Protrusive Dental Podcast

Half way in to a tricky extraction you hear a voice…”Maybe now is a time to raise a flap?” You ignore this voice and keep sweating with the luxator in hand, because it has been far too long since you raised a flap and you dread the nurse’s reaction. If this is you, then we got you. I brought on Consultant Oral Surgeon Dr. Sami Stagnell to share his tips and pearls in Oral Surgery, specifically WHEN and HOW to raise cleaner flaps, as well as what types of flaps to consider for each situation and when NOT to consider extending beyond an envelope flap. https://youtu.be/cx6HvrZtjcw Check out this full episode on YouTube Protrusive Dental Pearl: Nice and Clean Extraction Sites – Use the spoon end of Mitchell’s trimmer to clean the surgical site for 30 secs to 2 minutes. Highlights of this episode: 1:27 Protrusive Dental Pearl: Nice and Clean Extraction Sites 13:43 How to gain confidence in raising a flap 21:51 Envelope Flaps 30:09 Guidelines regarding relieving incisions 37:32 Raising a nice clean flap 41:45 Guidelines in lifting the papilla 44:56 Blades – 15 vs 15C vs 12 blade Improve your Oral Surgery Sectioning with this speed-increasing electric handpiece at Incidental Limited. And get 5% OFF their entire products with the code ‘onions‘! Check out the Oral Surgery Course that Dr. Sami Stagnell will be launching in 2023. If you enjoyed this episode, check out Make Extractions Less Difficult: Regain Confidence by Sectioning and Elevating Teeth

My worst nightmare: a patient complaint. We share with you a story of triumph as one of our colleagues SUCCESSFULLY defended a complaint. We reflect on the lessons learned and how to manage complaints (including the emotional side). Dr. Gulshan Murgai spoke about a long and arduous case that was resolved in his favor, demonstrating that he has patience and determination in spades. We will also discuss the importance of attending risk management lectures and how to deal with this nasty situation you might face with unhappy patients. https://youtu.be/v342FiEete0 Check out this full episode on YouTube Highlights of this episode: The scenario that led to the patient’s complaint 8:41 Insurance-based scheme 16:40 Patient’s Complaint 19:07 Legal narrative 22:08 Dealing litigation emotionally 31:29 Emotional help for dentists 34:45 Importance of risk management courses 38:32 Lessons from the case 41:27 Head over to Confidental for Emotional Support for dentists in distress. Connect with Dr Gulshan Murgai If you enjoyed this episode, you will also love 10 Habits of Highly Successful (and Most Valued) Dentists

Being a dental student is tough – you’re learning a clinical and surgical discipline alongside all the challenges of relationships, studying and social interactions. In this episode with Dr. Lincoln Harris, we talked about three key themes relevant for dental students: overcoming fear, leveling up your skills, and being able to cope with failures. https://youtu.be/sl3CcLJYQUk Check out this full episode on YouTube “You only get confident once you DO the thing that you’re afraid of” Dr. Lincoln Harris. Highlights of this episode: Students pursuing growth vs Students enjoying uni life 12:07 Overcoming Fear 16:44 Coping with Failure 26:01 Discovery throughout Dental Career 31:36 For Dental Students who want to have a head start in their Dental Career, join us LIVE on Friday 30th of September with Dr. Lincoln Harris. Register Now! For Dentists who want to see Lincoln Harris LIVE in London for a full-day keynote lecture: From Class 1 Composites to Complicated crown preps. Email or DM us on Insta for a super special student rate. Check out Ripe Global, one of the biggest groups in Dentistry with 80,000+ members! If you enjoyed this episode, then do check out this 5 Lessons from Dr. Lincoln Harris 

We have switched roles! In this episode Jaz gets interviewed by Dr. Devang Patel on The Ultimate Dentist Podcast. The focus here is bigger picture stuff: trying to improve your clinical skills, finding your niche, dealing with imposter syndrome, burnout and the need for FOCUS! https://youtu.be/ituRPR_UNWE Check out this full episode on YouTube “Gain some self-awareness, figure out what your strengths are, and play to your strengths in your life, in your relationships, in your career, and everything!” Dr. Jaz Gulati Highlights of this episode: 3:34 Motivation and Challenges in doing Dentistry 7:17 Niching down in Dentistry 11:55 Becoming more focused on the path you chose 16:35 Journey in implementing what you learned in clinical practice 17:38 Protrusive Dental Podcast Journey 21:51 Dealing burnout in Dentistry 25:26 Future Plans 29:41 Criteria on CPD Courses 31:33 Lesson learned on the journey 36:50 Golden tips for the new dentists 42:16 Improving your Dentistry Want to expand your horizon with TMD and Splints? Check out SplintCourse for a comprehensive online course. If you enjoyed this episode, do check out Adhesive Full Mouth Rehabs in 11 Appointments with Dr. Devang Patel

