117 episodes

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

Protrusive Dental Podcast Jaz Gulati

    • Health & Fitness

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

    What We Ought To Know About Full Arch Implant Dentistry – PDP093

    What We Ought To Know About Full Arch Implant Dentistry – PDP093

    I think we owe it to our patients to a know some fundamentals of full arch implant Dentistry, even if you do not currently place or restore implants. Make a big cup of coffee because this is one of those longer episodes! I am joined by Restorative Specialist Dr. Harpal Chana to breakdown FP1 to RP5 and exactly what GDPs should know about full arch implant prostheses.









    https://youtu.be/QY_3SZKdc0U

    Check out this full episode on YouTube







    Protrusive Dental Pearl: Instead of booking patients for a ‘fit appointment’ for crowns or bridges, rebrand it to ‘try-in appointment’. This takes the pressure off of you and your technician - in the small chance that things are not perfect, you can correct it and book their fit. If everything is good at the 'try-in' you can go ahead and fit your work definitively. It's just a good way to manage expectations and reduce the chance of disappointments and surprises.







    Need to Read it? Check out the Full Episode Transcript below!







    Infographic coming soon! (likely Tuesday) summarising FP1 - RP5 classification







    In this episode we talked about:







    * Dr Harpal Chana’s journey to full arch dentistry 8:19* The initial stages of full arch complex implant reconstruction 15:18* What determines a terminal dentition? 23:52* Implant Reconstruction Options for GDPs to know + Classification 31:03* Difference between Implant retained and Implant Supported 37:10* How many implants? 40:56* Research about the quality of life that impacts clinician’s decisions 48:40* Learning how to place the first implant 56:56* Advice for dentists who wants to learn implants 1:08:00







    If you liked this episode, you will love to listen and learn about Implant Assessment for GDPs: from Space Requirement to Ridge Preservation







    Implant Overdenture and All-on-4 course







    Sponsored by Nobel Biocare







    12-13th March 2022 at Elmfield House Dental Education, Teddington, London. Hosted by - Harpal Chana, Harjot Bansal, Pynadath George, Manish Patel, George Xirogiannis, Hannah YoungSummary: Beginners course for fixed and removable implant retained and supported bridges and dentures. Cover implant planning, bone grafting, prosthetic planning and execution, dealing with failures and maintenance of appliances and implants. Register your interest by emailing: info@elmfieldhousedental.co.uk















    Click below for full episode transcript:







    Opening Snippet: And one of the procedures they always used to make me do was to do a workup make them a new set of dentures. And it was interesting that half the patients I made new dentures for say, thank you very much. I don't need implants now. I'm actually quite happy with these. And they're much better than they were before. I really don't think I want implants. So okay, maybe a lot of these patients don't always need implants. They just need to have well fabricated dentures...







    Jaz's Introduction: FP1, FP2, FP3. Do you know what I'm talking about? No, I'm not talking about filtering facepieces ie FFP3 masks like we're all experts now on FFP2 masks and FFP3 masks, unfortunately, due to the COVID pandemic, but do you know what I mean, when in the context of implant restorations, what I mean by FP2 and FP3. Well, I'm embarrassed to say I had zero idea when it came to talking to our guest, Dr. Harpal Chana, who's a consultant restorative dentist,

    • 1 hr 14 min
    Wisdom Teeth Extractions – SURGICAL TOP TIPS – PDP092

    Wisdom Teeth Extractions – SURGICAL TOP TIPS – PDP092

    A tricky Third molar surgery can humble even the most experienced of Oral Surgeons. Surgical removal of Wisdom teeth has become somewhat of a post-graduate discipline, with many Dentists lacking the confidence or even the appetite for their removal. We have today the very enthusiastic Dr Nekky Jamal who is a GDP that lives and breathes third molar surgery. He shares with us his top tips for the planning and execution of M3Ms surgery!







    Protrusive Dental Pearl: When you are sectioning a mesio-angular impacted tooth, start your section 1-2 millimeters more mesial to where you think the furcation is - you will have a tendency to drift distally and therefore more likely to HIT that furcation which is when the magic begins.









    https://youtu.be/Cc_dp2ktt2w

    Check out this full episode on YouTube







    Need to Read it? Check out the Full Episode Transcript below!







    (Regarding disto-angular third molars) “If you lose your crown, you almost lose your ability and your orientation of where that tooth is.” Dr Nekky Jamal







    Click Here to visit Nekky's Third Molar Experience Course - coupon code is PROTRUSIVE.







