What makes us reject crowns and send them back to the technician? What are the standards/guidelines to consider before accepting and luting indirect restorations? Join us as we explore the key factors that determine the quality of a crown. From the initial lab communication to the final occlusal checks, we cover it all. This episode is packed with …

Clinician Development Tool: https://protrusive.co.uk/cdt Did you know, there’s a cheaper, quicker and more natural treatment option than using Dental Implants, WITHOUT compromising on longevity? Sounds too good to be true right? You already know about it. You most likely studied it already at Dental School and just haven’t given it much thought in …

What is the best bonding agent to use? Does it actually matter? Spoiler: it does! How do you get the best bond to dentine and enamel with the adhesive system you are using? Dr Sam Sherif joins us in this episode, where he discusses bond strength in detail as well as sharing his top tips in achieving long lasting adhesion for our daily adhesive Dent…

Is Shillingburg’s textbook irrelevant? What materials are used in the real world? Is it right that dental students are primarily taught PFM crown preps? When to Onlay and when to go full crown? The Direct vs Indirect debate continues, too! In this two-part journey, we’ll dive into the world of crowns, bridges, and ceramics, exploring their applicat…

The secret to success with non-vital bleaching is knowing when it’s not going to work. Dr Jason Smithson shares his decision making in discoloured incisors AND the protocols he uses in their management. When is a purely restorative approach more appropriate than bleaching? When is ceramic preferred to composite? What is the best way to mask a metal…

When restoring molars, should we ALWAYS try to recreate textbook anatomy? (spoiler: NO WAY!) What preventive measures can we use for toothwear? Tooth Morphology in the Real world! In this episode, Emma Hutchison and I explored the nuances of practical tooth morphology. Textbooks provide us with idealized versions of dental structures, but how do th…

Air Particle Abrasion! Images of Sandblasted teeth look cool but does it ACTUALLY improve clinical outcomes? What are the indications? When is it genuinely critical to use? More pragmatically, are there any decent alternatives eg. roughening with a bur? Air particle abrasion, a technique used to prepare tooth surfaces for bonding, has sparked consi…

Paying through the nose for your indemnity? You may get better protection with insurance AND it has saved Dentists £1000s – get a quote today from PDI / AllMedPro and get an additional £100 off (this is a promotional link that will save you money) Associate contracts are actually a HUGE deal that we do not give enough attention to… How long can you…

Have you ever considered Dental Aid Work? Imagine giving up your morning starbucks and your air conditioned dental surgery to work in a developing country that has just 7 dentists. Fellow Protruserati, Dr James Hunter and his young family will be doing just this – they are preparing for a four-year mission to Liberia, Africa, to dedicate themselves…

Have we fully shifted towards lithium disilicate overlays and onlays? Are full crowns considered a sin in 2024? (Maybe just on Instagram then!) Spoiler: Crowns TOTALLY have a place, and so do large direct composite restorations! Dr Alan Burgin and I share our decision making trees for indirect restorations as part of ‘Crowns and Onlays Month’ on Pr…

Clinical Dentistry is a steep learning curve - it can be frustrating, frightening and quite frankly exhilarating.This episode (better late than never! My wife finished her MSc so now I’m back on track!) picks up the theme of Stress Awareness and I discuss with Emma Hutchinson, our Protrusive Student, how students can manage stress effectively, prio…

Implants can fail - we all know that…but what are the medico-legal implications when they fail at 6 months after restoring them…Is it all the restoring Dentists’ problem? ‘He who touched it last’? Or does the implant placing surgeon also need to be involved in the ‘post-mortem’?How can we handle the upset patient (and prevent this in the first plac…

More brilliant questions from dental students as Jaz is joined by Dhruti Mysore from Plymouth University.https://youtu.be/APKMX2qdDQgWatch AJ008 on YoutubeWe covered themes of student-life balance and professional development. Jaz shared the powerful technique of ‘Just-in-Time’ learning to gain structure and purpose to post-graduate development.Jaz…

