Protrusive Dental Podcast

What is a prompt, and how do AI models actually work? Which AI tools should you be using in dentistry? Is it safe to put patient details into AI—and how can it help you save time and reduce stress? In this episode, Dr. Daz Kasperek joins to make AI in dentistry tangible, even if you’ve never used it before. Together, we cover the basics: from getting started with prompts and AI models to understanding ethical considerations and practical ways AI can streamline your workflow. They also explore the bigger picture—how AI can improve efficiency, enhance patient communication, and give clinicians more time to enjoy life outside the clinic. https://youtu.be/cmin0h7GNyE Watch PDP260 on YouTube  Protrusive Dental Pearl: A free AI tool called Dental Disrupt Smile Simulator lets you upload a smile photo and instantly generate a realistic smile makeover simulation for patient discussions. It runs as a custom GPT inside ChatGPT, created by Dr. Jason Lipscomb Key Takeaways: AI is revolutionizing the field of dentistry, particularly in diagnosis. Prompt engineering is crucial for effective AI interactions. Personalization of AI tools can significantly improve their utility. AI can automate administrative tasks, potentially reducing the need for receptionists. AI can enhance communication between dentists and patients. The integration of AI in dentistry is still in its early stages. AI can provide personalized recommendations for patient care. Voice transcription is a more efficient way to interact with AI. The future of dentistry will heavily rely on AI technologies. AI is revolutionizing image creation in dentistry. Choosing the right AI model is crucial for effective use. Patient confidentiality must be prioritized when using AI. AI can transform administrative roles in dentistry. AI can assist in personalized education and training. The human connection in healthcare cannot be replaced by AI. Job roles will evolve rather than disappear due to AI. AI’s limitations highlight the importance of clinician expertise. Episode Highlights: 00:00 Teaser 01:08 Introduction 03:05  Protrusive Dental Pearl – Smile Simulator 06:39 Meet Dr Daz Kasperek 07:16 AI Adoption and Inequality 16:58 Better Prompting with RCT (Role, Context, Task) 21:56 AI and Administrative Work in Dentistry 30:42 AI Notes in Practice 35:05 Midroll 38:26 AI Notes in Practice 38:49 Smile Simulator Demo 41:57 Choosing Your AI Stack 49:01 Patient Confidentiality and Data Safety 54:38 AI in Dentistry – What It Will Replace 01:01:56 What AI Cannot Replace 01:04:53 Endo AI Research and Thesis 01:07:10 Contact and Resources 01:08:17 Outro If you enjoyed this episode, don’t miss “NEVER Write Notes Again! How I Use AI for Awesome and Efficient Dental Records – PDP181.” #PDPMainEpisodes #CareerDevelopment  This episode is eligible for 1 CE credit via the quiz on Protrusive Guidance.  This episode meets GDC Outcomes A and C. AGD Subject Code: 550 PRACTICE MANAGEMENT AND HUMAN RELATIONS Aim: To provide dental professionals with a foundational understanding of artificial intelligence (AI) in dentistry, including its practical applications, limitations, and ethical considerations, to improve efficiency, patient communication, and clinical workflow. Dentists will be able to: Explain what AI is and the difference between an AI model and a prompt. Identify key AI platforms and tools relevant to dentistry and personal use. Apply AI safely in clinical practice while maintaining patient confidentiality.

Are you struggling to get your resin work looking flawless? Wondering how to polish your composites so they shine like a pro? Curious about practical tips you can implement immediately to level up your smile makeovers? In this episode, Dr. Charles Brandon shares three game-changing secrets for mastering composite resin. From practical techniques you can apply right away to a conceptual tip that will completely transform the way you polish, Charles leaves no stone unturned. Get ready for an episode packed with actionable advice, insider knowledge, and inspiration from a dentist whose resin work is truly next-level. Whether you’re refining your layering skills or aiming for that perfect finish, this episode is a must-listen. https://youtu.be/dBlN_rbHnTI Watch PDP259 on YouTube Protrusive Dental Pearl: Level up your resin veneers with the Perio Bur (code and more info here)— a long diamond bur for the slow-speed 1:1 handpiece that gives unmatched control, crisp shaping, and beautiful texture. If you use only one bur for finishing composite, make it this one. Check out this  video of Perio bur in Action on a Real Resin Veneer Case → protrusive.co.uk/periobur Key Takeaways The significance of patient communication and understanding their needs is highlighted. Mistakes are seen as learning opportunities that contribute to growth in practice. The role of mentorship in navigating challenges in aesthetic dentistry is discussed. Aesthetic communication is crucial for patient satisfaction. Patients are visually aided, not verbally aided. Effective layering techniques can enhance composite work. Practice on typodont models to build skills. The polish is secondary to proper placement and finishing. Understanding composite materials is key to success. Start with two shades for layering to minimize complexity. Courses should cover the entire process, not just techniques. Self-teaching is a valuable way to improve skills. Investing in oneself is essential for growth in dentistry. YouTube Highlights: 00:00 Teaser 01:10 Introduction 02:05 Protrusive Dental Pearl – Using a Perio Bur 05:56 Dr. Charles Brandon’s Journey in Dentistry 11:42 Challenges and Reflections in Aesthetic Dentistry 19:08 Perfect Smile Secret #1: Build from the Bottom Up 26:08 Managing Temporaries During a Trial Smile 26:48 Midroll 30:09 Managing Temporaries During a Trial Smile 35:17 Freehand vs. Stent-Based Systems 39:19 Perfect Smile Secret #2: More Than Polish 44:23 Perfect Smile Secret #3: It’s Not the Composite 48:19 Practice and Continuous Learning 53:20 Course Offerings and Final Thoughts 56:00 Outro Level Up Your Skills Practice at home with a simple AliExpress setup (~$200) including a 1:5 & 1:1 handpiece plus micromotor. Take it further with Dr. Charles Brandon’s composite veneer Masterclass and master the full process from design to finish. If you enjoyed this episode, check out Minimal Preparation Veneers – PDP219. #PDPMainEpisodes #AdhesiveDentistry #CareerDevelopment This episode is eligible for 0.75 CE credit via the quiz on Protrusive Guidance.  This episode meets GDC Outcomes  C. AGD Subject Code: 780 ESTHETICS/COSMETIC DENTISTRY Aim: To equip dentists with practical techniques, workflows, and mindset strategies for delivering high-quality aesthetic dentistry using composite veneers, from patient communication and trial smiles to layering, polishing, and continuous skill development. Dentists will be able to – Explain the importance of patient communication, trial smiles, and expectation management in aesthetic dentistry. Demonstrate a stepwise workflow for additive composite veneers, including mock-ups, trial duration, and handling of temporaries. Apply layering, finishing, and polishing techniques effectively using minimal composite shades to achieve predictable aesthetic outcomes. Cost:Access to this CE activity is included with an active Protrusive Guidance membership. Current membership pricing is available at www.protrusive.app. Cancellation & Refund Policy:Memberships may be cancelled at any time. Access to CE activities remains active until the end of the current billing cycle. Subscription charges are non-refundable once processed. Full details are available at www.protrusive.app.

Are you a high-earning dentist… living paycheck to paycheck? Do you ever feel financially stretched – despite earning well? Are you trapped in dentistry’s “golden handcuffs”? And what would your life look like if you worked because you wanted to… not because you had to? In this rare solo episode, Jaz steps away from occlusion and restorative dentistry to talk about something just as important: personal finances and career security for dentists. After going deep down the money rabbit hole — reading books like Rich Dad Poor Dad, The Simple Path to Wealth, and I Will Teach You To Be Rich — Jaz shares how his upbringing, early career decisions, and financial education shaped his beliefs about wealth, freedom, and dentistry. This isn’t financial advice.It’s a mindset shift. And for many dentists, it might be the most important episode you hear this year. https://youtu.be/4OXruGIdb_g Watch IC068 on YouTube Your day list reflects your earning power. The work you do each day quietly sets the limits of what you can earn. Exams and single-surface composites create one kind of ceiling; comprehensive cases, ortho, rehab, sedation, and complex restorative work create another. Upskilling changes that ceiling and gives you far more control over your financial future. Want more mindset shifts like this?AskJaz — your on-demand dental brain — is built into the Protrusive App. Key Takeaways High income does not guarantee financial security. Dentistry can become “golden handcuffs” without asset building. Invest in yourself early — skill drives earning power. Lifestyle creep quietly erodes freedom. Financial independence means practicing because you want to. Define your rich life and align spending accordingly. Highlights of This Episode: 00:00 Why talk about money on a dental podcast?04:12 Perspective and gratitude as dentists10:45 The 45% paycheck-to-paycheck poll16:20 Associates vs principals — the reality22:34 Lifestyle creep explained27:18 Golden handcuffs in dentistry31:10 Growing up with financial scarcity40:02 Investing in yourself early in your career47:55 Index funds and financial resilience55:20 The 20% happiness illusion01:02:18 Defining your rich life01:08:42 Action steps and reflection #PersonalFinances  This episode isnot eligible for CPD/CE points, but never fear, there are hundreds of hours of CPD waiting for you on the Ultimate Education Plan. If you enjoyed this episode, check out IC022 – Income for Dentists and Jaz’s Top 10 Financial Literacy books inside Protrusive Guidance.

