Mental Health in Dentistry – PDP185

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.

We need to talk about the ‘S’ word and our mental health. I never, EVER want to lose a colleague again due to the pressures within Dentistry. This is why I interviewed Dr Mahrukh Khwaja, a positive psychologist and Dentist, to help us with strategies to improve our mental health. Why is it that we have so many support channels during a crisis, but no structured pathways to help us AVOID burnout, crisis and stress in Dentistry? https://youtu.be/3JKwoO_nEeo Watch PDP185 on Youtube Protrusive Dental Pearl: What are you doing on a daily, weekly and monthly basis to look after your Mental Health? Do not wait until a crisis, as we already know that prevention is better than the cure. Take the first steps in looking after your mental health with Mahrukh and her Mind Flossing Toolkit Buy Mahrukh's new Book on Resilience and Well-being for Dental Professionals Need to Read it? Check out the Full Episode Transcript below! Highlights of this Episode:3:01 Protrusive Dental Pearl4:22 Dr. Mahrukh Khwaja Introduction7:34 Seeking Professional Help12:10 Helping Dental Professionals17:08 Suicide Issue within Dentistry20:02 Reducing Suicidal and Burnout Rate24:24 Inner Voice29:51 Cognitive Reframing36:31 Toxic Work Cultures42:24 Signs to Look Out For49:30 Learn more from Mind Ninja If you liked this episode, you will also enjoy IC036 - The Secrets to Finding a Passion in Dentistry Click below for full episode transcript: Jaz's Introduction: April was Mental Health Month on Protrusive Dental Podcast. And you're thinking, wait, hang on a minute, Jaz. We're in May. Why are you telling us about April? Well, I had a stressful month myself, actually, my youngest son was on and off sick and like nothing too serious, thankfully. Like it was antibiotics. Jaz's Introduction:It was tonsillitis. It was a couple of bugs. It was a night in A&E. And it really made me grateful in a way, in the sense that look, yes, my son was sick and I hated it and I felt really bad for him. And it can take your toll when your children are not sleeping very well. But it really made me feel bad for parents who had children with chronic illnesses, think, I don't know, leukemia, or parents with children who have severe learning disabilities, and having to care for those children, it really takes its toll on a parent. Or someone maybe with a child's got cleft lip and palate, feeding issues. Or of course Nafisa, the little girl in Tanzania that we're supporting, which Protrusive are supporting as a charity to help her raise money to fight her SMA type 1 so she can get genetic therapy. If you've been reading my emails, I put a donation link there and we're pretty much there to raising enough money to help this little girl. But anyway, going back on topic, it's been a stressful month, which is why this episode has spilled over into May. A few years ago, I probably would have been stressing about this, like, oh my god, it was supposed to be out in April and that would have eaten me alive. But my mindset has shifted a bit. It's a silly little story, actually, in terms of this mindset shift. Okay, the story goes that my son was on a playdate. It was like an early afternoon thing. And children nowadays, they have better social lives than their parents. So after this playdate, he had a birthday party to go to. So we were driving my son to the birthday party and we were really late. Like we spent too much time on the playdate and we were really late for the birthday party he had to go to. I hate, I absolutely hate running late. So, I was in a stressed state. If you ask me then, Jaz, how do you feel? I'm like, oh my god, I'm so stressed, we're late, Ishaan's gonna miss everything, the cake cutting, everything, he's gonna miss it, this is so stressful, and of course, two kids in the car, and that can get sometimes quite stressful. So, I reached the birthday party, and yes, he just about made it for the cake cutting,

THIS is the most impactful interview podcast I have published in almost 6 years of podcasting. Do you resent bringing your work home with you (treatment plans, letters, CT scans)? Do you struggle with work-life balance? Do you have days where you feel unfulfilled? The honest advice and mindset from Jorge Andre Cardoso might just change your career and YOUR LIFE. This is the real deal, Protruserati! https://youtu.be/GJExz_vEH2w Watch IC048 on Youtube As Stress Awareness Month continues, we're taking a close look at the challenges dentists encounter, from making clinical choices to achieving work-life harmony.  