Implant Failed After 6 Months – Surgeon vs Restorative Dentist Medicolegal Considerations – GF022

Have you ever considered Dental Aid Work? Imagine giving up your morning starbucks and your air conditioned dental surgery to work in a developing country that has just 7 dentists. Fellow Protruserati, Dr James Hunter and his young family will be doing just this - they are preparing for a four-year mission to Liberia, Africa, to dedicate themselves to dental aid work. Follow along as we delve into their story of skill, passion, and humanitarianism. https://youtu.be/lzKVmuuUvBI Watch IC050 on Youtube Highlights of this Episode:00:00 Introduction2:52 From Theology to Dentistry5:35 Dr. James on Dentistry06:44 The Decision to Move to Liberia for Aid Work09:52 Understanding Liberia's History and Needs15:28 The Future Plans for Dental Aid in Liberia18:37 Motivations Behind the Mission20:04 The Challenge of Committing to Charity Work20:57 Financial Planning, Schooling and Adaptation for Children Abroad26:40 Sharing Experiences and Encouraging Aid Work28:13 Raising Awareness and Support for the Mission32:09 Closing Thoughts and Encouragement Be sure to visit https://www.thehuntersinliberia.co.uk/ for details on supporting charity work in Liberia. Additionally, explore other charity websites in your country for more ways to make a difference locally. This episode is not eligible for CPD/CE points, but never fear, there are hundreds of hours of CPD 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. This includes Vertipreps for Plonkers and clinical videos demonstrating Onlay Preps. If you enjoyed this episode, don't miss out on watching "The International Dental Student – From Ukraine to Egypt to Slovakia – IC047”

Have we fully shifted towards lithium disilicate overlays and onlays? Are full crowns considered a sin in 2024? (Maybe just on Instagram then!) Spoiler: Crowns TOTALLY have a place, and so do large direct composite restorations! Dr Alan Burgin and I share our decision making trees for indirect restorations as part of ‘Crowns and Onlays Month’ on Protrusive Dental Podcast. Find out which clinical factors sway us more towards a Overlay vs a Vertiprep - and the rationale for each type of restoration. https://youtu.be/Gntb083yUOQ Watch PDP189 on Youtube Protrusive Dental Pearl: Use Vaseline on the gingivae when carrying out a ‘smile trial’ or bis-acryl mock-up - will result in an easier clean up! Need to Read it? Check out the Full Episode Transcript below! Highlights of this Episode:01:54 Protrusive Dental Pearl02:44 Introduction - Dr Alan Burgin18:20 Types of Indirect Restorations31:16 From Onlay to Crown44:40 Crowns - Traditional vs Verti-Preps54:00 Reflection57:48 Alan’s Prep Course For the full educational experience, our Ultimate Education Plan gives you access to all our courses, webinars, and exclusive monthly content. This includes Vertipreps for Plonkers and clinical videos demonstrating Onlay Preps. Join us on Protrusive Guidance, our own platform for dental professionals. No need for Facebook anymore! 😉 If you liked this episode, you will also like PDP089 - Vertiprep Revision Click below for full episode transcript: Jaz's Introduction: Overlays and onlays have become very popular. So is there still a place for full crowns? I still place full crowns because I use vertical crowns, i.e. vertipreps. Even then, if a tooth has enough enamel, my indirect restoration of choice will very likely be an overlay restoration. Something like lithium disilicate. [Jaz]The other modern consideration that we have is composite. We can actually go really far with composites and I know the bigger the composite the less predictable it can be but sometimes with modern techniques and looking after the occlusion you can get a long time out of a large composite and often due to budgetary reasons or otherwise the large composite is what we may be opting for in many scenarios. So where do we draw the line? What's the limit of a large posterior composite? These are all the real world questions we'll be discussing today with my guest Dr. Alan Burgin as part of crowns and onlays month in June 2024. So remember in February we did Adhesive Dentistry, then in March we did Documentation, April we did Mental Health, in May we did may the Force Be With You Orthodontics, and now we're doing Crowns and Onlays. And I hope you agree that this is big enough to deserve its own month. It's our daily decision making. It's our bread and butter daily restorative dentistry. Hello Protruserati, I'm Jaz Gulati and welcome back to your favorite dental podcast. Every PDP episode, I give you a Protrusive Dental Pearl, except this time I've actually just run out. There's no more pearls out there. There's no more tips. In all the episodes we've done in the last six years, we've covered every single tip in Dentistry. And so, there we are. There's no more tips, guys. Dental PearlI'm just kidding. Listen, the tip for this one, the Protrusive Dental Pearl, by the way, if you want access to every single protrusive dental pearl, we've created a new PDF, by the way, which all the previous pearls are there in one PDF. This is freely available in Protrusive Guidance, our community, and the home of the nicest and geekiest dentists in the world. The website for that is protrusive. app or download the iOS, Android app is called Protrusive Guidance. The pearl for today is when you're doing a mock up with a bisacryl. What's bisacryl? It's like, you know, ProTemp, LuxaTemp, Integrity, all these instant crown bridge temporary materials. When you're doing a mock up like a smile preview, perhaps before veneers or something.