Have you ever wondered how hypnotherapy can help your dental patients? Can it really reduce anxiety, manage chronic pain, or even stop habits like cheek biting? How can dentists integrate hypnotherapy into their care without stepping outside their scope of practice? In this episode, Jaz and Dr. Rita Pais break down how hypnotherapy works, who can benefit, and practical ways dentists can incorporate it into patient care. They also discuss real patient examples, from dental phobia to awake bruxism, showing how a minimally invasive talking therapy can make a real difference in improving habits, reducing stress, and enhancing overall patient outcomes. https://youtu.be/ONnC_nP0iBQ Watch PDP258 on YouTube Protrusive Dental Pearl: How to Get Patients to Happily Accept a Mouth Prop – Use confident, directive communication paired with a simple analogy and a swallowing expectation to dramatically improve patient acceptance of mouth props. Key Takeaways Hypnotherapy combines hypnosis with therapeutic techniques for health outcomes. Cognitive Behavioral Hypnotherapy (CBH) enhances treatment effectiveness. Patients must be willing to try hypnotherapy for it to work. Chronic pain management can benefit from relaxation techniques in hypnotherapy. Hypnotherapy can address dental phobias and habits like nail-biting. Awareness of habits is crucial for effective hypnotherapy. Finding a qualified hypnotherapist is essential for successful treatment. Science-based approaches in hypnotherapy are preferred by practitioners. Success stories in hypnotherapy can be very rewarding for practitioners. Hypnotherapy can be delivered online or in person, making it accessible. Youtube Highlights 00:00 Teaser 00:59 Introduction 02:13 Protrusive dental pearl: How to Get Patients to Happily Accept a Mouth Prop 05:35 Dr. Rita Pais: Journey into Hypnotherapy 06:32 Hypnotherapy and Its Applications 08:39 Understanding Hypnotherapy and Pain 11:59 How Cognitive Behavioural Hypnotherapy Works 15:35 Midroll 18:56 How Cognitive Behavioural Hypnotherapy Works 20:41 Dental Indications for Hypnotherapy 24:41 Finding a Trusted Hypnotherapist 26:50 Mock Hypnotherapy Session: Patient Journey 30:51 Final Thoughts and Resources 32:28 Outro For dentists looking to refer patients, The Hypnotherapy Directory is one available resource, though it lists all types of hypnotherapy. For patients or colleagues interested in hypnotherapy referrals or collaboration, check out: Rita Pais Hypnotherapy If you loved this episode, make sure to watch Hypnotize Your Patients with 3 Quick Techniques – IC015 This episode is eligible for 0.5 CE credit (Self-instruction) via the quiz on Protrusive Guidance.  This episode meets GDC Outcomes A and C. AGD Subject Code: 340 ANESTHESIA AND PAIN MANAGEMENT (Anxiolysis) Aim: To provide dentists with a practical overview of hypnotherapy applications in dentistry, including cognitive behavioural hypnotherapy (CBH), patient selection, and habit/pain management. Dentists will be able to – Distinguish between hypnosis and hypnotherapy. Explain how cognitive behavioural hypnotherapy integrates CBT and hypnosis. Identify dental indications for hypnotherapy, including phobias, pain, and habits. Cost:Access to this CE activity is included with an active Protrusive Guidance membership. Current membership pricing is available at www.protrusive.app. Cancellation & Refund Policy:Memberships may be cancelled at any time. Access to CE activities remains active until the end of the current billing cycle. Subscription charges are non-refundable once processed. Full details are available at www.protrusive.app.

After watching this episode, you’ll understand exactly why owning your website matters. And here’s the good news: as a Protrusive community member, you can get 50% off your professional dental website – built specifically for associates who want to stand out. 👉 Claim your exclusive discount: protrusive.co.uk/website Do you really need your own website as an associate, or is a strong Instagram profile enough?  How do you build trust with patients before they even meet you?  And how can you ensure you are visible to the patients who are now using AI tools like ChatGPT to find their next dentist?  https://youtu.be/7StOMRLqFuI Watch IC067 on YouTube In this episode, digital marketing expert Rick O’Neill joins Jaz to discuss the evolving landscape of dental marketing. Together, they explore the “Zero Moment of Truth” and the 7–11–4 rule, explaining why a website is the only digital asset you truly own in a world of “rented” social media space.  They also dive into the future of search, covering how to optimize your presence for both Google and AI, and why authentic video content is the ultimate tool for bridging the “belief gap” with prospective patients. Key Takeaways: Having a purpose beyond profit is crucial for success. The ‘I do, we do, they do’ model is effective for team growth. Patient behavior has evolved; they research extensively before choosing a provider. A personal website is essential for establishing credibility and trust. Visual content, including professional photography, enhances personal branding. Search engine optimization is vital for attracting local patients. Social proof, such as patient testimonials, is more impactful than before-and-after photos alone. Messaging is key; it should resonate with the target audience’s pain points. Dentists have a responsibility to educate the public about their services. Investing in digital marketing can yield measurable returns. Highlights of this episode: 00:00 Teaser 00:47 Introduction 05:43 Introducing Rick O’Neill: Expert in Digital Presence 06:43 Insights from Richard Branson 10:15 Entry Into Marketing and Dentistry 13:25 Digital Assets for Associates and Practices 20:26 Key Elements of an Effective Associate Website 26:01 Search Optimization: Making Your Website Discoverable 26:48 Midroll 30:09 Search Optimization: Making Your Website Discoverable 32:40 Dentist’s Role in Content Creation 34:19 Importance of Social Proof in Dental Marketing 45:02 Building a Personal Brand with a Website 48:43 The Future of AI in Dental Marketing 52:35 Digital Solutions for Associates and Clinics 57:04 Resources for Principals and Associates 57:41 Outro 🎉 Special Community Offer: 50% Off!If you’re nodding along thinking “I need to get serious about my digital presence,” here’s your opportunity. Protrusive community members get 50% off a professionally designed dental website 👉 Head over to: protrusive.co.uk/websiteActivate your 50% discount and get your professional, patient-facing website up and running. Check out my website to see what a modern associate website can look like. Want more on building your dental brand? Don’t miss PDP037: Personal Branding for Dentists – Logos and Websites with Shaz Memon #InterferenceCast #CareerDevelopment #Communication This episode is eligible for 0.75 CE credit via the quiz on Protrusive Guidance.  This episode meets GDC Outcomes B and C. AGD Subject Code: 550 PRACTICE MANAGEMENT AND HUMAN RELATIONS Aim: To understand the role of personal and practice websites in modern dentistry and how associates and principals can use digital tools to build trust, credibility, and patient engagement. Dentists will be able to – Explain why a personal website is valuable for dentists and associates. Identify the key elements that make an associate website effective. Describe strategies to use digital assets, SEO, and content for patient trust and conversion.

