Protrusive Dental Podcast

Have you actually looked back at your long-term cases to see how layering compares to injection moulding? Is traditional freehand layering still your go-to for anterior composite aesthetics? Are you using it because it gives the best result — or just because that’s how you were trained? In this episode, Dr. Marco Maiolino joins Jaz Gulati for a meaty discussion about injection moulding—a technique that’s changing the game in anterior composites (and posterior!) This isn’t about trends. It’s about clinical outcomes. We’ve all admired the beauty of layered composites—translucency, halo, the “natural” look. But after 5, 7, or even 10 years... do they hold up? Dr. Maiolino brings over a decade of follow-up data—and the results might surprise you. https://youtu.be/wHs8QQkgPhU Watch PDP228 on Youtube Protrusive Dental Pearl When in doubt between two shades (e.g., A1 vs. A2), always choose the lighter shade. Higher-value shades blend better and result in higher patient satisfaction. Techniques: Use the composite button method and black-and-white photography to objectively evaluate shade blending. Outcome: Lighter shades minimize the risk of patient dissatisfaction and rework. 🎁 Download the full Premium Notes for this episode—including clinical comparison of injection moulding and layering technique, long-term before/after documentation, and Marco’s complete injection moulding protocol: 👉 protrusive.co.uk/im Key Clinical Takeaways Injected composites often outperform layered ones in long-term follow-up. Color stability is as much about technique as it is about material selection. Edge bonding requires careful occlusal planning and respect for functional dynamics. The biologic cost of veneers is frequently underestimated—additive approaches can be more conservative. Composite thickness and occlusal harmony are critical for restoration longevity. Rigorous documentation and honest case review matter more than dramatic presentations. Failures are not setbacks—they are opportunities for professional growth and better patient care. Episode Highlights: 02:45 – Protrusive Dental Pearl: Practical shade selection hacks 07:31 – Dr. Marco’s journey into injection moulding 13:36 – Why Marco transitioned away from layering 23:18 – 10-year follow-up: injected vs. layered composite outcomes 30:58 – Clinical summary: injection moulding wins on longevity 36:28 – Why fewer shades = more predictable results 42:00 – The real causes of composite failure 47:12 – Occlusion, swallowing patterns, and case selection 52:14 – Challenging dogma: rubber dam and additive dentistry 55:30 – Marco’s Milan summit: learning from failure 📅Upcoming Talks & Courses Dr. Marco Maiolino will be one of the notable speakers at the Injectable Restorations European Summit 2025, taking place on November 7–8, 2025. This highly anticipated event gathers leading experts in the field and will be held in Europe. For more information and registration details, visit the official website: injectionsummit.eu. If you loved this episode, be sure to watch Stop Being a Perfectionist – it’s OK to Fail – PDP184 #PDPMainEpisodes #OrthoRestorative This episode is eligible for 1 CE credit via the quiz on Protrusive Guidance.  This episode meets GDC Outcomes C and D AGD Subject Code: 250 Operative (Restorative) Dentistry (Direct restorations) As clinicians, we’re constantly challenged to balance esthetics, function, and longevity in our restorative work. In this episode, Dr. Marco Maiolino joins Jaz Gulati for a candid, evidence-driven exploration of injection moulding—a technique that’s rapidly shifting the paradigm in anterior composite restorations. This isn’t about chasing trends; it’s about critically evaluating what truly works for our patients over the long haul. Dentists will be able to: 1. Understand the indications, benefits,

Should we really restore primary molars without local anaesthetic or injections? When should we start taking radiographs for child patients? Is it time to say goodbye to traditional anterior strip crowns and embrace preformed zirconia crowns? And seriously - how do you get a wiggly, fidgety child to sit still long enough for a solid restoration?! The secret lies in choosing a technique that’s both quick and effective! In this episode, Dr. Tim Keys unpacks the real challenges of restoring primary teeth, breaking down the pros and cons of popular approaches like the Hall Crown technique, Pediatric Zirconia crowns, and conventional stainless steel crowns (SSCs). Tune in for