Periodontics for Beginners – PS008

JOIN US on 16th November for Treatment Planning Symposium 2024 - Online Event OR In-Person - you decide! https://youtu.be/G5ebbUl0sDg Watch PDP198 on Youtube Implants are great but they are not always the best solution for our patient. There are many times a bridge or denture may serve the patient’s goals, aesthetics and budget better. So how do we decide between bridges and dentures? Is it acceptable to use root filled tooth as a bridge abutment? Are single tooth posterior dentures risky? Or do patients love them? How do we begin to communicate aspects of replacing teeth with our patients? Join me with our guest Dr Michael Frazis as we discuss the art form of communication with our patients and some outlandish cases including roundhouse bridges. This will really help upskill you on dealing with patients with missing teeth. Protrusive Dental Pearl: Failure is inevitable for our Dentistry, but try to set yourself up for smaller failures and not giant catastrophes! The real magic is in proper case selection. Practise at the EDGE of your comfort zone, but NOT out of your depth. 20% OFF Guaranteed on RipeGlobal Fellowship Programs + Free access to their portal - Click here to register for this! protrusive.co.uk/rg20 Follow Dr Michael Frazis on Instagram This episode is eligible for 1 CE credit via the quiz on Protrusive Guidance. This episode meets GDC LEARNING OUTCOMES: A and C AGD Subject Code: 610 Fixed Prosthodontics Dentists will be able to: Demonstrate improved decision-making skills in treatment planning, particularly regarding non-implant tooth replacement options. Apply communication strategies to better explain treatment options, manage patient expectations, and gain informed consent, especially in high-risk cases involving implants, bridges, or challenging restorations. Recognize red flags and understanding the risks involved in specific dental procedures (such as implant failure or the use of root-filled teeth as abutments) and how to mitigate these risks through careful case selection and patient education. For the full educational experience, our Ultimate Education Plan gives you access to all our courses, webinars, and exclusive monthly content. This includes videos on Overlay preps and the famous 'Vertipreps for Plonkers' series. Highlights of this Episode:00:01:37:00 Protrusive Dental Pearl00:03:51:05 Introduction - Dr Michael Frazis00:10:43:10 Growth in Dentistry00:14:10:10 Non Implant Tooth Replacement Options00:18:15:10 Treatment Planning Bridges and Dentures00:24:35:10 Ideal Treatment vs Budget00:30:15:10 Single Tooth Dentures00:36:58:10 Thin Implants vs Bridges00:39:25:10 Bridge Spans00:49:20:10 Root Filled Teeth as Bridge Abutments00:55:35:10 Failures01:05:35:10 Wrapping Up - Contact Michael If you liked this episode, check out PDP132 - Resin Bonded Bridges

Treatment Planning Symposium 16th November Hybrid event: https://www.protrusive.co.uk/rx Are you still afraid of raising the Vertical Dimension? You cannot break free from the shackles of single tooth Dentistry if you don’t get comfortable with vertical dimensions changes in Restorative Dentistry. https://youtu.be/Nb-LTyzRKuU Watch PDP197 on Youtube In this episode, Dr. Jaz Gulati and Dr. Mahmoud Ibrahim  simplify the complex topic of increasing vertical dimension.  What is a safe limit of increasing the vertical dimension? They cover the essentials of joint health, muscle stability, and the importance of centric relation (does it actually matter?) Protrusive Dental Pearl: Use Duralay copings for guide planes to ensure stable dentures with a single path of insertion. While eyeballing the prep can be challenging, he suggests requesting acrylic copings from the lab for precise preparation. He explains that technicians survey models to identify undercuts and determine the path of insertion, and instead of manual prepping, he advises using lab-created reduction copings and acrylic jigs to simplify and accurately guide the preparation process.  Highlights of this episode:  02:05 Protrusive Dental Pearl  Acyrlic Copings for Guide Planes 03:57 Dr. Mahmoud Ibrahim’s Introduction 06:05 Personal Experiences with Vertical Dimension 08:45 Challenges and Techniques in Vertical Dimension 14:17 Clinical Considerations (Restorative Dentistry) and Research 21:15 How to Assess OVD Loss? 24:35 Factors to Consider in Increasing the Vertical Dimension 28:41 Treatment Planning: Orthodontics vs. Restorative Management 32:21 Assessing Cases for Vertical Dimension 34:39 Joint Position and Vertical Dimension 39:47 Occlusal Appliances Prior to Increasing Vertical Dimension  45:26 Joint Relationship 50:49 Reproducibility and Stability in Occlusal Planning 53:00 Summary and Final Thoughts on Vertical Dimension This episode is eligible for 1 CE credit via the quiz on Protrusive Guidance. AGD code: 180 Occlusion  (Occlusal therapy) This episode meets GDC Outcomes A and C. Dentists will be able to: 1. Explore key clinical considerations and current research in restorative dentistry related to vertical dimension, enhancing your ability to make informed decisions. 