Before You Extract: Intentional Replantation in Practice – PDP256

When should you attempt to save the root filled molar that everyone else thinks is doomed? What are the key steps to safely remove, treat, and replant a tooth without causing fractures or resorption? And how do you manage patient expectations and post-op care to maximize success? In this episode, Dr. Samuel Kratchman and Dr. Shivakar join Jaz to explore intentional tooth replantation—a procedure that rarely gets the spotlight but can completely change treatment options for challenging cases. They cover everything from case selection and imaging, to managing crowns and fragile teeth, to simple tools and techniques that make this procedure predictable and accessible. They also dive into patient communication, consent, and how to include this procedure as part of your everyday dental armamentarium, giving you the confidence to consider it when the right case comes along. https://youtu.be/SjJTzbJ_AXs Watch PDP256 on YouTube Key Takeaways: Intentional replantation is a viable alternative to extraction. The success rate of intentional replantation is documented at 88-89%. Patient education is crucial for successful treatment outcomes. The periodontal ligament must be kept moist during the procedure. Imaging is essential for understanding tooth anatomy before replantation. The procedure can be performed atraumatically with proper technique. Replantation can be a last chance for teeth that are difficult to replace with implants. A mindset shift is needed in dentistry to prioritize saving natural teeth. Apical infections are often linked to the root tip and surrounding tissue. A good coronal seal is essential before any restorative work. Common complications include ankylosis and resorption. Inflammation can aid in the extraction process by serving the ligament. Post-operative care is vital for successful recovery. Highlights: 00:00 Teaser 00:48 Introduction 03:27 Pearl: PDL is everything  04:54 Interview with Dr. Shivakar Mehrotra 07:03 Interview with Dr. Samuel Kratchman 11:01 Terminologies and Success Rates of Replantation 16:03 Indications of Replantation 22:29 Evaluating Radiographs and Clinical Factors 28:48 Case Studies and Practical Applications 30:51 Midroll 34:12 Case Studies and Practical Applications 38:08 Management of Apical Infection 40:35 Curveball Scenario: Combined Endodontic and Restorative Challenge 45:57 Replantation Success Rates and Complications 51:06 Radiographic Signs and Extraction Techniques 56:03 Postoperative Care and Instructions 59:49 Final Thoughts and Resources 01:02:14 Outro 🚨 First replantation case coming up? Do your homework! 🚨 Before you touch that tooth:📖 Read the published protocols INTENTIONAL REPLANTATION by Dr. Samuel Kratchman Retention and Healing Outcomes after Intentional Replantation 🔍 Review systematic reviews Clinical outcome of intentional replantation with preoperative orthodontic extrusion: a retrospective study by Cho et al A Systematic Review of the Survival of Teeth Intentionally Replanted with a Modern Technique and Cost-effectiveness Compared with Single-tooth Implants by Anshul Mainkar  Keep the learning going! Check out PDP061: Surgical Extrusion for ‘Hopeless’ Teeth. #PDPMainEpisodes #EndoRestorative #OralSurgeryandOralMedicine This episode is eligible for 1 CE credit via the quiz on Protrusive Guidance.  This episode meets GDC Outcomes C. AGD Subject Code: 070 ENDODONTICS (Surgical treatment) Aim: To understand the indications, technique, and outcomes of intentional replantation for teeth with failed endodontic treatment, emphasizing atraumatic removal and predictable long-term success. Dentists will be able to – Identify teeth suitable for intentional replantation based on anatomy, root morphology, and prior treatment. 2. Explain the procedural workflow, including atraumatic extraction, extraoral root-end management, and replantation techniques. 3. Counsel patients effectively on prognosis, risks, and postoperative care.

