List of Tutorials
List of Tutorials
1. Perio: How to discuss perio - explaining that perio disease can get to a point where you
can lose perfectly healthy teeth because the foundations are not strong enough. So we
need to get on top of it now and help with your cleaning. At home maintenance
2. Crowns: Differences in the types of crowns e.g. Zirconia, dentine bonded, E max and
when each is the most appropriate
3. Dentures: How to design a denture, when a CoCr may be indicated and if it is on NHS
4. Treatment planning: GIC and stabilisation if the mouth is very carious, at what point
should endo be done if it is asymptomatic and there is other caries in the mouth - as this
has potential to become very bad. E.g. if a patient needed a crown but their periodontal
health was just not there, would you do perio and the crown at the same time or would
you need to see some sort of improvement in the periodontal condition before, When
would we consider immediate dentures as part of the treatment plan
5. Bridges: Occlusion and when this will cause a bridge to fail, red flags of when definitely
not to offer bridges
6. Occlusion: What should I be looking for specifically and what should I make as part of
my assessment
7. Swellings: Management of swellings, when to prescribe, what to prescribe, when to drain
and when to refer urgently
8. Filling gaps: Realistic considerations of filling gaps - when should CoCr be offered and
should implants always be a discussion option just so the patient is aware of all their
options
9. Restorations: When are we able to justify replacing a filling
10. Endo: At which point should endos be referred and when would you definitely not start
an endo on a patient
11. Extractions: How to know when to suture - is it usually only when a patient is on an
anticoagulant, bisphosphonates - should all patients be referred?, root sectioning and
extraction
12. Paeds: Spotting the early class 3s, What ages should we start doing BWs, when to refer
13. Oral path: When to refer and when to be concerned
● General questions:
○ Explaining to patients the order in which things need to be done to get the best
outcome
○ When do bases and liners need to be placed
○ How often do we place PMCs
● Start at 9 on the first day which will just be an induction. Patients on the 5th but can
observe Adi doing procedures
Advice
● Communication is key, induction for the first few days, 45 mins for lunch, block out
where you need more time
● Metal crowns on 6,7,8 on NHS
● Amalgam on everything after 3-3 unless they want to pay for it or unless a lot of cervical
abrasion in which case composite will be needed
● If something needs to be done and you can justify it, do it. You will find the work but just
need to look for it
● Utilise the services that you have, speak up if unsure or need something
● My appts will be long but its because I like to take my time and do things carefully
● Keep on top of portfolio - record as much as possible and any sort of case discussion or
exchange of knowledge, just record it
● Phantom teeth - start without a nurse and just go for it to being with, then can get a
nurse in
● Older demographic, 99% of patients pay
● Will be watched for my first few
● By the end of the year try and get some private crowns so you can see what its like
● May start on whitening