Should our Restorations Follow Textbook Anatomy? Tooth Morphology – PS005

Let’s be honest - the occlusion after Aligner cases can be a little ‘off’ (even after fixed appliances!) How do you know if your patient’s occlusion after aligner treatment is acceptable or risky? What practical guidelines can general dentists follow to manage occlusion when orthodontic results aren’t textbook-perfect? Jaz and Dr. Jesper Hatt explore the most common challenges dentists face, from ClinCheck errors and digital setup pitfalls to balancing aesthetics with functional occlusion. They also discuss key strategies to help you evaluate, guide, and optimize occlusion in your patients, because understanding what is acceptable and what needs intervention can make all the difference in long-term treatment stability and patient satisfaction. https://youtu.be/e74lUbyTCaA Watch PDP250 on YouTube Protrusive Dental Pearl: Harmony and Occlusal Compatibility Always ensure restorative anatomy suits the patient’s natural occlusal scheme and age-related wear. If opposing teeth are flat and amalgam-filled, polished cuspal anatomy will be incompatible — flatten as needed to conform. Key Takeaways Common mistakes in ClinCheck planning often stem from occlusion issues. Effective communication and documentation are crucial in clinical support. Occlusion must be set correctly to ensure successful treatment outcomes. Understanding the patient's profile is essential for effective orthodontics. Collaboration between GPs and orthodontists can enhance patient care. Retention of orthodontic results is a lifelong commitment. Aesthetic goals must align with functional occlusion in treatment planning. Informed consent is critical when discussing potential surgical interventions. The tongue plays a crucial role in orthodontic outcomes. Spacing cases should often be approached as restorative cases. Aligners can achieve precise spacing more effectively than fixed appliances. Enamel adjustments may be necessary for optimal occlusion post-treatment. Retention strategies must be tailored to individual patient needs. Case assessment is vital for determining treatment complexity. Highlights of this episode: 00:00 Teaser 00:59 Intro 02:53  Pearl - Harmony and Occlusal Compatibility 05:57 Dr. Jesper Hatt Introduction 07:34 Clinical Support Systems 10:18 Occlusion and Aligner Therapy 20:41 Bite Recording Considerations 25:32 Collaborative Approach in Orthodontics 30:31 Occlusal Goals vs. Aesthetic Goals 31:42 Midroll 35:03 Occlusal Goals vs. Aesthetic Goals 35:25 Challenges with Spacing Cases 42:19 Occlusion Checkpoints After Aligners 50:17 Considerations for Retention 54:55 Case Assessment and Treatment Planning 58:14 Key Lessons and Final Thoughts 01:00:19 Interconnectedness of Body and Teeth 01:02:48 Resources for Dentists and Case Support 01:04:40 Outro Free Aligner Case Support!Send your patient’s case number and get a full assessment in 24 hours—easy, moderate, complex, or referral. Plus, access our 52-point planning protocol and 2-min photo course. No uploads, no cost. [Get Free Access Now] Learn more at alignerservice.com If you enjoyed this episode, don’t miss: Do’s and Don’ts of Aligners [STRAIGHTPRIL] – PDP071 #PDPMainEpisodes #OcclusionTMDandSplints #OrthoRestorative 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: 370 ORTHODONTICS (Functional orthodontic therapy) Aim: To provide general dentists with practical guidance for managing occlusion in aligner therapy, from bite capture to retention, including common pitfalls, functional considerations, and case selection. Dentists will be able to - Identify common errors in digital bite capture and occlusion setup. Understand the impact of anterior inclination and mandibular movement patterns on occlusal stability. Plan retention strategies appropriate for aligner and restorative cases.

Do you have a “hopeless” retained root you’re ready to extract? Think implants, dentures, or bridges are the only way forward? What if there’s a way to save that tooth — predictably and biologically? In this episode, Dr. Vala Seif shares his experience with the Surgical Extrusion Technique — a game-changing approach that lets you reposition the root coronally to regain ferrule and restore teeth once thought impossible to save. Jaz and Dr. Seif dive into case selection, atraumatic technique, stabilization, and timing, all guided by Dr. Seif’s own SAFE/SEIF Protocol, developed from over 200 successful cases. https://youtu.be/2TyodqgAP9w Watch PDP249 on YouTube Protrusive Dental Pearl: When checking a ferrule, consider height, thickness, and location of functional load. Upper teeth: prioritize palatal ferrule. Lower teeth: prioritize buccal. Tip: do a partial surgical extrusion, rotate the tooth 180°, then stabilize. Need to Read it? Check out the Full Episode Transcript below! Key Takeaways Surgical extrusion is a technique-sensitive procedure that requires careful planning. Case selection is crucial for the success of surgical extrusion. A crown-root ratio of 1:1 is ideal for surgical extrusion. Patients are often more cooperative when they see surgical extrusion as their last chance to save a tooth. Surgical extrusion can be more efficient than orthodontic extrusion in certain cases. The importance of ferrule in dental restorations cannot be overstated. Proper case selection is crucial for successful outcomes. Atraumatic techniques are essential for preserving tooth structure. The 'Safe Protocol' offers a structured approach to surgical extrusion. Patient communication is key to managing expectations. Flowable composite is preferred for tooth fixation post-extraction. Understanding root morphology is important for successful extractions. Highlights of this episode: 00:00 Surgical Extrusion Podcast Teaser 01:07 Introduction 02:38 Protrusive Dental Pearl 05:53 Interview with Dr. Vala Seif 08:57 Definition and Philosophy of Surgical Extrusion 15:30 Indications, Case Selection, and Root Morphology 21:37 Comparing Surgical and Orthodontic Extrusion 25:54 Crown Lengthening Drawbacks 28:39 Occlusal Considerations 33:53 Midroll 37:16 Definition and Importance of the Ferrule 43:07 Clinical Protocols and Fixation Methods 01:00:01 Post-Extrusion Care and Final Restoration 01:05:04 Learning More and Final Thoughts 01:09:29 Outro Further Learning: Instagram: @extrusionmaster — case examples, papers, and protocol updates. Online and in-person courses in development (Europe + global access). Loved this episode? Don’t miss “How to Save ‘Hopeless’ Teeth with the Surgical Extrusion Technique” – PDP061 #PDPMainEpisodes #OralSurgeryandOralMedicine #OrthoRestorative This episode is eligible for 1 CE credit via the quiz on Protrusive Guidance.  This episode meets GDC Outcomes C. AGD Subject Code: 310 ORAL AND MAXILLOFACIAL SURGERY Aim: To understand the biological and clinical principles of surgical extrusion as a conservative alternative to orthodontic extrusion or crown lengthening for managing structurally compromised teeth. Dentists will be able to - Identify suitable clinical cases for surgical extrusion, including correct root morphology and crown–root ratios. Describe the step-by-step SAFE Protocol for atraumatic surgical extrusion, fixation, and timing of endodontic treatment. Evaluate the advantages, limitations, and biomechanical considerations of surgical extrusion compared with orthodontic extrusion and crown lengthening. Click below for full episode transcript: Teaser: I always had a problem with extracting teeth. Not a problem technically, ethically. If highly damaged teeth get properly treated and correctly maintained, they are always going to outlive implants. [Teaser]So what I'm referring to here is that the most sophisticated and complicated solutions are not always the smartest one. It's not about most expensive. It's not about most advanced. It's not about most complicated. It's about the best possible for the patient. We must keep that in mind that there is no such thing as a master key that opens up all of the doors for us. Surgical extrusion, over the years... it actually was presented to dentistry in the early eighties. They were really trying to work on surgical extrusion. And guess who comes out? I have done over 200 cases with a follow-up of up to six, seven years. That is something that you can rely on. In such cases, I take out the tooth and rotate it and put it back in. No way. Jaz's Introduction: Yeah, so you have a retained root and you think this is hopeless and you're headed towards an implant, denture, a bridge or whatever. But then this episode comes along and reminds you about the power of the surgical extrusion technique. In plain terms, you are partially extracting the root, and now you have the most important thing in restorative dentistry. You have ferrule, you have tooth structure, you can now crown. Whereas before everything was subgingival and it was impossible to restore. Hello, Protruserati, I'm Jaz Gulati and welcome back to your Favorite Dental Podcast. This