The Forward Thinking Dental Podcast
Protrusive Dental Podcast
Claim This Podcastby Jaz Gulati
4.9(190 reviews)
406 episodes
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The Forward Thinking Dental Podcast
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Publishing Since
12/30/2018
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Recent Episodes
July 8, 2026
Mastering Pediatric Dentistry: Pulpotomy and Crown Techniques – PDP274
<p>Filling, stainless steel crown, pulpotomy or extraction — how do you actually decide on a deciduous tooth?</p> <p>Why is the lower first primary molar the one that always seems to flare up?</p> <p>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?</p> <p>And how do you actually do a pulpotomy, step by step, without it blowing up under the crown?</p> <p>This is a paediatric dentistry masterclass with <a href="https://www.instagram.com/babytoothdentist/"><strong>Dr Nidhi Kotak</strong> </a>— “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.</p> <figure class="wp-block-embed is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio"> <div class="wp-block-embed__wrapper"> https://youtu.be/3OscfwF7SIQ </div><figcaption class="wp-element-caption"><a href="https://youtu.be/3OscfwF7SIQ">Watch PDP274 on YouTube</a></figcaption></figure> <p><strong>Protrusive Dental Pearl: Strategic Flexibility</strong></p> <p>You cannot be rigid when treating children. The mindset shift is to stop asking <strong>“what should be done for this child?”</strong> and start asking <strong>“what can be done for this child?”</strong> 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.</p> <p>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.</p> <p><strong>What You’ll Take From This Episode</strong></p> <ul class="wp-block-list"> <li><strong>When to fill vs crown </strong>— the surface rule for baby molars, why crowns are so predictable in children, and where composites still work.</li> <li><strong>The “D” devil tooth </strong>— why the lower first primary molar flares up, and why mesial caries on a D is an automatic crown.</li> <li><strong>Pulpotomy indications </strong>— the signs that say vital pulpotomy, the ones that say extraction, and why a pulp exposure in a primary tooth is an automatic pulpotomy.</li> <li><strong>SDF, sedation and isolation </strong>— arresting decay without drilling, matching sedation to the child, and protecting the airway.</li> <li><strong>The pulpotomy technique </strong>— a full step-by-step from caries removal to cementing the stainless steel crown, including the modern medicament choice.</li> </ul> <p><strong>Highlights of This Episode</strong></p> <ul class="wp-block-list"> <li><strong>00:00</strong>  TEASER</li> <li><strong>00:59</strong>  Pediatric Dentistry for GDPs: The Strategic Flexibility Mindset</li> <li><strong>07:24 </strong> Why GDPs Struggle Treating Children</li> <li><strong>08:19 </strong> When to Fill vs When to Crown a Baby Tooth</li> <li><strong>12:18</strong>  Class II vs Stainless Steel Crown: The Surface Rule</li> <li><strong>13:41</strong>  Reading Pediatric Radiographs & When to Take Bitewings</li> <li><strong>19:15</strong>  SDF vs Fluoride Varnish: When to Use Each</li> <li><strong>22:37</strong>  Resin Infiltration (Icon) for Children’s Teeth</li> <li><strong>25:15</strong>  Pulpotomy in Primary Teeth: When It’s Indicated</li> <li><strong>26:19</strong>  The “D” Devil Tooth: Why Mesial Caries Means a Crown</li> <li><strong>27:31</strong>  Hall Crowns and the Modified Whole Crown Technique</li> <li><strong>27:48</strong>  Midroll</li> <li><strong>38:39</strong>  Local Anaesthetic & Behaviour Guidance in Children</li> <li><strong>40:38</strong>  Sedation Options: Oral, Nitrous & Intranasal</li> <li><strong>46:22</strong>  Rubber Dam vs Isolite: Isolation for Kids</li> <li><strong>48:59</strong>  How to Do a Pulpotomy: Step-by-Step Technique</li> <li><strong>58:03</strong>  OUTRO</li> </ul> <p>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. </p> <p>Follow Dr. Nidhi for more paediatric dentistry tips 👉  <a href="https://www.instagram.com/babytoothdentist/"><strong>@babytoothdentist on Instagram</strong></a></p> <p><strong>Want more?