    All of the Protruserati clan get 15% OFF the third molar experience with the code 'protrusive'!







    A brilliant course by Dr Nekky Jamal







    In this episode, I asked Dr Nekky about:







    * What clinical and radiographic features suggest an easier third molar? 9:51* Main features that identify a tricky third molar worthy of referal 15:15* The two characteristics to determine the difficulty of third molar removal 16:37* Things to look out to determine a high risk of inferior alveolar nerve damage 20:15* Does CBCT help in planning tooth removal for Wisdom Teeth 24:19* When to consider a coronectomy? 26:37* Tips and Tricks on how to get cleaner flaps 30:54* The Hydraulic flap Technique 32:34* Armamentarium for wisdom tooth removal 35:30* Three magic Nekky tips 38:33







    Join us in our Telegram Community, where we can always help each other out!







    If you enjoyed this episode, check out Make Extractions Less Difficult: Regain Confidence by Sectioning and Elevating Teeth with Dr Chris Waith















    Click below for full episode transcript:







    Opening Snippet: The situations where I failed in, I noticed when the third molar roots are directly touching the second molar roots. Okay? That's what makes it difficult and if you look at at the classification of that, that's a distal angular impaction. But what makes it so difficult is you can't get your instruments between the second and the third molar. And if you break off the crown of that third molar, you can't even see the mesial root because you can't see past that second molar crown.







    Jaz's Introduction: In this episode, Dr. Nekky Jamal will cover all the points you need to know as a GDP if you're extracting wisdom teeth, and that's surgically what makes it an easy case, what makes it complex case. What about those cases where you're worried about nerve damage? When do you need take a CB CT? What about coronectomy? How to get cleaner flaps so you could take out wisdom teeth in a much more cleaner field, what equipment to use,

    • 48 min
    Next Level Occlusion (Basics Part 2) – PDP091

    Next Level Occlusion (Basics Part 2) – PDP091

    Building on from Basics of Occlusion Part 1, I am joined Dr Mahmoud Ibrahim who takes us on his journey from hating Dentistry to eventually loving occlusion and aesthetic Dentistry. We geek out over occlusal contacts, the occlusal examination and freedom in centric!









    https://youtu.be/emfAS95VARU

    Check out this full episode on YouTube







    Need to Read it? Check out the Full Episode Transcript below!







    Protrusive Dental Pearl: When you’re checking occlusion after placing your restoration, check on the contralateral side with the articulating paper (19 microns, for example) to see if it is 'passing through'. If it does pass through, double up the articulating paper (now 38 microns). You can keep doubling-up if you need to, until the paper holds. How does this help? You'll know right away if you need to adjust anything, and if so, you'll get a better idea of how much adjustment is likely.







    “Keep everything nice and smooth, the patient has nothing to grab hold of and push against. That's probably going to make sure your restorations last a lot longer.” - Dr. Mahmoud Ibrahim







    Jaz Edit to the above quote: By 'Smooth' we don't mean highly polished or glazed. We refer to the movements of the mandible being smooth, rather than jerky or abrupt.







    3-minute Occlusal Examination PDF - Click here







    In this episode, we talked about:







    * 7:59 Mahmoud’s journey in Falling in love back to Dentistry* 13:16 Tripodized Contacts* 19:55 How to maximize cusp to fossa* 26:54 Bonus little trick on avoiding high restorations* 28:40 What do we check in a basic occlusal examination?* 38:15 Freedom from Centric/Freedom in Centric* 49:11 Relevance of the Centric Relation Contact Point* 56:41 Disadvantages of doing MIP vs Centric Relation Contact Point







    Join us in our Telegram Community, where we can always help each other out!







    If you loved this, be sure to watch the Part One of the Basics of Occlusion!















    Click below for full episode transcript:







    Opening Snippet: As the mandible is moving, everything should be smooth, and then also everything to be shallow. If you can do that, like you will dramatically reduce your rate of failures with the anterior restoration, just those two gems that you gave there...







    Jaz's Introduction: Hello, I'm Jaz Gulati. And in this episode, we go one step further carrying on from basics of occlusion part one, right,? Thank you so much for the awesome feedback you guys gave for part one, and I'm so happy to have my brother from another mother cut from the same occlusal cloth, Mahmoud Ibrahim, who is a fantastic dentist, you see his work on Instagram. He is amazing. But just learning about a story from this episode is so, so great, because it's the first time we had a proper chat. I've been following him for a few years now. And I didn't realize that he hated dentistry when he qualified right? And I look at his work now. And I think whoa what happened so as well as so many clues or gems. So I'm going to give you a little preview of in a moment that we share...

