Protrusive Dental Podcast

We use articulators to help ‘mimic’ our patient’s jaw movements, to ultimately do less adjustments/revisions in the future. But are digital articulators there yet? Or is analog king? Or is digital dentistry just flashy tech with no real-world benefits? Can a virtual articulator truly match the movements of your patient’s jaw? Is a CBCT really better than a facebow—and WHEN should you use which? In this cutting-edge episode with Dr. Seth Atkins, we dive into the world of digital articulation—exploring how tools like virtual articulators, CBCT alignment, and 3D-printed provisionals are transforming clinical workflows. You’ll learn how to combine analog wisdom with digital precision, improve lab communication, and make full-mouth rehabs more predictable and efficient than ever. From mounting accuracy to motion capture, this episode is your ultimate guide to articulating smarter in the digital age. https://www.youtube.com/watch?v=fT31Ecf_kDo Watch PDP230 on YouTube Protrusive Dental Pearl: Always send your lab the color version of your digital scan — the PLY file — not just the STL. STL shows shape, but PLY shows color — like markings and tissue detail. Ask your lab: “Are you seeing color, or do you need the PLY?” Better scans = better results Need to Read it? Check out the Full Episode Transcript below! Key Takeaways: Digital methods can enhance accuracy and patient outcomes → but only when used intentionally. Understanding both analog and digital techniques is crucial → they complement each other, not compete. Mentorship plays a significant role in advancing dental education → experience accelerates clinical confidence. Digital workflows can significantly reduce chair time → and improve patient comfort in the process. The integration of CBCT with digital workflows enhances diagnostics → giving clearer insight into static and functional relationships. Digital provisionals offer a cost-effective and efficient solution → saving time, money, and frustration for both dentist and patient. Axiography is essential for capturing patient motion accurately → because real movement matters more than assumptions. Highlights of the Episode: 00:00 Introduction 04:00  Protrusive Dental Pearl 05:32 Interview with Dr. Seth Atkins and his Journey into Digital Dentistry 08:06 The Evolution of Digital Articulation 13:38 Digital Workflow and Mentorship 20:01 Accuracy and Efficiency in Digital Dentistry 22:32 Static and Dynamic Relations in Digital Dentistry 31:01 Interjection 1 36:05 Practical Guidelines on Integrating CBCT 37:15 Interjection 2  40:59 Clinical Observations in Dental Rehabilitation 42:29 Interjection 3  45:21 Introduction to Axiography 46:40 Advancements in Digital Dentistry 49:33 3D Printing in Dental Practice 53:31 Motion Tracking on Digital Articulators 57:30 Cost Efficiency of Digital Tools 01:01:10 Alternatives to CBCT 01:05:52 Involvement with AES and Future Plans Check out the study mentioned: “Comparison of the accuracy of a cone beam computed tomography-based virtual mounting technique with that of the conventional mounting technique using facebow” 🎓 Join the world’s leading organization dedicated to occlusion, temporomandibular disorders (TMD), and restorative excellence — the American Equilibration Society (AES). 🗓️ AES Annual Meeting 2026 – “The Evolution of the Oral Physician”  📍 February 18–19, 2026 · Chicago, Illinois Don’t miss Dr. Jaz Gulati and Dr. Mahmoud Ibrahim as featured speakers, presenting on “Occlusion Basics and Beyond.” If you loved this episode, be sure to watch Basics of 3D Printing, Milling and Digital Dentistry – PDP224 #PDPMainEpisodes #OcclusionTMDandSplints This episode is eligible for 1 CE credit via the quiz on Protrusive Guidance. This episode meets GDC Outcome C – Maintenance and development of knowledge and skill within clinical practice. AGD Subject Code: 610 – Fixed Prosthodontics – Emerging techniques and technology Aim: To provide a comprehensive understanding of how digital articulators can enhance clinical workflows, improve occlusal precision, and minimize restorative complications through accurate static and dynamic articulation. Dentists will be able to: Differentiate between analog and digital articulation methods, including their benefits and limitations. Apply digital workflows to provisional restorations, improving efficiency, patient experience, and predictability. Recognize cost-saving and diagnostic advantages of digital design in restorative and full-arch treatment planning.

