Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE

NEWSLETTER CASE PRESENTATION 69

This edition features the case of Edgar, who sought help for a poorly fitting, acrylic-based partial denture that rocked, affected his speech, and caused discomfort. After considering various treatment options, including dental implants, Edgar opted for a metal-based removable partial denture, designed by myself with input from my technician, Rowan Garstang.

Please see me present this case on YouTube:

Despite significant improvements in comfort and aesthetics, Edgar expressed dissatisfaction with the denture's slight movement during certain jaw movements. This case underscores the importance of setting clear expectations, communicating limitations early, and ensuring both the patient and I are aligned on what can realistically be achieved. I must also be careful not to exaggerate the benefits of the treatment, to avoid creating false expectations.

Key lessons I learned:

  • Avoid over-promising and under-delivering.
  • Manage patient expectations from the outset.
  • Reinforce the value of improvements, even when they are not perfect.
  • Share challenges during diagnosis, not after treatment completion (a principle emphasised by my mentor, John Besford).

Ultimately, this case reminded me that while I strive for the best possible outcomes, some limitations in treatment can persist, requiring me to empathetically navigate the balance between realistic expectations and achievable results.

Treatment Process: I provided the clinical work while Rowan Garstang delivered the technical aspects. The treatment required fifteen visits to fit and review Edgar.

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Sharing and Subscribing: If you enjoy my Newsletters, please share them with friends, colleagues, dental students, dental technicians, and other dental team members. To subscribe, email me at education@finlaysutton.co.uk and I will update the list.

Courses and Speaking Engagements: I run removable prosthodontic courses consisting of lectures and live clinical demonstrations. These are aimed at general dentists, prosthodontists, clinical dental technicians, and dental technicians. My courses focus on providing dentures with optimal function and superb aesthetics, demonstrated through step-by-step photographs and videos.

I also speak at dental conferences, aiming to ignite enthusiasm for removable prosthodontics. I showcase well-designed dentures as valid alternatives to implant-supported restorations and demonstrate the importance of proper tooth positioning for aesthetic and functional success.

For speaking engagements, contact me at education@finlaysutton.co.uk.

Upcoming Courses and Lectures: Click here for details of my courses and lectures for 2024 to 2025. Furrther info is at the end of this Newsletter.

Contact: education@finlaysutton.co.uk

Click here for case study link on my website.

Join me for a live Zoom Study Club on Thursday, 19th September 2024 at 19:30 (BST), where I will be discussing Edgar's Newsletter 69 case in detail. Don’t miss the opportunity to explore the intricacies of this treatment and engage in an interactive Q&A s
Join me for a live Zoom Study Club on Thursday, 19th September 2024 at 19:30 (BST), where I will be discussing Edgar's Newsletter 69 case in detail. Don’t miss the opportunity to explore the intricacies of this treatment and engage in an interactive Q&A s
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Managing Edgar “THE SCEPTIC” with an RPD/Splint FULL CASE
Complete Denture Course: Hands-on Learning with Real-Life Insights from Kate, Our US Demo Patient
Complete Denture Course: Hands-on Learning with Real-Life Insights from Kate, Our US Demo Patient
Study Club Live 4 Restoring Jan’s Smile: Complete Dentures Inspired by Her Daughter - Finlay Sutton
Study Club Live 4 Restoring Jan’s Smile: Complete Dentures Inspired by Her Daughter - Finlay Sutton
I walk through the process of providing a Kennedy Class IV mod 1 anterior bruxist patient.
I walk through the process of providing a Kennedy Class IV mod 1 anterior bruxist patient.
Study Club Live 2 Highly aesthetic Kennedy Class IV for Anna - 11 year follow up - Finlay Sutton
Study Club Live 2 Highly aesthetic Kennedy Class IV for Anna - 11 year follow up - Finlay Sutton

Finlay's Blog

Complete Denture Course: Hands-on Learning with Real-Life Insights from Kate, Our US Demo Patient

Last week, I ran another Complete Denture course using Kate, an American patient, as the demo case. We had delegates from the Netherlands, India, Romania, and Ireland. It was a fantastic two-day event packed with hands-on and hands-off demonstrations. Kate, who adapted brilliantly to her new dentures, shared her honest experiences with the group, giving real-life insights into wearing complete dentures. The course provided practical tips and techniques that can be immediately applied in clinical practice—great energy and engagement all around!

Study Club Live 4 Restoring Jan’s Smile: Complete Dentures Inspired by Her Daughter - Finlay Sutton

This month's case features the complete denture provision for Jan, a healthy 66-year-old who desired a smile mimicking her daughter's. Back in the 1990s, a growth was removed from her anterior mandible, and the area was skin grafted. Interestingly, she was still using the same complete dentures made over 30 years ago, which was now very worn. The tooth positions were incorrect too, with the upper teeth placed to far back over the ridge giving poor lip support. The lower denture included an extension at the front to fit over the altered anatomy.

Study Club Live 3 Brian the cruncher metal based partial denture/splint - Finlay Sutton

I walk through the process of providing a Kennedy Class IV mod 1 anterior bruxist patient.

Study Club Live 2 Highly aesthetic Kennedy Class IV for Anna - 11 year follow up - Finlay Sutton

I walk through the process of providing a Kenndy Class IV anterior bounded saddle on a very tricky case - very high aesthetic need.

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