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

When are antibiotics truly indicated in dentistry? How do you manage the patient who’s begging for a prescription? And what impact are we having on the gut every time we prescribe unnecessarily? In this episode, Dr. Jeremy Lenaerts joins Jaz to explore the world of antibiotics in dentistry. Together, they cover when to prescribe, when not to, and why analgesics or local measures are often the better option. They also dive into the bigger picture—antibiotic resistance, gut health, and how to navigate those tricky conversations when patients demand antibiotics for the wrong reasons. https://youtu.be/-Q4hvl-8vpU Watch PDP254 on Youtube Protrusive Dental Pearl? Save time and avoid confusion with a ready-made Antibiotics Cheat Sheet that combines the best guidelines into one resource. It covers: True indications and contraindications Drug interactions First, second, and third-line choices Doses and duration 👉 Download it or find it in the Protrusive Vault if you’re a Protrusive Guidance member. Key Takeaways Antibiotics are often overprescribed in dentistry, with 80% deemed inappropriate. The gut microbiome plays a crucial role in overall health and can be negatively impacted by antibiotics. Educating patients about the risks of antibiotics is essential for informed consent. Local measures should be prioritized over antibiotics for dental infections. Antibiotics can lead to antibiotic resistance, affecting both individual and public health. The gut microbiome is increasingly recognized as a separate organ essential for health. Dentists should consider the long-term effects of antibiotics on gut health when prescribing. Patient communication is key in managing expectations around antibiotic prescriptions. A balanced diet rich in fiber and fermented foods supports gut health. Dentists must navigate the tension between patient demands and clinical guidelines. Highlights of this episode: 00:00 Teaser 00:37 Intro 02:25 Protrusive dental podcast 04:10 Dr. Jeremy’s Journey into Dentistry 07:47 Antibiotic Use in Dentistry 10:28 True Indications for Antibiotics 14:12 Impact of Antibiotics on Gut Health 21:09 Clinical Scenarios and Best Practices 26:09 Managing Severe Dental Swellings 26:28 Midroll 29:49 Managing Severe Dental Swellings 33:39 Techniques for Anesthetizing Abscesses 38:06 Handling Cellulitis and Systemic Infections 42:58 Dosage and Safety of Local Anesthetics 44:58 Dealing with Dry Sockets and Retreated Teeth 47:43 Outro Updated SDCEP Guidance For clinicians in the UK, Drug Prescribing for Dentistry is now available through the dedicated website SDCEP Dental Prescribing. Please note that SDCEP no longer provides updates to the printed guidance, and the Dental Prescribing app is no longer supported or updated—it should be deleted from all devices. The SDCEP Dental Prescribing website is now the authoritative source for the most up-to-date information on prescribing in dental practice. We are also providing the 2016 PDF version of Drug Prescribing for Dentistry for reference, but users should be aware that this document is no longer maintained and may not reflect the latest clinical guidance. Download the 2016 PDF here. If you enjoyed this episode, you’ll also find value in Prescribing Antifungals as a GDP – Diagnosis and Management (PDP151) #PDPMainEpisodes #Communication #BreadandButterDentistry #CareerDevelopment This episode is eligible for 0.75 CE credit via the quiz on Protrusive Guidance.  This episode meets GDC Outcomes C and D. AGD Subject Code: 340 (Prescription medication management) Aim: To enhance clinicians’ confidence in the rational prescribing of antibiotics in dentistry, with an understanding of when they are indicated, when they are not, and the broader impact on antimicrobial resistance and gut health. Dentists will be able to – Identify the true clinical indications for antibiotic use in dentistry. Recognize when local measures (drainage, extraction) are preferable to antibiotics. Explain the impact of antibiotic use on antimicrobial resistance and the gut microbiome. Apply current guidelines (e.g., SDCEP) in clinical scenarios involving dental infections.