Protrusive Dental Pearl: Explore Jorge Andre Cardoso's Cementation Guide. This resource allows you to access specific protocols tailored to your needs by simply selecting the type of abutment, retention type, and the cement restorative material you plan to use. Need to Read it? Check out the Full Episode Transcript below! Highlights of this episode: 02:39 Protrusive Dental Pearl 03:41 Catching Up with Jorge Andre Cardoso 05:50 Jorge Andre Cardoso’s Introduction 08:32 Practice Ownership: From Stress to Success in Dentistry 13:17 Balancing Clinical Work and Life 19:38 Education and Work-Life Balance 22:34  Embracing Diversity in Dental Practices 24:19 The Importance of Foundational Knowledge in Dentistry 30:27 Maximizing Practice Efficiency and Personal Fulfillment 37:44 Learning More with Jorge Andre Cardoso For those interested in attending the Conscious Leadership Course this October or November, please act quickly. Visit Soft Bites online to learn more from Andre and Manuela and secure your spot. If you are interested in joining a Protruserati cohort - please indicate your interest in Protrusive Guidance.  Got stress management tips of your own? Share them in the comments! just tell us about what was the most impactful thing that you gained from Andre in this episode. 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 love this episode, be sure to watch Dentistry is STRESSFUL with Manuela Rodrigues Click below for full episode transcript: Jaz's Introduction: Protruserati, this might be the most important episode I've ever, ever, ever made. I'm not exaggerating. It is Stress Awareness Month and what me and my guest, Jorge Andre Cardoso, what we cover is just amazing. Mostly him, his brilliance just exudes. And we cover such hard hitting themes that if there was one episode this year of Protrusive that you listen to or watch, make it this one. [Jaz]And please, please, please share it with everyone you care for in dentistry. Because the themes that we cover are things like bringing your work home with you. Do you suffer with that? I have for many years, I still do, out of choice. But for some people, they don't want that. They don't want that to be a feature of them as a dentist. They don't want to have to spend their time treatment planning while their children are waiting. We also talk about the frustrations of there being so many different ways to do things in dentistry. Like you ask one colleague and they give you some advice and then when you ask the second colleague, that's when you've shot yourself in the foot because now you're getting conflicting advice. You are confused and that's stressful. We also cover themes like how much holiday should we be taking and how many days per week should an ideal dentist, how should a day look like, actually choreographing your day to minimize stress. And in my opinion, stress is a funny thing. Like, we know we need it.

I remember being a dental student and a simple 'check up' could take HOURS! Then the tutor would come along and complete the observation in 30 seconds... ‘How does a routine general dental examination work in the real world?’, asks Emma, our Protrusive student. The humble ‘check-up’ - as far as you can get from sexy before and after cases. The stuff no one is posting about on socials…until now! https://youtu.be/AutQvQBlg4o Watch PS003 on Youtube Jaz and Emma dissect a ‘routine oral health exam’ and Jaz even includes a full video of a standard check-up, complete with the banter, bitewings and bad explanations! ;) Be sure to check out this additional video freely accessible on our platform, Protrusive Guidance! Need to Read it? Check out the Full Episode Transcript below! HIGHLIGHTS OF THIS EPISODE:04:28 - Emma's Dive into Dentures05:45 - Pop Quiz Time: Testing Dental Composite Knowledge06:30 - Success in Dentistry: It's in the Details 08:13 - What Does a Check-Up Look Like?09:20 - Personal Touch: Jaz's Check-up Style10:50 - Defining a Healthy Mouth14:55 - Neck Lumps Discovery16:33 - Masseter Muscle Insights18:29 - TMJ Movement Evaluation21:21 - Temporalis Muscle Assessment38:27 - Patient History39:10 - Soft Tissue Evaluation39:28 - Basic Periodontal Exam40:25 - Magnification Importance51:10 - Confidence 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 PS002 -  Adhesive Dentistry for Beginners Click below for full episode transcript: Jaz's Introduction: When I was a dental student, I remember being on clinic and doing an examination, and it would just take me so long. And it's overwhelming when you're learning and you realize, oh my goodness, there's so much to check. You try and remember the oral medicine lectures. They tell you to check every single lymph node under the sun. Jaz's Introduction:And then of course, you remember the occlusion, the very few occlusion lectures you had, and you get the patient to bite together and you don't know what you're doing. You don't know what you're checking for, but you're just checking that the bite exists. And then to try and compute all the things you're seeing and try and put it in some sort of diagnosis and explanation, when you're a student, it's tricky. Which is