Plant it Low, Let it Grow? Occlusion, CR and all things Confusing for Students – PS010

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) 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

“Defensive Dentistry and the fear culture is the number 1 cause of anxiety amongst Dentists” How can we instead foster a culture where we can focus on growth and supporting each other? Does Dentistry have a social media problem? https://youtu.be/wsiENbuIXcE Watch IC053 on Youtube Join us on this episode with Dr Mehy Lo-Presti as we navigate dentistry and social media, the pros and cons of using the online world as part of our portfolio and how we can remove anxiety through effective communication. 2 Events to Attend: DentoRama 18th October Treatment Planning Symposium (Hybrid Event) 16th Nov Highlights of this Episode:02:05 Introduction - Dr Mehy Lo-Presti06:42 Mehy Early On12:04 Dento-Rama15:30 Social Media in Dentistry20:35 Life Before Social Media21:25 Social Media is a Business 23:40 What Causes Anxiety for Dentists?29:45 Overcoming the Fear Factor34:45 Fast Tracking to Success41:20 Wrapping Up47:14 Booking the Event and Getting in Touch This episode is eligible for 0.75 CE credit via the quiz on Protrusive Guidance. GDC LEARNING OUTCOMES: A AGD Code 770 (Self Improvement) Dentists will be able to: Gain insights into how social media affects clinical practice, patient perceptions, and professional image, learning how to use these platforms responsibly. Manage the pressures of online validation, minimising the impact on their mental health and maintaining a healthy work-life balance. Develop stronger communication methods both online and offline, ensuring clearer patient education, reducing complaints, and fostering better relationships within the dental team. For the full educational experience, our Ultimate Education Plan gives you access to all our courses, webinars, and exclusive monthly content. This includes videos on Overlay preps and the famous 'Vertipreps for Plonkers' series. If you liked this episode, check out IC035 - Best Practices in Social Media for Dentists

JOIN US on 16th November for Treatment Planning Symposium 2024 - Online Event OR In-Person - you decide! https://youtu.be/G5ebbUl0sDg Watch PDP198 on Youtube Implants are great but they are not always the best solution for our patient. There are many times a bridge or denture may serve the patient’s goals, aesthetics and budget better. So how do we decide between bridges and dentures? Is it acceptable to use root filled tooth as a bridge abutment? Are single tooth posterior dentures risky? Or do patients love them? How do we begin to communicate aspects of replacing teeth with our patients? Join me with our guest Dr Michael Frazis as we discuss the art form of communication with our patients and some outlandish cases including roundhouse bridges. This will really help upskill you on dealing with patients with missing teeth. Protrusive Dental Pearl: Failure is inevitable for our Dentistry, but try to set yourself up for smaller failures and not giant catastrophes! The real magic is in proper case selection. Practise at the EDGE of your comfort zone, but NOT out of your depth. 20% OFF Guaranteed on RipeGlobal Fellowship Programs + Free access to their portal - Click here to register for this! protrusive.co.uk/rg20 Follow Dr Michael Frazis on Instagram This episode is eligible for 1 CE credit via the quiz on Protrusive Guidance. This episode meets GDC LEARNING OUTCOMES: A and C AGD Subject Code: 610 Fixed Prosthodontics Dentists will be able to: Demonstrate improved decision-making skills in treatment planning, particularly regarding non-implant tooth replacement options. Apply communication strategies to better explain treatment options, manage patient expectations, and gain informed consent, especially in high-risk cases involving implants, bridges, or challenging restorations. Recognize red flags and understanding the risks involved in specific dental procedures (such as implant failure or the use of root-filled teeth as abutments) and how to mitigate these risks through careful case selection and patient education. For the full educational experience, our Ultimate Education Plan gives you access to all our courses, webinars, and exclusive monthly content. This includes videos on Overlay preps and the famous 'Vertipreps for Plonkers' series. Need to Read it? Check out the Full Episode Transcript below! Highlights of this Episode:00:01:37:00 Protrusive Dental Pearl00:03:51:05 Introduction - Dr Michael