Can adults really expand their maxilla? Is treating sleep apnea with a CPAP or mandibular advancement device only MASKING the problem? How does craniofacial anatomy influence airway health, and what should dentists look for? Dr. Dave Singh joins us to dive into CranioFacial Sleep Medicine. He breaks down how structural issues—like a narrow maxilla, high-arched palate, or limited tongue space—can be root causes of sleep-disordered breathing, rather than just treating symptoms.  The episode also touches on controversies in orthodontics and presents evidence supporting interventions once thought impossible in adults. https://youtu.be/WUyeOjKquJU Watch PDP253 on Youtube Protrusive Dental Pearl: Obstructive Sleep Apnea is NOT just a “fat old man disease.” If you’re not screening every patient for sleep and airway issues, you’re missing a huge piece of their overall health. Snoring, bruxism, and craniofacial anatomy are all connected, and understanding these links can transform the way you approach patient care. Key Takeaways: Mandibular advancement appliances are not a universal solution. While effective for some patients, they often fail to address the underlying causes of airway collapse. Craniofacial sleep medicine focuses on airway etiology, not just symptom control, by identifying why the mandible, tongue, and airway behave as they do during sleep. The cranial base plays a foundational role in facial growth, jaw position, and airway size, directly influencing sleep apnea risk. A retruded mandible is frequently due to developmental and epigenetic factors, rather than being an isolated mandibular issue. Sleep apnea has multiple endotypes—including craniofacial, neurologic, metabolic, and myopathic—requiring individualized treatment planning. Bruxism is not a reliable airway-opening mechanism and may be a primitive physiological response to hypoxia rather than a protective behavior. Tooth wear can be an early indicator of sleep-disordered breathing, and should prompt clinicians to screen beyond restorative concerns. Upper Airway Resistance Syndrome (UARS) can occur even when the apnea-hypopnea index (AHI) is low, particularly in non-obese patients with fatigue, pain, and poor sleep quality. Palatal expansion should be understood as a 3D craniofacial intervention, aimed at improving nasal airflow and airway function—not merely widening the dental arch. Effective care depends on an integrated, multidisciplinary approach, involving dentists, orthodontists, sleep physicians, ENTs, and myofunctional therapists. Youtube Highlights: 00:00 Teaser 01:01 Introduction 02:56 Pearl: Debunking Myths About Sleep Apnea 04:27 Interview with Professor Dave Singh: Journey and Insights 13:23 Craniofacial Development 18:53 Epigenetics and Orthodontic Controversies 25:52 Diagnosis and Treatment of Sleep Apnea 32:49 Understanding Upper Airway Resistance Syndrome 34:17 Midroll 37:38 Understanding Upper Airway Resistance Syndrome 39:45 Diagnosing Sleep Disorders and Treatment Modalities 43:58 Exploring Bruxism and Its Hypotheses 45:19 CPAP and Alternative Treatments for Sleep Apnea 48:12 Managing Upper Airway Resistance Syndrome 55:11 Integrative Approach to Sleep Disorder Management 57:17 Diagnostic Protocols and Imaging Techniques 01:02:25 The Importance of Proper Device Fit and Function 01:07:16 Upcoming Events and Further Learning Opportunities 01:09:56 Outro ✨ Don’t Miss Out: Practical, anatomy-based approaches to sleep and airway management for dentists and specialists 📅 Event: Introduction to Craniofacial Sleep Medicine 📍 Location: Marriott Hotel, London Heathrow 💷 Course Price: £2,495 🐦 Early Bird Registration: £1,996 🎟️ Discount Code: Use “earlybird20” at checkout 🌐 Learn More: Visit REMA Sleep for details on courses, devices, and craniofacial sleep medicine resources. 🚀 Try Protrusive AI aka AskJaz today: Explore clinical reasoning and educational support directly within the Protrusive Guidance App! If you loved this episode, watch 5 Airway Patients In Your Dental Practice Right Now with Dr Liz Turner – PDP226 #PDPMainEpisodes #OcclusionTMDandSplints #BreadandButterDentistry This episode is eligible for 1 CE credit via the quiz on Protrusive Guidance.  This episode meets GDC Outcome C. AGD Subject Code: 730 ORAL MEDICINE, ORAL DIAGNOSIS, ORAL PATHOLOGY (Sleep medicine) Aim: To understand the craniofacial and dental considerations in managing sleep-disordered breathing, including the role of mandibular advancement, palatal expansion, and integrative dental approaches in sleep medicine. Dentists will be able to – Describe the craniofacial factors contributing to sleep-disordered breathing and upper airway resistance syndrome (UARS). Explain the mechanisms, indications, and limitations of mandibular advancement devices and palatal expansion in dental sleep medicine. Integrate diagnostic findings, craniofacial assessment, and interdisciplinary collaboration to formulate individualized treatment plans for patients with sleep-disordered breathing.

