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.

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

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

Highlights for this episode:

This episode is eligible for 1 CE credit via the quiz below. 

This episode meets GDC Outcomes B and C.

AGD Subject Code: 730 ORAL MEDICINE, ORAL DIAGNOSIS, ORAL PATHOLOGY (Diagnosis, management and treatment of oral pathologies)

Dentists will be able to –

For those interested in visual case studies and deeper insights into oral lesions and conditions, follow Dr. Amanda on Instagram and Facebook!

If you loved this episode, be sure to check out another epic episode with Dr. Amanda – Prescribing Antifungals as a GDP – Diagnosis and Management – PDP151

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.

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:

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

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!

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:

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.

AGD Subject code: 690 IMPLANTS

Dentists will be able to: 

If you liked this episode, be sure to watch An Idiot’s Guide to Restoring Single Implant Crowns Part 1 and Part 2

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. 

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 Pearl
04:30 Introduction – Dr Sarika Shah
10:10 Transition to Private Dentistry
13:40 Practice Ownership
17:20 Managing the Practice
24:55 Internal Leadership
29:40 Principals vs Associates Friction
41:56 Women in Dentistry
47:15 Supportive Partners
55:25 Top Advice from Sarika
58:28 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: 

If you liked this episode, be sure to check out IC025 – Parenthood and Dentistry

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?

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:

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’

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? 

This episode is packed full of great tips and techniques that will help you understand how to produce great radiographs as well as being able to properly figure out what they are trying to tell us. Radiographs can be tricky, whether that’s due to them being flipped, upside down or due to cone cut, that’s why this will help shine some light on how to get comfortable with radiographs as well as how to manage our patients after we know what we are dealing with.

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

Don’t miss the special notes on Radiology and Radiography for Students available exclusively in the Protrusive Guidance app! (Join the free Students Section)

This episode is not eligible for CPD/CE points, but never fear, there are hundreds of hours of CPD for Dentists waiting for you on the Protrusive App!

For the full educational experience, our Ultimate Education Plan gives you access to all our courses, webinars, and exclusive monthly content.

If you love this episode, check out PS003 – Routine Checkup

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 biodentine exist?

In this episode, Jaz sits down with renowned endodontist Dr. Brett Gilbert to delve into the intriguing world of elective or pre-emptive endodontics. Together, they explore challenging cases where teeth with uncertain pulpal health may require root canal treatment, whether due to caries or crown prep. Dr. Gilbert sheds light on patient communication strategies, the role of bioactive materials like biodentine and bioceramic sealers, and how to make crucial decisions about preserving pulp vitality.

Protrusive Dental Pearl: Dr. Pav Khaira suggests using Alvogyl, commonly used for dry sockets, to treat pericoronitis! After cleaning and disinfecting the area, place a small amount under the operculum for immediate relief and to soothe inflammation.

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

Highlights of this Episode:

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. Learn what elective or preemptive endodontics entails and recognize scenarios where root canal treatment may be required due to caries or crown preparation, and how to approach them.
2. Discover effective strategies for explaining treatment options to patients, improving trust and decision-making.
3. Gain insights into the use of bioactive materials like biodentine and bioceramic sealers, and their benefits in preserving pulp vitality.

If you liked this episode, you’ll love Post Operative Pain after Endodontics – Prevention and Management – GF017

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 even overwhelming. 

That’s why on today’s episode, we welcome Günter and Marcela from Intensiv, a globally recognised manufacturer of dental burs, where they take great pride in bringing the latest tech to help make our dental procedures that much easier and effective.

In this episode, we cover how diamonds are sourced, what the differences are in colours of burs and how the grain size of diamonds can change our results. There’s lots of amazing tips and tricks here given by the team at Intensiv, so you’ll definitely walk away from this one with something new up your sleeve.

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

HIGHLIGHTS of this Episode:

01:24 Protrusive Dental Pearl

02:03 Introduction to Team Intensiv

05:40 Understanding Bur Codes

10:49 Bur Colours

15:10 When to Use Different Grit Diamonds

18:40 Single Use Burs vs Reusable Burs

24:59 Sourcing Diamonds

29:18 Fixing the Diamonds to the Metal Shank

32:40 Is my bur fit for purpose?

