Protrusive Dental Podcast

Implant crowns should be out of occlusion, right? Think again!  In my experience, single tooth implant crowns when I see them are IN occlusion and holding shim - even when this was not intended by the Restorative Dentist. When this happens, should we be adjusting the implant crown? Or perhaps the adjacent tooth? *shock horror* And how often would this need to be repeated? This podcast will show you a better way to manage implant occlusion! https://youtu.be/l8WOiamk06M Watch PDP204 on Youtube In this episode, I’m thrilled to chat with Professor Riaz Yar, an occlusion expert and mentor who greatly influenced me early in my career. Together, we’ll debunk common myths and dive into practical approaches to managing implant occlusion. Even if implants aren’t part of your practice, understanding occlusion on implants is crucial for patient care. Tune in as we uncover best practices and clear up misconceptions to help you achieve better results for your patients! Protrusive Dental Pearl: Dr. Pav Khaira has created a free implant assessment form, now available to the Protrusive community. Accessible at www.protrusive.co.uk/implant - this responsive PDF includes key areas like patient goals, biotype, and occlusion, with an 8-minute video guide for easy use. Key Takeaways -Implant occlusion is a major factor in implant failure.-Understanding the biology of the implant system is crucial.-Functional loading is more important than static loading!-Chewing dynamics can reveal important insights about occlusion.-Guidelines for occlusion should be followed but adapted to individual cases.-Patient education on post-implant care is essential.-Shared loading on implants is vital for their longevity. Highlights of this Episode: 01:34 Protrusive Dental Pearl 02:47  Introducing Professor Riaz Yar 05:07 Understanding Implant Failure Causes 08:04 Analyzing Implant Occlusion and Peri-Implantitis 10:27 The Chewing Gum Test 13:20 Guidelines and Challenges with Implant Occlusion and Lab Protocols 17:33 Bone Regeneration and Functional Guidance 19:22 Dynamic Movements and Occlusion Analysis 23:48 Practical Tips for Implant Bridges 28:19 Patient Guidelines for Implant Care Join Riaz for an innovative implant restorative program developed with top dentists (Nik Sissodia, Martin Wanendeya, Sanjay Sethi, and Nik Sethi), designed to enhance your skills in implant restoration. Check out Riaz's one-day course on implant occlusion at profriazyar.com and Elevate Dental. Sign up now and boost your implant expertise! This episode is eligible for 0.5 CE credit via the quiz on Protrusive Guidance.  This episode meets GDC Outcomes B and C. AGD Subject code: 690 IMPLANTS Dentists will be able to:  Recognize key factors that contribute to implant failure and how occlusion plays a role. Utilize practical approaches, such as the Chewing Gum Test, to assess and manage implant occlusion (function) effectively. Discuss guidelines for implant occlusion and understand the challenges involved in lab protocols. If you liked this episode, be sure to watch An Idiot’s Guide to Restoring Single Implant Crowns Part 1 and Part 2

Why are principals and associates always at loggerheads with each other? Why can it be almost impossible to find the right associates to work at our amazing practice, but also almost impossible to find that amazing practice to work at as an associate?  Join myself and Dr Sarika Shah on this episode where we learn more about self leadership and the ways to prioritise our values to help us find the right working relationships and places of work to be a part of. Let’s figure out how to bring all members of a team together and create the zen we are all in search for while working in our day to day lives.  https://youtu.be/-ua1PAB6A90 Watch IC054 on Youtube Protrusive Dental Pearl: Be willing to accept rejection. A ‘no’ from a patient today is often a yes tomorrow. Plant seeds for high quality dentistry and you will find yourself harvesting many of these seeds at a later date. Those who fear rejection routinely offer less than their best, which cheats patients out of rightfully making their own economic decisions - inspired by Dr Lane Ochi (the ORIGINAL Dental Geek!) Check out Flourish as a Female: https://www.flourishasafemale.com/ Use discount code ‘protrusive’ (No financial interest) Need to Read it? Check out the Full Episode Transcript below! Highlights of this Episode:02:18 Protrusive Dental Pearl04:30 Introduction - Dr Sarika Shah10:10 Transition to Private Dentistry13:40 Practice Ownership17:20 Managing the Practice24:55 Internal Leadership29:40 Principals vs Associates Friction41:56 Women in Dentistry47:15 Supportive Partners55:25 Top Advice from Sarika58:28 Flourish This episode is eligible for 1 CE credit via the quiz on the Protrusive Guidance App.  