2. Understand the relationship between joint position and vertical dimension, and how to assess and manage this relationship effectively. 3. Recall the guidelines for assessing the vertical dimension and the safe limit for this in dentate patients. If you liked this, you will also like Functionally Generated Path Technique – Conforming to Funky Occlusions – PDP168

Plant it low and watch it grow? Is that serving our patients? Should we keep our crowns flat to avoid ‘interferences’? How about guiding teeth - how can we recreate and build in guidance and the correct cuspal inclination in our indirect work? https://youtu.be/b2KA84dXhnI Watch PDP196 on Youtube As part of Occlusion month I am joined by my dental technician Graham Entwistle and Occlusion geek Dr Mahmoud Ibrahim. We discuss foundational occlusal concepts relevant to our daily indirect restorations. Protrusive Dental Pearl: Bleeding papilla? Use the HOW technique to QUICKLY stop bleeding - insert a Wedge obliquely (Haemostasis with Oblique Wedge technique) as taught by Dr Sunny Sadana from Drecomposite.com Treatment Planning Symposium 16th November HYBRID EVENT Basics of Occlusion Live 2 Day Hands-On Course with Jaz and Mahmoud Need to Read it? Check out the Full Episode Transcript below! Highlights of this Episode: 0:00 Introduction 03:31 Protrusive Dental Pearl 05:16 Introduction - Graham Entwistle + Mahmoud Ibrahim 08:25 Guiding Teeth 11:40 Why is Guidance important? 16:35 What information should we provide our technicians? 20:00 Excursions and Patient Case 28:00 Complex crown creation 33:33 To Facebow or not to Facebow? 34:40 A Technician’s POV 49:50 What is the Technician aiming for? 51:06 Perfect Contacts - technician perspective 53:23 Final Thoughts This episode is eligible for 1 CE credit via the quiz on Protrusive Guidance. This episode meets GDC Outcomes B and C. AGD Subject code: 180 Occlusion (Occlusal functional concepts) Dentists will be able to: 1. Understand the importance of guidance and occlusion in crown design, ensuring restorations contribute positively to occlusal function and patient well-being. 2. Improve communication strategies with dental technicians, including providing crucial details such as shim holds and occlusal plane guidance, to ensure optimal restorations. 3. Make informed decisions about the distribution of occlusal forces to prevent damage and maintain functional integrity in prosthetic designs. If you liked this episode, you’ll love PDP137 - Q&A with a Dental Technician Click below for full episode transcript: Teaser: If there's one thing people take away from this podcast, it's this point right here, which can easily be missed, okay? When we send a bite to our technician, whether it's a physical bite or a digital bite, more often than not, okay, it's wrong. Jaz's Introduction:Welcome to Occlusion Month on Protrusive Dental Podcast 2024. I've just been a little bit excited for this theme. It's one of my favorite themes to discuss because it was Occlusion, learning Occlusion. It's what allowed my dentistry to become more fun. Allow me to move away from single tooth dentistry and through a series of episodes this month, we're going to help you do the same. Ultimately occlusion is just really good restorative dentistry. It's part of the package, but It's perceived as it's like this dark art, this incredibly confusing thing. I think sometimes it's pitched that way to sell more courses, etc. But me and Mahmoud want to convince you that occlusion is easy. It can be simplified. Have faith, stick with us this month, and we hope to demystify some elements of occlusion. In today's episode, we're covering a theme whereby when you have a guiding tooth. Now, when I said guiding tooth, what did you think of? You probably thought of a canine, canine guidance. So let's talk about that scenario, okay? Let's say you're replacing a canine either with direct restorative material or a crown. Crown's easier to discuss. If you're replacing a canine with a crown or even an implant, how do you design the occlusion on that tooth? How do you ensure that you get the correct guidance from that tooth. Now, actually the real world scenario is not canine guidance because very few of our patients are actually canine guided.

