Finlay's Case Presentation

Welcome to my January 2022 Newsletter Case Presentation

This newsletter describes in step by step detail James’s treatment with a novel teeth and palate supported upper metal base partial denture/occlusal stabilisation splint/obturator.

This 34 year old man was referred to me by his general dental practitioner for treatment.

Dental concerns
Poor overall appearance of the upper denture
Visible clasp on the upper right canine
Loose denture

Medical History
In 2009 (aged 18yrs) an odontogenic myxoma in the upper left maxilla was surgically removed along with the UR2 - UL7 teeth. An acrylic based prosthodontic partial denture/obturator was made was made and fitted post surgery in the NHS hospital system.

Social history
Self-employed

Dental wish list
“New denture with improved fit and appearance”

Diagnoses
Acrylic based partial denture/obturator had poor, retention and support
Obturator section was in poor condition - unhygienic
Adams clasp were causing inflammation of the gingival margins
Clasp on the UR3 was visible resulting in poor appearance
Reduced lip support on the upper left area
Sloping incisal plane - running up on the left
Increased wear of the natural dentition

Treatment plan
Metal based removable partial denture/occlusal stabilisation splint/obturator

The clinical situation and treatment process is shown in detail below with photographs. I (Finlay Sutton) provided the clinical work and Rowan Garstang provided the technical work.

If you enjoy my Newsletters and you have friends, colleagues, dental students, dental technicians, clinical dental technicians and postgraduate dentists 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.

Removable prosthodontic courses consisting of lectures and live clinical demonstrations
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.

Course topics:
Complete dentures
Partial dentures
Overdentures supported by implants and teeth
Immediate dentures

Please email me at education@finlaysutton.co.uk if you would like to come on one or more of these courses

 

