Protrusive Dental Podcast

Check out the TOC IPR Kit with the Intensiv Swingle – Protruserati Discount! Email TOC Dental for the discount IPR can be a tough gig – from the feeling of ‘making it up as you go along’, to the genuine threat of repetitive strain injury from using strips. Let me help you take guesswork out of it! By the end of this episode, you’ll know exactly what instruments to use and have a step-by-step process in place. Why? Because I didn’t learn this the easy way. I learned it the hard way, but now I’m going to share with you these different techniques to use that will definitely give you confidence and help you get high quality, efficient and SAFE IPR for your ortho cases. https://youtu.be/x6K2o9tS0GU Check out this full episode on YouTube Protrusive Dental Pearl: No matter how much IPR you think you have done, do some more. You probably haven’t done enough. Don’t believe me? Check out this paper below by Dr. Tony Weir. “You can avoid the random learning experience I had, and you’ll be able to provide better IPR than I first did for my patients.” Dr. Jaz Gulati In this audio-only episode (IPR Video on YouTube) I discussed: How I learned IPR 00:50 IPR Strips 12:52 IPR Burs 20:17 IPR Perforated Discs 24:25 Intensiv Swingle Review 28:12 IPR Planning 35:21 Check out this paper as mentioned by Dr. Jaz Gulati: IPR-as-part-of-Invisalign®-treatment-in-10-orthodontic-practicesDownload Quantitative-comparison-of-3-enamel-stripping-devices-in-vitroDownload Thank you TOC Dental for the instruments I used. Show them your warmth and support, Protruserati! Email TOC Dental for the Discount! If you enjoyed this orthodontic episode, you may also enjoy my episode with Dr. Devaki Patel all about IPR for Dummies.

After the success of PDP103 Adhesive Full Mouth Rehabs in 11 Appointments, we’re here again to discuss how to plan the Wax Up, Mock up and temporaries using bis-acryl with Dr Devang Patel. https://youtu.be/GuqSkCvFWNk Check out this full episode on YouTube Protrusive Dental Pearl: How I communicate a high RCT risk: For ordinary patients, I would always say “YOUR tooth decay (in YOUR tooth)/ YOUR filling was very deep.” But for some patients who you feel would make trouble, I would continue to add “…if we do nothing, then your tooth will eventually be in a worse situation. And you may lose your tooth. This could be a painful process as well. If I do something, then that involves drilling your tooth decay, drilling the soft bits of your tooth away and drilling away the old filling that’s leaking. Drilling is not a nice thing. So by drilling, the drill is damaging your nerve. Your nerve may die and need a Root Canal.” Highlights from this episode: Appointment 2: Patients’ Records (Impressions) 11:35 Patients’ Vibe as part of Assessment before planning treatment 18:29 Load Testing as part of Assessment 24:22 Type of toothwear to consider the type of arch reconstruction 31:48 Curve of Spee as part of Assessment 36:25 Guidelines regarding Re-RCT before restoring 40:40 Comprehensive Evaluation among Patients 45:32 Appointment 3: Mock-up and Temporaries 51:58 Check out this occlusion one-day course, hands-on and theory for the Kana Dental Academy. With amazing Speakers line-up (some of them are Protrusive Dental Podcast Alumni) If you enjoyed this episode, be sure to check out the first part Adhesive Full Mouth Rehabs in 11 Appointments and the third part Adhesive Full Mouth Rehabs Part 3 

Learn how dental associates can secure their dream positions using a 4-minute technique. Find out why it's challenging for both associates and principals to connect. Discover the power of thinking outside the box in the dental industry.

You HAVE to check out the music video to catch the REAL vibes! Watch Fresh Prince of Appliances on YouTube https://www.youtube.com/watch?v=pJ_Czt6TDWA Singing Dentist – you ready for the collab? 😉 Next cohort of SplintCourse will be open for enrolment in March. Sign up for the launch email by clicking here!

Dental Acupuncture made tangible thanks to our guest Dr David Johnson. We cover the basics of trigger points relevant to Dentistry and Temporomandibular Joint Pain, as well as the two main applications of acupuncture in for Dentists. https://youtu.be/sHGJcsIAses Check out this full episode on YouTube Protrusive Dental Pearl: How I communicate an Oro-Antral Communication:  I will pull up the radiograph and show it to the patient and warn them that the root of THEIR tooth is so close to the sinus. “If your roots live in your sinus then there is a chance that you will have a new party trick: when you drink water through your mouth, it could come out through your nose via the sinus”, and that creates a memorable warning/consent. In this episode I asked Dr. David: What is a Trigger Point? What is the pathophysiology of a trigger point? What causes the trigger points to turn on? What are the uses of acupuncture in dentistry in terms of a gag reflex? What is the success rate of acupuncture? How does acupressure work? Implementation of acupuncture in general dental practice Please do check out Dr David Johnson’s Course and Implement Acupuncture on your practice Monday morning. If you would like me to organise another course with Dr Johnson, DM me on Instagram @protrusivedental If you loved this episode, please do check out Hypnotize Your Patients with 3 Quick Techniques with Dr Jane Lelean

