Holistic, biological, functional — is there actually a difference, or is it all just marketing? Are root canals really dangerous — or is that just what the algorithm keeps showing your patients? When a patient wants their sound fillings out, do you test, reassure, or drill? And how do you bring sleep, diet and blood tests into a dental appointment without it stopping being dentistry? This episode…
Injection moulding is meant to save you time. Too often it hands you a mouthful of flash and a cleanup that swallows the chair time you thought you were saving. Dr Sandra Hulac is a Clinical Instructor at the Kois Center in Seattle and an Accredited Fellow of the American Academy of Cosmetic Dentistry. She uses full-mouth injection moulding to road-test occlusions and stabilise breaking-down…
Your patient is nine years old. One first permanent molar is crumbling — the others look fine . Does it stay, or does it go? Is that broken-down first permanent molar really down to poor brushing — or is it Molar Incisor Hypomineralisation ? When is the right time to take a first permanent molar out — and how do you read it off the X-ray? And how do you tell a parent their child needs an adult…
Patient has patchy white spots after braces — do you really whiten, or will that just make the spots stand out more? Tetracycline staining darker than your darkest shade tab — is bleaching even worth attempting, or is it veneers by default? A single dark, root-filled central incisor — can you fix it without picking up a drill at all? And how do you talk a patient through weeks, shades and cost so…
What if the tray is the reason your whitening results are inconsistent? Why would a dentist who owns a whitening lab — and holds four patents on making bleaching trays — tell you to skip the tray? Trayless whitening does not mean strips. It means the patient puts in a retractor and paints the gel directly onto the teeth, twice a day, for half an hour. No impression, no lab bill, no two-week wait,…
Just qualified — so why does it feel like the learning is only just beginning ? What should you actually focus on in year one: the flawless dentistry on your feed, or something far less glamorous? How do you tell a patient their nerve might die — without it sounding like YOUR fault? And when a patient says “just do whatever you think” — what do you say back? This is the conversation every new…
Your patient brushes well, avoids sweets — and still keeps getting decay. What if the answer isn’t in their mouth at all? What if two inexpensive finger-prick tests told you more about a patient’s gum disease and implant prognosis than anything on the radiograph? And here’s the uncomfortable one: if the science is this clear, is not checking starting to look like a medico-legal risk? Especially…
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…
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…
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…
Sleep, Airway and Mouth Breathing: An ENT’s Guide for Dentists Could a “normal” sleep study still be missing your patient’s airway problem? Why do women and children with real symptoms keep scoring “mild” ? Should a mouth-breathing child see a myofunctional therapist — or an ENT first ? And which four questions screen a child for sleep problems in under a minute? The roof of the mouth is the floor…