Zoom consultation before to seeing the patient in person. This give the patient an idea of the treatment options, process and potential costs.
Zoom consultation before to seeing the patient in person. This give the patient an idea of the treatment options, process and potential costs.
Acrylic based partial denture/obturator had poor, retention and support Obturator section was in poor condition. The Adams clasp were causing inflammation of the gingival margins. The clasp on the UR3 was visible resulting in poor appearance. Reduced lip
Acrylic based partial denture/obturator had poor, retention and support Obturator section was in poor condition. The Adams clasp were causing inflammation of the gingival margins. The clasp on the UR3 was visible resulting in poor appearance. Reduced lip
Acrylic based partial denture/obturator had poor, retention and support Obturator section was in poor condition. The Adams clasp were causing inflammation of the gingival margins. The clasp on the UR3 was visible resulting in poor appearance. Reduced lip
Acrylic based partial denture/obturator had poor, retention and support Obturator section was in poor condition. The Adams clasp were causing inflammation of the gingival margins. The clasp on the UR3 was visible resulting in poor appearance. Reduced lip
Acrylic based partial denture/obturator had poor, retention and support Obturator section was in poor condition. The Adams clasp were causing inflammation of the gingival margins. The clasp on the UR3 was visible resulting in poor appearance. Reduced lip
Acrylic based partial denture/obturator had poor, retention and support Obturator section was in poor condition. The Adams clasp were causing inflammation of the gingival margins. The clasp on the UR3 was visible resulting in poor appearance. Reduced lip
Acrylic based partial denture/obturator had poor, retention and support Obturator section was in poor condition. The Adams clasp were causing inflammation of the gingival margins. The clasp on the UR3 was visible resulting in poor appearance. Reduced lip
Acrylic based partial denture/obturator had poor, retention and support Obturator section was in poor condition. The Adams clasp were causing inflammation of the gingival margins. The clasp on the UR3 was visible resulting in poor appearance. Reduced lip
Acrylic based partial denture/obturator had poor, retention and support Obturator section was in poor condition. The Adams clasp were causing inflammation of the gingival margins. The clasp on the UR3 was visible resulting in poor appearance. Reduced lip
Acrylic based partial denture/obturator had poor, retention and support Obturator section was in poor condition. The Adams clasp were causing inflammation of the gingival margins. The clasp on the UR3 was visible resulting in poor appearance. Reduced lip
Acrylic based partial denture/obturator had poor, retention and support Obturator section was in poor condition. The Adams clasp were causing inflammation of the gingival margins. The clasp on the UR3 was visible resulting in poor appearance. Reduced lip
Acrylic based partial denture/obturator had poor, retention and support Obturator section was in poor condition. The Adams clasp were causing inflammation of the gingival margins. The clasp on the UR3 was visible resulting in poor appearance. Reduced lip
Acrylic based partial denture/obturator had poor, retention and support Obturator section was in poor condition. The Adams clasp were causing inflammation of the gingival margins. The clasp on the UR3 was visible resulting in poor appearance. Reduced lip
Acrylic based partial denture/obturator had poor, retention and support Obturator section was in poor condition. The Adams clasp were causing inflammation of the gingival margins. The clasp on the UR3 was visible resulting in poor appearance. Reduced lip
Acrylic based partial denture/obturator had poor, retention and support Obturator section was in poor condition. The Adams clasp were causing inflammation of the gingival margins. The clasp on the UR3 was visible resulting in poor appearance. Reduced lip
Acrylic based partial denture/obturator had poor, retention and support Obturator section was in poor condition. The Adams clasp were causing inflammation of the gingival margins. The clasp on the UR3 was visible resulting in poor appearance. Reduced lip
Acrylic based partial denture/obturator had poor, retention and support Obturator section was in poor condition. The Adams clasp were causing inflammation of the gingival margins. The clasp on the UR3 was visible resulting in poor appearance. Reduced lip
Acrylic based partial denture/obturator had poor, retention and support Obturator section was in poor condition. The Adams clasp were causing inflammation of the gingival margins. The clasp on the UR3 was visible resulting in poor appearance. Reduced lip
Acrylic based partial denture/obturator had poor, retention and support Obturator section was in poor condition. The Adams clasp were causing inflammation of the gingival margins. The clasp on the UR3 was visible resulting in poor appearance. Reduced lip
Acrylic based partial denture/obturator had poor, retention and support Obturator section was in poor condition. The Adams clasp were causing inflammation of the gingival margins. The clasp on the UR3 was visible resulting in poor appearance. Reduced lip
Acrylic based partial denture/obturator had poor, retention and support Obturator section was in poor condition. The Adams clasp were causing inflammation of the gingival margins. The clasp on the UR3 was visible resulting in poor appearance. Reduced lip
