How do you manage cracks? The ‘Direct Composite Splint Technique’ is kind of controversial. Whilst it may seem intuitive to take cracked teeth OUT of the occlusion, this technique builds composite on top of the cracked tooth in to SUPRA-Occlusion. So what’s the crack? (Sorry) – I brought on the pioneers of DCS, Professor Shamir Mehta and Dr. Subir Banerji who enlighten us about this minimally invasive technique.

Protrusive Dental Pearl: Get the largest magnification loupes you can afford and you can think you can sustain. I personally use 7.5x for EVERYTHING! A sharp probe has a resolution of 40 microns, at 8x magnification the resolution is 25 microns. We need high magnification to treat cracks!

In this episode we discussed:

Check out this paper by Professor Shamir Mehta and Dr. Subir Banerji about DCS Technique

Check out the PG Dip / Master’s in Advanced Aesthetic and Restorative Dentistry:

If you enjoyed this episode, you will love I Hate Cracked Teeth with Kreena Patel

The best articulator is the patient’s TMJ, but you knew that already, right? As a dental student I was always confused by Facebows in Dentistry and their role. Lots of clinicians I respect used facebows….but many others do not! What role do Facebows play in relation to Articulators? How can we make sure that articulators mimic the human articulation as accurately as possible? I am joined by Dr Salman Pirmohamed to end our confusion with Facebows!

Protrusive Dental Pearl: If you’re planning to increase the occluso-vertical dimension (perhaps for multiple restorations or an occlusal appliance) and you know the final vertical dimension, try recording your Centric relation record (or whichever bite religion you follow) AT that desired vertical dimension and NOT at the ‘first point of contact’. This is because traditionally when we send the technician a first point of contact bite, they will open up the pin to give you the space that you need for the restorations and optimal aesthetics. The problem with this is that it introduces an error because the arc closure/opening of the patient is likely going to be different (even with the best Facebow in the world) to the arc on the articulator. Therefore, reduce that error by doing your bite registration, not at the first point of contact, but doing it at where you want to finish. Read that again!

In this episode we discussed:

Check out this papers as mentioned by Dr Salaman on the Podcast!

If you liked this episode, you might enjoy A Story of Digital Occlusion with Dr Ian Buckle

Hello, Protruserati! Welcome to the first ever ‘Occlusal Adjustment’ episode! This is an opportunity for me to go a little bit deeper, have a little rant sometimes, or go off on different tangents based on a recent episode.

This episode is Audio only – sorry YouTube family!

In this very first Occlusal Adjustment I will be talking about how to plan your CPD, inspired by the recent episode with Dr Emma Courtney.

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

“Knowledge is good. Knowledge is power…but implementation is king.” Dr Jaz Gulati

In This episode I talked all about: 

If you want to learn more about wisdom tooth extraction, be sure to check Dr Nekky Jamal’s THE ULTIMATE THIRD MOLAR EXTRACTION COURSE and get a 15% OFF with the code ‘protrusive’

If you’ve been dying to learn more about Bruxism and TMD and want to help your patients that parafunction then be sure to check SPLINTCOURSE – Registration for 2021 ends on 24th November.

If you refuse to whiten under-18s without any exceptions (perhaps because you are blindly following shameful legislation) – then you may be denying children their human right to health. Sorry if that stings – it’s the truth. The impact that white and brown spots on teeth can have on teenagers can be very negative for their mental health. I hope that in this episode with Dr Linda Greenwall you will find answers and gain confidence in treating patients who are in dire need of teeth whitening for health reasons.

Protrusive Dental Pearl: When taking before and after photographs of teeth whitening cases, switch to manual flash settings instead of ETTL in order to provide the same colour of your patient’s skin and gums. 

In this episode, we talked about:

If you want to read other publications on whitening, be sure to check Dr Linda Greenwall’s Publications and also don’t forget to visit Dr. Van Haywood’s Publications 

Also be sure to visit Dr Linda’s Facebook page and Please do support her trusted Charity: Dental Wellness Trust

 SCCNFP’s Study about the Safety of Hydrogen Peroxide: “Hydrogen Peroxide in Tooth Whitening Products”

Learn more about the Molar Incisor Hypomineralization with THE D3 GROUP FOR DEVELOPMENTAL DENTAL DEFECTS

If you enjoyed this episode you will also like Teeth Whitening Secrets for Success

This episode is deep. Burnout is a syndrome of chronic workplace stess that has not successfully been managed. It is unfortunate but it does and can affect so many of our colleagues. In this episode with Dr Emma Courtney, we discuss how to identify when someone is in a difficult patch or experiencing burnout and how to cope with it. The second half of this episode is about planning your CPD/Dental CE appropriately.