This episode meets GDC LEARNING OUTCOMES A and B AGD Subject Code 550 Practice Management and Human Relations Aim:To explore the importance of self-leadership and effective communication in building successful relationships between dental associates and principals, enhancing teamwork, and optimising practice performance. Dentists will be able to:  Identify key principles of self-leadership and apply them to improve personal and professional development within their practice. Understand the impact of effective communication and aligned values on maintaining strong, respectful relationships between associates and principals in a dental setting. Develop strategies to enhance emotional intelligence, ensuring improved patient care and better collaborative relationships in their practice environment. If you liked this episode, be sure to check out IC025 - Parenthood and Dentistry Click below for full episode transcript: Teaser: And when this respect is gradually lost, that relationship is most likely going to break down within three years. Okay, there's research behind this. I've read a lot around this. So what it there is, is there's three phases to this. The first phase is like- because even when I went out there to approach women, to approach some of these women are still around. And I think they're awesome. They're powerhouses. But when I went to them to ask for help, I got nothing. And it's not like I just asked once. I asked a few times. I asked several women and I got nothing. So the majority of my mentors and coaches have now been male. Jaz's Introduction:Principals versus associates. Why is there so much beef? I'm constantly seeing on the dental social media groups that principals are bashing associates. They're saying like, where are all the good associates gone? I'm really struggling to find a decent, honest, hardworking associate. On the flip side, the associates are searching for trustworthy, kind, caring principals that are willing to mentor and provide an environment where you can flourish. That seems to be a bit of a pipe dream. So who's right? Are they both right? Or maybe all the associates and principals that are happy, that are in very, very happy teams.

Is Sodium Hypochlorite still the best irrigant for endodontics? Or do we have something novel and superior? How can we improve the efficacy of our endodontic irrigation? What % of NaOCl should we be using? https://youtu.be/z5h2FzHpG68 Watch PDP203 on Youtube Dr. Brett Gilbert rejoins Jaz Gulati to tackle all things endodontic irrigation after a brilliant episode on pre-emptive endodontics. Advanced activation and delivery systems could change the game—are we on the brink of a major shift in endodontics? Protrusive Dental Pearl: Before performing a molar extraction, challenge yourself to first complete an endodontic access on the tooth. This will enhance your understanding of the canal anatomy and improve your precision in sectioning the tooth. By visualizing the canals and the pulpal floor, you'll refine your angulation for more accurate sectioning. Need to Read it? Check out the Full Episode Transcript below! Highlights of this Episode: 02:09 Protrusive Dental Pearl 04:23 Is Sodium Hypochlorite Still The Gold Standard? 06:54 The Role of Surfactants in Irrigation 07:58 Concentration of Sodium Hypochlorite 09:47 Chlorhexidine: Is There Still a Place? 11:32 Advanced Disinfection Technologies 21:31 Evidence-Based Techniques in Endodontics 25:22 GP Pumping This episode is eligible for 0.5 CE credit via the quiz on Protrusive Guidance.  This episode meets GDC Outcomes B and C. AGD Subject code: 070 Endodontics (Endodontic infections, microbiology and treatment) Dentists will be able to:  1. Gain insight into the role of sodium hypochlorite in endodontic disinfection and assess its effectiveness compared to new innovations.2. Discover the cutting-edge irrigation methods, including surfactants, ultrasonic activation, and laser-assisted irrigation, and their impact on endodontic outcomes.3. Explore emerging technologies and innovations that could revolutionize endodontic irrigation. If you liked this episode, be sure to watch the 1st Part - ‘PDP202 - Elective Endodontics? It's all about Communication’ Click below for full episode transcript: Teaser: When you use a lower percentage, you really aren't reducing or eliminating the risk of sodium hypochlorite accident. If you get 3% sodium hypochlorite out the end of the root, it's going to cause a sodium hypochlorite accident, as will 6%. If