• Which Generation Bonding Agent is the Best? 2024 Adhesive Systems – PDP192
    Jul 24 2024
    What is the best bonding agent to use? Does it actually matter? Spoiler: it does! How do you get the best bond to dentine and enamel with the adhesive system you are using? Dr Sam Sherif joins us in this episode, where he discusses bond strength in detail as well as sharing his top tips in achieving long lasting adhesion for our daily adhesive Dentistry. There's a lot to learn in this one so get ready those onions ready! https://youtu.be/FICDBVljsGw Watch PDP192 on Youtube ​Protrusive Dental Pearl: Always read the directions for use - ESPECIALLY for your adhesive systems! Did you know? Paid members on Protrusive Guidance can access the PDF summary notes as part of the Protrusive Vault. Oh and be sure to answer the quiz for 1 CE credit! If you liked this episode, you will also like Immediate Dentine Sealing Part 2
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    53 mins
  • Basics of Indirect Restorations Part 1 – Decision Making – PS006
    Jul 17 2024
    Is Shillingburg’s textbook irrelevant? What materials are used in the real world? Is it right that dental students are primarily taught PFM crown preps? When to Onlay and when to go full crown? The Direct vs Indirect debate continues, too! In this two-part journey, we'll dive into the world of crowns, bridges, and ceramics, exploring their applications, benefits, and the science behind these crucial dental materials. Join Emma and Jaz as they guide you through the fascinating world of indirect restorations. https://youtu.be/7J5S2ThC8AI Watch PS006 on Youtube Need to Read it? Check out the Full Episode Transcript below! Highlights of this Episode: 01:46 Welcoming Emma back 02:07 Emma's Learning Progress 05:57 Crowns: Material Choices and Real-World Applications 09:41 Onlays and Overlays 11:33 Direct vs Indirect Restorations 18:40 Onlays vs Crowns: Decision-Making 22:18 Conclusion and Next Steps Don't miss the special notes on Indirect Restorations available exclusively in the Protrusive Guidance app in the ‘Crush Your Exams’ space! This episode is not eligible for CPD/CE points, but never fear, there are hundreds of hours of CPD for Dentists waiting for you on the Protrusive App! For the full educational experience, our Ultimate Education Plan gives you access to all our courses, webinars, and exclusive monthly content. If you love this episode, be sure to recap PS005 - Should our Restorations Follow Textbook Anatomy? Tooth Morphology Click below for full episode transcript: Jaz's Introduction: Welcome to this two part episode on the basics of indirect restorations. If you're wondering why I sound different, or if you're looking around thinking, hmm, this isn't Jaz's usual studio, it's because my studio is a conservatory, and it is absolutely roasting right now. Jaz's Introduction:So, to spare you my sweat patches, I am recording in my living room, and I've got about three minutes before my wife and kids come home, so let's crack on. Look, crowns and bridges, anything indirect is a big steep learning curve when you're a student. But what I'm hoping to cover today will not only help guide students, but also is like a basic revision of indirect restorative. I remember being taught PFM, porcelain fused to metal crowns, and speaking to Emma, our Protrusive student, she's also learning porcelain fused to metal. Let me tell you, in the real world, many of our restorations are all ceramic. So Emma really was interested in learning more about this. So remember, Emma's our protrusive student, follow her journey through all these episodes. And really, I'm getting Emma to ask all the relevant questions because sometimes you lose touch in the struggles of when you were a beginner. And that's why Emma's really gonna make things tangible for us, break things down. And ask me the right questions so I can cover things that can actually help young dentist students and those who just want some revision of the basics. We cover key themes like direct vs indirect, on lays vs full crowns. I know we did a full episode on that recently by the way, PDP189, you should totally check that one out. But we kind of talk about it more in the basics foundational student friendly version. Hope you enjoy this episode, and yes, there are Emma's famous student notes available to download in the student forum and Protrusive Vault section of Protrusive Guidance, our app. The website for that is protrusive. app or download it on iOS and Android. Remember, if you email student at protrusive. co. uk with proof that you're a student, you get full access to this area. Enjoy the main episode, I'll catch you in the outro, and of course, do come back for part two. Emma Hutchison, the Protrusive Student, and all the students listening and watching, and Dentist, who sometimes like to join us here. Welcome back to another edition for Dentist students. This is June.
