logo
episode-header-image
Dec 2024
54m 28s

The Most Important Part a Beautiful Smil...

Jaz Gulati
About this episode

Are you focusing enough on pink aesthetics in smile design?

What role does gingiva play in achieving a truly stunning smile?

When should you refer for recession around lower incisors or upper canines?

Can you get the gum to grow back through orthodontics? And how about class 5 restorations? Should we do them, or should we work on the gingival recession first?

In this episode, Jaz is joined by the expert Dr. Tidu Mankoo, who shares his extensive knowledge on the importance of gingival health in aesthetic dentistry. They dive into the crucial role of the dento-gingival complex. 

https://youtu.be/Ao_vgJ-IbOg
Watch PDP208 on YouTube

Protrusive Dental Pearl: Shade Matching

  1. Composite button technique – a small blob of composite is applied to a dry tooth without etching or bonding to assess shade match and translucency, avoid excess thickness, which can affect opacity and aesthetics (Jason Smithson’s Tip: take a black-and-white photo to evaluate the composite’s value and ensure it matches the natural teeth)
  2. Using a custom composite shade guide like Smile Line by Style Italiano for more precise shade matching.

https://drive.google.com/file/d/16jpUoKsZHBwUYxKTXi5lnHO4s693Dgfe/view?usp=sharing

Key Takeaways

  • Gingival architecture plays a vital role in aesthetics.
  • Dentists should focus on patient-centered care.
  • Understanding tooth position is key to treatment planning.
  • Orthodontics can sometimes resolve gingival issues without surgery.
  • Communication with patients is essential for effective treatment.
  • Aesthetic dentistry requires a comprehensive approach.
  • The dental field is evolving, and practitioners must adapt. Root coverage procedures can be effective with proper techniques.
  • Understanding prognosis is crucial for successful treatment outcomes.
  • Aesthetic considerations are a primary reason for root coverage.
  • Restorative dentistry should consider the position of the gingiva.
  • Crown lengthening should not expose root surfaces unnecessarily.
  • Mucogingival surgery plays a vital role in implant aesthetics.
  • Education and training are essential for dental professionals.

Highlights for this episode:

  • 4:29 Protrusive Dental Pearl
  • 6:16 Dr. Tidu Mankoo’s Journey and Inspirations
  • 11:48 Reflections on Comprehensive Dentistryand Lifelong Learning
  • 15:59 Balancing Work and Family in Dentistry
  • 17:52 Understanding Gingival Architecture
  • 19:49 Creating a Harmonious Smile
  • 21:52 Addressing Gingival Aesthetics & Limitations
  • 26:56 Orthodontics and Surgical Interventions
  • 29:40 Root Coverage Procedures
  • 33:49 The Value of Early Diagnosis and Referral
  • 35:01 Indications for Root Coverage
  • 36:03 Root Coverage vs. Class V Restorations
  • 39:50 Managing Gingival Zenith Irregularities
  • 41:23 Role of Mucogingival Surgery inImplant Success
  • 47:47 Course on Mucogingival Surgery with IAS

This episode is eligible for 1 CE credit via the quiz on Protrusive Guidance

This episode meets GDC Outcomes B and C.

AGD Subject Code: 780 ESTHETICS/COSMETIC DENTISTRY

(Esthetic diagnosis and treatment of intraoral soft tissues) 

Dentists will be able to –

  1. Discuss when and how to manage gingival recession, including the role of root coverage procedures.
  2. Explore the anatomy and function of the dento-gingival complex and its influence on smile aesthetics.
  3. Promote the value of early diagnosis and timely referrals to specialists for successful treatment.

🚨 Join the Ultimate Masterclass on Implant Soft Tissue and Complex Cases! 🚨

📅 Dates: April 2024
🌟 Event: Implant Soft Tissue and Complex Case Masterclass

Join this two-day masterclass to elevate your skills in:

✅ Implant soft tissue management

✅ Root coverage and crown lengthening

✅ Complex case planning and aesthetics

If you loved this episode, be sure to check out PDP035 – Case Acceptance in Smile Design with Dr Gurs Sehmi

