Episodios

  • 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
  • Best of 2025: A Year of Shared Learning

    Best of 2025: A Year of Shared Learning
    Dec 30 2025

    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.
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    51 m
  • We All Have TWO Bites with Bobby Supple – PDP252

    We All Have TWO Bites with Bobby Supple – PDP252
    Dec 23 2025
    Do your patients really have two bites? Does their bite change when they lie down? When they sleep? And how can you explain centric relation, posture, and deprogramming in a way that patients actually understand? Dr. Bobby Supple joins Jaz for a powerful episode unpacking one of the most misunderstood topics in occlusion: the daytime chewing bite versus the nighttime airway bite. After spending days with Bobby in his New Mexico clinic, Jaz saw firsthand how simply and elegantly Bobby communicates concepts that usually leave patients — and dentists — confused. Together, they explore why bite discrepancies exist, what happens when the condyles fully seat, and how aligning Bite One and Bite Two over time can transform patient comfort and restorative outcomes. https://youtu.be/EC_qxUF7GxI Watch PDP252 on YouTube Protrusive Dental Pearl When assessing abfractions, always check the patient’s bite in two positions: seated upright and lying back. Posture subtly shifts the condylar position and can change how forces load the tooth. Want more gems like this? AskJaz — your on-demand dental brain, will be soon baked right into the Protrusive App. Key Takeaways: Every patient has two bites — their upright chewing bite and their horizontal airway bite.Posture changes the condylar position more than we realise.Clear communication can make complex occlusion concepts instantly understandable.Aligning Bite One and Bite Two over time leads to healthier joints and more predictable dentistry. Highlights of this episode: 03:36  Pearl – Assessing Abfractions 06:47 Dr. Bobby Supple’s Journey to Dentistry10:46 Confusion Around Centric Relation13:22 Exploring T-Scan Technology21:40 The Evolution of Digital Occlusion27:05 Effect of Sitting vs. Reclined Position32:03 Airway and Skeletal Asymmetry37:19 Bite Philosophy and Treatment42:10 Orthotics and Long-term Care52:13 Preventive Dental Care58:18 Ask Jaz AI (Beta Launch) 🎓 Join the world’s leading organization dedicated to occlusion, temporomandibular disorders (TMD), and restorative excellence — the American Equilibration Society (AES). 🗓️ AES Annual Meeting 2026 – “The Evolution of the Oral Physician” 📍 February 18–19, 2026 · Chicago, Illinois Papers & Literature: Dr. Bobby’s Top Picks Evolving digital patterns Introduction to force scanning 5 ways to use T-Scan Digital Occlusion–From paper marks to digital force mapping Discover Dr. Robert Kerstein’s guide to Measured Digital Occlusion and T-Scan technology. Dive deeper into occlusion with Dr. Bobby Supple on Occlusion Wars II: Beyond Teeth – PDP101 #PDPMainEpisodes #OcclusionTMDandSplints #BestofProtrusive This episode is eligible for 1 CE credit via the quiz on Protrusive Guidance. This episode meets GDC Outcomes C AGD Subject Code: 180 OCCLUSION Aim: To enhance clinicians’ understanding of the “two bites” concept, the role of condylar position in occlusal health, the use of T-Scan in diagnosing occlusal force patterns, and the long-term prevention-based approach to managing occlusal stress, abfractions, and TMJ remodeling. Dentists will be able to – Explain the concept of patients having “two bites” (MIP bite vs. airway/postural bite) and describe how posture influences mandibular position.Identify occlusal stress patterns using clinical examination and digital tools (e.g., T-Scan) to recognise overloads that may contribute to abfractions, cracks, or TMJ symptoms.Apply a long-term, preventive approach to occlusal management that aims to harmonise daytime and nighttime bites while supporting joint remodeling through appropriate orthotic therapy.
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    1 h y 9 m
  • Parenthood and Dentistry – Life Leverage for Unique Challenges – IC065