Clinical Dentistry is a steep learning curve - it can be frustrating, frightening and quite frankly exhilarating. This episode (better late than never! My wife finished her MSc so now I’m back on track!) picks up the theme of Stress Awareness and I discuss with Emma Hutchinson, our Protrusive Student, how students can manage stress effectively, prioritize their studies, and identify their unique learning styles.  We also address imposter syndrome and the various difficulties encountered while learning something as complex as dentistry. https://youtu.be/EIXeUvlTams Highlights of this episode:00:00 Introduction03:25 Welcoming Emma Back04:16 Protrusive Students06:30 Dentistry Students vs Other Courses08:24 Hobbies and Activities Outside of Dental School12:50 Communication Style14:48 Student-Life Balance19:01 Past Papers during Exam Time21:00 Networking in Dentistry28:51 Burnout and Mental Health Perspective33:45 Next Month - Orthodontics This episode is not eligible for CPD/CE points, but never fear, there are hundreds of hours of CPD 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. Join us on Protrusive Guidance, our own platform for dental professionals. No need for Facebook anymore! 😉 If you love this episode, be sure to watch Adhesive Dentistry for Beginners – PS002

Implants can fail - we all know that…but what are the medico-legal implications when they fail at 6 months after restoring them… Is it all the restoring Dentists’ problem? ‘He who touched it last’? Or does the implant placing surgeon also need to be involved in the ‘post-mortem’? How can we handle the upset patient (and prevent this in the first place!) https://youtu.be/1CSE9J1w-Pw Watch GF022 on Youtube In the latest podcast episode, we introduced Dr. Joe Bhat and Neel Jeiswal, both prominent figures in Dentistry. Neel, representing PDI, has a rich background in clinical dentistry and medico-legal matters, while Dr Joe Bhat is a dual specialist in Oral Surgery and Prosthodontics. Joe established a pioneering multi-disciplinary clinic 20 years ago, which continues to thrive with numerous referrals. Both guests provided deep insights into implant failures, patient management, and the importance of effective communication and collaboration in dental practices. Need to Read it? Check out the Full Episode Transcript below! Check out Dr Joe Bhat’s place of practice - Moor Park Specialists Due a renewal for your indemnity/insurance? Get a quote and special discount from PDI If you liked this episode, you will also like 4 Ways to Boost Osseointegration of Your Implants – PDP155 – Protrusive Dental Podcast Click below for full episode transcript: Jaz's Introduction: Imagine you have a patient and you refer him to the implantologist, who proceeds to place an implant for the upper right molar. Some months later, you then restore that implant. But unfortunately, this one doesn't go to plan and six months later, you make a diagnosis of peri implantitis and the implant has officially failed. [Jaz]You potentially have an upset patient on your hands. This patient is potentially pointing some fingers. Now who should the finger go towards? Should the finger go towards the implant placing dentist? or the implant restoring dentist. It's a bit of a medical legal minefield. So I'm joined today by Dr. Joe Bhat, who's both an oral surgeon and a prosthodontist, so he's in a great position to be our expert today, as well as Dr. Neel Jeiswal, who I rely on so much when anything, when it comes to medical legal, and indemnity This episode is CPD eligible on the Protrusive app called Protrusive Guidance. I think you'll learn a lot about communication, consent, and a proper medical legal management when things go wrong, how they work with each other. So we can benefit and really help our patients because ultimately everything we do is It's for the benefit of our patients. Dr. Joe Bhat, welcome to the Protrusive Dental Podcast for the first time. And Neel Jeiswal, welcome again, my friend. Neel, you are the representative of PDI and a clinical dentist that we love having on because your medical legal perspectives are absolutely fantastic, and also your years of clinical experience. But Joe, I don't think we've met before properly, so it's great to be introduced by Neel. Joe, tell us about yourself as a practicing dentist. What are your interests? [Joe]Thank you so much for the invite. I know it came via Neel, but I've heard a lot about you, Jaz. So good to be e-connected finally. I am a dentist. I'm a prosthodontist and an oral surgeon. So I started my life as an oral surgeon, did six, nearly seven years of Maxfax, did my, the old time fellowship, the FDS- RCS. And then I went back to dental school and did my specialist prosthodontic training. So I did my MClindent and MRD. We were the first batch. I was the first student, my surname beginning with B meant that I was my first student ever to get a monospecialty training pathway in prosthodontics. So I became a dual specialist in 2001. So that's 23 years ago. And we set up a specialist practice. The idea of the specialist practice at that stage was at that time, when I set up the practice more than two and a bit decades ago,