There is something very satisfying about a well fitting denture. I am joined by our resident Dental Student, Emma Hutchison, to demystify removable prosthetics. https://youtu.be/1hQGjKUa6MU Watch PS009 on Youtube Which joint position should we use for dentures? Is this important? How do you calculate the freeway space? What are we actually recording during a Wax Jaw Registration for complete dentures? Don’t miss the special exam revision notes on Removable Pros available exclusively in the Protrusive Guidance app! (Join the free Students Section) Need to Read it? Check out the Full Episode Transcript below! This episode is not eligible for CPD/CE points, but never fear, there are hundreds of hours of CPD for Dentists waiting for you on the Protrusive App! For the full educational experience, our Ultimate Education Plan gives you access to all our courses, webinars, and exclusive monthly content. If you love this episode, check out PDP162 - Occlusion for Complete Dentures Click below for full episode transcript: Jaz's Introduction: I think we all remember that phase at dental school where we were just confused by everything related to dentures. It was especially confusing because dentures are kind of like one of the first things you do as you're a dental student. So to you it felt like being thrown in the deep end anyway. Jaz's Introduction:For many of us the denture confusion lives on and continues throughout our career. Hopefully with some of the older episodes in Protrusive we managed to make dentures more tangible. And I myself have been enjoying doing some cobalt chrome dentures, something I didn't get to do much during dental school. But today in this Protrusive Students Section, and I mean students lightly because this whole segment, the Protrusive Students Series, whilst we release some revision notes for students every time we release an episode, what we discover here is revision. Sometimes good to revise topics, go back to basics, so if you're a young dentist or revisiting back into dentistry, or at any stage of being a dental student, this episode and all of the series of protrusive students should be relevant to you. Especially one we did a while ago about adhesive dentistry for beginners. Lots of qualified dentists said how much they enjoyed that one because it was nice to just go back to basics. In this one, once again with our protrusive student Dr. Emma Hutchison, she asked me about all things that confuse her as a student when it comes to dentures. And because she's relatively new to clinic, Most of the questions he asked was related to complete dentures. So I hope you enjoyed this recap and this revision on the different stages of complete dentures. What are we actually trying to achieve in the various stages and what is important and what's not important? Hope you enjoy and I'll catch you in the outro. Main Episode:Emma Hutchison, welcome again to the Protrusive Student section. This time we're going to cover removal. But just tell us, we're recording this way in advance because we don't want to interfere with your exams and stuff. How are you getting on? What's your last few weeks been like? [Emma]Yeah, the last week I've only seen one patient, which was actually my flatmate, and didn't need anything done. And so he just got a scaling polish, a bit of PMPR, and that was him really. So nothing too exciting in terms of patients, but just I've got my exam dates now, so it's really becoming real, so just keeping my head down and getting through lectures and really starting to study now, so. [Jaz]What kind of learner are you, Emma? You know there's different types of learners and stuff, I won't give you any ideas, just in terms of self discovery, how do you like to learn? [Emma]I'd say I need to listen to things, I need to be told by someone who's talking to me, and I need to be able to translate that into something that I can understand myself,