Up next
Aug 21
Fall in Love with Dentistry Again – How to Feel Fulfilled as a Dentist – IC060
Are you living your career by design—or just letting it happen to you? Do you know what your ideal day as a dentist looks like? What about your ideal week? In this episode, Jaz is joined by Dr. Andrea Ogden to explore how you can design a career—and a life—in dentistry that feels ... Show More
56m 31s
Aug 18
Gold Restorations: Why, When, and How with Lane Ochi – PDP236
Is gold really dead or making a comeback 2025? Are zirconia and biomimetic dentistry sounding the final bell for precious metal restorations? Is there still a place for gold in modern practice—and when is it actually the best option? Dr. Lane Ochi joins Jaz for a rare live podcas ... Show More
1h 12m
Aug 12
Reverse Dahl Technique for Localised Posterior Tooth Surface Loss – PDP235
Can you apply the Dahl technique to localised POSTERIOR wear? Spoiler alert: hell yeah! How can the Dahl Technique help when there is posterior wear and NO space to restore? How predictable is building up posterior teeth (rather than the usual worn anteriors)? In this episode, Ja ... Show More
59m 44s
Recommended Episodes
Oct 2024
What’s WRONG With Modern Dentistry & How To Fix Your Mouth, Sleep & Oral Microbiome For Good, With Dr. Eniko Loud & The Whole Health Dentistry Team.
In today's episode with Dr. Eniko Loud, Dr. Ghazal Sophia Taghavi, and Catherine Staffeldt, esteemed practitioners in the field of bioesthetic dentistry, you'll get to explore the ins and outs of holistic oral care, from proper brushing and flossing techniques to the integration ... Show More
54m 12s
Dec 2024
Episode 172 “Implant and Risk It: Dentists' Fear of Immediate Implants with Jan Bublik”
In this episode of Implant and Risk It, Dr. Jan Bublik tackles the fears and challenges surrounding immediate dental implants. Many dentists are hesitant to try this advanced technique, but Dr. Bublik breaks down the myths, the science behind its success, and how to build confide ... Show More
1h 6m
Feb 2025
256. Ceramic Esthetics, Diastema Closure, Resin Composite - Dr. Jason Smithson
Join Elevated GP: www.theelevatedgp.com DOT - Use the Code DENTALDIGEST for 10% off Follow @dental_digest_podcast Instagram Follow @dr.melissa_seibert on Instagram Connect with Melissa on Linkedin Dr. Jason Smithson, DDS, is a distinguished dentist renowned for his innovative app ... Show More
42m 50s
Nov 2024
Very Dental: How to Talk to Your Lab with Dr. David Hornbrook
Dr. David Hornbrook joins Alan in this throwback episode to talk about lab communication and digital workflow. David is convinced that the key to becoming a better dentist is communicating and having a good relationship with your dental lab.  David is REALLY glad to be back to in ... Show More
1h 3m
Aug 2024
Oral Health, Cancer, Gum Bleeding, Dry Mouth, Saliva, Toothpaste - Dr Anil Kohli | FO 245 Raj Shamani
Order 'Build, Don't Talk' (in English) here: ⁠⁠⁠⁠https://amzn.eu/d/eCfijRu⁠⁠⁠⁠ Order 'Build Don't Talk' (in Hindi) here: ⁠⁠⁠⁠https://amzn.eu/d/4wZISO0⁠⁠⁠⁠ Disclaimer: This episode is intended solely for educational purposes and opinions shared by the guest ... Show More
58m 50s
Sep 2024
The Surprising Truth About Root Canals | Heal Thy Self #313
In a recent discussion with Dr. Sonia Chopra, a board-certified endodontist, we explored the intricacies of root canals, shedding light on their safety, efficacy, and common misconceptions. Dr. Chopra emphasizes that when performed by qualified professionals, root canals can effe ... Show More
54m 34s
Aug 14
Alternative to the "Maryland Bridge" with Dr. Bill Robbins
Join Elevated GP: www.theelevatedgp.com Net32.com Follow @dental_digest_podcast Instagram Follow @dr.melissa_seibert on Instagram J. William Robbins, DDS, MA / Marcela Alvarez, DDS, MS / Bradley Beckel, DDS In the not too distant past, the specialist’s tool box was fairly limited ... Show More
22m 54s
Jun 13
272. Operative Dentistry Hacks [Replay] with Dr. Bob Margeas
Join Elevated GP: www.theelevatedgp.com Follow @dental_digest_podcast Instagram Follow @dr.melissa_seibert on Instagram Dr. Margeas was recently named on the 2024 "32 Most Influential People in Dentistry" by Incisal Edge Magazine. Click here to learn more! Dr. Margeas graduated f ... Show More
28m 23s
Jul 2024
228. Do You Want Patients to Like or Respect You? Dennis Hartlieb, DMD, AAACD, Rhodri Thomas, BDS, Michelle Lee, DMD
Get on the waitlist for journal club here: https://www.dentaldigestpodcast.com/contact-4  Follow @dental_digest_podcast Instagram Follow @dr.melissa_seibert on Instagram Connect with Melissa on Linkedin  DOT - Use the Code DENTALDIGEST for 10% off Dr. Dennis Hartlieb is a graduat ... Show More
1h 14m