Are you considering the airway in your treatment planning? Could centric relation (CR) be compromising your patient’s breathing? When you open the vertical dimension, are you making the airway better—or worse? Welcome to another AES 2026 series episode, this time with LEGEND Dr. Jeff Rouse as he joins Jaz in this eye-opening episode to explore how airway, aesthetics, and function are deeply interconnected—especially in prosthodontics. They discuss key clinical scenarios like vertical dimension changes, examining how your choices may impact the airway—sometimes in ways you didn’t expect. With practical insights and examples, this episode will help you make smarter, airway-conscious decisions that elevate both your functional and aesthetic outcomes. https://youtu.be/-Ut-qme7Vcg Watch PDP229 on Youtube Protrusive Dental Pearl: Plan your breaks 12 months in advance to avoid burnout and ensure quality time with your loved ones. Prioritize rest and connection before reaching exhaustion—your body, mind, and heart will thank you. Need to Read it? Check out the Full Episode Transcript below! Key Takeaways Airway health is crucial in dentistry, impacting aesthetics and function. Understanding airway issues can lead to better treatment outcomes for patients. Breastfeeding plays a significant role in childhood development and airway health. Interdisciplinary approaches are essential for effective adult treatment. Aesthetics and function are key factors in airway prosthodontics. Most patients are unaware of their airway issues until they are addressed. Early intervention in childhood can prevent future airway problems. Combining orthodontics and prosthodontics can enhance patient care. Airway management is crucial for overall patient health. A great bite is not just about teeth alignment. Pathway wear can indicate deeper dental issues. Vertical dimension changes can negatively impact airway. Understanding joint positions is essential in treatment planning. Continuous education is vital for modern dental practices. Highlights of this patient: 02:22  Protrusive Dental Pearl 04:34 Interview with Dr. Jeff Rouse Begins 09:05 Understanding Airway Prosthodontics 15:58 The Role of Cone Beam CT Scans 17:58 Treating Children and Early Interventions 24:50 Addressing Adult Airway Issues 29:43 Multidisciplinary Approach in Dentistry 31:46 Patient Transformations and Airway Focus 34:42 Understanding Pathway Wear 41:32 Impact of Vertical Dimension on Airway 48:55 Exploring Different Occlusion Philosophies 51:34 A Sneak Peek at AES 2026: Dental Wear Patterns Of The Airway Patient 55:25 Upcoming Events and Resources Explore the world of sleep disordered breathing with Prof. Ama Johal in PDP033: “Airway – Dentistry’s Elephant in the Room.” 🎓 Join the world’s leading organization dedicated to occlusion, temporomandibular disorders (TMD), and restorative excellence — the American Equilibration Society (AES). 🗓️ AES Annual Meeting 2026 – “The Evolution of the Oral Physician”📍 February 18–19, 2026 · Chicago, IllinoisDon’t miss Dr. Jeff Rouse as featured speaker, presenting on “Dental Wear Patterns Of The Airway Patient” 🎓 Learn more with Dr. Jeff Rouse on The Spear Education Online #PDPMainEpisodes #CareerDevelopment #BreadandButterDentistry This episode is eligible for 1 CE credit via the quiz on Protrusive Guidance.  This episode meets GDC Outcomes A, B and C. AGD Subject Code: 730 ORAL MEDICINE, ORAL DIAGNOSIS, ORAL PATHOLOGY (Sleep medicine) Aim: To deepen clinicians’ understanding of airway prosthodontics and empower them to recognize airway-related dental issues across all age groups. Dentists will be able to – Differentiate between anatomical airway dysfunction and sleep-disordered breathing, and understand the unique role of dentistry in addressing each. 2. Explain the principles of Airway Prosthodontics, including the significance of tooth position in facial space and its impact on breathing. 3. Recognize signs of airway compromise in both pediatric and adult patients, including atypical wear patterns, bruxism, reflux, and chronic fatigue.