Did Triman ever buy his own camera setup? Has he figured out which niche or specialty he wants to pursue? Are molar endodontics and surgical extractions still his fear procedures? And how’s he getting on with those tricky fee discussions and private patient conversations? Dr Triman Ahluwalia returns for another catch-up — one year after stepping into his first associate position. In this episode, Jaz follows Triman’s journey from new graduate to confident young clinician, exploring what’s changed and what lessons he’s learned along the way. From building confidence in complex procedures to improving communication and investing in the right tools, this episode is packed with insights every fresh grad and early-career dentist can relate to. https://youtu.be/gJNUM6JSLfE Watch IC066 on YouTube Takeaways Investing in photography can enhance documentation and patient engagement. Confidence in discussing costs with patients improves with experience. Mentorship is vital for growth and learning in dentistry. Building a strong portfolio is essential for career development. Choosing the right educational path depends on personal learning styles. Communication with patients should focus on care rather than costs. Dentistry offers diverse pathways for specialization and growth. Highlights: 00:00 Teaser 00:30 Introduction 03:18 Patient Demographics and Practice Insights 06:04 Investing in Photography Equipment 10:13  Handling Complex Procedures and Referrals 13:20 Choosing the Right Courses for Career Growth 17:21 Communicating Costs and Building Confidence 18:32 Midroll 21:53 Communicating Costs and Building Confidence 27:31 Learning from Senior Colleagues and Mentorship 31:50 Building and Improving Your Dental Portfolio 33:56 Final Reflections and Advice for Young Dentists 38:41 Outro 🎙️ Connect with Dr. Triman Ahluwalia: Instagram: @drtriman LinkedIn: Dr Triman Ahluwalia If you enjoyed this episode, don’t miss Triman’s earlier appearance — I Interviewed a New Grad 7 Months Apart – First Year of Practice (IC052) #InterferenceCast #Communication #CareerDevelopmentThis episode isnot eligible for CPD/CE points, but never fear, there are hundreds of hours of CPD waiting for you on the Ultimate Education Plan, including Premium Clinical Walkthroughs and Masterclasses.

What if you finally reach the peak of your career—only to have your body shut it down? Why are so many dentists forced to cancel clinics, not because of burnout or skill, but because of crippling back pain? And what if this “expected hazard of dentistry” didn’t actually have to be inevitable? In this episode, Dr. Aniko Ball joins Jaz to challenge the long-held belief that chronic pain is just part of being a dentist. As an expert in dental ergonomics and the Alexander Technique, she reveals why so many clinicians are unknowingly damaging their bodies every single day—and how simple, overlooked changes can completely transform career longevity. The mission for this episode was simple: deliver five genuinely life-changing, immediately actionable tips to protect your neck, back, and future. No fluff. No theory for theory’s sake. Just practical changes you can implement straight away—starting from your very next clinic session. If your health matters to you as much as your dentistry, this is an unmissable episode. https://youtu.be/u7hEOPpEsGA Watch PDP27 on Youtube Protrusive Dental Pearl: Cut toxic noise, protect time for your health, and optimize the small habits you repeat daily. You only rotate ~10–13 meals—upgrade those, move a little more, sleep a little better. Small, consistent upgrades compound into an unrecognisable year. Key Takeaways: Back pain in dentistry is not inevitable—it is largely the result of cumulative postural habits. Most dental pain comes from holding positions the body was never designed to hold, not from single traumatic events. Lifting the elbow or shoulder for prolonged periods activates movement muscles, guaranteeing shoulder and upper back pain. A finger rest must be used on the non-dominant hand holding the mirror, not just the dominant hand. Hovering the mirror is equivalent to holding the arm raised against gravity. The spine is not designed for sustained bending or twisting, even slightly. Staying vertical is critical—move the patient and the chair, not your spine. Traditional loupes often force neck flexion; refractive loupes or microscopes allow upright posture and straight-ahead vision. Stool height matters: hips slightly higher than knees, feet flat, heels fully released into the floor. If leg weight isn’t given to the floor, the lower back absorbs the load instead. Habits outside the clinic—especially looking down at a mobile phone—train the same harmful postural patterns used in dentistry. Postural change feels strange at first because bad habits feel comfortable, even when they are damaging. Real change requires habit interruption, repetition, and support over several weeks. Your body is your most important instrument—protecting it protects your career. Highlights: 00:00 Teaser 00:52 Introduction 03:36 Pearl – Optimizing Small Habits 07:06 Interview with Dr. Aniko Ball: Her Journey on Ergonomics and Dentistry 10:00 Challenging Misconceptions in Dentistry 17:42 Common Mistakes and Practical Tips for Better Posture 28:29 Importance of Refractive Loupes and Microscopes 29:53 Midroll 33:14 Importance of Refractive Loupes and Microscopes 34:18 Communicating with Patients for Better Ergonomics 38:06 The Science of Habit Change and Neuromuscular Training 42:40 Optimizing Dental Stool Height for Better Ergonomics 47:14 The Impact of Mobile Phone Usage on Posture 50:53 Key Posture and Ergonomic Takeaways 53:35 Full-Day Ergonomics Workshop 59:13 Outro 🚨 This episode is the introduction.The real transformation happens in the room. 📍 Join Dr. Aniko Ball for a full-day, full-demonstration workshop and learn how to make your body—and your back—unbreakable. 📅 Saturday 13th of June — save the date. 🔗 protrusive.dental/unbreakable If this episode resonated with you, My Neck, My Back (Fix Your Posture While Removing Plaque!) – PDP220 is the perfect next watch. #PDPMainEpisodes ##BeyondDentistry #CareerDevelopment This episode is eligible for 0.75 CE credit (Self-instruction) via the quiz on Protrusive Guidance.  This episode meets GDC Outcomes C. AGD Subject Code: 130 ELECTIVES  Aim: To help dentists reduce cumulative musculoskeletal trauma by understanding how posture, habits, and equipment choices directly affect spinal, shoulder, and long-term career health. Dentists will be able to – Identify common postural habits in dentistry that lead to cumulative trauma and chronic pain. Apply practical ergonomic principles to reduce strain on the spine, shoulders, hips, and neck. Modify daily habits, including non-clinical activities, to support long-term musculoskeletal health. Cost:Access to this CE activity is included with an active Protrusive Guidance membership. Current membership pricing is available at www.protrusive.app. Cancellation & Refund Policy:Memberships may be cancelled at any time. Access to CE activities remains active until the end of the current billing cycle. Subscription charges are non-refundable once processed. Full details are available at www.protrusive.app.

When should you attempt to save the root filled molar that everyone else thinks is doomed? What are the key steps to safely remove, treat, and replant a tooth without causing fractures or resorption? And how do you manage patient expectations and post-op care to maximize success? In this episode, Dr. Samuel Kratchman and Dr. Shivakar join Jaz to explore intentional tooth replantation—a procedure that rarely gets the spotlight but can completely change treatment options for challenging cases. They cover everything from case selection and imaging, to managing crowns and fragile teeth, to simple tools and techniques that make this procedure predictable and accessible. They also dive into patient communication, consent, and how to include this procedure as part of your everyday dental armamentarium, giving you the confidence to consider it when the right case comes along. https://youtu.be/SjJTzbJ_AXs Watch PDP256 on YouTube Key Takeaways: Intentional replantation is a viable alternative to extraction. The success rate of intentional replantation is documented at 88-89%. Patient education is crucial for successful treatment outcomes. The periodontal ligament must be kept moist during the procedure. Imaging is essential for understanding tooth anatomy before replantation. The procedure can be performed atraumatically with proper technique. Replantation can be a last chance for teeth that are difficult to replace with implants. A mindset shift is needed in dentistry to prioritize saving natural teeth. Apical infections are often linked to the root tip and surrounding tissue. A good coronal seal is essential before any restorative work. Common complications include ankylosis and resorption. Inflammation can aid in the extraction process by serving the ligament. Post-operative care is vital for successful recovery. Highlights: 00:00 Teaser 00:48 Introduction 03:27 Pearl: PDL is everything  04:54 Interview with Dr. Shivakar Mehrotra 07:03 Interview with Dr. Samuel Kratchman 11:01 Terminologies and Success Rates of Replantation 16:03 Indications of Replantation 22:29 Evaluating Radiographs and Clinical Factors 28:48 Case Studies and Practical Applications 30:51 Midroll 34:12 Case Studies and Practical Applications 38:08 Management of Apical Infection 40:35 Curveball Scenario: Combined Endodontic and Restorative Challenge 45:57 Replantation Success Rates and Complications 51:06 Radiographic Signs and Extraction Techniques 56:03 Postoperative Care and Instructions 59:49 Final Thoughts and Resources 01:02:14 Outro 🚨 First replantation case coming up? Do your homework! 🚨 Before you touch that tooth:📖 Read the published protocols INTENTIONAL REPLANTATION by Dr. Samuel Kratchman Retention and Healing Outcomes after Intentional Replantation 🔍 Review systematic reviews Clinical outcome of intentional replantation with preoperative orthodontic extrusion: a retrospective study by Cho et al A Systematic Review of the Survival of Teeth Intentionally Replanted with a Modern Technique and Cost-effectiveness Compared with Single-tooth Implants by Anshul Mainkar  Keep the learning going! Check out PDP061: Surgical Extrusion for ‘Hopeless’ Teeth. #PDPMainEpisodes #EndoRestorative #OralSurgeryandOralMedicine This episode is eligible for 1 CE credit (Self-instruction) via the quiz on Protrusive Guidance.  This episode meets GDC Outcomes C. AGD Subject Code: 070 ENDODONTICS (Surgical treatment) Aim: To understand the indications, technique, and outcomes of intentional replantation for teeth with failed endodontic treatment, emphasizing atraumatic removal and predictable long-term success. Dentists will be able to – Identify teeth suitable for intentional replantation based on anatomy, root morphology, and prior treatment. Explain the procedural workflow, including atraumatic extraction, extraoral root-end management, and replantation techniques. Counsel patients effectively on prognosis, risks, and postoperative care. Cost:Access to this CE activity is included with an active Protrusive Guidance membership. Current membership pricing is available at www.protrusive.app. Cancellation & Refund Policy:Memberships may be cancelled at any time. Access to CE activities remains active until the end of the current billing cycle. Subscription charges are non-refundable once processed. Full details are available at www.protrusive.app.

