I think we owe it to our patients to a know some fundamentals of full arch implant Dentistry, even if you do not currently place or restore implants. Make a big cup of coffee because this is one of those longer episodes! I am joined by Restorative Specialist Dr. Harpal Chana to breakdown FP1 to RP5 and exactly what GDPs should know about full arch implant prostheses.

Protrusive Dental Pearl: Instead of booking patients for a ‘fit appointment’ for crowns or bridges, rebrand it to ‘try-in appointment’. This takes the pressure off of you and your technician – in the small chance that things are not perfect, you can correct it and book their fit. If everything is good at the ‘try-in’ you can go ahead and fit your work definitively. It’s just a good way to manage expectations and reduce the chance of disappointments and surprises.

As Promised! Infographic summarising FP1 – RP5 classification

In this episode we talked about:

If you liked this episode, you will love to listen and learn about Implant Assessment for GDPs: from Space Requirement to Ridge Preservation

Sponsored by Nobel Biocare

12-13th March 2022 at Elmfield House Dental Education, Teddington, London. Hosted by – Harpal Chana, Harjot Bansal, Pynadath George, Manish Patel, George Xirogiannis, Hannah Young
Summary: Beginners course for fixed and removable implant retained and supported bridges and dentures. Cover implant planning, bone grafting, prosthetic planning and execution, dealing with failures and maintenance of appliances and implants. Register your interest by emailing: [email protected]

A tricky Third molar surgery can humble even the most experienced of Oral Surgeons. Surgical removal of Wisdom teeth has become somewhat of a post-graduate discipline, with many Dentists lacking the confidence or even the appetite for their removal. We have today the very enthusiastic Dr Nekky Jamal who is a GDP that lives and breathes third molar surgery. He shares with us his top tips for the planning and execution of M3Ms surgery!

Protrusive Dental Pearl: When you are sectioning a mesio-angular impacted tooth, start your section 1-2 millimeters more mesial to where you think the furcation is – you will have a tendency to drift distally and therefore more likely to HIT that furcation which is when the magic begins.

(Regarding disto-angular third molars) “If you lose your crown, you almost lose your ability and your orientation of where that tooth is.” Dr Nekky Jamal

Click Here to visit Nekky’s Third Molar Experience Course – coupon code is PROTRUSIVE.

In this episode, I asked Dr Nekky about:

Join us in our Telegram Community, where we can always help each other out!

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

Building on from Basics of Occlusion Part 1, I am joined Dr Mahmoud Ibrahim who takes us on his journey from hating Dentistry to eventually loving occlusion and aesthetic Dentistry. We geek out over occlusal contacts, the occlusal examination and freedom in centric!

Protrusive Dental Pearl: When you’re checking occlusion after placing your restoration, check on the contralateral side with the articulating paper (19 microns, for example) to see if it is ‘passing through’. If it does pass through, double up the articulating paper (now 38 microns). You can keep doubling-up if you need to, until the paper holds. How does this help? You’ll know right away if you need to adjust anything, and if so, you’ll get a better idea of how much adjustment is likely.

“Keep everything nice and smooth, the patient has nothing to grab hold of and push against. That’s probably going to make sure your restorations last a lot longer.” – Dr. Mahmoud Ibrahim

Jaz Edit to the above quote: By ‘Smooth’ we don’t mean highly polished or glazed. We refer to the movements of the mandible being smooth, rather than jerky or abrupt.

In this episode, we talked about:

Join us in our Telegram Community, where we can always help each other out!

If you loved this, be sure to watch the Part One of the Basics of Occlusion!

Dr Jane Lelean will teach us how to implement ‘Hypnodontics’ techniques so that we can calm our patients, create a positive environment and even reduce post-operative clinical complications!

“Hypnodontics isn’t just for patients, many dentists are using it to reduce their stress levels and their anxieties too” – Dr Jane Lelean

In this episode, we discuss:

Check out The Institute of Dental Business to learn more about Hypnodontics and Hypnotherapy with Jane Lelean.

If you loved this episode, please do check out What Every Dentist Should Know About Managing Dental Anxiety with Dr. Mike Gow

What is Occlusion? Canine Guidance…..Group Function…that’s all right?! If only it was that simple! I hope to simplify Occlusion no matter where you are in your journey starting with this back to basics episode. Occlusion is the backbone of complete dentistry and full mouth rehabilitations.

Protrusive Dental Pearl: If you think your patients are in Canine Guidance, check again. This time check while the patient grinds really hard. You will notice that most people are really group function and even have non-working side guidances!

“It’s very difficult to say that one occlusion is perfectly correct for all individuals. And I don’t think we’ve identified an ideal occlusion for a specific person.” – Dr. Ed McLaren

In this first episode on Occlusion I shared:

Check out my 9 point checklist to never have high restorations again on YouTube:

Be sure to check out the best Dental Event of the year, the Dentinal Tubules Congress

And as a reference for the terms, here’s THE GLOSSARY OF PROSTHODONTIC TERMS 9th Edition

If you liked this episode, you will also enjoy Posterior Guided Occlusion 

Vertiprep? Dirtyprep? There are some Dentists who will literally opt for an adhesive onlay for every indirect restoration. That’s not cool – they are not a panacea. On the flipside, there is a breed of Dentists who identify as ‘Verticalists’. They will vertiprep their grandmother if they could. The answer lies somewhere in the middle – everything is case dependent. In this episode, with the return of my friend Jorge Cardoso, we revise Vertical Preparation, decision making protocols for indirect and then explore the nuances of digital scanning for vertical preps (even if they are super subgingival).