why I've got Emma, our Protrusive Student on today to talk about routine, just routine, gold standard, daily examinations, something that you will see in general practice in the future. Whilst I am recording with Emma Hutchinson, the student, this is suitable for anyone who wants to learn, any dentist at any stage of career, who just wants to get back to basics, back to foundations. For a, what I call a Real World Examination. The reason I call it a real world examination is because the things that I'll be discussing today and what I'll be sharing video form on the Protrusive app under the student scholarship section is a real world exam. So, for example, a comprehensive exam evaluation could take an hour, 90 minutes. You ask different people. Some people do two hour full examinations. And they have my highest respect, and that's amazing. But that level of service is not for the masses. It's not for the general public. Look, some of my colleagues just get 10 minutes to do an entire examination. So I've had to find somewhat of a halfway house. I've just kind of assessed, okay, well, these are essential and these are desirable. Actually, these guidelines already exist. In the practice at the moment, we're doing these audits. We're auditing each other's notes. It was actually been a really great exercise t...

When the patient feels pain during an ID block. When a matrix does not seal the cavity perfectly. When the shade of your crown doesn’t blend as well as you would like. When the endo you did last year failed. All of these cause us anxiety. All of these are failures in some form, and as Dentists, it eats at us. Let’s admit it: we are perfectionists. Life isn’t about being perfect, but it is all to do with the effort we apply to better ourselves day to day. Failure is a major part of success, but being hung up on our shortcomings will only lead to a downward spiral, which in turn will affect our results and general practice. In this episode we are joined by Dr Marco Maiolino, all the way from beautiful Sicily, Italy. One of the biggest takeaways from my chat with Marco was the abolishment of the ‘gold standard’ or the standard of perfection - but rather, let’s aim for the ‘daily standard’ https://youtu.be/jRbgvgSpqLk Watch PDP184 on Youtube Protrusive Dental Pearl: We cannot be depressed AND grateful at the same time. Let us find moments in our day and in our Dentistry to be grateful. Need to Read it? Check out the Full Episode Transcript below! Highlights of the Episode:01:43 DENTAL PEARL - Be Grateful!02:37 - Dr. Marco Maiolino05:13 - The Technician's Perspective 08:15 - Beating Imposter Syndrome10:55 - Ideal vs. Real: Marco's Take on Dental Perfection13:00 - Lessons from Aviation17:48 - Embracing Imperfection31:00 - From Failures to Standards42:08 - How to Bounce Back from Failure   Learn more from Dr Marco Maiolino 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 IC030 - Toxic Work Cultures in Dentistry Click below for full episode transcript: Jaz's Introduction: Let's face it, no one really enjoys failure, but nothing teaches you as well as failure does. Failure really is the best educator in any discipline, especially in dentistry. Jaz’s Introduction:Of all the clinical educators that I know, the kind of people that I have the most time for are those who are happy and willing to share their failures with us. This next guest we have on today, Dr. Marco Maiolino from Siracusa in Sicily. Apparently on his three-day course on VertiPreps, the last day, like the half day is just dedicated to all his failures. And I really, really respect that. I try and emulate that. I love sharing. Well, I say love is a strong word, but I like to share my failures so we can all learn together. And with Marco, like, what he writes on his blog, it's just brilliant. There's a blog he had titled The Imperfect Dentist. And now we need to stop chasing perfection. Perfection should not be the standard. And so it's with great pleasure as part of Mental Health Month. April is Mental Health Month and so at least half the episodes will revolve mental health. It's a great way to kick off this theme by exploring this idea of perfectionism in dentistry. Dental PearlHello Protruserati, I'm Jaz Gulati, and welcome back to your favorite dental podcast. Before we join Marco to discuss about how it's okay to fail, let me give you the Protrusive Dental Pearl. This time it's a bit of a flashback to COVID times. I had Dr. Barry Alton on. I'm just going to echo something that he said. He was an interference cast, and he taught me that it is impossible to be depressed and grateful at the same time. Let me say that again. It's impossible to be depressed and grateful at the same time. So based on that, the Protrusive Pearl I want to share with you as part of mental health month is that every day when you finish work I would like you to write d...