    • 1 hr 3 min
    Hypnotize Your Patients with 3 Quick Techniques – IC015

    Hypnotize Your Patients with 3 Quick Techniques – IC015

    Dr Jane Lelean will teach us how to implement 'Hypnodontics' techniques so that we can calm our patients, create a positive environment and even reduce post-operative clinical complications!









    https://youtu.be/oesEIRfJvdE

    Check out this full episode on YouTube







    Need to Read it? Check out the Full Episode Transcript below!







    “Hypnodontics isn't just for patients, many dentists are using it to reduce their stress levels and their anxieties too” - Dr Jane Lelean







    In this episode, we discuss:







    * Is there an official qualification before practicing hypnodontics? 8:24* Two general types of hypnotherapy 9:13* Evidence-Base of hypnodontics in Dentistry 11:57* How can we incorporate hypnodontics in our practice 15:45* Reducing post operative complications and pain with hypnodontics 26:43* Changing the post operative instructions 30:02* Help from Hypnotherapist regarding Bruxism 36:28







    Check out The Institute of Dental Business to learn more about Hypnodontics and Hypnotherapy with Jane Lelean.







    If you loved this episode, please do check out What Every Dentist Should Know About Managing Dental Anxiety with Dr. Mike Gow















    Click below for full episode transcript:







    Opening Snippet: So Hypnodontics isn't just for patients. Many dentists are using it to reduce their stress levels and their anxieties too...







    Jaz's Introduction: Hello, Protruserati. I'm Jaz Gulati, welcome to this interference cast a non clinical interruption today on Hypnodontics, hypnosis in dentistry and how you can apply it on Monday morning. I'm joined today by Jane Lelean. Now I hope you enjoyed that previous occlusion episode, I did the basics of occlusion. I've got basics of occlusion two coming up, I'm recording with Mahmoud Ibrahim tomorrow, and we're gonna put together our philosophies to come up with something even more impactful, try and build on that first episode, really just set the scene on why occlusion is confusing, why occlusion is both perhaps overplayed at some points and when it might be super important. So if you haven't listened to basics of occlusion, go back one episode and listen to that one. Anyway, today is about hypnosis in dentistry. And not like, not in a wishy washy kind of way. Like I want you to be able to apply some techniques on Monday morning with your patients to get results. The kind of results I'm talking about is this, right? I am very used to now when I'm explaining risks to patients, or once I've done let's say a deep restoration, I say to my patient, "Hey, you know what, you could get a severe throbbing ache. And if that happens, that's a sign that the nerve is dying. And that can be a very painful thing. It might be worse at nighttime. If you get a spontaneous pain, please give me a call, take some painkillers." This is very much a risk from this procedure, right? So I set them up, In my mind, what I was doing is I was underselling and over delivering so that when they don't get that pain, they think, 'Wow, Jaz is awesome.' So there's a benefit in that, I guess. So I guess I'm happy with the way I've done things. But today, what Jane showed me, what she's gonna share with you is to think about it in a slightly different way. How can we use the power of hypnosis? Which is basically like an altered state of the mind to benefit you and benefit your clinical outcomes. Like, if you tell your patient Look,

    • 40 min
    Basics of Occlusion – PDP090

    Basics of Occlusion – PDP090

    What is Occlusion? Canine Guidance.....Group Function...that's all right?! If only it was that simple! I hope to simplify Occlusion no matter where you are in your journey starting with this back to basics episode. Occlusion is the backbone of complete dentistry and full mouth rehabilitations.









    https://youtu.be/nCRepLglJBk

    Check out this full episode on YouTube







    Need to Read it? Check out the Full Episode Transcript below!







    Protrusive Dental Pearl: If you think your patients are in Canine Guidance, check again. This time check while the patient grinds really hard. You will notice that most people are really group function and even have non-working side guidances!







