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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 Ciencia Desarrollo Personal Enfermedades Físicas Higiene y Vida Saludable Éxito Personal
Episodios
  • Can Occlusal Adjustment Cure TMD? ‘DTR’ and T Scan Experience – PDP255

    Can Occlusal Adjustment Cure TMD? ‘DTR’ and T Scan Experience – PDP255
    Jan 20 2026
    Are posterior tooth contacts really harmless? Could group function and non-working side interferences be driving muscular TMD, headaches, and facial pain? And can digital occlusal data change how we approach bite adjustment? Dr. Jeremy Bliss joins the podcast to tackle one of the most controversial topics in dentistry: Selective Grinding/Equilibration for TMD but specifically Disclusion Time Reduction (DTR). With a strong focus on restorative technology, lasers, and T-Scan analysis, Jeremy brings a practical and experience-driven perspective to occlusion and bite therapy. This episode breaks DTR down from the very beginning—what it is, how it differs from traditional equilibration, and why reducing posterior tooth contact during excursive movements may help certain susceptible patients. The conversation also explores canine guidance vs group function, macro vs micro occlusion, and where DTR fits within evidence-based dentistry when conservative care has failed. https://youtu.be/TMa11nh7VIU Watch PDP255 on YouTube Protrusive Dental Pearl: Don’t buy advanced occlusal or motion-tracking tech unless your type of dentistry, training, lab support, and local backup can fully use the data—otherwise it’s just a Ferrari stuck in traffic. Key Takeaways: Disclusion Time Reduction (DTR) & T-Scan T-Scan: Provides objective data on tooth contact timing and force—impossible to see with the eye or articulating paper.EMG: Tracks temporalis and masseter activity to show how muscles respond to occlusion.Goal of DTR: Reduce posterior tooth contact during excursions, shifting contact to canines to relax muscles.Patient Selection: Best for symptomatic muscular TMD; requires sufficient canine/incisal overlap.Clinical Benefits: Reduces headaches, migraines, muscle tension, parafunctional damage, and progressive tooth wear.Procedure: Conservative enamel adjustments (0.5–0.75 mm), guided by T-Scan; posterior teeth should disclude in <0.5 sec.Implant Care: Prevent early loading to protect bone and restorations.Evidence: Supported by systematic review and clinical cases; improves outcomes over traditional occlusal adjustments. Highlights: 00:00 Teaser00:53 Introduction09:51  Pearl: Buying Advanced Technologies11:53 Interview with Dr. Jeremy Bliss18:08 Introduction to Digital Occlusal Analysis22:46 Challenges and Controversies in TMD Treatment26:09 Explaining T-Scan and Its Benefits32:42 Understanding the Anatomy and Physiology of DTR36:25 Techniques and Tools for DTR38:14 Midroll41:35 Techniques and Tools for DTR44:19 The Impact of DTR on Muscle Tension and Pain48:43 Bruxism Cessation After DTR49:50 Importance of EMG in DTR52:05 Case Study: A Life-Changing DTR Treatment56:59 Conclusion and Future Directions01:00:46 Outro Systematic Review Effectiveness of T-scan Technology in Identifying Occlusal Interferences and its Role in the Management of Temporomandibular Disorders: A Systematic Review Individual Practice Contact: blissdental.co.uk – contact directly via the website form for information about DTR or patient referrals. DTR Treatment for TMD with Dr Jaz Gulati in Richmond, London #PDPMainEpisodes #OcclusionTMDandSplints #CareerDevelopment To learn more about Disclusion Time Reduction, check out: Occlusograms are Lying To Us! Don’t Trust the ‘Heat Map’ – PDP247 This episode is eligible for 1 CE credit via the quiz on Protrusive Guidance. This episode meets GDC Outcomes C AGD Subject Code: 180 OCCLUSION Aim: To understand the principles and clinical applications of digital occlusal analysis and Disclusion Time Reduction (DTR) for managing occlusion-related muscular pain, TMD, and improving restorative dentistry outcomes. Dentists will be able to: Explain the concept of disclusion time and its impact on masticatory muscles.Describe how T-Scan and EMG are used to assess occlusal force, timing, and muscle activity.Identify appropriate patients for DTR and apply objective data to guide safe occlusal adjustments.
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    1 h y 2 m
  • Antibiotic Prescribing in Dentistry + Gut Microbiome – PDP254

    Antibiotic Prescribing in Dentistry + Gut Microbiome – PDP254
    Jan 13 2026
    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 contraindicationsDrug interactionsFirst, second, and third-line choicesDoses 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 Teaser00:37 Intro02:25 Protrusive dental podcast04:10 Dr. Jeremy’s Journey into Dentistry07:47 Antibiotic Use in Dentistry10:28 True Indications for Antibiotics14:12 Impact of Antibiotics on Gut Health21:09 Clinical Scenarios and Best Practices26:09 Managing Severe Dental Swellings26:28 Midroll29:49 Managing Severe Dental Swellings33:39 Techniques for Anesthetizing Abscesses38:06 Handling Cellulitis and Systemic Infections42:58 Dosage and Safety of Local Anesthetics44:58 Dealing with Dry Sockets and Retreated Teeth47:43 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.
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    46 m
  • Your Patient’s Face Might Be Causing Their Sleep Problem with Dr Dave Singh – PDP253