Happy New Year, Protruserati ✨ As 2025 comes to a close, we wanted to pause and reflect by revisiting the moments that genuinely shaped how we practise, think, and show up in the clinic. This Best of 2025 episode starts with restorative and aesthetics, moves through digital workflows, endo, paediatrics, surgery, communication, and finishes with what sustains us over a long career. These are the clips that made me pause, rethink, and quietly adjust how I work – and I hope they do the same for you. Some of the ideas you’ll hear in this episode include: Predictable ways to manage wear and space without over-treating Small restorative and material choices that have a big impact long-term Practical digital workflows that genuinely improve accuracy and efficiency Endo fundamentals that reduce stress and increase consistency Clear clinical judgement for paediatrics, surgery, and medical emergencies Communication habits that build trust without using jargon Simple, sustainable ways to protect your body, health, and curiosity https://youtu.be/rsOxnzlYUkc Watch the Best of 2025 on YouTube Also, AskJaz is here!📢 AskJaz (JazAI) is built to solve a simple problem: knowing what to do next without digging through endless content. Need quick guidance on a tricky case? Not sure which cement to use? Need help with a lab prescription? AskJaz has you covered.😉 It provides 24/7 support, allowing you to ask questions at any time and receive clear, direct responses. You can even talk to Jaz in your own language, making the guidance easier to understand and apply—especially in fast-paced clinical situations. AskJaz is available by upgrading to the Ultimate Clinical Education Plan, where it’s currently included. This gives you full access to AskJaz alongside premium masterclasses, CPD features, and advanced clinical resources inside the app. If you join or upgrade on or before January 11, AskJaz is included with your Ultimate membership for as long as your account remains in good standing. From January 12, a new Ultimate+ Plan will launch at a higher price—and that will be the only way new members can access AskJaz. So if you’ve been thinking about upgrading or joining the app, this is a very good moment. A Heartfelt Thank You To every guest who sat down with me this year and shared their knowledge, their stories, their hard-won wisdom — thank you. You made us all better clinicians. And to you — for listening, for questioning, for caring enough to keep learning even when you’re exhausted, even when the day’s been long, even when it feels like there’s always more to know. You’re the reason this podcast exists. You’re the reason I keep doing this. Thank you for being here. Thank you for being part of this community. Thank you for showing up, year after year. Here’s to 2026. Here’s to more conversations. Here’s to all of us getting just a little bit better. Until next year, keep learning, keep caring, and keep doing the dentistry that makes you proud.