More brilliant questions from dental students as Jaz is joined by Dhruti Mysore from Plymouth University. https://youtu.be/APKMX2qdDQg Watch AJ008 on Youtube We covered themes of student-life balance and professional development. Jaz shared the powerful technique of ‘Just-in-Time’ learning to gain structure and purpose to post-graduate development. Jaz gave his top tips for preventing burnout and the power of a supportive network.  And of course, we discussed Occlusion and Facebows! Need to Read it? Check out the Full Episode Transcript below! For the full educational experience, our Ultimate Education Plan gives you access to all our courses, webinars, and exclusive monthly content. Join us on Protrusive Guidance, our own platform for dental professionals. No need for Facebook anymore! 😉 If you liked this episode, you will also like Occlusion Questions from Students – AJ005 Click below for full episode transcript: Jaz's Introduction: Hello and welcome back to another episode of Ask Jaz, part of the Protrusive Dental Podcast. My name is Jaz Gulati and I'll be your host and today we have a dental student, a fourth year dental student, Dhruti Mysore, who's got some questions for me, both clinical and non clinical. For example, what things did I learn during dental school that I still use today? [Jaz]And you know what? The answer just might shock you. The other thing that Dhruti asked is what happens when you qualify? Like when you qualify, what are the kind of courses and education that we should be seeking? We also discussed a little bit of the clinical stuff like occlusion, obviously, but there's once again a lot more in there about the work life balance and the journey of the career that we're in. So I hope you enjoy it and I'll catch you in the outro. Dhruti Mysore, welcome to the student's edition of the Protrusive Dental Podcast. How are you? [Dhruti]I'm good. It's nice that you could have me on. I've been such a big fan of you, I've been listening to you for the last two years. And yeah, we just finished final exams for fourth year now. So we have about a month of clinics left and then we're done for the year. [Jaz]But so if you finish your final exam, so this is at Plymouth by the way, right? So that means fifth year, is it a chilled year at your uni? Is that relatively, you can't say that now, you're shaking your head. Okay. [Dhruti]No, no. [Jaz]What have you got in store fifth year then? [Dhruti]So fifth year we have OSCEs and we have like three sets of MCQ exams. And we have sort of the SJT for our foundation year as well. [Jaz]And that's around the corner, right? That's probably September, October, November time, I think. [Dhruti]Yeah. Yeah. It's quite soon. And then we have other little modules, critical appraisal essays. It's sort of all powered on in fifth year. So, yeah. [Jaz]But do you feel a sense of relief getting fourth year out of the way? Cause it sounds like it's quite exam heavy, right? [Dhruti]Yeah. So actually our fourth year was a little bit different. So we, do you know Truro in Cornwall? [Jaz]Yeah. Yes, of course, beautiful part of the world. [Dhruti]Yeah, so we are actually, my whole year lives down here for this year. And it's sort of like we do a placement year there. So we're all down in Cornwall and then next year we're back to Plymouth. So it is nice sort of going back to like, you know, my uni city. But we're all going to miss Cornwall. And it's been really nice because clinic is only like a five minute walk because we live in the hospital accommodation. So it's really nice to be able to go home at lunchtime and then if there's no patient, sometimes we just go home and that's like, I think that's what's going to be missed as well about next year. So this year, the clinics have been more intense, but a little bit more nice because we get to have a little breather and get to go home as well.

