Protrusive Dental Podcast

Is titanium still the gold standard for implants? Are zirconia implants just hype from biological dentistry… or something more? Do ceramic implants really integrate as well as titanium? And should we already be offering patients a choice? Zirconia implants are no longer a fringe concept—they’re entering mainstream conversations. In this episode, Dr. Pav Khaira returns to break down the science, clinical decision-making, and real-world application of zirconia vs titanium implants. From corrosion and osteoimmunology to occlusion and case selection, this is a practical, evidence-led discussion for clinicians navigating modern implant options. https://youtu.be/-RCvf2KOdSc Watch PDP264 on YouTube Protrusive Dental Pearl: Thriving in Challenging Times 💡 Prioritize quality sleep—it sharpens decision-making, improves mood, and reduces irritability (6–7 solid hours beats longer, disrupted sleep). ➡️ Remember, stress comes from how we respond, not the situation itself—focus on what you can control and let go of the rest. 📢 Lean on your support system and make time for reflection and gratitude—they help reframe pressure and build resilience. Key Takeaways Zirconia implants integrate just as well as titanium, with comparable clinical outcomes Early healing may be slightly faster around zirconia, but long-term results are similar Titanium can corrode over time, releasing particles linked to peri-implantitis Zirconia does not corrode, removing this biological risk factor Modern implant thinking focuses on osteoimmunology, not just osseointegration Zirconia implants are often one-piece → no microgap and improved crestal bone stability Surgical placement must be highly precise—zirconia is less forgiving than titanium Guided osteotomy is strongly recommended for ceramic implants Fracture risk in modern zirconia implants is low when manufactured correctly Hot isostatic pressing significantly increases zirconia strength and reduces defects Case selection is critical—limited bone or complex angulation may favour titanium Zirconia implants are typically cement-retained only Excess cement remains a risk factor for peri-implant disease → manage carefully Zinc phosphate cement is useful due to radiopacity and bacteriostatic properties Angled screw correction (titanium) is predictable only up to ~15 degrees Patient preference for metal-free dentistry is a growing driver of zirconia demand Episode Highlights 00:00 Teaser 00:49 Introduction 02:32 Protrusive Dental Pearl: Advice for Dentists during challenging times 05:14 Basics: What Are Implants Made Of? 07:13 Osseointegration: Zirconia vs Titanium 08:28 Why Zirconia? Biological Rationale 11:13 Clinical Advantages of Zirconia Implant 14:09 Zirconia Implants Limitations in Clinical Use 17:45  Case Selection: When to Use Zirconia Implant 19:16 Fracture Risk: Myth vs Reality 21:30 Midroll 24:51 Fracture Risk: Myth vs Reality 25:29 Importance of Manufacturing Zirconia Implants 27:49 Weaknesses & Clinical Considerations of Zirconia Implants 30:49 Occlusal Programming for Implants 32:24 Screw vs Cement Retention in Implants 34:07 Angle Screw Correction (titanium Context) 36:20 Cement Choices for Zirconia Implants 38:27 Market Share & Future Trends of Zirconia Implants 40:25 Learning Resources for Zirconia Implants 41:51 Medico-Legal Considerations of Zirconia Implants 47:37 Training & Education Pathways for Zirconia Implants  48:25 Outro Want to go deeper into implants? Explore Dr. Pav Khaira’s Academy of Implant Excellence— training designed to help you truly understand the why behind implant dentistry, not just follow protocols. Hands-on options, mentorship, and advanced training available. ✨Follow Academy of Implant Excellence on Instagram: https://www.instagram.com/academyofimplantexcellence Mentioned resources from this Episode Book: Zirconia: Material Properties and Surgical Principles for Dental Implants and Restorations Want more? 📢 Check out more episodes on implant complications and treatment planning Implant Occlusion that Makes Sense – PDP 204 Implant Assessment for GDPs: from Space Requirement to Ridge Preservation – PDP052 #PDPMainEpisodes This episode is eligible for 0.75 CE credit via the quiz on Protrusive Guidance. This episode meets GDC Outcomes C AGD Subject Code: 690 Implants Aim: To improve understanding of zirconia implants, including biological considerations, clinical indications, limitations, occlusal principles, consent, and material-related decision-making. Dentists will be able to – Describe the clinical and biological considerations when comparing zirconia and titanium implants Identify key case selection factors and limitations for zirconia implant treatment Apply practical principles for occlusion, cementation, consent, and risk reduction in implant dentistry