practical insights to make pediatric crown work less stressful and more successful - helping you find the best fit for your little patients. https://youtu.be/VJm4TFKLXEA Dr. Keys is also involved in dental education and offers courses through his platform, Kids Dental Tips. One of his upcoming courses is titled "Restorative Paediatric Dentistry," a two-day event scheduled to be held in Brisbane. Protrusive Dental Pearl: One of our best ever Protrusive Infographics! This week’s Pearl is a handy downloadable PDF infographic summarising the key points from this episode on Children's Crowns Techniques. Grab your copy here! Need to Read it? Check out the Full Episode Transcript below! Key Takeaways: The Hall crown technique is a non-invasive approach to treating pediatric teeth. Radiographs are essential for accurate diagnosis and treatment planning in children. Case selection is crucial for the success of pediatric dental treatments. Zirconia crowns have superior aesthetics over stainless steel crowns. The success rate of intra-coronal fillings in primary molars is lower compared to crowns. Zirconia crowns rarely fracture compared to strip crowns. Mild supra-occlusion is acceptable in pediatric dentistry. Hands-on experience is crucial for mastering crown techniques. Highlights of this episode: 00:00 Introduction 01:32 The Protrusive Dental Pearl 04:19 Dr. Tim Keys 06:26 Work-life balance & parenting 12:05 Hall crowns Vs Zirconia crowns 13:12 Pediatric crowns and caries management 15:40 Failure rates and clinical implications 17:51 Stainless steel crowns: conventional vs Hall technique 21:03 Case selection and radiographs 25:31 Radiographic criteria 27:04 The Hall Technique 29:59 Technique tips 38:00 Zirconia crowns vs strip crowns 46:55 Education, resources, and further learning 51:02 Outro Key Article mentioned in this episode: Effectiveness, Costs and Patient Acceptance of a Conventional and a Biological Treatment Approach for Carious Primary Teeth in Children | Caries Research | Karger Publishers #PDPMainEpisodes #BreadandButterDentistry If you enjoyed this episode, you should check out PDP159 - How to Manage Children in Dental Pain. 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: 430 Pediatric Dentistry. In this episode, Jaz and Dr. Tim Keys explore practical approaches to restoring pediatric teeth, focusing on the selection, preparation, and placement of direct restorations. They discuss material choices, clinical tips, and how to tailor techniques to improve outcomes and cooperation in young patients. Dentists will be able to: Understand the clinical indications and benefits of various crown techniques used in the restoration of pediatric teeth Recognise the importance of selecting appropriate cementation materials and techniques for different types of direct restorations in children Appreciate the key clinical considerations involved in the preparation and placement of a range of direct restorative techniques in pediatric dentistry https://media.blubrry.com/protrusive/content.blubrry.com/protrusive/PDP227.mp3

How can dentists help kids breathe, sleep, and grow better—even if the problem isn’t the teeth? When should you refer, and what tools can you use right now in your practice? In this AES special episode, Jaz Gulati is joined by Dr. Liz Turner and Dr. Meggie Graham—general dentists who have evolved their practice with a deep passion for airway and whole-child health. They walk us through five real patients, including Jaz’s own son, to show what airway dentistry looks like in the real world. From growth appliances and myofunctional therapy to inflammation control and ENT collaboration, this episode connects the dots between breathing and behavior, development, and even dental crowding. https://youtu.be/Y6EfufPd98E Watch PDP226 on Youtube Protrusive Dental Pearl: "Don't stay stagnant—keep learning, keep growing, and reinvent yourself every 5–10 years." Think of your dental career in seasons—explore new areas, refine your interests, and let go of what no longer brings you joy. This keeps your passion for dentistry alive and evolving. Need to Read it? Check out the Full Episode Transcript below! Key Takeaways Airway dentistry is a growing field that emphasizes prevention. Understanding airway issues can lead to better health outcomes. Dentists can play a crucial role in optimizing health through airway management. Health optimization is a key focus in modern dentistry. Interdisciplinary collaboration is essential for effective patient care. Functional