    Parenthood and Dentistry – Life Leverage for Unique Challenges – IC065
    Dec 16 2025
    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 Teaser01:00 Intro02:50 Shandy’s Story: Juggling Multiple Clinics08:11 Raabiha’s Story: Managing a Practice and Family08:58 Interjection16:03 Raabiha’s Story: Managing a Practice and Family18:17 Life Seasons and Reducing Clinical Commitment21:05 The Value of Help and Support Networks27:00 Financial and Emotional Challenges in Dentistry33:03 Midroll36:22 Financial and Emotional Challenges in Dentistry36:24 Balancing Work and Home Life42:26 Time Management and Setting Boundaries46:51 Self-Care and Emotional Regulation53:53 Upcoming Wellness Event59:01 Final Thoughts and Future Ideas59:49 Outro Ready to take the next step? Check out this great resource for new dentists and trainees: Dentistry in a NutshellJoin 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.
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    58 m
  • Moving to USA for Dentistry (Advanced Standing Programs and Specialist Pathways for International Dentists) – IC064

    Moving to USA for Dentistry (Advanced Standing Programs and Specialist Pathways for International Dentists) – IC064
    Dec 9 2025

    Thinking of moving to the USA as a dentist?

    Wondering what exams, applications, and documents you’ll need to practice or specialize there?

    Curious about how much it costs — and what life as a dentist in the States is really like?

    Dr. Hazel Kerr and Dr. Dorrin Reyhani join Jaz for a deep dive into everything you need to know about moving to America as a dentist. Both UK-trained and now faculty at UPenn, they share their personal journeys and break down the full pathway — from exams like the INBDE and TOEFL, to transcripts, personal statements, and application timelines.

    They also discuss what it’s like working in the US compared to the UK, including earning potential, patient culture, and training opportunities. Whether you want to complete an advanced standing program, pursue a specialty, or bring your skills back home, this episode gives you a clear roadmap to make it happen.

    https://youtu.be/Ro9dljETKpc Watch IC065 on YouTube

    Key Takeaways

    • The journey to becoming a dentist varies significantly by country.
    • Specializing in dentistry can open more opportunities than general practice.
    • Board certification enhances professional status and may offer insurance benefits.
    • International dentists have specific routes to practice in the US.
    • Scholarships can significantly reduce the financial burden of dental education.
    • Teaching positions can provide pathways to practice without additional costs. Faculty primarily teach and supervise dental students in clinics.
    • Early preparation for the INBD exam is crucial for success.
    • Clinical experience and a strong portfolio are essential for applications.
    • Networking and externships can enhance application prospects.
    • Understanding the application process can alleviate stress for international students.
    • Cultural differences impact how dental care is valued and perceived.

    Highlights of this episode:

    • 00:00 Teaser
    • 00:55 Introduction
    • 04:15 Journey to Specialization
    • 12:49 Understanding the Certification and Board Process
    • 15:35 Exploring Different Routes for International Dentists
    • 18:17 Financial Considerations and Scholarships
    • 25:48 US Difficulty and Competitiveness
    • 29:35 Choosing Between General and Specialty Routes
    • 31:11 Navigating State-Specific Licensing
    • 33:28 Teaching and Clinical Responsibilities
    • 35:03 Midroll
    • 38:24 Teaching and Clinical Responsibilities
    • 43:01 Application Process and Exams
    • 52:07 Residency and Career Pathways
    • 57:39 Application Portals
    • 01:00:35 Work Experience Before Specialization
    • 01:03:22 Why Dentists Choose to Work in the US
    • 01:09:36 Finishing the Program and Looking Ahead
    • 01:12:01 Outro

    If you enjoyed this episode, you’ll definitely be inspired by The American Dental Dream – PDP002.