Are you sacrificing your health for your patients? Are your neck and back quietly dictating how long you can practise? Do you skip workouts because you “don’t have time”? And what if your career ended—not by choice, but because your body gave up first? In this episode, Jaz is joined by Fraser Smith, a sports scientist and nutrition expert, to break down what dentists actually need to do to stay healthy, pain-free, and practising for longer. From EMS training and realistic exercise routines to nutrition and injury prevention, this is a practical guide to protecting your most important asset—your health. https://youtu.be/kQu7rDlzT8k Watch IC072 on Youtube Key Takeaways Health is a key pillar of career longevity in dentistry Many dentists sacrifice exercise and sleep during high-stress periods Short, consistent workouts are more sustainable than long, infrequent sessions EMS can be a useful time-efficient adjunct but should not replace a full training programme Strength, endurance, and mobility are all essential components of fitness Most dentists should start with small, manageable exercise habits and build gradually Deadlifts are beneficial but require proper technique and guidance Reformer Pilates is a practical option for improving posture and mobility Stretching provides short-term relief but must be combined with strengthening Most musculoskeletal pain in dentists is due to repetitive strain and weakness Movement and gradual strengthening are key to managing and preventing pain Ignoring early pain increases the risk of chronic, persistent symptoms Nutrition should be balanced and sustainable rather than extreme Protein intake is often insufficient in active individuals Supplements can support performance but should not replace a good diet Long-term success depends on prioritising health as part of professional responsibility Highlights of this episode: 00:00 Teaser 00:53 Introduction 05:40 What is EMS Training? 07:45 Get to know Fraser Smith 09:35 What’s the ideal health routine for Dentists? 11:56 Deadlifts for Dentists 15:01 Stretching & Posture Tips for Dentists 18:35 Midroll 21:56 Stretching & Posture Tips for Dentists 25:41 Balanced Nutrition 28:23 Protein Intake Suggestions 30:51 Back Pain Management 39:09 Outro 💡For tailored support with strength, posture, and long-term health,  check out Vive Fitness  Want more? Check out episodes on health and longevity in dentistry: My Neck, My Back (Fix Your Posture While Removing Plaque!) – PDP220 #InterferenceCast #BeyondDentistry 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.

You’ve spotted the signs—wear, scalloping, fragmentation, maybe even a low AHI—but what does that really mean? When the data doesn’t match the symptoms, how do you move forward? And how do you integrate airway into full mouth rehab without compromising function, stability, or predictability? In this episode, Jaz is joined by Dr. Aston Parmar to explore the real-world application of airway dentistry. They discuss how to help patients own their problem, why sleep testing matters, and how airway influences diagnosis, treatment planning, and long-term outcomes. https://youtu.be/-zVV1FAT0NI Watch PDP263 on YouTube Protrusive Dental Pearl Nasal Breathing and Simple Screening Nasal airflow can be a major limiting factor in sleep quality. Simple test: flare nostrils → if breathing improves, nasal resistance may be present. Nasal dilators can be a cheap, low-risk intervention for selected patients. Not all patients need mandibular advancement — sometimes the issue is nasal. Second pearl: test snoring improvement by advancing the mandible. If forward positioning reduces snoring sound → mandibular advancement may help. Key Takeaways Patients must own their problem before accepting treatment Airway dentistry is about risk reduction, not cure Apnea-Hypopnea Index (AHI) has limitations—context and patterns matter more than raw scores Upper Airway Resistance Syndrome (UARS) is common but underdiagnosed Sleep fragmentation can exist even with low AHI scores Myofunctional therapy improves compliance and outcomes Multi-night sleep testing provides more accurate insights Collaboration with ENT specialists improves diagnostic accuracy Airway is the bookend of full mouth rehab (start and end) Dentistry should be airway-sympathetic, not just tooth-focused Mandibular advancement devices are effective but require careful titration Morning occlusal guides help reduce bite changes from appliances Not all patients need the same pathway—risk stratification is key Predictability in dentistry depends on understanding the whole system The environment (airway, function, biology) matters more than the teeth Highlights of this episode: 00:00 – Introduction to Upper Airway Resistance Syndrome 02:08 – Pearl: Nasal Breathing and Simple Screening 07:43 – Recap: Myofunctional Therapy and Indications 08:30 – Role of Myofunctional Therapy in Treatment Planning 09:40 – Patient Communication and Case Acceptance 23:20 – Sleep-Disordered Breathing Spectrum 23:50 – Apnea vs Hypopnea and Apnea-Hypopnea Index (AHI) Limitations 30:00 – Upper Airway Resistance Syndrome (UARS) 35:43 – Management of UARS 37:00 – Mandibular Advancement Devices (MAD) 39:00 – Maxillary Expansion and Surgical Options 41:00 – Treatment Pathway and ENT Involvement 44:00 – Risk Assessment in Full Mouth Rehab 59:30 – Airway-Sympathetic Dentistry 01:02:00 – Treatment Philosophy and Case Selection 01:07:00 – Airway as Bookends of Treatment 01:09:00 – Managing Side Effects of MAD 01:12:00 – Career Insight and Final Reflections Want to learn more? Watch part 1 of this episode: PDP262 – Implementing Sleep, Airway and Myo to Restorative Dentistry Part 1 Also, check out Stop Blaming Bruxism with Dr. Sandra Hulac – PDP142 🦷Master Airway Dentistry in PracticeJoin Dr. Aston Parmar’s course on 8th May in Cardiff Learn how to screen, test, and manage airway patients Understand real-world workflows and patient communication Build confidence in integrating airway into your practice 👉 Book via: www.dentalsleep.co.uk 🦷 Ergonomics Day – Dentistry Without Back Pain! Join us Saturday, 13th June, Heathrow with Dr. Anikó Ball, world-leading ergonomics expert! Learn proper posture, positioning, and techniques to prevent back problems while practicing dentistry. 💺 Hands-on workshop with a mobile dental chair📸 Live camera demo on a big screen💻 Can’t attend in person? Join online with live stream & replay 🎟 Early bird tickets even include a full event video! 👉 Grab your spot now! #PDPMainEpisodes #CareerDevelopment #OrthoRestorative This episode is eligible for 1.25 CE credit via the quiz on Protrusive Guidance. This episode meets GDC Outcome C AGD Subject Code: 730 – Oral Medicine, Oral Diagnosis, Oral Pathology Aim To provide dentists with a practical understanding of airway-focused dentistry, including sleep assessment, risk-based treatment planning, and the integration of airway considerations into full mouth rehabilitation. Dentists will be able to: Recognize the limitations of AHI and the importance of sleep fragmentation in diagnosis. Understand the role of myofunctional therapy in improving airway function and treatment outcomes. Apply a risk-based approach when integrating airway considerations into restorative and occlusal treatment planning.