Are posterior tooth contacts really harmless? Could group function and non-working side interferences be driving muscular TMD, headaches, and facial pain? And can digital occlusal data change how we approach bite adjustment? Dr. Jeremy Bliss joins the podcast to tackle one of the most controversial topics in dentistry: Selective Grinding/Equilibration for TMD but specifically Disclusion Time Reduction (DTR). With a strong focus on restorative technology, lasers, and T-Scan analysis, Jeremy brings a practical and experience-driven perspective to occlusion and bite therapy. This episode breaks DTR down from the very beginning—what it is, how it differs from traditional equilibration, and why reducing posterior tooth contact during excursive movements may help certain susceptible patients. The conversation also explores canine guidance vs group function, macro vs micro occlusion, and where DTR fits within evidence-based dentistry when conservative care has failed. https://youtu.be/TMa11nh7VIU Watch PDP255 on YouTube Protrusive Dental Pearl: Don’t buy advanced occlusal or motion-tracking tech unless your type of dentistry, training, lab support, and local backup can fully use the data—otherwise it’s just a Ferrari stuck in traffic. Key Takeaways: Disclusion Time Reduction (DTR) & T-Scan T-Scan: Provides objective data on tooth contact timing and force—impossible to see with the eye or articulating paper. EMG: Tracks temporalis and masseter activity to show how muscles respond to occlusion. Goal of DTR: Reduce posterior tooth contact during excursions, shifting contact to canines to relax muscles. Patient Selection: Best for symptomatic muscular TMD; requires sufficient canine/incisal overlap. Clinical Benefits: Reduces headaches, migraines, muscle tension, parafunctional damage, and progressive tooth wear. Procedure: Conservative enamel adjustments (0.5–0.75 mm), guided by T-Scan; posterior teeth should disclude in <0.5 sec. Implant Care: Prevent early loading to protect bone and restorations. Evidence: Supported by systematic review and clinical cases; improves outcomes over traditional occlusal adjustments. Highlights: 00:00 Teaser 00:53 Introduction 09:51  Pearl: Buying Advanced Technologies 11:53 Interview with Dr. Jeremy Bliss 18:08 Introduction to Digital Occlusal Analysis 22:46 Challenges and Controversies in TMD Treatment 26:09 Explaining T-Scan and Its Benefits 32:42 Understanding the Anatomy and Physiology of DTR 36:25 Techniques and Tools for DTR 38:14 Midroll 41:35 Techniques and Tools for DTR 44:19 The Impact of DTR on Muscle Tension and Pain 48:43 Bruxism Cessation After DTR 49:50 Importance of EMG in DTR 52:05 Case Study: A Life-Changing DTR Treatment 56:59 Conclusion and Future Directions 01:00:46 Outro Systematic Review Effectiveness of T-scan Technology in Identifying Occlusal Interferences and its Role in the Management of Temporomandibular Disorders: A Systematic Review Individual Practice Contact: blissdental.co.uk – contact directly via the website form for information about DTR or patient referrals. DTR Treatment for TMD with Dr Jaz Gulati in Richmond, London #PDPMainEpisodes #OcclusionTMDandSplints #CareerDevelopment To learn more about Disclusion Time Reduction, check out: Occlusograms are Lying To Us! Don’t Trust the ‘Heat Map’ – PDP247  This episode is eligible for 1 CE credit via the quiz on Protrusive Guidance.  This episode meets GDC Outcomes C AGD Subject Code: 180 OCCLUSION Aim: To understand the principles and clinical applications of digital occlusal analysis and Disclusion Time Reduction (DTR) for managing occlusion-related muscular pain, TMD, and improving restorative dentistry outcomes. Dentists will be able to: Explain the concept of disclusion time and its impact on masticatory muscles. Describe how T-Scan and EMG are used to assess occlusal force, timing, and muscle activity. Identify appropriate patients for DTR and apply objective data to guide safe occlusal adjustments. Cost:Access to this CE activity is included with an active Protrusive Guidance membership. Current membership pricing is available at www.protrusive.app. Cancellation & Refund Policy:Memberships may be cancelled at any time. Access to CE activities remains active until the end of the current billing cycle. Subscription charges are non-refundable once processed. Full details are available at www.protrusive.app.

When are antibiotics truly indicated in dentistry? How do you manage the patient who’s begging for a prescription? And what impact are we having on the gut every time we prescribe unnecessarily? In this episode, Dr. Jeremy Lenaerts joins Jaz to explore the world of antibiotics in dentistry. Together, they cover when to prescribe, when not to, and why analgesics or local measures are often the better option. They also dive into the bigger picture—antibiotic resistance, gut health, and how to navigate those tricky conversations when patients demand antibiotics for the wrong reasons. https://youtu.be/-Q4hvl-8vpU Watch PDP254 on Youtube Protrusive Dental Pearl? Save time and avoid confusion with a ready-made Antibiotics Cheat Sheet that combines the best guidelines into one resource. It covers: True indications and contraindications Drug interactions First, second, and third-line choices Doses and duration 👉 Download it or find it in the Protrusive Vault if you’re a Protrusive Guidance member. Key Takeaways Antibiotics are often overprescribed in dentistry, with 80% deemed inappropriate. The gut microbiome plays a crucial role in overall health and can be negatively impacted by antibiotics. Educating patients about the risks of antibiotics is essential for informed consent. Local measures should be prioritized over antibiotics for dental infections. Antibiotics can lead to antibiotic resistance, affecting both individual and public health. The gut microbiome is increasingly recognized as a separate organ essential for health. Dentists should consider the long-term effects of antibiotics on gut health when prescribing. Patient communication is key in managing expectations around antibiotic prescriptions. A balanced diet rich in fiber and fermented foods supports gut health. Dentists must navigate the tension between patient demands and clinical guidelines. Highlights of this episode: 00:00 Teaser 00:37 Intro 02:25 Protrusive dental podcast 04:10 Dr. Jeremy’s Journey into Dentistry 07:47 Antibiotic Use in Dentistry 10:28 True Indications for Antibiotics 14:12 Impact of Antibiotics on Gut Health 21:09 Clinical Scenarios and Best Practices 26:09 Managing Severe Dental Swellings 26:28 Midroll 29:49 Managing Severe Dental Swellings 33:39 Techniques for Anesthetizing Abscesses 38:06 Handling Cellulitis and Systemic Infections 42:58 Dosage and Safety of Local Anesthetics 44:58 Dealing with Dry Sockets and Retreated Teeth 47:43 Outro Updated SDCEP Guidance For clinicians in the UK, Drug Prescribing for Dentistry is now available through the dedicated website SDCEP Dental Prescribing. Please note that SDCEP no longer provides updates to the printed guidance, and the Dental Prescribing app is no longer supported or updated—it should be deleted from all devices. The SDCEP Dental Prescribing website is now the authoritative source for the most up-to-date information on prescribing in dental practice. We are also providing the 2016 PDF version of Drug Prescribing for Dentistry for reference, but users should be aware that this document is no longer maintained and may not reflect the latest clinical guidance. Download the 2016 PDF here. If you enjoyed this episode, you’ll also find value in Prescribing Antifungals as a GDP – Diagnosis and Management (PDP151) #PDPMainEpisodes #Communication #BreadandButterDentistry #CareerDevelopment This episode is eligible for 0.75 CE credit via the quiz on Protrusive Guidance.  This episode meets GDC Outcomes C and D. AGD Subject Code: 340 (Prescription medication management) Aim: To enhance clinicians’ confidence in the rational prescribing of antibiotics in dentistry, with an understanding of when they are indicated, when they are not, and the broader impact on antimicrobial resistance and gut health. Dentists will be able to – Identify the true clinical indications for antibiotic use in dentistry. Recognize when local measures (drainage, extraction) are preferable to antibiotics. Explain the impact of antibiotic use on antimicrobial resistance and the gut microbiome. Apply current guidelines (e.g., SDCEP) in clinical scenarios involving dental infections.