Dental Student in THREE different countries?! This is a story of grit and determination. I hope that it will allow us all to reconnect with that burning desire we once had to enter our profession. In this episode, we meet Nav, AKA the_stu_Dent who has had the craziest journey as a Dental Student. Not only defined as a mature student, but as a British born overseas one now working his way to qualifying in Slovakia, with hopes of eventually returning to the UK where he wants to practice full time in the near future. https://youtu.be/wK1INeI_gdQ Watch IC047 on Youtube Check out this entertaining episode, where we uncover what makes the_stu_Dent tick and why he ended up pursuing Dentistry with such determination, the highs and lows, and how he ended up trying at 3 different Universities in 3 different countries, just to fulfill his dreams. Need to Read it? Check out the Full Episode Transcript below! Highlights01:35 - Nav, the-stu-dent Introduction 04:25 - Why Ukraine and what year did The-stu-dent enter?09:18 - How did Egypt come about?14:16 - Failure was not an option16:24 - What happened when The-stu-dent visited Egypt first-time around?19:14 - 3rd STOP - Slovakia.21:54 - What are the fees like in Slovakia?25:13 - What was the decision behind choosing Slovakia over alternative countries in the EU?27:15 - What has The-Students experience of Slovakia been like, and how much clinical exposure do you get?30:58 - Are you working part-time to fund your dentistry?35:17 - What are The-Stu-dents final words of Wisdom? 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 PS002 - Adhesive Dentistry for Beginners Click below for full episode transcript: Jaz's Introduction: Imagine being a mature dental student who has to go to study in Ukraine. And then you realize actually the course you're on actually was potentially a fake course, and then you had to go to Egypt. Jaz’s Introduction:And then for one reason or another, which we will reveal on this podcast, you end up then moving, transferring to Slovakia, and it's now been something like seven years, but you're only still in your third year. Sounds crazy. I know, but trust me, this guy, Nav Bhatti. His desire and his hunger to get into dentistry is amazing. It's really admirable and I think he's got a really funny story if he doesn't mind me saying this. It's funny because, like, he's the type of guy who's very happy go lucky. He's very straight talking. He's humble and someone who you can look back and laugh about it. But he's been through a real tough time with all these countries. And I have so much respect for, again, once again, for his desire and his hunger. And so now he's in a good place in Slovakia, but it makes for a fantastic episode. I think guy's in for a real treat, something a little bit different. This is the kind of episode that you listen to once you've had a really hard day at work. And maybe you're not ready for like, immediate dentine sealing and deep margin elevation and air particle abrasion. You actually just want to just listen to a protrusive podcast that's a bit more light and you're just curious. You're curious as to what leads a dental student from country to country to country in the pursuit of their dental degree. So I hope you enjoy this interview with Nav Bhatti and I'll catch you in the outro. Main Episode:Nav Bhatti, aka The Student, the most international dental student ever, which there must be a record and you must have broken every single record. So where this stems from, let's dive right into it. Okay. What is your story, man?