Are AI receptionists here to take over your practice? How do they actually work, and what can they do—or not do—for your team? Could they make life easier for staff without replacing humans, or are they just a gimmick? In this episode, award-winning dentist and marketing expert Dr. Grant McAree joins Jaz to break down AI receptionists. Together, they explore what an AI receptionist really is, how it integrates with your practice, and the compliance and legal considerations every dentist should know. They also dive into the bigger picture—who these systems are really for, how patient interactions are managed, and a live demonstration of an AI receptionist in action that shows exactly what it can—and can’t—do for your practice. https://youtu.be/Jx-0jOZG3lE Watch IC070 on YouTube Key Takeaways: AI receptionists are evolving to provide better patient interactions. Data insights reveal significant gaps in patient communication. The technology is designed to assist, not replace human receptionists. AI can help streamline appointment bookings and patient inquiries. Understanding patient needs is crucial for effective AI responses. Customization of AI responses is essential for different practices. The future of AI in dentistry looks promising but requires careful implementation. AI should not be seen as a replacement but as a tool for efficiency. Compliance and data storage are critical in patient interactions. The integration of AI can lead to improved patient experiences. YouTube Highlights: 00:00 Teaser 05:06 Meet Dr. Grant McAree 07:32 Grant’s Journey to AI 11:03 AI Gold Rush and Inequality 11:56 Interjection 14:01 AI Gold Rush and Inequality 15:59 Compliance and Legal Risks 18:42 What an AI Receptionist Does 20:54 Midroll 24:16 What an AI Receptionist Does 26:51 Comparing AI to Human Receptionists 32:47 Leads Data and Compliance 36:38 Future Adoption and Risks 42:46 Additional Features and Learning More 43:30 Jaz Call to AI Receptionist 46:01 Outro Unlock the future of patient consultations! 🎯 Join my free course and learn how to use smart glasses + flamingo camera to give patients a live guided tour of their mouth—showing cracks, stains, and all the details in real time. ✅ Step-by-step setup ✅ Compatible with all loupes ✅ Tips to maximize patient trust and conversion ✅ PDF guides and tutorials included DM me FLAMINGO on Instagram or Click Here to enroll before I start charging! Don’t miss out on this wow-factor technology. Check out RoboReception—an AI receptionist and lead tracker that captures interactions and streamlines practice workflow. If you want to dive deeper into AI, check out Practical AI for Dentistry – Save Time, Achieve More #InterferenceCast #BeyondDentistry This episode is eligible for 0.75 CE credit via the quiz on Protrusive Guidance. This episode meets GDC Outcomes A AGD Subject Code: 550 PRACTICE MANAGEMENT AND HUMAN RELATIONS Aim To understand the role, capabilities, compliance requirements, and practical integration of AI reception systems in dental practices. Dentists will be able to – Identify key functions and limitations of AI reception systems in dentistry. Understand compliance and legal risks associated with AI in both NHS and private settings. Recognize practical strategies for integrating AI to support staff without replacing them.

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

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

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

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

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

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.

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.

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.

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.