Protrusive Dental Pearl: Before starting on a course or program, be sure to have a patient in mind already that will benefit from you going on this course or gaining this piece of education. That way you will be able to apply what you learned ASAP and implementation is key!

“One of the the components of burning out is that emotional exhaustion – that kind of depersonalizing and trying to distance yourself from things” Dr Emma Courtney

In this episode we talked about:

Check out Dr Emma’s Podcast The Fang Farrier 

If you loved this episode, you will like How to Win at Life and Succeed in Dentistry – Emotional Intelligence

Learn TMD and Bruxism Management as a GDP – SplintCourse launches on Monday! Register for the Big Update

Being a good learner, on a fundamental level, is the very foundation of becoming a great clinician. In this interference cast episode I host Dr. Ferhan Ahmed, a dually-qualified Dentist limited to Implants and the author of the book ‘Unstoppable’. Ferhan teaches us mindset hacks and the power of visualisation to being an unstoppable force in Dentistry!

“Always put learning before earning. Increasing your knowledge is immensely, immensely powerful, and it will never hold you back.” – Dr Ferhan Ahmed

In this episode we talked about:

Grab a copy of Dr. Ferhan’s Book: BEING UNSTOPPABLE

As promised, the books that recommended by Dr. Ferhan

If you enjoyed this episode, you will also like 6 Signs You are a Comprehensive Dentist with Dr Jaz Gulati!

We’ve now come to the last bit of this 3-part Oral Surgery Complication series with Dr. Chris Waith. I’m going to be honest, I have a lot of concerns about Tuberosity Fractures – they scare the bejeebers out of me! We all know that it can be a really nasty complication. Fear not! Dr Waith will teach you how to prevent and manage maxillary tuberosity fracture.

“If there’s a really tight contact between those three molars, the two teeth you’re extracting, just spend a minute skimming the contact points.“ – Dr Chris Waith

In this episode, we discussed about:

Join us in our Telegram group! Let us help each other out!

If you loved this episode, be sure to check out the first part! Dry Sockets – How to Prevent and Manage Them?

“Wait, Dentists still carry out Equilibration?!”, that was the reply in our recent discussion on the Protrusive Telegram group when I announced this episode. Yes, Saranga, they still do! The topic of occlusal equilibration is a very controversial one. In this episode you’ll realise the WHY and HOW an equilibration is carried out by one of the best Dentists I ever had a pleasure of shadowing (and also one of the most precise and OCD Dentists I know!) Dr Koray Feran.

Let us learn more about the potential benefits and challenges of equilibration with Dr. Koray Feran, who is a wet fingered practitioner of the highest calibre.

Protrusive Dental Pearl: When you have a patient who has a crowding and they want veneers, and you want to convince them to have some orthodontics first….. Instead of saying, “Oh, I have to remove this part of the tooth.” You could instead say “I don’t want to have to remove your healthy body parts to be able to achieve this goal.” Language is powerful!

“Equilibration is one bit of the pie, it’s a tool. It’s not a magical process. It’s to resolve a situation that you’ve diagnosed.” – Dr. Koray Feran

In this episode, we talked about,

To learn more about equilibration, check out Dr. Koray’s occlusion course!

If you loved this episode, you will definitely like If You’re Not In CR, You Will Die with Dr Kushal Gadhia!

After the last group function where a juicy bit of dry socket has been tackled, I was again surprised by Dr. Chris Waith that managing OACs was such a simple matter of using your existing tools – there is some super real-world GDP-friendly advice in this episode.

“If the OAC is bigger than 5mm, you really get into the point where I don’t necessarily think we should be expecting GDPs to do something super courageous at that point.” – Dr. Chris Waith

In this group function we talked about:

If you loved this episode, be sure to check out the first part! Dry Sockets – How to Prevent and Manage Them?

When did they change the ingredients of Alvogyl?! It’s the return of Oral Surgery Specialty Dentist and sensible man Dr. Chris Waith – this time to answer our Oral Surgery Complication questions starting with Dry Socket prevention and management!

“It will be better no matter what we do, whether we dress it or not, it’s just whether you can live with that timeframe.” – Dr Chris Waith

In this group function we discuss:

Click for ->Chris Waith’s Oral Surgery Course

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