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Protrusive Dental Podcast

Protrusive Dental Podcast

De : Jaz Gulati
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The Forward Thinking Dental Podcast© 2025 Protrusive Dental Podcast Développement personnel Hygiène et vie saine Maladie et pathologies physiques Réussite personnelle Science
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  • Mastering Pediatric Dentistry: Pulpotomy and Crown Techniques – PDP274

    Mastering Pediatric Dentistry: Pulpotomy and Crown Techniques – PDP274
    Jul 8 2026
    Filling, stainless steel crown, pulpotomy or extraction — how do you actually decide on a deciduous tooth? Why is the lower first primary molar the one that always seems to flare up? When should you reach for silver diamine fluoride instead of the drill — and when is a child’s cooperation telling you to change the plan entirely? And how do you actually do a pulpotomy, step by step, without it blowing up under the crown? This is a paediatric dentistry masterclass with Dr Nidhi Kotak — “The Baby Tooth Dentist,”. It’s built for the general dentist who treats children and wants clearer rules: when to fill versus crown, how to read the radiograph, silver diamine fluoride, local anaesthetic and behaviour guidance, isolation, and a full pulpotomy and stainless steel crown technique. The through-line is simple — in children you decide fast, protect the airway, and treat for predictability rather than heroics. https://youtu.be/3OscfwF7SIQ Watch PDP274 on YouTube Protrusive Dental Pearl: Strategic Flexibility You cannot be rigid when treating children. The mindset shift is to stop asking “what should be done for this child?” and start asking “what can be done for this child?” With children you have to be fast and efficient, and curveballs are constant — sometimes the parent is harder to manage than the child. So the plan has to bend. The worked example: you planned a conventional prepped stainless steel crown, but cooperation drops mid-appointment. Rather than abandon the visit, switch to a no-prep whole-crown approach and protect the tooth anyway. It stays in the child’s best interest — and it’s far kinder to your own mental health. It’s a mindset worth carrying into all of dentistry, not just children’s. What You’ll Take From This Episode When to fill vs crown — the surface rule for baby molars, why crowns are so predictable in children, and where composites still work.The “D” devil tooth — why the lower first primary molar flares up, and why mesial caries on a D is an automatic crown.Pulpotomy indications — the signs that say vital pulpotomy, the ones that say extraction, and why a pulp exposure in a primary tooth is an automatic pulpotomy.SDF, sedation and isolation — arresting decay without drilling, matching sedation to the child, and protecting the airway.The pulpotomy technique — a full step-by-step from caries removal to cementing the stainless steel crown, including the modern medicament choice. Highlights of This Episode 00:00 TEASER00:59 Pediatric Dentistry for GDPs: The Strategic Flexibility Mindset07:24 Why GDPs Struggle Treating Children08:19 When to Fill vs When to Crown a Baby Tooth12:18 Class II vs Stainless Steel Crown: The Surface Rule13:41 Reading Pediatric Radiographs & When to Take Bitewings19:15 SDF vs Fluoride Varnish: When to Use Each22:37 Resin Infiltration (Icon) for Children’s Teeth25:15 Pulpotomy in Primary Teeth: When It’s Indicated26:19 The “D” Devil Tooth: Why Mesial Caries Means a Crown27:31 Hall Crowns and the Modified Whole Crown Technique27:48 Midroll38:39 Local Anaesthetic & Behaviour Guidance in Children40:38 Sedation Options: Oral, Nitrous & Intranasal46:22 Rubber Dam vs Isolite: Isolation for Kids48:59 How to Do a Pulpotomy: Step-by-Step Technique58:03 OUTRO Dr Nidhi Kotak is a dual US and Canadian board-certified paediatric dentist — a Diplomate of the American Board of Pediatric Dentistry and a Fellow of the Royal College of Dentists of Canada. Follow Dr. Nidhi for more paediatric dentistry tips 👉 @babytoothdentist on Instagram Want more? If you enjoyed this episode, check out: Zirconia vs Metal Hall Crowns vs Conventional with Dr Tim Keys – PDP227 #PDPMainEpisodes #EndoRestorative Listen, Subscribe, Earn CPD Listen: Subscribe to the Protrusive Dental Podcast on Spotify, Apple Podcasts, or YouTube. This episode is eligible for 1.0 CE credit via the quiz on Protrusive Guidance. This episode meets GDC Outcomes C AGD Subject Code: 430 Pediatric Dentistry. Aim & Learning Outcomes Aim: To give dental practitioners a clear, decision-led approach to restorative paediatric dentistry — how to choose between filling, crowning, pulpotomy and extraction, how to manage caries conservatively, and how to carry out a pulpotomy and stainless steel crown safely. Learning Outcomes — by the end of this episode, dentists will be able to: Differentiate the presentations that indicate a direct restoration, a stainless steel crown, a vital pulpotomy, or an extraction in the primary dentition, using clinical and radiographic findings.Describe minimally invasive and behaviour-management options in children — silver diamine fluoride, fluoride varnish, resin infiltration, local anaesthesia, sedation and isolation — and select them appropriately for the individual child.Apply a step-by-step technique for a vital pulpotomy and stainless steel crown in a primary molar, including the ...
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    57 min
  • Consent in Orthodontics Should Be Individualised – PDP273

