How long do you spend at the end of the day writing notes? Are you always home late? I used to spend HOURS writing up notes after a long day in the clinic, but not anymore.

I have been on a journey to find tools that make record keeping easier, more efficient and higher quality.

The toughest sessions were TMD consultations where there was so much to take in that my poor nurse struggled to get everything down – that’s when I discovered Dental Audio Notes.

I brought on the founders, Dentist Ala and Engineer Adam – to discuss the audio recording (and transcription) as part of dental records.

Disclaimer: I have ZERO financial interest in DAN software. I just think it’s bloody brilliant.

Dental Audio Notes (DAN) is a service designed to revolutionise record-keeping in the dental industry. DAN offers secure audio recording and transcription of patient interactions, allowing dentists to master record-keeping effortlessly.

Here’s what makes DAN an invaluable tool for dentists:

1. Accurate documentation – DAN captures the entirety of the conversation. Dentists can later annotate the recordings, providing additional context and making the documentation even more robust

2. Time efficiency – writing notes can be burdensome, especially when dentists have a high patient volume. With DAN’s transcription feature, dentists can save valuable time by automatically generating accurate and comprehensive clinical notes

3. Security – DAN takes care of storage, security, and privacy. Dentists simply need to press the record button, and DAN handles the rest, maintaining the recordings in a secure and confidential manner

4. Easy access and sharing – With DAN, dentists have the option to refer back to recorded consultations whenever needed. This feature enhances communication and aids in treatment planning. Additionally, dentists can choose to share the recordings with patients, fostering transparency and patient engagement

For those interested in DAN, early registration before September 1st 2023 offers the opportunity to take advantage of the SUMMER2023 pricing. This includes a subscription of £30 per month for 30 hours of recording, with additional hours available at an affordable rate of £1 per hour. DAN offers a free trial period, allowing dentists to record up to 6 hours for free, providing ample opportunity to explore the features and evaluate the service’s suitability.

Dental Audio Notes Website

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

Highlights of the episode:

03:37 An Introduction to Ala Rozwadowska and Adam Marsh
10:34 The benefits of audio recording consultations
15:12 When to use dental audio notes
23:12 Elevating your communication skills
27:53 Gaining Consent
31:47 Dento-legal feedback
34:06 What will DAN be able to do in the future?
38:30 Free trial and prices
42:43 What Ala and Adam hope for users of DAN
44:13 Dental coaches and mentors
47:22 Microphones

If you enjoyed this, you will also love Consent Is Like An Onion – Are You Consenting Your Patients Correctly?

In this thought-provoking episode, Dr. Pasquale Venuti represents Tomorrow Tooth aka ‘the other voice of Dentistry’. He is a renowned dentist who is not afraid to express his controversial views. While he may challenge the modern techniques taught in dental schools today, he brings attention to the shortcomings in current practices and encourages critical thinking.

Dr. Jaz and Dr. Pasquale explore various topics that challenge traditional dental practices, including subgingival caries, flat onlays, post crowns, and cement selection. By raising practical and applicable questions, they encourage dentists to question established norms and seek better solutions for their patients.

Protrusive Dental Pearl: New Restoration Needed and the Patient has an existing occlusal appliance. What can you do?

Imagine a Stabilisation Splint –  For patients who rely on an occlusal appliance – how do you manage the scenario if they need a restoration? Do you need to make a new occlusal appliance? ? Not really. You just have to gouge out the acrylic where the new restoration was placed (intaglio surface of splint). If the splint fits well, no further adjustments are needed otherwise additional acrylic can be added to provide retention (like a partial reline of the splint over your new restoration. Don’t forget that vaseline!)

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

Highlights of this episode:

02:36 The Protrusive Dental Pearl
05:25 Pasquales introduction
16:53 Subgingival Caries and Gingivectomy
22:10 ‘TableTop Onlays’ – Where is the limit?
28:30 Pasquale on C-Factor
31:12 What are the Limits of Adhesive Dentistry?
36:55 Guideline for Adhesive vs Mechanical

If you enjoyed this episode, check this another episode by Dr. Taylor Paton: Biomimetic Dentistry – What Actually Is It?

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:

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.

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

Highlights of this episode:

01:31 The Protrusive Dental Pearl
02:47 Dr. Amanda Phoon Nguyen
06:43 Candida Albicans
08:37 Primary Oral Candidosis
14:48 Modifiable Factors
18:40 GP vs. Oral Medicine – Where to Refer?
21:44 To Prescribe or Not to Prescribe?
24:10 Antifungal Medication
31:44 Interactions
35:48 Angular Cheilitis
39:06 Median Rhomboid Glossitis and Denture Stomatitis
39:57 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.

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

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

Highlights of this episode:

00:49 The Protrusive Dental Pearl
02:23 Dr. Mahmoud Ibrahim
03:07 Class IV Lesions
07:21 Mechanical Failure
09:28 The “Envelope of Function” and “Chewing Space”
13:50 Dealing with Limited Chewing Space
17:49 Mock-Ups
19:35 Dots and Lines
21:14 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.

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:

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

Get in touch for different Board of 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

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)

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:

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

If you enjoyed this episode, check this another episode by Dr. Peter Raftery: How to Save ‘Hopeless’ Teeth with the Surgical Extrusion Technique

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.

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:

Check out courses by Prav Solanki:

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

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

Check out Prav’s dental speaking profile

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.

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

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:

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

Non-vital bleaching or internal whitening comes in many forms, but it’s often confusing which exact protocol to adopt. When you learn this technique you can make a HUGE difference to a patient’s smile in a minimally invasive manner.

Restorative Specialist Dr. AJ Ray-Chaudhuri covered the all-important diagnoses and indications of internal bleaching as well as how to treat tooth calcific metamorphosis (the obliterated pulp). We answer the key question: do you always need to have a root canal treatment present?

The Protrusive Dental Pearl: When carrying out internal bleaching make sure to clean out the entire pulp chamber especially the necrotic pulp horns – clean the necrotic tissue inside using ultrasonics. Ensure the entire chamber is de-roofed – remember that these are mostly trauma cases and the pulp went necrotic in youth – hence large pulp chambers. No role for Ninja access here!

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:

STAY TUNED for Part 2 Next week when it gets really spicy – we have a PDF infographic to follow!

If you enjoyed this episode, check out Post Operative Pain after Endodontics – Prevention and Management

Rochette Bridges are a popular option for interim tooth replacement whilst implants in the aesthetic zone are ‘cooking’. In this episode with Dr Pav Khaira we discuss his interim restoration protocols using Rochette Bridges and Dentures, as well as gaining an insight in to custom healing abutments.

Which cement is best for Rochette Bridges? How do you remove them? Ceramic or Composite pontic? When might we consider a Denture instead?

We then expand in to soft tissue augmentation at the time of implant surgery to get the best pink aesthetics. This episode is packed full of gems even if you do not place implants – much of the benefits of soft tissue augmentation can be applied to non-implant fixed prosthodontics.

The Protrusive Dental Pearl:  Steal my Resin Bonded Bridges consent form! It is a visual aid for patients and helps with information and consent for RBBs. If you are on Protrusive Premium, head to the ‘Protrusive Vault’ to download it. Otherwise you can request your free download here.

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

“It’s all about how you communicate the soft tissue grafting surgery to your patient” – listen/watch the episode to hear this absolute peach of a communication pearl!

Learn Implants from Dr Pav Khaira

Highlights of this episode:

If you enjoyed this episode, check out Success with Resin Bonded Bridges.