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 th…

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 w…

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 bri…

What’s the difference between radiolucency and burnout? When’s the best time to use a bitewing vs a periapical radiograph? When should we pick up the bur for interproximal caries? Have you heard about the 4 white lines an OPG radiograph? https://youtu.be/wCV3U8-OAvI Watch PS011 on Youtube This episode is packed full of great tips and techniques tha…

Does ‘elective’ or ‘pre-emptive’ endodontics have a role in Restorative Dentistry? It almost feels dirty to me as I try my best to PRESERVE pulp vitality! But sometimes this bites you, and you wish you had carried out root canal treatment before cementing that crown. At what point can pre-emptive root canal be justified in a world where MTA and bio…

Are single-use diamond burs more efficient at cutting? When should we throw away a bur and pick up a fresh one? How long are they supposed to last? (it’s measured in minutes!) Are expensive brands a con? Tiny, but one of the most important tools of our trade…BURS! In a world full of different identifying numbers and names, it can get confusing and …

Last Live Occlusion Course of 2024 – Book Now: https://courses.iasortho.com/courses/gb/occlusion POV: You spend a fortune on a composite anatomy course and are excited to implement on Monday morning. However, every time you apply those concepts, you end up drilling it away because it’s proud in the occlusion! It essentially now looks like a tooth c…

Follow THESE protocols to eliminate teeth whitening sensitivity in your practice – your patients will love you. Have you ever had a patient who had to stop whitening due to severe sensitivity? Should we be whitening when there are active carious lesions? (the answer might surprise you) https://youtu.be/IC3wMpfLo30 Watch PDP199 on Youtube In this ep…

It’s Friday and you’re fitting the last patient’s crown. It is completely shy of the bite – but it looks good. The patient says ‘it feels great! I can hardly feel anything!’ Do you cement it (plant it low?) and let it grow? Is that acceptable? How about the ‘GABS occlusal philosophy?’ Is ‘centric relation’ full of unicorns and rainbows? What is an …

“Defensive Dentistry and the fear culture is the number 1 cause of anxiety amongst Dentists” How can we instead foster a culture where we can focus on growth and supporting each other? Does Dentistry have a social media problem? https://youtu.be/wsiENbuIXcE Watch IC053 on Youtube Join us on this episode with Dr Mehy Lo-Presti as we navigate dentist…

JOIN US on 16th November for Treatment Planning Symposium 2024 - Online Event OR In-Person - you decide!https://youtu.be/G5ebbUl0sDgWatch PDP198 on YoutubeImplants are great but they are not always the best solution for our patient.There are many times a bridge or denture may serve the patient’s goals, aesthetics and budget better.So how do we deci…

Treatment Planning Symposium 16th November Hybrid event: https://www.protrusive.co.uk/rxAre you still afraid of raising the Vertical Dimension? You cannot break free from the shackles of single tooth Dentistry if you don’t get comfortable with vertical dimensions changes in Restorative Dentistry.https://youtu.be/Nb-LTyzRKuUWatch PDP197 on YoutubeIn…

Plant it low and watch it grow? Is that serving our patients?Should we keep our crowns flat to avoid ‘interferences’?How about guiding teeth - how can we recreate and build in guidance and the correct cuspal inclination in our indirect work?https://youtu.be/b2KA84dXhnIWatch PDP196 on YoutubeAs part of Occlusion month I am joined by my dental techni…

There is something very satisfying about a well fitting denture.I am joined by our resident Dental Student, Emma Hutchison, to demystify removable prosthetics.https://youtu.be/1hQGjKUa6MUWatch PS009 on YoutubeWhich joint position should we use for dentures? Is this important?How do you calculate the freeway space?What are we actually recording duri…

The first EVER ‘Prospective’ episode of Protrusive - I interviewed new-grad Dr Triman Ahluwalia in 2023, then again 7 months later in 2024 to see how he gets on with his first year as a *real* Dentist ;)We uncover what it feels to be a freshly qualified Dentist, the pressures and fears that come with procedures such as endo and surgical extractions…

Is this the death of impressions for Dentures?Are digital dentures predictable? Time saving? Cost saving?Are all types of dentures suitable for the digital workflow?Even if you don’t use an intra-oral scanner, your lab may be utilising a digital workflow, so it’s a great time to dive deep into this area.Impression Club’s Dr Rupert Monkhouse joins u…

How are periodontal diseases managed in general practice?Join us for an engaging conversation with Emma Hutchison, our Protrusive student, as we explore Periodontology (Perio) in the real world.This conversation delves deep into the practical protocols, patient communication strategies, and real-life scenarios every dental student and practicing de…

It’s your first night on-call and you are bleeped at 3am - there’s a nasty facial laceration waiting for your urgent attention. You have never sutured the face before…”who you gonna call?” - well sometimes even the Ghostbusters will be more helpful than the on-call trainee!https://youtu.be/3RKZG3yy2sUWatch PDP194 on YoutubeOur good friend Dr Ameer …

