Protrusive Dental Podcast

Have you ever encountered the patient with all the signs of bruxism/parafunction, yet they deny this passionately? I see this daily. Patients are in denial that they parafunction – how can we communicate better with these patients? I am joined on this Protrusive Dental Podcast episode by Dr Barry Oulton to help us communicate better with bruxers! In this episode, which has a brilliant Protrusive Dental Pearl about ‘colouring in your dental splints’, we discuss: How to get patients to accept accountability of their parafunction and how it may attribute to restoration failure Are you looking for the signs of parafunction in your patients? Travell and Simon pain chart for referred pain</li> Muscle examination video (linked below) The role of your team in communicating Bruxism How to show patients their wear facets What if your patient declines a splint? (They are allowed to!) How to communicate with them the consequences Have you ever restored an incisal edge that keeps chipping? Use analogies and stories to communicate – here we share the Fence Post analogy Sci splints and B splints How to PROVE to your patients with a splint that they have actively been grinding on it! Dr Barry Oulton B.Ch.D DPDS MNLP, Owner, The Confident Dentist Academy Dr Barry Oulton owned Haslemere Dental Centre in Surrey for 20 years, turning it into an award-winning practice with a reputation for outstanding customer service before joining the Portman Dental Care Group in 2018.  In 2017, he founded The Confident Dentist Academy to help dental professionals learn effective communication skills and sell with integrity so they can have more impact and make a bigger difference, both professionally and personally. His 2 day course ‘Influencing Smiles’ course teaches Dentists and their teams how to communicate and sell  that translates into happy patients, a great working environment and, ultimately, sees profit increase.  He also offer in-house training programming and coaching for practices and dental companies and also online training products. He is on the editorial board for The Probe and lectures for companies such as Septodont, Cerezen, S4S, Practice Plan, Henry Schein and Wisdom Toothbrushes.  His website is – www.theconfidentdentist.com Take a look at his muscle exam video which is currently on www.theconfidentdentist.com/s4s which is very helpful demonstration of how to carry out a dentally relevant muscle examination. Social media sites – Twitter – @drbarryoulton  Facebook – The Confident Dentist  Instagram – drbarryoulton 

Zak Kara is one of the best communicators I know. He is too humble to even entertain that statement, but it’s true! He shares with us real-world communication gems and they will blow your mind. In this episode we cover: How to communicate to our patients about longevity of dental work Importance of asking questions – ‘how long are you expecting this to last?’ What’s a linchpin and how we can ‘lead from the bottom’ Helping the team see the bigger picture – empower them – for example, how to handle the patient that walks in late? Why you should not care to treat everyone in your area What NOT to say to your patients Are you practicing proactive or reactive dentistry? Are we under-diagnosing? How to present a comprehensive plan Are you in the right practice? Design your work life The importance of ‘showing your working out’ in your clinical notes (you will love this one!) How Zak uses his iPad Pro to draw on his patient photos and explain – PDF Expert app Protrusive Dental Pearl Episode 10 – Use a UV torch to clearly see composite! Perfect for removing aligner attachments. UV torch for composite available on Amazon. I have tried this and it’s a game changer! Dr Zak Kara Whilst only a ten year career to date, Zak draws together a wealth of experience in dentistry from various parts of the world.From years spent developing his skills in practice on the East Coast of Australia, to relationship-focused independent private practices here on the South Coast, Zak has developed a reputation for providing a unique modern dental experience with old-fashioned rapport.Along the way, he has made valuable additions to the ‘patchwork quilt’ with a Postgraduate Diploma at the University of Bristol, further training at the world-renowned Pankey Institute in the USA, and Expert Witness Certification at Cardiff University.But on reflection, the most significant influences on his day-to-day approach come from humble beginnings. He grew up ‘behind the shop counter’ of his parents’ record shop learning to understand others and what makes people tick, and he annually leads dental teams in volunteering their skills with Bridge2Aid in rural East Africa.This unique personal journey informs his personable and unhurried style. Colleagues have described his approach as ‘contagious’ and ‘refreshing’.