dentistry addresses the root causes of dental issues. Children's airway health can significantly impact their development. Dentists should feel empowered to make positive changes in their patients' lives. Facial aesthetics can significantly impact self-esteem and health. Nasal breathing is crucial for overall health and well-being. Quality of life can be improved through better patient care. Breastfeeding plays a vital role in a child's development. Addressing sleep issues in children is essential for their growth. Understanding the connection between breathing and systemic health is vital. Highlights of this episode: 02:04  Protrusive Dental Pearl 04:08 Interview with Dr. Liz Turner 06:18 Interview with Dr. Meggie Graham 07:43 Personal Journeys into Airway Dentistry 16:26 ENT Referrals 21:55 Understanding Airway Symptoms and Treatment 26:10 Patient Case Studies and Treatment Approaches 36:46 The Importance of Nasal Breathing 45:30 Pediatric Airway Concerns and Solutions 55:09 Educational Resources and Final Thoughts 🎓 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 Don't miss Dr. Jaz Gulati and Dr. Mahmoud Ibrahim as featured speakers, presenting on "Occlusion Basics and Beyond." 🎓 Learn more about airway and breathing issues with Dr. Liz and Dr. Meggie on The Untethered Airway — and stay tuned for their first course, launching soon! – Waitlist for course and email list Enjoyed this episode? You will also enjoy exploring the world of OSA with Prof. Ama Johal in PDP033: "Airway – Dentistry’s Elephant in the Room." #PDPMainEpisodes #CareerDevelopment #BreadandButterDentistry This episode is eligible for 1 CE credit via the quiz on Protrusive Guidance.  This episode meets GDC Outcomes A, B and C. AGD Subject Code: 730 ORAL MEDICINE, ORAL DIAGNOSIS, ORAL PATHOLOGY (Sleep medicine) Aim: To enhance the general dentist’s ability to recognize, evaluate, and initiate management of patients with airway-related dysfunctions across all age groups. Dentists will be able to - 1. Identify common dental signs of airway-related disorders in infants, children, and adults. 2. Understand the systemic impact of airway dysfunction,

Are you still using long-term provisionals just to test OVD? Is an occlusal splint really the best way to assess vertical dimension? Could raising the OVD actually harm your patient? Dr. Lukasz Lassmann joins Jaz and Mahmoud Ibrahim  this AES special episode to challenge conventional thinking around occlusion, vertical dimension, and full mouth rehab. Lukasz shares his unique perspective as a clinician, educator, and researcher, bringing clarity to a topic that often feels murky and divided. They explore real-world questions like managing asymptomatic clicks before ortho, why occlusion alone won’t “cure” bruxism, and the number one reason not to raise the vertical without proper understanding. Plus, Lukasz drops an incredible airway assessment tip at the end of the episode! Protrusive Dental Pearl: Use a comprehensive TMD history-taking form to effectively triage patients into urgent (red), moderate (amber), or low-risk (green) categories—this allows you to prioritize care appropriately and build rapport by focusing on examination rather than data collection during the appointment. https://youtu.be/ZhIoUxdMMsg Watch PDP225 on Youtube Download the form: protrusive.co.uk/tmdhistory Download the Patient History Evaluation Form Need to Read it? Check out the Full Episode Transcript below! Takeaways Understanding red flags in TMD patients is essential. Patient history is vital for effective treatment. Phonetics can be unpredictable in dental rehabilitation. Diet and sleep significantly affect TMD management. Gut health is linked to chronic pain conditions. Communication with patients is key to successful outcomes. Bruxism may not be solely caused by occlusion issues. Palpating the lateral pterygoid is often ineffective and painful. Equilibration and centric relation are controversial topics in dentistry. Increasing vertical dimension can exacerbate sleep apnea. Holistic approaches are essential in diagnosing and treating TMD. Not all patients with TMD have malocclusion or attrition. Sleep apnea is increasingly common in younger, slimmer patients. Polygraphy is a useful diagnostic tool for sleep apnea. DISE (drug-induced sleep endoscopy) is a valuable diagnostic procedure. Highlights of this episode: 02:48  Protrusive Dental Pearl 04:37 Lukasz Lassman's Journey and Philosophy 08:11 Debunking Myths About Vertical Dimension 12:10 Patients in the Red Zone 23:15 