What makes us reject crowns and send them back to the technician? What are the standards/guidelines to consider before accepting and luting indirect restorations?Join us as we explore the key factors that determine the quality of a crown. From the initial lab communication to the final occlusal checks, we cover it all. This episode is packed with e…

Clinician Development Tool: https://protrusive.co.uk/cdtDid you know, there’s a cheaper, quicker and more natural treatment option than using Dental Implants, WITHOUT compromising on longevity? Sounds too good to be true right? You already know about it. You most likely studied it already at Dental School and just haven’t given it much thought in a…

What is the best bonding agent to use?Does it actually matter? Spoiler: it does!How do you get the best bond to dentine and enamel with the adhesive system you are using?Dr Sam Sherif joins us in this episode, where he discusses bond strength in detail as well as sharing his top tips in achieving long lasting adhesion for our daily adhesive Dentist…

Is Shillingburg’s textbook irrelevant?What materials are used in the real world?Is it right that dental students are primarily taught PFM crown preps?When to Onlay and when to go full crown?The Direct vs Indirect debate continues, too!In this two-part journey, we'll dive into the world of crowns, bridges, and ceramics, exploring their applications,…

The secret to success with non-vital bleaching is knowing when it’s not going to work.Dr Jason Smithson shares his decision making in discoloured incisors AND the protocols he uses in their management.When is a purely restorative approach more appropriate than bleaching?When is ceramic preferred to composite?What is the best way to mask a metal pos…

When restoring molars, should we ALWAYS try to recreate textbook anatomy? (spoiler: NO WAY!)What preventive measures can we use for toothwear?Tooth Morphology in the Real world!In this episode, Emma Hutchison and I explored the nuances of practical tooth morphology. Textbooks provide us with idealized versions of dental structures, but how do these…

Air Particle Abrasion!Images of Sandblasted teeth look cool but does it ACTUALLY improve clinical outcomes?What are the indications? When is it genuinely critical to use?More pragmatically, are there any decent alternatives eg. roughening with a bur?Air particle abrasion, a technique used to prepare tooth surfaces for bonding, has sparked considera…

Paying through the nose for your indemnity? You may get better protection with insurance AND it has saved Dentists £1000s - get a quote today from PDI / AllMedPro and get an additional £100 off (this is a promotional link that will save you money)Associate contracts are actually a HUGE deal that we do not give enough attention to...How long can you…

Have you ever considered Dental Aid Work?Imagine giving up your morning starbucks and your air conditioned dental surgery to work in a developing country that has just 7 dentists.Fellow Protruserati, Dr James Hunter and his young family will be doing just this - they are preparing for a four-year mission to Liberia, Africa, to dedicate themselves t…

Have we fully shifted towards lithium disilicate overlays and onlays?Are full crowns considered a sin in 2024? (Maybe just on Instagram then!)Spoiler: Crowns TOTALLY have a place, and so do large direct composite restorations!Dr Alan Burgin and I share our decision making trees for indirect restorations as part of ‘Crowns and Onlays Month’ on Protr…

Clinical Dentistry is a steep learning curve - it can be frustrating, frightening and quite frankly exhilarating.This episode (better late than never! My wife finished her MSc so now I’m back on track!) picks up the theme of Stress Awareness and I discuss with Emma Hutchinson, our Protrusive Student, how students can manage stress effectively, prio…

Implants can fail - we all know that…but what are the medico-legal implications when they fail at 6 months after restoring them…Is it all the restoring Dentists’ problem? ‘He who touched it last’? Or does the implant placing surgeon also need to be involved in the ‘post-mortem’?How can we handle the upset patient (and prevent this in the first plac…

More brilliant questions from dental students as Jaz is joined by Dhruti Mysore from Plymouth University.https://youtu.be/APKMX2qdDQgWatch AJ008 on YoutubeWe covered themes of student-life balance and professional development. Jaz shared the powerful technique of ‘Just-in-Time’ learning to gain structure and purpose to post-graduate development.Jaz…

Hear how Aidan went from anxious about exodontia to now feeling confident and enjoying his oral surgery list.https://youtu.be/cYl6zYMsRY8Watch IC049 on YoutubeWe cover the themes of career progression, overcoming procedural fears and decision making early in our careers.At the end, Aidan shares a clever way to deliver saline when washing out socket…

Class II’s are only easy when they are small (but not too small), supragingival, easily accessible with straight-forward anatomy.In other words, about 1% of the Class IIs we encounter - because the vast majority I see are subgingival, wide, with awkward root concavities and tricky access.I went from using sectional matrices 97% of the time to now j…

Check out the ‘semi-indirect’ technique to restore toothwear cases - including palatal backings made chairside and bonded at the same time.Join Jaz as he geeks out with Dr Zohaib Khwaja to extract the nuances of this clever technique.We also deep dive into the Dahl technique.https://youtu.be/tIRfmJL1qpwWatch PDP187 on YoutubeProtrusive Guidance mem…