is the podcast where you make dentistry tangible and make you fall in love with dentistry again. Four years ago, with Dr. Peter Raftery, the endodontist, we spoke about this very topic, the surgical extrusion technique. I'll put that episode in the show notes ’cause that was really valuable as well. But in this episode it is special because it's an update from someone who's done more than 200 cases. So what he believes, and what I also believe, is he is the most experienced clinician in the world when it comes to the surgical extrusion technique. I haven't seen anywhere in the literature the kind of numbers that he's done—so, so much. We can learn from Dr. Vala Seif from Iran, and Protruserati, you're gonna absolutely love him, right? His storytelling, his analogies. I actually really geeked out and had a great time, and I know you're gonna love him. Even all the way to the end, the last few seconds, he still gave another tip of how to stop bleeding when you do this technique so you can then add your composite splint to secure the root. He'll give you that right at the very end. So make sure you don't miss any of this episode. Dental PearlNow, every PDP episode I give you a Protrusive Dental Pearl. This one’s an occlusion conceptual one, a biomechanical one when it comes to restorative dentistry, but it's also very relevant to this episode ’cause a really cool, fascinating technique was advised by Dr. Seif, which I really am excited to share with you. So firstly, conceptually, the pearl I'm giving is to remember the following: that when you have supragingival structure all the way around 360 degrees, we call that the ferrule. Something a crown can grab onto, and it's important that this ferrule is as tall as possible vertically—ideally two millimeters plus—but it's also important that the tooth structure remaining is thick because if it's very, like, if it's paper thin, that's not really a ferrule, that's not really contributing biomechanically. Now the conceptual pearl I'm giving to you is to think about the position of the ferrule. If you have three millimeters on the palatal side and one millimeter on the buccal side, then this is still pretty good, especially for upper teeth, because the location of the ferrule is actually really important. Think of the way that the upper incisors are loaded in a class one and class two patient. When a patient is chewing, the palatal of the upper incisors is taking load in clenching, is taking load in mastication and chewing as the food is pushed into centrals, and as you are cutting and incising, the crown is kind of going in a buccal direction. The tooth, the crown of an upper incisor, is heading in a buccal direction, and so it is trying to grip onto that palatal tooth structure. And in a lower incisor, the buccal part of tooth structure is gonna be under more strain because the lower incisor is trying to bend inwards. So why is this important? Well, pragmatically speaking, if you have a scenario where you're trying to restore a canine and you've got lots of tooth structure palatally and not very much tooth structure buccally, then probably you're gonna still be okay because that palatal tooth structure for an upper tooth, that's usually more valuable and more precious. It just helps us to remember how teeth are loaded in a biomechanical way. Now, the absolutely fascinating thing that Dr. Vala Seif spoke about is: let's say you have a scenario where we have a retained root, like a crown–root fracture, and let's say you have loads of tooth structure buccally but you don't have much palatally for an upper incisor. Remember: upper incisor, we want more palatal tooth structure. Well, the fascinating thing that he spoke about is: let's say you do the surgical extrusion technique. You partially extract this tooth out, and so now you've got more tooth structure to work with. And don't worry, the entire protocol will be broken down in this episode. But the thing he said which really wowed me was: okay, you have this scenario. But how about now? You partially extract it and then you basically twist it 180 degrees, and that's the new position of this tooth. Suddenly you've gone from a situation where you had a lot of buccal tooth structure and not much palatal, to now rotating the tooth 180 degrees, and so now you've actually created ferrule palatally for this upper incisor. I thought, wow, that's really clever, because guess what? The PDL don't care if it's the buccal or the palatal. The PDL don't know. The healing mechanism will still be the same,

Are you confident in replacing a single missing central incisor? When is a denture the right option — and when should you consider a bridge or implant instead? Why is the single central incisor one of the hardest teeth to replace to a patient’s satisfaction? In this Back to Basics episode, Jaz and Protrusive Student Emma Hutchison explore the unique challenges of replacing a single central incisor. They break down when each option — denture, resin-bonded bridge, conventional bridge, or implant — is appropriate, and the biological and aesthetic factors that influence that decision. They also share key communication strategies to help you manage expectations, guide patients through realistic treatment choices, and avoid disappointment when dealing with this most visible and demanding tooth. https://youtu.be/czjPQxKpwPw Watch PS018 on YouTube Need to Read it? Check out the Full Episode Transcript below! Key Takeaways:  Replacing a single central incisor isn’t just about technical skill — it’s about communication and case selection.  Success comes from helping patients understand that a restoration replaces a tooth’s function and appearance, not nature itself.  Clear conversations about expectations, limitations, and maintenance are what turn a difficult aesthetic case into a satisfying long-term result. Highlights of this episode: 00:00 Teaser 00:28 Intro 01:56 From Dental Nurse to Final-Year Student 07:38 Challenges and Considerations in Replacing Central Incisors 12:51 Patient Communication and Treatment Planning 18:33 Discussing Treatment Options and Enamel Considerations 21:16 Communicating Options and Guiding Patient Decisions 25:51 Choosing Between Fixed and Removable Options 27:10 Midroll 30:31 Choosing Between Fixed and Removable Options 31:05 Handling Old Crowns and Patient Communication 34:17 Conventional vs. Resin-Bonded Bridges 37:57 Occlusal Load, Function, and Implant Considerations 43:40 Digital Workflow in Dentistry 45:54 Managing Aesthetic Expectations 48:34 Final Thoughts and Recommendations 52:59 Outro 🎧 Want to feel confident with prosthodontics? Explore these essential follow-ups to this episode: Dentures vs Bridges with Michael Frazis Crowns vs Onlays with Alan Burgin Dentures with Finlay Sutton RBB Masterclass on the Protrusive Guidance App Quick, practical lessons to sharpen your planning, communication, and anterior aesthetics — all in your pocket. #ProsthoPerio #OcclusionTMDandSplints #Communication #BreadandButterDentistry This episode is eligible for 0.75 CE credit via the quiz on Protrusive Guidance.  This episode meets GDC Outcomes C. AGD Subject Code: 610 – Fixed Prosthodontics Aim: To provide a clear, clinical overview of replacing a single missing incisor — focusing on when to choose a denture, bridge, or implant, and how to communicate realistic expectations. Dentists will be able to - Identify the key biological, functional, and aesthetic challenges in replacing a central incisor. Compare the indications, advantages, and limitations of dentures, resin-bonded bridges, conventional bridges, and implants. Communicate realistic outcomes, limitations, and maintenance expectations effectively to patients. Click below for full episode transcript: Teaser: Have you heard of something called central dominance? Teaser:No. So in the face, the central incisors should be the star of the show, should be in the middle, and the centrals should be like twins. When we lose a central incisor, we have to discuss how was that central incisor lost, and most common cause is trauma. The most important predictor success of a resin bonded bridge is the same as it is for veneers. If you're not sure what the treatment plan should be, you probably haven't asked a patient enough questions. Jaz's Introduction:Welcome to this Back to Basics episode on replacing the single central incisor, why the single central incisor is the most important tooth, obviously, but so that we can just go a little bit deeper into this topic rather than talking about replacement options in general, which you've already done on the podcast. There are certain features which are very special when you're replacing the central incisor and why it is regarded as the most difficult treatment to deliver in terms of patient satisfaction expectations. We're joined by the Protrusive student, Emma Hutchison, where we're gonna go into the basic overview of decision making. When is a denture appropriate? Is it ever