you're trying to eliminate risk using a lower concentration, I don't think it's as effective as you think, but you are taking away some of the strength that you're looking for to kill the bacteria and dissolve the tissue. So my advice would be go full. Teaser:We recognize that training our general dental colleagues on endo is paramount because we don't want the option of implant to come in place of saving the natural tooth simply because of fear or the fact that they just don't feel well enough trained to do the endo. So I believe as a dental community, the more we feel comfortable and proficient in endo, the more teeth we save and the better our patients are. Jaz's Introduction:Is sodium hypochlorite still the best thing in irrigation? If it is, what percentage should we be using? This one might actually surprise you. Is there ever a time when to use chlorhexidine. Whatever irrigant we're using, how can we improve its effectiveness? Hello, I'm Jaz Gulati and welcome to the part two with Dr. Brett Gilbert. How awesome was he? Please do check it out if you haven't already. We talked about elective endodontics or preemptive endodontics. I love the clarity and the passion in which he speaks with. And he definitely continues it on into this episode. He's so knowledgeable, he's so passionate about endodontics in general, but especially the innovation in irrigation. Because after all, endodontic success is all about killing those bugs. And Brett has so much experience in trying all the different things out there. And towards the second half of this episode,

What's the difference between radiolucency and burnout?  When's the best time to use a bitewing vs a periapical radiograph?  When should we pick up the bur for interproximal caries? Have you heard about the 4 white lines an OPG radiograph?  https://youtu.be/wCV3U8-OAvI Watch PS011 on Youtube This episode is packed full of great tips and techniques that will help you understand how to produce great radiographs as well as being able to properly figure out what they are trying to tell us. Radiographs can be tricky, whether that's due to them being flipped, upside down or due to cone cut, that's why this will help shine some light on how to get comfortable with radiographs as well as how to manage our patients after we know what we are dealing with. Need to Read it? Check out the Full Episode Transcript below! Don’t miss the special notes on Radiology and Radiography for Students available exclusively in the Protrusive Guidance app! (Join the free Students Section) This episode is not eligible for CPD/CE points, but never fear, there are hundreds of hours of CPD for Dentists waiting for you on the Protrusive App! For the full educational experience, our Ultimate Education Plan gives you access to all our courses, webinars, and exclusive monthly content. If you love this episode, check out PS003 - Routine Checkup Click below for full episode transcript: Teaser: This episode is the bare basics of radiography and radiology, i.e. the taking of the radiograph and the interpretation. How do you really know if that radiolucency you see is cervical burnout or is it actually caries? What are the four white lines on an OPG radiograph and why are they important? And why you should be really careful with radiographic interpretation? And it's really important to marry the clinical picture, because that's how you come up with a clinical diagnosis. [Jaz]Hello Protruserati, I'm Jaz Gulati and welcome back to your favorite dental podcast. This is for young dentists, students, but a lot of qualified dentists have been really enjoying this basic series, this Protrusive Student series. And so what we're going to do from the next episode is we're going to make it CE eligible. The next episode is actually on basics of extraction, but before we do that extraction, we need a radiograph. And it's a topic that you guys asked for on the YouTube comments. So there we have it. And remember, if you are a dental student, make a free Protrusive account. Go to protrusive.app and then email your username or your name on the platform to student@protrusive.co.uk. And you're going to get access to a secret area, which has a bit more of the premium goodies inside. Every PS episode, we have some student notes to provide you as well, made by Emma Hutchison, our Protrusive student. And the ones today are all about radiography and radiology. Hope you enjoyed the main episode, I'll catch you in the outro. Main Episode:Emma Hutchison, our Protrusive Student. Welcome back to the student's edition of the podcast. I know you've got exam results coming up and you're going on your elective soon. How