Frazis00:10:43:10 Growth in Dentistry00:14:10:10 Non Implant Tooth Replacement Options00:18:15:10 Treatment Planning Bridges and Dentures00:24:35:10 Ideal Treatment vs Budget00:30:15:10 Single Tooth Dentures00:36:58:10 Thin Implants vs Bridges00:39:25:10 Bridge Spans00:49:20:10 Root Filled Teeth as Bridge Abutments00:55:35:10 Failures01:05:35:10 Wrapping Up - Contact Michael If you liked this episode, check out PDP132 - Resin Bonded Bridges Click below for full episode transcript: Teaser: I'm doing that bridge 11 times out of 10. If they're a patient that has money to burn and they want their teeth to be individual, they want to be able to floss their teeth because that's just what they have as their goal. I will go crown implant- And I don't think we as dentists tell patients that. If there's something you can do as a clinician to mitigate that risk, could you use that word, tell them what it is. So to give you a concrete example, when I'm taking out a tooth, I will say- Jaz's Introduction:Implants are awesome, but they're not for everyone. Now this could be financial. This could be something to do with their medical history. And actually there are some scenarios where a bridge or a denture can be superior. And so many of these scenarios, we need to help the patient decide between a denture and a bridge. We're going to do a deep dive into decision making and treatment planning when it comes to these modalities. I'm joined by Dr.

Treatment Planning Symposium 16th November Hybrid event: https://www.protrusive.co.uk/rx Are you still afraid of raising the Vertical Dimension? You cannot break free from the shackles of single tooth Dentistry if you don’t get comfortable with vertical dimensions changes in Restorative Dentistry. https://youtu.be/Nb-LTyzRKuU Watch PDP197 on Youtube In this episode, Dr. Jaz Gulati and Dr. Mahmoud Ibrahim  simplify the complex topic of increasing vertical dimension.  What is a safe limit of increasing the vertical dimension? They cover the essentials of joint health, muscle stability, and the importance of centric relation (does it actually matter?) Protrusive Dental Pearl: Use Duralay copings for guide planes to ensure stable dentures with a single path of insertion. While eyeballing the prep can be challenging, he suggests requesting acrylic copings from the lab for precise preparation. He explains that technicians survey models to identify undercuts and determine the path of insertion, and instead of manual prepping, he advises using lab-created reduction copings and acrylic jigs to simplify and accurately guide the preparation process.  Need to Read it? Check out the Full Episode Transcript below! Highlights of this episode:  02:05 Protrusive Dental Pearl  Acyrlic Copings for Guide Planes 03:57 Dr. Mahmoud Ibrahim’s Introduction 06:05 Personal Experiences with Vertical Dimension 08:45 Challenges and Techniques in Vertical Dimension 14:17 Clinical Considerations (Restorative Dentistry) and Research 21:15 How to Assess OVD Loss? 24:35 Factors to Consider in Increasing the Vertical Dimension 28:41 Treatment Planning: Orthodontics vs. Restorative Management 32:21 Assessing Cases for Vertical Dimension 34:39 Joint Position and Vertical Dimension 39:47 Occlusal Appliances Prior to Increasing Vertical Dimension  45:26 Joint Relationship 50:49 Reproducibility and Stability in Occlusal Planning 53:00 Summary and Final Thoughts on Vertical Dimension This episode is eligible for 1 CE credit via the quiz on Protrusive Guidance. AGD code: 180 Occlusion  (Occlusal therapy) This episode meets GDC Outcomes A and C. Dentists will be able to: 1. Explore key clinical considerations and current research in restorative dentistry related to vertical dimension, enhancing your ability to make informed decisions. 2. Understand the relationship between joint position and vertical dimension, and how to assess and manage this relationship effectively. 