Protrusive Dental Podcast

Jaz Gulati
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. 6 DAYS AGO

    Your Endodontics Questions Answered! – PDP217

    When Your Size 10 File is not going to length, what is happening? Your apex locator isn’t giving you a zero reading. Your file is stuck. You’re wondering—have you ledged? Or could something else be at play? In this must-listen follow-up episode, Dr. Samuel Johnson returns to tackle the biggest endodontic dilemmas left unanswered from part one. If you haven’t checked that out yet, go back and listen—it’s packed with insights on working lengths, apex locators, and even the role of consent in endodontics. https://youtu.be/1E6pK2iOPjY Watch PDP217 on Youtube Now, in part two, we go deeper. We’re talking blockages, ledges, portals of exit, and the mysterious phenomenon of file gripping. Plus, Dr. Johnson takes on your burning questions from the Protrusive community—like how he responds to biological dentists claiming root canals should be avoided entirely. (Yep, we’re addressing that controversy head-on!) Protrusive Dental Pearl: For a more visual learning experience, dive into the Pre-Endo Build-Up on Protrusive Guidance and see Jaz and Samuel’s insights in action. Sonic Pro Ultrasonic Bath - 15% OFF before 30th April with coupon code ‘protrusive’ Improve your Bond Strengths - purchase while stocks last: Sonic Pro Discount Key Takeaway: * General dentists often overlook the importance of taper. * Removing too much dentin can weaken the tooth. * GP cones can be unstable and affect the procedure. * Reshaping GP cones can often resolve length issues. * Pre-bending GP cones can help navigate tight curves. * Biological dentists have controversial views on root canals. * It's essential to prioritize the patient's best interest. * Using endo frost can aid in manipulating GP cones. * Consent should be informed and comprehensive. * Communication between referring dentists and specialists is vital. * Continuous learning is essential for dental professionals. * Ultrasonic activation improves endodontic outcomes. * Pulpotomy and root canal treatments have distinct indications. * Building a supportive community can alleviate feelings of isolation in dentistry. * Dentists should charge for their time and expertise. Need to Read it? Check out the Full Episode Transcript below! Highlight of this Episode: * 01:03 Protrusive Dental Pearl * 01:49 Common Scenarios and Tips for Young Dentists * 05:30 File Gripping and Canal Anatomy * 08:30 Master Apical File: The Common Dilemma * 11:18 GP Cone Issues and Solutions * 17:03 Addressing Root Canal Myths  * 23:35 Cracks in Teeth: Prognosis and Treatment

    44 min
  2. 13 MAR

    How to Find a Mentor in 5 Seconds Flat! – IC058

    ‘Mentorship is more important than courses’ - said lots of wise Dentists, and I think they’re right! Do you have a mentor guiding you in your dental career? How do you know if you're making the right clinical decisions? https://youtu.be/5N0kj2YuFtA Watch IC058 on Youtube In this episode, Jaz is joined by Damian Panchal and Shivani Sadani to discuss the power of mentorship in dentistry. They explore why having a mentor can accelerate your growth, boost your confidence, and help you navigate complex cases with ease. They also introduce Intaglio, a brand-new platform designed to connect dentists with experienced mentors—so you can get real-time guidance, solve cases faster, and elevate your practice like never before. Listen in to learn why mentorship might be the best investment you make in your career. Key Takeaways: * Mentorship is essential for professional growth in dentistry. * Post-course support is increasingly important for new dentists. * Real-world experience is crucial for applying theoretical knowledge. * Investing in mentorship can lead to long-term benefits in practice. * Effective mentorship can significantly improve clinical confidence and skills.  * Mentorship is accessible and affordable for all levels. * The value of mentorship lies in its application of knowledge. * Mentors can help navigate career challenges beyond clinical skills. * Relatable mentors can provide the best guidance. * Learning from others' mistakes can save time and effort. Need to Read it? Check out the Full Episode Transcript below! Highlights of this episode: * 00:00 Introduction * 00:48 Introducing Intaglio: A New Mentorship Platform * 01:45 Damian Panchala and Shivani Sedani - Personal Journeys * 04:46 Mentorship Crisis in Dentistry * 11:51 The Role of Social Media and Forums in Mentorship * 17:41 The Value of Paid Mentorship * 21:03 Exploring the Intaglio Platform * 23:44 The Role of Mentors Beyond Clinical Help * 31:05 Intaglio's Vision and Future Plans This episode is not eligible for CPD/CE points, but never fear, there are hundreds of hours of CPD waiting for you on the Ultimate Education Plan, including Premium clinical workthroughs and Masterclasses. Click below for full episode transcript: Teaser: Are people willing to pay for mentorship? Okay. And actually, I think it was very validating because this is already happening in the implant space to a very big degree. Like, okay, I don't know the details there. Maybe you guys do. [Jaz]But if you're someone who's learning to place implants, though, your first X number of implants, you're probably going to make a loss on because you're going to buy all the stuff, buy all the kit,