    Consent in Orthodontics Should Be Individualised – PDP273
    Jul 3 2026
    How good is your consent for orthodontics — really? More adults are having ortho, and more GDPs are providing it. So which risks should you be discussing with every single patient — and which ones depend on the person in the chair? When a case is heading for a big overjet or a tricky rotation, is that a conversation you have at the start, or one you scramble to explain halfway through? And what actually makes a consent form legally valid — the signature, or everything around it? This episode brings together two perspectives you don’t often hear in the same room. Dr Zaid Esmail is a specialist orthodontist and founder of the Online Orthodontic Academy, who mentors GDPs through fixed and aligner cases. Dr Neel Jaiswal returns for the dento-legal view — he’s a dentist and the founder of Professional Dental Indemnity (PDI). Together with Jaz, they get very specific about what individualised consent looks like in practice, and how to build a process your patients remember and a court respects. https://youtu.be/YvsiIiX1Q1w Watch PDP273 on YouTube Protrusive Dental Pearl: Make Your Patient Feel Unique It might be your 100th, 500th or 1,000th case — but for the patient in the chair, this is a significant event. Never forget that. A routine extraction is routine for you; for them it’s a big deal, and remembering that makes you a better communicator. To make a specific risk stick, make the patient feel unique. Point to their OPG: “Your sinus here is actually really interesting,” or “Did you know your roots are unusually long?” Patients remember a risk framed as if they’re a special case far better than a generic warning. Make it personal, and the consent becomes memorable. What You’ll Take From This Episode The whole episode turns on one idea: generic, templated consent is no longer defensible — the skill is individualising the form to the patient in front of you. Premium members get the full breakdown; here’s the shape: The layers of valid consent — consent is like an onion; a signed form and a documented conversation each cover a gap the other leaves open.Individualising risk from the records — how the OPG and photos turn a generic warning (resorption, devitalisation, recession, relapse) into a patient-specific one.The two-appointment consent flow — records, individualised risks, thinking time, and why you sign or initial every line.The Class II Div 2 overjet trap — the case that looks like simple crowding and ends in a big overjet, and how to consent for it before you start.When to treat, add an option, or refer — the GDC line on offering all options, and building alternatives into the form. Highlights of This Episode: 00:00 Teaser01:01 Consent in Orthodontics: Why It Has to Be Individualised02:59 Protrusive Dental Pearl: Make Your Patient Feel Unique07:58 What Makes Orthodontic Consent Different10:08 How Much Ortho Litigation Comes From Consent?11:53 What Makes Consent Valid and Patient-Specific12:26 Individualising Ortho Risk from the OPG13:11 Using the ClinCheck as a Consent Tool14:40 How to Structure the Consent Appointment15:30 Root Resorption, Devitalisation, Recession and Relapse19:37 Should You Initial Every Line of a Consent Form?21:50 Midroll27:11 Building a Multi-Layered Consent Process29:31 Consenting for Fees, Relapse and Retainers34:41 The Class II Div 2 Overjet Trap37:51 When Should a GDP Refer an Ortho Case?40:31 How to Learn Orthodontics with Mentorship47:01 Outro Dr Zaid Esmail is a specialist orthodontist. He founded the Online Orthodontic Academy to teach GDPs orthodontics — assessment, diagnosis and treatment planning across fixed appliances and aligners — with one-to-one case mentorship. He’s extended a 10% discount to the community with the code PROTRUSIVE. 👉 Online Orthodontic Academy — online ortho mentorship, fixed & aligners, Level 7 Diploma Dr Neel Jaiswal returned for the dento-legal perspective. He’s a dentist and the founder of Professional Dental Indemnity (PDI), which introduces dentists to insurance-based indemnity cover. Request a Quote for Insurance and Get £100 off 👉 Professional Dental Indemnity (PDI) — insurance-based dental indemnity Want more? If you enjoyed this episode, check out: Consent Is Like An Onion – Are You Consenting Your Patients Correctly? – PDP113 Tags #PDPMainEpisodes #OrthoRestorative #Communication Listen, Subscribe, Earn CPD Listen: Subscribe to the Protrusive Dental Podcast on Spotify, Apple Podcasts, or YouTube. This episode is eligible for 0.5 CE credit via the quiz on Protrusive Guidance. This episode meets GDC Outcomes A AGD Subject Code: 565 Documentation & Risk Management Aim & Learning Outcomes Aim: To help dental practitioners obtain valid, individualised consent for orthodontic treatment — identifying the risks that apply to every patient, tailoring them to the individual, and structuring a consent process that is both ...
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    47 min
  • Thinking About Teaching Dentistry? Here’s What You Need to Know First – IC076