The first EVER ‘Prospective’ episode of Protrusive - I interviewed new-grad Dr Triman Ahluwalia in 2023, then again 7 months later in 2024 to see how he gets on with his first year as a *real* Dentist ;) We uncover what it feels to be a freshly qualified Dentist, the pressures and fears that come with procedures such as endo and surgical extractions, but what we can do as growing clinicians to overcome these hurdles. https://youtu.be/9NtKCIVfMLs Watch IC052 on Youtube This episode is packed with lots of top tips to help you in your journey from the ground up, or as a reminder for those that have been there and done that, that we are forever learning on our journey and there’s always something out there to help us become better Dentists. Need to Read it? Check out the Full Episode Transcript below! Highlights of this Episode:02:02 Introduction to Dr Triman (2023)03:32 Experiences at Dental School07:15 Procedures You Fear + Sectioning Teeth11:25 Thoughts on Social Media in Dentistry15:26 Documenting Work16:30 Future Career Plans18:00 Additional Comments from Triman19:03 Back to the Future: 2024 Triman Update21:50 Dental Photography Progress23:08 Tricky Dental Procedures Update27:46 The Good and the Bad of DFT32:26 Career Path in Dentistry34:49 Triman’s Top Tips37:06 Wrapping Up Don’t forget to check out the Protrusive App where you can find more awesome tutorials on becoming a more efficient and effective practitioner. If you liked this episode, you will also like IC029 - Young Dentist Thrival Guide  This episode is not eligible for CPD/CE points, but never fear, there are hundreds of hours of CPD waiting for you on on the Ultimate Eduction Plan, including Premium clinical workthroughs and Masterclasses. Click below for full episode transcript: Jaz's Introduction: Welcome to the first ever Protrusive Prospective episode. You see, I interviewed Dr. Triman Ahluwalia in his first month of being a real dentist, i. e. newly qualified. I then interviewed him again seven months later to see how he got on. Jaz's Introduction:Hello Protruserati, I'm Jaz Gulati, and welcome back to your favorite dental podcast. Every year we make an episode to help those who are in their first year, i. e. they've just qualified and they're entering the big bad world dentistry. And this is a interesting one because I've never done a prospective episode whereby I've told the guest to wait six, seven months and then we'll continue the recording. Just to see if the perspective has changed. I think this is essential listening and watching for those who are literally about to enter the first year of dental school, or maybe you're returning to work again after some time off, or maybe you just want to gain some insight into the mind of the newly qualified dentist. Maybe you mentor some dentists, by the way, speaking of mentorships and big things, Intaglio is almost out. For those of you who don't know, Intaglio is a new platform we're making to allow one on one mentorship. Look, it doesn't matter. How much money you paid to these courses doesn't matter how many continuums or diplomas you've done. When you have that specific case and you need someone to sit down with to discuss that case, step by step for a good hour or even two hours, the course organizes the diploma teachers. They are busy. They don't have the time to do one on one, which is why we created this platform to allow mentors and mentees to connect and allow fair exchange. Because you know what when a mentee needs help they really value it and they value that one on one time so Intaglio is coming soon and also a big update number two is I'm in my new studio I've now moved from reading to West London quite close to Heathrow it's like little India it's called Southall. I'm close now to my parents my in laws we get lots of support for family so that was a big reason I'm still working in Reading. But yeah, it's been a crazy time with moving.