    #InterferenceCast #CareerDevelopment
    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.
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    1 h y 11 m
  • Understanding Cracked Tooth Syndrome and the Dental Occlusion Triad – PS019

    Understanding Cracked Tooth Syndrome and the Dental Occlusion Triad – PS019
    Dec 2 2025
    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 syndromeIdentify high-risk teeth and patient factors—such as restoration design, occlusal contacts, and parafunctional habits—that predispose to cracksCommunicate effectively with patients about the significance of cracks, prognosis, and monitoring options, improving patient understanding and consent.
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    53 m
  • Safeguarding Children – Actions, Scripts and Guidance – PDP251

    Safeguarding Children – Actions, Scripts and Guidance – PDP251
    Nov 27 2025
    Are you confident in spotting a child at risk of neglect? Do you know what to do if you witness abuse in your practice? How can you raise concerns safely while protecting both the child and your team? This episode with Dr. Christine Park provides tangible actions, practical scripts, and clear guidance for managing challenging scenarios—like seeing an adult hit a child in the waiting room or recognizing neglect in the dental chair. These are situations dental school rarely prepares us for. Every practice needs clear protocols for safeguarding. This episode acts as a North Star, helping you stay compliant while ethically doing the right thing. If you treat children, you must listen to this episode and share it with every colleague who treats children. https://youtu.be/-kYs23Xa4Ls Watch PDP251 on YouTube Protrusive Dental Pearl: Find the phone number of your local child safeguarding board / social services. Verify it, then display it where you and your team can quickly access it. Need to Read it? Check out the Full Episode Transcript below! Key Takeaways Dentists are trained observers of family dynamics.Recognizing normal behavior is key in dental care.Unconscious observations can guide professionals.Feeling uncomfortable about a situation is a valid signal.Empowerment comes from trusting your instincts.Dental care professionals see many aspects of families.It’s important to act on uncomfortable feelings.Observation skills are crucial for effective care.Children’s interactions reveal much about family health.Awareness of discomfort can lead to better outcomes. Highlights of this episode: 00:00 Teaser 00:59 Intro 02:40 Pearl – Child Protection Hotline 05:23 Dr. Christine Park’s Background and Expertise 08:37 The Role of Dentists in Safeguarding Children 11:19 Practical Scenarios and Guidelines for Safeguarding 15:35 Recognizing Silent Cases of Neglect 17:29 Team Collaboration and Support in Safeguarding 21:58 Guidelines and Policies for Effective Safeguarding 22:03 Midroll 25:24 Guidelines and Policies for Effective Safeguarding 28:32 Handling a Tough Safeguarding Scenario 32:18 Dealing with Poor Oral Hygiene and Neglect 39:12 Managing Parental Reactions and Consent 43:08 The Importance of Safeguarding in Dentistry 45:34 Further Guidance and Resources 46:10 Outro 📢 Safeguard your young patients with confidence! Catch Dr. Christine Park at the Scottish Dental Show in June or via her NES webinars. Check out the BSPD guidelines on dental neglect —an essential resource for any dentist treating children ✉️ Get in Touch with Dr. Christine: General: Christine.park@glasgow.ac.ukPatient-info: Christine.park7@nhs.scot If you loved this episode, don’t miss How to Manage Children in Dental Pain – Paediatric Emergencies – PDP159 #PDPMainEpisodes #Communication #CareerDevelopment This episode is eligible for 0.75 CE credit via the quiz on Protrusive Guidance. This episode meets GDC Outcomes A and D. AGD Subject Code: 430 PEDIATRIC DENTISTRY (Identification and reporting of child abuse) Aim: To equip dental professionals with practical knowledge and skills to recognize, respond to, and appropriately escalate safeguarding concerns involving children in dental practice. Dentists will be able to – Identify key signs and red flags of child neglect, abuse, or welfare concerns in dental patients.Apply clear communication strategies to discuss concerns with parents/caregivers and involve relevant authorities.Follow practice-based and multi-agency procedures for safeguarding, including documenting observations and escalation.
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    45 m
  • Occlusion for Aligners – Clinical Guidelines for GDPs – PDP250

