Protrusive Dental Podcast

Welcome to PART 2 of composite excellence with Dr. Javier Quirós where we cover the procedural details such as the interproximal management of composites and the prevention of stains. https://youtu.be/6ESub-OVqgQ Check out this full episode on YouTube Protrusive Dental Pearl: There is a benefit of having nice tight contacts on our temporary crowns – but how can we polish our temporary crowns without ending up with open contacts? The trick is to get a Sharpie pen or indelible pencil and color in a small circle (maybe about two to three millimeters) mesial and distal of where the contact area is. Now finish and polish your temporary crown using burs/discs BUT do not touch that penciled mark. Ta da! You have just maintained the contact area. I know, why didn’t anyone tell you before?! This episode is sponsored by Enlighten who are the sole distributors of Cosmedent Products who are the ones that sell  Casi 3C instrument. This is a non-stick instrument that provides a perfect curved shape that beautifully forms the palatal contours of your incisors.  Highlights of this episode: 7:23 Mylar Pull Technique 9:57 The 5 Ps of Composite Success 23:49 Digital Facebow Transfer Check out the upcoming courses with Dr. Javier Quirós! Be sure to watch the first part of this episode Composite Excellence Part 1 and you’ll surely love this series!

A Restorative Dentist once told me, “Composites are like being married to a supermodel….sometimes you forget how good looking they can be!” – I had the pleasure of hosting Dr. Javier Quirós who shares his vast experience with composite veneers and restorative rehabilitation with composite resin. https://youtu.be/D_ahHFXosqA Check out this full episode on YouTube Ready to learn the management of Bruxism and TMD online? Click here to enrol to SplintCourse The Protrusive Dental Pearl: Check out this Casi 3C instrument distributed in the UK by Enlighten who are the sole distributors of Cosmedent Products. This is a non-stick instrument that provides a perfect curved shape that beautifully forms the palatal contours of your incisors. Watch this video below: https://youtu.be/QDoD182j-DU “It doesn’t matter what material you choose, porcelain or composite. What matters are your beliefs, your morals, and your principles of treatment planning” Dr. Javier Quirós Highlights of this episode: 7:32 The start of Composite Veneers 11:23 Which Type of Composite is Best? 14:07 Composite Veneers of Lower Incisors 17:39 Ceramic Rehab vs Composite Rehab 23:35 Composite Prep in terms of Occlusion 33:31 Minimum Thickness for Composites 38:26 Injection Moulding 43:44 Treating Toothwear with Composite Stay tuned for Part Two! Check out the upcoming courses with Dr. Javier Quirós! If you enjoyed this episode, you’ll surely love this Composite vs Ceramic with Dr. Chris Orr 

What happens when conservative care fails? What if you have prescribed patient education and the ‘best’ occlusal appliance and none of it is working? That’s where surgery MAY be indicated for certain diagnoses. Listen or Watch my podcast with Professor Andrew Sidebottom Maxillofacial surgeon (who is limited to the management of TMJDs) to help us make timely and appropriate referrals to provide the best possible outcome for our patients. https://youtu.be/7m30jvUPlMA Ready to learn the management of Bruxism and TMD online? Click here to enrol to SplintCourse Protrusive Dental Pearl: Head over to the Protrusive Dental Community Facebook group where I posted an 8-minute walk-through video on how to screen which patients are at risk for getting a bite change or AOB after an occlusal appliance and how you can minimize that risk. The highlights of this episode: 12:47 Why you need to provide Conservative Care first 15:57 TMD is a Spectrum 19:21 Early Surgical Intervention? 21:42 Acute disc displacement without reduction 26:40 Imaging used when managing TMD patients 35:10 Pain Management 41:03 Arthroscopic procedure for TMD 50:29 How much does TMJ Surgery cost in the UK? 53:22 Successful management of temporomandibular disorders Check out these studies as mentioned on the podcast. Orofacial Pain Prospective Evaluation and Risk Assessment StudyDownload A Real-Time screening tool to aid management of Post-Traumatic Stress Disorder in facial traumaDownload Temporomandibular-joints-in-asymptomatic-and-symptomatic-nonpatient-volunteers-prospective-15-year-follow-up-clinical-and-MR-imaging-studyDownload Also check out Prof. Andrew Sidebottom’s website for more information and download leaflets. Check out the Tubules Congress in Heathrow October 2022 If you enjoyed this episode, check out Stay away from TMD! [SPLINTEMBER] 