Do your patients really have two bites? Does their bite change when they lie down? When they sleep? And how can you explain centric relation, posture, and deprogramming in a way that patients actually understand? Dr. Bobby Supple joins Jaz for a powerful episode unpacking one of the most misunderstood topics in occlusion: the daytime chewing bite versus the nighttime airway bite. After spending days with Bobby in his New Mexico clinic, Jaz saw firsthand how simply and elegantly Bobby communicates concepts that usually leave patients — and dentists — confused. Together, they explore why bite discrepancies exist, what happens when the condyles fully seat, and how aligning Bite One and Bite Two over time can transform patient comfort and restorative outcomes. https://youtu.be/EC_qxUF7GxI Watch PDP252 on YouTube Protrusive Dental Pearl  When assessing abfractions, always check the patient’s bite in two positions: seated upright and lying back.  Posture subtly shifts the condylar position and can change how forces load the tooth. Want more gems like this? AskJaz — your on-demand dental brain, will be soon baked right into the Protrusive App. Key Takeaways: Every patient has two bites — their upright chewing bite and their horizontal airway bite. Posture changes the condylar position more than we realise. Clear communication can make complex occlusion concepts instantly understandable. Aligning Bite One and Bite Two over time leads to healthier joints and more predictable dentistry. Highlights of this episode: 03:36  Pearl – Assessing Abfractions  06:47 Dr. Bobby Supple’s Journey to Dentistry 10:46 Confusion Around Centric Relation 13:22 Exploring T-Scan Technology 21:40 The Evolution of Digital Occlusion 27:05 Effect of Sitting vs. Reclined Position 32:03 Airway and Skeletal Asymmetry 37:19 Bite Philosophy and Treatment 42:10 Orthotics and Long-term Care 52:13 Preventive Dental Care 58:18 Ask Jaz AI (Beta Launch) 🎓 Join the world’s leading organization dedicated to occlusion, temporomandibular disorders (TMD), and restorative excellence — the American Equilibration Society (AES). 🗓️ AES Annual Meeting 2026 – “The Evolution of the Oral Physician”  📍 February 18–19, 2026 · Chicago, Illinois Papers & Literature: Dr. Bobby’s Top Picks Evolving digital patterns Introduction to force scanning 5 ways to use T-Scan Digital Occlusion–From paper marks to digital force mapping Discover Dr. Robert Kerstein’s guide to Measured Digital Occlusion and T-Scan technology.  Dive deeper into occlusion with Dr. Bobby Supple on Occlusion Wars II: Beyond Teeth – PDP101 #PDPMainEpisodes #OcclusionTMDandSplints #BestofProtrusive This episode is eligible for 1 CE credit via the quiz on Protrusive Guidance.  This episode meets GDC Outcomes C AGD Subject Code: 180 OCCLUSION Aim: To enhance clinicians’ understanding of the “two bites” concept, the role of condylar position in occlusal health, the use of T-Scan in diagnosing occlusal force patterns, and the long-term prevention-based approach to managing occlusal stress, abfractions, and TMJ remodeling. Dentists will be able to – Explain the concept of patients having “two bites” (MIP bite vs. airway/postural bite) and describe how posture influences mandibular position. Identify occlusal stress patterns using clinical examination and digital tools (e.g., T-Scan) to recognise overloads that may contribute to abfractions, cracks, or TMJ symptoms. Apply a long-term, preventive approach to occlusal management that aims to harmonise daytime and nighttime bites while supporting joint remodeling through appropriate orthotic therapy.

How do you balance a high-performance dental career with being an effective parent? What strategies help you stay sane amidst the organized chaos of family life? How can showing up as your best self benefit both your patients and your children? Dr. Shandy Vijayan and Dr. Raabiha Maan join Jaz in this nonclinical episode to share their experiences of parenthood in dentistry. From the unique perspectives of two dentist-moms and the dad viewpoint, they discuss the real-life challenges of raising children while maintaining personal well-being. They also share practical tips, book recommendations, and actionable strategies for self-care and emotional regulation—helping you create a balanced family life while thriving in your career. During the episode, Jaz also mentions KARRI — a fun, screen-free voice messenger that helps kids stay safely connected with parents and friends, without social media or internet access. Loved by kids. Trusted by parents. Get 50% off via: www.protrusive.co.uk/karri https://youtu.be/F-Tp83_tuco Watch IC065 on Youtube Key Takeaways Life comes in “seasons”; early parenting (~0–8 yrs) is intense but temporary. Reduce clinical load early to focus on children; career focus increases after ~12 yrs. Prioritize time with kids over tasks; coordinated parenting schedules help. House help significantly reduces stress, frees energy for quality interactions. Support networks (family, in-laws, professional communities) are essential. Grandparents: allow flexibility; avoid micromanaging childcare. Returning to work: stress, costs (GDC, indemnity, childcare), skill