Have you actually looked back at your long-term cases to see how layering compares to injection moulding? Is traditional freehand layering still your go-to for anterior composite aesthetics? Are you using it because it gives the best result — or just because that’s how you were trained? In this episode, Dr. Marco Maiolino joins Jaz Gulati for a meaty discussion about injection moulding—a technique that’s changing the game in anterior composites (and posterior!) This isn’t about trends. It’s about clinical outcomes. We’ve all admired the beauty of layered composites—translucency, halo, the “natural” look. But after 5, 7, or even 10 years… do they hold up? Dr. Maiolino brings over a decade of follow-up data—and the results might surprise you. https://youtu.be/wHs8QQkgPhU Watch PDP228 on Youtube Protrusive Dental Pearl When in doubt between two shades (e.g., A1 vs. A2), always choose the lighter shade. Higher-value shades blend better and result in higher patient satisfaction. Techniques: Use the composite button method and black-and-white photography to objectively evaluate shade blending. Outcome: Lighter shades minimize the risk of patient dissatisfaction and rework. 🎁 Download the full Premium Notes for this episode—including clinical comparison of injection moulding and layering technique, long-term before/after documentation, and Marco’s complete injection moulding protocol: 👉 protrusive.co.uk/im Need to Read it? Check out the Full Episode Transcript below! Key Clinical Takeaways Injected composites often outperform layered ones in long-term follow-up. Color stability is as much about technique as it is about material selection. Edge bonding requires careful occlusal planning and respect for functional dynamics. The biologic cost of veneers is frequently underestimated—additive approaches can be more conservative. Composite thickness and occlusal harmony are critical for restoration longevity. Rigorous documentation and honest case review matter more than dramatic presentations. Failures are not setbacks—they are opportunities for professional growth and better patient care. Episode Highlights: 0:00 Introduction 02:45 Protrusive Dental Pearl: Practical shade selection hacks 08:54 Dr. Marco’s journey into injection moulding 15:44 Why Marco transitioned away from layering 18:00 Edge Bonding and Occlusion Considerations 25:20 Layering vs. Injection Moulding 29:15 Variations of Injection Moulding Techniques 32:32 Injection Moulding for Edge Bonding 39:29 Edge Bonding Protocol and Materials 49:18 Understanding Failures and Diagnostics 53:23 Managing Tooth Wear with Injection Moulding 55:47 DAHL Approach Complexity and Cost 56:41 Swallowing Patterns Affecting Treatment Success 01:00:07 Importance of Case Selection 01:01:08 Rubber Dam Use 01:03:17 Flexible Use of Techniques 01:17:24 Outro 📅Upcoming Talks & Courses Dr. Marco Maiolino will be one of the notable speakers at the Injectable Restorations European Summit 2025, taking place on November 7–8, 2025. This highly anticipated event gathers leading experts in the field and will be held in Europe. For more information and registration details, visit the official website: injectionsummit.eu. If you loved this episode, be sure to watch Stop Being a Perfectionist – it’s OK to Fail – PDP184 #PDPMainEpisodes #OrthoRestorative This episode is eligible for 1 CE credit via the quiz on Protrusive Guidance.  This episode meets GDC Outcomes C and D AGD Subject Code: 250 Operative (Restorative) Dentistry (Direct restorations) As clinicians, we’re constantly challenged to balance esthetics, function, and longevity in our restorative work. In this episode, Dr. Marco Maiolino joins Jaz Gulati for a candid, evidence-driven exploration of injection moulding—a technique that’s rapidly shifting the paradigm in anterior composite restorations. This isn’t about chasing trends; it’s about critically evaluating what truly works for our patients over the long haul. Dentists will be able to: 1. Understand the indications, benefits, and limitations of edge bonding and injection moulding. 2. Recognize how minimally invasive dentistry can provide reversible, conservative treatment options.  3. Appreciate the importance of proper planning and case selection when using techniques like injection moulding.

Should we really restore primary molars without local anaesthetic or injections? When should we start taking radiographs for child patients? Is it time to say goodbye to traditional anterior strip crowns and embrace preformed zirconia crowns? And seriously – how do you get a wiggly, fidgety child to sit still long enough for a solid restoration?! The secret lies in choosing a technique that’s both quick and effective! In this episode, Dr. Tim Keys unpacks the real challenges of restoring primary teeth, breaking down the pros and cons of popular approaches like the Hall Crown technique, Pediatric Zirconia crowns, and conventional stainless steel crowns (SSCs). Tune in for practical insights to make pediatric crown work less stressful and more successful – helping you find the best fit for your little patients. https://youtu.be/VJm4TFKLXEA Dr. Keys is also involved in dental education and offers courses through his platform, Kids Dental Tips. One of his upcoming courses is titled “Restorative Paediatric Dentistry,” a two-day event scheduled to be held in Brisbane. Protrusive Dental Pearl: One of our best ever Protrusive Infographics! This week’s Pearl is a handy downloadable PDF infographic summarising the key points from this episode on Children’s Crowns Techniques. Grab your copy here! Need to Read it? Check out the Full Episode Transcript below! Key Takeaways: The Hall crown technique is a non-invasive approach to treating pediatric teeth. Radiographs are essential for accurate diagnosis and treatment planning in children. Case selection is crucial for the success of pediatric dental treatments. Zirconia crowns have superior aesthetics over stainless steel crowns. The success rate of intra-coronal fillings