Rubber Dam isolation can be tricky enough sometimes - it is especially awkward when the TERMINAL MOLAR needs restoring. How on earth does one isolate AND matrix this tooth? In this episode, Dr. Celine Higton delves into the intricacies of rubber dam isolation, particularly focusing on the last tooth in the arch. This discussion ties into the broader theme of mental health, highlighting how mastering such techniques can lead to a more enjoyable and stress-free practice.  https://youtu.be/VeoPTNShAcs Watch PDP183 on Youtube Protrusive Dental Pearl: "Cow Mode" as a technique to improve access to the mouth's hard-to-reach areas, especially around the last molars. By instructing patients to shift their jaw to one side, akin to a cow's chewing, this approach aids in better oral hygiene practices and facilitates procedures like rubber dam isolation when clamping the terminal molar. Need to Read it? Check out the Full Episode Transcript below! Highlights of this episode: 02:24 Protrusive Dental Pearl 5:36 Introduction to Dr Céline Higton 7:07 The Journey from Architecture to Dentistry 9:15  Mastering Rubber Dam Isolation: Tips and Techniques 14:12 Types of Clamps Ideal for Isolating the Last Tooth (Upper) 18:01 Dental Pearl - Cow Mode 19:22 Accessing the Last Tooth 22:13 Dr. Céline’s Personal Choice of Rubber Dam 23:11 Proper Lubrication for Rubber Dam 25:00 Correct Flossing Technique 27:01 Matrixing the Last Tooth 32:09 Cavity Preparation 35:37 Isolating the Last Tooth (Lower) 37:28 Coronoid Process in Clamp Placement 38:36 How to get in touch with Dr Celine Reach out to Dr. Céline Higton via her Instagram, @drcelinehigton and via her website, #RUBBERDAMFAM 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 love this episode, be sure to watch 10 Commandments for Staying Out of Trouble Click below for full episode transcript: Jaz's Introduction: When you're going through the journey of learning rubber dam isolation, because you want to level up your restorative dentistry and become better at adhesive dentistry. Jaz's Introduction:And for me, I've talked about before, like for me, rubber dam is my tranquil environment. It's when I'm least stressed. I've got rubber dam on, the patient can't talk, the tongue is abolished, and I'm just falling in love with a little micro steps that makes our profession so much fun, right? But when you're isolating the last tooth, like let's say it's a wisdom tooth or whichever is the last tooth. And then that tooth also needs a restoration. Then we have some issues, i.e If you clamp that tooth, then how can you get a matrix on that tooth? And that's the problem that we're solving today with the real superstar of dentistry. Her name is Dr. Celine Higton. I know so many of you probably already have heard of her. And I think it's so fitting that April, we're focusing April on mental health. So I'm going to talk a little bit more about mental health this month. And how is isolating the last tooth rubber dam relevant to mental health? Well, I told you already, it reduces my stress. I'm in my happy place when I've got rubber dam on. I want everyone, I want all dentists to experience this level of isolation whereby they're just listening to classic FM and everything's under control and the patient's not going to lick anything. So it's a great stress reducer for me. But also because in the conversation that I had with Celine, I think it's so obvious that, look, you guys know I'm super enthusiastic about what I do in dentistry. And I think that's really important for a long career and fulf...

When we studied occlusion at Dental School, our textbooks forced the idea of having dots at the back and lines at the front. We are continually told about CR and how to manage patients into canine guidance, but does this all work in practice? Today we dive into the best way to approach occlusion cases with our patients, keeping in mind that there is no such thing as a silver bullet to treatment. Join Jaz and Dr Michael Melkers in this podcast to learn how it may just be time to throw away the textbooks and begin writing your own conclusions on occlusion… try saying that ten times quickly. https://youtu.be/3Sk1paKW8d0 Watch PDP182 in Youtube Dental Pearl  Using PTFE in the dental sulcus offers a better seal compared to cord, functioning like a dam to keep the area free of gingival fluid, ideal for Class 5 restorations. However, PTFE may stick to instruments, which can be mitigated by moistening the instrument with water or saliva before positioning the PTFE, significantly lowering the likelihood of sticking.  Check out Dr Melkers and Dr Lane Ochi LIVE IN LONDON on 27 and 28 July! Need to Read it? Check out the Full Episode Transcript below! Highlights of the Episode 00:00 Intro 02:05 The Protrusive Dental Pearl 02:52 Dr. Michael Melkers 02:53 Mentoring Journeys: AES and Beyond04:04 Foundational Influences: Splint + Occlusion Mastery 04:30 Fear of Failure: A Dentist’s Drive05:25 Early Beginnings: Lab Tech to Dental degree 06:00 Avoiding Full Mouth Rehab: A Dental Mission.07:20 Homage to a Mentor: The Positive Impact 07:25 Group Function Vs Canine Guidance08:00 Beyond textbooks: real-World Dental Challenges 09:00 Encouragement to Question: A lesson in Bravery 10:16 Chasing Perfection: A dental dilemma 12:00 Masters of Occlusion: Group Function Insights 14:31 Past as Prologue: Learning from destruction 15:10 Pain Points: Focusing on the At-Risk Patients 