    42 min
  3. 11 MAR

    Working Lengths and Troubleshooting Apex Locators – PDP216

    What makes apex locators reliable—or completely misleading? How do you determine the true working length of a root canal? Why is relying solely on radiographs for endo success a risky move? Dr. Samuel Johnson joins Jaz for a game-changing episode that will make you rethink everything you know about endodontics. In this first part of a two-part special, they dive into the nuances of apex locators, the difference between the radiographic apex and apical constriction, and why our radiographs might be lying to us. They also explore the power of glide path files, how to improve your endodontics workflow, and an incredible way to consent patients—something that extends beyond just root canals. Because mastering endodontics isn’t just about technique—it’s about communication, precision, and making the right calls for long-term success. Stay tuned for Part 2, where we go even deeper into endo essentials! https://youtu.be/M2z8Dl_g4XY Watch PDP216 on Youtube Protrusive Dental Pearl:  Buy a small whiteboard and marker for patient communication. Draw details, highlight the treatment plans, and list pros, cons, and fees. This builds trust, improves consent, and makes treatment clearer. Snap a photo and upload it to the patient’s records. https://amzn.to/3DzUJfn Key Takeaway: * Understanding the difference between radiographic and anatomical apex is crucial. * Apex locators are essential tools for accurate working length measurements. * The anatomy of the root canal system is complex and requires careful navigation. * A well-informed patient is more likely to have realistic expectations about treatment. * Glide path files can significantly reduce treatment time. * Avoid forcing files into hard stops to prevent damage. * Complicated anatomy can lead to unexpected challenges during treatment. * Taking radiographs can help clarify uncertain situations. Need to Read it? Check out the Full Episode Transcript below! Highlights of this Episode: * 01:40 Protrusive Dental Pearl: Patient Communication * 02:39 Welcoming Dr. Samuel Johnson * 04:36 Samuel's Passion for Endodontics * 07:07 Reliability of Radiographic Measurements vs. Apex Locators * 11:15 Canal Anatomy * 14:30 Overextension vs Overfilling * 16:23 Combining Apex Locators and Radiographs * 20:52 Apex Locators and Hypochlorite: The Perfect Combination? * 24:00 Efficiency in NHS Dentistry * 26:10 Transitioning from NHS to Private Practice * 27:42 Understanding Radiographic vs Anatomical Apex * 29:26 The Importance of Consent in Endodontics * 33:07 Mastering Apex Locators: Tips and Tricks * 37:07 The Role of Glide Path Files in Endodontics * 39:19 Troubleshooting Endodontic Challenges Watch and learn from Dr.