Sub-Gingival dentistry: the dark, scary, bloody world you don’t see as much on Instagram. Straight talking Dr Lincoln Harris will help you choose the right retraction cord protocols to reduce your stress during subgingival caries removal and crown/onlay preparations. https://youtu.be/RyOIO61wfpE Check out this full episode on YouTube Join us to see Lincoln Harris LIVE in London for a full-day keynote lecture: From Class 1 Composites to Complicated crown preps.  Protrusive Dental Pearl: When inverting/tucking in the rubber dam, instruct your DA to blow air continuously at your flat plastic instrument as it works around the sulcus. This will effectively and efficiently tuck/invert the rubberdam for a better seal (and sexier photos!) Highlights of this episode: 3:33 Protrusive pearl regarding inverting/tucking the rubber dam 6:40 Deep Subgingival Caries cases 11:44 Deep Subgingival Caries Protocol 22:44 Which Retraction Cords to Use 25:10 Retraction cord protocol on Silicone Impression 30:50 Retraction cord protocol on Digital Scanners  31:48 Teflon as Retractor 35:53 Isolation of Class V restorations 42:02 Place of rubberdam on class V restorations Check out Ripe Global, one of the biggest groups in Dentistry with 80,000+ members! As a bonus, check this one-page summary of this episode Head over to protrusive.link under the Infographics Tab for the other one-page infographics summary of the past episodes If you enjoyed this episode, then do check out this 5 Lessons from Dr. Lincoln Harris and also this Rubber Dam Isolation by Dr. Harmeet Grewal

When is Botox an appropriate option for the management of Temporomandibular Disorders? Knowing this will help you make better referrals, or even consider Botox as a management strategy. Dr. Sheila Li guides us on the use of Botox/Toxins for TMD pain management. We discuss indications, protocols and regulatory requirements (which surprised me!) – as well as learning if these patients will now require Botox indefinitely…? https://youtu.be/QJyxF0EGwsM Check out this full episode on YouTube Protrusive Dental Pearl: How do you routinely check the masseters and the temporalis at your new patient examination? As a restorative dentist, the most important thing I want to know (and what will influence the occlusal risk for my patient) is the size of the masseters. Start palpating and feeling for the size of the masseters to understand how much force these patients can generate! If you want to learn more, join the Facebook Group: Protrusive Dental Community because I’ll be doing a little blog post on that about the significance of masseter size on Occlusal risk. Highlights of this episode: 2:50 Checking Masseters and Temporalis 13:34 Dr. Sheila’s journey in managing TMD pain patients 16:13 Ideal case selection for Botox regarding TMD 21:15 Botox as a standalone vs Botox as an adjunct to splint therapy 24:26 Patient communication about the frequency of Botox treatment 26:39 Place of Botox for myofascial pain patients 30:01 Additional indemnity for GDPs in doing Botox 33:31 Functional Perspective of Botox 34:47 Success rates in using Botox for TMD pain management 39:53 Experience of having Botox 41:55 Long-term side effects of Botox Learn more about Botox with Dr. Sheila Li on her functional toxin course just for dentists to treat functional elements!  Want to level up occlusal appliance therapy and TMD management? Check out SplintCourse for a comprehensive online course. If you enjoyed this episode, do check out TMD Full Exam with ‘The TMJ Doc’ Dr. Priya Mistry 

Being ‘Mum’ is the hardest (and most rewarding) job in the world. What are the unique challenges of Parenthood for Dentists? I’m thrilled to be sharing this non-clinical episode with you about work-life ‘balance’, especially if you’re thinking of starting a family one day (or just want to reminisce about real-world challenges facing young Dentists that are parents). Even if you’re not a parent, I think it will help you in your career and personal life. Dr. Hardeep Basi and I also discuss why Women in Dentistry sometimes do not get the recognition they deserve. https://youtu.be/FRP3vUQQdQI Check out this full episode on YouTube Highlights of this episode: Dr. Hardeep’s Journey 6:33 The ‘complaint’ that changed Dr. Hardeep’s perspective in  life 13:01 Motherhood affecting career progression 19:34 Parenthood and Dentistry 28:14 Female (Mothers) Support Group (Lead Her) 33:57 Work-Life Quality 38:20 Worrying about the Future 52:51  Check out the Support Group LEAD HER that Dr. Hardeep established to support females especially mothers in having the work-life quality they deserved! If you enjoyed this episode, you will also like Being Unstoppable with Ferhan Ahmed