Acrylic based partial denture/obturator had poor, retention and support Obturator section was in poor condition. The Adams clasp were causing inflammation of the gingival margins. The clasp on the UR3 was visible resulting in poor appearance. Reduced lip
Acrylic based partial denture/obturator had poor, retention and support Obturator section was in poor condition. The Adams clasp were causing inflammation of the gingival margins. The clasp on the UR3 was visible resulting in poor appearance. Reduced lip
Acrylic based partial denture/obturator had poor, retention and support Obturator section was in poor condition. The Adams clasp were causing inflammation of the gingival margins. The clasp on the UR3 was visible resulting in poor appearance. Reduced lip
Acrylic based partial denture/obturator had poor, retention and support Obturator section was in poor condition. The Adams clasp were causing inflammation of the gingival margins. The clasp on the UR3 was visible resulting in poor appearance. Reduced lip
Acrylic based partial denture/obturator had poor, retention and support Obturator section was in poor condition. The Adams clasp were causing inflammation of the gingival margins. The clasp on the UR3 was visible resulting in poor appearance. Reduced lip
Acrylic based partial denture/obturator had poor, retention and support Obturator section was in poor condition. The Adams clasp were causing inflammation of the gingival margins. The clasp on the UR3 was visible resulting in poor appearance. Reduced lip
Acrylic based partial denture/obturator had poor, retention and support Obturator section was in poor condition. The Adams clasp were causing inflammation of the gingival margins. The clasp on the UR3 was visible resulting in poor appearance. Reduced lip
Upper metal base partial denture/occlusal stabilisation splint/obturator - full protocol
Upper metal base partial denture/occlusal stabilisation splint/obturator - full protocol
Upper metal base partial denture/occlusal stabilisation splint/obturator - full protocol
Upper metal base partial denture/occlusal stabilisation splint/obturator - full protocol
Upper metal base partial denture/occlusal stabilisation splint/obturator - full protocol
Upper metal base partial denture/occlusal stabilisation splint/obturator - full protocol
Upper metal base partial denture/occlusal stabilisation splint/obturator - full protocol
Upper metal base partial denture/occlusal stabilisation splint/obturator - full protocol
Upper metal base partial denture/occlusal stabilisation splint/obturator - full protocol
Upper metal base partial denture/occlusal stabilisation splint/obturator - full protocol
Upper metal base partial denture/occlusal stabilisation splint/obturator - full protocol
Upper metal base partial denture/occlusal stabilisation splint/obturator - full protocol
Upper metal base partial denture/occlusal stabilisation splint/obturator - full protocol
Upper metal base partial denture/occlusal stabilisation splint/obturator - full protocol
Upper metal base partial denture/occlusal stabilisation splint/obturator - full protocol
Upper metal base partial denture/occlusal stabilisation splint/obturator - full protocol
Upper metal base partial denture/occlusal stabilisation splint/obturator - full protocol
Upper metal base partial denture/occlusal stabilisation splint/obturator - full protocol
Upper metal base partial denture/occlusal stabilisation splint/obturator - full protocol
Upper metal base partial denture/occlusal stabilisation splint/obturator - full protocol
Upper metal base partial denture/occlusal stabilisation splint/obturator - full protocol
Upper metal base partial denture/occlusal stabilisation splint/obturator - full protocol
Upper metal base partial denture/occlusal stabilisation splint/obturator - full protocol
Upper metal base partial denture/occlusal stabilisation splint/obturator - full protocol
Upper metal base partial denture/occlusal stabilisation splint/obturator - full protocol
Upper metal base partial denture/occlusal stabilisation splint/obturator - full protocol
Upper metal base partial denture/occlusal stabilisation splint/obturator - full protocol
Upper metal base partial denture/occlusal stabilisation splint/obturator - full protocol
Upper metal base partial denture/occlusal stabilisation splint/obturator - full protocol
Upper metal base partial denture/occlusal stabilisation splint/obturator - full protocol
Upper metal base partial denture/occlusal stabilisation splint/obturator - full protocol
Upper metal base partial denture/occlusal stabilisation splint/obturator - full protocol
Upper metal base partial denture/occlusal stabilisation splint/obturator - full protocol
Upper metal base partial denture/occlusal stabilisation splint/obturator - full protocol
Upper metal base partial denture/occlusal stabilisation splint/obturator - full protocol
Upper metal base partial denture/occlusal stabilisation splint/obturator - full protocol
Upper metal base partial denture/occlusal stabilisation splint/obturator - full protocol
Upper metal base partial denture/occlusal stabilisation splint/obturator - full protocol
Upper metal base partial denture/occlusal stabilisation splint/obturator - full protocol
Upper metal base partial denture/occlusal stabilisation splint/obturator - full protocol
Upper metal base partial denture/occlusal stabilisation splint/obturator - full protocol
Upper metal base partial denture/occlusal stabilisation splint/obturator - full protocol
Upper metal base partial denture/occlusal stabilisation splint/obturator - full protocol