    46 min
  4. 3 MAR

    Medication Related Osteonecrosis for GDPs – What You Need to Know (MRONJ) – PDP215

    Are you confident in managing patients on bisphosphonates or biologics? Which medications increase the risk of medication-related osteonecrosis of the jaw (MRONJ)? How do you decide when to extract a tooth and when to refer to a specialist? In this episode, Jaz is joined by oral surgery consultant Dr. Pippa Cullingham to explore the complexities of MRONJ. They break down the key risk factors, share expert advice on when to proceed with extractions, and discuss the latest guidelines for managing patients at risk. They also discuss the importance of early assessment - by identifying at-risk teeth early, you can help prevent serious complications and ensure the best outcome for your patients. https://youtu.be/KnQoI8Z-FhM Watch PDP215 on Youtube Protrusive Dental Pearl: it is so important to assess patients before they start taking high-risk medications like bisphosphonates or biologics, using radiographs to identify potential issues. Extractions should ideally be done before medication starts to avoid complications, as MRONJ risk increases once treatment begins. Key Takeaways: * Medication-related osteonecrosis of the jaw concerns medications other than bisphosphonates. * Risk assessment is crucial when considering dental extractions for patients on certain medications. * Guidelines from the Scottish Dental Clinical Effectiveness Partnership are valuable resources for dentists. * Higher-risk patients require careful management and communication with their medical teams. * Denosumab has a different risk profile compared to bisphosphonates. * Patients on long-term bisphosphonates may still have risks even after stopping the medication. * Dentists should feel empowered to manage certain extractions in primary care with proper guidance. * The decision to extract a tooth should weigh the risks and benefits for the patient. * Always assess the patient's risk before extraction. * Eight weeks is a critical time for assessing healing. * Antibiotics are not recommended for preventing MRONJ in the UK. * Radiotherapy history significantly impacts extraction risk. * Referral to specialists may be necessary for high-risk patients. Need to Read it? Check out the Full Episode Transcript below! Highlights of this episode: * 02:15 Protrusive Dental Pearl * 03:52  Interview with Dr. Pippa Cullingham: Insights and Experiences * 06:40 Medications and Their Risks * 10:02 MRONJ: Incidence and Prevalence * 13:13 Biologics and other medications * 14:19 Guidelines and Best Practices * 17:22 Managing High-Risk Patients * 25:03 Prophylactic Antibiotics  * 26:55 Risk Assessment * 28:47 Radiotherapy & ORN Risk * 31:49 Tips and Key Takeaways * 33:32 New Medications & Prevention Strategies For the best approach to managing MRONJ, check the SDCEP...

    43 min
  5. 26 FEB

    Associate’s Journey of Growth – IC057

    Not quite happy or set with being a GDP? Have you just started as a GDP and want to streamline your learnings for a brighter future? Is an MSc the right plan of action for you? How important are mentors in all of this? In this episode we discuss Dr Kiran Shakla’s journey from University to Australia to working as a Dentist at a Specialist Practice. She shares with us her top tips on how Dentists can make the most of their weekly schedules and reduce stress while dealing with different cases. https://youtu.be/IiecXSpsJmc Watch IC057 on Youtube Key Takeaways: * Hard work and determination are key to success in dentistry. * Work-life balance is crucial for long-term satisfaction in dentistry. * The first ten years post-graduation are vital for career development. * General dentistry can be fulfilling without the need for specialization. * It's important to recognize when to refer patients to specialists. * Kiran emphasizes the value of personal growth and continuous learning.. * Finding joy in everyday practice is essential for a sustainable career. Australia taught me valuable skills in private practice. * Private dentistry focuses more on patient care than money. * Communication is crucial for patient satisfaction. * Finding mentorship can be challenging but essential. * Shadowing experienced professionals enhances learning. * Balancing work and education requires sacrifices. Need to Read it? Check out the Full Episode Transcript below! Highlight of this episode: * 02:34 Introduction to Dr Kiran Shankla * 06:18 Correlation between Uni and the Real World * 07:29 Selling a Dream * 10:13 Going Hard Early * 12:43 Taking Work Home * 14:55 General Dentistry * 20:48 Kiran’s Journey  * 24:23 What did the experience teach Kiran? * 31:33 Mentoring * 34:38 Work Schedule * 37:38 Bone to pick with Master's * 43:33 Orthodontic Position * 48:53 Working with Nurses * 54:33 Networking * 56:33 Wrapping Up Connect with Dr. Kiran on Instagram! 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! If you liked this episode, check out: Stress in Dentistry 2024 – Life Changing Decisions – IC048 Click below for full episode transcript: Teaser: They don't have the clinical skill, but they've seen so many people do it,