3. Recall the guidelines for assessing the vertical dimension and the safe limit for this in dentate patients. If you liked this, you will also like Functionally Generated Path Technique – Conforming to Funky Occlusions – PDP168 Click below for full episode transcript: Teaser: But it can also help you stage treatments, right? It's a great technique to learn because it allows you then to stage those more comprehensive cases. So one of the most useful things about opening vertical dimension is gaining space for your material without having to prep teeth that they're usually already quite worn. Now that is a huge benefit for anterior teeth, but also can come into play on back teeth. Jaz's Introduction:I used to be petrified of opening the bite, i.e any kind of treatment that would increase the patient's vertical dimension would be way out of my comfort zone and it really made me worried like, is the patient going to adapt? Are they going to get joint pain? Am I perhaps increasing the vertical dimension too much? And so for the first 18 months of my career, I was focusing on conformative dentistry. Not having to change the vertical dimension, just accepting the patient's bite for what it is and working with it. You know, a filling here or a crown there. And back then it mostly was small and large composites. I was still finding my feet, I wasn't confident with indirect dentistry,

Plant it low and watch it grow? Is that serving our patients? Should we keep our crowns flat to avoid ‘interferences’? How about guiding teeth - how can we recreate and build in guidance and the correct cuspal inclination in our indirect work? https://youtu.be/b2KA84dXhnI Watch PDP196 on Youtube As part of Occlusion month I am joined by my dental technician Graham Entwistle and Occlusion geek Dr Mahmoud Ibrahim. We discuss foundational occlusal concepts relevant to our daily indirect restorations. Protrusive Dental Pearl: Bleeding papilla? Use the HOW technique to QUICKLY stop bleeding - insert a Wedge obliquely (Haemostasis with Oblique Wedge technique) as taught by Dr Sunny Sadana from Drecomposite.com Treatment Planning Symposium 16th November HYBRID EVENT Basics of Occlusion Live 2 Day Hands-On Course with Jaz and Mahmoud Need to Read it? Check out the Full Episode Transcript below! Highlights of this Episode: 0:00 Introduction 03:31 Protrusive Dental Pearl 05:16 Introduction - Graham Entwistle + Mahmoud Ibrahim 08:25 Guiding Teeth 11:40 Why is Guidance important? 16:35 What information should we provide our technicians? 20:00 Excursions and Patient Case 28:00 Complex crown creation 33:33 To Facebow or not to Facebow? 34:40 A Technician’s POV 49:50 What is the Technician aiming for? 51:06 Perfect Contacts - technician perspective 53:23 Final Thoughts 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 functional concepts) Dentists will be able to: 1. Understand the importance of guidance and occlusion in crown design, ensuring restorations contribute positively to occlusal function and patient well-being. 2. Improve communication strategies with dental technicians, including providing crucial details such as shim holds and occlusal plane guidance, to ensure optimal restorations. 3. Make informed decisions about the distribution of occlusal forces to prevent damage and maintain functional integrity in prosthetic designs. If you liked this episode, you’ll love PDP137 - Q&A with a Dental Technician Click below for full episode transcript: Teaser: If there's one thing people take away from this podcast, it's this point right here, which can easily be missed, okay? When we send a bite to our technician, whether it's a physical bite or a digital bite, more often than not, okay, it's wrong. Jaz's Introduction:Welcome to Occlusion Month on Protrusive Dental Podcast 2024. I've just been a little bit excited for this theme. It's one of my favorite themes to discuss because it was Occlusion, learning Occlusion. It's what allowed my dentistry to become more fun. Allow me to move away from single tooth dentistry and through a series of episodes this month, we're going to help you do the same. Ultimately occlusion is just really good restorative dentistry. It's part of the package, but It's perceived as it's like this dark art, this incredibly confusing thing. I think sometimes it's pitched that way to sell more courses, etc. But me and Mahmoud want to convince you that occlusion is easy. It can be simplified. Have faith, stick with us this month, and we hope to demystify some elements of occlusion. In today's episode, we're covering a theme whereby when you have a guiding tooth. Now, when I said guiding tooth, what did you think of? You probably thought of a canine, canine guidance. So let's talk about that scenario, okay? Let's say you're replacing a canine either with direct restorative material or a crown. Crown's easier to discuss. If you're replacing a canine with a crown or even an implant, how do you design the occlusion on that tooth? How do you ensure that you get the correct guidance from that tooth. Now, actually the real world scenario is not canine guidance because very few of our patients are actually canine guided.