    "It's very difficult to say that one occlusion is perfectly correct for all individuals. And I don't think we've identified an ideal occlusion for a specific person." - Dr. Ed McLaren







    In this first episode on Occlusion I shared:







    * Canine Guidance vs Group Function 5:54* Evidence base about Occlusion and TMD 10:34* Challenges in researching Occlusion and TMD 13:13* Different Schools of Thoughts about Occlusion 19:42* Centric Relation 23:27* Centric Occlusion 30:34* What is Occlusion? 35:29* Occlusion vs Occluding 37:12* Test driving the changes 46:11







    Check out my 9 point checklist to never have high restorations again on YouTube:









    https://youtu.be/zX4fcYn7POM

    No More High Restorations







    Be sure to check out the best Dental Event of the year, the Dentinal Tubules Congress







    And as a reference for the terms, here’s THE GLOSSARY OF PROSTHODONTIC TERMS 9th Edition







    If you liked this episode, you will also enjoy Posterior Guided Occlusion 















    Click below for full episode transcript:







    Opening Snippet: And we also have excellent clinicians like Ed McLaren, who said it's very difficult say that one occlusion is perfectly correct for all individuals. And I don't think we've identified an ideal occlusion for a specific person...







    Jaz's Introduction:







    Hello, Protruserati, I'm Jaz Gulati and welcome back to the big episode I was telling you about this is the basics of occlusion carrying on from the the back to basics series in August, a lot of you messaged me with your occlusion questions, so I'm going to answer some of them today, but not in like a Q&A format. Because we've done that already in question 15 I'm just gonna take you through a journey, right? I'm gonna take you through a journey that's going to be mirroring some of the things that I've picked up in my journey. And the point of this introduction is to just tell you that we are all in a different place, in our own respective journeys. So some of you may be listening and you might be a dental student, right? And you may be placing your first ever restoration tomorrow, let's say and you are just thinking, Okay, when I stick that colored paper inside, articulating paper, and you get I get the patient to bite together, what are those dots going to look like? And you're just like,

    • 50 min
    Vertiprep Revision and How To Go Digital for Vertical Preps – PDP089

    Vertiprep Revision and How To Go Digital for Vertical Preps – PDP089

    Vertiprep? Dirtyprep? There are some Dentists who will literally opt for an adhesive onlay for every indirect restoration. That's not cool - they are not a panacea. On the flipside, there is a breed of Dentists who identify as 'Verticalists'. They will vertiprep their grandmother if they could. The answer lies somewhere in the middle - everything is case dependent. In this episode, with the return of my friend Jorge Cardoso, we revise Vertical Preparation, decision making protocols for indirect and then explore the nuances of digital scanning for vertical preps (even if they are super subgingival).









    https://youtu.be/AAWRJjEKN_U

    Check out this full episode on YouTube!







    Need to Read it? Check out the Full Episode Transcript below!







    Protrusive Dental Pearl: Impressions vs Digital. Remember, if you're going digital, you need to be more aggressive in your tissue retraction compared to impressions. If the light from the scanner tip does not reach beyond your margin, it will not be recorded. Whereas with impressions, the wash material can flow beyond the margin and capture the sulcus, even if you cannot see it.







    Treatment Plan Letters with MakeMeClear discount - all of the Protruserati clan get 25% OFF the monthly or Annual plan with the code 'protrusive'! Trial it for 21 days and generate letters and listen to Episode 49 - Crystal Clear Treatment Plan Letters







    Fancy joining us for a POTENTIAL trip to Portugal for hands-on Vertical Prep? Click here and I'll email you if/when this gets the go-ahead. We are thinking Spring 2022!







    In this episode Dr Jorge and I talked about:







    * What is vertical preparation 8:17* Two types of vertical preparations (BOPT / Edgeless vs Shoulderless) 13:57* Guidelines on temporising vertical preps 17:40* Traditional vs Digital in Vertical Preparation 23:29* Criticism of Vertical Preparation with Biological width 30:19* Concept of “kissing the bone” 35:33* Spacer Protocols for Technician 40:54* Common mistakes with verti prep 45:02* Digital Scanning tips for Vertical Preparation 49:37







    Sorry that Dr Jorge's screen share did not show in the main video, we had some AV issues. Please find below an 8 min snippet where he shares his screen at various points









    https://youtu.be/e8psNUVMQ5g









    As promised here’s BOPT by Ignazio Loi















    Do Check out Dr. Jorge Cardoso’s episode with Crystal Clear Treatment Plans that Wow Patients and are Easy to Understand







    If you want to learn more about vertical preparations check out eMax Onlays and Vertipreps with Dr Jason Smithson















    Click below for full episode transcript:







    Opening Snippet: At the beginning I was going to be skeptical but then study start to come out to say that A) Zirconia f...

    • 57 min

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