Can adults really expand their maxilla? Is treating sleep apnea with a CPAP or mandibular advancement device only MASKING the problem? How does craniofacial anatomy influence airway health, and what should dentists look for? Dr. Dave Singh joins us to dive into CranioFacial Sleep Medicine. He breaks down how structural issues—like a narrow maxilla, high-arched palate, or limited tongue space—can be root causes of sleep-disordered breathing, rather than just treating symptoms.  The episode also touches on controversies in orthodontics and presents evidence supporting interventions once thought impossible in adults. https://youtu.be/WUyeOjKquJU Watch PDP253 on Youtube Protrusive Dental Pearl: Obstructive Sleep Apnea is NOT just a “fat old man disease.” If you’re not screening every patient for sleep and airway issues, you’re missing a huge piece of their overall health. Snoring, bruxism, and craniofacial anatomy are all connected, and understanding these links can transform the way you approach patient care. Key Takeaways: Mandibular advancement appliances are not a universal solution. While effective for some patients, they often fail to address the underlying causes of airway collapse. Craniofacial sleep medicine focuses on airway etiology, not just symptom control, by identifying why the mandible, tongue, and airway behave as they do during sleep. The cranial base plays a foundational role in facial growth, jaw position, and airway size, directly influencing sleep apnea risk. A retruded mandible is frequently due to developmental and epigenetic factors, rather than being an isolated mandibular issue. Sleep apnea has multiple endotypes—including craniofacial, neurologic, metabolic, and myopathic—requiring individualized treatment planning. Bruxism is not a reliable airway-opening mechanism and may be a primitive physiological response to hypoxia rather than a protective behavior. Tooth wear can be an early indicator of sleep-disordered breathing, and should prompt clinicians to screen beyond restorative concerns. Upper Airway Resistance Syndrome (UARS) can occur even when the apnea-hypopnea index (AHI) is low, particularly in non-obese patients with fatigue, pain, and poor sleep quality. Palatal expansion should be understood as a 3D craniofacial intervention, aimed at improving nasal airflow and airway function—not merely widening the dental arch. Effective care depends on an integrated, multidisciplinary approach, involving dentists, orthodontists, sleep physicians, ENTs, and myofunctional therapists. Youtube Highlights: 00:00 Teaser 01:01 Introduction 02:56 Pearl: Debunking Myths About Sleep Apnea 04:27 Interview with Professor Dave Singh: Journey and Insights 13:23 Craniofacial Development 18:53 Epigenetics and Orthodontic Controversies 25:52 Diagnosis and Treatment of Sleep Apnea 32:49 Understanding Upper Airway Resistance Syndrome 34:17 Midroll 37:38 Understanding Upper Airway Resistance Syndrome 39:45 Diagnosing Sleep Disorders and Treatment Modalities 43:58 Exploring Bruxism and Its Hypotheses 45:19 CPAP and Alternative Treatments for Sleep Apnea 48:12 Managing Upper Airway Resistance Syndrome 55:11 Integrative Approach to Sleep Disorder Management 57:17 Diagnostic Protocols and Imaging Techniques 01:02:25 The Importance of Proper Device Fit and Function 01:07:16 Upcoming Events and Further Learning Opportunities 01:09:56 Outro ✨ Don’t Miss Out: Practical, anatomy-based approaches to sleep and airway management for dentists and specialists 📅 Event: Introduction to Craniofacial Sleep Medicine 📍 Location: Marriott Hotel, London Heathrow 💷 Course Price: £2,495 🐦 Early Bird Registration: £1,996 🎟️ Discount Code: Use “earlybird20” at checkout 🌐 Learn More: Visit REMA Sleep for details on courses, devices, and craniofacial sleep medicine resources. 🚀 Try Protrusive AI aka AskJaz today: Explore clinical reasoning and educational support directly within the Protrusive Guidance App! If you loved this episode, watch 5 Airway Patients In Your Dental Practice Right Now with Dr Liz Turner – PDP226 #PDPMainEpisodes #OcclusionTMDandSplints #BreadandButterDentistry This episode is eligible for 1 CE credit via the quiz on Protrusive Guidance.  This episode meets GDC Outcome C. AGD Subject Code: 730 ORAL MEDICINE, ORAL DIAGNOSIS, ORAL PATHOLOGY (Sleep medicine) Aim: To understand the craniofacial and dental considerations in managing sleep-disordered breathing, including the role of mandibular advancement, palatal expansion, and integrative dental approaches in sleep medicine. Dentists will be able to – Describe the craniofacial factors contributing to sleep-disordered breathing and upper airway resistance syndrome (UARS). Explain the mechanisms, indications, and limitations of mandibular advancement devices and palatal expansion in dental sleep medicine. Integrate diagnostic findings, craniofacial assessment, and interdisciplinary collaboration to formulate individualized treatment plans for patients with sleep-disordered breathing.

Happy New Year, Protruserati ✨ As 2025 comes to a close, we wanted to pause and reflect by revisiting the moments that genuinely shaped how we practise, think, and show up in the clinic. This Best of 2025 episode starts with restorative and aesthetics, moves through digital workflows, endo, paediatrics, surgery, communication, and finishes with what sustains us over a long career. These are the clips that made me pause, rethink, and quietly adjust how I work – and I hope they do the same for you. Some of the ideas you’ll hear in this episode include: Predictable ways to manage wear and space without over-treating Small restorative and material choices that have a big impact long-term Practical digital workflows that genuinely improve accuracy and efficiency Endo fundamentals that reduce stress and increase consistency Clear clinical judgement for paediatrics, surgery, and medical emergencies Communication habits that build trust without using jargon Simple, sustainable ways to protect your body, health, and curiosity https://youtu.be/rsOxnzlYUkc Watch the Best of 2025 on YouTube Also, AskJaz is here!📢 AskJaz (JazAI) is built to solve a simple problem: knowing what to do next without digging through endless content. Need quick guidance on a tricky case? Not sure which cement to use? Need help with a lab prescription? AskJaz has you covered.😉 It provides 24/7 support, allowing you to ask questions at any time and receive clear, direct responses. You can even talk to Jaz in your own language, making the guidance easier to understand and apply—especially in fast-paced clinical situations. AskJaz is available by upgrading to the Ultimate Clinical Education Plan, where it’s currently included. This gives you full access to AskJaz alongside premium masterclasses, CPD features, and advanced clinical resources inside the app. If you join or upgrade on or before January 11, AskJaz is included with your Ultimate membership for as long as your account remains in good standing. From January 12, a new Ultimate+ Plan will launch at a higher price—and that will be the only way new members can access AskJaz. So if you’ve been thinking about upgrading or joining the app, this is a very good moment. A Heartfelt Thank You To every guest who sat down with me this year and shared their knowledge, their stories, their hard-won wisdom — thank you. You made us all better clinicians. And to you — for listening, for questioning, for caring enough to keep learning even when you’re exhausted, even when the day’s been long, even when it feels like there’s always more to know. You’re the reason this podcast exists. You’re the reason I keep doing this. Thank you for being here. Thank you for being part of this community. Thank you for showing up, year after year. Here’s to 2026. Here’s to more conversations. Here’s to all of us getting just a little bit better. Until next year, keep learning, keep caring, and keep doing the dentistry that makes you proud.

