Protrusive Dental Podcast

In this interview I discuss with Harmeet Grewal about Rubber Dam Isolation: https://www.youtube.com/watch?v=AEQ7bAuPWZQ How to get started with rubber dam isolation We discuss our undergraduate experience of rubber dam isolation How rubber dam reduces stress and improves the quality of your work Reduce ballistic droplet spread of viruses AKA the cough How to talk to patients about rubber dam – your mindset about rubber dam will affect your success rate and the patient experience of rubber dam! Are we rubber dam police? NO – sometimes rubber dam can be a hindrance! Me and Harmeet both love the mantra: Start now, get perfect later! Which rubber dam to use? Our views on IsoVac vs Rubber Dam Harmeet shows some useful clamps for molars and top hacks for Rubber Dam Check out Harmeet on Instagram @dr_harmeet_grewal

I speak with a Musculoskeletal Physiotherapist (Ben Pollock) and a Physio-turned-Dentist (Samuel Cope) about back pain and Dentistry – I was left SHOCKED about the relationship (or lack of!) between bad posture and having pain as a Dentist, Therapist or Nurse. Protrusive Dental Pearl: check out my favourite (non-dental) books (my reading list) for self-development, social sciences and personal finance. https://www.youtube.com/watch?v=a7sdALEGp80 How can we prevent back pain becoming a problem for our profession Advice for dental professionals suffering from back pain Will saddle chairs work? Does magnification really help your back? (this one was surprising, too…) Back pain myths debunked – is there a role for massage? Pilates? Mobilisation and manipulation? Acupuncture? How to know if your Physiotherapist is evidence based? What can we do AT WORK to help our backs? Are you moving around while doing your Dentistry? Shout out to @Ian Dunn at 34 minutes Is stretching good for back pain? What relation does stress have with your back? I somehow manage to bring occlusion in this one…sorry not sorry! We draw parallels between the Physio world and Dental world If people want regular updates on back and neck pain in dentistry they should follow: Twitter: @Toothphysio and @Ben_FYS Instagram: thetoothphysio If you are looking for an evidenced based physiotherapist in your local area then find followers of @MSK-Reform on twitter and see if any of them can help. Message from Sam and Ben: We will also be starting a novel neck and back pain musculoskeletal pain programme later on in the year that will be advertised through the Toothphysio on twitter and Instagram. This will include dental specific: · Education on prevention · Management of neck and lower back pain · How to manage colleagues with back and neck pain · How to cope with acute back and neck pain and how to overcome it with pain relieving strategies · Case studies · Exercise class The course will be run by Sam and Ben, two qualified musculoskeletal specialist physiotherapists who will guide participants though exercises and education.

https://www.youtube.com/watch?v=yS6UAJmwz9A In this interference cast I discuss my opinions and experiences of finding associate positions and what strategies DF1s and Dentists looking for associate positions should consider. Is BDJ jobs obsolete? Can social media help? Is a dental portfolio over-rated? Surely, you need to know the right people? Questions and comments on the video welcome!

Following on from the hugely successful Part 1 with Dr Libi – we present a very clinically focussed Part 2 where we discuss: A case of a deep cavity on a deciduous molar – how would YOU treat it? Stainless steel crowns and Hall crowns – lots of troubleshooting Brilliant analogies and communication pearls yet again LA vs No LA when treating Children? Management of Molar Incisor Hypo-mineralisation (MIH) in primary care When should you refer? https://www.youtube.com/watch?v=9bo85tC2s-o Downloadables for watchers/listeners in Protrusive Dental Community FB group: Guide to Hall crowns [PDF] Paeds Blog [Link] SDCEP guidelines [PDF] If you missed Part 1 – do check it out on YouTube, on the podcast, or on this site. Please Subscribe and share if you found this useful, it’s how my cast grows!

