Finlay's Case Presentation 56
Welcome to my Newsletter 56 showing the making and fitting of a bilateral free end saddle upper removable partial denture (RPD) for Sue, with pemphigus. The full protocol workflow is presented.
I send the same Newsletter twice (only) at different times of the day, so that readers around the world don’t miss out on the content.
Sue was referred to me for specialist prosthodontics by her general dentist.
Dental concerns
“I have pemphigus which makes my mouth very sore. I am worried about losing teeth.”
Dental wish list
“To have a good denture made. I don’t want to have (dental) implants because I would need bone grafts.”
Diagnoses/observations/comments
1. Missing upper back teeth to be replaced with a metal based partial denture (or Pekton based partial denture if the metal causes exacerbation of the pemphigus).
2. Excellent oral hygiene.
3. Natural remaining teeth to be monitored by general dentist.
4. The soft tissues of your mouth were visually screened for oral cancer. The soft tissues appeared healthy. This is a routine assessment I carry out for all my patients.Treatment options discussed with the patient
Treatment options
1. Do nothing
2. Metal or Pekton based partial denture:
This is the option that the patient wanted.
3. Dental implant supported fixed teeth – to replace the missing upper teeth (fixed prostheses):
Patient did not want this.
The clinical situation and treatment process is shown in detail below. I provided the clinical work. Rowan Garstang, my dental technician, provided the technical work. The treatment required 6 visits to fit the RPDs and 2 reviews.
My recent trip to the World Dental Conference in Sydney, Australia was super exciting, meeting colleagues from all over the world. Here I met Sharonne Zaks who is doing amazing work with her patients – “using a collaborative approach”. Like Sharonne, my patients have often had awful experiences (dental or otherwise), presenting more challenges in managing their treatment journey. Sharone’s approach to her patients is very similar to mine. Watch her amazing TED talk.
If you enjoy my Newsletters and you have friends, colleagues, dental students, dental technicians, clinical dental technicians, postgraduate dentists, dental nurses/assistants and dental team members that you think will appreciate them, please feel free to share them. In addition, if you or your colleagues would like to receive my Newsletters, please email me (education@finlaysutton.co.uk) and I will update the list.
Courses given by me (Finlay) at the practice
I love running removable prosthodontic courses consisting of lectures and live clinical demonstrations at the practice. I give live treatment demonstrations of impression making, registration, try in and fitting of dentures. These courses are aimed at general dentists, prosthodontists, clinical dental technicians and dental technicians. They are completely clinical, demonstrating how to provide dentures which have optimal function and superb aesthetics. I give live patient demonstrations along with lectures abundantly illustrated with step-by-step photographs and videos of all procedures. Delegates will take many “nuggets of gold”, being able to put the advice straight into practice with immediate improvement in professional satisfaction and patient outcomes.
Speaking at dental and prosthodontic conferences throughout the UK, Europe and the World.
I also love speaking at conferences with the main aim of igniting enthusiasm for removable prosthodontics. I truly believe that well designed and well-made removable dentures are a valid alternative to implant supported restorations and I like to demonstrate this clearly in my lectures. In addition, I enjoy demonstrating the positioning of denture teeth in their natural place, this being an essential skills for dentists who are replacing missing teeth using dental implants as support. Giving patients appropriate lip support and placing artificial teeth into the best aesthetic position is a skill which dentists placing dental implants must have and is a fundamental part of complete denture discipline. If you would like me to speak at a conference please contact me at education@finlaysutton.co.uk.
My speaking/honoraria fees are higher than average, reflecting the quality of the clinical work I present and the dedication I have put into removable prosthodontics throughout my career. There is a huge amount of free to access resources available on my website (Resources and Case Studies) and on my FaceBook page. My lecturing and speaking engagements pay for this free to access material. I am completely honest and transparent, holding nothing back technically and emotionally so that delegates benefit maximally - which I find they truly love. My presentations have meticulous documentation of each patient I treat, beautifully illustrated with photos and videos. My lectures are designed so that delegates can put into practice the practical advice straight away on Monday morning. In addition, I deliver content in a stimulating and entertaining way, keeping the attention of attendees.
Please see details of courses and lectures (in UK and rest of the world) to be given by Finlay over the next year at the end of this Newsletter
education@finlaysutton.co.uk
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Information about Finlay's In-House Courses
Information about Finlay's speaking engagements
This is how I designed Sue's partial denture:
