Protrusive Dental Podcast

Jaz Gulati
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Protrusive Dental Podcast

Welcome to the Protrusive Dental Podcast - the forward thinking podcast for dental professionals. Join me alongside guest speakers as we discuss hot topics in Dentistry, clinical tips, continuing education and adding value to your life and career. Jaz Gulati shares his passion for Dentistry with guest speakers, covering topics such as: - Occlusion - Working Abroad - Course Reviews - Hot topics in Dentistry - Clinical tips - Personal Development

  1. 19 DEC

    Periodontal and Systemic Link – Correlation or Causation? – GF024

    In this episode, we focus on the link between periodontal disease and the systemic effects on the human body. There’s more to oral hygiene than just saving our teeth, so let’s dive into this fascinating episode with Dr Reena Wadia to learn more about the importance of perio and how it is associated with the rest of our health. https://youtu.be/fldpB_8h2Dc Watch GF024 on Youtube Key Takeaways: * There is a strong link between gum health and systemic health. * Diabetes and cardiovascular disease are key conditions linked to gum health. * Understanding correlation vs. causation is crucial in dental practice. * Effective communication with patients can improve treatment outcomes. * Treating pregnant patients for periodontal health is safe and beneficial. * Proper diagnosis is essential for effective dental treatment. * Patients are often unaware of the links between gum health and overall wellness. * Motivating patients with health benefits can enhance compliance. * Evidence-based dentistry is vital for accurate patient information. Add the word diagnosis to templates for clarity. * Team collaboration (dental and medical practices) enhances patient care effectiveness. * Screening for conditions like diabetes can save lives. * Holistic care in dentistry is becoming increasingly important. * A periodontal protocol is crucial for consistent care. Need to Read it? Check out the Full Episode Transcript below! Highlights of this episode:  * 3:50 Introduction to Dr Reena Wadia * 7:14 Systemic Link * 12:24 Under Investigation * 13:54 Using this with our Patients * 17:04 Birthweight-related Studies and Pregnancy * 20:14 Make a Periodontal Diagnosis * 23:34 Medicine and Dentistry Collaboration * 26:29 Understanding the Patient * 29:14 HbA1c Machine * 32:19 The Perio Handbook This episode is eligible for 0.5 CE credits via the quiz on Protrusive Guidance.  This episode meets GDC Outcome A, B and D. AGD Code: 490 PERIODONTICS (Pathophysiology of periodontal disease)  Aim: To enhance dentists' understanding of the link between periodontal health and systemic diseases, enabling them to integrate evidence-based periodontal care into their clinical practice. Learning Outcomes: * Knowledge and Application: Dentists will gain a thorough understanding of the bi-directional relationship between periodontal disease and systemic conditions such as diabetes and cardiovascular disease, and learn how to apply this knowledge in clinical practice to improve patient outcomes. * Patient Education: Dentists will acquire practical strategies for effectively educating patients about the systemic implications of periodontal health, using analogies, visual aids, and evidence-based communication methods.

    39 min

  2. 10 DEC

    Step by Step Functional Crown Lengthening – PDP207

    What are the steps involved in Functional Crown Lengthening? Which scenarios/teeth are best for this type of surgery? What is biologic width and why should we care? Is Bone sounding a diagnostic test, or just a genre of music? The answer to these questions and a lot more can be found in this packed episode with Dr Hiten Halai. We cover the right protocols when crown lengthening and understand the difference between aesthetic and functional crown lengthening.  https://youtu.be/KRlEtz16I8c Watch PDP207 on Youtube Protrusive Dental Pearl - Bone Sounding Using a periodontal probe, go into the depth of the sulcus, pushing deeply until you hit bone, all while recording the measurement with the probe. This measurement will then guide you on how to carry out your crown lengthening procedure. Push hard to pass the connective tissue and ensure you are touching the bone. Not using AI to write your notes and letters for you yet? Save hours every day and save money using this affiliate link for DigitalTCO: Click Here  Need to Read it? Check out the Full Episode Transcript below! Highlights of this Episode:03:19 Protrusive Dental Pearl06:10 Introduction - Dr Hiten Halai12:56 Functional Crown Lengthening15:41 Understanding Crown Lengthening Types18:42 University of Dental Instagram22:38 Biologic Width aka Supra-crestal Tissue Attachment25:51 Functional Crown Lengthening: Practical Considerations31:09 Assessments & Keratinised Tissue35:47 Understanding Tissue Phenotypes39:16 Case Study: Premolar Treatment43:17 Bone Sounding and Biologic Width46:58 Shape of Gingivectomy50:31 Flap Designs52:37 Burs for Crown Lengthening56:13 Healing and Restoration Timelines58:31 Learning and Training Opportunities Key Takeaways: * Hiten's journey began with a passion for periodontics during dental school. * Managing time effectively is crucial for specialists with busy schedules. * Functional crown lengthening is often underutilized in practice. * Aesthetic crown lengthening can lead to complications if not done correctly. * Understanding biologic width is essential for successful crown lengthening procedures. * Preoperative assessments are critical for determining candidacy for crown lengthening. * The type of gingival tissue affects surgical outcomes and healing. * Proper surgical techniques can prevent complications and ensure better healing. * Postoperative care is vital for achieving desired aesthetic results. * Continuous education and mentorship are important for dental professionals. This episode is eligible for 1 CE credit via the quiz on Protrusive Guidance.  This episode meets GDC Outcome C. ADG Code: 490 PERIODONTICS (Mucogingival management)  Aim: To enhance knowledge and practical understanding of crown lengthening procedures, with a focus on distinguishing between aesthetic and functional crown lengthening, and the importance of biologic width in achieving predictable clinical outcomes.