    Occlusion for Aligners – Clinical Guidelines for GDPs – PDP250
    Nov 25 2025
    Let’s be honest – the occlusion after Aligner cases can be a little ‘off’ (even after fixed appliances!) How do you know if your patient’s occlusion after aligner treatment is acceptable or risky? What practical guidelines can general dentists follow to manage occlusion when orthodontic results aren’t textbook-perfect? Jaz and Dr. Jesper Hatt explore the most common challenges dentists face, from ClinCheck errors and digital setup pitfalls to balancing aesthetics with functional occlusion. They also discuss key strategies to help you evaluate, guide, and optimize occlusion in your patients, because understanding what is acceptable and what needs intervention can make all the difference in long-term treatment stability and patient satisfaction. https://youtu.be/e74lUbyTCaA Watch PDP250 on YouTube Protrusive Dental Pearl: Harmony and Occlusal Compatibility Always ensure restorative anatomy suits the patient’s natural occlusal scheme and age-related wear. If opposing teeth are flat and amalgam-filled, polished cuspal anatomy will be incompatible — flatten as needed to conform. Need to Read it? Check out the Full Episode Transcript below! Key Takeaways Common mistakes in ClinCheck planning often stem from occlusion issues.Effective communication and documentation are crucial in clinical support.Occlusion must be set correctly to ensure successful treatment outcomes.Understanding the patient’s profile is essential for effective orthodontics.Collaboration between GPs and orthodontists can enhance patient care.Retention of orthodontic results is a lifelong commitment.Aesthetic goals must align with functional occlusion in treatment planning.Informed consent is critical when discussing potential surgical interventions. The tongue plays a crucial role in orthodontic outcomes.Spacing cases should often be approached as restorative cases.Aligners can achieve precise spacing more effectively than fixed appliances.Enamel adjustments may be necessary for optimal occlusion post-treatment.Retention strategies must be tailored to individual patient needs.Case assessment is vital for determining treatment complexity. Highlights of this episode: 00:00 Teaser 00:59 Intro 02:53  Pearl – Harmony and Occlusal Compatibility 05:57 Dr. Jesper Hatt Introduction 07:34 Clinical Support Systems 10:18 Occlusion and Aligner Therapy 20:41 Bite Recording Considerations 25:32 Collaborative Approach in Orthodontics 30:31 Occlusal Goals vs. Aesthetic Goals 31:42 Midroll 35:03 Occlusal Goals vs. Aesthetic Goals 35:25 Challenges with Spacing Cases 42:19 Occlusion Checkpoints After Aligners 50:17 Considerations for Retention 54:55 Case Assessment and Treatment Planning 58:14 Key Lessons and Final Thoughts 01:00:19 Interconnectedness of Body and Teeth 01:02:48 Resources for Dentists and Case Support 01:04:40 Outro Free Aligner Case Support!Send your patient’s case number and get a full assessment in 24 hours—easy, moderate, complex, or referral. Plus, access our 52-point planning protocol and 2-min photo course. No uploads, no cost. [Get Free Access Now] Learn more at alignerservice.com If you enjoyed this episode, don’t miss: Do’s and Don’ts of Aligners [STRAIGHTPRIL] – PDP071 #PDPMainEpisodes #OcclusionTMDandSplints #OrthoRestorative This episode is eligible for 1 CE credit via the quiz on Protrusive Guidance. This episode meets GDC Outcomes A and C. AGD Subject Code: 370 ORTHODONTICS (Functional orthodontic therapy) Aim: To provide general dentists with practical guidance for managing occlusion in aligner therapy, from bite capture to retention, including common pitfalls, functional considerations, and case selection. Dentists will be able to – Identify common errors in digital bite capture and occlusion setup.Understand the impact of anterior inclination and mandibular movement patterns on occlusal stability.Plan retention strategies appropriate for aligner and restorative cases.
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    1 h y 4 m
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