Disclaimer: Opinions expressed within this interview are those of Aws Alani and do not necessarily represent the opinions or viewpoints of Kings College Hospital NHS Foundation Trust or Kings College London In this episode we discuss: Restorability is subjective – are there any objective criteria we can rely on? Implants vs teeth – implants are not a panacea. Implant systems go obsolete, teeth are timeless Importance of informing patients and managing expectations What to do in scenarios where one wall of a molar is completely missing – how would YOU restore it? A few case examples discussed Importance of the pulp for proprioception Importance of both the vertical and HORIZONTAL FERRULE How do you manage patients with asymptomatic cracked teeth? Influence of parafunction on predictability and restorability Partial exodontia technique Implants vs teeth – advantages of teeth over implants Protrusive Dental Pearl: Use an Iwanson gauge to measure crowns, burs, cusp thicknesses and anything else! You can buy one on the cheap from Amazon. Occlusion symposium September 7th: Register on Eventbrite Operative Dentistry Diploma-Applications open:https://www.kcl.ac.uk/study/postgraduate/taught-courses/operative-dentistry-pg-dip Aws Alani qualified in 2003 from King’s College London. He completed vocational training in Essex and held junior hospital positions at Guy’s Hospital and King’s College Hospital, before completing an MSc in Endodontics at the Eastman Dental Institute. He moved to Morriston Hospital in South Wales to work in the Maxillofacial Unit, initially as a Senior House Officer before becoming a Specialist Registrar. After three years in Wales he moved to Newcastle, where he completed his specialist training in Restorative Dentistry. During his training he completed relief work trips to Romania and Ghana with ‘Young Smiles for Romania’ and ‘Global Brigades’. In 2013 Aws became the International Team for Implantology Scholar in Toronto, Canada, working at the Hospital for Sick Children and Bloorview Kids Rehabilitation Hospital. He returned to London in 2014 to become a full time Consultant in Restorative Dentistry at King’s College Hospital. His main remit is the management of congenital and acquired defects within an MDT environment, working alongside Paediatric Dentistry and Orthodontics. He has published over 40 peer reviewed papers  and maintains an active interest in current clinical issues and research. He has won grants from the British Endodontic Society and the Royal College of Surgeons to examine novel tooth filling materials. He is a previous British Society of Restorative Dentistry and British Endodontic Society council member. He recently completed a Masters Degree in Medical Law; his dissertation was titled ‘Social Media and the Dental Patient: A medicolegal perspective’. He is the course director for the Diploma in Operative Dentistry at KCL which looks to upskill in a multifaceted manner through seminars, hands on simulated exercises and clinical treatment. More information on the course can be found here.  He has built 4 separate websites from scratch, his most recent platform (www.restorativedentistry.org) has over 100,000 reads and is subscribed to by dentists from all over the world. He administers 4 dental facebook groups, the largest of which has 28,000 members. BLOG www.restorativedentistry.org ​ Facebook Group Restorative Dentistry For All Facebook page Key Topics in Restorative Dentistry Insta restor6tive_dentistry

2021 UPDATE: If you want to learn more about Splints, check out the SPLINTEMBER Series I recently did: Which is the Best Dental Splint? Stay Away from TMD Michigan Splints are Overrated Anterior Only Occlusal Appliances Part 1 Anterior Only Occlusal Appliances Part 2 Pre-register for the Online Splint Course which will get rid of Splint confusion and teach you theory and practical you need to know to be confident with Splints (all types!) The use of anterior mid-point stop appliances (AMPSAs) in Dentistry is surrounded with controversies and misconceptions, so I am joined by Dr Barry Glassman in this episode to answer this much debated question. Attending Dr Glassman’s lecture last year was eye opening and career-transforming for me. It changed the way I thought about Occlusion! In this Episode with Dr Barry Glassman we discuss: To what extent are occlusions designed for Function? How much does Occlusion matter? Why canine guidance? Do Anterior midpoint stop appliances cause posterior teeth to over-erupt? When to avoid using AMPSAs? What mechanism is behind patients developing AOB after splint therapy? This is an example of a lower NTI or SCI (Sleep Clench Inhibitor). This falls in to the category of an anterior mid-point stop appliance (AMPSA) TLDL (Too Long Didn’t Listen): Jump to 22 mins and 30 seconds if you want the main question answered. Protrusive Dental Pearl: The BRB technique for incisor Class IV build ups to create an ‘instant wax-up’ within the putty. You can read more about this technique at Style Italiano. Do not miss out on the next Dentinal Tubules Congress in October! Dr Glassman will be lecturing again in the UK on ‘Myth-busting Occlusion for the General Dentist‘. He will be lecturing in Sheffield and London and this can be booked on the S4S website. If you use the discount code BG-PODCAST, this will give 30% off (RRP £179.99). If you want a substantial online training for Splints, the Online Splint Course is just weeks away from launch!  Barry Glassman, DMD, maintained a private practice in Allentown, PA, which was limited to chronic pain management, head and facial pain, temporomandibular joint dysfunction and dental sleep medicine.   He is a Diplomate of the Board of the American Academy of Craniofacial Pain, a Fellow of the International College of Craniomandibular Orthopedics and a Diplomate of the American Academy of Pain Management.  He is a member of the American Academy of Orofacial Pain and the American Headache Society.  He is on staff at the Lehigh Valley Hospital where he serves as a resident instructor of Craniomandibular Dysfunctions and Sleep Disorders.  He is a Diplomate of the Board of the Academy of Dental Sleep Medicine.  He has published articles that have appeared in both peer and non-peer reviewed journals in the fields of dental sleep medicine and orofacial pain. 