There is something very satisfying about a well fitting denture. I am joined by our resident Dental Student, Emma Hutchison, to demystify removable prosthetics. https://youtu.be/1hQGjKUa6MU Watch PS009 on Youtube Which joint position should we use for dentures? Is this important? How do you calculate the freeway space? What are we actually recording during a Wax Jaw Registration for complete dentures? Don’t miss the special exam revision notes on Removable Pros available exclusively in the Protrusive Guidance app! (Join the free Students 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, check out PDP162 - Occlusion for Complete Dentures Click below for full episode transcript: Jaz's Introduction: I think we all remember that phase at dental school where we were just confused by everything related to dentures. It was especially confusing because dentures are kind of like one of the first things you do as you're a dental student. So to you it felt like being thrown in the deep end anyway. Jaz's Introduction:For many of us the denture confusion lives on and continues throughout our career. Hopefully with some of the older episodes in Protrusive we managed to make dentures more tangible. And I myself have been enjoying doing some cobalt chrome dentures, something I didn't get to do much during dental school. But today in this Protrusive Students Section, and I mean students lightly because this whole segment, the Protrusive Students Series, whilst we release some revision notes for students every time we release an episode, what we discover here is revision. Sometimes good to revise topics, go back to basics, so if you're a young dentist or revisiting back into dentistry, or at any stage of being a dental student, this episode and all of the series of protrusive students should be relevant to you. Especially one we did a while ago about adhesive dentistry for beginners. Lots of qualified dentists said how much they enjoyed that one because it was nice to just go back to basics. In this one, once again with our protrusive student Dr. Emma Hutchison, she asked me about all things that confuse her as a student when it comes to dentures. And because she's relatively new to clinic, Most of the questions he asked was related to complete dentures. So I hope you enjoyed this recap and this revision on the different stages of complete dentures. What are we actually trying to achieve in the various stages and what is important and what's not important? Hope you enjoy and I'll catch you in the outro. Main Episode:Emma Hutchison, welcome again to the Protrusive Student section. This time we're going to cover removal. But just tell us, we're recording this way in advance because we don't want to interfere with your exams and stuff. How are you getting on? What's your last few weeks been like? [Emma]Yeah, the last week I've only seen one patient, which was actually my flatmate, and didn't need anything done. And so he just got a scaling polish, a bit of PMPR, and that was him really. So nothing too exciting in terms of patients, but just I've got my exam dates now, so it's really becoming real, so just keeping my head down and getting through lectures and really starting to study now, so. [Jaz]What kind of learner are you, Emma? You know there's different types of learners and stuff, I won't give you any ideas, just in terms of self discovery, how do you like to learn? [Emma]I'd say I need to listen to things, I need to be told by someone who's talking to me, and I need to be able to translate that into something that I can understand myself,

The first EVER ‘Prospective’ episode of Protrusive - I interviewed new-grad Dr Triman Ahluwalia in 2023, then again 7 months later in 2024 to see how he gets on with his first year as a *real* Dentist ;) We uncover what it feels to be a freshly qualified Dentist, the pressures and fears that come with procedures such as endo and surgical extractions, but what we can do as growing clinicians to overcome these hurdles. https://youtu.be/9NtKCIVfMLs Watch IC052 on Youtube This episode is packed with lots of top tips to help you in your journey from the ground up, or as a reminder for those that have been there and done that, that we are forever learning on our journey and there’s always something out there to help us become better Dentists. Need to Read it? Check out the Full Episode Transcript below! Highlights of this Episode:02:02 Introduction to Dr Triman (2023)03:32 Experiences at Dental School07:15 Procedures You Fear + Sectioning Teeth11:25 Thoughts on Social Media in Dentistry15:26 Documenting Work16:30 Future Career Plans18:00 Additional Comments from Triman19:03 Back to the Future: 2024 Triman Update21:50 Dental Photography Progress23:08 Tricky Dental Procedures Update27:46 The Good and the Bad of DFT32:26 Career Path in Dentistry34:49 Triman’s Top Tips37:06 Wrapping Up Don’t forget to check out the Protrusive App where you can find more awesome tutorials on becoming a more efficient and