The Role of Diet and Lifestyle in Facial Pain 31:38 Adapting to New Restorative Methods 34:41 Phonetic Challenges in Dentistry 39:02 The Role of Occlusion in Bruxism 41:18 Palpating Lateral Pterygoid Muscle 43:27 Centric Relation vs. Equilibration Debate 50:07 OVD Red Flag: Airway 01:03:27 Conclusion and Future Events Studies Mentioned:Gut Bless Your Pain—Roles of the Gut Microbiota, Sleep, and Melatonin in Chronic Orofacial Pain and Depression Randomised controlled trial on testing an increased vertical dimension of occlusion prior to restorative treatment of tooth wear 📅 Upcoming Talks & Courses AES Annual Meeting 2026: The Evolution of Oral Physician - February 18-19, 2026 Lassmann Education: SummerCamp 2025 If you loved this episode, be sure to watch Myth Busting Occlusion and TMJ – PDP022 #PDPMainEpisodes #OcclusionTMDandSplints This episode is eligible for 1 CE credit via the quiz on Protrusive Guidance.  This episode meets GDC Outcomes B and C. AGD Subject Code: 180 OCCLUSION (Occlusal therapy) Aim: To enhance clinical understanding of occlusal principles, vertical dimension management, and red flag indicators that impact prosthodontic and TMD treatment, based on current best evidence and insights from Dr. Lukasz Lassmann.  Dentists will be able to - 1. Identify common myths and misconceptions about vertical dimension increase and temporization. 2. Recognize red flag patient presentations that are not suitabl...

Should You Invest in Chairside Milling or 3D Printing? How do milling and printing compare in durability and cost? Which option provides the best long-term ROI for your workflow? In this deep dive, Dr. Rustom Moopen shares his experience with CEREC, ExoCAD, and in-house fabrication, breaking down the real benefits and limitations of both technologies. From restoration strength to efficiency and investment costs, this episode unpacks what every dentist needs to know before taking the leap into milling, printing, and CAD/CAM workflows. https://youtu.be/fgQnrDfXnqI Watch PDP224 on Youtube Protrusive Dental Pearl: Achieving the same effect (of the ‘Soft Clamp’ by Kerr) with a metal clamp without requiring a potentially painful palatal injection - Dr. Jo Cape (Protruserati) suggests using a cotton bud to apply topical anesthetic to the gingiva where the clamp will be placed, leaving it for a minute, improving patient comfort! Need to Read it? Check out the Full Episode Transcript below! Key TakeAway: Investing in technology like milling can lead to a measurable ROI. Time management is crucial in dental procedures for efficiency. Milling is a subtractive process, while printing is additive. Mentorship is often more valuable than formal courses. The dental industry is evolving with new technologies. Understanding the nuances of dental procedures can enhance practice. Early adoption of technology can set a practice apart. Milling and printing serve different purposes in dental work. Mock-ups can save time and improve patient satisfaction. Milling offers more reliability than printing for dental applications. The choice between milling and printing depends on personal preference and practice needs. Milled composites have a proven track record of durability. Printed splints may not hold up under heavy use. Investing in milling technology can enhance practice efficiency. Design software plays a crucial role in modern dentistry. Understanding the strengths and weaknesses of each method is essential for success. Investing in dental software can be costly but worthwhile. Learning design software is crucial for modern dentistry. Milling is generally superior to printing for final restorations. Regulatory considerations are important for in-house lab work. Choosing the right milling equipment depends on practice needs. Training and mentorship are essential for mastering dental technology. Highlights of this episode: 03:29 Protrusive Dental Pearl 04:59 Meet Dr. Rustom Moopen: Journey of Learning and Mentorship 09:21 Early Adoption of CAD/CAM Technology 11:54 The Practicalities of Chairside Milling 19:01 Emax Chairside Workflow 23:10 Printing vs. Milling: Understanding the Basics 26:48 Printed Mock-Ups and Workflow Integration 29:43 Comparing Milled and Printed Composites 32:07 The Future of Splints: Milling vs. Printing 35:50 Choices After Scanning a Tooth 37:16 Milling vs. Printing: Pros and Cons 41:11 Design Software and Training 49:28 Practical Applications of 3D Printing 53:42 Investing in Digital Dentistry 55:35 Printed Restorations vs Direct Composite 56:45 Regulatory Concerns 58:31 Investing in Milling Units 01:00:53 Ideal Candidates for Milling 01:03:49 Training and Resources  If you enjoyed this episode, don’t miss PDP137 – Q&A with a Dental Technician! #PDPMainEpisodes #BreadandButterDentistry This episode is eligible for 1 CE credit via the quiz on Protrusive Guidance.  