Is this a silly question? Now that I know the answer, perhaps so. But I do think that many students and GDPs fail to see the main role of Class I molars in a pleasing smile… I am joined in this episode by Dr Mohammed Almuzian, Specialist Orthodontist and one of the best educators I have ever had the pleasure of learning from. What we cover in this podcast: What is the significance of Class I molars? How you can calculate what the overjet may be if you carried out alignment only orthodontics in fraction class molars Is there ever a suitable situation to accept a compromised orthodontic result? Does it always have to finish in Class I molars? As promised in the podcast, here are some helpful links: A guide for Orthodontists and Dentists for treatment planning Orthodontic cases: http://www.aviosanalyser.co.uk/ Dr Almuzian’s academy website: https://www.orthodonticacademy.co.uk/ The FAMOUS Almuzian notes which have been, to date, downloaded more than 350,000 times! https://www.orthodonticacademy.co.uk/almuzian-note

I am joined in this episode of Protrusive Dental Podcast by the likes of Harjot Bansal, Mahul Patel, Dhru Shah, Catherine Tannahill, Lourens Bester, Kiran Juj and Sunny Luthra. Yes, that’s an awful lot of guests! It HAD to be done to help answer such a monumental question that crosses every Dentists’ mind: Should you specialise? My main guest, Harjot Bansal, is studying his MClinDent in Prosthodontics at The Eastman (London). He is always happy to help and his instagram is @harjsb Protrusive Dental Pearl: Show your human side! This will help calm your patients down and create rapport. Here is the photo, as discussed in the podcast, I have in my surgery which has been eye-opening: Dental Elective April 2012, 1 hour from Da Nang Here is what we discuss in this episode: Why specialise? The true cost of specialising – think loss of earnings! Financial planning for specialising How to know which speciality is right for you? Endodontics? Perio? Prostho? Ortho? Can you be fulfilled and skilled as a General Dentist? Is it right for you? A massive thank you to all my guests on the show! Music credits: Life by KV https://soundcloud.com/kvmusicprod Creative Commons — Attribution 4.0 International — CC BY 4.0 https://creativecommons.org/licenses/by/4.0/ Music promoted by Audio Library https://youtu.be/jH8ryRw1cWgBedtime Stories by mezhdunami. https://soundcloud.com/mezhdunami Creative Commons — Attribution 3.0 Unported — CC BY 3.0 https://creativecommons.org/licenses/by/3.0/ Music promoted by Audio Library https://youtu.be/WCYCRged0r0Escape by Declan DP Music https://soundcloud.com/declandp Licensing Agreement 1.0 (READ) http://bit.ly/DeclanDP_MLA1 Music promoted by Audio Library https://youtu.be/PiQK_KYirio

Episode 5 is an interview with Dr Robert Conville (@robconville) who shares his experiences of working in Australia with a BDS degree from the UK. This episode’s protrusive dental pearl is about how to get perfect moisture control for those difficult class V restorations. This episode covers: Visas and the recent change in codes Sponsorship AHPRA Finding an Employer How to look for a job Do you need a Chest X ray? Entrance exams? How do the dental care system and health funds work out there? What is the remuneration and earning like as a Dentist in Australia? Applying for permanent residency Experiences in Australia Work, Travel and Living in Australia Dentistry.co.uk article written by Rob

I hope you enjoy my discussions with Dr Neel Jaiswal who founded the British Academy of Microscope Dentistry. This episode’s Protrusive Dental Pearls: Use Fiverr.com for purchasing logos, soundbites, artwork and creative services How to minimise occlusal adjustment of composite restorations and avoid ruining your beautiful anatomy! In this podcast we discuss: Which Loupes to buy for Students Benefits of Loupes vs Microscopes Features to look for in a Microscope purchase Communication gems and adding value to your Scope Photography and ergonomics with Scopes If you liked the sound of Mahul Patel’s PrepEvo course, find out more about how to make your preps awesome.

In this podcast episode I am joined by Dr Dhru Shah, Periodontist and founder of Dentinal Tubules. Have you been thinking about a change of scene, or to move away from the shackles of NHS Primary care Dentistry? Many Dentists have considered making the switch to Private Dentistry. We discuss what it takes in terms of: Investments Mindset Education Early career choices Mentorship Above all, make sure you go in to any new career choice with decisions based upon PASSION, not upon FEAR.

Have you ever thought of moving to the United States to practice Dentistry? Where do you begin? Join us for this podcast with Dr Jaz Gulati as he navigates through the experiences and journey of Dr Kristina Gauchan who is a UK Dental graduate and is on track to work in the USA. If you qualified with your primary Dental degree from anywhere outside of USA and Canada, you will need to follow the pathway Kristina shares in this episode. Some helpful resources that Dr Kristina has kindly shared as part of the Podcast notes: Tips for International Dental Students | ASDAMembership in ASDA. We encourage you to join ASDA to gain access to resources and education on the dental school application and licensure process.www.asdanet.org ADEA CAAPID DirectoryADEA CAAPID Directory ADEA CAAPID 2019 Application Cycle March 1, 2018 – February 22, 2019. Many U.S. and Canadian dental schools that offer advanced standing programs for international dental graduates participate in ADEA CAAPID.www.adea.org Licensure Information by State – ada.orgLicensure Information by State State Licensure Tables. The ADA attempts to keep this information current based on information from state dental boards, clinical testing agencies and state dental associations.www.ada.org Dr Kristina Gauchan graduated from the University of Liverpool in 2015. Having married an American resident, she has now entered a new chapter in her life. She is ready for the next academic venture as she will start her two year international dental program at Boston University in order to obtain a DDS/DMD to gain her US dental license.