You’ve spotted the signs—wear, scalloping, fragmentation, maybe even a low AHI—but what does that really mean?

When the data doesn’t match the symptoms, how do you move forward?

And how do you integrate airway into full mouth rehab without compromising function, stability, or predictability?

In this episode, Jaz is joined by Dr. Aston Parmar (https://www.instagram.com/astonparmardentalsleep/) to explore the real-world application of airway dentistry. They discuss how to help patients own their problem, why sleep testing matters, and how airway influences diagnosis, treatment planning, and long-term outcomes.

Protrusive Dental Pearl: Nasal Breathing and Simple Screening

- Nasal airflow can be a major limiting factor in sleep quality.
- Simple test: flare nostrils → if breathing improves, nasal resistance may be present.
- Nasal dilators can be a cheap, low-risk intervention for selected patients.
- Not all patients need mandibular advancement — sometimes the issue is nasal.
- Second pearl: test snoring improvement by advancing the mandible.
- If forward positioning reduces snoring sound → mandibular advancement may help.

Key Takeaways

- Apnea-Hypopnea Index (AHI) has limitations—context and patterns matter more than raw scores
- Upper Airway Resistance Syndrome (UARS) is common but underdiagnosed
- Sleep fragmentation can exist even with low AHI scores
- Myofunctional therapy improves compliance and outcomes
- Multi-night sleep testing provides more accurate insights
- Collaboration with ENT specialists improves diagnostic accuracy
- Dentistry should be airway-sympathetic, not just tooth-focused
- Mandibular advancement devices are effective but require careful titration
- Morning occlusal guides help reduce bite changes from appliances
- The environment (airway, function, biology) matters more than the teeth

Highlights of this episode:
00:00 – Teaser
00:35 – Introduction to Upper Airway Resistance Syndrome
03:00 – Pearl: Nasal Breathing and Simple Screening
08:17 – Recap: Myofunctional Therapy and Indications
10:15 – Patient Communication and Case Acceptance
14:34 – Frictional chewing pattern:
23:53 – Sleep-Disordered Breathing Spectrum
24:23 – Apnea vs Hypopnea and Apnea-Hypopnea Index (AHI) Limitations
30:15 – Upper Airway Resistance Syndrome (UARS)
35:59 – Management of UARS
37:15 – Mandibular Advancement Devices (MAD)
39:15 – Maxillary Expansion and Surgical Options
41:16 – Midroll
44:37 – Treatment Pathway and ENT Involvement
01:02:48 – Airway-Sympathetic Dentistry
01:05:16 – Treatment Philosophy and Case Selection
01:12:16 – Managing Side Effects of MAD
01:15:16 – Career Insight and Final Reflections
01:21:55 – Outro

Want to learn more?

Watch part 1 of this episode: PDP262 - Implementing Sleep, Airway and Myo to Restorative Dentistry Part 1 (https://www.youtube.com/watch?v=wGbgbW8muUI)

Also, check out Stop Blaming Bruxism with Dr. Sandra Hulac – PDP142 (https://protrusive.co.uk/ccp-part-2)

🦷Master Airway Dentistry in Practice
Join Dr. Aston Parmar’s course on 8th May in Cardiff

- Learn how to screen, test, and manage airway patients
- Understand real-world workflows and patient communication
- Build confidence in integrating airway into your practice

👉 Book via: https://dentalsleep.co.uk

🦷 Ergonomics Day – Dentistry Without Back Pain!

Join us Saturday, 13th June, Heathrow with Dr. Anikó Ball, world-leading ergonomics expert! Learn proper posture, positioning, and techniques to prevent back problems while practicing dentistry.

💺 Hands-on workshop with a mobile dental chair
📸 Live camera demo on a big screen
💻 Can’t attend in person? Join online with live stream & replay
🎟 Early bird tickets include a full event video!
👉 Grab your spot now (https://splintcourse.samcart.com/products/dentist-early-unbreakable-london-2026)!

#PDPMainEpisodes #CareerDevelopment #OrthoRestorative

This episode is eligible for 1.25 CE credit via the quiz on Protrusive Guidance (https://protrusive.co.uk/ultimate). 