Let’s demystify what is often considered an ‘advanced’ Restorative technique: Shell crowns. My guest Dr. Basil Mizrahi is known for Comprehensive Dentistry and teaches Dentists the art of perfect provisionals- we go from A to Z of Shell Crown, how to reline them and cover all the nitty gritty details of this useful technique. https://youtu.be/6-a3XGBKZWM Check out this full episode on YouTube Protrusive Dental Pearl: Preventing Bisacryl Temporary Crowns from cracking: Hollow out the inside of the temporary crown (just enough space for the cement) and therefore create the space for the temporary cement to flow and exit, preventing cracking of the temporary crown. Check out @Dental.Story IG page “You should become familiar with acrylic before shell crowns” Dr. Basil Mizrahi Highlights of this episode: Preventing Bisacryl Temporary Crowns from cracking 5:35 Temporary Crowns 12:08 What is a Shell Crown? 13:59 Technician role in creating Shell Crowns 15:22 Acrylic Shells vs Bis-acryl Temporaries 20:07 ‘Relining’ an Acrylic Temporary Shell  21:20 Using Bisacryl instead of Acrylic inside a Shell 24:14 Relining Acrylic Shell with Fresh Acrylic 25:00 Use of Vaseline? 35:41 ‘Fit Checker’ for shell crowns 38:26 Anterior vs Posterior relining 39:23 Shell Crowns vs Lab Made Acrylic Crowns 40:19 Shade decisions in relining the shells 42:47 How to Remove shell crowns 44:08 Polishing after relining 45:59 Multiple Shells at increased OVD 46:49 Head over to protrusive.link for the one-page summary of this episode and for the other summarized infographics of the past episodes To learn more about it, check out Dr. Basil’s Courses and other wonderful stuff on his website! If you enjoyed this episode, be sure to check out the Adhesive Full Mouth Rehabs in 11 Appointments (Part 1)

Listen to that voice inside your head! We all get those clues and a bad feeling in your gut when you see a red flag patient. The challenge is being receptive to this feeling and acting upon it tactfully. I share 2 examples of encounters where I either ignored the alarm bells, and 1 scenario recently where I avoided a disaster. https://youtu.be/UBvJxhgzQp0 Check out this full episode on YouTube Highlights of this episode: 1:34 ‘Alarm Bells Scenarios’ 2:20 Case No. 1 (Extraction on a 78-year-old patient) 7:47 Case No.2 (Heat Burn on Patient’s inner cheek/lip) 9:20 Warning Signs If you loved this episode, you will like 12 Rules for Dentistry 

In this episode with Dr. Carlos Sanchez, we’re going to take a look at the concept of additive equilibration as a way of managing tooth wear. In other words, it’s an occlusion-based technique that involves adding composite or ceramic to achieve the ideal restorative results and we’re going to try to help you understand what that is. There are also some themes that are discussed in the same way as the Dahl technique. https://youtu.be/TZ5FKkiscco Check out this full episode on YouTube Protrusive dental Pearl: Keeping PTFE tape secure – a straightforward trick I found to keep the PTFE so it doesn’t get sucked away is to floss the PTFE through more distal contacts. It gives the PTFE some security and resistance to being sucked away. So it’s not going to make that horrible sound and you get to keep that PTFE in the stable place! If you want to improve your skills and your understanding of occlusion, I’ve set up a free monthly resource for you starting this August! Just head to www.occlusion.wtf to sign up for monthly occlusion goodness. Highlights of this episode: 2:40 Protrusive Dental Pearl – Keeping PTFE tape secure  9: 43 Fundamentals of Additive Equilibration 37:28  Journey of Additive Equilibration 44:22 Additive Equilibration workflow in generalized wear cases 1:00:37 Restoring lateral and central incisors for aesthetic reasons (after canines) 1:06:36 Anterior coupling in class two increased overjet cases Check out CaSi 3C Instrument and all the other instruments that Dr. Carlos has made. Distributed by CosmeDent and Enlighten Smiles in the UK Another instrument you need to check out on Dr. Carlos’ website is this Vacu-Grip. This little plastic insert that fits in your suction would hold your crown like an extra gravity.  Check this Easy Peasy technique that Dr. Jaz mentioned: The ESIPC Jig ESIPC-JigDownload If you liked this episode, you will also enjoy Basics of Occlusion