in primary molars is lower compared to crowns. Zirconia crowns rarely fracture compared to strip crowns. Mild supra-occlusion is acceptable in pediatric dentistry. Hands-on experience is crucial for mastering crown techniques. Highlights of this episode: 00:00 Introduction 01:32 The Protrusive Dental Pearl 04:19 Dr. Tim Keys 06:26 Work-life balance & parenting 12:05 Hall crowns Vs Zirconia crowns 13:12 Pediatric crowns and caries management 15:40 Failure rates and clinical implications 17:51 Stainless steel crowns: conventional vs Hall technique 21:03 Case selection and radiographs 25:31 Radiographic criteria 27:04 The Hall Technique 29:59 Technique tips 38:00 Zirconia crowns vs strip crowns 46:55 Education, resources, and further learning 51:02 Outro Key Article mentioned in this episode: Effectiveness, Costs and Patient Acceptance of a Conventional and a Biological Treatment Approach for Carious Primary Teeth in Children | Caries Research | Karger Publishers #PDPMainEpisodes #BreadandButterDentistry If you enjoyed this episode, you should check out PDP159 – How to Manage Children in Dental Pain. This episode is eligible for 1 CE credit via the quiz on Protrusive Guidance. This episode meets GDC Outcomes A and C. AGD Subject Code: 430 Pediatric Dentistry. In this episode, Jaz and Dr. Tim Keys explore practical approaches to restoring pediatric teeth, focusing on the selection, preparation, and placement of direct restorations. They discuss material choices, clinical tips, and how to tailor techniques to improve outcomes and cooperation in young patients. Dentists will be able to: Understand the clinical indications and benefits of various crown techniques used in the restoration of pediatric teeth Recognise the importance of selecting appropriate cementation materials and techniques for different types of direct restorations in children Appreciate the key clinical considerations involved in the preparation and placement of a range of direct restorative techniques in pediatric dentistry

How can dentists help kids breathe, sleep, and grow better—even if the problem isn’t the teeth? When should you refer, and what tools can you use right now in your practice? In this AES special episode, Jaz Gulati is joined by Dr. Liz Turner and Dr. Meggie Graham—general dentists who have evolved their practice with a deep passion for airway and whole-child health. They walk us through five real patients, including Jaz’s own son, to show what airway dentistry looks like in the real world. From growth appliances and myofunctional therapy to inflammation control and ENT collaboration, this episode connects the dots between breathing and behavior, development, and even dental crowding. https://youtu.be/Y6EfufPd98E Watch PDP226 on Youtube Protrusive Dental Pearl: “Don’t stay stagnant—keep learning, keep growing, and reinvent yourself every 5–10 years.” Think of your dental career in seasons—explore new areas, refine your interests, and let go of what no longer brings you joy. This keeps your passion for dentistry alive and evolving. Need to Read it? Check out the Full Episode Transcript below! Key Takeaways Airway dentistry is a growing field that emphasizes prevention. Understanding airway issues can lead to better health outcomes. Dentists can play a crucial role in optimizing health through airway management. Health optimization is a key focus in modern dentistry. Interdisciplinary collaboration is essential for effective patient care. Functional dentistry addresses the root causes of dental issues. Children’s airway health can significantly impact their development. Dentists should feel empowered to make positive changes in their patients’ lives. Facial aesthetics can significantly impact self-esteem and health. Nasal breathing is crucial for overall health and well-being. Quality of life can be improved through better patient care. Breastfeeding plays a vital role in a child’s development. Addressing sleep issues in children is essential for their growth. Understanding the connection between breathing and systemic health is vital. Highlights of this episode: 02:04  Protrusive Dental Pearl 04:08 Interview with Dr. Liz Turner 06:18 Interview with Dr. Meggie Graham 07:43 Personal Journeys into Airway Dentistry 16:26 ENT Referrals 21:55 Understanding Airway Symptoms and Treatment 26:10 Patient Case Studies and Treatment Approaches 36:46 The Importance of Nasal Breathing 45:30 Pediatric Airway Concerns and Solutions 55:09 Educational Resources and Final Thoughts 🎓 Join the world’s leading organization dedicated to occlusion, temporomandibular disorders (TMD), and restorative excellence — the American Equilibration Society (AES). 🗓️ AES Annual Meeting 2026 – “The Evolution of the Oral Physician” 📍 February 18–19, 2026 · Chicago, Illinois Don’t miss Dr. Jaz Gulati and Dr. Mahmoud Ibrahim as featured speakers, presenting on “Occlusion Basics and Beyond.” 🎓 Learn more about airway and breathing issues with Dr. Liz and Dr. Meggie on The Untethered Airway — and stay tuned for their first course, launching soon! – Waitlist for course and email list Enjoyed this episode? You will also enjoy exploring the world of OSA with Prof. Ama Johal in PDP033: “Airway – Dentistry’s Elephant in the Room.” #PDPMainEpisodes #CareerDevelopment #BreadandButterDentistry This episode is eligible for 1 CE credit via the quiz on Protrusive Guidance.  This episode meets GDC Outcomes A, B and C. AGD Subject Code: 730 ORAL MEDICINE, ORAL DIAGNOSIS, ORAL PATHOLOGY (Sleep medicine) Aim: To enhance the general dentist’s ability to recognize, evaluate, and initiate management of patients with airway-related dysfunctions across all age groups. Dentists will be able to – 1. Identify common dental signs of airway-related disorders in infants, children, and adults. 2. Understand the systemic impact of airway dysfunction, including its behavioral, developmental, and physiological consequences. 3. Describe the role of early intervention, including tongue-tie releases and palatal expansion.