Is this the death of impressions for Dentures? Are digital dentures predictable? Time saving? Cost saving? Are all types of dentures suitable for the digital workflow? Even if you don’t use an intra-oral scanner, your lab may be utilising a digital workflow, so it’s a great time to dive deep into this area. Impression Club’s Dr Rupert Monkhouse joins us for another removable prosthetics themed episode where we discuss how digital dentistry is changing the way we make partial dentures and complete dentures. https://youtu.be/P8XBEU5I6kc Watch PDP195 on Youtube Check out Impression Club courses This episode is eligible for 1 CE credit via the quiz on Protrusive Guidance. This episode meets GDC Outcomes A and C. Dentists will be able to: 1. Understand the key differences between traditional impression techniques and digital workflows in denture creation, including the benefits and limitations of both methods. 2. Evaluate the accuracy and efficiency of digital dentures compared to traditional methods and implement best practices for integrating digital workflows into their clinical practice. 3. Effectively collaborate with dental technicians using digital tools, fostering better communication and teamwork to achieve optimal patient outcomes in denture fabrication. AGD code 670 Removable Prosthodontics (Emerging technology or techniques) Need to Read it? Check out the Full Episode Transcript below! Highlights of this Episode:03:18 Protrusive Dental Pearl - Understand the Why05:38 Introduction to Dr Rupert Monkhouse8:11 What kind of Dentures can we do Digitally?13:33 What work still requires Impressions?17:05 Which Scanners?19:55 How Accurate?28:24 Should Digital be the Gold Standard?30:55 Immediate Dentures38:55 Cobalt Chromes47:55 Finding great technicians58:08 Impression Club If you liked this, you will also like GF018 Intra-Oral Scanner Click below for full episode transcript: Episode Teaser: For the workflows where we scan the lab work or we did the reference denture, eight out of eight preferred- When I've got the macro flash on it and my 4G megapixel camera. Yeah. I can see the difference minorly aesthetically in the teeth and things. Beyond that, there's no real downsides from my perspective. So clinically for me- Jaz's Introduction:Is this the end of impressions for dentures? Have we finally reached a time whereby we can scan the tissues and we don't need any of that mucocompressive nonsense. Is digital dentistry there yet when it comes to dentures? For our clinical steps, the design and the manufacture of our dentures. Our guest today, Dr. Rupert Monkhouse, back again on the podcast, does a wonderful job of giving us an overview of how digital denture is employed within dentures, not only by us clinicians, but also the lab side and the manufacturer side. But I asked him to truly dive deep and focus onto what we do clinically. How much of what we do clinically can we now do entirely digitally? And the two workflows we discussed today in really good depth are the complete denture workflow and the Cobalt Chrome partial denture workflows. Get your onions ready because this is a really deep and really awesome episode. I think Rupert does a wonderful job. You will find out which scenarios we should be actually scanning and ditching the impressions and whether there are any game changing benefits of moving to a digital workflow for dentures. This episode is our highlight episode for removable prosthodontics month. And next month, i. e. September, will be occlusion month. Hello, Protruserati. I'm Jaz Gulati and welcome back to your favorite dental podcast. I feel like I haven't connected with you guys for so long. I know you've been having an episode every week, but a lot of those episodes actually recorded a while ago. I knew that when the summer would come and my son would be off school, that we would get really busy.

How are periodontal diseases managed in general practice? Join us for an engaging conversation with Emma Hutchison, our Protrusive student, as we explore Periodontology (Perio) in the real world. This conversation delves deep into the practical protocols, patient communication strategies, and real-life scenarios every dental student and practicing dentist should be aware of. https://youtu.be/X5ahZ9bzsc4 Watch PS008 on Youtube Need to Read it? Check out the Full Episode Transcript below! Highlights of this Episode: 0:37 Emma's Dental School Experience: Special Care Dentistry 03:02 Emma’s Denture Adjustment Case  06:11 Periodontics Month  06:54 Communicating with Patients about Gum Disease 10:15 Managing Non-Engaging Patients 15:04 The Psychology of Habits 17:13 Referral Protocols in Dental Practice 20:00 Risk Factors in Periodontal Treatment 25:03 Genetic Factors in Periodontal Disease Don't miss the special notes on An Introduction to Periodontal Diseases available exclusively in the Protrusive Guidance app! This episode is not eligible for CPD/CE points, but never fear, there are hundreds of hours of CPD for Dentists waiting for you on the Protrusive App! For the full educational experience, our Ultimate Education Plan gives you access to all our courses, webinars, and exclusive monthly content. If you