16:53 Smooth Transitions: The Ideal of Disclusion 18:30 Occlusal Schemes: Debunking the Malocclusion Myth20:20 CR Reconsidered: The Healthy Majority 22:44 Diagnostic Vision: Seeing Beyond Occlusion 25:15 Rebuilding with Purpose: Beyond Aesthetics 34:35 Appropriate vs Ideal: A New treatment Paradigm 47:00 Key to Dental Success  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. If you liked this episode please feel free to check out episode PDP160 - Fremitus and Occlusal Overload – Dental Occlusion Geekiness Click below for full episode transcript: Jaz's Introduction: In this episode, I'm going to share with you the four ways that I document my daily dentistry. And I'll give you six great reasons in reverse order. So like my top six, if you like. So six, five, four, the countdown all the way to the number one reason. So if you listen to the end of the episode, I'll tell you the number one reason to document your dentistry. Jaz’s Introduction:And when you grind your teeth left and right, the canines, for example, are taking a load at that point. And when this is happening the patient's joints are in centric relation. So the condyles are as fully seated position is snug position, and there are no quote unquote interferences or slides. I don't worry if you don't know what those things mean just yet, but some of you may remember seeing this. Maybe you don't understand or internalize what this actually means, but you learn what the perfect occlusion was. But then you started to see patients and you realize very quickly that these naturally dentate patients, your normal patients with the normal teeth. Whether they were 30, 50, or 70, they had all sorts of restorations, or sometimes no restorations. But they had anterior open bites, cross bites, and none of it looked like the bite in the textbook.

As part of Documentation Month, Jaz dives into the crucial realm of documenting dentistry. In this episode, he shares four methods he utilizes to document his daily dental practice, followed by six compelling reasons – in reverse order – why documenting your dentistry is indispensable. So, get ready as we count down from six to one! But first, let's recap: In our previous episode, we explored the marvels of employing AI to automate note-taking, saving precious time and boosting efficiency. If you missed it, make sure to catch NEVER WRITE NOTES AGAIN! HOW I USE AI FOR AWESOME AND EFFICIENT DENTAL RECORDS – PDP181. https://youtu.be/e6pNhWhyhNU Watch IC046 on Youtube Need to Read it? Check out the Full Episode Transcript below! Highlights of this episode:00:53 Utilizing Intra-Oral Camera2:30 Investing in good DSLR Camera3:16 Documenting with Intra-Oral Scans3:51 Camera Mounted on Loupes4:56 Portfolio Building7:34 Monitor Changes9:00 Patient Communication11:35 Good Mentorship13:24 Medico-Legal14:29 Fulfillment in Dentistry 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 loved this episode be sure to watch 6 Signs You are a Comprehensive Dentist – IC010 Click below for full episode transcript: Jaz's Introduction: In this episode, I'm going to share with you the four ways that I document my daily dentistry. And I'll give you six great reasons in reverse order. So like my top six, if you like. So six, five, four, the countdown all the way to the number one reason. So if you listen to the end of the episode, I'll tell you the number one reason to document your dentistry. Jaz’s Introduction:Hello, Protruserati. I'm Jaz Gulati and welcome back to your favorite dental podcast. This is kind of like the non clinical arm of the podcast, but actually you could argue that it is clinical. I've just got so many mishmash of episodes, and because it's still just about documentation month, like if it's March, and hopefully we managed, our team managed to publish it in March, then it was documentation month. In the previous episode, I talked about how I use AI to to auto generate my notes so I don't have to type my notes anymore, which is the most blissful thing ever. So if you haven't listened to that, please do check it out. But just to wrap up Documentation Month, I just want to go a bit deeper into what are the ways I'm documenting my dentistry and give you six great reasons to do so. So the first great way to document the dentistry is with an app. intraoral camera. Now, I know so many of you have suggested I make some content specifically for this and it's coming soon. We're just going, literally, by the time you'll be hearing this, I'll probably be coming back for my vacation. I'm going to Tenerife. Family holiday much needed. Oh, it's been so nice to have this holiday to look forward to. So when I come back, top of my list is to make a video showing you exactly which intraoral camera I'm using. And by the way, it's like super cheap. It's like amazingly cheap and it's been brilliant. I'll tell you how to look after it. So it's essentially nurse proof. And the ROI on that is just phenomenal. So I'll make bespoke content just about the intraoral camera. And this is just magic. Every dentist I truly believe needs to have an intraoral camera to take a quick snap of a tooth to explain something to a patient or an ulcer or a swelling or a sinus tract or a crack big time. Like I will air abrade a crack and I'll take a photo of it. And so just so handy and easy to do it. Like if you have to reach for a DSLR, then you have to get your mirror out and zoom in and take this s...