This episode meets GDC Outcome C
-----------------------------------
Apply for FREE access to the Nicest and Geekiest Dental Community in the World 🌍
https://protrusive.app - it’s absolutely Free

We also have paid plans so you can Claim Verifiable CPD/CE + EXCLUSIVE content:
https://protrusive.app

🔊 Subscribe on Apple: https://protrusive.co.uk/apple
🔊 Subscribe on Spotify: https://protrusive.co.uk/spotify

📷 Instagram: https://www.instagram.com/protrusivedental/

Online Courses:

😬 Learn Occlusion Online: https://occlusion.online/
📚 Learn TMD and Occlusal Appliances: https://www.splintcourse.com
🦷 Gain Confidence with Resin Bonded Bridges: https://rbbmasterclass.com
🎒 Learn Vertipreps, Rubber Dam and More: https://protrusive.co.uk/ultimate

Life by KV /kvmusicprod
Creative Commons — Attribution 4.0 International — CC BY 4.0
Free Download / Stream: https://www.audiolibrary.com.co/kv/life
Music promoted by Audio Library Life – KV (No Copyright Music)

1


0

Cracked teeth, failing restorations, and that constant dilemma — when do you intervene… and when do you leave it alone?

In this episode, Dr. Lane Ochi shares decades of clinical wisdom on cracks, parafunction, and why dentistry isn’t about stopping damage — but managing it smarter.

From “tipping point” failures to helping patients brux safer, this is one of the most honest conversations on real-world decision-making in dentistry.

Watch full episode on Protrusive Guidance, YouTube, Spotify, and Apple Podcasts.

👉 Do you intervene early on cracked teeth — or wait and monitor?

56


0

“If you don’t understand WHY… it will fail.”

Dr. Aston Parmar breaks down the hidden role of airway and sleep in treatment outcomes.

Full episode out now on Protrusive Guidance 🎧

👇 Should this be standard in dentistry?

9


1

What do you actually do once you’ve screened a patient for airway or sleep-disordered breathing?

You suspect sleep apnea—but since we can’t diagnose it as dentists, how does that influence the care you provide?

What do you do with that information, and who should you be working with to help your patient?

And what if you want to implement airway into your practice—but you’re not in the right environment to do so?

In this episode, Dr. Aston Parmar (https://uk.linkedin.com/in/astonparmarswds) joins Jaz to break down how to implement airway in everyday dentistry. Together, they explore what happens after screening, how it influences treatment planning, and how dentists can work with other professionals to deliver better care.

Protrusive Dental Pearl

Use the Mallampati Score as a quick chairside airway screen: have the patient open wide and stick out their tongue. Grade 1 = low risk; higher grades indicate greater Sleep-Disordered Breathing risk. 

⚠️ In TMD patients, limited opening can give falsely high scores. 

✅ Always interpret alongside history and full exam.

Key Takeaways

- Airway management is often overlooked in dental education.
- Sleep testing can significantly improve patient outcomes.
- Dentists should focus on airway health to enhance sleep quality.
- Collaboration with orthodontists can benefit patient care.
- Myofunctional therapy is crucial for both children and adults.
- Early intervention before age six is vital for nasal breathing.
- Tongue function plays a significant role in dental health.
- Breathing patterns can affect orthodontic stability.
- The Malampati score is a key indicator of sleep disorder risk.
- Upper airway resistance syndrome can be difficult to diagnose.
- Collaboration with myofunctional therapists enhances patient outcomes.
- Understanding airway health is essential for total body health.
- Inspiring the next generation of dental professionals is important.