    1h 5m
  6. 19 FEB

    So You’ve Decided to Specialise? – IC056

    How do we decide whether speciality training is right for us? Is the best time to specialise straight after Dental School? Or should we gain some experience in practice first? Dr Beant Thandi joins us today to share his journey into specialising and shares some key experiences that will surely help guide you along the way. We discuss the different specialities within Dentistry as well as what personality types may suit them. This episode will really help you understand what it takes to specialise and how to get there. https://youtu.be/f8ZM8EkjSQY Watch IC056 on Youtube Key Takeaways:- Beant is starting his specialization in periodontics.- His journey began during COVID, leading to a desire to specialize.- Proactive learning and mentorship played a crucial role in hisdevelopment.- Financial planning is essential when considering specialization.- Choosing a specialty should align with personal interests and strengths.- Periodontics offers a breadth of practice that appeals to Beant.- The importance of community support in dental education cannot be overstated.- Reflection and documentation of cases can enhance learning and confidence.- Understanding the financial implications of specialization is vital.- It's important to stay grounded and not rush into specialization.  Need to Read it? Check out the Full Episode Transcript below! Highlights of this Episode:00:00 Teaser02:38 Intro to Dr Beant Thandi04:03 Dental Journey06:10 What Influenced You?12:56 Too Young to Specialise17:50 Judgement by Jaz21:00 Never too Young26:05 Cost of Specialising28:23 Why not the USA?31:30 Roasting Prostho34:45 Roasting Endo37:42 Roasting Ortho39:49 Roasting Oral Surgery45:00 Shoutout to Lucy45:30 Final Thoughts47:28 End Outro If you liked this episode, check out a classic: Should You Specialise? PDP006 This episode is not eligible for CPD/CE points, but never fear, there are hundreds of hours of CPD waiting for you on the Ultimate Education Plan, including Premium clinical workthroughs and Masterclasses. Click below for full episode transcript: Teaser: But one thing I learned from a nurse when I was doing a DCT job was people all progress at different rates. It should be competency based, not necessarily time based things. People learn at different rates. And this was a max fax nurse who's obviously seen regists for decades, where I'm sure like, the junior regists are better than the senior regists. Just because they soak it up more. [Jaz]The whole pros element, right? Multiple crowns, four rehabs, lots of general dentist do four rehabs, lots of general dentists do all on fours, that kind of stuff. So, nowadays it's like blurred lines between, okay, what do they actually need a Prosth for? However, prosth, I think they're very employable. However, lots of people who do an MClinDent Prosth end up being general dentist.