Today we pick up where we left off on the 1st part of Group Function Episode 13 “Can I Probe This Implant?” In this episode I asked Dr Pav Khaira about bone loss around implants – what is normal and when should I worry? Another very interesting and controversial issue we tackled is how to manage implant screw loosening as a GDP? https://youtu.be/C1Y_AdDhLzU Check out this full episode on YouTube “If every single year you’re losing one millimeter (of bone) that’s obviously an issue and we need to intervene and do something,” Dr Pav Khaira In this episode we discussed: Normal bone loss for average implants 1:53 Guidelines for GDPs managing loose implant screws 5:03 Universal Implant Drivers? 10:45 If you liked this episode, be sure to check out the first part of this series Can I Probe This Implant?

“Don’t probe implants with a metal probe or you’ll scratch it!” – and so for years I was afraid to check the gingival health around implants. Crazy right? Dr Pav Khaira is here to bust that myth – but like with everything, it’s not a simple answer – it has some interesting anatomical considerations. His answer is so eloquent, check it out! https://youtu.be/pLDfqe8liLE Check out this full episode on YouTube “If you can get to the neck of the implant, you SHOULD be probing to the neck of the implant…but you don’t want to do it too aggressively, it should just be very gentle pressure.” Dr Pav Khaira In this group function we discussed: Can you probe implants? 5:33 Screening Periodontal Health of Implants 11:14 Referring patients with Peri-implantitis 16:22 Check out The Dental Implant Podcast! If you liked this episode, you will love revisiting Implant Assessment for GDPs: from Space Requirement to Ridge Preservation

Learn the challenges dentists face with back to back Class II restorations and the value of pre-wedging. Dr Chris O'Connor shares his restoration protocol and troubleshooting tips. Discover the use of sectional bands for tooth separation and the importance of pre-wedging for successful restorations. Also, explore the educational benefits of Instagram for dentists.

Happy New Year, Protruserati! In this episode we geek out with Dr Dev and Jaz as they discuss the initial stages of a Full Mouth Rehabilitation. In this 3-part series we will go on to describe the step-by-step stages for an Adhesive Full Mouth Rehab . Before we dive into the meaty part of this series later on, Dr Devang Patel will take us to the journey  of the clinician’s mindset who’s doing full mouth rehab and how to communicate effectively with patients. https://youtu.be/Dnj0PDe0ulc Check out this full episode on YouTube Protrusive Dental Pearl: Write down one good thing that happened each day of 2022 on a post-it note, fold it and put it in a jar. By the end of the year, you’re gonna have 365 post notes of all the good things that happened that year. Check out the RipeGlobal Facebook Group that inspired this pearl! “However, learning is nothing without action. So you can learn and learn and learn and learn…but if you don’t take any action, then you’re not going to get anywhere.” Dr Devang Patel In this episode we talked about: The mindset of the dentist doing a full mouth rehab 12:19 The three step technique 25:32 Appointment 1: Diagnosis and Treatment Plan 26:00 Communication with Patients 37:57 Reorganizing versus Conforming Occlusion 40:30 If you enjoyed this episode, be sure to check out the second part Adhesive Full Mouth Rehabs Part 2 – Wax Up and Temporaries and the third part Adhesive Full Mouth Rehabs Part 3 

Heated confrontations with patients are never fun. Nobody likes to argue, and no Dentist likes being pressured or micro-managed by patients! In this episode we cover a lot of communication gems with Dr Vy Phan that will definitely allow you to remain calm and be effective the next time you face a ‘difficult’ patient (you know who I mean!) https://youtu.be/vDP5wIaK3Ok Check out this full episode on YouTube The Protrusive Dental Pearl: Never to say ‘No’ to patients. Instead, be tactful by pitching it and phrasing it in a different way – you are still saying ‘No’ but in a much less harsh and patient-friendly way. I give some concrete examples in this episode. “One of the ways of gaining patient trust is education – there’s a breakdown of communication often when the patients don’t trust you and they’re not educated enough” Dr Vy Phan This is the IntraOral Camera I was telling you about – inexpensive, high quality and a modern day necessity in my opinion. Available on Amazon In this episode we discussed: Big Challenges young Dentists might face in terms of patient interactions and communications 10:30 When to consider dismissing a ‘difficult patient’ 20:20 Advice to young dentists when a patient questions the level of experience based on age/appearance/sex 31:08 The ‘My Way or The Highway Approach’ 38:04 Communication gems with Difficult Patients 46:16 How to Write a dismissal letter to difficult patients 49:54 Handling Patients who continually ask for discounts 59:41 Check out Dr. Vy Phan on Instagram! If you enjoyed this, you will of course love Think Comprehensive – Communication Gems with Zak Kara