Highlights of this episode:

00:00 Teaser
00:51 Introduction
04:03 Protrusive Dental Pearl: Mallampati Score
05:37 Meet Dr. Aston Parmar
09:51 Journey into Dentistry
17:10 Implementing Training in Practice
22:41 First Exposure to Airway Concept
30:18 South Wales Dental Sleep Clinic Model
30:21 Midroll
33:42 South Wales Dental Sleep Clinic Model
41:17 Myofunctional Therapy Explained
48: 51 Orthodontic Stability and Neutral Zone
54:52 Quickfire Screening Red Flags
01:02:55 Sleep Apnea Basics
01:04:23  Upper Area Resistance Syndrome (UARS)
01:08:53 Outro

Want more? Check out Airway Dentistry with Jeff Rouse – PDP229 (https://www.youtube.com/watch?v=-Ut-qme7Vcg)

🦷 Ergonomics Day – Dentistry Without Back Pain! (https://splintcourse.samcart.com/products/dentist-early-unbreakable-london-2026)

Join us Saturday, 13th June, Heathrow with Dr. Anikó Ball, world-leading ergonomics expert! Learn proper posture, positioning, and techniques to prevent back problems while practicing dentistry.

💺 Hands-on workshop with a mobile dental chair
📸 Live camera demo on a big screen
💻 Can’t attend in person? Join online with live stream & replay

🎟 Early bird tickets even include a full event video!

👉 Grab your spot now (https://splintcourse.samcart.com/products/dentist-early-unbreakable-london-2026)!

#PDPMainEpisodes #CareerDevelopment #OrthoRestorative

This episode is eligible for 1 CE credit via the quiz on Protrusive Guidance (https://protrusive.co.uk/ultimate). 

This episode meets GDC Outcome C

AGD Subject Code: 730 – Oral Medicine, Oral Diagnosis, Oral Pathology
-----------------------------------
Apply for FREE access to the Nicest and Geekiest Dental Community in the World 🌍
https://protrusive.app - it’s absolutely Free

We also have paid plans so you can Claim Verifiable CPD/CE + EXCLUSIVE content:
https://protrusive.app

🔊 Subscribe on Apple: https://protrusive.co.uk/apple
🔊 Subscribe on Spotify: https://protrusive.co.uk/spotify

📷 Instagram: https://www.instagram.com/protrusivedental/

Online Courses:

😬 Learn Occlusion Online: https://occlusion.online/
📚 Learn TMD and Occlusal Appliances: https://www.splintcourse.com
🦷 Gain Confidence with Resin Bonded Bridges: https://rbbmasterclass.com
🎒 Learn Vertipreps, Rubber Dam and More: https://protrusive.co.uk/ultimate

Life by KV /kvmusicprod
Creative Commons — Attribution 4.0 International — CC BY 4.0
Free Download / Stream: https://www.audiolibrary.com.co/kv/life
Music promoted by Audio Library Life – KV (No Copyright Music)

14


2

AI receptionists are getting VERY realistic.

In this episode with Grant McAree, we explore the pros, the risks, and whether dentistry is ready for this shift.

🎧 Episode out now on YouTube, Spotify & Apple Podcasts.

10


0

Are AI receptionists here to take over your practice?

How do they actually work, and what can they do—or not do—for your team?

Could they make life easier for staff without replacing humans, or are they just a gimmick?

In this episode, award-winning dentist and marketing expert Dr. Grant McAree (https://www.dentalbusinessmentor.co.uk) joins Jaz to break down AI receptionists. Together, they explore what an AI receptionist really is, how it integrates with your practice, and the compliance and legal considerations every dentist should know.

They also dive into the bigger picture—who these systems are really for, how patient interactions are managed, and a live demonstration of an AI receptionist in action that shows exactly what it can—and can’t—do for your practice.

Key Takeaways:
- AI receptionists are evolving to provide better patient interactions.
- Data insights reveal significant gaps in patient communication.
- The technology is designed to assist, not replace human receptionists.
- AI can help streamline appointment bookings and patient inquiries.
- Understanding patient needs is crucial for effective AI responses.
- Customization of AI responses is essential for different practices.
- The future of AI in dentistry looks promising but requires careful implementation.
- AI should not be seen as a replacement but as a tool for efficiency.
- Compliance and data storage are critical in patient interactions.
- The integration of AI can lead to improved patient experiences.