</strong></p> <p>If you enjoyed this episode, check out: <a href="https://protrusive.co.uk/childrens-crowns">Zirconia vs Metal Hall Crowns vs Conventional with Dr Tim Keys – PDP227</a></p> <p>#PDPMainEpisodes #EndoRestorative</p> <p><strong>Listen, Subscribe, Earn CPD</strong></p> <p><strong>Listen: </strong>Subscribe to the Protrusive Dental Podcast on Spotify, Apple Podcasts, or YouTube.</p> <p>This episode is eligible for <strong>1.0 CE credit</strong> via the quiz on <a href="https://protrusive.co.uk/ultimate">Protrusive Guidance</a>.</p> <p>This episode meets <strong>GDC Outcomes C </strong></p> <p>AGD Subject Code: 430 Pediatric Dentistry.</p> <p><strong>Aim & Learning Outcomes</strong></p> <p><strong>Aim: </strong>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.</p> <p><strong>Learning Outcomes — by the end of this episode, dentists will be able to:</strong></p> <ul class="wp-block-list"> <li>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.</li> <li>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.</li> <li>Apply a step-by-step technique for a vital pulpotomy and stainless steel crown in a primary molar, including the current choice of medicament and cementation.</li> </ul> <figure class="wp-block-audio"><audio controls src="https://pscrb.fm/rss/p/media.blubrry.com/protrusive/ins.blubrry.com/protrusive/PDP274.mp3"></audio></figure></p>
July 3, 2026
Consent in Orthodontics Should Be Individualised – PDP273
<p>How good is your consent for orthodontics — really?</p> <p>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?</p> <p>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?</p> <p>And what actually makes a consent form legally valid — the signature, or everything around it?</p> <p>This episode brings together two perspectives you don’t often hear in the same room. <a href="https://uk.linkedin.com/in/zaid-esmail-7b991061"><strong>Dr Zaid Esmail</strong> </a>is a specialist orthodontist and founder of the Online Orthodontic Academy, who mentors GDPs through fixed and aligner cases. <a href="https://www.instagram.com/drneeljaiswal/"><strong>Dr Neel Jaiswal</strong> </a> 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.</p> <figure class="wp-block-embed is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio"> <div class="wp-block-embed__wrapper"> https://youtu.be/YvsiIiX1Q1w </div><figcaption class="wp-element-caption"><a href="https://youtu.be/YvsiIiX1Q1w">Watch PDP273 on YouTube</a></figcaption></figure> <p><strong>Protrusive Dental Pearl: Make Your Patient Feel Unique</strong></p> <p>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.</p> <p>To make a specific risk stick, <strong>make the patient feel unique.</strong> 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.</p> <p><strong>What You’ll Take From This Episode</strong></p> <p>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:</p> <ul class="wp-block-list"> <li><strong>The layers of valid consent </strong>— consent is like an onion; a signed form and a documented conversation each cover a gap the other leaves open.</li> <li><strong>Individualising risk from the records </strong>— how the OPG and photos turn a generic warning (resorption, devitalisation, recession, relapse) into a patient-specific one.</li> <li><strong>The two-appointment consent flow </strong>— records, individualised risks, thinking time, and why you sign or initial every line.</li> <li><strong>The Class II Div 2 overjet trap </strong>— the case that looks like simple crowding and ends in a big overjet, and how to consent for it before you start.</li> <li><strong>When to treat, add an option, or refer </strong>— the GDC line on offering all options, and building alternatives into the form.</li> </ul> <p><strong>Highlights of This Episode</strong>:</p> <ul class="wp-block-list"> <li><strong>00:00</strong>  Teaser</li> <li><strong>01:01</strong>  Consent in Orthodontics: Why It Has to Be Individualised</li> <li><strong>02:59 </strong> Protrusive Dental Pearl: Make Your Patient Feel Unique</li> <li><strong>07:58</strong>  What Makes Orthodontic Consent Different</li> <li><strong>10:08 </strong> How Much Ortho Litigation Comes From Consent?</li> <li><strong>11:53  </strong>What Makes Consent Valid and Patient-Specific</li> <li><strong>12:26</strong>  Individualising Ortho Risk from the OPG</li> <li><strong>13:11</strong>  Using the ClinCheck as a Consent Tool</li> <li><strong>14:40</strong>  How to Structure the Consent Appointment</li> <li><strong>15:30  </strong>Root Resorption, Devitalisation, Recession and Relapse</li> <li><strong>19:37</strong>  Should You Initial Every Line of a Consent Form?