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Protrusive Dental Podcast

Protrusive Dental Podcast

Auteur(s): Jaz Gulati
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The Forward Thinking Dental Podcast© 2025 Protrusive Dental Podcast Développement personnel Hygiène et mode de vie sain Réussite Science Troubles et maladies
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  • 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 min
  • 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 et 11 min
  • 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 min
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