Upper metal base partial denture/occlusal stabilisation splint/obturator - full protocol
Upper metal base partial denture/occlusal stabilisation splint/obturator - full protocol
Upper metal base partial denture/occlusal stabilisation splint/obturator - full protocol
Upper metal base partial denture/occlusal stabilisation splint/obturator - full protocol
Upper metal base partial denture/occlusal stabilisation splint/obturator - full protocol
Upper metal base partial denture/occlusal stabilisation splint/obturator - full protocol
Upper metal base partial denture/occlusal stabilisation splint/obturator - full protocol
Upper metal base partial denture/occlusal stabilisation splint/obturator - full protocol
Upper metal base partial denture/occlusal stabilisation splint/obturator - full protocol
Upper metal base partial denture/occlusal stabilisation splint/obturator - full protocol
Upper metal base partial denture/occlusal stabilisation splint/obturator - full protocol
Upper metal base partial denture/occlusal stabilisation splint/obturator - full protocol
Upper metal base partial denture/occlusal stabilisation splint/obturator - full protocol
Upper metal base partial denture/occlusal stabilisation splint/obturator - full protocol
Upper metal base partial denture/occlusal stabilisation splint/obturator - full protocol
Upper metal base partial denture/occlusal stabilisation splint/obturator - full protocol
Upper metal base partial denture/occlusal stabilisation splint/obturator - full protocol
Upper metal base partial denture/occlusal stabilisation splint/obturator - full protocol
Upper metal base partial denture/occlusal stabilisation splint/obturator - full protocol
Upper metal base partial denture/occlusal stabilisation splint/obturator - full protocol
Upper metal base partial denture/occlusal stabilisation splint/obturator - full protocol
Upper metal base partial denture/occlusal stabilisation splint/obturator - full protocol
Upper metal base partial denture/occlusal stabilisation splint/obturator - full protocol
Upper metal base partial denture/occlusal stabilisation splint/obturator - full protocol
Upper metal base partial denture/occlusal stabilisation splint/obturator - full protocol
Upper metal base partial denture/occlusal stabilisation splint/obturator - full protocol
Upper metal base partial denture/occlusal stabilisation splint/obturator - full protocol
Upper metal base partial denture/occlusal stabilisation splint/obturator - full protocol
Upper metal base partial denture/occlusal stabilisation splint/obturator - full protocol
Upper metal base partial denture/occlusal stabilisation splint/obturator - full protocol
Upper metal base partial denture/occlusal stabilisation splint/obturator - full protocol
Upper metal base partial denture/occlusal stabilisation splint/obturator - full protocol
Upper metal base partial denture/occlusal stabilisation splint/obturator - full protocol
Upper metal base partial denture/occlusal stabilisation splint/obturator - full protocol
Upper metal base partial denture/occlusal stabilisation splint/obturator - full protocol
Upper metal base partial denture/occlusal stabilisation splint/obturator - full protocol
Upper metal base partial denture/occlusal stabilisation splint/obturator - full protocol
Upper metal base partial denture/occlusal stabilisation splint/obturator - full protocol
Upper metal base partial denture/occlusal stabilisation splint/obturator - full protocol
Upper metal base partial denture/occlusal stabilisation splint/obturator - full protocol
Upper metal base partial denture/occlusal stabilisation splint/obturator - full protocol
Upper metal base partial denture/occlusal stabilisation splint/obturator - full protocol
Upper metal base partial denture/occlusal stabilisation splint/obturator - full protocol
Upper metal base partial denture/occlusal stabilisation splint/obturator - full protocol
Upper metal base partial denture/occlusal stabilisation splint/obturator - full protocol
Upper metal base partial denture/occlusal stabilisation splint/obturator - full protocol
Upper metal base partial denture/occlusal stabilisation splint/obturator - full protocol
Upper metal base partial denture/occlusal stabilisation splint/obturator - full protocol
Upper metal base partial denture/occlusal stabilisation splint/obturator - full protocol
Upper metal base partial denture/occlusal stabilisation splint/obturator - full protocol
Upper metal base partial denture/occlusal stabilisation splint/obturator - full protocol
Upper metal base partial denture/occlusal stabilisation splint/obturator - full protocol
Upper metal base partial denture/occlusal stabilisation splint/obturator - full protocol
Upper metal base partial denture/occlusal stabilisation splint/obturator - full protocol
Upper metal base partial denture/occlusal stabilisation splint/obturator - full protocol
Upper metal base partial denture/occlusal stabilisation splint/obturator - full protocol
Upper metal base partial denture/occlusal stabilisation splint/obturator - full protocol
Upper metal base partial denture/occlusal stabilisation splint/obturator - full protocol
Upper metal base partial denture/occlusal stabilisation splint/obturator - full protocol
Upper metal base partial denture/occlusal stabilisation splint/obturator - full protocol
Upper metal base partial denture/occlusal stabilisation splint/obturator - full protocol
Upper metal base partial denture/occlusal stabilisation splint/obturator - full protocol
Upper metal base partial denture/occlusal stabilisation splint/obturator - full protocol