37:30 Drilling Zirconia

39:30 Final Tips

41:20 Contact Intensiv

This episode is eligible for 0.75 CE credit via the quiz below.

AGD Code: 250 Operative (restorative) Dentistry (Preparation Technology)

GDC Learning Outcome:  C

Learning Outcomes

If you liked this episode, you will aslso like: PDP117 – Dental Ceramics in 2022 – Which Ceramic Should I Use

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 coloured version of the amalgam you just removed!

Your nurse’s eyes are like pools of fire – that’s half her lunch break gone.

This happens a few more times until you realise that you’re missing a trick…

Enter this podcast to save your career! 😉

Dr Jaz Gulati and Dr Mahmoud Ibrahim will teach you how to radically minimize adjustments on your daily restorations.

Key Takeaways:

Always check the patient’s occlusion before starting any restoration.

Utilize shim stock to ensure accurate occlusal contacts post-restoration.

Pre-op visual checks are crucial for successful composite placement.

Don’t compromise on the anatomy of the restoration for aesthetics.

Use thinner articulating paper for more precise occlusal markings.

Communicate effectively with your dental nurse about new protocols.

Involve your senses to assess the quality of your restorations.

Document occlusal marks pre and post-restoration for reference.

Adjustments should be minimal if pre-op checks are thorough.

Educate patients about their occlusion to manage expectations.

Highlights of this Episode:
05:24 Introduction – Dr Mahmoud Ibrahim
08:42 Posterior Composite
14:15 Shim Stock Foil
16:35 Effects of Numbing on Occlusion
18:23 Lower First Molar Example
22:06 Shim Stock revisited
26:22 Lateral Excursions
30:32 Fissure Staining?
31:56 Old Restoration as a Guide
35:33 Restoration Techniques and Adjustments
38:03 Tips and Tricks
43:28 Event Discussion
45:09 The Importance of Marginal Ridges
46:25 Anatomy or aNOTomy?
48:17 Post-Op Checklist: Final Adjustmentsand Polishing Tips
54:19 Wrapping Up: Using Your Senses in Dentistry
56:43 Outro

This episode is eligible for 1 CE credit via the quiz on Protrusive Guidance App.

This episode meets GDC Outcomes A and C.

AGD Code: 250 Operative (Restorative) Dentistry (Direct restorations)

Dentists will be able to:

If you liked this episode, check out: IC046 – 4 Ways and 6 Great Reasons to Document Your Dentistry

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)

In this episode, Dr. Linda Greenwall is back with another phenomenal episode as we dive into this common concern. Together, we discuss practical tips and effective strategies and protocols to help patients achieve radiant smiles without pain.

Protrusive Dental Pearl: We’ve made an infographic to summarise this awesome episode. This one is available freely under the episode in our Protrusive Guidance App.

Highlights of the episode:

Dr. Linda Greenwald invites the Protruseratis to the “Future Dentistry” conference on November 1st at the BDA, featuring dental AI, restorative, orthodontics, and implant innovations.

This episode is eligible for 1 CE credit via the quiz on the Protrusive Guidance App.

This episode meets GDC Outcomes A and C.

AGD code 780 ESTHETICS/COSMETIC DENTISTRY (Tooth whitening/bleaching)

Dentists will be able to:

1. Understand the causes of teeth sensitivity during whitening treatments and conduct thorough diagnostics.

2. Implement pre-whitening protocols such as treating non-carious cervical lesions and recommending desensitizing toothpastes.

3. Gain insights into preventative measures for managing sensitivity in whitening treatments.

If you love this, be sure to check out Dr. Linda’s other Protrusive Episodes: Finally, Some Clarity on Teeth Whitening for Under-18s with Linda Greenwall – PDP096 and ICON Resin Infiltration – Step by Step FULL PROTOCOL – PDP140