Hear how Aidan went from anxious about exodontia to now feeling confident and enjoying his oral surgery list.https://youtu.be/cYl6zYMsRY8Watch IC049 on YoutubeWe cover the themes of career progression, overcoming procedural fears and decision making early in our careers.At the end, Aidan shares a clever way to deliver saline when washing out socket…

Class II’s are only easy when they are small (but not too small), supragingival, easily accessible with straight-forward anatomy.In other words, about 1% of the Class IIs we encounter - because the vast majority I see are subgingival, wide, with awkward root concavities and tricky access.I went from using sectional matrices 97% of the time to now j…

Check out the ‘semi-indirect’ technique to restore toothwear cases - including palatal backings made chairside and bonded at the same time.Join Jaz as he geeks out with Dr Zohaib Khwaja to extract the nuances of this clever technique.We also deep dive into the Dahl technique.https://youtu.be/tIRfmJL1qpwWatch PDP187 on YoutubeProtrusive Guidance mem…

From softwares to enhance communication with prospective patients, and clever ones that utilise AI for radiographs and note taking, Prav Solanki and I deep dive into some products we currently like to use or have heard good things about.https://youtu.be/50GNVjVHJQgWatch AJ007 on YoutubeIn this episode, we discuss the many ways that AI is now stream…

How long should you wait after a root canal before starting Orthodontics?Should we be scared of orthodontic movement in those taking bisphosphonates?How do you decide if diastemas should be closed restoratively or orthodontically?Dr Daniel Neves answers every one of the questions and several more sent in from the Protrusive CommunityThese questions…

We need to talk about the ‘S’ word and our mental health.I never, EVER want to lose a colleague again due to the pressures within Dentistry.This is why I interviewed Dr Mahrukh Khwaja, a positive psychologist and Dentist, to help us with strategies to improve our mental health.Why is it that we have so many support channels during a crisis, but no …

THIS is the most impactful interview podcast I have published in almost 6 years of podcasting.Do you resent bringing your work home with you (treatment plans, letters, CT scans)?Do you struggle with work-life balance?Do you have days where you feel unfulfilled?The honest advice and mindset from Jorge Andre Cardoso might just change your career and …

I remember being a dental student and a simple 'check up' could take HOURS! Then the tutor would come along and complete the observation in 30 seconds...‘How does a routine general dental examination work in the real world?’, asks Emma, our Protrusive student.The humble ‘check-up’ - as far as you can get from sexy before and after cases. The stuff …

When the patient feels pain during an ID block. When a matrix does not seal the cavity perfectly. When the shade of your crown doesn’t blend as well as you would like. When the endo you did last year failed.All of these cause us anxiety. All of these are failures in some form, and as Dentists, it eats at us.Let’s admit it: we are perfectionists.Lif…

Dental Student in THREE different countries?!This is a story of grit and determination. I hope that it will allow us all to reconnect with that burning desire we once had to enter our profession.In this episode, we meet Nav, AKA the_stu_Dent who has had the craziest journey as a Dental Student. Not only defined as a mature student, but as a British…

Rubber Dam isolation can be tricky enough sometimes - it is especially awkward when the TERMINAL MOLAR needs restoring. How on earth does one isolate AND matrix this tooth?In this episode, Dr. Celine Higton delves into the intricacies of rubber dam isolation, particularly focusing on the last tooth in the arch. This discussion ties into the broader…

When we studied occlusion at Dental School, our textbooks forced the idea of having dots at the back and lines at the front. We are continually told about CR and how to manage patients into canine guidance, but does this all work in practice?Today we dive into the best way to approach occlusion cases with our patients, keeping in mind that there is…

As part of Documentation Month, Jaz dives into the crucial realm of documenting dentistry. In this episode, he shares four methods he utilizes to document his daily dental practice, followed by six compelling reasons – in reverse order – why documenting your dentistry is indispensable. So, get ready as we count down from six to one!But first, let's…