I’m so excited to bring you another one of my favorite people today: Prav Solanki. I’ve said it before and I’ll say it again, “for every CLINICAL course you do, do a NON-clinical one”. This is super important. We talk health, relationships, business growth – and if you listen all the way to the end, you’ll learn a BRILLIANT way to build social proof in to a consultation that is elegant. https://youtu.be/zmQsC99_MoU “The definition of success for me: To be able to do what you want, when you want, with whom you want; without any financial constraints.” Dr. Prav Solanki The highlights of this episode: 8:46 How Prav became a Dentrepreneur 17:28 Work Life Balance in Dentistry 31:50 Importance of Pitching 43:57 Importance of Social Proof on a Consultation Appointment All of the Protruserati clan get 10% OFF the Business and Mindset Mastery with the code ‘protrusive‘! Check out this blog with Dr. Prav and his 21-day fast experience If you enjoyed this episode, you will also like Being Unstoppable with Ferhan Ahmed

Zirconia Veneers!? eMax vs LiSi? Which type of Zirconia should I use (and yes, there are 3 main types of Zirconia!) and is there still a place for Feldspathic veneers? These burning questions is why I brought on the OG: Ed McLaren. What Dr Ed McLaren does not know about dental ceramics is not worth knowing, and he gives it all away on this cracker of an episode which is sure to go down in Protrusive Hall of Fame! https://youtu.be/ZR-V-ekhMv0 Protrusive Dental Pearl: How to mask a metal post? For me, a post-core is just a space-filler, it’s a way to retain some sort of foundation/core restoration. I do not mind cutting it back a little bit – below I share a video of how to mask a metal core using Paracore White Opaque, to help my ceramist. You can also use an opaquer resin such as Ivoclar Direct Opaque – it’s like Dental Tipex! Want to download the 1 page summary of all the indications for free? Click here to access the download. https://www.instagram.com/reel/Cd0P2mJqNUn/?utm_source=ig_web_copy_link Enlighten Smiles sponsor this episode. I know some of you feel that we can’t make composite look as good as ceramic. Well, you need to check out the work by Dipesh Parmar. His course is called Mini Smile Makeover where he teaches his techniques using Renamel Composite and other brands to give you some amazing results working with composite resin.  Highlights of this episode: 11:07 Feldspathic Ceramic in terms of Patient demand and Dentist skill set 18:26 Shortage of skill set from Technicians in the future 20:41 Composite vs Ceramic Veneers 23:11 APC Protocol in Zirconia for Veneers 29:10 Posterior Zirconia Onlays 31:42 Decision Making regarding Biomechanical status of the patient 37:29 Ivoclar eMax vs GC LiSi 39:57 Different types of Zirconia 50:00 Restorative protocol for wear cases Check out these studies as mentioned by Dr. Ed McLaren – if they are not showing up on your usual podcast player, be sure to visit the show notes on the protrusive website. Influence of Enamel Preservation on Failure Rates of Porcelain LaminateVeneersDownload Check out the Hands-On Courses by Dr. Ed McLaren If you like this episode, you’ll also like Dr. Chris Orr’s Composite vs Ceramic

How much money is enough? Let’s face it, General Dentist is one of the most challenging jobs in the world – what level of income is worth the stress and health risks? This is a very personal question and will vary according to each Dentist’s money mindset and personal values. Dr. James Martin joins us again to discuss personal finances for Dentists. https://youtu.be/QwtQ43cU2uY Check out this full episode on YouTube “Your rich life is determined by your little network, your family, your friends, your nearest and dearest – THAT is worth more than any amount of money.” Dr. Jaz Gulati The Highlights of this Episode: 4:28 How much money is enough for Dentists?11:42 How does one decide how much money is enough for them?15:16 When do you envision Retirement?18:57 Financial Independence23:23 Importance of Saving36:40 Should associates look towards practice ownership?41:41 Summary Points Check out this book recommended by Dr. Jaz: I Will Teach You To Be Rich By Ramit Sethi If you enjoyed this episode, do check out Money – 5 reflections to help you get started with Investing