    1h 3m

  3. 4 DEC

    Exodontia for Beginners – Extractions via Avocados! – PS012

    Application points, luxation vs elevation, avoiding common mistakes - this one's an episode that I wish I had when I was at dental school! How do you know when you've found the application point during extractions? What are the key protocols that can help make your extractions more efficient? https://youtu.be/rOBPnCTyAwM Watch PS012 on Youtube This week's Protrusive Student episode is all about exodontia - and again I'm joined by Emma Hutchison, our Protrusive Student Ambassador, to discuss some tips and tricks on how to make extractions that little bit easier. Jaz also shares a memorable analogy—could removing a stone from an avocado be the perfect way to describe an extraction?! Key Takeaways Tactile feedback is crucial during tooth extractions. * Understanding application points can improve extraction techniques. * Using the right amount of pressure is essential to avoid breaking teeth during extraction. * Luxators are typically used to sever the PDL before extraction. * Atraumatic extraction techniques are important for preserving bone for future implants. * Luxators should not be used as elevators. * Understanding the mechanics of elevators is crucial for effective extractions. * The ‘six second rule’ helps in assessing extraction progress. * Having a plan for extractions can prevent complications. * Communicating with patients about the extraction process is essential. * Avoid tunnel vision; consider the surrounding teeth during extractions. * Breaking interproximal contacts can simplify extractions. * Always check the patient's medical history before procedures. * An audible checklist can prevent mistakes during extractions. Need to Read it? Check out the Full Episode Transcript below! Highlight of this episode: * 00:00 Introduction * 02:07 Catching Up with Emma * 05:58 Teeth are like avocados! * 11:13 Understanding Application Points in Extractions * 17:01 Luxators vs. Elevators: Techniques and Safety * 24:10 Extraction Technique * 25:08 The Six-Second Rule * 28:04 Having a plan * 29:58 Common Mistakes and  How to Avoid Them * 38:17 Conclusion and CE Certification This episode is eligible for 0.75 CE credit via the quiz on below.  This episode meets GDC Outcomes B and C. AGD Subject Code: 310 Oral and Maxillofacial Surgery (Exodontia) Dentists will be able to - 1. Recognise essential steps to establish secure application points 2. Develop approaches for patient communication around extraction procedures, potential risks, and expected outcomes 3. Implement the “6-second rule” and other practical techniques to streamline extractions and troubleshoot common challenges If you loved this episode, make sure to watch a href="https://protrusive.