Do your patients really have two bites? Does their bite change when they lie down? When they sleep? And how can you explain centric relation, posture, and deprogramming in a way that patients actually understand? Dr. Bobby Supple joins Jaz for a powerful episode unpacking one of the most misunderstood topics in occlusion: the daytime chewing bite versus the nighttime airway bite. After spending days with Bobby in his New Mexico clinic, Jaz saw firsthand how simply and elegantly Bobby communicates concepts that usually leave patients — and dentists — confused. Together, they explore why bite discrepancies exist, what happens when the condyles fully seat, and how aligning Bite One and Bite Two over time can transform patient comfort and restorative outcomes. https://youtu.be/EC_qxUF7GxI Watch PDP252 on YouTube Protrusive Dental Pearl  When assessing abfractions, always check the patient’s bite in two positions: seated upright and lying back.  Posture subtly shifts the condylar position and can change how forces load the tooth. Want more gems like this? AskJaz — your on-demand dental brain, will be soon baked right into the Protrusive App. Key Takeaways: Every patient has two bites — their upright chewing bite and their horizontal airway bite. Posture changes the condylar position more than we realise. Clear communication can make complex occlusion concepts instantly understandable. Aligning Bite One and Bite Two over time leads to healthier joints and more predictable dentistry. Highlights of this episode: 03:36  Pearl – Assessing Abfractions  06:47 Dr. Bobby Supple’s Journey to Dentistry 10:46 Confusion Around Centric Relation 13:22 Exploring T-Scan Technology 21:40 The Evolution of Digital Occlusion 27:05 Effect of Sitting vs. Reclined Position 32:03 Airway and Skeletal Asymmetry 37:19 Bite Philosophy and Treatment 42:10 Orthotics and Long-term Care 52:13 Preventive Dental Care 58:18 Ask Jaz AI (Beta Launch) 🎓 Join the world’s leading organization dedicated to occlusion, temporomandibular disorders (TMD), and restorative excellence — the American Equilibration Society (AES). 🗓️ AES Annual Meeting 2026 – “The Evolution of the Oral Physician”  📍 February 18–19, 2026 · Chicago, Illinois Papers & Literature: Dr. Bobby’s Top Picks Evolving digital patterns Introduction to force scanning 5 ways to use T-Scan Digital Occlusion–From paper marks to digital force mapping Discover Dr. Robert Kerstein’s guide to Measured Digital Occlusion and T-Scan technology.  Dive deeper into occlusion with Dr. Bobby Supple on Occlusion Wars II: Beyond Teeth – PDP101 #PDPMainEpisodes #OcclusionTMDandSplints #BestofProtrusive This episode is eligible for 1 CE credit via the quiz on Protrusive Guidance.  This episode meets GDC Outcomes C AGD Subject Code: 180 OCCLUSION Aim: To enhance clinicians’ understanding of the “two bites” concept, the role of condylar position in occlusal health, the use of T-Scan in diagnosing occlusal force patterns, and the long-term prevention-based approach to managing occlusal stress, abfractions, and TMJ remodeling. Dentists will be able to – Explain the concept of patients having “two bites” (MIP bite vs. airway/postural bite) and describe how posture influences mandibular position. Identify occlusal stress patterns using clinical examination and digital tools (e.g., T-Scan) to recognise overloads that may contribute to abfractions, cracks, or TMJ symptoms. Apply a long-term, preventive approach to occlusal management that aims to harmonise daytime and nighttime bites while supporting joint remodeling through appropriate orthotic therapy.

How do you balance a high-performance dental career with being an effective parent? What strategies help you stay sane amidst the organized chaos of family life? How can showing up as your best self benefit both your patients and your children? Dr. Shandy Vijayan and Dr. Raabiha Maan join Jaz in this nonclinical episode to share their experiences of parenthood in dentistry. From the unique perspectives of two dentist-moms and the dad viewpoint, they discuss the real-life challenges of raising children while maintaining personal well-being. They also share practical tips, book recommendations, and actionable strategies for self-care and emotional regulation—helping you create a balanced family life while thriving in your career. During the episode, Jaz also mentions KARRI — a fun, screen-free voice messenger that helps kids stay safely connected with parents and friends, without social media or internet access. Loved by kids. Trusted by parents. Get 50% off via: www.protrusive.co.uk/karri https://youtu.be/F-Tp83_tuco Watch IC065 on Youtube Key Takeaways Life comes in “seasons”; early parenting (~0–8 yrs) is intense but temporary. Reduce clinical load early to focus on children; career focus increases after ~12 yrs. Prioritize time with kids over tasks; coordinated parenting schedules help. House help significantly reduces stress, frees energy for quality interactions. Support networks (family, in-laws, professional communities) are essential. Grandparents: allow flexibility; avoid micromanaging childcare. Returning to work: stress, costs (GDC, indemnity, childcare), skill gaps, guilt. Dentistry = high-performance + emotional labor; manage energy carefully. Quick mental reset between work/home recommended; part-time can boost longevity. Parent happiness + strong parental relationship = major factor in kids’ emotional regulation. Run family like a small business: systems, schedules, clear roles. Self-regulation, EQ, and self-care benefit family, patients, and professional life. Highlights of this episode: 00:00 Teaser 01:00 Intro 02:50 Shandy’s Story: Juggling Multiple Clinics 08:11 Raabiha’s Story: Managing a Practice and Family 08:58 Interjection 16:03 Raabiha’s Story: Managing a Practice and Family 18:17 Life Seasons and Reducing Clinical Commitment 21:05 The Value of Help and Support Networks 27:00 Financial and Emotional Challenges in Dentistry 33:03 Midroll 36:22 Financial and Emotional Challenges in Dentistry 36:24 Balancing Work and Home Life 42:26 Time Management and Setting Boundaries 46:51 Self-Care and Emotional Regulation 53:53 Upcoming Wellness Event 59:01 Final Thoughts and Future Ideas 59:49 Outro Ready to take the next step? Check out this great resource for new dentists and trainees: Dentistry in a Nutshell Join the community at the Dental Mums Network to connect with dentist‑parents balancing clinical work and family life. Revive 2026 – A Wellness Event Like No Other (6 hours CPD) 🗓 Saturday 24th January 2026 📍 Leonardo Royal Hotel, St Paul’s, London Revive 2026 is your invitation to pause, breathe, and reconnect- a full-day experience designed for women in dentistry who are ready to start the year with purpose, calm, and clarity. Loved this? Dive deeper into Parenthood and Dentistry – IC025 (Even If You’re Not a Parent!) #InterferenceCast #BeyondDentistry #Communication This episode is eligible for 0.75 CE credit via the quiz on Protrusive Guidance.  This episode meets GDC Outcome: B AGD Subject Code: 770 SELF IMPROVEMENT Aim: To explore strategies for managing work-life balance in dentistry, focusing on early parenthood, emotional regulation, and professional sustainability. Dentists will be able to – Describe key challenges dentists face balancing clinical practice with early parenthood. Identify practical strategies for maintaining emotional energy, setting boundaries, and creating support networks. Apply approaches to integrate self-care, household management, and EQ development to enhance personal and professional well-being.

Thinking of moving to the USA as a dentist? Wondering what exams, applications, and documents you’ll need to practice or specialize there? Curious about how much it costs — and what life as a dentist in the States is really like? Dr. Hazel Kerr and Dr. Dorrin Reyhani join Jaz for a deep dive into everything you need to know about moving to America as a dentist. Both UK-trained and now faculty at UPenn, they share their personal journeys and break down the full pathway — from exams like the INBDE and TOEFL, to transcripts, personal statements, and application timelines. They also discuss what it’s like working in the US compared to the UK, including earning potential, patient culture, and training opportunities. Whether you want to complete an advanced standing program, pursue a specialty, or bring your skills back home, this episode gives you a clear roadmap to make it happen. https://youtu.be/Ro9dljETKpc Watch IC065 on YouTube Key Takeaways The journey to becoming a dentist varies significantly by country. Specializing in dentistry can open more opportunities than general practice. Board certification enhances professional status and may offer insurance benefits. International dentists have specific routes to practice in the US. Scholarships can significantly reduce the financial burden of dental education. Teaching positions can provide pathways to practice without additional costs. Faculty primarily teach and supervise dental students in clinics. Early preparation for the INBD exam is crucial for success. Clinical experience and a strong portfolio are essential for applications. Networking and externships can enhance application prospects. Understanding the application process can alleviate stress for international students. Cultural differences impact how dental care is valued and perceived. Highlights of this episode: 00:00 Teaser 00:55 Introduction 04:15 Journey to Specialization 12:49 Understanding the Certification and Board Process 15:35 Exploring Different Routes for International Dentists 18:17 Financial Considerations and Scholarships 25:48 US Difficulty and Competitiveness 29:35 Choosing Between General and Specialty Routes 31:11 Navigating State-Specific Licensing 33:28 Teaching and Clinical Responsibilities 35:03 Midroll 38:24 Teaching and Clinical Responsibilities 43:01 Application Process and Exams 52:07 Residency and Career Pathways 57:39 Application Portals 01:00:35 Work Experience Before Specialization 01:03:22 Why Dentists Choose to Work in the US 01:09:36 Finishing the Program and Looking Ahead 01:12:01 Outro If you enjoyed this episode, you’ll definitely be inspired by The American Dental Dream – PDP002. #InterferenceCast #CareerDevelopmentThis episode is not eligible for CPD/CE points, but never fear, there are hundreds of hours of CPD waiting for you on the Ultimate Education Plan.