effective practitioner. If you liked this episode, you will also like IC029 - Young Dentist Thrival Guide  This episode is not eligible for CPD/CE points, but never fear, there are hundreds of hours of CPD waiting for you on on the Ultimate Eduction Plan, including Premium clinical workthroughs and Masterclasses. Click below for full episode transcript: Jaz's Introduction: Welcome to the first ever Protrusive Prospective episode. You see, I interviewed Dr. Triman Ahluwalia in his first month of being a real dentist, i. e. newly qualified. I then interviewed him again seven months later to see how he got on. Jaz's Introduction:Hello Protruserati, I'm Jaz Gulati, and welcome back to your favorite dental podcast. Every year we make an episode to help those who are in their first year, i. e. they've just qualified and they're entering the big bad world dentistry. And this is a interesting one because I've never done a prospective episode whereby I've told the guest to wait six, seven months and then we'll continue the recording. Just to see if the perspective has changed. I think this is essential listening and watching for those who are literally about to enter the first year of dental school, or maybe you're returning to work again after some time off, or maybe you just want to gain some insight into the mind of the newly qualified dentist. Maybe you mentor some dentists, by the way, speaking of mentorships and big things, Intaglio is almost out. For those of you who don't know, Intaglio is a new platform we're making to allow one on one mentorship. Look, it doesn't matter. How much money you paid to these courses doesn't matter how many continuums or diplomas you've done. When you have that specific case and you need someone to sit down with to discuss that case, step by step for a good hour or even two hours, the course organizes the diploma teachers. They are busy. They don't have the time to do one on one, which is why we created this platform to allow mentors and mentees to connect and allow fair exchange. Because you know what when a mentee needs help they really value it and they value that one on one time so Intaglio is coming soon and also a big update number two is I'm in my new studio I've now moved from reading to West London quite close to Heathrow it's like little India it's called Southall. I'm close now to my parents my in laws we get lots of support for family so that was a big reason I'm still working in Reading. But yeah, it's been a crazy time with moving.

Is this the death of impressions for Dentures? Are digital dentures predictable? Time saving? Cost saving? Are all types of dentures suitable for the digital workflow? Even if you don’t use an intra-oral scanner, your lab may be utilising a digital workflow, so it’s a great time to dive deep into this area. Impression Club’s Dr Rupert Monkhouse joins us for another removable prosthetics themed episode where we discuss how digital dentistry is changing the way we make partial dentures and complete dentures. https://youtu.be/P8XBEU5I6kc Watch PDP195 on Youtube Check out Impression Club courses This episode is eligible for 1 CE credit via the quiz on Protrusive Guidance. This episode meets GDC Outcomes A and C. Dentists will be able to: 1. Understand the key differences between traditional impression techniques and digital workflows in denture creation, including the benefits and limitations of both methods. 2. Evaluate the accuracy and efficiency of digital dentures compared to traditional methods and implement best practices for integrating digital workflows into their clinical practice. 3. Effectively collaborate with dental technicians using digital tools, fostering better communication and teamwork to achieve optimal patient outcomes in denture fabrication. AGD code 670 Removable Prosthodontics (Emerging technology or techniques) Need to Read it? Check out the Full Episode Transcript below! Highlights of this Episode:03:18 Protrusive Dental Pearl - Understand the Why05:38 Introduction to Dr Rupert Monkhouse8:11 What kind of Dentures can we do Digitally?13:33 What work still requires Impressions?17:05 Which Scanners?19:55 How Accurate?28:24 Should Digital be the Gold Standard?30:55 Immediate Dentures38:55 Cobalt Chromes47:55 Finding great technicians58:08 Impression Club If you liked this, you will also like GF018 Intra-Oral Scanner Click below for full episode transcript: Episode Teaser: For the workflows where we scan the lab work or we did the reference denture, eight out of eight preferred- When I've got the macro flash on it and my 4G megapixel camera. Yeah. I can see the difference minorly aesthetically in the teeth and things. Beyond that, there's no real downsides from my perspective. So clinically for me- Jaz's Introduction:Is this the end of impressions for dentures? Have we finally reached a time whereby we can scan the tissues and we don't need any of that mucocompressive nonsense. Is digital dentistry there yet when it comes to dentures? For our