How this Doctor is Using AI to Audit his Communication and Conversion! – IC069

Can AI really help you communicate better with patients? What if you could audit your own consultations and discover which words, pauses, and stories increase treatment acceptance? Dr. David Amador joins Jaz for a fascinating episode exploring how AI can transform the way we interact with patients. From auditing conversations to radiographic interpretation, they break down practical applications that improve both communication and patient care. They also discuss how storytelling, patient trust, and ethical use of AI all come together to boost treatment acceptance — showing that AI isn’t here to replace us, but to make us better. https://youtu.be/L38Hhu855Ro Watch IC069 on YouTube Key Takeaways AI is transforming the way dental practices operate. Storytelling is crucial for effective patient communication. Building a strong team culture enhances practice success. Data security is paramount when using AI tools. Continuous training is essential for team development. Patient engagement strategies can improve treatment acceptance. AI tools can streamline administrative tasks and improve efficiency. Understanding patient needs leads to better care outcomes. Effective marketing requires a solid online presence and SEO. Networking with other professionals can provide valuable insights. Highlight of the episode 00:00 Teaser 00:34 Intro 02:23 Dr. Amador’s Background and Practice 08:14 Using AI for Decision Support 10:26 Leveraging AI for Communication and Training 15:57 Using AI for Patient Care and Diagnosis 21:37 Midroll 1 24:58 Using AI for Patient Care and Diagnosis 26:11 Leveraging AI for Dental Practice Efficiency 27:35 Midroll 2 30:20 Leveraging AI for Dental Practice Efficiency 32:44 Training and Scaling with AI Tools 33:45 Creating SOPs and Playbooks 36:53 Enhancing Patient Communication with Personalized Videos 40:36 Training and Data-Driven Growth 44:52 Outro AI isn’t the future — it’s your next teammate. Imagine: while you focus on patient care, AI records your consults, summarizes them, audits your communication, and helps interpret radiographs. Plaud.ai makes note-taking automatic. Overjet makes diagnostics and patient communication crystal clear. Check out Midtown Dental Studio — where cutting-edge technology meets genuine care.  If you found this episode valuable, don’t miss PS015: Communicating Fees, Treatment Plans, and More #InterferenceCast #CareerDevelopment #Communication This episode is eligible for 0.75 CE credit via the quiz on Protrusive Guidance.  This episode meets GDC Outcomes A and B AGD Subject Code: 550 – Practice Management and Human Relations Aim: To explore how artificial intelligence (AI) can be used to audit communication, enhance storytelling, and improve patient conversion while maintaining patient-centered care. Dentists will be able to – Explain how AI tools can support communication, diagnosis, and patient understanding in dentistry. Demonstrate how storytelling and patient-centered communication influence treatment acceptance. Evaluate the ethical, professional, and practical considerations of integrating AI into dental practice.

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

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

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

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

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

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

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

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

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