Protrusive Dental Podcast Jaz Gulati

Download our Prescribing Antifungals for Dentists Cheat Sheet!







Miconazole? Nystatin? Amphotericin B? What dose?







When should you refer, and to who?







How often do we prescribe antifungals as a GDP? I always need to brush up on the guidelines and best management of oral fungal infections whenever I make a diagnosis - which is why brought on Oral Medicine Specialist Dr. Amanda Phoon Nguyen to make diagnosing and managing oral fungal infections less painful!







Dr. Phoon Nguyen shared her experience and insights into diagnosing and treating oral fungal infections. Here's a glimpse of what we covered:







* Primary Oral Candidosis:







* Explore the three types: pseudomembranous candidosis, chronic hyperplastic candidosis, and erythematous candidosis.* Learn how to identify each type and when further investigation may be necessary.







* Candida-Associated Lesions:







* Understand the different candida-associated lesions, including denture stomatitis, angular cheilitis, median rhomboid glossitis, and linear gingival erythema.* Discover the significance of these lesions in relation to systemic health.







* Treatment Approaches:







* Gain insights into effective antifungal medications, such as miconazole oral gel (Daktarin), amphotericin B lozenges (Fungilin), and fluconazole mouthwashes.* Consider interactions and precautions when prescribing antifungals for patients on specific medications.







* Denture Hygiene:







* Explore the role of dentures in oral candidosis and the importance of proper denture hygiene.* Learn practical tips for denture maintenance to prevent candida colonization.









https://youtu.be/-RqoVZVVnsI

Watch PDP151 on Youtube







The Protrusive Dental Pearl: What are you Waiting for? If there’s something you’ve been putting off (meditation, exercise, diet, work, etc.), the best time to start was years ago. The second-best time is today! Write it down, tell someone, keep yourself accountable and start right now.







Highlights of this episode:







01:31 The Protrusive Dental Pearl02:47 Dr. Amanda Phoon Nguyen06:43 Candida Albicans08:37 Primary Oral Candidosis14:48 Modifiable Factors18:40 GP vs. Oral Medicine - Where to Refer?21:44 To Prescribe or Not to Prescribe?24:10 Antifungal Medication31:44 Interactions35:48 Angular Cheilitis39:06 Median Rhomboid Glossitis and Denture Stomatitis39:57 Denture Hygiene







If you enjoyed this episode, check this another episode by Dr. Ben Pollock and Dr. Samuel Cope, Got Your Back – Physios and Dentists.

What should the occlusion look like when you are restoring or replacing a Class IV restoration? This question is so basic yet so complex which is often not talked about enough. We go on all these composite courses and talk about the layering, but we don't talk enough about how to put the principles of occlusion into action.







In this episode, Dr. Ibrahim will be talking about how Class IV Restorations can be optimised to get a long term predictable result. We also shared the two mechanical failures in dentistry and the step-by-step process of a Class IV restoration with occlusion in mind.









https://youtu.be/JgbO6PDjSOg

Watch PDP150 on Youtube







The Protrusive Dental Pearl: Occlusion Whisperer – Ask your patient to bite together and listen – in a “good” occlusion you should hear lots of tooth-to-tooth contact, whereas a thud indicates an issue. Use this in addition to more traditional methods of assessing the occlusion, and make sure you are satisfied with the occlusion before asking the patient “how does that feel?”







Are you ready to learn Occlusion in a way that makes sense, in your own time, with first class support and career boosting confidence to deliver Restorative Dentistry to the highest standard?







Then join Occlusion Basics and Beyond Online Course with IAS Academy







Download Protrusive App on iOS and Android and Claim your Verifiable CPD/CE by answering a few questions + You can get EARLY ACCESS to the episode + EXCLUSIVE content







Highlights of this episode:







00:49 The Protrusive Dental Pearl02:23 Dr. Mahmoud Ibrahim03:07 Class IV Lesions07:21 Mechanical Failure09:28 The “Envelope of Function” and “Chewing Space”13:50 Dealing with Limited Chewing Space17:49 Mock-Ups19:35 Dots and Lines21:14 The Process







If you enjoyed this episode, check this another episode by Dr. Mahmoud Ibrahim, Next Level Occlusion (Basics Part 2).