appropriate for an incisor? How about bridges and what type, and what are the implant considerations, and actually choosing between these options? I think one of the biggest takeaways you might get from this is communication. There's a specific way I communicate to patients about this, and that's what I think you'll probably take away the most from this episode. Hello Protruserati. I'm Jaz Gulati and welcome back to the student edition of your favorite dental podcast. I know we call it Protrusive Students, but young practitioners or those returning back to work often find these episodes very valuable. Of course, we've got so much more where this came from. We've got all sorts of genres and topics covered in Protrusive Podcast and recently on YouTube. We've done the playlist so you can actually pinpoint the different themes of the podcast. On our app, Protrusive Guidance, head over to protrusive.app if you're interested in that. It's the community of the nicest and geekiest dentists in the world. We put some extra videos, not on YouTube, on there as well. Let's now join Emma, and I'll catch you in the outro. Main Episode:Emma Hutchison, the Protrusive Student, welcome back. How are you doing? How is clinics going? Final year, you've done your exams, but it's the actual more clinical exposure. How's everything going? [Emma] Mm-hmm. Yeah, it's going good. So as I was saying last time, it's just more, lots more experience this year, which is good. So I'm up in Falkirk in Scotland every second week, just Monday till Friday, nine till five, seeing about four or five patients a day. And then the other second week I'm in Glasgow doing more specialized stuff, watching some consultants in restorative and things. So it's good. It's good. Just plodding along quite nicely, which is good. [Jaz] Good. And you obviously have been a dental nurse. So once you're seeing four to five patients a day, you have this extra level of insight that maybe your colleagues don't have. Like, in the real world it's 30, 40 patients sometimes, sometimes 12, sometimes one. Like, it's such a variation. 'Cause obviously you've been an implant nurse as well. So what advice do you want to give to your colleagues who are maybe listening to this and they're seeing these four to five patients, and you want to prepare them for the real world? What would you say with your very unique perspective? [Emma] Yeah, I think when I was working as an implant nurse, I remember speaking to the dentist I was working with and he was saying why he moved to private dentistry initially is just because the real life just isn't like the gold standards that you're taught at dental school. In the NHS especially, you're time restricted. So I think I do have that in the back of my head. I know that I won't have the luxury of such long appointments when I graduate. So yeah, I'm just getting myself prepared for the real world. 'Cause I am gonna do VT or DFT so that I can work in the NHS to start off with and then see where I go from there. But I do know that in the back of my mind it's gonna get a lot busier as soon as I start VT practice. So yeah, just that you're not gonna have the best materials that you do in dental school. I know in Glasgow anyway, we tend to have really quite good materials. Good rubber dam. I know I've spoke to you about things like that before, and just that it might not be like that in the real world when I graduate and get out there and start working. So just to prepare myself for that. I'm aware of it, it's fine. And I'm just trying to relish the opportunities that I have at the moment and the staff around me that I have as well. I think that's one thing. [Jaz] You've gotta be like a leech, Emma. You've gotta be like a leech, like a sponge. [Emma] And just ask all the questions whilst you have all these specialists and consultants around you and just take note of everything that they're saying. Especially the way that people communicate with their patients and pick up little things that they're saying to their patients and make it your own. So I'm trying not to wish away my last year, so that's good. [Jaz] No, enjoy it. Enjoy the comfort and the bubble and the protection you get in school before you enter the big, bad world. Do you think your experience as a nurse and seeing over the shoulder, you're suctioning, you're seeing things close up? Having said that though, I always find that maybe the nurses, we think they've got a great view, but they often don't, especially when you are trying to juggle a million things. 'Cause recently I've been using my clinical loupe camera more and more, and so now the nurses who've been working for 20, 25 years, they're like, "Oh, now I got to see what you are seeing." So maybe it hasn't been that much of an advantage that you come from a nursing background. What do you think about that? Just be honest. [Emma] I think initially, when I got into dental school, first and second year, it helped obviously. Premolars, molars, all the very basic stuff. And then maybe second, third year when I started to see patients, I was pretty much at the same level as everyone else. Apart from communication. I've found the big thing is that patient communication has came quite naturally to me,

What if one bad decision completely changed the course of your career? In this exclusive, members-only episode, Jaz sits down with a fellow dentist from our community who shares his raw, honest story about a moment of misjudgment — committing fraud — and the painful lessons that followed. This isn’t about blame. It’s about insight, accountability, and redemption. From the shock of investigation and court hearings, to the struggle of rebuilding trust and identity, this conversation shines a light on what really happens behind closed doors when things go wrong. The aim of this podcast was to hopefully deter colleagues from temptation which can affect anyone at any time. https://youtu.be/QF-UNrlYjcw Watch PDP248 on YouTube How to Watch the Full Episode This is a members-only podcast episode due to its sensitive nature. You can access it by creating a free Community account at: https://www.protrusive.app Highlights of this episode: 00:00 Teaser 00:49 Introduction 05:49 End Screen Love this episode? Don't miss Divorce, Alcohol and Rough Patches - Overcoming Adversities (IC040) #PDPMainEpisodes #BeyondDentistry This episode is eligible for 0.5 CE credits via the Quiz on Protrusive Guidance.  This episode meets GDC Outcomes A and D AGD Subject Code: 555 Ethics in Dentistry Aim: To reflect on the ethical, professional, and emotional lessons learned from a real-life case of dental fraud, highlighting accountability, insight, and rehabilitation while identifying practical steps to prevent similar incidents. Dentists will be able to - Recognise how workplace pressures, lack of mentorship, and poor oversight can lead to ethical lapses. Understand the legal, professional, and emotional consequences of dishonesty and poor record keeping. Identify support systems, coping strategies, and self-reflective tools to prevent burnout and maintain integrity.

Ever had a patient swear their bite feels “off” - even though the articulating paper marks look perfect and you’ve adjusted everything twice over? Or maybe you’ve placed a beautiful quadrant of onlays, only to have them return saying, “these three teeth still feel proud.” If that sounds familiar, you’re not alone. In this episode, I’m joined (in my car, no less!) by Dr. Robert Kerstein, who was back in the UK to teach about digital occlusion and the power of the T-Scan and ‘disclusion time reduction therapy’. We dig into why a patient’s bite can still feel “off” even when everything looks right, how timing is just as important as force, and why splints and Botox don’t always solve TMD. Robert explains why micro-occlusion is the real game-changer, how scanners could mislead you, and why dentistry still clings to articulating paper. So if you’ve ever wondered why “perfect” cases still come back with bite complaints, or whether timing data can actually prevent fractures and headaches, this episode will give you plenty to chew on - pun intended. https://youtu.be/0lCAsjFhsXI Watch PDP247 on YouTube Need to Read it? Check out the Full Episode Transcript below! Key Takeaways: Micro-occlusion, not just “dots and lines,” is the real driver of patient comfort and long-term tooth health. T-Scan measures both force and timing, which scanners and articulating paper cannot capture. Many patients show signs of occlusal damage without symptoms. Disclusion Time Reduction (DTR) treats TMD neurologically without splints, Botox, or TENS. Relying on occlusograms alone for guiding reduction is risky. Dentists can reduce post-treatment complaints by balancing micro-occlusion with T-Scan. Adopting T-Scan requires proper training. CR can be a convenient reference point, but MIP works well in most cases if micro-occlusion is managed. Objective, repeatable data builds patient trust and provides medico-legal reassurance. Highlights of this episode: 00:00 Teaser 01:13 Intro 4:41 Protrusive Dental Pearl -  Removing a Temporarily Cemented Crown 06:39 Introduction 08:48 Global Training Footprint 09:32 What Robert Teaches (DTR & T-Scan) 09:55 Occlusion as Neurologic 10:33 Macro vs Micro-Occlusion 11:33 Neural Pathway 15:00 MIP vs CR Framing 16:48 Signs Without Symptoms 19:16 Silent Majority 20:08 Why Treat Asymptomatic Signs 20:50 Disclusion and MIP 22:28 Occlusogram Caveats 24:53 Midroll 28:14 Occlusogram Caveats 28:29 Why Occlusograms Mislead 29:21 Don’t Adjust From Color Alone 31:47 What Pressure/Timing Enable Clinically 33:02 Prosthetic Reality Check 34:46 Patient-Perceived Comfort 35:29 Why Isn’t T-Scan Everywhere? 