You’re doing a routine exam when you spot it – a stained hairline crack snaking across the marginal ridge of a molar. Your patient hasn’t mentioned any symptoms… Yet. Should you sound the alarm? Monitor and wait? Jump straight to treatment? Cracked teeth are one of dentistry’s most misunderstood diagnoses. Colleagues debate whether to crown or monitor. And that crack you’re staring at? It could stay dormant for years—or spiral into an extraction by next month. So what separates the teeth that crack catastrophically from those that quietly hold together? In this episode, I am joined by final-year dental student Emma to crack the code (pun intended) on cracked tooth syndrome.  We break down the easy-to-remember “position, force, time” framework to help you spot risk factors before disaster strikes, and share a real-world case of a 19-year-old bruxist whose molar was saved by smart occlusal thinking. If you’ve ever felt uncertain about diagnosing, explaining, or managing cracked teeth, this episode will change how you think about every suspicious line you see. https://youtu.be/mU8mM8ZNIVU Watch PS019 on YouTube Need to Read it? Check out the Full Episode Transcript below! Key Takeaways Risk factors include large restorations and bruxism. Occlusion plays a significant role in tooth health. Diet can impact the integrity of teeth. Every patient presents unique challenges in treatment. Communication about dental issues is key for patient care. Certain teeth are more prone to fractures due to their anatomy. The weakest link theory explains why some patients experience more dental issues. Patient history is crucial in predicting future dental problems. The age and dental history of a patient influence treatment decisions. Understanding occlusion is essential for diagnosing and treating cracked teeth. The location of a tooth affects the force it experiences during chewing. Bruxism increases the risk of tooth fractures. Tooth contacts and forces play a critical role in diagnosing issues. Opposing teeth can provide valuable insights into tooth health. Effective communication is essential in managing cracked teeth. Stains on teeth can indicate deeper issues with cracks. Monitoring and documenting cracks over time is crucial for patient care. Highlights of this episode: 00:00 Teaser 00:49 Intro 03:25 Emma’s Dental School Updates 07:18 What is Cracked Tooth Syndrome (CTS)? 10:02 Crack Progression and Severity 12:45 Risk Factors 14:54 Position–Force–Time Framework 21:53 Which Teeth Fracture Most Often? 25:32 Midroll 28:53 Which Teeth Fracture Most Often? 30:37 The Weakest Link Theory 34:05 Diagnostic Tools 37:56 Treatment Planning 39:42 Case Study – High Force Patient 47:27 Communication and Patient Management 51:03 Key Clinician Takeaways 53:03 Conclusion and Next Episode Preview 53:42 Outro Check out the AAE cracked teeth and root fracture guide for excellent visuals and classification details. Literature review on cracked teeth – examines evidence around risk factors, prevention, diagnosis, and treatment of cracked teeth. Want to learn more about cracked teeth? Have a listen to PDP028 and PDP098 – both packed with practical tips and case-based insights. #BreadAndButterDentistry #PDPMainEpisodes #OcclusionTMDandSplints This episode is eligible for 0.75 CE credits via the quiz on Protrusive Guidance.  This episode contributes to the following GDC development outcomes: Outcome C   AGD Subject Code: 250 – Operative (Restorative) Dentistry Aim: To help dental professionals understand the causes, diagnosis, and management of cracked teeth through a practical, evidence-based approach. It focuses on identifying risk factors using the Position–Force–Time framework and improving patient outcomes through informed communication and tailored treatment planning. Dentists will be able to: Explain the aetiology and progression of cracked tooth syndrome Identify high-risk teeth and patient factors—such as restoration design, occlusal contacts, and parafunctional habits—that predispose to cracks Communicate effectively with patients about the significance of cracks, prognosis, and monitoring options, improving patient understanding and consent.

Are you confident in spotting a child at risk of neglect? Do you know what to do if you witness abuse in your practice? How can you raise concerns safely while protecting both the child and your team? This episode with Dr. Christine Park provides tangible actions, practical scripts, and clear guidance for managing challenging scenarios—like seeing an adult hit a child in the waiting room or recognizing neglect in the dental chair. These are situations dental school rarely prepares us for. Every practice needs clear protocols for safeguarding. This episode acts as a North Star, helping you stay compliant while ethically doing the right thing. If you treat children, you must listen to this episode and share it with every colleague who treats children. https://youtu.be/-kYs23Xa4Ls Watch PDP251 on YouTube Protrusive Dental Pearl: Find the phone number of your local child safeguarding board / social services. Verify it, then display it where you and your team can quickly access it. Need to Read it? Check out the Full Episode Transcript below! Key Takeaways Dentists are trained observers of family dynamics. Recognizing normal behavior is key in dental care. Unconscious observations can guide professionals. Feeling uncomfortable about a situation is a valid signal. Empowerment comes from trusting your instincts. Dental care professionals see many aspects of families. It’s important to act on uncomfortable feelings. Observation skills are crucial for effective care. Children’s interactions reveal much about family health. Awareness of discomfort can lead to better outcomes. Highlights of this episode: 00:00 Teaser 00:59 Intro 02:40 Pearl – Child Protection Hotline 05:23 Dr. Christine Park’s Background and Expertise 08:37 The Role of Dentists in Safeguarding Children 11:19 Practical Scenarios and Guidelines for Safeguarding 15:35 Recognizing Silent Cases of Neglect 17:29 Team Collaboration and Support in Safeguarding 21:58 Guidelines and Policies for Effective Safeguarding 22:03 Midroll 25:24 Guidelines and Policies for Effective Safeguarding 28:32 Handling a Tough Safeguarding Scenario 32:18 Dealing with Poor Oral Hygiene and Neglect 39:12 Managing Parental Reactions and Consent 43:08 The Importance of Safeguarding in Dentistry 45:34 Further Guidance and Resources 46:10 Outro 📢 Safeguard your young patients with confidence! Catch Dr. Christine Park at the Scottish Dental Show in June or via her NES webinars. Check out the BSPD guidelines on dental neglect —an essential resource for any dentist treating children ✉️ Get in Touch with Dr. Christine: General: Christine.park@glasgow.ac.uk Patient-info: Christine.park7@nhs.scot If you loved this episode, don’t miss How to Manage Children in Dental Pain – Paediatric Emergencies – PDP159 #PDPMainEpisodes #Communication #CareerDevelopment This episode is eligible for 0.75 CE credit via the quiz on Protrusive Guidance.  This episode meets GDC Outcomes A and D. AGD Subject Code: 430 PEDIATRIC DENTISTRY (Identification and reporting of child abuse) Aim: To equip dental professionals with practical knowledge and skills to recognize, respond to, and appropriately escalate safeguarding concerns involving children in dental practice. Dentists will be able to – Identify key signs and red flags of child neglect, abuse, or welfare concerns in dental patients. Apply clear communication strategies to discuss concerns with parents/caregivers and involve relevant authorities. Follow practice-based and multi-agency procedures for safeguarding, including documenting observations and escalation.