From softwares to enhance communication with prospective patients, and clever ones that utilise AI for radiographs and note taking, Prav Solanki and I deep dive into some products we currently like to use or have heard good things about.https://youtu.be/50GNVjVHJQgWatch AJ007 on YoutubeIn this episode, we discuss the many ways that AI is now stream…

How long should you wait after a root canal before starting Orthodontics?Should we be scared of orthodontic movement in those taking bisphosphonates?How do you decide if diastemas should be closed restoratively or orthodontically?Dr Daniel Neves answers every one of the questions and several more sent in from the Protrusive CommunityThese questions…

We need to talk about the ‘S’ word and our mental health.I never, EVER want to lose a colleague again due to the pressures within Dentistry.This is why I interviewed Dr Mahrukh Khwaja, a positive psychologist and Dentist, to help us with strategies to improve our mental health.Why is it that we have so many support channels during a crisis, but no …

THIS is the most impactful interview podcast I have published in almost 6 years of podcasting.Do you resent bringing your work home with you (treatment plans, letters, CT scans)?Do you struggle with work-life balance?Do you have days where you feel unfulfilled?The honest advice and mindset from Jorge Andre Cardoso might just change your career and …

I remember being a dental student and a simple 'check up' could take HOURS! Then the tutor would come along and complete the observation in 30 seconds...‘How does a routine general dental examination work in the real world?’, asks Emma, our Protrusive student.The humble ‘check-up’ - as far as you can get from sexy before and after cases. The stuff …

When the patient feels pain during an ID block. When a matrix does not seal the cavity perfectly. When the shade of your crown doesn’t blend as well as you would like. When the endo you did last year failed.All of these cause us anxiety. All of these are failures in some form, and as Dentists, it eats at us.Let’s admit it: we are perfectionists.Lif…

Dental Student in THREE different countries?!This is a story of grit and determination. I hope that it will allow us all to reconnect with that burning desire we once had to enter our profession.In this episode, we meet Nav, AKA the_stu_Dent who has had the craziest journey as a Dental Student. Not only defined as a mature student, but as a British…

Rubber Dam isolation can be tricky enough sometimes - it is especially awkward when the TERMINAL MOLAR needs restoring. How on earth does one isolate AND matrix this tooth?In this episode, Dr. Celine Higton delves into the intricacies of rubber dam isolation, particularly focusing on the last tooth in the arch. This discussion ties into the broader…

When we studied occlusion at Dental School, our textbooks forced the idea of having dots at the back and lines at the front. We are continually told about CR and how to manage patients into canine guidance, but does this all work in practice?Today we dive into the best way to approach occlusion cases with our patients, keeping in mind that there is…

As part of Documentation Month, Jaz dives into the crucial realm of documenting dentistry. In this episode, he shares four methods he utilizes to document his daily dental practice, followed by six compelling reasons – in reverse order – why documenting your dentistry is indispensable. So, get ready as we count down from six to one!But first, let's…

THIS is the best thing in Dentistry since local anesthetic!I HATE typing notes even more than I hate cracked teeth. The quest for good, detailed, contemporaneous record keeping in 2024 means so many of us stay behind after patients to ‘tidy up’ our notes.With the power of audio recording and AI, I am pleased to present to you NOTES THAT WRITE THEMS…

"How long should I tell my patients their posterior composites will last?" - what a great question from dental student Emma Hutchison!As part of our new Protrusive Students segment we'll be bringing you monthly episodes packed with valuable insights, tips, and tricks specifically tailored to dental students like Emma.https://youtu.be/PP1XICgI-lgWat…

Managing patient expectations in Dentistry - there are some MAJOR lessons we can learn from facial aesthetics practitioners.We're diving into a conversation with Dr. Katherine Bell that's really going to open your eyes about communication. Despite beauty being subjective, we find a lot of similarities in how we talk to and get consent from patients…

In this episode, we're launching Protrusive Students, a segment dedicated to dental students while offering valuable insights for young and seasoned dentists. This section provides various resources including exam prep materials, clinical videos, and networking opportunities.A key highlight of this episode is the introduction of Emma Hutchison, a d…

LIVE from Chicago AES 2024 + Midwinter!Fresh off our thrilling journey to the American Equilibration Society (AES) Conference in Chicago, alongside the Midwinter event, this episode is your ‘access all areas’ to relive the highlights of our long-awaited expedition.Previously focused solely on equilibration, AES now embraces a broader spectrum, enco…

Managing black triangles with composite resin - often these are periodontal patients. Doesn’t that mean you’ll be bonding to root dentine?!Continuing our Adhesive Month series in to March (oops!), we're excited to bring you Part Two of our journey into the Bioclear Adhesive Philosophy. Building on the rich discussion from Part One (PDP 178), we're …