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    25 mins
  • Discoloured Centrals Incisors with Jason Smithson – PDP191
    Jul 10 2024
    The secret to success with non-vital bleaching is knowing when it’s not going to work. Dr Jason Smithson shares his decision making in discoloured incisors AND the protocols he uses in their management. When is a purely restorative approach more appropriate than bleaching? When is ceramic preferred to composite? What is the best way to mask a metal post? https://youtu.be/r59gt8g1niU Watch PDP191 on Youtube Listen/Watch this episode which reveals all! This episode is eligible for 1 CE credit via the Protrusive Guidance platform. Protrusive Dental Pearl: To help achieve great shade selection, take pictures sequentially during your assessment and throughout the procedure, then edit the pictures to show as black and white. By analysing the shade match through a black and white process and in steps throughout the treatment, the shade selection will be far more accurate than just attempting this once at the beginning, especially without using the black and white technique, as this will emphasise the value of the shade Need to Read it? Check out the Full Episode Transcript below! Highlights of this Episode: 01:56 Protrusive Dental Pearl03:15 Introduction - Dr Jason Smithson05:30 Biomimetic Dentistry14:50 Non Vital Bleaching24:55 Calcific Metamorphosis28:30 Ceramic or Composite Resin31:17 Deeper Dive into Ceramic Use32:55 Composite veneers40:35 Perfecting Shade43:40 Jason’s Courses Access the CPD quiz either on your browser or by downloading our mobile app. For the full educational experience, our Ultimate Education Plan gives you access to all our courses, webinars, and exclusive monthly content. If you liked this episode, you will also like The ‘Anti-Biomimetic Dentist’ – Restorative Lessons from Pasquale Venuti Part 1 – PDP152 – Protrusive Dental Podcast Click below for full episode transcript: Jaz's Introduction: One of the most common questions we get on Protrusive is how do you manage the discoloured central incisor? Now, we already have episodes on the non vital bleaching technique. Jaz's Introduction:In fact, it's a two part absolute ripper. But sometimes we experience relapse or we find a case where perhaps it's too risky to try non vital bleaching and we want to manage this restoratively. So I brought on once again, Dr Jason Smithson you probably already know who this is If you don't you probably live under a rock somewhere. He's one of the greatest dentists ever and he's taught me so much of what I know. I'm constantly learning more and more from him. In fact, even in this episode, he taught me so, so much. I know you're going to gain so much from this. Hello, Protruserati. I'm Jaz Gulati, recording at my in law's place at the moment, in the loft, because it is half term. The kids are off, but I so badly wanted to record this. So my wife has given me a permit to do this podcast with Dr. Jason Smithson. The kind of themes you cover are when do you know not to even attempt non lethal bleaching, and perhaps a restorative technique will be better? When to veneer versus when we should actually be crowning. I know crown is like a dirty word, but actually, you'll see that there is still a place for the crown. Revisit the composite versus ceramic debate when it comes to restoring that discolored central incisor. And this entire episode is sponsored by Sprinkled With gems and pearls from Jason. Denta Pearl:The Protrusive Dental Pearl I have for you is taken from this episode. Now, you may already be familiar with the protocol of taking a black and white photo of the anterior teeth that you're restoring because it helps you to appreciate the value, the brightness of the tooth. And sometimes we use the composite button technique. I.e we put a small little button of composite on the facial of an incisor to see which button of composite, different shades of composite best matches the shade of your tooth. Now, if you listen to the end of the episode,
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    50 mins
  • Should our Restorations Follow Textbook Anatomy? Tooth Morphology – PS005
    Jul 5 2024
    When restoring molars, should we ALWAYS try to recreate textbook anatomy? (spoiler: NO WAY!) What preventive measures can we use for toothwear? Tooth Morphology in the Real world! In this episode, Emma Hutchison and I explored the nuances of practical tooth morphology. Textbooks provide us with idealized versions of dental structures, but how do these perfect images translate into real-life practice? Can and should we aim to replicate these diagrams exactly in our dental work? https://youtu.be/OcdQRTV7jpY Watch PS005 on Youtube Need to Read it? Check out the Full Episode Transcript below! Highlights of this episode: 1:38 Introducing Emma Hutchison 01:53 First Denture Experience - What is an Overdenture? 