Hear how Aidan went from anxious about exodontia to now feeling confident and enjoying his oral surgery list. https://youtu.be/cYl6zYMsRY8 Watch IC049 on Youtube We cover the themes of career progression, overcoming procedural fears and decision making early in our careers. At the end, Aidan shares a clever way to deliver saline when washing out sockets! Need to Read it? Check out the Full Episode Transcript below! Highlights of this Episode:00:00  Intro 01:47 Imposter Syndrome02:45 Aiden’s Story05:16 Daunting Experiences with Stubborn Canine06:48 How Aiden would approach things now07:33 Dental Pearl - 6 second rule09:56 What happened during COVID?18:08 After the Ipswich post, what happened?25:04 Aiden’s advice for young dentists 29:53 Lesson about photography35:13 Whole tooth extraction vs. sectioning?36:26 Sectioning School39:31 Outro Sterile Saline Pods Check out Sectioning School and the entire collection of masterclasses for just $450 Check out the First Video of Sectioning School for Free: https://youtu.be/mgVXGN_uiyg Case 1 of Sectioning School Occlusion Online Summer Sale - £100 OFF Expires 3rd June Click below for full episode transcript: Jaz's Introduction: Naturally when we qualify as dentists, we're not the most confident in a lot of procedures, especially oral surgery. It's a common theme, and obviously it depends on where you qualified from and how much surgical experience you had, but a common theme is being scared of extractions. Like, I've definitely been through it, I've talked about it a lot in terms of the power of sectioning teeth. [Jaz]But today I speak to a young dentist, Aidan, who went from being scared to now being really confident. And he's still a young dentist, about five years out, and he's found himself in an environment where maybe 50 percent of his diary is extractions. And this is what he wanted. This is what he designed. So listen to this interference cast today to explore Aidan's journey. There's a few little exodontia tips thrown in there and a really cool tip right at the end about how to actually get saline into your socket a really clever way, which I didn't know about, and I think is going to blow your mind. So if you want to hear that tip, you have to go all the way to the end. Hello, Protruserati, I'm Jaz Gulati, and welcome back to an interference cast. This is kind of like the non clinical arm of the podcast, although this is probably one of the most clinical ones that we've done. This one doesn't have premium notes. It doesn't have CPD, but this is a really warm episode when it comes to being inspired about someone's journey and the steps they take and learning about how someone came to a decision. Like I love something that Aidan says that he recognizes that he's not the best at multitasking and he really enjoys the idea of having focus and oral surgery ended up becoming a focus of his and this young dentist is now pursuing an implant masters and how one thing leads to another. So this is a really cool journey to unpack. So I hope you enjoy it. And if you gain something from this episode, don't forget to hit that like button. If you're watching on YouTube, if you're listening on Spotify or Apple, thanks so much for always coming back, really appreciate it. Do make sure you are subscribed so you don't miss an episode. It also helps Protrusive to grow. So I'd really appreciate that. Now let's join the main episode. [Aidan]I feel a bit like an imposter today. I feel like I've not really, I've just done what I've loved and enjoyed, and I've not really felt there's anything particularly that's special about it. [Jaz]I disagree completely. Aidan, I think everyone's got a unique story and you're going to be amazed about how many young dentists will just get some ideas. So, I mean, let's just say we've kicked off . Aidan? Yes. Welcome to the Protrusive Dental Podcast, my friend. How are you? [Aidan]Thanks, Jaz. Yeah,

Class II’s are only easy when they are small (but not too small), supragingival, easily accessible with straight-forward anatomy. In other words, about 1% of the Class IIs we encounter - because the vast majority I see are subgingival, wide, with awkward root concavities and tricky access. I went from using sectional matrices 97% of the time to now just using them 30% of the time - this is thanks to a circumferential matrix I started to use last year which is a game changer. I now do not need to use a wedge in most scenarios (something I used to think was a crime!) and have been using the ‘contact opening technique’. Meet Dr Sunny Sadana, who has brought the Greater Curve system to the UK and taught me a lot about efficiency with direct restorations. We also discuss fee-setting and patient communication - this part of the video is only available for those on our Protrusive Guidance network. https://youtu.be/QF3b8V_29Vw Watch PDP188 on Youtube Protrusive Dental Pearl  Pre-wedging; use this technique before beginning any restorative work on the tooth you are working on, this will allow a greater field of view to work in. It also helps suppress the papilla to get better access to the caries. This can all be achieved by numbing the area first and wedging with adequate enough pressure for there to be separation. It also reduced iatrogenic damage and is also worthwhile considering using a wedge-guard/fender wedge. Check out the DRE Composite Course Need to Read it? Check out the Full Episode Transcript below! Access the CPD quiz through our app on https://www.protrusive.app, either on your browser or by downloading our mobile app. For the full educational experience, our Ultimate Education Plan gives you access to all our courses, webinars, and exclusive monthly content. Join us on Protrusive Guidance, our own platform for dental professionals. No need for Facebook anymore! 