exciting. [Emma]Yes, very exciting. So I'm just finishing up the last bits and bobs of my elective project and then I'm going traveling for two months. So, I should also get my exam results next week sometime when I'll be away. So, hopefully everything's good. [Jaz]We're all rooting for you. We know, you know, fingers crossed you'll do well and you'll report back to us. If anyone in Asia is a dental student or a dentist, and you happen to see Emma walking in a mall, an air conditioned mall, take a selfie with her and tag us on Protrusive. Let's see if this social experiment works. Let's see how much we're spending. That'd be cool, right? [Emma]Yeah, it would have to be an air-conditioned place because I'm from Scotland, so I'm not going to do well with the heat over there at all. [Jaz]Excellent. Well,

Does ‘elective’ or ‘pre-emptive’ endodontics have a role in Restorative Dentistry? It almost feels dirty to me as I try my best to PRESERVE pulp vitality! But sometimes this bites you, and you wish you had carried out root canal treatment before cementing that crown. At what point can pre-emptive root canal be justified in a world where MTA and biodentine exist? https://youtu.be/9Gc_yik9fDU Watch PDP202 on Youtube In this episode, Jaz sits down with renowned endodontist Dr. Brett Gilbert to delve into the intriguing world of elective or pre-emptive endodontics. Together, they explore challenging cases where teeth with uncertain pulpal health may require root canal treatment, whether due to caries or crown prep. Dr. Gilbert sheds light on patient communication strategies, the role of bioactive materials like biodentine and bioceramic sealers, and how to make crucial decisions about preserving pulp vitality. Protrusive Dental Pearl: Dr. Pav Khaira suggests using Alvogyl, commonly used for dry sockets, to treat pericoronitis! After cleaning and disinfecting the area, place a small amount under the operculum for immediate relief and to soothe inflammation. Need to Read it? Check out the Full Episode Transcript below! Highlights of this Episode: 3:01 Protrusive Dental Pearl 03:55 Dr. Brett Gilbert's Journey and Philosophy 07:17 Elective or Pre-emptive Endodontics 11:06 Radiographic Measurement 11:40 Real-Life Encounters  15:29 Discussing Treatment Options and Patient Communication 20:28 Can Biodentine Prevent Root Canal? 22:45 Materials and Techniques in Endodontics 26:16 Death of Gutta-percha? This episode is eligible for 0.5 CE credit via the quiz on Protrusive Guidance.  This episode meets GDC Outcomes B and C. AGD Subject code: 070 Endodontics (Endodontic infections, microbiology and treatment) Dentists will be able to:  1. Learn what elective or preemptive endodontics entails and recognize scenarios where root canal treatment may be required due to caries or crown preparation, and how to approach them.2. Discover effective strategies for explaining treatment options to patients, improving trust and decision-making.3. Gain insights into the use of bioactive materials like biodentine and bioceramic sealers, and their benefits in preserving pulp vitality. If you liked this episode, you’ll love Post Operative Pain after Endodontics – Prevention and Management – GF017 Click below for full episode transcript: Teaser: I do believe in these instances, you are justified to recommend the treatment. You're not demanding it. You're not saying it's dogma, but you're having a conversation so the patient understands. Because what happens if you don't is you do your work, you're doing it in best faith. Patient winds up in pain, and they become very angry. Teaser:They become agitated, and they want to blame the dentist. And without a conversation, without a dialogue, they're clueless, and all of a sudden, they just think you did something wrong. You are a human, and you are the doctor. Speak to yourself. Let the words flow out so that you can explain all the different possibilities in a way that the patient feels heard, understood, but also nurtured, and at the same time you realize this is biology. We are not in control. Jaz's Introduction:In a world where we want to do everything to preserve pulp vitality, is it ever appropriate to carry out elective endodontics? Another terminology that our guest today, Dr. Brett Gilbert shared with me is preemptive endodontics. For example, you have a tooth with dubious pulpal prognosis. And you know that by prepping it for a crown or by removing the caries, this tooth may need root canal treatment. Is it okay to just go ahead and do the root canal so it doesn't bite you in the behind in the future? You see, I was always taught to do everything possible to preserve pulp vitality.