36:29 Political Resistance 37:42 CR as Utility 38:18 MIP and Vertical Dimension. 39:48 Macro ≠ Micro 41:00 Material Longevity Benefits 41:57 T-Scan Training 42:58 Three Competencies to Master 44:20 Micro-Occlusion Rules 44:46 Outro If you want to get more clued up on TMD, tune into this episode for the latest insights and guidelines! PDP213 - TMD New Guidelines -  however be warned that the guidelines are contradictory to what Dr. Kerstein advises….ah the wonderful world of TMD!  #OcclusionTMDandSplints #OrthoRestorative This episode is eligible for 0.5 CE credit via the quiz on Protrusive Guidance. This episode meets GDC Outcomes A, C. AGD Subject Code: 250 – Clinical Dentistry (Occlusion/Restorative) Aim: to explore the role of micro-occlusion and timing in TMD and restorative success, highlighting how tools like T-Scan provide data that other tools cannot. This episode seeks to give dentists practical insights into diagnosing, preventing, and treating occlusal problems with greater accuracy. Dentists will be able to: Describe the role of micro-occlusion and disclusion time in TMD symptoms and tooth wear. Recognising the limitations of traditional methods of occlusion adjustment. Understand how objective occlusion data supports comfort, longevity of restorations, and preventive care. Click below for full episode transcript: Teaser: Pressure is a force over surface area. And when it gives us the red, the blue, yellow, it's not measuring the force, so it cannot tell us the pressure. So tell us about what the nuances of being careful with the occlusogram and where it fails in the face of something more sophisticated, like the T-scan. The essence of a scanning technology is that all the teeth are scanned with the patient's teeth apart. No one's biting. There's no forces captured. There's no contacts. There's no gathering of teeth banging together or rubbing around. So it completely is falsely representing. These colour coded occlusograms have no force information in them at all. Anyone who's used articulating paper, which most of us do, and the T-scan, you still mark the teeth with paper, but you choose the contacts to treat based on the data, not based on where the paper marks look. And very often, the most pressure points of contacts are small, scratchy little marks that dentistry says are light force, which you're completely wrong because again, the load is applied over area. So if you have a very small area, you have the potential for very high pressure. Jaz's Introduction:Protruserati, the occlusogram is lying to us. Does that sound familiar? Well, we welcome back again, Dr. Robert Kerstein. If you remember way back in episode 109, we made an episode called, "Articulating Paper Is Lying to Us," and you guys absolutely loved it because Arctic paper is lying to us. You should totally listen to that episode if you haven't already. And if you haven't, essentially the arctic paper marks you see on teeth are flawed in the sense that you can't look at a mark and accurately say that, oh yeah, that's more force, or that's less force, or that's hitting first. You don't get that data. And not only that, but you also get false positives when it comes to articulating paper. Now, similarly, I've got Robert Kerstein back again talking about the occlusogram. Now the occlusogram is that heat map you see when you do a scan, when you do an intraoral scan of a patient, upper arch, lower arch, and then you do the occlusion. Most modern scanners will give you some sort of a heat map of the occlusion and we call that an occlusogram. And we may all at the beginning make this mistake, this very simple error, that when you see red on the occlusogram that means high force. Well, we will absolutely and emphatically bust that myth today. You see the heat map or the occlusogram is just a measure of proximity. How close in space is that cusp to that fossa? And if it's very close, it's gonna be red. And if it's maybe a few microns away, it'll be a colder colour. Absolutely does not tell you how much force or timing or pressure, none of that stuff. Just contact proximity. So we must be careful in how we interpret that data. It would be misinformation to tell a patient that a certain tooth is having more load because of the colour. Hello Protruserati. I'm Jaz Gulati and welcome back to your favourite dental podcast. Today's guest is none other than Dr. Robert Kerstein. Rob Kerstein is like the godfather of digital occlusion. When I was in New Mexico a few months ago with Dr. Bobby Supple, he described Dr. Kerstein as the Einstein of occlusion, and it's an absolute pleasure to chat with him again. It's a different format of the podcast. We're driving, well, I'm driving, he's my passenger. And so one of the team members, when they were listening to this, they said, it's like carpool karaoke vibes. And don't worry, we will not start doing a little singing and dance in the middle of this episode, but something a bit different, a bit fresh. Me and Dr. Kerstein were on the way to some DTR training in the UK. DTR is Disclusion Time Reduction, essentially, if you listen to that episode that we did with Nick Yiannios. We talked about frictional dental hypersensitivity, and essentially lots of friction between the back teeth could cause your teeth to become sensitive. So this posterior dental friction is also implicated in TMD, thus resurfacing that old debate: is occlusion a causative factor of TMD? Now, we all know some CAMs and some reviews that suggest that occlusion has no relationship to TMD. Whereas my guest, Dr. Robert Kerstein, says that TMD is a neurological condition and has everything to do with occlusion, and particularly that muscular TMD group would greatly benefit from an occlusal adjustment or something to change about their occlusion, to reduce that sensory input and their noxious muscular spasms. And I saw all this freehand. I can't wait to share my experience of what I witnessed when Dr. Robert Kerstein came to my practice and I treated three patients. So I'll leave you on that teaser if you like, 'cause we have another episode coming with Dr. Jeremy Bliss talking all about occlusion, TMD and Disclusion Time Reduction, aka DTR. Dental PearlBut for now, let's enjoy this episode of occlusogram. And just before we join the main interview, I need to give you your Protrusive Dental Pearl. Every PDP episode, I'll give you a top tip that you can use right away. And today's one, like many pearls are, are from Dr. Mohammed Mozafari. Mohammed's one of the most selfless and caring and giving people on our Protrusive app community, always helping our colleagues. And today it was our good colleague Yazan. And just yesterday on the group, Yazan had a query. He's got these crowns, definitive crowns, temporarily cemented with TempBond. Now we all know of that scenario that it could have happened to you or a colleague, whereby you put these crowns in temporarily. Even some colleagues, they try in a crown, let's say a PFM crown without any cement, and they put the crown on and they just cannot take it off,

