Difference between color gradient of caries detector dye  23:28 Caries removal guidelines using caries detector dye 30:22 Additional Literatures and Top tips Check out the 3-day course about Biomimetic Dentistry with Sami Sherif, Germán Dorgan, David Alleman, and Davey Alleman. Hosted by Get Bonded and Stay Bonded on March 3, 4 and 5, 2023 Check out the literature mentioned by Dr. Germán Dorgan Contemporary-concepts-in-carious-tissue-removal-A-reviewDownload A-systematic-approach-to-deep-caries-removal-end-points-The-peripheral-seal-concept-in-adhesive-dentistryDownload PHYSIOLOGICAL-RECALCIFICATION-OF-CARIOUS-DENTINDownload Bonding-of-self-etch-and-total-etch-adhesives-to-carious-dentinDownload You might also enjoy another Biomimetic Episode: I Can’t Believe This Sticks – EXTREME BONDING EXPOSED with Dr. David Gerdolle

Hygienists working without nurses and feeling like scaling machines – it’s about time we covered this elephant in the dental surgery. I brought on my dear friends and exceptional hygienists Morgan Williams and Louise Brake – they have faced career struggles in the past in the quest to finding the right environment and have so much to share with us. The biggest takeaway of this episode will be to consider ‘leading from the bottom’ – if you are feeling stuck and don’t just wait around for good luck (I’m such a poet!) – take action. You’ll be inspired by some of the ideas from our discussion! https://youtu.be/X7GBKUawq4A Check out the full episode here Highlights of this episode: 04:32 Morgan and Lou’s Dental Hygiene Background 07:25 The Importance of Settings Goals and Expectation 10:42 Hygienist as ‘Scaling Machines’ 14:09 The Best Advice to be a Better Hygienist 17:40 Good Communication to Improve your Practice 21:26 Nurses for Hygienists 27:20 Business Models for Hygiene 29:54 Preventive Focus in Dental Hygiene 34:11 How Hygienist Treat Perio 35:52 Optimised, Personalised OHI 40:07 Number One Trait to Look for in a Practice Check out Morgan and Lou’s Instagram, Dynamic Dental Duo! If you enjoyed this episode, you may also like another episode with Laura Bailey: Why You Need to Take Massive Action for Success in Dentistry

You asked, we answered! Q&A with a Dental Technician – everything you wanted to ask (but never did) from our Facebook community. A legendary Dentist once told me that an average dentist working with a good technician will do well in their career. This advice has always stuck with me ever since. I recorded this episode with one of my technicians Graham Entwistle of Trueform Dental Laboratory who has been a pleasure to work with. From shade matching to getting the occlusion right, we made quite a geeky little episode which was well worth the 200 mile round-trip to his lab! https://youtu.be/tMiC_18fiqc Check out this full episode on Youtube 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 Protrusive Dental Pearl: It’s high time that you find your ideal dental technician, build a relationship and grow together. Whether you are using a big lab or small lab, try to visit and meet them and be open to getting feedback and criticism from that ONE technician that will elevate you. Don’t forget to give credit to your technician for their craftsmanship – take a photo of their work being fitted and email them – credit them on social media! Highlights of this episode: 2:32 Protrusive Dental Pearl 7:55 Graham Entwistle’s Introduction 13:41 Q1: Analogue vs Digital? 17:11 Q2: Impressions or Scans for Veneers? 18:32 Q3: Is Digital good enough for high-end work and multiple crowns?  21:12 Q4: Are our impressions and scans good enough for you? 26:15 Q5: To break contacts or not to break contacts for veneers? 29:09 Q6: How does Graham create digital models with unbroken contacts of veneer preps? 30:35 Q7: What is the best material for masking discolored anterior teeth? 36:16 Q8: Shade matching for a Single Incisor Crown – the hardest thing in Dentistry? 42:06 Q9: How do you overcome contact point issues with digital as opposed to stone models for single crowns? 48:55 Q10: Digital Triple Tray or Full Arch Scans? 52:32  Q11:  Getting the occlusion right for crowns 55:26 Tips for dentists to help the technician to get the bite right Dr. Mahmoud Ibrahim and I are currently working on a huge project called OBAB, Occlusion Basics and Beyond – it will be the best occlusion resource in the Milky Way…and that’s our mission! We want to finally demystify Occlusion and make it Tangible! Join the waiting list HERE! If you enjoyed this episode, you may also like another episode with Graham Entwistle: 5 Things your Technician Wished You Knew

Which type of sedation is best for my patient? Are Temazepam tablets good enough? Is that even allowed? How can I safely provide Sedation in my practice? We are joined by the calming tones of Dr. Roy Bennett who busts some myths and guides us clinicians on Sedation in Clinical Practice. https://youtu.be/F6tf6HqqxD8 Check out this full episode on Youtube 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 Protrusive Dental Pearl:  Communicating Risks to your Patient: Be calm and SLOW your pace down when communicating with your patients to EMPHASISE certain words. Becoming a visual educator to the patients is also a really good way to communicate risks – intra-oral camera is the best investment you will ever make. FocusDent MD740 Dental Intraoral Camera Highlights of this episode: 1:07 Protrusive Dental Pearl – Communication 4:27 Dr. Roy Bennett’s Introduction 5:40 Pre-medication – is Temazepam any good? 9:27 GDPs entering the world of Sedation 13:48 Which Type of Sedation, When? 15:12 Level of training required to provide sedation in practice 17:32 Sedation and Clinical Dentistry at the same time? 19:09 Learning Sedation 21:48 How long can we Sedate a patient for? Is it just 1 Hour Max? 23:41 Offering sedation in YOUR practice 25:41 Ideal personality traits of operator-sedationist 28:15 Thing to know about implementing sedation 32:21 Two good qualities that an operator-sedationist should have:  34:24 The “New Drug” – Remimazolam Check out Dr. Roy’s training site: Web: mellowdental.co.uk As a senior clinical advisor – Webinar and Presentations: uksedation.com  UK Sedation will be presenting at the Royal Society of Medicine on the 15th of February on the new drug If you enjoyed this episode, you may also like another sedation episode: What Every Dentist Should Know About Managing Dental Anxiety  with Dr. Mike Gow