clinical steps, the design and the manufacture of our dentures. Our guest today, Dr. Rupert Monkhouse, back again on the podcast, does a wonderful job of giving us an overview of how digital denture is employed within dentures, not only by us clinicians, but also the lab side and the manufacturer side. But I asked him to truly dive deep and focus onto what we do clinically. How much of what we do clinically can we now do entirely digitally? And the two workflows we discussed today in really good depth are the complete denture workflow and the Cobalt Chrome partial denture workflows. Get your onions ready because this is a really deep and really awesome episode. I think Rupert does a wonderful job. You will find out which scenarios we should be actually scanning and ditching the impressions and whether there are any game changing benefits of moving to a digital workflow for dentures. This episode is our highlight episode for removable prosthodontics month. And next month, i. e. September, will be occlusion month. Hello, Protruserati. I'm Jaz Gulati and welcome back to your favorite dental podcast. I feel like I haven't connected with you guys for so long. I know you've been having an episode every week, but a lot of those episodes actually recorded a while ago. I knew that when the summer would come and my son would be off school, that we would get really busy.

How are periodontal diseases managed in general practice? Join us for an engaging conversation with Emma Hutchison, our Protrusive student, as we explore Periodontology (Perio) in the real world. This conversation delves deep into the practical protocols, patient communication strategies, and real-life scenarios every dental student and practicing dentist should be aware of. https://youtu.be/X5ahZ9bzsc4 Watch PS008 on Youtube Need to Read it? Check out the Full Episode Transcript below! Highlights of this Episode: 0:37 Emma's Dental School Experience: Special Care Dentistry 03:02 Emma’s Denture Adjustment Case  06:11 Periodontics Month  06:54 Communicating with Patients about Gum Disease 10:15 Managing Non-Engaging Patients 15:04 The Psychology of Habits 17:13 Referral Protocols in Dental Practice 20:00 Risk Factors in Periodontal Treatment 25:03 Genetic Factors in Periodontal Disease Don't miss the special notes on An Introduction to Periodontal Diseases available exclusively in the Protrusive Guidance app! 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 PS007 - Basics of Indirection Restorations Part 2 - The Crown Fit Click below for full episode transcript: Jaz's Introduction: Welcome to another episode of Protrusive Students. We're joined by Emma Hutchison, our Protrusive Student, to talk about Perio. Look, I'm no periodontist. I'm no specialist, but I can share a few pearls of wisdom for treating Perio in the real world. [Jaz]Emma had some absolutely fantastic questions about protocols, communication, and what to do if you have a non engaging patient. Because let's face it, that's what happens in the real world. Our patients don't floss and they don't brush how well we want them to. So how do you manage that? Here at Protrusive Students we try and cover the themes just for you guys. And of course, if you're a dentist watching this, then it's also relevant to you. We just go back to basics. Let's get to the main part of the interview and I'll catch you in the outro. Main Episode:Emma Hutchison, our Protrusive Student. It's now perio month, so it's great to have you back. Just give us an update, basically, in terms of what new things have you learned at dental school? What are the interesting experiences that you've had? Any ups or downs that you'd like to share with us? [Emma]So, I've only seen one patient in the last week, because I've had a few no shows last week and it was for a denture ease, so it wasn't anything too tricky, which was fine for me. But, yeah, it was good, just a wee denture ease. The elderly gentleman was very happy, so that made me happy. In terms of lectures, lots of special care dentistry at the moment. We're very heavy with special care dentistry in our second half of third year at Glasgow. [Jaz]I know in some countries they don't have that as a speciality. Can you explain to everyone listening and watching what special care dentistry is? [Emma]Yeah, so I suppose special care dentistry, a lot of patients that have very complex medical histories. I mean, this week we were doing people with mental health problems, schizophrenia. We've been doing cardiology, oncology, patients with very learning disabilities as well. Patients that I suppose you could consider a bit more medically compromised or that can be a bit more trickier to treat. So we're very heavy on that in our third year at Glasgow. [Jaz]So if you can treat those medically compromised patients and you can treat anyone, right. It really tests us in terms of what medicines are on, which antibiotics you can and can't give, what the guidelines are in terms of when it's safe to...