Is social media killing professionalism in dentistry? Are young dentists really “clowns” online—or is lightheartedness perfectly fine? Is social media a disease? Where’s the line between humor, banter, and outright disrespect? In this episode, Jaz is joined by Joseph Lucido from the States to tackle these tough questions head-on. Sparked by a fiery Facebook rant, they dive into whether social media is harming our profession, how dentists should present themselves online, and if there’s still room for fun without crossing the line. Whether you love or hate dental content on social media, this conversation will make you rethink how we represent our profession to the world. Shout-out to two US doctors creating excellent, entertaining content on social media Dr Brady Smith Dr. Nicholas J Ciardiello Check out the 3-Step Modern Dental Marketing Plan from Clear to Launch Dental — designed to help you simplify your marketing and grow your practice without the overwhelm. https://youtu.be/W7Uh-ML9dZg Watch IC063 on YouTube Need to Read it? Check out the Full Episode Transcript below! Takeaways Social media etiquette is crucial for healthcare professionals. Avoid controversial topics to maintain professionalism. A social media presence is essential for modern dental practices. Patients often check social media to verify a practice's credibility. Content should reflect the personality of the dentist and practice. Highlight satisfied patients to build social proof. Consistency in posting is key to maintaining engagement. Separate personal and professional social media accounts. Batch content creation to save time and effort. Engaging content can lead to more patient inquiries. Highlights of this episode: 00:00 Teaser 00:31 Intro 01:47 Introducing Joseph Lucido: Social Media Expert 03:21 Social Media Etiquette for Dentists 06:14 The Importance of Social Media Presence 12:04 Balancing Professionalism and Humor Online 17:39 Authenticity in Social Media 19:51 Balancing Personal and Professional Content 21:51 Effective Social Media Strategies 25:27 Time Management for Social Media 27:26 Do's and Don'ts of Social Media 29:43 The Power of Social Proof 30:49 Conclusion and Resources 32:47 Outro Love this episode? Don’t miss Best Practices in Social Media for Dentists – How to Stay Out of Trouble Yet Be Impactful (IC035) #InterferenceCast #Communication #BreadandButterDentistry This episode is not 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. Click below for full episode transcript: Teaser: What is the correct etiquette in 2025 and beyond for social media for dentists? Teaser:The biggest shortcut a lot of social media questions get would be, we tell a lot of docs, this is social media, it's social in nature, so your job is not to directly sell 24/7. The most extreme version of yourself is gonna get the most attention. So you might get, oh, look, I'm getting a lot of views. But going back to what I said earlier, it's, well, what are people thinking when they see this? Jaz's Introduction: I saw a rant on Facebook. Obviously it was on Facebook. Where else do rants belong, right? It was saying, what has happened to our profession? What has happened to our beloved dentistry? The kind of crap we're seeing on social media. This dentist, who's basically vexing about the way that he thinks young dentists are portraying themselves on social media, this anonymous poster of course, was saying we're being clowns, we are disrespecting patients, we're doing all sorts of unsavory things to get views and likes. So Protruserati, is this the death of professionalism in dentistry? Is social media a disease? Is there a proper way to conduct yourself on social media, or is a bit of humor and banter and a bit of lightheartedness acceptable? I'm a bit of an idiot on social media sometimes, but I know someone who does know. Today we've got our guest, Joseph Lucido from the States, and I asked him all these tough questions. He knows a thing or two about social media. So in this episode, you'll find out what is the proper way to conduct yourself and whether Joseph thinks there is a space for idiots like me. Hello, Protruserati. I'm Jaz Gulati and welcome back to your favorite dental podcast. This is an interference cast. This is a nonclinical arm of the podcast. Hope you enjoy the main interview and I'll catch you in the outro. Main Episode:Joseph Lucido, welcome to the Protrusive Dental Podcast. For those who are listening right now, Joseph has sat in this wonderful, you've got this wonderful background, that common look of the books behind you, so it makes you look like you've got so much authority. And he totally looks badass. But I had to ask him, is this real or is it fake? And actually he reached out, man, this is a very beautiful library behind you. Joseph, welcome to the show, my friend. How are you doing? [Joseph] I'm doing great. Happy to be here. [Jaz] Tell us about yourself. You're not a dentist, but tell me how you are connected to dentistry. What makes you an authority? Talk about social media for dentists today, which I'm really excited to get into. [Joseph] Sure. Probably starting around eight years old, I wanted to be a dentist. Just being in the dental office, I always loved getting my teeth cleaned. I had a few uncles that were dentists. It was just exciting for me. And then just through my education, formally marketing degree, and then half of the books behind you are on marketing or psychology. And then it comes down to just different reps over and over and over on different platforms with docs, seeing what works, seeing what doesn't work. I guess that gives me, I don't know about the authority, but it gives me a pretty sharp edge on what works and what doesn't. [Jaz] Well, I think that does give you authority. The fact that they have skin in the game, the fact that you work with people on this, so you totally have the authority. Interesting title we've opted for, right? Social media clown or healthcare professional. I really like this. When I first read it, I thought, oh crap, he's onto me. He's seen my videos. Because sometimes I'm a bit of a clown, and sometimes I'm very professional. I'm really looking for what your thoughts are on this. So I guess the first place to start is, what is the correct etiquette in 2025 and beyond for social media for dentists? It's a big topic and we can break it down and go anywhere you like. [Joseph] Yeah, there's gonna be a bunch of nuance to it, but the biggest shortcut a lot of social media questions get would be, what is the potential patient, the person viewing this, the followers, what are they gonna think after seeing whatever I post? That should just be your starting point for everything social media related. Before you post, you want to be intentional in thinking. Now it becomes intuitive after a while to do it the right way, second nature. But from an etiquette standpoint, we wanna be thinking, I don't wanna post anything that's too controversial or too polarizing. Now I'm talking specifically through the lens of a healthcare professional. If you're trying to get attention some other way, that's fine. But if we're talking about being a professional in healthcare, we don't want to talk about politics or religion. Avoiding these topics can alienate 50% or more of your audience, and it also kind of speaks to your self-awareness. You probably shouldn't be posting this from a business perspective. Arguing online, never a good look. Taking a combative stance, anyone who sees that, even if you're defending yourself, even if you're 100% in the right, that's not what you wanna do from an etiquette standpoint. We tell a lot of docs, this is social media, it's social in nature, so your job is not to directly sell 24/7. Everyone's seen the doc that posts and all they're doing is selling, and you're not gonna follow them. [Jaz] So what you mean by that is, "Come in for our new patient Invisalign offer," and just banging on about it every single day, and that's it, it's like repeat. [Joseph] Even the other post is too much. And what we'd even argue is, the way that we operate it is we have the docs say, you do nothing from an office level organically. You should be fun, entertaining, posting like that, and then we'll take care of the direct selling, because that's what our team has experience in. You don't have experience in, how do I sell something, specifically the language that needs to be used, the call to actions, where the buttons go. That is so outside of your purview. But what's inside of you, you're an expert on you and your office. That's what you should be posting about. [Jaz] I think one thing that perhaps I should have asked, and I will now, is taking a step back. I think I went too deep too soon. I'm trying to understand what you are trying to say and what we can learn. Like I said, building on that correct etiquette and top mistakes we make. Now we are at a stage where virtually every dental practice has a website, I would imagine. But not all dentists have a social media presence. But those that do, a significant majority of those would probably post on 4th of July and then post on Halloween and then completely abandon it. So let's tackle that for a second. Do we need a social media presence in this day and age to be a thriving clinic? Because in the past it was, word of mouth is the best and patients refer other patients of the similar kind of caliber and likeness, which works well for clinics. What do you think about that question of the need of social media for every practice? [Joseph] So I think practices still, word of mouth,