THIS is the best thing in Dentistry since local anesthetic!I HATE typing notes even more than I hate cracked teeth. The quest for good, detailed, contemporaneous record keeping in 2024 means so many of us stay behind after patients to ‘tidy up’ our notes.With the power of audio recording and AI, I am pleased to present to you NOTES THAT WRITE THEMS…

"How long should I tell my patients their posterior composites will last?" - what a great question from dental student Emma Hutchison!As part of our new Protrusive Students segment we'll be bringing you monthly episodes packed with valuable insights, tips, and tricks specifically tailored to dental students like Emma.https://youtu.be/PP1XICgI-lgWat…

Managing patient expectations in Dentistry - there are some MAJOR lessons we can learn from facial aesthetics practitioners.We're diving into a conversation with Dr. Katherine Bell that's really going to open your eyes about communication. Despite beauty being subjective, we find a lot of similarities in how we talk to and get consent from patients…

In this episode, we're launching Protrusive Students, a segment dedicated to dental students while offering valuable insights for young and seasoned dentists. This section provides various resources including exam prep materials, clinical videos, and networking opportunities.A key highlight of this episode is the introduction of Emma Hutchison, a d…

LIVE from Chicago AES 2024 + Midwinter!Fresh off our thrilling journey to the American Equilibration Society (AES) Conference in Chicago, alongside the Midwinter event, this episode is your ‘access all areas’ to relive the highlights of our long-awaited expedition.Previously focused solely on equilibration, AES now embraces a broader spectrum, enco…

Managing black triangles with composite resin - often these are periodontal patients. Doesn’t that mean you’ll be bonding to root dentine?!Continuing our Adhesive Month series in to March (oops!), we're excited to bring you Part Two of our journey into the Bioclear Adhesive Philosophy. Building on the rich discussion from Part One (PDP 178), we're …

This episode aims to shine light NOT on the matrix itself, but the adhesive philosophy followed by those that use Bioclear matrices.Everything you wanted to know about the Bioclear system (but never asked!)As we continue to celebrate Adhesive Month (now spilling over into March!), we're thrilled to bring you insights into the principles of cavity p…

Is this the death of composite layering and the tedious cusp-by-cusp build up? This episode might just change how you place posterior composites for good!I know so many of us have reservations about bulk fill composites - when I was exposed to the Fast Modelling technique in 2016 I had too many doubts. All those doubts were cleared in this 90 minut…

‘Tell all my patients I’m running 20 minutes late..’ - sound familiar? If so, this episode is for you!Punctuality goes beyond habit; it reflects our respect for others' time and professionalism. In this episode, we delve into mastering punctuality in dental practice, exploring the balance between patient care and schedule. Join Nikhil Kanani as he …

Welcome back to another Interference Cast! Today's episode is a bit unique—for once Jaz wasn't the one asking the questions. Instead, he had the pleasure of being interviewed by the a cool dental student, Nav Bhatti.During the interview, we explore Jaz' story, origins, and what fuels his passions. It's a deep dive into who he is and what drives him…

Dr Lane Ochi is such a legend that I wanted to throw ALL of Dentistry’s tough questions at him - and as you guys requested, it’s MOSTLY about CRACKS!Dr Ochi practiced in Beverley Hills for 43 years and embodies the Protrusive values of a lifelong learner, avid sharer and with so much humility.Dr Lane Ochi and another of my mentors Dr Michael Melker…

In the previous episode, Jaz and Zahid explored the foundational concepts of IDS and its transformative potential in preserving dentine integrity for bonding. In this Part 2 of Immediate Dentine Sealing (IDS) series, Jaz and Zahid turn their focus onto the critical stages of the fit appointment and reactivation process to ensure you realise the ful…