    40 min

  4. 29 NOV

    White Patches – When to Refer + Diagnoses ORAL MED – PDP206

    Are you confident in diagnosing white patches? Which white patches need an URGENT referral? How do you tell the difference between lichen planus, lichenoid reactions, and other common lesions? Dr. Amanda Phoon Nguyen is back with another amazing episode, this time diving deep into the world of oral white patches. Jaz and Amanda explore the most common lesions you’ll encounter, breaking down their appearance, diagnosis, and management. They also discuss key strategies to help you build a strong differential diagnosis, because identifying the right lesions early can make all the difference in patient care. https://youtu.be/xlQpuQu2Hl0 Watch this full episode on YouTube Protrusive Dental Pearl: A new infographic summarizing Dr. Amanda Phoon Nguyen’s key teachings. Jaz describes it as an easy-to-follow "cheat sheet" designed to simplify complex ideas and make it easier to apply the concepts discussed in the episode. You can download the Infographic for free inside Protrusive Guidance 'Free Podcasts + Videos' section. Key Takeaways * White patches in the oral cavity can be classified into normal variants, non-pathological patches, and potentially malignant disorders. * It is important to identify the cause of the white patch and differentiate between different types. * Referrals should be made based on the characteristics of the white patch and the urgency of the situation. * Clinical photographs are valuable in referrals and can aid in triaging patients. * Ongoing monitoring is important for potentially malignant disorders. Lichen planus can have different types and presentations, and a biopsy may be necessary for certain cases. * Enlarged taste buds, particularly in the foliate papillae, are usually bilateral and not a cause for concern. * Oral lichenoid lesions can be triggered by dental restorative materials or medications, and a change in dental material may sometimes improve the condition. * Smoker's mouth can present with white patches and inflammation in areas where smoke gathers, and counseling patients to reduce smoking is important. * Oral submucous fibrosis, often caused by areca nut chewing, requires regular review and counseling patients to stop chewing the nut.  Need to Read it? Check out the Full Episode Transcript below! Highlights for this episode: * 01:22 Protrusive Dental Pearl * 05:13 Dr. Amanda Phoon Nguyen Introduction * 07:39 White Patches Introduction * 09:16 Understanding Geographic Tongue * 12:44 Keratosis vs. Leukoplakia * 19:02 Proliferative Verrucous Leukoplakia * 22:18 Referral Tips for General Dentists * 29:56 Understanding Leukoplakia * 33:17 Urgent and Non-Urgent Referrals * 34:37 Patient Communication * 39:17  Discussing Erythroplakia  * 41:03 Oral Lichen Planus: Diagnosis and Management * 47:50 Enlarged Taste Buds * 49:47 Oral Lichenoid Lesions vs Oral Lichen Planus * 53:43 Smoker's Mouth

    1 hr

  5. 26 NOV

    Making Awesome Dentures – Border Moulding and Beyond – PDP205

    What are the key steps and nuances to make awesome Dentures that your patients will love? In this episode, Jaz probes Removable Pros legend Dr Mike Gregory to break down the process. From border molding to primary impressions and the teamwork between dentists and technicians, Mike reveals the key steps to making great dentures. https://youtu.be/snM3PerQ1ko For example, be sure to include a note on the lab sheet for the technician: "Preserve full peripheral depth and width of the sulcus on this impression, to about 2-3mm." This ensures the correct functional width is maintained when the final tray or denture is created. Protrusive Dental Pearl: When checking denture occlusion, it's crucial to keep the patient relaxed. Mike suggests one simple trick: ask the patient to close their EYES before closing their teeth. This can sharpen their senses, helping to improve the bite assessment. Need to Read it? Check out the Full Episode Transcript below! Highlights of this Episode: * 02:07 Protrusive Dental Pearl * 03:31 Mike Gregory's Journey into Dental Technology * 10:09 Understanding Border Moulding * 13:19 Technician's Role in Denture Creation * 15:45 Improving Communication with Technicians * 18:34 Special Trays and Custom Trays * 25:58 The Role of Green Stick * 29:04 Denture Impressions * 31:35 Boxing and Beading Techniques * 35:08 Additive vs. Reductive Rest Seats * 40:46 Guide Planes * 42:43  Creating Undercuts for Dentures * 45:10 Final Tips and Best Practices * 48:54 Learn More with Mike Gregory 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: 670 REMOVABLE PROSTHODONTICS    Aim: To explore the intricate process of denture creation and provide practical insights on improving denture fit, occlusion, and collaboration between dentists and technicians. Dentists will be able to:  1. Understand the key elements of denture creation, including border molding and primary impressions. 2. Learn the significance of maintaining peripheral sulcus depth and width in denture impressions for functional accuracy. 3. Gain insight into the role of special trays, custom trays, and impression materials in denture fabrication. 4. Recognize the importance of clear communication between dentists and technicians in achieving optimal denture outcomes. If you liked this episode, you’ll love Suction Lower Complete Dentures – Improve your Removable Prosthodontics – PDP073 Click below for full episode transcript: Teaser: This huge misconception that if you get suction on an impression, that impression is the perfect impression to make a denture. But you know, and I know if you take an impression, you fill somebody's mouth with algae, you get suction. You have to break the seal to get it out.