03:13 The Importance of Complete Dentures in Aesthetic Dentistry 8:26 Understanding Tooth Morphology in Practice 11:25 Changing the Morphology of the Tooth 15:56 Difference Between Morphology of Premolars 20:31 Preserving Natural Tooth Morphology 27:26 Real-World Application of Tooth Anatomy Don't miss the special notes on tooth morphology available exclusively in the Protrusive Guidance app! This episode is not eligible for CPD/CE points, but never fear, there are hundreds of hours of CPD for Dentists waiting for you on the Protrusive App! For the full educational experience, our Ultimate Education Plan gives you access to all our courses, webinars, and exclusive monthly content. If you love this episode, be sure to recap PS004 - Learning Can Be Stressful! Click below for full episode transcript: Jaz's Introduction: One of the most common questions I get, and also I used to think of, is when we're doing a composite, let's say you're doing it under rubber dam, posterior composite, are you supposed to make the anatomy look like what that tooth is supposed to look like in a textbook? I. e. are you supposed to basically recreate the textbook in the patient's mouth? Jaz's Introduction:Well, do you know what happens when you do that? Well, this is what happens. The patient bites together and you have to rub it all away. You have to adjust all that hard work away and now it looks like a flat white version of amalgam. So what's happening there? How can we be smarter? How can we use the textbook as inspiration but also just not end up making all our restorations flat? It's a real fundamental and basic question in a way but I think it is so real world. So we are covering today tooth morphology with our protrusive student Emma Hutchison. This is PS005. Remember there's a series we're making with Emma throughout the year to cover themes which are relevant to young dentist students and those who are perhaps re engaging back into dentistry. And also for all dentists who just want to dip into the basics again. I think there's a real beauty in seeing how far you've come and how much you've progressed by going through the basics one more time. We were going to talk about orthodontics and stuff but really as a student I thought I wanted to make it more applicable to the real world. So we deviate more towards tooth morphology and I hope that you can apply some of these tips in practice. Or on the mannequins if you're still a student. Remember, if you're a student, you get access to a few secret areas in Protrusive Guidance. All you have to do is send your proof to student@protrusive.co.uk and of course, download Protrusive Guidance app. And then we will link you up to the right space so you get access to a few special features. Let's catch the main episode. I'll catch you in the outro. Main Episode:Welcome back everyone to May's episode. Emma, how is it going? You told me that you just fit your first denture. [Emma]Yeah, so last week I had an elderly gentleman and we needed a new lower over denture. So I've spent the last however many appointments going through all the processes. [Jaz]Emma, for those students who may be a little bit more junior to you,
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    37 mins
  • Does Air Particle Abrasion ACTUALLY Improve Clinical Outcomes? – PDP190
    Jul 3 2024
    Air Particle Abrasion! Images of Sandblasted teeth look cool but does it ACTUALLY improve clinical outcomes? What are the indications? When is it genuinely critical to use? More pragmatically, are there any decent alternatives eg. roughening with a bur? Air particle abrasion, a technique used to prepare tooth surfaces for bonding, has sparked considerable debate among professionals. This episode discussed its effectiveness, implications, and best practices with Dr. Veronica Pereira de Lima. https://youtu.be/oTGQBTyuY-k Watch PDP190 on Youtube Protrusive Dental Pearl: Two advantages of slicing off a corner of the rubber dam are: Anterior Dam Stabilization: By flossing the cut piece through the front teeth, it acts as a makeshift wedge, securely fastening the dam in place without the need for traditional wedjet. Simplified Orientation: This technique aids in aligning the rubber dam properly, streamlining the entire setup process for more efficient dental work. Check out ‘Quick and Slick Rubber Dam’ online course (on-demand) only available via the Ultimate Education Plan on Protrusive Guidance Need to Read it? Check out the Full Episode Transcript below! Highlights of this episode: 00:44 Protrusive Dental Pearl 04:16 Dr. Verônica Pereira de Lima Introduction 07:07 Journey of Dentistry in Brazil 08:34 Academia vs Clinical Practice 09:20 Journey about PhD and Work Surrounding Air Particle Abrasion 11:12 Importance of Air Particle Abrasion to Clinical Dentistry 15:57 Health Concerns Regarding Air Abrasion Particles 18:10 Air Abrasion Contraindication 20:13 Size of the Microns - Clinical Guidelines 22:25 Pragmatic Approaches in Clinical Practice 24:28 Cojet as an Air Abrasion Particle 27:37 Improper Use of Air Abrasion 30:07 Air Abrasion Guidelines Regarding Different Ceramics 31:40 Alternatives to Air Abrasion 33:29 Dr. Veronica’s Personal Guidelines - Air Abrasion Protocol and Unit 40:27 Learning with Dr. Veronica Access the CPD quiz either on your browser or by downloading our mobile app. For the full educational experience, our Ultimate Education Plan gives you access to all our courses, webinars, and exclusive monthly content. If you love this episode, be sure to watch Immediate Dentine Sealing Tutorial Part 1 – PDP173 Click below for full episode transcript: Jaz's Introduction: Air particle abrasion for the restorative dentist. How important is it? Hello, Protruserati. I'm Jaz Gulati and welcome back to the Protrusive Dental Podcast. In this episode, I'm joined by Dr. Veronica Pereira de Lima. Jaz's Introduction:She was the lead author and a systematic review in 2020 that looked into air particle abrasion and the significance for improving dentine bonding. Some of the key questions that we cover in this episode are how important actually is it? What micron of sand and which sand should we be using? Is there any benefit of CoJet? CoJet is like this sand with silica embedded into it. Does that really make a difference? And ultimately at the end of the podcast, we will answer the question. If you don't have it at the moment, are you really missing out? And the answer actually might surprise you. Dental PearlEvery PDP main episode, I give you a Protrusive Dental Pearl. Today's pearl, very fitting with air particle abrasion, because when do we use air particle abrasion? Well, we use it a lot when it comes to adhesive dentistry. And for adhesive dentistry, rubber dam isolation is often favourable. Now, I'm no rubber dam police, but I'm an avid user of rubber dam. And the tip I want to pass on to you today is, are you using things like Wedjet? You know, those stretchy silicon type strings that you use to anchor your rubber dam? And the terminal tooth for example, you're using a clamp on the molar and then all the way to an incisor, maybe you're using like a Wedjet or something to secure your rubber dam. Well,
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    43 mins
  • Associate Contracts FINALLY Made Sense! From Holidays to Retention Fees – IC051
    Jun 28 2024
    Paying through the nose for your indemnity? You may get better protection with insurance AND it has saved Dentists £1000s - get a quote today from PDI / AllMedPro and get an additional £100 off (this is a promotional link that will save you money) Associate contracts are actually a HUGE deal that we do not give enough attention to... How long can your principal keep your retention for? Is it really true you cannot work within a certain radius? How principals and associates may be getting screwed over by the poor contract! Finding the right principal/associate is very exciting, so much so that we sometimes forget how important it is to read through the small print of our contract. This can prove very costly in the future in our industry where mistakes do happen, so it is extremely important to be aware of what we are signing up for. https://youtu.be/lC_POxlmL_U Watch IC051 on Youtube Join us today with Neel Jaiswal and Sarah Buxton for a breakdown of how to negotiate the right contract for you, the power of being an Associate in this day and age, and the importance of Insurance. There’s a lot more in this episode so don’t miss out…’Court is in session!’ Need to Read it? Check out the Full Episode Transcript below! Highlights of this Episode:02:08 Sarah Buxton and Dr Neel Jaiswal 08:40 Associate Contracts11:15 Who Checks the Contract?13:50 Contract Bias towards Principals?18:50 Getting Contracts Checked21:28 Retention of Fees30:48 Annual Leave35:00 Exclusion Zones43:04 Vicarious Liability52:18 How to get in touch For the full educational experience, our Ultimate Education Plan gives you access to all our courses, webinars, and exclusive monthly content. This includes Vertipreps for Plonkers and clinical videos demonstrating Onlay Preps. If you liked this episode, you will also like GF019 - Indemnity vs Insurance Click below for full episode transcript: Jaz's Introduction: If you're an associate, when you joined the practice, did you read and did you understand your contract? And if you're a principal, do you actually understand the contract that you're giving to your associate? Jaz's Introduction:Look, something I make very clear in this episode is that I'm a man of trust. I'm not the biggest fan of forms and contracts. I don't really think any of us are, right? My biggest currency is trust. However, in this day and age, unfortunately Protruserati, trust is not enough. We need everything backed by writing and unfortunately a huge takeaway of this podcast will be that contracts are super super important to the letter. So it is my duty to make contracts tangible. In this episode joined by Sarah Buxton and Dr. Neel Jaiswal. Sarah is representing the legal side and Neil's representing the medical legal side. So together we're going to make dental contracts tangible for you. Everything from what is a fair retention fee to withhold from an associate after they stop working