YouTube Highlights:
00:00 Teaser
05:06 Meet Dr. Grant McAree
07:32 Grant’s Journey to AI
11:03 AI Gold Rush and Inequality
11:56 Interjection
14:01 AI Gold Rush and Inequality
15:59 Compliance and Legal Risks
18:42 What an AI Receptionist Does
20:54 Midroll
24:16 What an AI Receptionist Does
26:51 Comparing AI to Human Receptionists
32:47 Leads Data and Compliance
36:38 Future Adoption and Risks
42:46 Additional Features and Learning More
43:30 Jaz Call to AI Receptionist
46:01 Outro

Unlock the future of patient consultations! 🎯
Join my free course and learn how to use smart glasses + flamingo camera to give patients a live guided tour of their mouth—showing cracks, stains, and all the details in real time.
Link: https://protrusive.app/plans/1972086?bundle_token=e68a2d4ab0bbef1b5dfc591373c230a8&utm_source=manual

✅ Step-by-step setup
✅ Compatible with all loupes
✅ Tips to maximize patient trust and conversion
✅ PDF guides and tutorials included

Check out RoboReception—an AI receptionist and lead tracker that captures interactions and streamlines practice workflow. (https://www.roboreception.co.uk)

If you want to dive deeper into AI, check out Practical AI for Dentistry – Save Time, Achieve More (https://www.youtube.com/watch?v=cmin0h7GNyE)

#InterferenceCast #BeyondDentistry

This episode is eligible for 0.75 CE credit via the quiz on Protrusive Guidance (https://protrusive.co.uk/ultimate).

This episode meets GDC Outcomes A.

-----------------------------------
Apply for FREE access to the Nicest and Geekiest Dental Community in the World 🌍
https://protrusive.app - it’s absolutely Free

We also have paid plans so you can Claim Verifiable CPD/CE + EXCLUSIVE content:
https://protrusive.app

🔊 Subscribe on Apple: https://protrusive.co.uk/apple
🔊 Subscribe on Spotify: https://protrusive.co.uk/spotify

📷 Instagram: https://www.instagram.com/protrusivedental/

Online Courses:

😬 Learn Occlusion Online: https://occlusion.online/
📚 Learn TMD and Occlusal Appliances: https://www.splintcourse.com
🦷 Gain Confidence with Resin Bonded Bridges: https://rbbmasterclass.com
🎒 Learn Vertipreps, Rubber Dam and More: https://protrusive.co.uk/ultimate

Life by KV /kvmusicprod
Creative Commons — Attribution 4.0 International — CC BY 4.0
Free Download / Stream: https://www.audiolibrary.com.co/kv/life
Music promoted by Audio Library Life – KV (No Copyright Music)

7


6

From MScs to coffee machines to gym memberships… where do you draw the line? Jaz sits down with accountant Seb Stracey to unpack what dentists think they can expense vs what actually flies — including one of the most bizarre claims you’ll ever hear.

If you’ve ever wondered what’s legit, what’s risky, and what’s downright ridiculous… this one’s for you.

Episode out now on Protrusive Guidance, YouTube, Spotify, and Apple Podcasts.

What’s the wildest expense you think should be allowed?

8


0

Can you claim parking expenses as a dentist?

What about a coffee machine for your practice—could that really be deductible?

Or investing in a MSc in Implantology—does that count as a tax write-off?

In this episode, chartered accountant Sebastian Stracey (https://www.instagram.com/seb_stracey/?hl=en) joins Jaz to answer all those “am I naughty if I claim this?” questions that dentists and associates always wonder about. Together, they cover what’s truly deductible, what isn’t, and some surprising exceptions you might not expect.

They also dive into the bigger picture—how principals and associates really compare in terms of income, stress, and responsibility—and Seb shares insights that might change the way you view your career path.

Protrusive Dental Pearl
Check out our free Financial Resilience Webinar Replay (https://protrusive.app/posts/free-podcast-videos-financial-resilience-webinar-replay) on Protrusive Guidance (https://protrusive.app/plans/1950933), where Dr. Sunny Sadana and I discuss associate contracts, case acceptance, investing, and fee setting.