    55 min

  6. 21 NOV

    Implant Occlusion that Makes Sense! – PDP204

    Implant crowns should be out of occlusion, right? Think again!  In my experience, single tooth implant crowns when I see them are IN occlusion and holding shim - even when this was not intended by the Restorative Dentist. When this happens, should we be adjusting the implant crown? Or perhaps the adjacent tooth? *shock horror* And how often would this need to be repeated? This podcast will show you a better way to manage implant occlusion! https://youtu.be/l8WOiamk06M Watch PDP204 on Youtube In this episode, I’m thrilled to chat with Professor Riaz Yar, an occlusion expert and mentor who greatly influenced me early in my career. Together, we’ll debunk common myths and dive into practical approaches to managing implant occlusion. Even if implants aren’t part of your practice, understanding occlusion on implants is crucial for patient care. Tune in as we uncover best practices and clear up misconceptions to help you achieve better results for your patients! Protrusive Dental Pearl: Dr. Pav Khaira has created a free implant assessment form, now available to the Protrusive community. Accessible at www.protrusive.co.uk/implant - this responsive PDF includes key areas like patient goals, biotype, and occlusion, with an 8-minute video guide for easy use. Key Takeaways -Implant occlusion is a major factor in implant failure.-Understanding the biology of the implant system is crucial.-Functional loading is more important than static loading!-Chewing dynamics can reveal important insights about occlusion.-Guidelines for occlusion should be followed but adapted to individual cases.-Patient education on post-implant care is essential.-Shared loading on implants is vital for their longevity. Need to Read it? Check out the Full Episode Transcript below! Highlights of this Episode: * 01:34 Protrusive Dental Pearl * 02:47  Introducing Professor Riaz Yar * 05:07 Understanding Implant Failure Causes * 08:04 Analyzing Implant Occlusion and Peri-Implantitis * 10:27 The Chewing Gum Test * 13:20 Guidelines and Challenges with Implant Occlusion and Lab Protocols * 17:33 Bone Regeneration and Functional Guidance * 19:22 Dynamic Movements and Occlusion Analysis * 23:48 Practical Tips for Implant Bridges * 28:19 Patient Guidelines for Implant Care Join Riaz for an innovative implant restorative program developed with top dentists (Nik Sissodia, Martin Wanendeya, Sanjay Sethi, and Nik Sethi), designed to enhance your skills in implant restoration. Check out Riaz's one-day course on implant occlusion at profriazyar.com and Elevate Dental. Sign up now and boost your implant expertise! This episode is eligible for 0.5 CE credit via the quiz on Protrusive Guidance.  This episode meets GDC Outcomes B and C.

    36 min

  7. 14 NOV

    Principals vs Associates – How to Foster Positive Relationships and Flourish – IC054

    Why are principals and associates always at loggerheads with each other? Why can it be almost impossible to find the right associates to work at our amazing practice, but also almost impossible to find that amazing practice to work at as an associate?  Join myself and Dr Sarika Shah on this episode where we learn more about self leadership and the ways to prioritise our values to help us find the right working relationships and places of work to be a part of. Let’s figure out how to bring all members of a team together and create the zen we are all in search for while working in our day to day lives.  https://youtu.be/-ua1PAB6A90 Watch IC054 on Youtube Protrusive Dental Pearl: Be willing to accept rejection. A ‘no’ from a patient today is often a yes tomorrow. Plant seeds for high quality dentistry and you will find yourself harvesting many of these seeds at a later date. Those who fear rejection routinely offer less than their best, which cheats patients out of rightfully making their own economic decisions - inspired by Dr Lane Ochi (the ORIGINAL Dental Geek!) Check out Flourish as a Female: https://www.flourishasafemale.com/ Use discount code ‘protrusive’ (No financial interest) Need to Read it? Check out the Full Episode Transcript below! Highlights of this Episode:02:18 Protrusive Dental Pearl04:30 Introduction - Dr Sarika Shah10:10 Transition to Private Dentistry13:40 Practice Ownership17:20 Managing the Practice24:55 Internal Leadership29:40 Principals vs Associates Friction41:56 Women in Dentistry47:15 Supportive Partners55:25 Top Advice from Sarika58:28 Flourish This episode is eligible for 1 CE credit via the quiz on the Protrusive Guidance App.  This episode meets GDC LEARNING OUTCOMES A and B AGD Subject Code 550 Practice Management and Human Relations Aim:To explore the importance of self-leadership and effective communication in building successful relationships between dental associates and principals, enhancing teamwork, and optimising practice performance. Dentists will be able to:  * Identify key principles of self-leadership and apply them to improve personal and professional development within their practice. * Understand the impact of effective communication and aligned values on maintaining strong, respectful relationships between associates and principals in a dental setting. * Develop strategies to enhance emotional intelligence, ensuring improved patient care and better collaborative relationships in their practice environment. If you liked this episode, be sure to check out IC025 - Parenthood and Dentistry Click below for full episode transcript: Teaser: And when this respect is gradually lost, that relationship is most likely going to break down within three years. Okay, there's research behind this. I've read a lot around this. So what it there is, is there's three phases to this. The first phase is like- because even when I went out there to approach women,