This episode meets GDC Outcomes B and C. AGD Subject Code: 130 ELECTIVES (Product/technology training) This episode aimed to provide an in-depth understanding of the fundamentals of 3D printing, milling, and digital dentistry, enabling clinicians to integrate these technologies efficiently into their workflow for improved precision, cost-effectiveness, and patient outcomes.

“Jaz, I don't know which course to take?” “Should I do Aspire Academy, Kois, Chris Orr or Paul Tipton?” (all great courses and legends by the way!) Of course its confusing - there are now more ‘Level 7 Diplomas’ than Dentists! There are also lots of biased testimonials - surely they can't ALL be the ‘best course I ever did?’, right? So just HOW do you choose the right postgraduate program to elevate your skills?  What mindset helps new grads thrive, especially when they’re feeling stuck? This episode shares Lakshmi's decision making as she opted for the RipeGlobal Fellowship. Lakshmi’s journey is a perfect example of how the right mindset and a strategic approach to education can transform your dental career. Jaz and Lakshmi discuss her experience of choosing the right course, enrolling in the Ripe Global Restorative Fellowship, and the challenges she faced along the way.   They also talk through the importance of ongoing learning, the impact of mentorship, and how Lakshmi’s mindset shift helped her grow as a dentist. Whether you’re a new grad or seasoned dentist looking to upskill, Lakshmi’s story will inspire you to take control of your career growth and make the most of every opportunity. https://youtu.be/waC_kQJhcio Watch IC059 on Youtube Book a free video consultation with the RipeGlobal Team to see if this course is right for you: protrusive.co.uk/RGdiscount This is an affiliate link that gets you 20% OFF if you enrol - but you first need to discover if it's the right course for you (it involves treating a manikin in your own clinic!) Need to Read it? Check out the Full Episode Transcript below! Key Takeaways: Hands-on experience is crucial for building confidence in clinical skills. Finding the right practice is important for professional growth. Investing in continuing education is vital for skill enhancement. Mentorship plays a vital role in navigating early career challenges. A supportive team can significantly impact a dentist's experience. Understanding one's learning style is key to effective training. Practical learning enhances engagement and application in real scenarios. Balancing time commitments is essential for managing a demanding course load. Choosing a course that aligns with one's career goals is vital for success. Maintaining a passion for one's work contributes to success. It's important to reflect on personal growth and set achievable goals. The journey in dentistry is not linear; expect ups and downs. Highlights for this episode: 02:29 Lakshmi's Journey and Dental School Experience 06:45 First Year as a Dentist 12:01 Finding the Right Practice 19:49 Considering Advanced Courses 25:36 Choosing RIPE Global Fellowship 29:21 Lakshmi's Hands-On Experience with Ripe Global 37:40 Challenges and Growth in the Fellowship 42:37 Balancing Life and Professional Growth 52:57 Mentorship and Personal Development 54:41  Future Aspirations and Final Reflections This is a non-clinical episode without CPD. For CPD or CE credits, visit the Protrusive Guidance app—hundreds of hours and mini-courses await! Stay up-to-date with Dr. Lakshmi's valuable content and expert advice! Follow her on Instagram! If you loved this episode, be sure to check out another epic episode - Non-Clinical Growth for the Busy Dentist (Your Health, Relationships, and Business) – IC023 #InterferenceCast #CareerDevelopment #BreadandButterDentistry Click below for full episode transcript: Jaz's Introduction: Hello, Protruserati. I'm Jaz Gulati, and welcome to the introduction of the Introduction, I guess. I think this episode deserved an extra bit right at the beginning to let you know what's in store for you by listening to this episode. Look, the number one question I've been asked for years and years and years is, which course should I do? Jaz's Introduction:What's the best course you went on?