😉 If you liked this episode, you will also like PDP104 Back to Back Class II Secrets (Sectional Matrix Troubleshooting) Click below for full episode transcript: Jaz's Introduction: The humble wedge gives us so many benefits when it comes to class II. Like, going back to basics, you put a wedge in for your class II, and it ensures that the matrix is right up against that cavity margin. So, wedging is important. Jaz’s Introduction:The other benefit, of course, is that it gives you some separation. And this helps to accommodate for the actual width of the matrix span, so that once you finish your restoration, you remove the wedge and hopefully the teeth will rebound and you'll have a contact. Another benefit of wedges is actually suppressing or depressing that papilla. It allows you to manage those deeper cavities with much more ease. So as you can see, I'm a fan of wedging and I even invest in all sorts of different types of wedges and those low profile diamond wedges for those trickier and deeper scenarios. So why is this episode on doing your class two restorations without a wedge? Isn't that a little bit crazy? Hello Protruserati, I'm Jaz Gulati and welcome back to your favorite dental podcast. So let me tell you, it was like a paradigm shift. It was a big shift in my thinking when I started to use this technique without a wedge because the wedge has so many benefits, but how many times have you introduced the wedge and seen that your matrix band has completely now moved away from your contact? You have an open contact now. And sometimes a bit like the ring, the wedge can distort your matrix. So if there is a way to do good quality class three restorations and get a contact and get a seal without needing to use a wedge, then that is worth exploring. And that's exactly what we're doing today. My guest, Dr. Sunny Sadana is a major fan of the greater curve matrix band. He's a distributor in the UK. Now, many of you in the States watching, listening to this.

Check out the ‘semi-indirect’ technique to restore toothwear cases - including palatal backings made chairside and bonded at the same time. Join Jaz as he geeks out with Dr Zohaib Khwaja to extract the nuances of this clever technique. We also deep dive into the Dahl technique. https://youtu.be/tIRfmJL1qpw Watch PDP187 on Youtube Protrusive Guidance members with access to the Protrusive Vault can check our Semi-Indirect Composite infographic with a step by step visual protocol for semi-indirect palatal backings. Protrusive Dental Pearl: Practice finding centric relation on your general patients, even if they are just attending for a routine examination. It is a great way to get practice! Check out Dr Khwaja’s Instagram page Need to Read it? Check out the Full Episode Transcript below! Highlights of this Episode:02:48 - Protrusive Dental Pearl - Finding CR05:15 - Dr. Zohaib Khwaja Introduction11:14 - What is the Dahl Technique? 17:41 - Restoring Worn Posterior Teeth 28:37 - Restoring Anterior Teeth39:23 - Dr. Zohaib - The Teacher Access the CPD quiz through our app on https://www.protrusive.app, either on your browser or by downloading our mobile app. For the full educational experience, our Ultimate Education Plan gives you access to all our courses, webinars, and exclusive monthly content. Join us on Protrusive Guidance, our own platform for dental professionals. No need for Facebook anymore! 😉 If you liked this episode, you will also like Why do some Dentists find Dahl Distasteful? – PDP016 Click below for full episode transcript: Jaz's Introduction: In this episode, we're going to discuss something called the Semi Indirect Technique that can be so helpful when you're managing tooth wear cases. So because we're talking about tooth wear cases and the actual treatment of them, i. e. usually increasing the vertical dimension, aka opening the bite and how you fill in that space. Jaz’s Introduction:So if you are earlier in your dental and occlusion journey, or maybe you're not yet comfortable going beyond single tooth dentistry, then this episode may be difficult to grasp, but you should use these experiences as motivation and inspiration. It's a bit like when you go to a conference and some of the stuff that's being presented is so far beyond and above you at that moment in time in your journey where you are, but it's still really important to pay respect and listen because that can be the spark that you need in your career sometimes. But of course, if you're into occlusion and tooth wear. And you love restorative dentistry, then this could be a really geeky discussion that you're going to be