    1h 8m

  8. 6 NOV

    Endodontic Irrigation – How to Get Better Success – PDP203

    Is Sodium Hypochlorite still the best irrigant for endodontics? Or do we have something novel and superior? How can we improve the efficacy of our endodontic irrigation? What % of NaOCl should we be using? https://youtu.be/z5h2FzHpG68 Watch PDP203 on Youtube Dr. Brett Gilbert rejoins Jaz Gulati to tackle all things endodontic irrigation after a brilliant episode on pre-emptive endodontics. Advanced activation and delivery systems could change the game—are we on the brink of a major shift in endodontics? Protrusive Dental Pearl: Before performing a molar extraction, challenge yourself to first complete an endodontic access on the tooth. This will enhance your understanding of the canal anatomy and improve your precision in sectioning the tooth. By visualizing the canals and the pulpal floor, you'll refine your angulation for more accurate sectioning. Need to Read it? Check out the Full Episode Transcript below! Highlights of this Episode: * 02:09 Protrusive Dental Pearl * 04:23 Is Sodium Hypochlorite Still The Gold Standard? * 06:54 The Role of Surfactants in Irrigation * 07:58 Concentration of Sodium Hypochlorite * 09:47 Chlorhexidine: Is There Still a Place? * 11:32 Advanced Disinfection Technologies * 21:31 Evidence-Based Techniques in Endodontics * 25:22 GP Pumping This episode is eligible for 0.5 CE credit via the quiz on Protrusive Guidance.  This episode meets GDC Outcomes B and C. AGD Subject code: 070 Endodontics (Endodontic infections, microbiology and treatment) Dentists will be able to:  1. Gain insight into the role of sodium hypochlorite in endodontic disinfection and assess its effectiveness compared to new innovations.2. Discover the cutting-edge irrigation methods, including surfactants, ultrasonic activation, and laser-assisted irrigation, and their impact on endodontic outcomes.3. Explore emerging technologies and innovations that could revolutionize endodontic irrigation. If you liked this episode, be sure to watch the 1st Part - ‘PDP202 - Elective Endodontics? It's all about Communication’ Click below for full episode transcript: Teaser: When you use a lower percentage, you really aren't reducing or eliminating the risk of sodium hypochlorite accident. If you get 3% sodium hypochlorite out the end of the root, it's going to cause a sodium hypochlorite accident, as will 6%. If you're trying to eliminate risk using a lower concentration, I don't think it's as effective as you think, but you are taking away some of the strength that you're looking for to kill the bacteria and dissolve the tissue. So my advice would be go full. Teaser:We recognize that training our general dental colleagues on endo is paramount because we don't want the option of implant to come in place of saving the natural tooth simply because of fear or the fact that they just don't feel well enough trained to do the endo. So I believe as a dental community, the more we feel comfortable and proficient in endo, the more teeth we save and the better our patients are.

    34 min
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About

Welcome to the Protrusive Dental Podcast - the forward thinking podcast for dental professionals. Join me alongside guest speakers as we discuss hot topics in Dentistry, clinical tips, continuing education and adding value to your life and career. Jaz Gulati shares his passion for Dentistry with guest speakers, covering topics such as: - Occlusion - Working Abroad - Course Reviews - Hot topics in Dentistry - Clinical tips - Personal Development

Information

  • Creator
    Jaz Gulati
  • Years Active
    2018 - 2024
  • Episodes
    300
  • Rating
    Clean
  • Copyright
    © 2024 Protrusive Dental Podcast
  • Show Website
    Protrusive Dental Podcast

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