Which imaging techniques should you prioritize for TMD patients? Does a panoramic radiograph hold any value?  When should you consider taking a CBCT of the joints instead? How about an MRI scan for the TMJ? Dr. Dania Tamimi joins Jaz for the first AES 2026 Takeover episode, diving deep into the complexities of TMD diagnosis and TMJ Imaging. They break down the key imaging techniques, how to use them effectively, and the importance of accurate reports in patient care. They also discuss key strategies for making sense of MRIs and CBCTs, highlighting how the quality of reports can significantly impact patient care and diagnosis. Understanding these concepts early can make all the difference in effectively managing TMD cases. https://youtu.be/NBCdqhs5oNY Watch PDP223 on Youtube Protrusive Dental Pearl: Don’t lose touch with the magic of in-person learning — balance online education with attending live conferences to connect with peers, meet mentors, and experience the true essence of dentistry! Join us in Chicago AES 2026 where Jaz and Mahmoud will also be speaking among superstars such as Jeff Rouse and Lukasz Lassmann! Need to Read it? Check out the Full Episode Transcript below! Key Takeaways: Imaging should follow clinical diagnosis → not replace it. Every imaging modality answers different questions; choose wisely. TMJ disorders affect more than the jaw → they influence face, airway, growth, posture. Think beyond replacing teeth → treatment should serve function, not just fill space. Avoid “satisfaction of search error” → finding one problem shouldn’t stop broader evaluation. Highlights of this episode: 02:52  Protrusive Dental Pearl 06:01 Meet Dr. Dania Tamimi 09:04 Understanding TMJ Imaging 16:00 TMJ Soft Tissue Anatomy  21:04 The Miracle Joint: TMJ Self-Repair 24:26 The Role of Imaging in TMJ Diagnosis 28:15 Acquiring Panoramic Images 39:35 Guidelines for Using Different Imaging Techniques 41:26 Case Study: Misdiagnosis and Its Consequences 45:46 Balancing Clinical Diagnosis and Imaging 50:17 Role of Imaging in Orthodontics 53:18 The Importance of Accurate MRI Reporting 58:27 Final Thoughts on Imaging and Diagnosis 01:00:54 Upcoming Events and Learning Opportunities 📅 Upcoming Talks & Courses by Dr. Tamimi 🔔 AES 2026 Conference (Chicago): Topic: “Telling the Story of Your Patient Through Imaging” Focus: Understanding patterns in imaging and how they reveal the patient’s full clinical picture 💻 “How to Read a Cone Beam CT” Virtual Course (Concord Seminars) If you enjoyed this episode, don't miss out on [Spear Education] Piper Classification and TMJ Imaging with Dr. McKee – PDP080. This episode is eligible for 1 CE credit via the quiz on Protrusive Guidance.  This episode meets GDC Outcomes A, B, and C. AGD Subject Code: 730 ORAL MEDICINE, ORAL DIAGNOSIS, ORAL PATHOLOGY (Imaging techniques) Aim: To enhance clinicians’ understanding of TMJ imaging modalities, improve diagnostic reasoning, and empower dental professionals to make evidence-based imaging decisions for temporomandibular joint disorders. Dentists will be able to - 1. Differentiate between panoramic radiography, cone beam CT (CBCT), and MRI for TMJ evaluation. 2. Identify the appropriate imaging modality based on specific TMJ diagnoses (e.g., soft tissue vs. hard tissue pathology). 3. Recognize the risks of under- and over-imaging and apply a diagnostic question-driven approach to imaging selection. #PDPMainEpisodes #OcclusionTMDandSplints #OralSurgeryandOralMedicine Click below for full episode transcript: Teaser: We do need to make sure that our teeth are in an orthopedically stable situation. And you should never trust what you see in the mouth 'cause the teeth may fit beautifully. But if the condyles aren't seated properly in the fossa, then it's like basically having a house built on quicksand.