Are single-use diamond burs more efficient at cutting? When should we throw away a bur and pick up a fresh one? How long are they supposed to last? (it's measured in minutes!) Are expensive brands a con? Tiny, but one of the most important tools of our trade…BURS! In a world full of different identifying numbers and names, it can get confusing and even overwhelming.  https://youtu.be/Ol0_XcIbSD8 Watch PDP201 on Youtube That’s why on today’s episode, we welcome Günter and Marcela from Intensiv, a globally recognised manufacturer of dental burs, where they take great pride in bringing the latest tech to help make our dental procedures that much easier and effective. In this episode, we cover how diamonds are sourced, what the differences are in colours of burs and how the grain size of diamonds can change our results. There’s lots of amazing tips and tricks here given by the team at Intensiv, so you’ll definitely walk away from this one with something new up your sleeve. Need to Read it? Check out the Full Episode Transcript below! HIGHLIGHTS of this Episode: 01:24 Protrusive Dental Pearl 02:03 Introduction to Team Intensiv 05:40 Understanding Bur Codes 10:49 Bur Colours 15:10 When to Use Different Grit Diamonds 18:40 Single Use Burs vs Reusable Burs 24:59 Sourcing Diamonds 29:18 Fixing the Diamonds to the Metal Shank 32:40 Is my bur fit for purpose? 37:30 Drilling Zirconia 39:30 Final Tips 41:20 Contact Intensiv This episode is eligible for 0.75 CE credit via the quiz below. AGD Code: 250 Operative (restorative) Dentistry (Preparation Technology) GDC Learning Outcome:  C Learning Outcomes Identify the appropriate dental burs for different procedures, considering grit size and material composition, to ensure efficient and safe treatment. Evaluate the impact of bur selection on patient comfort and procedural outcomes, minimising trauma and maximising efficiency during dental treatments. Implement best practices for the maintenance and replacement of burs to ensure optimal performance and longevity, thereby improving clinical results and patient satisfaction. If you liked this episode, you will aslso like: PDP117 - Dental Ceramics in 2022 – Which Ceramic Should I Use Click below for full episode transcript: Teaser: Are single use burs better or really more cost effective than our traditional multi use burs? I think the answer is actually going to surprise you. And my biggest pet peeve, the thing I hate the most, is using a bur and it has like zero cutting efficiency. I work in a clinic where we share our burs and we have like different bur kits made up. Jaz's Introduction:And so sometimes I use a bur and I hadn't inspected it and I find that, oh my goodness, this is taking way longer than it should. And of course I have to ask my nurse to go to the stock room to get a brand new bur. But this is frustrating. Like when you are using a bur with less cutting efficiency. It is annoying and it's actually downright dangerous for the tooth. So how can you tell? Is there an objective way to tell and subjectively, how can you tell exactly the moment when you should bin a bur? So you avoid that horrible scenario. Hello, Protruserati. I'm Jaz Gulati and welcome back to your favorite dental podcast. I'm joined today by Günter Smailus and Marcella Roba who represent Intensiv. Intensiv is a Swiss based company which specializes in diamonds, so who better to find out more about the use of diamond burs and everything to do with diamonds. It's a very geeky episode, but I feel diamond burs and diamonds in dentistry, we use them so much, we rely on them so much. I think it's worth an episode, it's worth discussing about different diamonds in dentistry. I have no financial interest with Intensiv, this is not a sponsored episode. But this is very much for the pursuit of knowledge and disseminating information to Protruserati, i. e. you guys,

Last Live Occlusion Course of 2024 - Book Now: https://courses.iasortho.com/courses/gb/occlusion POV: You spend a fortune on a composite anatomy course and are excited to implement on Monday morning. However, every time you apply those concepts, you end up drilling it away because it’s proud in the occlusion! It essentially now looks like a tooth coloured version of the amalgam you just removed! Your nurse’s eyes are like pools of fire - that’s half her lunch break gone. This happens a few more times until you realise that you’re missing a trick… Enter this podcast to save your career! ;) https://youtu.be/5MVvknCNV-8 Watch PDP200 on Youtube Dr Jaz Gulati and Dr Mahmoud Ibrahim will teach you how to radically minimize adjustments on your daily restorations. Key Takeaways: Always check the patient's occlusion before starting any restoration. Utilize shim stock to ensure accurate occlusal contacts post-restoration. Pre-op visual checks are crucial for successful composite placement. Don't compromise on the anatomy of the restoration for aesthetics. Use thinner articulating paper for more precise occlusal markings. Communicate effectively with your dental nurse about new protocols. Involve your senses to assess the quality of your restorations. Document occlusal marks pre and post-restoration for reference. Adjustments should be minimal if pre-op checks are thorough. Educate patients about their occlusion to manage expectations. Need to Read it? Check out the Full Episode Transcript below! Highlights of this Episode:05:24 Introduction - Dr Mahmoud Ibrahim08:42 Posterior Composite14:15 Shim Stock Foil16:35 Effects of Numbing on Occlusion18:23 Lower First Molar Example22:06 Shim Stock revisited26:22 Lateral Excursions30:32 Fissure Staining?31:56 Old Restoration as a Guide35:33 Restoration Techniques and Adjustments38:03 Tips and Tricks43:28 Event Discussion45:09 The Importance of Marginal