gaps, guilt. Dentistry = high-performance + emotional labor; manage energy carefully. Quick mental reset between work/home recommended; part-time can boost longevity. Parent happiness + strong parental relationship = major factor in kids’ emotional regulation. Run family like a small business: systems, schedules, clear roles. Self-regulation, EQ, and self-care benefit family, patients, and professional life. Highlights of this episode: 00:00 Teaser 01:00 Intro 02:50 Shandy’s Story: Juggling Multiple Clinics 08:11 Raabiha’s Story: Managing a Practice and Family 08:58 Interjection 16:03 Raabiha’s Story: Managing a Practice and Family 18:17 Life Seasons and Reducing Clinical Commitment 21:05 The Value of Help and Support Networks 27:00 Financial and Emotional Challenges in Dentistry 33:03 Midroll 36:22 Financial and Emotional Challenges in Dentistry 36:24 Balancing Work and Home Life 42:26 Time Management and Setting Boundaries 46:51 Self-Care and Emotional Regulation 53:53 Upcoming Wellness Event 59:01 Final Thoughts and Future Ideas 59:49 Outro Ready to take the next step? Check out this great resource for new dentists and trainees: Dentistry in a Nutshell Join the community at the Dental Mums Network to connect with dentist‑parents balancing clinical work and family life. Revive 2026 – A Wellness Event Like No Other (6 hours CPD) 🗓 Saturday 24th January 2026 📍 Leonardo Royal Hotel, St Paul’s, London Revive 2026 is your invitation to pause, breathe, and reconnect- a full-day experience designed for women in dentistry who are ready to start the year with purpose, calm, and clarity. Loved this? Dive deeper into Parenthood and Dentistry – IC025 (Even If You’re Not a Parent!) #InterferenceCast #BeyondDentistry #Communication This episode is eligible for 0.75 CE credit via the quiz on Protrusive Guidance.  This episode meets GDC Outcome: B AGD Subject Code: 770 SELF IMPROVEMENT Aim: To explore strategies for managing work-life balance in dentistry, focusing on early parenthood, emotional regulation, and professional sustainability. Dentists will be able to – Describe key challenges dentists face balancing clinical practice with early parenthood. Identify practical strategies for maintaining emotional energy, setting boundaries, and creating support networks. Apply approaches to integrate self-care, household management, and EQ development to enhance personal and professional well-being.

Thinking of moving to the USA as a dentist? Wondering what exams, applications, and documents you’ll need to practice or specialize there? Curious about how much it costs — and what life as a dentist in the States is really like? Dr. Hazel Kerr and Dr. Dorrin Reyhani join Jaz for a deep dive into everything you need to know about moving to America as a dentist. Both UK-trained and now faculty at UPenn, they share their personal journeys and break down the full pathway — from exams like the INBDE and TOEFL, to transcripts, personal statements, and application timelines. They also discuss what it’s like working in the US compared to the UK, including earning potential, patient culture, and training opportunities. Whether you want to complete an advanced standing program, pursue a specialty, or bring your skills back home, this episode gives you a clear roadmap to make it happen. https://youtu.be/Ro9dljETKpc Watch IC065 on YouTube Key Takeaways The journey to becoming a dentist varies significantly by country. Specializing in dentistry can open more opportunities than general practice. Board certification enhances professional status and may offer insurance benefits. International dentists have specific routes to practice in the US. Scholarships can significantly reduce the financial burden of dental education. Teaching positions can provide pathways to practice without additional costs. Faculty primarily teach and supervise dental students in clinics. Early preparation for the INBD exam is crucial for success. Clinical experience and a strong portfolio are essential for applications. Networking and externships can enhance application prospects. Understanding the application process can alleviate stress for international students. Cultural differences impact how dental care is valued and perceived. Highlights of this episode: 00:00 Teaser 00:55 Introduction 04:15 Journey to Specialization 12:49 Understanding the Certification and Board Process 15:35 Exploring Different Routes for International Dentists 18:17 Financial Considerations and Scholarships 25:48 US Difficulty and Competitiveness 29:35 Choosing Between General and Specialty Routes 31:11 Navigating State-Specific Licensing 33:28 Teaching and Clinical Responsibilities 35:03 Midroll 38:24 Teaching and Clinical Responsibilities 43:01 Application Process and Exams 52:07 Residency and Career Pathways 57:39 Application Portals 01:00:35 Work Experience Before Specialization 01:03:22 Why Dentists Choose to Work in the US 01:09:36 Finishing the Program and Looking Ahead 01:12:01 Outro If you enjoyed this episode, you’ll definitely be inspired by The American Dental Dream – PDP002. #InterferenceCast #CareerDevelopmentThis 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.