able to apply on Monday morning if you've never used this technique before. Like, to give you a flavor of it, it's essentially using the wax up to create your own composite restoration. So you're using the wax up to create your own, like, direct composite onlays, for example, right? Direct composite onlays that you're making. So not indirect, it's direct because you're making them using the wax up and using the putty. And you'll see later, our guest, Zohaib Khwaja. He's going to explain why this has certain benefits and perhaps when he wouldn't use this technique and go indirect. And from speaking to him, I do think that it's a really nice trick to have up your sleeve, especially if you're interested in the adhesive management of tooth wear. Hello, Protruserati, I'm Jaz Gulati, and welcome back to the Protrusive Dental Podcast. If you're new to the podcast, welcome, it's great to have you. And of course, if you're a veteran on Protrusive, then it'll be good to see you on Protrusive Guidance, our app, our platform, where we connect, where we share, where we learn and grow together. Before I bring on Zohaib to share the Protrusive Dental Pearl, the team have also made an infographic. So everything that we explain, Zohaib has kindly given his photos and we've made a little infographic ...

From softwares to enhance communication with prospective patients, and clever ones that utilise AI for radiographs and note taking, Prav Solanki and I deep dive into some products we currently like to use or have heard good things about. https://youtu.be/50GNVjVHJQg Watch AJ007 on Youtube In this episode, we discuss the many ways that AI is now streamlining things in our workplace and ensuring that we are able to protect ourselves from a medico-legal perspective, as well as providing the patient with confidence in their treatment plans. Get ready to get techy! Softwares mentioned in this episode: LeadFlo - CRM System for Dentists DigitalTCO - AI and Voice Assisted Dental Notes [Affiliate Link] Dental Audio Notes - Secure Audio Recording CareStack - Cloud Based Dental Software Software of Excellence Exact - Practice Management Loom - Async Video Messages SmileCloud Smile Design Chairsyde - Consultation Platform Pearl AI - Radiographs in Colour MakeMeClear - Treatment Plans that Explain Themselves (25% off using 'protrusive' - Affiliate Program] Need to Read it? Check out the Full Episode Transcript below! Highlights of this Episode:00:00 - Intro03:22 - Protrusive Dental Pearl04:53 - Introducing Dr. Prav Solanki05:35 - Skillset Enhancement07:45 - CRM Introduction09:02 - LeadFlo12:52 - Follow-up Strategy18:20 - Building Trust20:33 - Lifetime Value Focus23:45 - Simplify Plans30:40 - Communication Tools42:27 - Best Patient Management Systems58:10 - Visual Communication59:40 - Video Disclaimers64:54 - More Software Options80:10 - Final Words Access the CPD quiz through our app on https://www.protrusive.app, either on your browser or by downloading our mobile app. For the full educational experience, our Ultimate Education Plan gives you access to all our courses, webinars, and exclusive monthly content. Join us on Protrusive Guidance, our own platform for dental professionals. No need for Facebook anymore! 😉 If you liked this episode, you will also like NEVER Write Notes Again! How I Use AI for Awesome and Efficient Dental Records – PDP181 – Protrusive Dental Podcast Click below for full episode transcript: Jaz's Introduction: Recently I made an episode about how to never write notes again. So using some clever software on your web browser that listens to your audio consultation with you and your patient and uses AI to actually make your notes. So you don't have to then be there typing away or your nurse doesn't have to type every risk and benefit that you discuss as part of the consultation. Jaz's Introduction:You can also create letters to referring dentists and patient report based on that consultation as well. So it's using the latest tools in AI and audio recording to reduce the stress of your nurse and the dentist. But then you guys started messaging me saying, Jaz, which other softwares are you using? And I was like, wow, okay, there is a couple that I use, and a couple that I've seen and tested, and they're great, and I'm happy to talk about them. But because I'm not a principal, I am an associate, I think there will be an injustice if I did this episode alone. So in today's AskJaz, we're covering which are the some of the best softwares out there in, in various different domains, communication, CRM, which is a new word for me. So I've got our guest Prav Solanki on, and I'll explain what that means in a moment. But also what are we doing for like a smile mock ups and of course, our patient management system, which I don't know, I'm not a buyer of that, your principals of practice supplies, your practice management system that could be dentally SOE exact care stack, whatever it is. So we talked a little bit about that. So the kind of themes that we discussed today are the different softwares that we're using that you can use some that I tried some that Prav has tried. And so I totally appreciate that. We haven't covered every single software out t...