Are you still using long-term provisionals just to test OVD? Is an occlusal splint really the best way to assess vertical dimension? Could raising the OVD actually harm your patient? Dr. Lukasz Lassmann joins Jaz and Mahmoud Ibrahim  this AES special episode to challenge conventional thinking around occlusion, vertical dimension, and full mouth rehab. Lukasz shares his unique perspective as a clinician, educator, and researcher, bringing clarity to a topic that often feels murky and divided. They explore real-world questions like managing asymptomatic clicks before ortho, why occlusion alone won’t “cure” bruxism, and the number one reason not to raise the vertical without proper understanding. Plus, Lukasz drops an incredible airway assessment tip at the end of the episode! Protrusive Dental Pearl: Use a comprehensive TMD history-taking form to effectively triage patients into urgent (red), moderate (amber), or low-risk (green) categories—this allows you to prioritize care appropriately and build rapport by focusing on examination rather than data collection during the appointment. https://youtu.be/ZhIoUxdMMsg Watch PDP225 on Youtube Download the form: protrusive.co.uk/tmdhistory Download the Patient History Evaluation Form Need to Read it? Check out the Full Episode Transcript below! Takeaways Understanding red flags in TMD patients is essential. Patient history is vital for effective treatment. Phonetics can be unpredictable in dental rehabilitation. Diet and sleep significantly affect TMD management. Gut health is linked to chronic pain conditions. Communication with patients is key to successful outcomes. Bruxism may not be solely caused by occlusion issues. Palpating the lateral pterygoid is often ineffective and painful. Equilibration and centric relation are controversial topics in dentistry. Increasing vertical dimension can exacerbate sleep apnea. Holistic approaches are essential in diagnosing and treating TMD. Not all patients with TMD have malocclusion or attrition. Sleep apnea is increasingly common in younger, slimmer patients. Polygraphy is a useful diagnostic tool for sleep apnea. DISE (drug-induced sleep endoscopy) is a valuable diagnostic procedure. Highlights of this episode: 02:48  Protrusive Dental Pearl 04:37 Lukasz Lassman’s Journey and Philosophy 08:11 Debunking Myths About Vertical Dimension 12:10 Patients in the Red Zone 23:15 The Role of Diet and Lifestyle in Facial Pain 31:38 Adapting to New Restorative Methods 34:41 Phonetic Challenges in Dentistry 39:02 The Role of Occlusion in Bruxism 41:18 Palpating Lateral Pterygoid Muscle 43:27 Centric Relation vs. Equilibration Debate 50:07 OVD Red Flag: Airway 01:03:27 Conclusion and Future Events Studies Mentioned:Gut Bless Your Pain—Roles of the Gut Microbiota, Sleep, and Melatonin in Chronic Orofacial Pain and Depression Randomised controlled trial on testing an increased vertical dimension of occlusion prior to restorative treatment of tooth wear 📅 Upcoming Talks & Courses AES Annual Meeting 2026: The Evolution of Oral Physician – February 18-19, 2026 Lassmann Education: SummerCamp 2025 If you loved this episode, be sure to watch Myth Busting Occlusion and TMJ – PDP022 #PDPMainEpisodes #OcclusionTMDandSplints This episode is eligible for 1 CE credit via the quiz on Protrusive Guidance.  This episode meets GDC Outcomes B and C. AGD Subject Code: 180 OCCLUSION (Occlusal therapy) Aim: To enhance clinical understanding of occlusal principles, vertical dimension management, and red flag indicators that impact prosthodontic and TMD treatment, based on current best evidence and insights from Dr. Lukasz Lassmann.  Dentists will be able to – 1. Identify common myths and misconceptions about vertical dimension increase and temporization. 2. Recognize red flag patient presentations that are not suitable for prosthodontic treatment. 3. Understand the airway implications of increasing vertical dimension and how mandibular rotation impacts it.