Why do some patients struggle with anesthesia, requiring multiple cartridges just to get numb? Could your TMD patients have an underlying systemic condition that’s been missed? Are you overlooking the signs of a connective tissue disorder? https://youtu.be/gaoJKPTV_Z0 Watch PDP222 on Youtube ”When you can’t connect the issue, think connective tissue!” Dr. Audrey Kershaw joins Jaz for a fascinating deep dive into the world of connective tissue disorders and their hidden impact on dentistry. Together, they explore how hypermobility, unexplained joint issues, and even a history of spontaneous injuries could be key indicators of an underlying disorder. They also break down why dentists play a crucial role in screening and identifying these conditions, ensuring better patient outcomes and a more holistic approach to care. Because sometimes, when things don’t seem connected… they actually are. Protrusive Dental Pearl: Don't just take a "relevant" medical history—take a comprehensive one! Encourage patients to share all health issues, even those they don’t think relate to dentistry. You might uncover important clues about conditions like connective tissue disorders or sleep-disordered breathing, leading to better care and stronger patient trust. Need to Read it? Check out the Full Episode Transcript below! Key Take-aways Ehlers-Danlos Syndrome is often misunderstood and underdiagnosed. Patients with connective tissue disorders often face skepticism from healthcare providers. POTS is a common condition associated with EDS that affects blood pressure regulation. Many TMD patients may have undiagnosed connective tissue disorders. Awareness and education about EDS are crucial for better patient outcomes. The healthcare system can be challenging for patients seeking diagnoses. Research on local anesthetic effectiveness in EDS patients is lacking. Personal experiences can help in understanding and diagnosing connective tissue disorders. Collaboration between healthcare professionals is essential for patient care. Genetic testing is crucial for diagnosing rare types of Ehlers-Danlos. Dental professionals should be aware of the signs of connective tissue disorders. Diagnosis can empower patients to understand their health better. Holistic care is vital in managing symptoms associated with EDS and TMD. Medical histories should be seen as relevant in dental practice. Highlights of this episode: 02:17 Protrusive Dental Pearl 04:21  Dr. Audrey Kershaw's Journey and Insights 09:45 Personal Experiences and Professional Observations 11:55 Diagnosis and Management of Connective Tissue Disorders 13:31 POTS (Postural Orthostatic Tachycardia Syndrome) 15:30 Understanding Ehlers-Danlos Syndrome (EDS) 24:55 Hypermobile EDS and the Need for Awareness 27:53 International Consortium of EDS GP Checklist 28:34 Genetic Testing and Red Flags 31:44 The Role of Dentists in Identifying EDS 40:32 Journey to Diagnosis 43:47 The Value of a Diagnosis 48:43 Dental Implications of EDS 55:00 Final Thoughts and Resources "If you know one case of EDS, you only know one. Every case is different. Many are severely debilitated, unable to work or carry out daily tasks, often denying their struggles after years of being dismissed." - Dr. Audrey Kershaw Promised Resources Podcast Recommendation: Linda Blustein’s Podcast (about POTS and connective tissue disorders) Specialists & Research: Dr. Alan Hakim – A specialist in Ehlers-Danlos Syndrome (EDS) research based in London. Norris Lab (U.S.) – Researching genetic markers for hEDS Local Anesthesia Information Resources for Screening & Diagnosis:  Diagnostic Criteria for Hypermobile Ehlers-Danlos SyndromeDownload 5-part-questionnaire-for-hypermobilityDownload Symptomatic Joint-Hypermobility GuideDownload Red Flag PatientsDownload