Key Takeaways:
--Dentists often forget to claim mobile phone bills as expenses.
-Home office usage can be claimed, especially for associates.
-Keeping detailed mileage logs is crucial for claiming travel expenses.
-Laundry and cleaning expenses for scrubs can be claimed.
-Communication with your accountant is key to maximizing claims.
-Continuing education expenses can be gray areas but may be allowable.
-Gathering evidence for claims is essential to justify them to HMRC.
-Specialization programs can be claimed if they build on existing knowledge.
-Fixed fee services for accountants are beneficial for associates.
-Always discuss your situation with your accountant to ensure compliance. Many new dentists -struggle financially during their training.
-Understanding tax obligations is crucial for financial stability.
-VAT regulations can be complex, especially for cosmetic treatments.
-It's important to save for tax throughout the year, not just at the end.
-Common misconceptions about tax deductions can lead to financial pitfalls.
-Dentists should engage in financial education early in their careers.
-Expense claims can be tricky, especially for gifts and personal items.
-The distinction between personal and business expenses is vital for tax purposes.
-Associates and principals have different financial realities in dentistry.
-Communication and education about finances are essential for dental professionals.

YouTube Highlights:
00:00 Teaser
00:42 Introduction
02:06 Pearl: Free Financial Resilience Webinar Replay
04:45 Meet Sebastian Stracey
06:56 Common Missed Expenses
13:57 Home Internet Claims
16:49 Asking Accountants Questions
19:07 Claiming Masters Courses
26:31 Specialist Training Costs
27:30 Midroll
30:41 Specialist Training Costs
33:28 Saving for Tax Bills
36:36 VAT on Cosmetic Work
40:06 “Am I Naughty If?” Questions
49:10 Wild Expense Attempts
50:11 Ways Dentists Can Learn More About Tax and Finance
51:56 Associate vs Principal Numbers
53:39 Outro

Get expert financial guidance for individuals and businesses with Humphrey & Co (https://www.humph.co.uk)—your trusted partners in taxes, planning, and business success
Learn strategies for career security, smart investing, and building wealth—watch Personal Finances for Dentists (IC068) (https://youtu.be/4OXruGIdb_g)

#PDPMainEpisodes #BeyondDentistry

This episode is eligible for 0.75 CE credit via the quiz on Protrusive Guidance (https://protrusive.co.uk/ultimate).

This episode meets GDC Outcomes B

AGD Subject Code: 550 – Practice Management and Human Resources

Aim
To outline common allowable and non-allowable expense claims for dentists and highlight the importance of documentation, communication with accountants, and financial planning.
----------------------------------
Apply for FREE access to the Nicest and Geekiest Dental Community in the World 🌍
https://protrusive.app - it’s absolutely Free

We also have paid plans so you can Claim Verifiable CPD/CE + EXCLUSIVE content:
https://protrusive.app

🔊 Subscribe on Apple: https://protrusive.co.uk/apple
🔊 Subscribe on Spotify: https://protrusive.co.uk/spotify

📷 Instagram: https://www.instagram.com/protrusivedental/

Online Courses:

😬 Learn Occlusion Online: https://occlusion.online/
📚 Learn TMD and Occlusal Appliances: https://www.splintcourse.com
🦷 Gain Confidence with Resin Bonded Bridges: https://rbbmasterclass.com
🎒 Learn Vertipreps, Rubber Dam and More: https://protrusive.co.uk/ultimate

Life by KV /kvmusicprod
Creative Commons — Attribution 4.0 International — CC BY 4.0
Free Download / Stream: https://www.audiolibrary.com.co/kv/life
Music promoted by Audio Library Life – KV (No Copyright Music)

33


3

Dr. Brandon Mack breaks down what truly separates elite cosmetic dentists from managing impossible patient expectations to navigating failure, perfection, and authenticity.

This episode dives deep into mindset, communication, and the emotional weight behind aesthetic dentistry — not just the clinical side.

If you’ve ever felt the pressure of delivering “perfect” results, this one hits hard.

Watch/listen now on Protrusive Guidance, YouTube, Spotify, and Apple Podcasts.

👉 Do you believe patients care more about the result… or the person delivering it?

14


0