You’re doing a routine exam when you spot it – a stained hairline crack snaking across the marginal ridge of a molar. Your patient hasn’t mentioned any symptoms… Yet. Should you sound the alarm? Monitor and wait? Jump straight to treatment? Cracked teeth are one of dentistry’s most misunderstood diagnoses. Colleagues debate whether to crown or monitor. And that crack you’re staring at? It could stay dormant for years—or spiral into an extraction by next month. So what separates the teeth that crack catastrophically from those that quietly hold together? In this episode, I am joined by final-year dental student Emma to crack the code (pun intended) on cracked tooth syndrome.  We break down the easy-to-remember “position, force, time” framework to help you spot risk factors before disaster strikes, and share a real-world case of a 19-year-old bruxist whose molar was saved by smart occlusal thinking. If you’ve ever felt uncertain about diagnosing, explaining, or managing cracked teeth, this episode will change how you think about every suspicious line you see. https://youtu.be/mU8mM8ZNIVU Watch PS019 on YouTube Need to Read it? Check out the Full Episode Transcript below! Key Takeaways Risk factors include large restorations and bruxism. Occlusion plays a significant role in tooth health. Diet can impact the integrity of teeth. Every patient presents unique challenges in treatment. Communication about dental issues is key for patient care. Certain teeth are more prone to fractures due to their anatomy. The weakest link theory explains why some patients experience more dental issues. Patient history is crucial in predicting future dental problems. The age and dental history of a patient influence treatment decisions. Understanding occlusion is essential for diagnosing and treating cracked teeth. The location of a tooth affects the force it experiences during chewing. Bruxism increases the risk of tooth fractures. Tooth contacts and forces play a critical role in diagnosing issues. Opposing teeth can provide valuable insights into tooth health. Effective communication is essential in managing cracked teeth. Stains on teeth can indicate deeper issues with cracks. Monitoring and documenting cracks over time is crucial for patient care. Highlights of this episode: 00:00 Teaser 00:49 Intro 03:25 Emma’s Dental School Updates 07:18 What is Cracked Tooth Syndrome (CTS)? 10:02 Crack Progression and Severity 12:45 Risk Factors 14:54 Position–Force–Time Framework 21:53 Which Teeth Fracture Most Often? 25:32 Midroll 28:53 Which Teeth Fracture Most Often? 30:37 The Weakest Link Theory 34:05 Diagnostic Tools 37:56 Treatment Planning 39:42 Case Study – High Force Patient 47:27 Communication and Patient Management 51:03 Key Clinician Takeaways 53:03 Conclusion and Next Episode Preview 53:42 Outro Check out the AAE cracked teeth and root fracture guide for excellent visuals and classification details. Literature review on cracked teeth – examines evidence around risk factors, prevention, diagnosis, and treatment of cracked teeth. Want to learn more about cracked teeth? Have a listen to PDP028 and PDP098 – both packed with practical tips and case-based insights. #BreadAndButterDentistry #PDPMainEpisodes #OcclusionTMDandSplints This episode is eligible for 0.75 CE credits via the quiz on Protrusive Guidance.  This episode contributes to the following GDC development outcomes: Outcome C   AGD Subject Code: 250 – Operative (Restorative) Dentistry Aim: To help dental professionals understand the causes, diagnosis, and management of cracked teeth through a practical, evidence-based approach. It focuses on identifying risk factors using the Position–Force–Time framework and improving patient outcomes through informed communication and tailored treatment planning. Dentists will be able to: Explain the aetiology and progression of cracked tooth syndrome Identify high-risk teeth and patient factors—such as restoration design, occlusal contacts, and parafunctional habits—that predispose to cracks Communicate effectively with patients about the significance of cracks, prognosis, and monitoring options, improving patient understanding and consent.