to who should be paying to get a contract checked. This one actually might surprise you actually. So who should be paying? Should your contracts be checked? The answer is yes, they should be, believe it or not. Who should be paying for it? What about the retention fee? What about vicarious liability? What if an associate messes up? And now the practice is responsible. How do you cover that in a contract? What about the clause that you can't work X number of miles away when you leave a practice? Is that actually enforceable? Is it actually worth the paper it's written on? And so with all these themes, this I promise you will be the most to the point, concise and actionable piece of education on dental contracts you'll ever listen to. Hello, Protruserati, I'm Jaz Gulati, and welcome back to an Interference Cast, which is an arm of Protrusive Dental Podcast, where we discuss non clinical but important topics. This particular episode is eligible for one hour of CPD.
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    55 mins
  • Dental Aid Work – Ditching the Rat Race for a Charitable Cause – IC050
    Jun 25 2024
    Have you ever considered Dental Aid Work? Imagine giving up your morning starbucks and your air conditioned dental surgery to work in a developing country that has just 7 dentists. Fellow Protruserati, Dr James Hunter and his young family will be doing just this - they are preparing for a four-year mission to Liberia, Africa, to dedicate themselves to dental aid work. Follow along as we delve into their story of skill, passion, and humanitarianism. https://youtu.be/lzKVmuuUvBI Watch IC050 on Youtube Need to Read it? Check out the Full Episode Transcript below! Highlights of this Episode:00:00 Introduction2:52 From Theology to Dentistry5:35 Dr. James on Dentistry06:44 The Decision to Move to Liberia for Aid Work09:52 Understanding Liberia's History and Needs15:28 The Future Plans for Dental Aid in Liberia18:37 Motivations Behind the Mission20:04 The Challenge of Committing to Charity Work20:57 Financial Planning, Schooling and Adaptation for Children Abroad26:40 Sharing Experiences and Encouraging Aid Work28:13 Raising Awareness and Support for the Mission32:09 Closing Thoughts and Encouragement Be sure to visit https://www.thehuntersinliberia.co.uk/ for details on supporting charity work in Liberia. Additionally, explore other charity websites in your country for more ways to make a difference locally. This episode is not eligible for CPD/CE points, but never fear, there are hundreds of hours of CPD waiting for you on the Protrusive App! For the full educational experience, our Ultimate Education Plan gives you access to all our courses, webinars, and exclusive monthly content. This includes Vertipreps for Plonkers and clinical videos demonstrating Onlay Preps. If you enjoyed this episode, don't miss out on watching "The International Dental Student – From Ukraine to Egypt to Slovakia – IC047” Click below for full episode transcript: Jaz's Introduction: As dentists, we are in a privileged position. I know it's sometimes hard to fathom that and hard to come to terms with that because of all the doom and gloom that we sometimes like to focus on. Jaz's Introduction:But really, we are in a beautiful profession, and we can actually mold our profession how we want to. Now, there might come a time in your life, if you're that way inclined, to take your career towards dental aid. This could be at the start, the middle, or even towards the end of your career, which is quite popular, to donate yourself, donate your skills to charity. This could be in a refugee camp, this could be in a third world country, to provide a much needed dental service. So on today's episode, I've got Dr. James Hunter, who, with his family, so him, his two kids, his wife, are moving to Liberia, which is a small country in Africa, and he's going to be, hopefully, working there for about four years. That's his provisional plan, along with his family, providing dental aid, which I just think it's so so noble. So, what this episode wants to do is basically let you know about the different aid opportunities out there. And actually, just had this interview with James to find out what are his motivations. How do you get involved with this? But how did you even have that difficult conversation with your spouse, with your children, that you're going to move to this country in Africa and for the next four years of your life you're going to leave the rat race? You see, a lot of us would struggle to say, you know what, I'm going to give up the income, I'm going to give up the house, give up the practice, give up the cars and move to a third world country and work for free and just do a beautiful charitable thing, which is exactly what James and his family are doing. But James and his family are very, very rare individuals. They are gems. They are the gems of this planet. And I want his story to come out and it might inspire you. It might inspire you to maybe take two weeks out of the year to do some dental aid work...