Ridges46:25 Anatomy or aNOTomy?48:17 Post-Op Checklist: Final Adjustmentsand Polishing Tips54:19 Wrapping Up: Using Your Senses in Dentistry56:43 Outro This episode is eligible for 1 CE credit via the quiz on Protrusive Guidance App. This episode meets GDC Outcomes A and C. AGD Code: 250 Operative (Restorative) Dentistry (Direct restorations) Dentists will be able to: Evaluate and manage occlusion during posterior composite restorations, ensuring that patient bite and interdigitation are maintained post-procedure. Effectively use shim stock foil and articulating paper to achieve precise contact points and occlusal balance, minimizing the need for post-restoration adjustments. Apply practical techniques, such as using occlusal stamps and soft flex discs, to streamline posterior composite restorations while improving the durability and aesthetics of the final result. If you liked this episode, check out: IC046 - 4 Ways and 6 Great Reasons to Document Your Dentistry Click below for full episode transcript: Teaser: The cuspal inclines and using visual references that I take before I prep the tooth. So I'll look at where the marginal ridge is compared to the base of the cavity. Where's the bottom of the fissure pattern on the adjacent tooth, for example. Use those visual references and then the angle of the cusp. The angle of the cusp is probably, for me at least, one of the most important ones. Teaser:Some patients are like princess and the pea, whereas other patients are like everything feels amazing. And the very last thing you check is how does that feel? That's like the last. Why are we getting patients to feel their bite? They shouldn't like become obsessed about their bite. We're kind of edging them closer every time we say, how does it feel? How does it feel? They're feeling their bite. Something that really should be not really present for them, if you like. Once you get quicker and slicker,

Follow THESE protocols to eliminate teeth whitening sensitivity in your practice - your patients will love you. Have you ever had a patient who had to stop whitening due to severe sensitivity? Should we be whitening when there are active carious lesions? (the answer might surprise you) https://youtu.be/IC3wMpfLo30 Watch PDP199 on Youtube In this episode, Dr. Linda Greenwall is back with another phenomenal episode as we dive into this common concern. Together, we discuss practical tips and effective strategies and protocols to help patients achieve radiant smiles without pain. Protrusive Dental Pearl: We’ve made an infographic to summarise this awesome episode. This one is available freely under the episode in our Protrusive Guidance App. Need to Read it? Check out the Full Episode Transcript below! Highlights of the episode: 03:06 Dr. Linda Greenwald's Background and Experience 07:09 Teeth Whitening: A Global Perspective 08:31 Diagnosing Teeth Sensitivity 14:28 Managing Non-Carious Cervical Lesions (NCCLs) 22:30 Using Sensodyne for Sensitivity Management 24:36 Exploring Different Sensodyne Products 26:26 Bruxism and Occlusal Forces: Mechanisms of Sensitivity 29:39 Role of Hydration and Tray Design 32:57 Whitening Limitations: Cervical Whitening and Medication Impact 36:41 Dehydration and Discoloration 42:03 Therapeutic Uses of Whitening Trays 48:53 Upcoming Events and Final Thoughts Dr. Linda Greenwald invites the Protruseratis to the "Future Dentistry" conference on November 1st at the BDA, featuring dental AI, restorative, orthodontics, and implant innovations. This episode is eligible for 1 CE credit via the quiz on the Protrusive Guidance App. This episode meets GDC Outcomes A and C. AGD code 780 ESTHETICS/COSMETIC DENTISTRY (Tooth whitening/bleaching) Dentists will be able to: 1. Understand the causes of teeth sensitivity during whitening treatments and conduct thorough diagnostics. 2. Implement pre-whitening protocols such as treating non-carious cervical lesions and recommending desensitizing toothpastes. 3. Gain insights into preventative measures for managing sensitivity in whitening treatments. If you love this, be sure to check out Dr. Linda’s other Protrusive Episodes: Finally, Some Clarity on Teeth Whitening for Under-18s with Linda Greenwall – PDP096 and ICON Resin Infiltration – Step by Step FULL PROTOCOL – PDP140 Click below for full episode transcript: Teaser: Any discolored tooth needs a periapical radiograph, really, really important, because you are looking for undiagnosed periapical lesions. And most dentists don't know, if there is an undiagnosed periapical lesion and you put whitening gel into, so you take oxygen, and you shove it into an anaerobic area, you are going to have max of sensitivity- Teaser:Because I think a lot of dentists are afraid of doing that because they're afraid of not being able to adequately bleach the cervical area. So here's another point. You can't adequately bleach the cervical area. It's never going to be the same shade. And that's a myth- The last two millimeters of the bleaching tray. So that actually tray is not rubbing on the cervical area. And they found it improved sensitivity and made no difference to the whitening effect whatsoever. So you can do that. Jaz's Introduction:Protruserati, this just might be the most actionable and impactful piece of content you'll ever consume on the topic of teeth whitening sensitivity to really help our patients to whiten better without having the horrible side effect of teeth sensitivity. I don't know about you, but for some patients it can be so bad that after about three days they don't whiten ever again. And you have to have that awkward conversation with the patient. But now, following Dr. Linda Greenwald's protocols, We can eliminate teeth sensitivity. Like, we could have spoken for like hours and hours and hours.