Are you confident in spotting a child at risk of neglect? Do you know what to do if you witness abuse in your practice? How can you raise concerns safely while protecting both the child and your team? This episode with Dr. Christine Park provides tangible actions, practical scripts, and clear guidance for managing challenging scenarios—like seeing an adult hit a child in the waiting room or recognizing neglect in the dental chair. These are situations dental school rarely prepares us for. Every practice needs clear protocols for safeguarding. This episode acts as a North Star, helping you stay compliant while ethically doing the right thing. If you treat children, you must listen to this episode and share it with every colleague who treats children. https://youtu.be/-kYs23Xa4Ls Watch PDP251 on YouTube Protrusive Dental Pearl: Find the phone number of your local child safeguarding board / social services. Verify it, then display it where you and your team can quickly access it. Need to Read it? Check out the Full Episode Transcript below! Key Takeaways Dentists are trained observers of family dynamics. Recognizing normal behavior is key in dental care. Unconscious observations can guide professionals. Feeling uncomfortable about a situation is a valid signal. Empowerment comes from trusting your instincts. Dental care professionals see many aspects of families. It’s important to act on uncomfortable feelings. Observation skills are crucial for effective care. Children’s interactions reveal much about family health. Awareness of discomfort can lead to better outcomes. Highlights of this episode: 00:00 Teaser 00:59 Intro 02:40 Pearl – Child Protection Hotline 05:23 Dr. Christine Park’s Background and Expertise 08:37 The Role of Dentists in Safeguarding Children 11:19 Practical Scenarios and Guidelines for Safeguarding 15:35 Recognizing Silent Cases of Neglect 17:29 Team Collaboration and Support in Safeguarding 21:58 Guidelines and Policies for Effective Safeguarding 22:03 Midroll 25:24 Guidelines and Policies for Effective Safeguarding 28:32 Handling a Tough Safeguarding Scenario 32:18 Dealing with Poor Oral Hygiene and Neglect 39:12 Managing Parental Reactions and Consent 43:08 The Importance of Safeguarding in Dentistry 45:34 Further Guidance and Resources 46:10 Outro 📢 Safeguard your young patients with confidence! Catch Dr. Christine Park at the Scottish Dental Show in June or via her NES webinars. Check out the BSPD guidelines on dental neglect —an essential resource for any dentist treating children ✉️ Get in Touch with Dr. Christine: General: [email protected] Patient-info: [email protected] If you loved this episode, don’t miss How to Manage Children in Dental Pain – Paediatric Emergencies – PDP159 #PDPMainEpisodes #Communication #CareerDevelopment This episode is eligible for 0.75 CE credit via the quiz on Protrusive Guidance.  This episode meets GDC Outcomes A and D. AGD Subject Code: 430 PEDIATRIC DENTISTRY (Identification and reporting of child abuse) Aim: To equip dental professionals with practical knowledge and skills to recognize, respond to, and appropriately escalate safeguarding concerns involving children in dental practice. Dentists will be able to – Identify key signs and red flags of child neglect, abuse, or welfare concerns in dental patients. Apply clear communication strategies to discuss concerns with parents/caregivers and involve relevant authorities. Follow practice-based and multi-agency procedures for safeguarding, including documenting observations and escalation.