Can composite really outperform ceramic in the right case? Do you know when to choose an inlay over an onlay? What makes occlusal veneers so effective — even at just 0.6 mm thickness? After years of anticipation, Dr. Pascal Magne finally joins Jaz Gulati on the podcast for an episode packed with adhesive dentistry gold. They dive deep into occlusal veneers, material selection, and why indirect composite may be the best-kept secret for worn, root-filled molars. They also unpack the full bonding protocol step-by-step—from air abrasion and IDS to silane application and cementation with preheated composite. Whether you’re doing full rehabs or composite repairs, this episode is your go-to guide for smarter biomimetic dentistry. https://youtu.be/WTsF1mD-nTo Watch PDP221 on Youtube Protrusive Dental Pearl: After applying silane, don't just let it evaporate—let it react for 30 seconds, then air dry, and crucially, use a heat source (like a hairdryer) for 60 seconds to activate it properly and achieve optimal bond strength. This enhances the effectiveness of silane and significantly improves the bond strength of indirect restorations like composite or lithium disilicate. Key Takeaways: Occlusal veneers can be as thin as 0.6 mm. Indirect composite is often a superior choice for restorations. Proper bonding protocols are crucial for successful restorations. Focusing on strengths rather than weaknesses is key in dentistry. Conservative approaches in dentistry can preserve tooth structure. The vital tooth is always preferable to a non-vital tooth. Composite resin has wear properties similar to enamel. Occlusal veneers provide excellent protection for compromised teeth. Porcelain veneers have long-term durability compared to composites. The evolution of composite materials has led to better options for restorations. Zirconia is strong but difficult to adjust and bond effectively. Immediate dentin sealing is crucial for successful bonding and patient comfort. The Dahl principle allows for minimal preparation in certain cases. Composites can be as effective as ceramics when used correctly. Understanding the properties of materials is essential for successful restorations. Thin occlusal veneers can be successfully bonded with proper techniques. Need to Read it? Check out the Full Episode Transcript below! Highlights of this episode: 0:00 Introduction 02:52 Protrusive Dental Pearl 04:42 Dr. Pascal Magne on His Current Focus 10:16 Understanding Cusp Coverage and Material Choices 15:48 Conservative Approaches in Dentistry 23:16 Unsupported Enamel: Can it Still be Reinforced? 28:05 Occlusal Veneers Indications 37:00 Material Selection: Composite vs Ceramic 01:24:42 Outro Referenced Studies - all below are available to download on Protrusive Vault in Protrusive Guidance Effect of immediate dentine sealing on the aging and fracture strength of lithium disilicate inlays and overlays  Short-fiber Reinforced MOD Restorations of Molars with Severely Undermined Cusps  Ultrathin CAD-CAM glass ceramic and composite resin occlusal veneers for the treatment of severe dental erosion  Strains in the marginal ridge during occlusal loading  Antagonist Enamel Wears More Than Ceramic Inlays  Outcomes of resin-bonded attachments for removable dental prostheses Performance of ceramic laminate veneers with immediate dentine sealing  Keep the learning going with Magne Education If you enjoyed this episode, don’t miss A Geeky Discussion on Adhesive Onlays – that’s PDP161! This episode is eligible for 1.25 CE credit via the quiz on Protrusive Guidance.  This episode meets GDC Outcomes B and C. AGD Subject Code: 250 OPERATIVE (RESTORATIVE)DENTISTRY (Indirect restorations) Aim: To provide clinicians with evidence-based guidance on occlusal veneer indications, material selection,