How and Why to do Immediate Dentine Sealing:In this first episode, Zahid and Jaz not only explored the fundamental principles of IDS but also offered a practical guide for its smooth implementation in clinical settings.Every single step of IDS is broken down and made tangible.https://youtu.be/UrrnSNWouf8Watch PDP173 on YoutubeProtrusive Dental Pear…

Because You're Worth It - this episode is your L'Oréal moment ;-)How to take pride in what you charge.https://youtu.be/TeW6Jj0OQY8Watch AJ006 on YoutubeStop Diagnosing wallets and giving discounts, these negative practices hurt our business and highlight a mindset issue.In this 'Ask Jaz' episode I discussed all the reasons why you need to STOP unde…

I am going to say something controversial, but we kind of all know it’s true: The management of Temporomandibular disorders is like the Wild West. There are either no rules, or the rules are based on poor quality data. https://youtu.be/mvWdkd74KhgWatch PDP172 on YoutubeIn this episode, we're joined by Dr. Patrick Grossmann, a retired orthodontist w…

See blue dot. Erase blue dot. That was my clinical application of Occlusion at Dental school!This episode was ‘Occlusion for Dental Students and New Grads’ - as featured on The Very Dental Student podcast.Oklahoma based Dental student Mohamed Abo-Basha asked Jaz questions to make Occlusion tangible - exploring topics like using a face bow, understa…

Is your gut instinct harming or helping patients?Sometimes we’re just not sure which is the ‘best’ treatment plan to recommend or even if a single tooth is restorable. Dentistry is an art AND a science, which is why things are not black and white.We sometimes get stuck in ‘analysis paralysis’ and rely on our gut instinct to save us.But can we reall…

“You shouldn't use aligners for Deep Bite cases”. FALSE!I was joined by the Taheri brothers (kinda like the Mario Brothers, except they're not Italian Plumbers but rather British-Iranian Orthodontists) to unravel the intricacies of utilizing aligners and specific protocols for deep bite correction.https://youtu.be/WW5M8blu6QkWatch PDP170 on Youtube…

Picture this: your patient is beaming with joy over her new veneers, giving high-fives and 5-star Facebook reviews! The next thing you know, she calls the practice demanding the removal of her veneers because her boyfriend claims she now looks like a horse (tip #1 – ditch the boyfriend!)https://youtu.be/5OI8oJ8Pha8Watch PDP169 on YoutubeIn this epi…

A single crown being fit in a Class I, canine guided occlusion is a piece of cake when it comes to the occlusion, but that same crown in a Class II Div 1 or AOB patient can result in occlusal errors. This episode is all about sharing a classic technique to prevent occlusal issues in ‘funky occlusions’.Join us on this special episode as we delve int…

“It didn't hurt before YOU drilled it!” - sound familiar?Of course it does! It's such a real world WEEKLY dilemma for Dentists all over the world.That heavily decayed and/or cracked molar was destined to start hurting the moment you touched it.How should you handle these scenarios? How can you prevent them in the first place? What if you're patient…

Ah, the things we wish we could tell our younger selves! This week, I’m chatting to the fantastic Dr. Alan Mead from Michigan, USA - better known as the host of the Very Dental Podcast. We’ve come together to talk about our top 5 things we wish we knew when we first started our dental career. Alongside the clinical gems, we’ve got great advice on m…

What is the best management real-world management for bleeders after an extraction? We're talking about our healthy patients (who are otherwise low risk and not taking funky anti-coagulants).From wetting our gauze and correct post-op instructions, Dr Ameer Alloybocus and I cover this foundational topic with our real world experiences (including wha…

It’s supposedly THE most difficult thing in Dentistry, right? Perfectly shade matching the single central incisor…well how on earth does Dr Imi Nasser NAIL the shade EVERY time?!https://youtu.be/iweVUHv_Q8oWatch PDP165 on YoutubeIt’s all about his super strict, super secret protocol we gladly share with you during this full-protocol podcast. He tak…