It’s your first night on-call and you are bleeped at 3am - there’s a nasty facial laceration waiting for your urgent attention. You have never sutured the face before…”who you gonna call?” - well sometimes even the Ghostbusters will be more helpful than the on-call trainee! https://youtu.be/3RKZG3yy2sU Watch PDP194 on Youtube Our good friend Dr Ameer Allybocus joins us again for another episode where he gives us a lowdown of his experience when he was a DCT trainee many years ago. There is a lot to learn in this podcast from Ameer as he dives into the Trials and Tribulations of being an Oral and MaxilloFacial Surgery DCT during the early years of his career.  There are laughs and tears in this one, so hold on to your seats for an emotional podcast that will leave you wanting more. Need to Read it? Check out the Full Episode Transcript below! Highlights of this Episode:  00:00 Introduction01:37 Protrusive Dental Pearl03:26 Introduction to Dr Ameer Allybocus19:40 The MaxFax Beginnings24:00 MaxFax at UCL29:37 MaxFax isn’t all bad36:05 DCT Oral Surgery 42:16 On Call 48:26 Book Recommendations49:15 Working at the Queen Elizabeth Hospital54:13 A Life Changing Experience59:57 MaxFax: Benefits, Tips & Tricks65:26 Tips from Ameer66:25 Trauma and Accidents70:56 MaxFax Puts Dentistry Into Perspective74:33 Closing Words For the full educational experience, our Ultimate Education Plan gives you access to all our courses, webinars, and exclusive monthly content. If you liked this episode, you will also like: Getting Ahead after Dental School 2023 – IC042 – Protrusive Dental Podcast Click below for full episode transcript: Jaz's Introduction: Is a maxillofacial surgery post right for you? Maybe you've already done one before and you want to like reminisce about your time as a DCT, as a part of a residency or any post and standalone post you've done in a maxillofacial department. Jaz's Introduction:Now my colleagues who've done it tell me that it gives you thick skin, it's character building, it's these amazing experiences and they have no regrets. Whereas I have other colleagues who have major regrets about doing a maxillofacial post. My guest today, returning again, Dr. Ameer Allybocus, does absolutely fantastic job of summarizing the highs and the lows of working in a maxillofacial position as a dentist. Now in the UK, we have these DCT, Dental Core Training positions, but around the world, being attached to a hospital in the maxfax department and helping the registrars and consultants with everything from trauma to cancer and sometimes not always exodontia. And we'll talk about all these themes with Ameer. I actually really wish I had an episode just like this when I was considering whether to do a maxfax position or not. There's actually a bit where Ameer actually cries in this, and I'm just respecting so much for making himself vulnerable and sharing those feelings. It was related to a patient story, and there's so many great tips and different characters and different personalities that he describes in his stories of working in these different posts. There's so much incredible value provided in this episode. It's a longer one, and I didn't want to split it into two. So you might need a couple of commutes or lots of onions to get through this one. The Protrusive Dental Pearl today is provided by our guest, Dr. Ameer Allybocus, and it gives you a flavor of the rest of the podcast of what's to come. There's so many great tips and stories attached to it. So let's hear today's protrusive dental pearl. Dental PearlSo Ameer, what is the protrusive dental pearl for today? [Ameer]My Protrusive Dental Pearl is whatever procedure you're doing, if it isn't going the way you want it to, if you find yourself getting stressed, hard, you're not seeing what you want to see, there's nothing in dentistry that you can't stop and take a pause, give the patient a break, set them up. Walk away,