Rustom Moopen is a general dentist with a keen focus on digital dentistry, particularly in 3D printing and milling. He dives into the pros and cons of investing in these technologies, discussing their durability, cost-effectiveness, and long-term ROI. The conversation highlights how milling and printing serve different purposes, with insights on workflow improvements, patient satisfaction, and the importance of mentorship in mastering these methods. Moopen also emphasizes the evolving landscape of dental practices with technology, reshaping how dentists approach patient care.

“Jaz, I don’t know which course to take?” “Should I do Aspire Academy, Kois, Chris Orr or Paul Tipton?” (all great courses and legends by the way!) Of course its confusing – there are now more ‘Level 7 Diplomas’ than Dentists! There are also lots of biased testimonials – surely they can’t ALL be the ‘best course I ever did?’, right? So just HOW do you choose the right postgraduate program to elevate your skills?  What mindset helps new grads thrive, especially when they’re feeling stuck? This episode shares Lakshmi’s decision making as she opted for the RipeGlobal Fellowship. Lakshmi’s journey is a perfect example of how the right mindset and a strategic approach to education can transform your dental career. Jaz and Lakshmi discuss her experience of choosing the right course, enrolling in the Ripe Global Restorative Fellowship, and the challenges she faced along the way.   They also talk through the importance of ongoing learning, the impact of mentorship, and how Lakshmi’s mindset shift helped her grow as a dentist. Whether you’re a new grad or seasoned dentist looking to upskill, Lakshmi’s story will inspire you to take control of your career growth and make the most of every opportunity. https://youtu.be/waC_kQJhcio Watch IC059 on Youtube Book a free video consultation with the RipeGlobal Team to see if this course is right for you: protrusive.co.uk/RGdiscount This is an affiliate link that gets you 20% OFF if you enrol – but you first need to discover if it’s the right course for you (it involves treating a manikin in your own clinic!) Need to Read it? Check out the Full Episode Transcript below! Key Takeaways: Hands-on experience is crucial for building confidence in clinical skills. Finding the right practice is important for professional growth. Investing in continuing education is vital for skill enhancement. Mentorship plays a vital role in navigating early career challenges. A supportive team can significantly impact a dentist’s experience. Understanding one’s learning style is key to effective training. Practical learning enhances engagement and application in real scenarios. Balancing time commitments is essential for managing a demanding course load. Choosing a course that aligns with one’s career goals is vital for success. Maintaining a passion for one’s work contributes to success. It’s important to reflect on personal growth and set achievable goals. The journey in dentistry is not linear; expect ups and downs. Highlights for this episode: 02:29 Lakshmi’s Journey and Dental School Experience 06:45 First Year as a Dentist 12:01 Finding the Right Practice 19:49 Considering Advanced Courses 25:36 Choosing RIPE Global Fellowship 29:21 Lakshmi’s Hands-On Experience with Ripe Global 37:40 Challenges and Growth in the Fellowship 42:37 Balancing Life and Professional Growth 52:57 Mentorship and Personal Development 54:41  Future Aspirations and Final Reflections This is a non-clinical episode without CPD. For CPD or CE credits, visit the Protrusive Guidance app—hundreds of hours and mini-courses await! Stay up-to-date with Dr. Lakshmi’s valuable content and expert advice! Follow her on Instagram! If you loved this episode, be sure to check out another epic episode – Non-Clinical Growth for the Busy Dentist (Your Health, Relationships, and Business) – IC023 #InterferenceCast #CareerDevelopment #BreadandButterDentistry