love this episode, be sure to recap PS007 - Basics of Indirection Restorations Part 2 - The Crown Fit Click below for full episode transcript: Jaz's Introduction: Welcome to another episode of Protrusive Students. We're joined by Emma Hutchison, our Protrusive Student, to talk about Perio. Look, I'm no periodontist. I'm no specialist, but I can share a few pearls of wisdom for treating Perio in the real world. [Jaz]Emma had some absolutely fantastic questions about protocols, communication, and what to do if you have a non engaging patient. Because let's face it, that's what happens in the real world. Our patients don't floss and they don't brush how well we want them to. So how do you manage that? Here at Protrusive Students we try and cover the themes just for you guys. And of course, if you're a dentist watching this, then it's also relevant to you. We just go back to basics. Let's get to the main part of the interview and I'll catch you in the outro. Main Episode:Emma Hutchison, our Protrusive Student. It's now perio month, so it's great to have you back. Just give us an update, basically, in terms of what new things have you learned at dental school? What are the interesting experiences that you've had? Any ups or downs that you'd like to share with us? [Emma]So, I've only seen one patient in the last week, because I've had a few no shows last week and it was for a denture ease, so it wasn't anything too tricky, which was fine for me. But, yeah, it was good, just a wee denture ease. The elderly gentleman was very happy, so that made me happy. In terms of lectures, lots of special care dentistry at the moment. We're very heavy with special care dentistry in our second half of third year at Glasgow. [Jaz]I know in some countries they don't have that as a speciality. Can you explain to everyone listening and watching what special care dentistry is? [Emma]Yeah, so I suppose special care dentistry, a lot of patients that have very complex medical histories. I mean, this week we were doing people with mental health problems, schizophrenia. We've been doing cardiology, oncology, patients with very learning disabilities as well. Patients that I suppose you could consider a bit more medically compromised or that can be a bit more trickier to treat. So we're very heavy on that in our third year at Glasgow. [Jaz]So if you can treat those medically compromised patients and you can treat anyone, right. It really tests us in terms of what medicines are on, which antibiotics you can and can't give, what the guidelines are in terms of when it's safe to...

It’s your first night on-call and you are bleeped at 3am - there’s a nasty facial laceration waiting for your urgent attention. You have never sutured the face before…”who you gonna call?” - well sometimes even the Ghostbusters will be more helpful than the on-call trainee! https://youtu.be/3RKZG3yy2sU Watch PDP194 on Youtube Our good friend Dr Ameer Allybocus joins us again for another episode where he gives us a lowdown of his experience when he was a DCT trainee many years ago. There is a lot to learn in this podcast from Ameer as he dives into the Trials and Tribulations of being an Oral and MaxilloFacial Surgery DCT during the early years of his career.  There are laughs and tears in this one, so hold on to your seats for an emotional podcast that will leave you wanting more. Need to Read it? Check out the Full Episode Transcript below! Highlights of this Episode:  00:00 Introduction01:37 Protrusive Dental Pearl03:26 Introduction to Dr Ameer Allybocus19:40 The MaxFax Beginnings24:00 MaxFax at UCL29:37 MaxFax isn’t all bad36:05 DCT Oral Surgery 42:16 On Call 48:26 Book Recommendations49:15 Working at the Queen Elizabeth Hospital54:13 A Life Changing Experience59:57 MaxFax: Benefits, Tips & Tricks65:26 Tips from Ameer66:25 Trauma and Accidents70:56 MaxFax Puts Dentistry Into Perspective74:33 Closing Words For the full educational experience, our Ultimate Education Plan gives you access to all our courses, webinars, and exclusive monthly content. If you liked this episode, you will also like: Getting Ahead after Dental School 2023 – IC042 – Protrusive Dental Podcast Click below for full episode transcript: Jaz's Introduction: Is a maxillofacial surgery post right for you? Maybe you've already done one before and you want to like reminisce about your time as a DCT, as a part of a residency or any post and standalone post you've done in a maxillofacial department. Jaz's Introduction:Now my colleagues who've done it tell me that it gives you thick skin, it's character building, it's these amazing experiences and they have no regrets. Whereas I have other colleagues who have major regrets about doing a maxillofacial post. My guest today, returning again, Dr. Ameer Allybocus, does absolutely fantastic job of summarizing the highs and the lows of working in a maxillofacial position as a dentist. Now in the UK, we have these DCT, Dental Core Training positions, but around the world, being attached to a hospital in the maxfax department and helping the registrars and consultants with everything from trauma to cancer and sometimes not always exodontia. And we'll talk about all