Today, we will share with you some of the lessons that Dr. Avi Patel and I learned at the very beginning of delivering clear aligner treatment. If you’re just starting out, this is an excellent episode for you because it’ll help you avoid some of the pitfalls that we encountered. For example, best protocol for attachments or accurately estimating what level/complexity of aligner treatment is needed by a patient. https://youtu.be/4831y3g4MOI Check out this full episode on YouTube Protrusive Dental Pearl: Correct a rotated tooth by means of HYPERCORRECTION. This means adding a few extra clicks of rotation so that on the clincheck it looks like you have done a little bit too much. This works because orthodontic movements are NOT 100% predictable. This episode is brought to you by Enlighten Smiles which is a premium brand of teeth whitening that guarantees B1 in your Viveras. If you want to know more about teeth whitening and get better results for your patients, do check out their webinar, Enlighten Online Training. The Highlights of this episode:  11:39 Invisalign does not teach you Orthodontics 16:49 Basic rule in Orthodontics 21:49 Patient Communication regarding fees 26:59 Comprehensive Orthodontic Treatment 34:06 Refinement and Additional Aligners 38:02 Patient Communication in terms of treatment duration 41:23 Planning IPR – Best practices 43:53 Best Composite for Invisalign Attachments? 45:33 Protocol for Bonding Invisalign Attachments If you’re finding a mentor to implement clear aligners at your practice, be sure to check out Clear Aligner Advisor also Dr. Avi’s YouTube Channel for some career advice. If you liked this episode, you should check out Do’s and Don’ts of Aligners with Dr. Farooq Ahmed 

This was the most difficult interview I ever recorded for Protrusive Dental Podcast. I was approached by a representative from Smile Direct Club to appear on the podcast. I had mixed feelings but knew this was an opportunity to ask some good questions and gain an insight into how this active and significant stakeholder in clear aligner therapy (whether we like it or not) operates. https://youtu.be/6Sjwr52_EkM Video to this episode has not been made public and only those with a link can watch it – OR on the Protrusive APP releasing for general sale next week Protrusive Dental Pearl: In terms of efficiency in doing your IPR, be sure to plan your IPR and your ClinCheck so that a lot of the IPR happens in one go when the contact is more aligned.  https://youtu.be/x6K2o9tS0GU The highlight of this episode: 10:13 Current market trends for clear aligners 12:59 Animosity Between Smile Direct Club and Dentists 17:19 Patients that are suitable for Smile Direct Club 19:33 Smile Direct Club’s Workflow/Patient Concern 30:32 Patient Education about Direct Smile Club 33:44 SDC’s ‘Lifetime’ Aligners? 37:11 SDC’s Night Time Aligners?! 43:20 SDC’s pop up shop within Dental Practice 46:55 Dental Boards vs Smile Direct Club 53:16 Patient Support Network? If you enjoyed this episode, you will also like GDP Alignment vs Specialist Orthodontics

Is every dental CPD/CE really awesome? I think the best investment I ever made was in postgraduate courses, but with escalating costs and ever-expanding choices for courses, how does the confused Dentist pick a course? Is there a toxic culture whereby Dentists are afraid to give less than perfect reviews for a course? https://youtu.be/Idgy1YfXaTY The highlights of this episode: 7:07 Importance of Feedback on Dental Courses 23:17 Too Many Positive Reviews! 27:22 What kind of learner are you? 30:11 How to Choose the Courses you should take Check out the book recommended by Druh Shah called The Long Game: How to Be a Long-Term Thinker in a Short-Term World by Dorie Clark If you enjoyed this episode, you will also like Being Unstoppable with Ferhan Ahmed

Virtual Hands-On Suturing Masterclass enrolment ends 2nd May 2022 – click here to get your hands-on kit + video instructions Your suture is the signature you leave on your surgery. I actually suck at suturing, and so does my handwriting, so I’m really not winning at signatures! This was a really selfish episode because I really wanted to improve my suturing skills – I enrolled on the Suturing Masterclass with Dr Cajee and brought him on to level up our sutures! In this episode, Dr. Nabeel Cajee will help you break down the basics of different suture techniques and share some tips for use in practice.  https://youtu.be/37rY0q6v2cg Check out this full episode on YouTube Protrusive Dental Pearl: Use the power of video messages to communicate with patients (think post-op instructions) or your lab technician (they love the detail). Currently I am using LOOM which allows me to seamlessly record my screen and my voice/video and creates a sharable link. “Excelling at suturing does three things, it helps patients heal better, less complications, eliminate dry socket. With good suturing, it allows you to grow as a clinician and take on more surgery cases” Dr. Nabeel Cajee In this episode we discussed: Dr. Cajee’s pathway to Implant Dentistry 4:03 Types of suturing materials 11:03 Types of Sutures for specific cases 17:33 Different Techniques of Suturing 19:04 Vertical vs Horizontal Mattress Suture and when to use them 24:05 Guidelines in tying the knot 26:21 How to Improve Suturing skills 30:00 Best type of Suture for a Functional Crown Lengthening 33:00 Check out the SUTURING MASTERCLASS (scroll all the way down the page) to gain confidence in your overall surgical skills with a hands-on kit to get stuck in! $70 OFF with code ‘Protrusive’ All of the Protruserati clan get $70 OFF the SUTURING MASTERCLASS with the code ‘PROTRUSIVE‘!