Which imaging techniques should you prioritize for TMD patients? Does a panoramic radiograph hold any value?  When should you consider taking a CBCT of the joints instead? How about an MRI scan for the TMJ? Dr. Dania Tamimi joins Jaz for the first AES 2026 Takeover episode, diving deep into the complexities of TMD diagnosis and TMJ Imaging. They break down the key imaging techniques, how to use them effectively, and the importance of accurate reports in patient care. They also discuss key strategies for making sense of MRIs and CBCTs, highlighting how the quality of reports can significantly impact patient care and diagnosis. Understanding these concepts early can make all the difference in effectively managing TMD cases. https://youtu.be/NBCdqhs5oNY Watch PDP223 on Youtube Protrusive Dental Pearl: Don’t lose touch with the magic of in-person learning — balance online education with attending live conferences to connect with peers, meet mentors, and experience the true essence of dentistry! Join us in Chicago AES 2026 where Jaz and Mahmoud will also be speaking among superstars such as Jeff Rouse and Lukasz Lassmann! Need to Read it? Check out the Full Episode Transcript below! Key Takeaways: Imaging should follow clinical diagnosis → not replace it. Every imaging modality answers different questions; choose wisely. TMJ disorders affect more than the jaw → they influence face, airway, growth, posture. Think beyond replacing teeth → treatment should serve function, not just fill space. Avoid “satisfaction of search error” → finding one problem shouldn’t stop broader evaluation. Highlights of this episode: 02:52  Protrusive Dental Pearl 06:01 Meet Dr. Dania Tamimi 09:04 Understanding TMJ Imaging 16:00 TMJ Soft Tissue Anatomy  21:04 The Miracle Joint: TMJ Self-Repair 24:26 The Role of Imaging in TMJ Diagnosis 28:15 Acquiring Panoramic Images 39:35 Guidelines for Using Different Imaging Techniques 41:26 Case Study: Misdiagnosis and Its Consequences 45:46 Balancing Clinical Diagnosis and Imaging 50:17 Role of Imaging in Orthodontics 53:18 The Importance of Accurate MRI Reporting 58:27 Final Thoughts on Imaging and Diagnosis 01:00:54 Upcoming Events and Learning Opportunities 📅 Upcoming Talks & Courses by Dr. Tamimi 🔔 AES 2026 Conference (Chicago): Topic: “Telling the Story of Your Patient Through Imaging” Focus: Understanding patterns in imaging and how they reveal the patient’s full clinical picture 💻 “How to Read a Cone Beam CT” Virtual Course (Concord Seminars) If you enjoyed this episode, don’t miss out on [Spear Education] Piper Classification and TMJ Imaging with Dr. McKee – PDP080. This episode is eligible for 1 CE credit via the quiz on Protrusive Guidance.  This episode meets GDC Outcomes A, B, and C. AGD Subject Code: 730 ORAL MEDICINE, ORAL DIAGNOSIS, ORAL PATHOLOGY (Imaging techniques) Aim: To enhance clinicians’ understanding of TMJ imaging modalities, improve diagnostic reasoning, and empower dental professionals to make evidence-based imaging decisions for temporomandibular joint disorders. Dentists will be able to – 1. Differentiate between panoramic radiography, cone beam CT (CBCT), and MRI for TMJ evaluation. 2. Identify the appropriate imaging modality based on specific TMJ diagnoses (e.g., soft tissue vs. hard tissue pathology). 3. Recognize the risks of under- and over-imaging and apply a diagnostic question-driven approach to imaging selection. #PDPMainEpisodes #OcclusionTMDandSplints #OralSurgeryandOralMedicine

Why do some patients struggle with anesthesia, requiring multiple cartridges just to get numb? Could your TMD patients have an underlying systemic condition that’s been missed? Are you overlooking the signs of a connective tissue disorder? https://youtu.be/gaoJKPTV_Z0 Watch PDP222 on Youtube ”When you can’t connect the issue, think connective tissue!” Dr. Audrey Kershaw joins Jaz for a fascinating deep dive into the world of connective tissue disorders and their hidden impact on dentistry. Together, they explore how hypermobility, unexplained joint issues, and even a history of spontaneous injuries could be key indicators of an underlying disorder. They also break down why dentists play a crucial role in screening and identifying these conditions, ensuring better patient outcomes and a more holistic approach to care. Because sometimes, when things don’t seem connected… they actually are. Protrusive Dental Pearl: Don’t just take a “relevant” medical history—take a comprehensive one! Encourage patients to share all health issues, even those they don’t think relate to dentistry. You might uncover important clues about conditions like connective tissue disorders or sleep-disordered breathing, leading to better care and stronger patient trust. Need to Read it? Check out the Full Episode Transcript below! Key Take-aways Ehlers-Danlos Syndrome is often misunderstood and underdiagnosed. Patients with connective tissue disorders often face skepticism from