</li> <li><strong>21:50</strong>  Midroll</li> <li><strong>27:11</strong>  Building a Multi-Layered Consent Process</li> <li><strong>29:31</strong>  Consenting for Fees, Relapse and Retainers</li> <li><strong>34:41</strong>  The Class II Div 2 Overjet Trap</li> <li><strong>37:51</strong>  When Should a GDP Refer an Ortho Case?</li> <li><strong>40:31</strong>  How to Learn Orthodontics with Mentorship</li> <li><strong>47:01</strong>  Outro</li> </ul> <p><strong>Dr Zaid Esmail </strong>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 <strong>PROTRUSIVE</strong>.</p> <p>👉  <a href="https://onlineorthodonticacademy.co.uk"><strong> </strong></a><strong><a href="https://onlineorthodonticacademy.co.uk/our-courses/comprehensive-course/"><strong>Online Orthodontic Academy — online ortho mentorship, fixed & aligners, Level 7 Diploma</strong></a></strong></p> <p><strong>Dr Neel Jaiswal</strong> 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.</p> <p><strong><strong>Request a Quote for Insurance and Get £100 off</strong></strong></p> <p>👉  <a href="https://quote.allmedpro.co.uk/pdi-protrusive-offer/"><strong>Professional Dental Indemnity (PDI) — insurance-based dental indemnity</strong></a></p> <p><strong>Want more?</strong></p> <p>If you enjoyed this episode, check out: <a href="https://protrusive.co.uk/consent"><strong>Consent Is Like An Onion – Are You Consenting Your Patients Correctly? – PDP113</strong></a></p> <p><strong>Tags</strong></p> <p>#PDPMainEpisodes #OrthoRestorative #Communication </p> <p><strong>Listen, Subscribe, Earn CPD</strong></p> <p><strong>Listen: </strong>Subscribe to the Protrusive Dental Podcast on Spotify, Apple Podcasts, or YouTube.</p> <p>This episode is eligible for 0.5 CE credit via the quiz on <a href="https://protrusive.co.uk/ultimate">Protrusive Guidance</a>.</p> <p>This episode meets <strong>GDC Outcomes A</strong></p> <p><strong>AGD Subject Code</strong>: 565 Documentation & Risk Management </p> <p><strong>Aim & Learning Outcomes</strong></p> <p><strong>Aim: </strong>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 comprehensible to the patient and defensible in law.</p> <p><strong>Learning Outcomes — by the end of this episode, dentists will be able to:</strong></p> <ul class="wp-block-list"> <li>Describe the elements that make orthodontic consent valid and patient-specific, including the material-risk standard and the role of reasonable alternative treatments.</li> <li>Apply a structured, multi-layered consent process — individualising risk from the clinical records and documenting the discussion — to an individual orthodontic patient.</li> <li>Identify the case types and clinical situations that warrant additional consent, an alternative option, or onward referral to a specialist.</li> </ul> <figure class="wp-block-audio"><audio controls src="https://pscrb.fm/rss/p/media.blubrry.com/protrusive/pscrb.fm/rss/p/media.blubrry.com/protrusive/ins.blubrry.com/protrusive/PDP273.mp3"></audio></figure>
July 1, 2026
Thinking About Teaching Dentistry? Here’s What You Need to Know First – IC076
<p>Ever fancied teaching dental students part time… but no real idea how you’d actually get in?</p> <p>Are you the kind of person teaching would energise — or quietly drain?</p> <p>Is a PGCert in dental education actually worth it, or just wishy-washy theory?</p> <p>And the honest question nobody asks out loud: does it pay anything?</p> <p>This is an Interference Cast — the non-clinical arm of the podcast — with <a href="https://www.instagram.com/rimasadhia/"><strong>Dr Rima Hussain</strong></a>, 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.</p> <figure class="wp-block-embed is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio"> <div class="wp-block-embed__wrapper"> https://youtu.be/DzmcM-SbD68 </div><figcaption class="wp-element-caption"><a href="https://youtu.be/DzmcM-SbD68">Watch IC076 on YouTube</a></figcaption></figure> <p><strong>What You’ll Take From This Episode</strong></p> <p>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:</p> <ul class="wp-block-list"> <li><strong>Are you built for the classroom? </strong>— the two-camp self-check (energised vs drained) that predicts whether teaching will recharge you or wear you down.