Occlusal appliances are commonly prescribed for the management of Bruxism - but they might be doing more harm than good if you have not screened for an airway issue.







Dr. Aditi Desai discussed the link between airway and bruxism- could an airway problem cause bruxism? Why is it advised NOT to have a standard occlusal appliance if there is an airway issue?







Did you know there are three levels of diagnosis for Sleep Bruxism?







The 'Possible' Bruxist, the 'Probable' Bruxist and the 'Definite' Bruxist - in this episode Dr. Aditi Desai who also featured in PDP 139 on sleep disordered breathing and sleep apnea, will explain this and when it may be relevant to sleep apnoea.









https://youtu.be/DozqYGEPNxY

Watch PDP149 on Youtube







The Protrusive Dental Pearl: Parafunctional Screening Sheet - A simple PDF that you can look for in terms of your extra-oral examination, intra-oral examination and the history - to give a clue that a patient might be a bruxist in just 2 minutes - download below:







Parafunctional-ScreenDownload















Download and Sign in to the Protrusive App on iOS and Android and head over to the freemium version of this episode and on The Protrusive Vault for those Protrusive Premium members (where you can get full CE or CPD Certificate by answering a few questions)







Highlights of this episode







* 5:21 The Protrusive Dental Pearl* 6:28 Dr. Aditi Desai’s Introduction* 9:17 Airway in Dentistry* 12:49 Lack of studies with regards to diagnosing sleep bruxism* 16:32 Signs to look for to a possible bruxist and how to communicate with them* 27:01 Nomenclature of sleep bruxism* 30:51 Learning points to assess airway* 35:43 Cases that caused the patient to become apnoeic







Get in touch for different Board of Sleep Medicine:







* UK: British Academy of Dental Sleep Medicine (BADSM)* USA: American Academy of Dental Sleep Medicine (AADSM)* Australia: Australian Academy of Dental Sleep Medicine







If you enjoyed this episode, you may also like Airway – Dentistry’s Elephant in the Room with Prof Ama Johal

You're faced with a beautiful crown with what seems like a decent root filling - but there's an apical infection present. Is the answer always endodontic re-treatment? When should we instead consider apical surgery so we can clear the infection WITHOUT drilling through the crown or having to dismantle posts?







In this episode, specialist endodontist Dr. Peter Raftery and his associate Dr. Manpreet Dhesi will be talking about the Apicoectomy procedure that can be used to treat root-filled teeth using a 'retrograde' approach. They will discuss about how it fits into general dentistry, its indications and contraindications, its cost analysis vs implants and and the entire protocol for performing Apicoectomy









https://youtu.be/sZOsLuuf-Vo

Watch PDP148 on Youtube







Protrusive Dental Pearl: The periradicular surgery guidelines issued by BES and the Royal College of Surgeons. Download the guidelines about periradicular surgery or on the app under the Protrusive Vault (where all the different files and infographics and the different things that you get as a Protrusive premium member)







BES-RCS-Peri-Radicular-Surgery-GuidelinesDownload







Download Protrusive App on iOS and Android and Claim your Verifiable CPD/CE by answering a few questions + You can get EARLY ACCESS to the episode + EXCLUSIVE content







Highlights of this episode:







* 1:37 The Protrusive Dental Pearl * 3:32 Dr. Peter Raftery’s introduction* 4:05 Dr. Manpreet Dhesi’s introduction* 5:16 What is Apicoectomy?* 6:29 Oral Surgeons vs Endodontists?* 8:48 Is a Microscope mandatory for Apicoectomy?* 10:08 Apicoectomy for posteriors* 11:00 Isolation Protocol for Anterior Apicoectomies* 11:35 Apicoectomy Protocol* 15:03 Disinfection Protocol* 18:41 Moisture control from the bleeding* 20:43 Risk of surgical emphysema - Is special handpiece needed?* 21:52 Indications and Contraindications for Apicoectomy * 27:46 Endodontic Re-treatment* 29:05 Cost benefit analysis of Apicoectomy* 31:20 Success rate for Apicoectomy* 34:19 Case Scenario 1: 82-year old patient with a singular crown, root filling and a radicular pathology* 42:10 Retrograde fillings of choice  * 44:09 Grafting after Apicoectomy - is it needed?* 45:04 Equipments for Apicoectomy* 47:11 Learning more about Apicoectomy







Apical Microsurgery Instrument Kit- the mirror, the pluggers, and the little curettes by Hu-Friedy UK







Apical-Microsurgery-Instrument-KitDownload







If you enjoyed this episode, check this another episode by Dr.

Stop waffling and start communicating effectively. Stop giving 75 different treatment options and RECOMMEND the ideal plan based on their goal (hint: ask more questions!). Become efficient with patient communication by switching to video letters using Loom.







In this episode, Prav Solanki talks about the trust built between the Dentists and their patients, and how that trust is the foundation for providing the best treatment plan for each patient. After this episode you will realise that sales is NOT a dirty word, and you will love his definition of it.









https://youtu.be/cNVMKpzbqXI

Watch IC038 on Youtube







Check out the example Loom videos on Premium Clinical Videos section of the Protrusive App.







Download Protrusive App on iOS and Android and Claim your Verifiable CPD/CE by answering a few questions + You can get EARLY ACCESS to the episode + EXCLUSIVE content







Highlights of the episode:







* 6:33 Prav Solanki’s Introduction* 8:56 Sales in Dentistry* 13:53 Information that patients needs to know before being eligible for a free consultation* 18:47 Learning the art of concise communication* 25:56 2 Stage processes in Business* 27:58 How to build trust with your patients* 34:05 Delivery of the Treatment Plan* 36:51 Using Loom for Treatment Plan Presentation







Check out courses by Prav Solanki:







https://courses.iasortho.com/courses/gb/business-mindset-mastery







https://courses.iasortho.com/courses/gb/phone-school-with-prav-solanki







https://courses.iasortho.com/courses/gb/sales-and-communication-mastery-for-tcos







If you enjoyed this, you will also love Presenting Treatment Plans the Comprehensive Way

Following the cliffhanger from Part 1 where the theme was Diagnosis - we now discuss the two main protocols of internal bleaching: the Inside-Outside Bleaching technique and Walking Bleach Technique for non-vital teeth whitening.







In this episode Dr. AJ Ray-Chaudhuri discussed how to prevent peroxide gel from entering the root canal system while performing non-vital bleaching. We cover every detail of the procedure and offer step-by-step guidance on how to make a tray, how much to charge patients, which gels to use and much more.









https://youtu.be/5Pl238679j4

Watch PDP147 on Youtube







Protrusive Dental Pearl: The full protocol workflow - summarised PDF of Part 1 and 2 of this Internal Bleaching Series plus the patient advice sheet AND lab instruction sheet by Dr. AJ Ray-Chaudhuri









Click Here to Request the PDFs









Download Protrusive App on iOS and Android and Claim your Verifiable CPD/CE by answering a few questions + You can get EARLY ACCESS to the episode + EXCLUSIVE content







Highlights of this episode:







* 2:28 Protrusive Dental Pearl* 3:40 Tips and Advice for Internal Bleaching in Practice* 7:21 The Inside-Outside Whitening Technique* 17:45 Internal Bleaching Protocol* 23:21 Getting the proper access cavity* 27:21 Dealing with patients who do not follow instructions well* 31:47 Considerations and Tips to maximize success or to avoid mistakes* 33:08 Internal resorption and relapse







If you enjoyed this episode, check out the first part of this episode: Internal Whitening Protocols Pt1 (Non-Vital Bleaching)