Protrusive Dental Pearl: Impressions vs Digital. Remember, if you’re going digital, you need to be more aggressive in your tissue retraction compared to impressions. If the light from the scanner tip does not reach beyond your margin, it will not be recorded. Whereas with impressions, the wash material can flow beyond the margin and capture the sulcus, even if you cannot see it.

Treatment Plan Letters with MakeMeClear discount – all of the Protruserati clan get 25% OFF the monthly or Annual plan with the code ‘protrusive‘! Trial it for 21 days and generate letters and listen to Episode 49 – Crystal Clear Treatment Plan Letters

Fancy joining us for a POTENTIAL trip to Portugal for hands-on Vertical Prep? Click here and I’ll email you if/when this gets the go-ahead. We are thinking Spring 2022!

In this episode Dr Jorge and I talked about:

Sorry that Dr Jorge’s screen share did not show in the main video, we had some AV issues. Please find below an 8 min snippet where he shares his screen at various points

As promised here’s BOPT by Ignazio Loi

Do Check out Dr. Jorge Cardoso’s episode with Crystal Clear Treatment Plans that Wow Patients and are Easy to Understand

If you want to learn more about vertical preparations check out eMax Onlays and Vertipreps with Dr Jason Smithson

Ask 10 Dentists for a treatment plan, and you will get 12 different recommendations. Treatment planning is an art, but our diagnosis should be highly scientific. Making decisions of what specific treatment we should recommend to our patients is the very foundation of daily practice. With the experienced Dr Paresh Shah we discuss the How, What and Why of the Treatment Planning process in this Back to Basics in Dentistry series.

Protrusive Dental Pearl: If you are unsure what is the best treatment plan for your patient, it likely means you haven’t asked enough questions. Ask more questions and seek your patients’ drivers and goals.

“Find an experienced mentor that will walk you through gathering the information…. [discover] why it’s important to mount the cast rather than just holding it in with your hand.” – Dr Paresh Shah

In this Episode, we discussed:

Check out Dr. Paresh Shah’s Instagram to learn and be inspired!

If you enjoyed this, you will of course love Zak’s Presenting Treatment Plans the Comprehensive Way 

Want to upgrade your practice with dental photography but unsure where to start? I got early adopter and dental photography legend Dr Alessandro Devigus (the main man behind dentist.camera Instagram page) to share with us his fundamentals to make dental photography routine in for your clinical documentation.

Protrusive Dental pearl: AACD Dental photography guide, have this document at hand when start taking dental photographs because it will help you to remember your settings before they eventually become second nature.

And also be sure to check this video tutorial I made on how to take perfect Occlusal Dental Photographs (the trickiest shot!)

“Every picture you didn’t take is a missed one…” – Dr Alessandro Devigus

In this episode we talked about:

As promised, here are the basic dental photography camera settings by Dr Alessandro Devigus:

Check out Dr Alessandro Devigus’ instagram page, the dentist.camera, to learn more about cameras.

If you enjoyed this episode, you may also enjoy the ‘Which Dental Camera Should I Buy’? also with Dr Alessandro.

When treating periodontal disease there is more to it than removing biofilm. Our role is to be a motivator and lifestyle coach – only then can we see successful periodontal outcomes in the longterm. What’s your spiel to patients to explain what periodontal disease is? Do you show diagrams, draw or use your fingers? Listen to how Dr Ian Dunn explains Perio and you will want to implement his way of communicating on Monday morning! Brought to you by the Back to Basics series of August on Protrusive Dental Podcast.

Protrusive Dental Pearl: Have some tools to be able to communicate via drawing (draw teeth, draw bone or periodontium etc) whether it’s digitally, on whiteboard or paper. There is beauty and magic about being able to draw something while your patients are watching beside you.

“Communication has to be a two-way street. It shouldn’t be a monologue, it should be a discussion.” – Dr Ian Dunn

In this episode we discussed about,

Catch Dr. Ian Dunn’s Perio courses and be able to communicate to patients effectively about periodontal diseases.

Do join us on our Facebook community, the Protrusive Dental community!

If you like this episode, be sure to watch Finding Your Niche in Dentistry with Dr Pav Khaira

I know some of our colleagues who have completely lost confidence in extractions and they are crippled by the thought of failure or having to ‘start a surgical’. I think being good at exodontia is fundamental for successful Dentists and it was my mission to bring on Oral Surgeon Chris Waith who will help you regain your confidence. The secret, we think, lies in your ability to section and elevate roots! Listen or watch now to find out why – guest featuring Dr Zak Kara!

Protrusive Dental Pearl: Be able to section teeth. If you can learn how to section roots and know WHEN to do it and HOW to do it safely, you will dramatically increase your success rate for dental extractions.

“I always say to Dentists that you should have a plan A, plan B, plan C etc. Don’t just go in with plan A and carry on with it..” – Dr Chris Waith

Dr Chris Waith and Dr Zak Kara are here to join help us in stepping up our extractions game.

In this episode, we discussed:

Check out Dr Chris Waith’s oral surgery course. 

If you enjoyed this episode, check out Why and how you need to Improve your Tooth Morphology – PDP046