healthcare providers. POTS is a common condition associated with EDS that affects blood pressure regulation. Many TMD patients may have undiagnosed connective tissue disorders. Awareness and education about EDS are crucial for better patient outcomes. The healthcare system can be challenging for patients seeking diagnoses. Research on local anesthetic effectiveness in EDS patients is lacking. Personal experiences can help in understanding and diagnosing connective tissue disorders. Collaboration between healthcare professionals is essential for patient care. Genetic testing is crucial for diagnosing rare types of Ehlers-Danlos. Dental professionals should be aware of the signs of connective tissue disorders. Diagnosis can empower patients to understand their health better. Holistic care is vital in managing symptoms associated with EDS and TMD. Medical histories should be seen as relevant in dental practice. Highlights of this episode: 02:17 Protrusive Dental Pearl 04:21  Dr. Audrey Kershaw’s Journey and Insights 09:45 Personal Experiences and Professional Observations 11:55 Diagnosis and Management of Connective Tissue Disorders 13:31 POTS (Postural Orthostatic Tachycardia Syndrome) 15:30 Understanding Ehlers-Danlos Syndrome (EDS) 24:55 Hypermobile EDS and the Need for Awareness 27:53 International Consortium of EDS GP Checklist 28:34 Genetic Testing and Red Flags 31:44 The Role of Dentists in Identifying EDS 40:32 Journey to Diagnosis 43:47 The Value of a Diagnosis 48:43 Dental Implications of EDS 55:00 Final Thoughts and Resources “If you know one case of EDS, you only know one. Every case is different. Many are severely debilitated, unable to work or carry out daily tasks, often denying their struggles after years of being dismissed.” – Dr. Audrey Kershaw Promised Resources Podcast Recommendation: Linda Blustein’s Podcast (about POTS and connective tissue disorders) Specialists & Research: Dr. Alan Hakim – A specialist in Ehlers-Danlos Syndrome (EDS) research based in London. Norris Lab (U.S.) – Researching genetic markers for hEDS Local Anesthesia Information Resources for Screening & Diagnosis:  Diagnostic Criteria for Hypermobile Ehlers-Danlos SyndromeDownload 5-part-questionnaire-for-hypermobilityDownload Symptomatic Joint-Hypermobility GuideDownload Red Flag PatientsDownload Educational Conferences & Talks: Scottish Dental Show – Audrey is involved in raising awareness at this event. Podcast with Periodontist Reena – Discussing HbA1c meters for diabetes screening in dental practice. “If you can’t connect the issues, think connective tissues”. An EDS talk for professionals. Advocacy & Support: Learn more about EDS and Dr. Audrey Kershaw Ehlers-Danlos Support UK Scotland – Audrey collaborates with them for better patient care pathways. EDS PATIENT EMAIL Template April 2025 GMP EDS EMAIL TEMPLATE  April 2025 Connect with specialists like Dr. Audrey Kershaw Pack to aid identification of possible HCTD/EDS cases in the dental setting  1. Watch YouTube video made for Prof Tara Renton, by Drs Kershaw and Bluestein  2. Read this – https://gptoolkit.ehlers-danlos.org/  3. Fill out Oral Surgery Scotland Advanced Medical History Form  4. Fill out this – International Consortium of EDS GP Checklist  OR use this link – https://apps.apple.com/app/id6642710534  5. If appropriate, give patient EDS information email EDS PATIENT EMAIL Template April 2025 6. Send email to GMP GMP EDS EMAIL TEMPLATE  April 2025  7. For any issues, or feedback, please contact Dr. Audrey Kershaw If you loved this episode, make sure to watch Periodontal and Systemic Link – Correlation or Causation? This episode is eligible for 1 CE credit via the quiz on Protrusive Guidance.  This episode meets GDC Outcomes B and C. AGD Subject Code: 150 Health medicine and nutrition Aim: To enhance dentists’ awareness and understanding of connective tissue disorders (CTDs), particularly Ehlers-Danlos Syndrome (EDS), and their impact on dental treatment, local anesthesia effectiveness, TMD, and overall patient care. Dentists will be able to – 1. Identify key dental manifestations of EDS, including local anesthesia failure, TMD, and periodontal considerations. 2. Apply a multidisciplinary approach to managing complex TMD cases with suspected connective tissue involvement. 3. Appreciate the dentist’s role in identifying and supporting patients with suspected connective tissue disorders. #PDPMainEpisodes #BestofProtrusive #BreadandButterDentistry