</li> <li><strong>How to actually land a role </strong>— the ‘BDJ Jobs’ plus pick-up-the-phone route, and why “who you know” so often cuts through the application process.</li> <li><strong>Relatability as a strength </strong>— why being closer to a student’s level can beat decades of experience for an absolute beginner.</li> <li><strong>Back to basics </strong>— the “monkey see, monkey do” risk from YouTube and AI, and what the tutor’s real job becomes.</li> <li><strong>The honest pay-and-balance picture </strong>— why you don’t do it for the money, what you do get, and how teaching and practice keep each other fresh.</li> </ul> <p><strong>Highlights of This Episode</strong></p> <ul class="wp-block-list"> <li><strong>00:00 </strong> Teaser</li> <li><strong>01:08</strong>  Should You Teach Dentistry? How to Know If It’s for You</li> <li><strong>04:39 </strong> How a General Dentist Gets Into Dental Education</li> <li><strong>06:15</strong>  Signs You’re Suited to Teaching Dentistry</li> <li><strong>08:52  I</strong>s a PGCert in Dental Education Worth It?</li> <li><strong>12:07</strong>  How to Land a Clinical Teaching Post at a Dental School</li> <li><strong>14:38</strong>  Why a Relatable Tutor Beats Decades of Experience</li> <li><strong>16:52</strong>  How Dental Students Have Changed Since COVID</li> <li><strong>19:20 </strong> Is Social Media and AI Helping or Hurting Dental Students?</li> <li><strong>21:55</strong>  Midroll</li> <li><strong>26:43</strong>  Why “Back to Basics” Beats Chasing Advanced Techniques</li> <li><strong>29:20</strong>  How to Get a Teaching (or Associate) Job: Pick Up the Phone</li> <li><strong>31:50</strong>  Why Dental Tutors Quit After Six Months</li> <li><strong>36:29</strong>  The Most Rewarding Part of Teaching Dentistry</li> <li><strong>38:46</strong>  Teaching, Practice and Pay: How to Avoid Burnout</li> <li><strong>44:39</strong>  Outro</li> </ul> <p><strong>From the Guest</strong></p> <p><a href="https://www.instagram.com/rimasadhia/">Dr Rima Hussain </a>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.</p> <p>👉  <strong>Reach Rima on </strong><a href="https://www.instagram.com/rimasadhia/"><strong>Instagram</strong></a></p> <p><strong>References & Further Reading</strong></p> <p>Mentioned in this episode:</p> <ul class="wp-block-list"> <li><strong>Rath T. </strong>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.</li> <li><strong><a href="https://bdjjobs.com">BDJ Jobs.</a> </strong>The British Dental Journal jobs board where clinical tutor and academic posts are advertised, usually with short application windows.</li> </ul> <p><strong>Want more?</strong></p> <p>If you enjoyed this episode, check out: <a href="https://protrusive.co.uk/newgrad"><strong>2 Years Out of Dental School – Insights for New Grads – IC066</strong></a></p> <p>#InterferenceCast #CareerDevelopment #BeyondDentistry</p> <p><strong>Listen, Subscribe, Earn CPD</strong></p> <p>This episode is eligible for <strong>0.5 CE credit</strong> via the quiz on <a href="https://protrusive.co.uk/ultimate">Protrusive Guidance</a>.</p> <p>This episode meets <strong>GDC Outcomes B </strong></p> <p>AGD Subject Code: <strong>770 Self-Improvement</strong> </p> <p><strong>Aim & Learning Outcomes</strong></p> <p><strong>Aim: </strong>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.</p> <p><strong>Learning Outcomes — by the end of this episode, dentists will be able to:</strong></p> <ul class="wp-block-list"> <li>Identify the personal attributes and expectations that distinguish dentists who thrive in clinical teaching from those who do not.</li> <li>Describe the practical routes into a dental-school teaching post, including where posts are advertised and how a direct, proactive approach can work.</li> <li>Recognise the workload, financial and work-life-balance realities of part-time teaching, and strategies to avoid burnout while balancing teaching and practice.</li> </ul> <figure class="wp-block-audio"><audio controls src="https://pscrb.fm/rss/p/media.blubrry.com/protrusive/ins.blubrry.com/protrusive/IC076.mp3"></audio></figure>
406 total episodes available with 12 transcripts
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