I am joined by Paediatric Dentist Dr Libi Almuzian who is so passionate about Paeds! https://www.youtube.com/watch?v=wPxMqET7Y8s Watch the entire episode on YouTube There were so many knowledge bombs that I made broke this in to a 2 part series. Part 1 (this episode) will focus on Communication and Prevention, and Part 2 will be a bit more clinical with specific scenarios discussed. If you love seeing Children, you will gain a lot from this episode, but if you currently do NOT like Paediatric Dentistry, Dr Libi shares her top tips to help you! We discuss: How to make a dental visit more playful Techniques in managing children co-operation Importance of creating a no blame culture and gaining and trust of the How you can use an App called Social stories to get maximum engagement with the child patient (this is genius!) We reveal what the MOST IMPORTANT Question to ask your paediatric patient history taking! (this may surprise you!) Lots and lots of techniques shared to improve communication with children and the flow of the appointment during operative procedures Dr Libi reveals The Sugar Bug Story – you will LOVE this. Top tips for prevention! Any downloads promised (SDCEP guidelines, references to apps) are compartmentalised in the Protrusive Dental Community group (closed group), or also viewable below: Here are Dr Libi’s top tips for Dentists: 1. Wear something or have a prop which might be familiar to a child (character sunglasses, a toy, a sticker of a character on your scrubs) This will break the ice and give you something to talk about. 2. Be excited! Your excitement will rub off on them. When you collect them from reception tell them how happy you are to see them and how excited you are about the visit today (So excited to meet your teeth!/ count your teeth!). 3. Teach your nurse to distract the child when you need to talk to the parents, this will make them less worried when you talk to the parents in a more formal manner. 4. Never use an instrument without introducing it, even a sharp probe can be introduced in a way that makes it non-threatening (show them the probe and tell them it helps you to be able to tell if something is hard or soft, then run the side (not the tip!) of it along their nail and fingertip and say “see, now I know your nail is hard and your finger is soft, I’m going to do the same with your tooth to check it” 5. Use child friendly words, even if they make no sense, in fact better if they don’t make sense! This actually makes them laugh and relax. 6. Even if the child is cooperative they will lose patience, so always go for the simplest treatment option with the least steps involved. That way you will retain their cooperation rather than lose it, so go for a Hall crown rather than conventional filling when you can because there is less of a treatment burden involved. 7. If you lose cooperation, try to do something (anything) before they leave, this will build their confidence and stop any avoidance behaviour. For example if you were trying to do a sealant or other treatment and were not able to, reassure them that sometimes it can be hard for some people to do this procedure the first time but they will definitely manage something easier, then apply fluoride (if they are not due a fluoride treatment then even just painting their teeth with water and a micro brush will help build their confidence), just remember to explain to the parents why you are doing this. 8. Motivate the parents to talk positively about the visit when they’re at home, tell them to only refer to the positive aspects and give them a goal to work towards, for example, next time we will polish your teeth with the dentist’s special electric toothbrush and it will tickle, how exciting! 9. Be empathetic with parents, tell them you know it’s difficult it is to brush twice for two minutes, when the day is so busy and the children are so squirmy! Acknowledge the difficulty of controlling sugars and give them one goal like cutting out juice during the weekdays. Small achievable goals are easier to accept and praise them for their efforts in caring to make a change. 10. In your notes write what the child likes so you can talk about it the next time they come in and they will feel special that you “remember”. Also note anything the child really dislikes during examination and treatment, this will save you time the next visit (if they like the chair to be moved before they sit on it and not while they’re sitting, or if they like to move it themselves), if you don’t upset them they will trust you more and they will feel special that you are considerate of their feelings. BONUS TIP: Sing! The singing dentist has the right idea! It doesn’t matter if you’re good or bad at singing, just the fact that you are singing will distract and relax them. My favourite is Disney songs! Also I think it’s important for dentists to realise that if they are unable to treat a child under their time constraints this is not a failure on their part, there is a reason why there are paediatric dentists and why they undergo 3 years of additional training and that is because there are some children who need more than they can provide and that’s ok. A referral can make a big difference to a child who might need extra attention to complete their treatment in a way that will give them confidence in the dental environment and enable future treatment with ease. If you found this useful – Dr Libi shared a very good Paediatric Dentistry Blog aimed at Dentists called Tooth FaiRead Check out Dr Libi’s professional website DrLibi.com Dr Libi runs a very active and informative Facebook page Dr Libi’s Toothfairy Tips Dr Libi’s Instragam page: @drlibi Latest SDCEP guidelines May 2018