It’s Friday and you’re fitting the last patient’s crown. It is completely shy of the bite - but it looks good. The patient says ‘it feels great! I can hardly feel anything!’ Do you cement it (plant it low?) and let it grow? Is that acceptable? How about the 'GABS occlusal philosophy?' Is ‘centric relation’ full of unicorns and rainbows? What is an efficient protocol in ‘checking the occlusion’? https://youtu.be/Nmx1C8WDSjA Watch PS010 on Youtube Join us in this episode where we discuss some key techniques to help ensure we are managing occlusion as a primary focus when dealing with restorative treatment. This episode is packed with essential tips that are perfect for dental students and professionals alike.  Don’t miss the special notes on Occlusion, CR & All Things Confusing available exclusively in the Protrusive Guidance app! (Crush Your Exams section) Need to Read it? Check out the Full Episode Transcript below! This episode is not eligible for CPD/CE points, but never fear, there are hundreds of hours of CPD for Dentists waiting for you on the Protrusive App! For the full educational experience, our Ultimate Education Plan gives you access to all our courses, webinars, and exclusive monthly content. If you love this episode, be sure to recap PDP109 - Articulating Paper is Lying to Us Click below for full episode transcript: Teaser: Here we are, a little bit late, but this is the Protrusive Students version for Occlusion Month. We've got our Protusive student, Emma Hutchison, who once again has done a wonderful job to create these student notes. Jaz's Introduction:You can download these for free on the community, there's a special students area, and you can also catch up with the previous nine other Protrusive student notes, bespoke notes, just for students. Very visual and written by Emma herself, inspired by what she's learning at uni and also what she's learning online. Head over to protrusive. app to check that out. Hello, Protruserati. I'm Jaz Gulati and welcome back to your favorite dental podcast. This episode is huge. Like when I was a dental student, anything to do with occlusion was mega confusing. Like even down to adjusting a basic composite. Like you've just placed a composite, and you're picking up the bur, and you have no idea what you're doing. Was it just me, or is that you as well? Well, how about we cover in this episode for the benefit of students, and of course, anyone in dentistry, or dentists can actually learn something from this episode, I think. We need to talk about some specific protocols taught to me that I'm sharing with you guys, and we go deeper into what actually happens if you start leaving teeth out of occlusion, i. e. You restore a tooth and now that tooth is no longer actually touching the opposing tooth. It's no longer contributing to the patient's occlusion. Is it always a sin? Is it acceptable? And how do you actually go about avoiding that? Like, how can you actually be more precise in your occlusal adjustment? We also, of course, talk about the influence of different thicknesses of articulating paper and why you should avoid using thick papers. There's a lot to unpack here, so let's join the main interview and I'll see you in the outro. Main Episode:Okay, Emma, you just had some exams. Okay, so welcome back. How was it? How did it go? [Emma]It was okay. I think they're always going to be a bit rough. This year I had two written papers. I had one multiple choice paper, which was okay. And then the second one was like a multiple short answer, which is always the trickier of the two, I think, for me anyway. But they changed the format of our MSA short answer one this year. So it was just a wee bit different. They changed it from, I think, 20 questions worth 10 marks to 15 questions worth 13 marks or something like that. So it was just a wee bit different to what I'm used to.