these themes with Ameer. I actually really wish I had an episode just like this when I was considering whether to do a maxfax position or not. There's actually a bit where Ameer actually cries in this, and I'm just respecting so much for making himself vulnerable and sharing those feelings. It was related to a patient story, and there's so many great tips and different characters and different personalities that he describes in his stories of working in these different posts. There's so much incredible value provided in this episode. It's a longer one, and I didn't want to split it into two. So you might need a couple of commutes or lots of onions to get through this one. The Protrusive Dental Pearl today is provided by our guest, Dr. Ameer Allybocus, and it gives you a flavor of the rest of the podcast of what's to come. There's so many great tips and stories attached to it. So let's hear today's protrusive dental pearl. Dental PearlSo Ameer, what is the protrusive dental pearl for today? [Ameer]My Protrusive Dental Pearl is whatever procedure you're doing, if it isn't going the way you want it to, if you find yourself getting stressed, hard, you're not seeing what you want to see, there's nothing in dentistry that you can't stop and take a pause, give the patient a break, set them up. Walk away,

What makes us reject crowns and send them back to the technician? What are the standards/guidelines to consider before accepting and luting indirect restorations? Join us as we explore the key factors that determine the quality of a crown. From the initial lab communication to the final occlusal checks, we cover it all. This episode is packed with essential tips that are perfect for dental students and professionals alike.  https://youtu.be/ftafglxcBbM Watch PS007 on Youtube Need to Read it? Check out the Full Episode Transcript below! Highlights of the episode: 1:33 Emma Hutchison: Student Life and OSCEs 06:44 Handling Lab Work and Fitting Crowns 14:15 Crown Rejections 18:12 Understanding Occlusal Tolerance 20:09 The Importance of Occlusal Precision 22:24 Building a Strong Dentist-Lab Technician Relationship 24:17 Tips for Dental Students 27:46 Microbiology in Dentistry Don't miss the special notes on Microbial Ecology and Infection Transmission available exclusively in the Protrusive Guidance app! (Join the free Students Section) This episode is not eligible for CPD/CE points, but never fear, there are hundreds of hours of CPD for Dentists waiting for you on the Protrusive App! For the full educational experience, our Ultimate Education Plan gives you access to all our courses, webinars, and exclusive monthly content. If you love this episode, be sure to recap PS006 - Basics of Indirect Restorations Part 1 - Decision Making Click below for full episode transcript: Jaz's Introduction: Welcome to Part Two of Indirect Restorations for Dental Students, but it's actually suitable for all dentists. But the person who's asking all the questions is our Protrusive Student, Emma Hutchison. Students are so curious and so great at asking questions. I want to make sure that we tailor these more basic episodes to what actually students, young dentists, and those returned to dentistry actually need. Jaz's Introduction:In part one of this series, we covered what are the different types of crowns that we might go through. In part one of the series, we discussed direct versus indirect, and when we are choosing indirect, which materials can we opt for? Especially focusing on all ceramic restorations, which from my time, were not done that much. As a student, we did PFMs, and it sounds like PFMs are still being done in dent schools. Let me tell you, PFMs are not done that much in the real world. So that's why we focus a lot on all ceramics. We also discussed on crowns versus onlays. That was in part one. In today's part two, we're talking about the clinical details. When you get the crown back, how you assess if this is a good crown or a bad crown? When should you reject? What are the different parameters that we tick off? And how can we avoid? Mistakes from happening so you never have to reject lab work. I'll give you a clue involves communicating with your lab technicians, so, so important. Another interesting thing we discuss is what about if you try in a crown and it's completely shy of the bite. So it's not proud. It's not popping the patient open. It's not like eyes too big It's actually completely shy of the bite. Should we reject that? Should we accept it? What is the standard of care? So we covered this real world scenario and so much more in this episode. So I hope you enjoy. Please do comment below and give us a like, if you like what we do. I'll catch you in the outro. Main Episode:Emma Hutchison, welcome back again to the Podcast Student Version. Just give us an update in terms of what's been happening in your world. Are things getting a little bit heated academically? Are you feeling the strain? Are you feeling the pressure? [Emma]Yeah, I'm really starting to sort. At the moment we're in sort of the end of February when we're recording this and I'm just becoming a bit more aware. Exams probably end of April, start of May time.