THIS is the best thing in Dentistry since local anesthetic! I HATE typing notes even more than I hate cracked teeth. The quest for good, detailed, contemporaneous record keeping in 2024 means so many of us stay behind after patients to ‘tidy up’ our notes. With the power of audio recording and AI, I am pleased to present to you NOTES THAT WRITE THEMSELVES! In this episode I share my current protocols using DigitalTCO - a website that uses live transcription and AI to write your notes for you (genuinely awesome notes). https://youtu.be/F1RKQ_qZfrc Watch PDP181 on Youtube Protrusive Dental Pearl: Register for a free EXTENDED trial with Digital TCO and transform your note-taking process by simply speaking into a microphone connected to your computer. Forget about typing out notes after appointments— the intelligent AI will craft them for you as you dictate, making everything sound fantastic. Using the Protrusive link to sign up DOES mean that we get a commision, but I also ensured you get 50% off (for the lifetime of your subscription) AND 28 days to try this instead of 14. ‘Jaz Mode’ lets you speak to patients and nurses during consultations, with AI compiling the notes for you. Named "Jaz Mode" in my honor by Kevin, it's still in beta but offers a glimpse into innovative note-taking. To try it out and see why I'm excited, visit protrusive.co.uk/notes. Watch for a demo video, including my recommended microphone. Need to Read it? Check out the Full Episode Transcript below! Highlights of this episode:04:28 Introduction to Kevin Shannon07:10 Kevin Shannon's Journey: From Clinical Dentistry to Tech Innovator10:03 AI-assisted Note-Taking Journey12:21 Downfall of Templates15:27 DigitalTCO - Never Write Notes Again23:19 Jaz Mode!27:55 The Protrusive - DigitalTCO Collaboration37:51 Let’s Talk AI  As promised, this video shows an example of how I use DAN and DigitalTCO to write my notes for me. https://youtu.be/mI5qplWxMQs Watch this video on Youtube Let's compare the Blue Yeti microphone: https://amzn.to/3INYop3 (Affiliate link) Vs the Rode Wireless Go 2 microphone: https://amzn.to/49ffgzA (Affiliate link) 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 loved this episode, be sure to watch Audio Recording Your Consultations? The Future of Dental Record Keeping Click below for full episode transcript: Jaz's Introduction: How much time do we spend laboring over our notes and record keeping? I know so many of us who are there after work and we long to be with our families, but we're there typing, making our notes watertight, checking, recapping the day. Jaz's Introduction:Oh, did I add this piece of information for Mrs. Smith's appointment? Oh, I need to add to those notes for my 3. 30 appointment. Oh, and I need to go back and tidy up the notes for the other three patients. It's like the worst thing ever being away from family and having that stress to make your notes awesome. Hello, Protruserati. I'm Jaz Gulati, and I have two dreams in life. That's it. Just two dreams. One is to never have to wash dishes ever again. At the moment, our kitchen is not big enough to accommodate a dishwasher, so that dream isn't coming true anytime soon. But my second dream is to never have to write notes again. And I mean it, this is a serious dream of mine and it's almost come true. And in this episode, I will reveal to you with my guest, Dr. Kevin Shannon, about this amazing way that Kevin has come up with for the notes to write themselves. Let me say it again, notes that write themselves, you don't need to stress and stay away from family and have insufficie...