    52 min
  7. 12 FEB

    Health is Wealth (Wellbeing, Diet and Stress) – IC055

    Two weeks ago I suffered a spontaneous pneumothorax and it shook me. This episode came at the PERFECT time as such health scares remind us that our health and wellbeing are the highest form of Wealth. Should Dentists have a therapist to manage stress and anxiety? Did you know that a BDA survey found 1 in 5 practitioners have seriously considered taking their own lives? Is it the intense work environment, the pressure from patients, the fear of litigation, or the added burden of business ownership? More importantly, how can we address this issue and support dental professionals? Dr. Simon Chard, a cosmetic and implant dentist and co-founder/CEO of Parla (as seen on Dragon's Den!), joins Jaz to discuss the often-overlooked realities of the dental profession.  https://youtu.be/rH7PtjFTOpk Watch IC055 on Youtube Here are the two books Jaz recommended during the intro: The 5 Types of Wealth by Sahil Bloom Hold on to your Kids by Gabor Mate Check out The Dental Growth Retreat by Dr Simon Chard Need to Read it? Check out the Full Episode Transcript below! Key Takeaways: * Simon emphasizes the importance of balancing personal and professional life. * Mental health issues in dentistry are alarmingly high, with many professionals considering leaving the field. * Therapy can be beneficial for everyone, including dentists, to manage stress and emotional challenges. * Building mental resilience is crucial for handling the pressures of dental practice. * Sleep quality and routine significantly impact overall health and productivity. * Mindfulness and meditation can reduce stress and improve mental health. * A structured approach to self-care can enhance resilience in the dental profession. * Exercise is a key component of maintaining mental and physical health. * Creating a supportive community among dental professionals is essential for mental well-being. * Proactive self-care strategies can prevent burnout and improve job satisfaction. You can't mess up meditation; awareness is key. * Diet significantly impacts mental health and well-being. * Interpersonal relationships are crucial for mental resilience. * Exercise is a powerful tool for physical and mental health. * Purposeful living leads to greater fulfillment. * Hydration and nutrition are foundational to health. * Loneliness can have severe health implications. * Creating time for relationships is essential. * A value-based calendar helps prioritize what matters. * Retreats can provide tools for personal growth and accountability. This episode is not eligible for CPD/CE points, but never fear, there are hundreds of hours of CPD waiting for you on...

    1h 4m
  8. 10 FEB

    How to Temporise Veneers Step by Step FULL GUIDE – PDP214

    What is the best technique for fabricating temporary veneers? How do you ensure they are retentive but not TOO retentive? What’s the best way to shape, polish, and remove them efficiently? In this episode, I’m joined by Aodhan Docherty—an absolute sensation in Sydney when it comes to veneers. He’s mastered the art, and today, he’s on a mission to share everything you need to know to get crisp, stable, and well-shaped temporary veneers every single time. We break down different protocols, troubleshoot common issues, and, most importantly, make sure your temporaries stay put until it’s time for the final fit. https://youtu.be/BI_xMlSXgvc Watch PDP214 on Youtube Protrusive Dental Pearl: Aodhan recommended a chlorhexidine-based mouthwash to reduce inflammation but advises using an ADS (Anti-Discoloration System) mouthwash to avoid staining. The ADS system helps maintain healthy tissue response, preventing bleeding and inflammation on the day of veneer placement while eliminating the discoloration commonly associated with standard chlorhexidine products. Key Takeaways: * Temporary veneers serve as a blueprint for final restorations. * Facially driven smile design enhances patient satisfaction. * Patient adaptation is key to successful cosmetic procedures. * Oral hygiene is vital for maintaining temporary veneers. * Effective communication with the dental team improves outcomes. * Understanding patient biotype is essential for treatment planning. * Stress management is a critical skill for dental professionals. Patient-centric approaches are essential in modern dentistry. * The shrink wrap technique offers better control and aesthetics for temporaries. * Effective communication with patients enhances their experience and satisfaction. * Hands-on training is crucial for developing practical skills in dentistry. * The importance of assessing temporaries before finalizing restorations cannot be overstated. Need to Read it? Check out the Full Episode Transcript below! Highlights of this episode: * 01:17  Protrusive Dental Pearl * 04:42 Welcoming Dr. Aodhan Docherty  * 06:30 Challenges and Rewards of Managing Practice * 10:00 Facially Driven Smile Design * 14:53 Temporary Veneers: Practical Tips and Techniques * 20:51 Non-Staining Mouthwash *  22:27 Temporaries: Pros and Cons  * 26:49 Proximal Papilla Care * 31:14 The Trial Smile Approach * 35:14 The Shrink Wrap Technique * 39:41 Detailed Steps for Shrink Wrap Technique * 40:56 Spot Etching & Bonding for Retention * 43:08 Removing Temporaries Atraumatically * 51:22 Porcelain Veneers Workshop: Course Overview  * 56:12 Learning from Failures This episode is eligible for 1 CE credit via the quiz on Protrusive Guidance.

    1h 5m
4.9
out of 5
148 Ratings

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

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