    Your Patient’s Face Might Be Causing Their Sleep Problem with Dr Dave Singh – PDP253
    Jan 6 2026
    Can adults really expand their maxilla? Is treating sleep apnea with a CPAP or mandibular advancement device only MASKING the problem? How does craniofacial anatomy influence airway health, and what should dentists look for? Dr. Dave Singh joins us to dive into CranioFacial Sleep Medicine. He breaks down how structural issues—like a narrow maxilla, high-arched palate, or limited tongue space—can be root causes of sleep-disordered breathing, rather than just treating symptoms. The episode also touches on controversies in orthodontics and presents evidence supporting interventions once thought impossible in adults. https://youtu.be/WUyeOjKquJU Watch PDP253 on Youtube Protrusive Dental Pearl: Obstructive Sleep Apnea is NOT just a “fat old man disease.” If you’re not screening every patient for sleep and airway issues, you’re missing a huge piece of their overall health. Snoring, bruxism, and craniofacial anatomy are all connected, and understanding these links can transform the way you approach patient care. Key Takeaways: Mandibular advancement appliances are not a universal solution. While effective for some patients, they often fail to address the underlying causes of airway collapse.Craniofacial sleep medicine focuses on airway etiology, not just symptom control, by identifying why the mandible, tongue, and airway behave as they do during sleep.The cranial base plays a foundational role in facial growth, jaw position, and airway size, directly influencing sleep apnea risk.A retruded mandible is frequently due to developmental and epigenetic factors, rather than being an isolated mandibular issue.Sleep apnea has multiple endotypes—including craniofacial, neurologic, metabolic, and myopathic—requiring individualized treatment planning.Bruxism is not a reliable airway-opening mechanism and may be a primitive physiological response to hypoxia rather than a protective behavior.Tooth wear can be an early indicator of sleep-disordered breathing, and should prompt clinicians to screen beyond restorative concerns.Upper Airway Resistance Syndrome (UARS) can occur even when the apnea-hypopnea index (AHI) is low, particularly in non-obese patients with fatigue, pain, and poor sleep quality. Palatal expansion should be understood as a 3D craniofacial intervention, aimed at improving nasal airflow and airway function—not merely widening the dental arch.Effective care depends on an integrated, multidisciplinary approach, involving dentists, orthodontists, sleep physicians, ENTs, and myofunctional therapists. Youtube Highlights: 00:00 Teaser01:01 Introduction02:56 Pearl: Debunking Myths About Sleep Apnea04:27 Interview with Professor Dave Singh: Journey and Insights13:23 Craniofacial Development18:53 Epigenetics and Orthodontic Controversies25:52 Diagnosis and Treatment of Sleep Apnea32:49 Understanding Upper Airway Resistance Syndrome34:17 Midroll37:38 Understanding Upper Airway Resistance Syndrome39:45 Diagnosing Sleep Disorders and Treatment Modalities43:58 Exploring Bruxism and Its Hypotheses45:19 CPAP and Alternative Treatments for Sleep Apnea48:12 Managing Upper Airway Resistance Syndrome55:11 Integrative Approach to Sleep Disorder Management57:17 Diagnostic Protocols and Imaging Techniques01:02:25 The Importance of Proper Device Fit and Function01:07:16 Upcoming Events and Further Learning Opportunities01:09:56 Outro ✨ Don’t Miss Out: Practical, anatomy-based approaches to sleep and airway management for dentists and specialists 📅 Event: Introduction to Craniofacial Sleep Medicine 📍 Location: Marriott Hotel, London Heathrow 💷 Course Price: £2,495 🐦 Early Bird Registration: £1,996 🎟️ Discount Code: Use “earlybird20” at checkout 🌐 Learn More: Visit REMA Sleep for details on courses, devices, and craniofacial sleep medicine resources. 🚀 Try Protrusive AI aka AskJaz today: Explore clinical reasoning and educational support directly within the Protrusive Guidance App! If you loved this episode, watch 5 Airway Patients In Your Dental Practice Right Now with Dr Liz Turner – PDP226 #PDPMainEpisodes #OcclusionTMDandSplints #BreadandButterDentistry This episode is eligible for 1 CE credit via the quiz on Protrusive Guidance. This episode meets GDC Outcome C. AGD Subject Code: 730 ORAL MEDICINE, ORAL DIAGNOSIS, ORAL PATHOLOGY (Sleep medicine) Aim: To understand the craniofacial and dental considerations in managing sleep-disordered breathing, including the role of mandibular advancement, palatal expansion, and integrative dental approaches in sleep medicine. Dentists will be able to – Describe the craniofacial factors contributing to sleep-disordered breathing and upper airway resistance syndrome (UARS).Explain the mechanisms, indications, and limitations of mandibular advancement devices and palatal expansion in dental sleep medicine.Integrate diagnostic findings, craniofacial assessment, and interdisciplinary collaboration to formulate individualized ...
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    1 h y 11 m
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