Cracked teeth — the diagnosis we all hate as Dentists! How do you decide when to monitor and when to intervene? What is the recommended intervention at different scenarios of cracks? Should we be chasing cracks and reinforcing with fibers; is there actually enough long-term data to support that approach? Over the years, we’ve had some epic episodes on this topic — from Kreena Patel’s “I Hate Cracked Teeth” (PDP028) to Dr. Lane Ochi’s Masterclass on Diagnosis and Management (PDP175). But in this brand-new episode, Jaz is joined by Dr. Masoud Hassanzadeh to bring it all together — not just the diagnosis of cracks, but their management. They explore when to intervene, the role of fibers in preventing propagation, and even the fascinating possibility that cracks in teeth may have some ability to heal, just like bone! This one’s a deep dive that will change how you talk to patients — and how you approach cracked teeth in your own practice. https://youtu.be/VHYRBnfJS3I Watch PDP246 on YouTube  Protrusive Dental Pearl Your patient’s history predicts the future! Ask if past extractions were difficult → clues you into anatomical challenges. Ask how they lost other teeth → if cracks, be proactive with today’s cracks. History isn’t just background—it’s a clinical tool. Need to Read it? Check out the Full Episode Transcript below! Key Takeaways Cracks in teeth can be diagnosed using magnification and high-quality imaging. Patient factors such as age and muscle strength play a significant role in crack prognosis. Symptomatic cracks should be treated to prevent further propagation. Understanding the anatomy of the tooth is crucial for effective treatment. The healing mechanism of cracks in teeth is possible but varies between enamel and dentin. Fibers can be used to strengthen restorations and manage cracks effectively. Long-term studies are needed to assess the effectiveness of current crack management protocols. The use of fluorescence filters can help identify bacteria in cracks. Chasing cracks should be done cautiously to avoid pulp exposure. A comprehensive understanding of crack mechanics can improve treatment outcomes. Highlights of this episode: 00:00 Teaser 00:47 Intro 03:08 Protrusive Dental Pearl - The Importance of Dental History 07:18 Interview with Masoud Hassanzadeh 08:22 Diagnosing and Managing Cracks 21:13 When to Intervene on Cracks 25:50 Restoration Techniques and Materials 28:30 Chasing Cracks: Guidelines and Techniques 36:50 Mechanisms of Crack Healing in Teeth 45:11 Exploring the Use of Fibers in Dentistry 52:43 Introducing the Book on Cracked Teeth 54:57 Percussion-Based Diagnostics (QPD) 56:44 Key Takeaways 57:21 Conclusion and Final Thoughts 01:00:07 Outro As promised, here are the studies mentioned during the discussion: Why cracks do not propagate as quickly in root dentin: Study 1a & 1b Root dentin has significantly higher fracture toughness compared to coronal dentin—nearly twice as tough, as demonstrated in multiple studies. The key difference lies in their structure and toughness. Root dentin’s unique collagen orientation adds strength, while its fewer lumens and thinner peritubular cuffs make it less brittle. In contrast, coronal dentin has thicker cuffs, which increase brittleness. Unlike coronal dentin, which fractures uniformly, radicular dentin is anisotropic—its fracture behavior varies depending on direction. These structural features give root dentin greater resistance to cracking, making it more durable under stress. Studies on decreasing crack length due to crack repair in enamel. Study 2 The importance of the modulus of elasticity of the final restoration in arresting crack propagation. Study 3 The role of fiber in restoring cracked teeth and how it can increase fracture strength—even surpassing that of natural teeth. Study 4 Decision Making for Retention of Endodontically Treated Posterior Cracked Teeth - A 5-year Follow-up Study The Cracked Tooth: Histopathologic and Histobacteriologic Aspects Historical Studies on Enamel Crack Healing– 1949 (Sognnaes): The Organic Elements of the Enamel: III. The Pattern of the Organic Framework in the Region of the Neonatal and other Incremental Lines of the Enamel – 1994 (Hayashi): High Resolution Electron Microscopy of a Small Crack at the Superficial Layer of Enamel – 2009 (S. Myoung): Morphology and fracture of enamel Don’t miss out — get instant access to all the research papers discussed here at protrusive.co.uk/cracks! Dr. Masoud Hassanzadeh has written two essential books every dentist should own: 📘 Glossary of Biomimetic Restorative Dentistry🔑 Your quick-reference guide to the language and principles of biomimetics — explained in a way you can actually use chairside. 📕 The Cracked Tooth: A Comprehensive Guide to Cracked Teeth🦷 Everything you need to know about diagnosis, management, and the science behind one of dentistry’s biggest headaches. 🌴✨ Dubai 2026: Occlusion + Family Fun ✨🌴 This Easter, join Dr. Jaz Gulati and Dr. Mahmoud Ibrahim for something truly special — a tax-efficient holiday that mixes world-class occlusion training with plenty of family time in Dubai. 🦷 What’s included? ⏰ 20 hours of hands-on occlusion (mornings only: 9 am–1 pm) 🏖️ Afternoons & evenings free to enjoy Dubai with your family 📚 Pre-learning + online content to deepen your understanding 🥂 A not-for-profit event — just dentists, families, and fun! 👉 Learn more & get your quote at: globaldentalevents.co.uk 💡 Make memories with your loved ones while making your CPD hours tax-deductible Want to level up your knowledge on cracked teeth? 🎧 Don’t miss PDP098: Cracked Teeth Management with the Direct Composite Splint Technique #PDPMainEpisodes #EndoRestorative #BreadandButterDentistry 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: 070 ENDODONTICS Aim: To provide clinicians with practical, evidence-based guidance for diagnosing, monitoring, and restoring cracked teeth, with emphasis on prognosis, risk factors, and restorative decision-making. Dentists will be able to - Differentiate between enamel and dentine cracks, and recognize when prognosis is hopeless. Apply appropriate diagnostic tools and clinical criteria to decide when to monitor versus intervene. Select suitable restorative strategies and materials to manage cracked teeth effectively. Click below for full episode transcript: Teaser: After 48 hours, they started to see that the crack is just decreasing, like it's just healing. Is it really possible? But it is possible. Like how there is a crack healing mechanism in the bone, there is also crack healing mechanism in the tooth. When I started to learn about cracks, actually the studies were not from dentists. Teaser: They were fracture mechanic engineering that they just studied about the crack, and nowadays there is a new system, it is called quantitative percussion diagnostic, QPD. There is a stress concentration in that point where the crack is started, so we have to distribute the stress in that place, in that plane. That is the important one. If we are just going to remove the crack and put the restoration on it, I'm afraid it's just going to happen again. Jaz's Introduction: Over the years, we've had some awesome episodes on cracked teeth. If you go all the way back to PDP028 with Krina Patel, the episode was titled, I Hate Cracked Teeth, and you know what? I still hate cracked teeth. They're a damn nuisance. They're everywhere, and it creates major consent and if the tooth goes non-vital, that kind of conversation, which no one likes. Now, years later, we did this epic episode with Dr. Lane Ochi, PDP175. You need to check these two episodes out if you want to geek out on cracks. But you know what? This episode really does a wonderful summary of cracks. Not just the diagnosis, but the actual management. Should we be chasing cracks? Are fibers actually indicated? Is there enough long-term clinical data to support the use of fibers in crack propagation? And the question of, okay, when should you actually intervene? And you know what? The most important one I haven't even mentioned yet. So, Dr. Masoud, the way I got acquainted with him is on social media. I posted this image of a crack, a really nasty crack, and he said something absolutely ridiculous. He said that cracks have an ability to heal a bit like cracks heal in bone. Now, you said that because in this image I posted on social media, it was all about how I communicate cracks to my patients. I say to them, look, when you have a crack in a bone, the bone can heal, it can regenerate, but a crack in a tooth can never heal. Patients seem to resonate and they understand that. But he was suggesting that actually cracks can heal naturally a bit like bone. And so if you listen to the end of the podcast, you will see how that is actually possible. Hello, Protruserati. I'm Jaz Gulati and welcome back to your favorite dental podcast. I've had a month in August which was pretty crazy. I didn't do much recording of new podcasts. We were working on some of the older recordings I had done. We've got a huge backlog as a team, which is a wonderful position to be. We are having so much fun creating these episodes. Thank you to everyone who returns to our podcast, and of course all the new people that find us. If you're not already, you need to join 5,000 of the nicest and geekiest dentists in the world on the Protrusive Guidance app. Go on protrusive.app, make an account. Your only requirement is you must be nice and you must be geeky. If you are those two things, you should come and join us to geek out, discuss, share challenges, share wins.