Clinician Development Tool: https://protrusive.co.uk/cdt Did you know, there’s a cheaper, quicker and more natural treatment option than using Dental Implants, WITHOUT compromising on longevity? Sounds too good to be true right?  You already know about it. You most likely studied it already at Dental School and just haven’t given it much thought in a clinical scenario. Meet Dr Lukas Huber who will remind us of the power of Autotransplantation for such cases, which in turn can massively help our patients who have missing or hopeless teeth, all while keeping laboratory costs down and success rates up. https://youtu.be/CjUdDsuCWQA Watch PDP193 on Youtube Need to Read it? Check out the Full Episode Transcript below! Highlights of this Episode:02:10 Clinician Development Tool03:34 Introduction - Dr Lukas Huber07:40 Autotransplantation Procedure12:45 Example Autotransplantation18:40 Step by Step Autotransplantation26:35 Placing the Donor Tooth30:15 Transplant Restorative Augmentation35:00 Learn more from Lukas I thought that Dr Lukas is an inspiration to all the general Dentists and am so grateful he is part of our Protrusive Community - thanks for sharing your entire protocol! Don't forget to claim CE Credits on Protrusive Guidance by completing the quiz. Check out Dr Lukas Huber’s Instagram! If you liked this episode, you will also like Atraumatic Extractions Click below for full episode transcript: Jaz's Introduction: You may already be familiar with an auto transplantation. Essentially, it's a scenario whereby, for example, you remove a pre molar from a patient, and on that same patient, you put that pre molar and you re implant that pre molar in to the central incisor socket. So for example, you've got a central incisor of poor prognosis, you remove that, and then you put this recently freshly extracted pre molar in to the central incisor. Jaz's Introduction:And essentially you let nature do its thing, you let it heal. And literally you've kind of given this patient the best implant there is. You've given them a human tooth, their own human tooth. Another common scenario is replacing a premolar, for example, an upper premolar, with an upper wisdom tooth that's potentially over rupted or non functional. That's another common indication. But all these things, we've all seen it in like an orthodontic lecture at dental school. And then it lives somewhere at the very far back of our minds. And it's not really an option that we discuss with our patients very much. Or when we're treating planning, we kind of have it in our blind spot. It's just not something that we see a lot of, which is why I'm very excited to welcome to you, Dr. Lukas Huber, a general dentist, ladies and gents, who has a few of these procedures up his sleeve and is happy to share the full protocol. Look, some of you will go away today and the stage of your career, where you're at, you will probably be able to offer this treatment to your patients. And you'll actually remember that, ah, yes, this is an option. And if I follow the steps, I can get a good result. In fact, Lukas very kindly shared all the evidence space that he uses in his decision making. So I will put that in the Protrusive Vault on Protrusive Guidance app. Now, for the rest of us mere mortals, who may not feel confident despite the full protocol being shared with you on the podcast today, most of us will be like, you know what? I'm actually just much more educated about this option now. I know what to say to a patient. I now know which kind of cases would be suitable for an auto transplantation and which ones are not suitable. And so now hopefully this option will not be living in the very back in the corners, deep dark areas of our mind somewhere. It's come a little bit more to the front of our minds. So we can actually consider this as a realistic and actually damn right cool option. Dental PearlHello, Protruserati, I'm Jaz Gulati,