How long should you wait after a root canal before starting Orthodontics? Should we be scared of orthodontic movement in those taking bisphosphonates? How do you decide if diastemas should be closed restoratively or orthodontically? Dr Daniel Neves answers every one of the questions and several more sent in from the Protrusive Community These questions are the tricky case-specific ones we ponder about and crave guidelines for - straight talking Dr Neves makes it all tangible. https://youtu.be/ZufVChjEJk4 Watch PDP186 on Youtube Protrusive Dental Pearl: Retention is not a ‘one and done’ process. It should be customised for the individual and maintained appropriately - including at every routine check up. Need to Read it? Check out the Full Episode Transcript below! Highlights of this Episode:04:40 Protrusive Dental Pearl05:53 Introduction to Dr Daniel Neves 12:16 Reducing the Risk of Relapse17:20 Anterior Diastema21:47 Temporary Anchorage Devices (TADs)26:20 Jaw Issues in Adults29:20 Root Resorption34:25 Recession Cases38:00 Timing of Orthodontics after Root Canal Treatment39:39 Bisphosphonates and Orthodontics40:16 Aligners around Implants42:22 Final Thoughts If you liked this episode, you will also like GDP Alignment vs Specialist Orthodontics [STRAIGHTPRIL] – PDP068 Click below for full episode transcript: Jaz's Introduction: It's May 2024. May the force be with you. That's the theme of this month. Whilst I've got episodes on all different sorts of topics like we usually do on Protrusive, we're starting off with this orthodontics podcast. And let me tell you, if there's one episode you've listened to on Protrusive around the theme of orthodontics, make it that. Jaz's Introduction:This one, we cover such a great breadth of topics with my guest, Dr. Daniel Neves. We were actually recording. We actually sat on a sofa watching the sunset in Valencia, Spain, while we were recording this podcast. It's a special one is a great energy, great wisdom from our guests. So I'm really excited to share this with you. Look, the kind of themes that we cover is get my notebook out. The kind of themes you cover are anterior crossbites in children. This is actually what stemmed this podcast. Me and my colleague Suzy, we were feeling pretty bummed because we saw this kid, I think he was like eight or nine years old, and he had an anterior crossbite. And we thought, wow, this is really suitable. We think this would be a great case for an orthodontist within our publicly funded system in the UK to do some interceptive treatment for this anterior crossbite. And we were bummed because the orthodontist declined it. The orthodontist said, let's wait until age 12. Let's wait for all the teeth to come through and then refer this back. And I was really left scratching my head like, Hmm, hang on a minute. I'm pretty sure an anterior crossbite is an indication for early treatment. So let's find out what Dr. Daniel Neves had to say about that. We also at the end talk about root resorption. What if you have root resorption? How big of a problem actually is that for our patients? And then what if they experience some relapse and they want to have some aligners? Is it safe to do aligners and little minor movements on patients who have suffered with root resorption? Another one we covered. Again, all these questions are from you guys, the Protrusive Dental Community on our app, Protrusive Guidance. It's been so great to engage with a Protruserati. And so the question was bisphosphonates. What do you do with patients on bisphosphonates when you're considering orthodontics? What about doing aligners with someone who already has implants? What extra precautions or measures should we be looking at? What about fixed retention? Is it actually forever? Is there a time where we should perhaps consider removing that fixed retention or changing it up? We also discuss diastema.