With the final places remaining for our Occlusion Getaway, we present the official FAQ Podcast! Dreaming of combining occlusion learning with a luxury getaway? Want to earn 56 hours of CPD while soaking up the Dubai sunshine? Looking for a course where you can master PRACTICAL occlusion in Restorative Dentristry and make it a family-friendly, tax-deductible trip? Easter 2026 is set to be unforgettable. Join Dr. Jaz Gulati and Dr. Mahmoud Ibrahim for an extraordinary Occlusion Excursion in Dubai — a blend of serious CPD and sunshine that redefines what “continuing education” can be. We’ve always believed in mixing work and pleasure, and this time, we’re taking it to the next level. Think luxury, learning, and laughter — all under the warm Dubai sun. Watch IC062 on Youtube 🦷 What Makes This Course Different? 56 hours of CPD/CE credits, including 20 hours hands-on in Dubai Full online occlusion curriculum and live webinars before you travel Morning workshops (9 AM–1 PM) and free afternoons to explore Dubai Bring your family (Easter school holidays!) or come solo — many dentists are already flying in from around the world. REQUEST A QUOTE - Limited Places Remaining as of November 1st 2025!: https://globaldentalevents.co.uk/  Spaces are limited and flights are rising, so secure your place early.👉 Easter 2026 – Occlusion, sunshine, and CPD in Dubai. 📅 28 March – 4 April 2026 📍 Dubai, UAE 👨‍⚕️ Dr. Jaz Gulati & Dr. Mahmoud Ibrahim, Organised by Global Dental Events Highlights: 04:06 Meet the Organizers 05:59 Why Dubai? 10:40 Delegate Experiences and Expectations 13:21 Course Pricing and Tax Benefits 19:05 Course Itinerary and Logistics 24:49 Final Thoughts and How to Join

Do all whitening gels work the same, or is the brand actually important? Are lights and in-office “power whitening” just marketing hype? And what’s the deal with the infamous white diet - do your patients really need to give up coffee and red wine? In this episode, I sit down with Dr. Wyman Chan, the man who literally hung up his drills in 2002 to dedicate his career to whitening alone. With over 20,000 cases under his belt (and a PhD in the science behind it), Wyman shares his three golden rules for whitening success: trays, communication, and conscious bleaching. We’re also joined by Dr. Niki Shah, who brings his own insights into whitening and patient care, making this a conversation packed with both science and clinical experience. Wyman introduces his latest invention—Magic 3, a fizzing gel that reveals and removes plaque while calming gums. Plus, Wyman busts some of the biggest whitening myths (sorry, “white diet”) and explains why he no longer bothers with internal bleaching. If you’ve ever wondered how to make whitening safer, more predictable, and less stressful for you and your patients—this is the episode you’ll want to tune in for. Protrusive Dental Pearl Innovation in Hygiene with Magic 3 - What is Magic 3? A colorless plaque indicator gel developed by Wyman Chan. Fizzes on contact with plaque. Cleans teeth, removes superficial stains, and softens soft calculus. Clinical Application Alternative to scaling/polishing for routine patients. Nervous patients who dislike ultrasonic scalers. Children (6+) – safe as a Class I medical device. Orthodontic patients – helps prevent white spot lesions. Learn more at https://protrusive.co.uk/magic3 https://youtu.be/ImpHJP3Wxec Watch PDP245 on YouTube Need to Read it? Check out the Full Episode Transcript below! Key Takeaways: Teeth whitening success depends on tray design, formulation, technique, and compliance. Conscious bleaching helps minimise sensitivity. Sensitivity is due to peroxide reaching the pulp. Patients should adjust wear time gradually, starting short and increasing if comfortable. Communication and treatment planning are crucial to match whitening regimes with lifestyles. The “white diet” is not scientifically necessary - normal eating and drinking can resume within minutes. External bleaching alone can be effective, even for single dark teeth. Tetracycline-stained teeth can respond to whitening with the right protocols. The brand is less important than protocol consistency and clinician experience. In-office light-assisted whitening adds risk, cost, and chairside time without proven benefit. Allergic reactions are more likely caused by gel additives, not peroxide itself. Emerging products, such as peroxide-based gels for plaque disruption and gingival health, may complement whitening in the future. Highlights of this episode: 00:00 TEASER 1:00 INTRO 3:13 PROTRUSIVE DENTAL PEARL 07:05 Dr. Wyman Chan Introduction 13:32 Niki's Journey in Dentistry 17:03 Whitening Products and Techniques 23:09 Three Keys to Whitening Success 30:03 Addressing Sensitivity in Teeth Whitening 37:43 MIDROLL 41:04 Addressing Sensitivity in Teeth Whitening 46:15 Whitening as Treatment Planning 49:10 Myths and Misconceptions 01:00:27 Lights and In-Office Whitening 01:03:13 Introducing Magic3: A Revolutionary Dental Product 01:16:10 OUTRO Discover Magic3 and Dr. Wyman Chan’s inventions If this episode piqued your interest, continue the whitening theme by listening to PDP199 “How To Eliminate Sensitivity During Teeth Whitening”. And don’t miss the upcoming visual follow-up to this episode! #PDPMainEpisodes #BreadandButterDentistry This episode is eligible for 1 CE credit via the quiz on Protrusive Guidance. This episode meets GDC Outcomes A, C, and D. AGD Subject Code: 780 – Esthetics/Cosmetic Dentistry Aim: To deepen dentists’ understanding of teeth whitening by exploring evidence-based protocols, tray design, and methods to reduce patient sensitivity. It also aims to challenge common myths and introduce innovations that can improve both patient comfort and clinical outcomes. Dentists will be able to: Evaluate the importance of tray design, communication, and conscious bleaching as critical factors for safe and effective whitening outcomes Identify the common causes of whitening sensitivity and apply strategies to minimise or prevent pulpal irritation during treatment Assess the evidence behind common whitening myths, including the “white diet” and the use of heat/light for activation. Click below for full episode transcript: Teaser: What is the three most important features in getting a good whitening result? Number one, because- is it true that patients should try a white diet when having treatment? Teaser:I heard of that when I was started bleaching 30 years ago- because I don't have the drill anymore. They say I can't do internal bleaching. It's just because I give myself restriction. I have no drills at my clinic. If you've got a good protocol, it works- like I can show you some cases just two weeks. It's amazing result. Get from a C4 to B1, just two weeks. Two weeks for Tetracycline staining. This is a colorless plaque indicator. Remove plaque at the same time. Also reduces gingival inflammation. They say we have nothing like that. Is this solution a substitute for mechanical plaque? It's substitute for mechanical cleaning. To me, there's no need to do polishing. Jaz's Introduction:Protruserati. We have got THE Wyman Chan and how I pull this off, this is the guy who I've been watching the whitening space for so many years, and actually he kind of disappeared. Where did Wyman Chan go? Was on the lips of every UK dentist for so many years. But guess what? He is back. Alright, lemme tell you about Wyman Chan. This guy hangs up his drills in 2002 to solely focus on teeth whitening. That's it. Imagine that. Right at a time where teeth whitening wasn't even like a proper thing. So since then he's been like whitening the teeth of celebrities and all the famous people will go to a central London clinic, get their teeth whitened by him using his formulas, his patented technology and his knowledge. Like he's a PhD and he's so passionate about teeth whitening. The guy's done over 20,000 whitening cases. I was actually thinking. I don't even think I've seen 20,000 patients in general in my career so far. So that just tells you the volume of teeth whitening he's done and he's like a mega geek. Like what he doesn't know about whitening is not worth knowing. So we take advantage of that. I literally ask him all of your questions that you submitted on Protrusive Guidance, the usual stuff like is the light thing, is it a fad or is there some science behind it? Do you need to adopt a white diet two hours after whitening to make sure that you get a good effect from teeth whitening? Like that's all standard. We actually talked about it before, but we revisit it in this episode. But of course, every episode we have a game changers and there's a few game changers. About three, well, there's more than three, but the three that are top of my mind right now while recording this introduction. One is that for non vital bleaching, imagine you get that black central incisor. Usually the way I would treat it is make sure that the root canal treatment is good, and then re-access the access cavity of course, and place my gel inside and whiten from inside and also outside. Now, what Wyman Chan discusses is a protocol of not doing the internal part of non vital bleaching, doing it externally only, which is very fascinating. The other cool thing he teaches in this episode is this concept of conscious bleaching, which I'd never come across before, but it makes so much sense. It is the number one thing that reduces and eliminates sensitivity. And I'm a little bit upset that no one told me before. It just makes so much sense. I can't wait for you to listen to this episode and learn about what is conscious bleaching. Dental Pearl:And the final game changer is today's Protrusive Pearl. Hello, Protruserati. I'm Jaz Gulati. And every PDP episode we give you a Protrusive Dental Pearl, something to reflect on, something to digest, something to apply to your patients right away. We have all sorts on here. And today's pearl is about innovation. Wyman Chan is just like this awesome guy in whitening and he has got so many patents I didn't even know about this. And one new invention he's come up with is called Magic three. So remember I said that Wyman Chan went missing? What I meant is he went to China, okay? He went to to Asia, developed a whole bunch of things and protocols, and does loads of teaching there. And he is launched some products there as well as in Dubai. And now he's bringing Magic three to the UK. And so in a nutshell, 'cause I don't wanna take up too much time here, I really want you to listen to this episode, but essentially Magic three is this like colorless gel. It's this clear gel that you put on the teeth, and then if there's plaque anywhere, it'll start fizzing. So they call it a colorless plaque indicator, which sounded really crazy to me. I still calling that my head around it and the way I understood it and seeing the product myself, it just fizzes when there's plaque. So it is indeed a a plaque indicator in that way you're looking for fizzing. What it does is it cleans the teeth. It replaces your polishing stage. For many patients it replaces your scaling stage. So if these are regular patients that you're seeing every six months in hygiene and you haven't got like mountains of this hard calculus, then this gel actually replaces your hygiene work.