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    38 mins
  • Onlays Vs Full Crowns – Decision Making 2024 – PDP189
    Jun 17 2024
    Have we fully shifted towards lithium disilicate overlays and onlays? Are full crowns considered a sin in 2024? (Maybe just on Instagram then!) Spoiler: Crowns TOTALLY have a place, and so do large direct composite restorations! Dr Alan Burgin and I share our decision making trees for indirect restorations as part of ‘Crowns and Onlays Month’ on Protrusive Dental Podcast. Find out which clinical factors sway us more towards a Overlay vs a Vertiprep - and the rationale for each type of restoration. https://youtu.be/Gntb083yUOQ Watch PDP189 on Youtube Protrusive Dental Pearl: Use Vaseline on the gingivae when carrying out a ‘smile trial’ or bis-acryl mock-up - will result in an easier clean up! Need to Read it? Check out the Full Episode Transcript below! Highlights of this Episode:01:54 Protrusive Dental Pearl02:44 Introduction - Dr Alan Burgin18:20 Types of Indirect Restorations31:16 From Onlay to Crown44:40 Crowns - Traditional vs Verti-Preps54:00 Reflection57:48 Alan’s Prep Course For the full educational experience, our Ultimate Education Plan gives you access to all our courses, webinars, and exclusive monthly content. This includes Vertipreps for Plonkers and clinical videos demonstrating Onlay Preps. Join us on Protrusive Guidance, our own platform for dental professionals. No need for Facebook anymore! 😉 If you liked this episode, you will also like PDP089 - Vertiprep Revision Click below for full episode transcript: Jaz's Introduction: Overlays and onlays have become very popular. So is there still a place for full crowns? I still place full crowns because I use vertical crowns, i.e. vertipreps. Even then, if a tooth has enough enamel, my indirect restoration of choice will very likely be an overlay restoration. Something like lithium disilicate. [Jaz]The other modern consideration that we have is composite. We can actually go really far with composites and I know the bigger the composite the less predictable it can be but sometimes with modern techniques and looking after the occlusion you can get a long time out of a large composite and often due to budgetary reasons or otherwise the large composite is what we may be opting for in many scenarios. So where do we draw the line? What's the limit of a large posterior composite? These are all the real world questions we'll be discussing today with my guest Dr. Alan Burgin as part of crowns and onlays month in June 2024. So remember in February we did Adhesive Dentistry, then in March we did Documentation, April we did Mental Health, in May we did may the Force Be With You Orthodontics, and now we're doing Crowns and Onlays. And I hope you agree that this is big enough to deserve its own month. It's our daily decision making. It's our bread and butter daily restorative dentistry. Hello Protruserati, I'm Jaz Gulati and welcome back to your favorite dental podcast. Every PDP episode, I give you a Protrusive Dental Pearl, except this time I've actually just run out. There's no more pearls out there. There's no more tips. In all the episodes we've done in the last six years, we've covered every single tip in Dentistry. And so, there we are. There's no more tips, guys. Dental PearlI'm just kidding. Listen, the tip for this one, the Protrusive Dental Pearl, by the way, if you want access to every single protrusive dental pearl, we've created a new PDF, by the way, which all the previous pearls are there in one PDF. This is freely available in Protrusive Guidance, our community, and the home of the nicest and geekiest dentists in the world. The website for that is protrusive. app or download the iOS, Android app is called Protrusive Guidance. The pearl for today is when you're doing a mock up with a bisacryl. What's bisacryl? It's like, you know, ProTemp, LuxaTemp, Integrity, all these instant crown bridge temporary materials. When you're doing a mock up like a smile preview, perhaps before veneers or something.
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    1 hr and 4 mins