During this crappy time in our lives (there is never a good time for a Pandemic, right?!) I turn to one of the most positive people I know, Barry Oulton. This 18 minute chat really uplifted me and I think it will help you all. We discuss– Mindset– How to view a problem as an opportunity– The importance of love (verb)– Importance of power posing– Importance of Exercise https://www.youtube.com/watch?v=xSmEP0H-R_w Link to Amy Cuddy video so we can all ‘do Amy’ haha https://www.youtube.com/watch?v=RWZluriQUzE Instagram – @drbarryoulton FB – The Confident Dentist Twitter – @drbarryoulton www.theconfidentdentist.com www.dentalinjection.com www.oneminutemindset.co.uk

I recorded this a few weeks ago and recently finished editing it (always enjoy chatting with Barry G) – I was pretty much ‘shy’ and dare I say ’embarassed’ to post this/make it public because in the grand scheme of things, our world is being rocked by Covid-19 at the moment and we have so much to worry about… But then two people independently sent me a photo on Instagram of them at home watching my YouTube/IGTV interviews I posted recently telling me they are learning so much from the guests on Protrusive. If this video or any of my content can get you to chill on your sofa and learn while you #stayathome – then that would be awesome. Sending my best wishes to all – stay home as much as reasonably possible 🙏🏼I hope all this will reunite our profession. https://www.youtube.com/watch?v=n1Bla9N9PS8 In this episode: – Jaz shares a Parable of the 12 Blind Men relevant to TMD and makes a mess of it!– We discuss if the role of teeth/occlusion/malocclusion/Restorative really has a role to play in TMD/pain?– What is macro trauma and micro trauma, and how is it relevant to TMJ pathology?– What is Barry’s message? What does he mean by ‘Occlusion does not matter unless you’re occluding?’– Why MIP is pathalogical– We discuss Confirmation bias in Dentistry– Can we reliably stop parafunction?– What adjunctive support therapies are prescribed for complex oro-facial pain patients?– Can you use an AMPSA with a patient with Degenerative Joint Disease?– The first 20mm of opening is pure condylar RO- NOT! It’s not pure rotation!– What is an Enthesis and why is that relevant?– Can you give an anterior only appliance to someone with clicking?– Why might a patient say their click has now stopped? YouTube Link: www.jaz.dental/YouTube

Last week it was International Women’s Day, which makes me especially proud to share this absolute clinical blockbuster with one of the most inspirational Women in Dentistry – Dr Manrina Rhode. In this very clinical episode of PDP, she teaches us about Veneers – she has been placing them for several years and has developed awesome systems in her practice for this. Full Video version on YouTube or IGTV @jazzygulati https://www.youtube.com/watch?v=1_AZh3spMUU The Protrusive Dental Pearl in this Episode is a Communication one! Let me know what you think. We discuss: Manrina’s journey with cosmetic Dentistry and veneers – how did she get the exposure early on in her career? Ceramic vs composite veneers – composite has lifted off last few years, what has been your experience? What percentage of her patients have pre-restorative orthodontics? Which burs does she use for her preps? (Bur codes listed on Protrusive Dental Community: www.facebook.com/groups/protrusive/ ) What prep protocols does she use? What kind of stents? How do you communicate shade with lab and the patient? Does Manrina follow an ‘Occlusal Philosophy’ to ensure (para)functional longevity of her veneers? How do you manage patients with ultra-high expectations? How she uses Photoshop to show patient possibilities with their own smile Why awesome temporary/provisional veneers are so important How does she fabricate good looking, long lasting provisional veneers? What is her bonding protocol? How does she reduce mistakes during a stressful bonding appointment? Hint: teamwork! She gives a very good veneer bonding hack towards the end! Instagram @DrManrinaRhodeAsk Dr Manrina every tuesday on @DrManrinaRhode in storiesAsk her your dental questions! Her Veneer course (next cohort in June 2020) : https://designingsmiles.co.uk/ Bur codes listed on Protrusive Dental Community: www.facebook.com/groups/protrusive/Or pasted here: Bur Kit Dental Directory Mandril KTM010Mandril K5F009 582 (red mosquito) BD582F Komet 6844.314.014 (red/green prep bur)6844.314.016 379EF.314.023 (rugby ball shaped yellow bur) 856EF.314.012 (yellow polishing) 834.314.021 (depth cutters)834.314.016 (Thank you for selflessly sharing these, Manrina!)