    Thinking About Teaching Dentistry? Here’s What You Need to Know First – IC076
    Jul 1 2026
    Ever fancied teaching dental students part time… but no real idea how you’d actually get in? Are you the kind of person teaching would energise — or quietly drain? Is a PGCert in dental education actually worth it, or just wishy-washy theory? And the honest question nobody asks out loud: does it pay anything? This is an Interference Cast — the non-clinical arm of the podcast — with Dr Rima Hussain, a general dentist who teaches restorative dentistry to undergraduates at King’s a couple of days a week. It’s a candid look at what a career in dental education actually involves: how to get in, who thrives and who burns out, what the work is really like, and the honest truth about the pay and the rewards. The bigger theme: dentistry is a career you can mould in endless directions — and for the right person, teaching is one of the most energising of them. https://youtu.be/DzmcM-SbD68 Watch IC076 on YouTube What You’ll Take From This Episode The full self-assessment and the step-by-step route into a teaching role are in the Premium Notes. Here’s the shape of what we cover: Are you built for the classroom? — the two-camp self-check (energised vs drained) that predicts whether teaching will recharge you or wear you down.How to actually land a role — the ‘BDJ Jobs’ plus pick-up-the-phone route, and why “who you know” so often cuts through the application process.Relatability as a strength — why being closer to a student’s level can beat decades of experience for an absolute beginner.Back to basics — the “monkey see, monkey do” risk from YouTube and AI, and what the tutor’s real job becomes.The honest pay-and-balance picture — why you don’t do it for the money, what you do get, and how teaching and practice keep each other fresh. Highlights of This Episode 00:00 Teaser01:08 Should You Teach Dentistry? How to Know If It’s for You04:39 How a General Dentist Gets Into Dental Education06:15 Signs You’re Suited to Teaching Dentistry08:52 Is a PGCert in Dental Education Worth It?12:07 How to Land a Clinical Teaching Post at a Dental School14:38 Why a Relatable Tutor Beats Decades of Experience16:52 How Dental Students Have Changed Since COVID19:20 Is Social Media and AI Helping or Hurting Dental Students?21:55 Midroll26:43 Why “Back to Basics” Beats Chasing Advanced Techniques29:20 How to Get a Teaching (or Associate) Job: Pick Up the Phone31:50 Why Dental Tutors Quit After Six Months36:29 The Most Rewarding Part of Teaching Dentistry38:46 Teaching, Practice and Pay: How to Avoid Burnout44:39 Outro From the Guest Dr Rima Hussain is a general dentist who also teaches restorative (conservative) dentistry to undergraduates at King’s College London — a route she fell into via tutoring as a teenager and has been in since 2019. Her advice for anyone curious: you’re probably already teaching in some form, so try it; the worst case is you find it isn’t for you. 👉 Reach Rima on Instagram References & Further Reading Mentioned in this episode: Rath T. StrengthsFinder 2.0. Gallup Press, 2007. The strengths-assessment book referenced for the “Learner” theme and the idea of building your career around your natural strengths. “Learner” is one of its 34 themes; the assessment is now delivered as CliftonStrengths.BDJ Jobs. The British Dental Journal jobs board where clinical tutor and academic posts are advertised, usually with short application windows. Want more? If you enjoyed this episode, check out: 2 Years Out of Dental School – Insights for New Grads – IC066 #InterferenceCast #CareerDevelopment #BeyondDentistry Listen, Subscribe, Earn CPD This episode is eligible for 0.5 CE credit via the quiz on Protrusive Guidance. This episode meets GDC Outcomes B AGD Subject Code: 770 Self-Improvement Aim & Learning Outcomes Aim: To help dentists evaluate a part-time career in dental education — what the role involves, how to obtain one, and how to sustain it alongside clinical practice. Learning Outcomes — by the end of this episode, dentists will be able to: Identify the personal attributes and expectations that distinguish dentists who thrive in clinical teaching from those who do not.Describe the practical routes into a dental-school teaching post, including where posts are advertised and how a direct, proactive approach can work.Recognise the workload, financial and work-life-balance realities of part-time teaching, and strategies to avoid burnout while balancing teaching and practice.
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    44 min
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