Why should Dentists be talking about screen time with parents? Are smartphones even safe for children? What is the right age to give a child their first phone? Laura Spells and Arabella Skinner join Jaz in this thought-provoking episode to tackle one of today’s biggest parenting challenges: smartphones and social media in young hands. Together they explore the impact of early phone use on children’s health, development, and mental wellbeing—and why healthcare professionals should be paying close attention. https://youtu.be/7RUJZqtEr18 Watch IC061 on YouTube  Protrusive Dental Pearl: Live by your values—not your profession, spouse, or children. Don’t sacrifice for them; choose what aligns with you, so love never turns into resentment. Need to Read it? Check out the Full Episode Transcript below! Key Takeaways Screen time is a significant public health concern. Mental health issues are rising due to social media exposure. Early childhood screen time has long-term effects. Parents need clear guidance on screen time limits. Community support is essential for children's well-being. Health professionals must ask about screen time in assessments. Regulatory changes are needed for safer screen use. The impact of social media on self-esteem is profound. Misinformation about health trends can lead to dangerous practices among youth. Dentists play a crucial role in educating patients about safe health practices. Parents should engage in conversations about social media with their children. Creating a family digital plan can help manage screen time effectively. Collaboration among health professionals needs to raise awareness about the dangers of unregulated products. Empowering parents with knowledge is essential for effective parenting in the digital age. Role modeling healthy behaviors is important for parents. Highlights of this episode: 00:00  TEASER 01:18  INTRO 03:13 PROTRUSIVE DENTAL PEARL 04:54 Introducing Our Guests: Arabella and Laura Spells 09:24 Statistics and Scale of the Problem 18:09 Early Years and Screen Time 22:27 Safer Alternatives and Regulation 27:08 MIDROLL 30:29 Safer Alternatives and Regulation 30:53 Ideal Guidelines for Screen Usage 34:01 The Role of Dentists in Addressing Social Media Issues 44:59 Parental Guidance and Digital Plans 53:53 Final Thoughts and Resources 56:06 OUTRO ✅ Action Steps 🔹Seven Habits of Highly Effective People by Stephen Covey for habits that support balanced parenting and leadership.🔹 Kindred Squared School Readiness Survey on how early screen use impacts child development. 🔹 Follow Health Professionals for Safer Screens for practical tips to share with families, and on their Instagram for bite-sized advice🔹 Support the Smartphone-Free Childhood Campaign to delay smartphone use in children. If this episode gave you new insights, you’ll definitely benefit from Parenthood and Dentistry (Even if You’re Not a Parent!) – IC025 #InterferenceCast #BeyondDentistry #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 provide dental professionals with an understanding of the health risks of early smartphone and social media use in children, and how dentists can play a role in safeguarding and guiding families toward safer digital habits. Dentists will be able to - Recognize the health and developmental impacts of early and excessive screen use. Identify how social media contributes to anxiety, body image concerns, and misinformation (including dental-related fads). Discuss practical strategies that families can use to create healthier digital habits. Click below for full episode transcript: Teaser: We have to address the issue in early years because if you've had your child sitting on a screen from day one, by the time they get to eight or nine and they want a smartphone, which is the ubiquity in their pocket, it's really hard to explain to them why they can't have it. Teaser:What is the right age for a smartphone? Yeah. We would say that smartphones with full internet connectivity and everything involved and social media, it's- This smartphone usage has become almost the norm for every teenager across the country. And of course what a smartphone does is allow people 24 hours to access to the internet, to social media, to all the unfettered things that we need to, they can see. If you think about whole child health, and that's how we should be approaching health for our children. Obesity's gone up. There's huge linkages between the seditary behavior of being on screens, but not just the seditary behavior. Because actually if you are sitting on social media or you're sitting on gaming, you are targeted by fast food manufacturers in a way, way more than you would be on TV. You could have a big argument about the quality of what children are doing on screens when they're 15, 16. Or they learning to make music. Are they revising and doing things, but for a two, three, 4-year-old, there are no benefits of being exposed.  Jaz's Introduction:What a time to be alive as a parent. Back when I was a kid, I would go and play football for hours. My parents, they kind of knew where I was, but there was no way to reach me. And the other thing I remember is that when I was a kid, I wanna go to cinema. And then so you agree with your friends that, look, I'm gonna see you at 11:00 AM, at the cinema on Saturday. And there was none of this like texting and WhatsApp and Snapchat and that kind of stuff, and you would just show up at 11:00 AM on Saturday, and that's a simple life that we lived. But now with smart phones and social media, I really worry for our children, which is why I brought some experts on to discuss phone use in children and best practices for screen time and smartphones. And so you are thinking Jaz, what has this got to do with dentistry? Well, we have an active role to play as healthcare professionals. Early smartphone usage and social media is absolutely detrimental to the health of our children. And as healthcare professionals, we have a duty to know about this and to spread the good word. And many of you, like me, are parents, and we need to hear this stuff. We need training. We need guidance, and that's exactly what we bring you today. You're gonna love our guest, Arabella and Laura. But I wanna say thank you to Protrusive community member, Lydia, Dr. Lydia Roulston. It's been so nice to chat to you on the app, give each other book recommendations, and you are part of this very organization that's helping schools and communities to realize the dangers of having smartphones in young hands. Dental Pearl:I'm so grateful that you're part of our nice and geeky community. Now, this is an Interference Cast, which is like the nonclinical arm of the podcast, and I usually reserve my Protrusive Pearls for the actual PDP episodes. And as many of you know, I actually struggle when it comes time. I freeze up when it comes time to give a pearl, 'cause I've given like 300 in the past. I'm kind of running out of nuggets. Like obviously there's an endless amount of dental nuggets and gems out there, but to suddenly pull one out can be a bit tricky. But you know what? I've got one from the heart. So even though it's an icy, I still want to give a pearl. And it's like from the heart as a parent. In the book, I think it was Seven Habits of Highly Effective People by Stephen Covey. It talks about being value centered and not being like a profession centered, like your entire world shouldn't be about being a dentist. Your number plate shouldn't be dentist. You shouldn't introduce yourself to, hey, I'm Jaz, I'm a dentist. Like, your identity should not be your profession. The world also shouldn't revolve around your spouse, nor should your world revolve around your children. Your world should revolve around your values. And how I'm linking it even more to this theme of parenthood is that, I have a 6-year-old and we go through all the tantrums and behavior issues that all parents do. It's very normal. And I love talking about being a parent to my patients. I learn a lot from my patients. I do have an elderly patient base, and so I do get to benefit from their wisdom. And one thing I've come to conclude over time is that if you want to do something for your children, don't do it for them. For example, if you're making career sacrifices, make sure you are clear that you're not doing it for them. Or if you are not going to the gym because you can't fit in because everything you're doing, you're prioritizing your children and you're doing it for them, then I'm gonna suggest you're doing it for the wrong reasons. Don't do it for them, do it for yourself. Whatever you want to do for your children, do it because you want to do it. Because when the messy times come in, any family dynamic and they start answering back and you have an argument and it gets be heated, you don't wanna be like, oh, that little s*** can't believe how much I sacrifice for my son or daughter, and that kind of stuff. You don't wanna feel like that. They don't owe you anything. Any sacrifice you do, anything you do, do it because you wanted to do it. Not for them. I hope that made sense. It just came from the heart, was totally unscripted, spontaneous, and for those on Protrusive Guidance particularly, I wanna know what you felt about that. Anyway, hope you enjoy the main interview. I catch you in the outro. Main Episode:Laura and Arabella, welcome to the Protrusive Dental Podcast. I'm so, as a father of two boys, i'm so excited. I read books like Anxious Generation and I follow so much, and I wanna thank Lydia for connecting us. There's so much I wanna speak to you about,