In this episode I am joined by Restorative Specialist, Dr Kushal Gadhia who is one of the educators for ACE Courses. He is one of the most passionate people about Occlusion I have met, so it was great to geek out with him. Protrusive Dental Pearl: Have you located your local physiotherapist who has an interest in treating Temporomandibular Disorders? You can find them on the following website: ACPTMD You can download the latest Glossary of Prosthodontic Terms from Protrusive Dental Community Facebook group alongside hundreds of other papers and downloadable resources. What we discuss in this episode: We discuss our reason and love for continual study in the field of occlusion Definition of Centric Relation (CR) (applicable one!) and why we have to rely on teeth as references Why is the ‘reproducibility’ of CR useful? When should you NOT use CR as the position to rehabilitate? 2 Good examples given (a 3rd one I suggest at the end) In those situations you use an arbritary treatment position, how can you ensure success? We briefly discuss about Orthdodontics and the controversy of whether Orthodontists should be planning from CR What happens to patients rehabilitated in CR position over time If you restore someone in CR – can you stop their Bruxism? There may also be an anatomical reason not to use CR which we discuss at the end Remember – most of our Dentistry is Conformative and in ICP/MIP – Become a GOOD conformer first! Handouts:Glossary of Prosthodontic Terms 9th Edition Loads more episodes to come out this month to make up for February – we had the first successful ‘THE Dental Splint Course’ hosted at Precision Dental Studio in Reading. View this post on Instagram If You’re Not in Centric Relation, You will Die! 😉 Protrusive Dental Pearl – how to find your local ‘TMD’ Specialist Physiotherapist: http://www.acptmd.co.uk/find-your-nearest-tmd-specialist/ What we discuss in this episode: – We discuss our reason and love for continual study in the field of Occlusion – Definition of Centric Relation (CR) (applicable one!) and why we have to rely on teeth as references – Why is the ‘reproducibility’ of CR useful? – When should you NOT use CR as the position to rehabilitate? 2 Good examples given (a 3rd one I suggest at the end) – In those situations you use an arbritary treatment position, how can you ensure success? – We briefly discuss about Orthdodontics and the controversy of whether Orthodontists should be planning from CR – What happens to patients rehabilitated in CR position over time – If you restore someone in CR – can you stop their Bruxism? – There may also be an anatomical reason not to use CR which we discuss at the end – Remember – most of our Dentistry is Conformative and in ICP/MIP – Become a GOOD conformer first! Listen on your favourite Podcast Player. Direct Download MP3 file on the blog: https://jaz.dental/centricrelation Handouts: Glossary of Prosthodontic Terms 9th Edition Link to group: https://www.facebook.com/groups/protrusive Subscribe on Apple: http://jaz.dental/apple Subscribe on Spotify: http://jaz.dental/spotify Thanks again to Dr Kushal Gadhia for sharing his knowledge with us all. A post shared by Jaz Gulati 🦷Dentist 🎤Podcaster (@jazzygulati) on Mar 10, 2020 at 10:46am PDT

In this short episode I discuss 3 reflections from a composite veneer case: https://www.youtube.com/watch?v=JAGyIySRQUc 1) Communication – regarding case communication and case acceptance in an ethical manner 2) Using the Mylar Pull technique for interproximal management Full Youtube video for mylar pull technique: https://www.youtube.com/watch?v=L-fqXLi78P0 3) A bur which I LOVE to use to shape composite aka ‘the Perio Bur’ (Bur code is 831.204.012) If you liked this mini episode, please share with a Dentist friend and subscribe to my podcast. Thanks for watching!