Let’s be honest – the occlusion after Aligner cases can be a little ‘off’ (even after fixed appliances!) How do you know if your patient’s occlusion after aligner treatment is acceptable or risky? What practical guidelines can general dentists follow to manage occlusion when orthodontic results aren’t textbook-perfect? Jaz and Dr. Jesper Hatt explore the most common challenges dentists face, from ClinCheck errors and digital setup pitfalls to balancing aesthetics with functional occlusion. They also discuss key strategies to help you evaluate, guide, and optimize occlusion in your patients, because understanding what is acceptable and what needs intervention can make all the difference in long-term treatment stability and patient satisfaction. https://youtu.be/e74lUbyTCaA Watch PDP250 on YouTube Protrusive Dental Pearl: Harmony and Occlusal Compatibility Always ensure restorative anatomy suits the patient’s natural occlusal scheme and age-related wear. If opposing teeth are flat and amalgam-filled, polished cuspal anatomy will be incompatible — flatten as needed to conform. Need to Read it? Check out the Full Episode Transcript below! Key Takeaways Common mistakes in ClinCheck planning often stem from occlusion issues. Effective communication and documentation are crucial in clinical support. Occlusion must be set correctly to ensure successful treatment outcomes. Understanding the patient’s profile is essential for effective orthodontics. Collaboration between GPs and orthodontists can enhance patient care. Retention of orthodontic results is a lifelong commitment. Aesthetic goals must align with functional occlusion in treatment planning. Informed consent is critical when discussing potential surgical interventions. The tongue plays a crucial role in orthodontic outcomes. Spacing cases should often be approached as restorative cases. Aligners can achieve precise spacing more effectively than fixed appliances. Enamel adjustments may be necessary for optimal occlusion post-treatment. Retention strategies must be tailored to individual patient needs. Case assessment is vital for determining treatment complexity. Highlights of this episode: 00:00 Teaser 00:59 Intro 02:53  Pearl – Harmony and Occlusal Compatibility 05:57 Dr. Jesper Hatt Introduction 07:34 Clinical Support Systems 10:18 Occlusion and Aligner Therapy 20:41 Bite Recording Considerations 25:32 Collaborative Approach in Orthodontics 30:31 Occlusal Goals vs. Aesthetic Goals 31:42 Midroll 35:03 Occlusal Goals vs. Aesthetic Goals 35:25 Challenges with Spacing Cases 42:19 Occlusion Checkpoints After Aligners 50:17 Considerations for Retention 54:55 Case Assessment and Treatment Planning 58:14 Key Lessons and Final Thoughts 01:00:19 Interconnectedness of Body and Teeth 01:02:48 Resources for Dentists and Case Support 01:04:40 Outro Free Aligner Case Support!Send your patient’s case number and get a full assessment in 24 hours—easy, moderate, complex, or referral. Plus, access our 52-point planning protocol and 2-min photo course. No uploads, no cost. [Get Free Access Now] Learn more at alignerservice.com If you enjoyed this episode, don’t miss: Do’s and Don’ts of Aligners [STRAIGHTPRIL] – PDP071 #PDPMainEpisodes #OcclusionTMDandSplints #OrthoRestorative This episode is eligible for 1 CE credit via the quiz on Protrusive Guidance.  This episode meets GDC Outcomes A and C. AGD Subject Code: 370 ORTHODONTICS (Functional orthodontic therapy) Aim: To provide general dentists with practical guidance for managing occlusion in aligner therapy, from bite capture to retention, including common pitfalls, functional considerations, and case selection. Dentists will be able to – Identify common errors in digital bite capture and occlusion setup. Understand the impact of anterior inclination and mandibular movement patterns on occlusal stability. Plan retention strategies appropriate for aligner and restorative cases.

Do you have a “hopeless” retained root you’re ready to extract? Think implants, dentures, or bridges are the only way forward? What if there’s a way to save that tooth — predictably and biologically? In this episode, Dr. Vala Seif shares his experience with the Surgical Extrusion Technique — a game-changing approach that lets you reposition the root coronally to regain ferrule and restore teeth once thought impossible to save. Jaz and Dr. Seif dive into case selection, atraumatic technique, stabilization, and timing, all guided by Dr. Seif’s own SAFE/SEIF Protocol, developed from over 200 successful cases. https://youtu.be/2TyodqgAP9w Watch PDP249 on YouTube Protrusive Dental Pearl: When checking a ferrule, consider height, thickness, and location of functional load. Upper teeth: prioritize palatal ferrule. Lower teeth: prioritize buccal. Tip: do a partial surgical extrusion, rotate the tooth 180°, then stabilize. Need to Read it? Check out the Full Episode Transcript below! Key Takeaways Surgical extrusion is a technique-sensitive procedure that requires careful planning. Case selection is crucial for the success of surgical extrusion. A crown-root ratio of 1:1 is ideal for surgical extrusion. Patients are often more cooperative when they see surgical extrusion as their last chance to save a tooth. Surgical extrusion can be more efficient than orthodontic extrusion in certain cases. The importance of ferrule in dental restorations cannot be overstated. Proper case selection is crucial for successful outcomes. Atraumatic techniques are essential for preserving tooth structure. The ‘Safe Protocol’ offers a structured approach to surgical extrusion. Patient communication is key to managing expectations. Flowable composite is preferred for tooth fixation post-extraction. Understanding root morphology is important for successful extractions. Highlights of this episode: 00:00 Surgical Extrusion Podcast Teaser 01:07 Introduction 02:38 Protrusive Dental Pearl 05:53 Interview with Dr. Vala Seif 08:57 Definition and Philosophy of Surgical Extrusion 15:30 Indications, Case Selection, and Root Morphology 21:37 Comparing Surgical and Orthodontic Extrusion 25:54 Crown Lengthening Drawbacks 28:39 Occlusal Considerations 33:53 Midroll 37:16 Definition and Importance of the Ferrule 43:07 Clinical Protocols and Fixation Methods 01:00:01 Post-Extrusion Care and Final Restoration 01:05:04 Learning More and Final Thoughts 01:09:29 Outro Further Learning: Instagram: @extrusionmaster — case examples, papers, and protocol updates. Online and in-person courses in development (Europe + global access). Loved this episode? Don’t miss “How to Save ‘Hopeless’ Teeth with the Surgical Extrusion Technique” – PDP061 #PDPMainEpisodes #OralSurgeryandOralMedicine #OrthoRestorative This episode is eligible for 1 CE credit via the quiz on Protrusive Guidance.  This episode meets GDC Outcomes C. AGD Subject Code: 310 ORAL AND MAXILLOFACIAL SURGERY Aim: To understand the biological and clinical principles of surgical extrusion as a conservative alternative to orthodontic extrusion or crown lengthening for managing structurally compromised teeth. Dentists will be able to – Identify suitable clinical cases for surgical extrusion, including correct root morphology and crown–root ratios. Describe the step-by-step SAFE Protocol for atraumatic surgical extrusion, fixation, and timing of endodontic treatment. Evaluate the advantages, limitations, and biomechanical considerations of surgical extrusion compared with orthodontic extrusion and crown lengthening.

Are you confident in replacing a single missing central incisor? When is a denture the right option — and when should you consider a bridge or implant instead? Why is the single central incisor one of the hardest teeth to replace to a patient’s satisfaction? In this Back to Basics episode, Jaz and Protrusive Student Emma Hutchison explore the unique challenges of replacing a single central incisor. They break down when each option — denture, resin-bonded bridge, conventional bridge, or implant — is appropriate, and the biological and aesthetic factors that influence that decision. They also share key communication strategies to help you manage expectations, guide patients through realistic treatment choices, and avoid disappointment when dealing with this most visible and demanding tooth. https://youtu.be/czjPQxKpwPw Watch PS018 on YouTube Need to Read it? Check out the Full Episode Transcript below! Key Takeaways:  Replacing a single central incisor isn’t just about technical skill — it’s about communication and case selection.  Success comes from helping patients understand that a restoration replaces a tooth’s function and appearance, not nature itself.  Clear conversations about expectations, limitations, and maintenance are what turn a difficult aesthetic case into a satisfying long-term result. Highlights of this episode: 00:00 Teaser 00:28 Intro 01:56 From Dental Nurse to Final-Year Student 07:38 Challenges and Considerations in Replacing Central Incisors 12:51 Patient Communication and Treatment Planning 18:33 Discussing Treatment Options and Enamel Considerations 21:16 Communicating Options and Guiding Patient Decisions 25:51 Choosing Between Fixed and Removable Options 27:10 Midroll 30:31 Choosing Between Fixed and Removable Options 31:05 Handling Old Crowns and Patient Communication 34:17 Conventional vs. Resin-Bonded Bridges 37:57 Occlusal Load, Function, and Implant Considerations 43:40 Digital Workflow in Dentistry 45:54 Managing Aesthetic Expectations 48:34 Final Thoughts and Recommendations 52:59 Outro 🎧 Want to feel confident with prosthodontics? Explore these essential follow-ups to this episode: Dentures vs Bridges with Michael Frazis Crowns vs Onlays with Alan Burgin Dentures with Finlay Sutton RBB Masterclass on the Protrusive Guidance App Quick, practical lessons to sharpen your planning, communication, and anterior aesthetics — all in your pocket. #ProsthoPerio #OcclusionTMDandSplints #Communication #BreadandButterDentistry This episode is eligible for 0.75 CE credit via the quiz on Protrusive Guidance.  This episode meets GDC Outcomes C. AGD Subject Code: 610 – Fixed Prosthodontics Aim: To provide a clear, clinical overview of replacing a single missing incisor — focusing on when to choose a denture, bridge, or implant, and how to communicate realistic expectations. Dentists will be able to – Identify the key biological, functional, and aesthetic challenges in replacing a central incisor. Compare the indications, advantages, and limitations of dentures, resin-bonded bridges, conventional bridges, and implants. Communicate realistic outcomes, limitations, and maintenance expectations effectively to patients.