Upper metal base partial denture/occlusal stabilisation splint/obturator - full protocol
Upper metal base partial denture/occlusal stabilisation splint/obturator - full protocol
Upper metal base partial denture/occlusal stabilisation splint/obturator - full protocol
Upper metal base partial denture/occlusal stabilisation splint/obturator - full protocol
Upper metal base partial denture/occlusal stabilisation splint/obturator - full protocol
Upper metal base partial denture/occlusal stabilisation splint/obturator - full protocol
Upper metal base partial denture/occlusal stabilisation splint/obturator - full protocol
Upper metal base partial denture/occlusal stabilisation splint/obturator - full protocol
Upper metal base partial denture/occlusal stabilisation splint/obturator - full protocol
Upper metal base partial denture/occlusal stabilisation splint/obturator - full protocol
Upper metal base partial denture/occlusal stabilisation splint/obturator - full protocol
Upper metal base partial denture/occlusal stabilisation splint/obturator - full protocol
Upper metal base partial denture/occlusal stabilisation splint/obturator - full protocol
Upper metal base partial denture/occlusal stabilisation splint/obturator - full protocol
Upper metal base partial denture/occlusal stabilisation splint/obturator - full protocol
Upper metal base partial denture/occlusal stabilisation splint/obturator - full protocol
Upper metal base partial denture/occlusal stabilisation splint/obturator - full protocol
Upper metal base partial denture/occlusal stabilisation splint/obturator - full protocol
Upper metal base partial denture/occlusal stabilisation splint/obturator - full protocol
Upper metal base partial denture/occlusal stabilisation splint/obturator - full protocol
Upper metal base partial denture/occlusal stabilisation splint/obturator - full protocol
Upper metal base partial denture/occlusal stabilisation splint/obturator - full protocol
Upper metal base partial denture/occlusal stabilisation splint/obturator - full protocol
Upper metal base partial denture/occlusal stabilisation splint/obturator - full protocol
Upper metal base partial denture/occlusal stabilisation splint/obturator - full protocol
Upper metal base partial denture/occlusal stabilisation splint/obturator - full protocol
Upper metal base partial denture/occlusal stabilisation splint/obturator - full protocol
Upper metal base partial denture/occlusal stabilisation splint/obturator - full protocol
Upper metal base partial denture/occlusal stabilisation splint/obturator - full protocol
Upper metal base partial denture/occlusal stabilisation splint/obturator - full protocol
Upper metal base partial denture/occlusal stabilisation splint/obturator - full protocol
Upper metal base partial denture/occlusal stabilisation splint/obturator - full protocol
Upper metal base partial denture/occlusal stabilisation splint/obturator - full protocol
Upper metal base partial denture/occlusal stabilisation splint/obturator - full protocol
Upper metal base partial denture/occlusal stabilisation splint/obturator - full protocol
Upper metal base partial denture/occlusal stabilisation splint/obturator - full protocol
Upper metal base partial denture/occlusal stabilisation splint/obturator - full protocol
Upper metal base partial denture/occlusal stabilisation splint/obturator - full protocol
Upper metal base partial denture/occlusal stabilisation splint/obturator - full protocol
Upper metal base partial denture/occlusal stabilisation splint/obturator - full protocol
Upper metal base partial denture/occlusal stabilisation splint/obturator - full protocol
Upper metal base partial denture/occlusal stabilisation splint/obturator - full protocol
Upper metal base partial denture/occlusal stabilisation splint/obturator - full protocol
Upper metal base partial denture/occlusal stabilisation splint/obturator - full protocol
Upper metal base partial denture/occlusal stabilisation splint/obturator - full protocol
Upper metal base partial denture/occlusal stabilisation splint/obturator - full protocol
Upper metal base partial denture/occlusal stabilisation splint/obturator - full protocol
Upper metal base partial denture/occlusal stabilisation splint/obturator - full protocol
Upper metal base partial denture/occlusal stabilisation splint/obturator - full protocol
Upper metal base partial denture/occlusal stabilisation splint/obturator - full protocol
Upper metal base partial denture/occlusal stabilisation splint/obturator - full protocol
Upper metal base partial denture/occlusal stabilisation splint/obturator - full protocol
Upper metal base partial denture/occlusal stabilisation splint/obturator - full protocol
Upper metal base partial denture/occlusal stabilisation splint/obturator - full protocol
Upper metal base partial denture/occlusal stabilisation splint/obturator - full protocol
Upper metal base partial denture/occlusal stabilisation splint/obturator - full protocol
End of treatment - James was delighted with the outcome in terms of comfort, fit and appearance
End of treatment - James was delighted with the outcome in terms of comfort, fit and appearance
Finlay's Lecture in Las Vegas - Thursday 13 October 2022 8.00am –10.00am
Finlay's Lecture in Las Vegas - Thursday 13 October 2022 8.00am –10.00am
LONDON SUNDAY JUNE 12 AND BIRMINGHAM JUNE 26 A DAY WITH FINLAY SUTTON - AMAZING DENTURES
LONDON SUNDAY JUNE 12 AND BIRMINGHAM JUNE 26 A DAY WITH FINLAY SUTTON - AMAZING DENTURES
Finlay's speaking at the British Dental Conference 2022 please come along - NEC Saturday 14th May 2022
Finlay's speaking at the British Dental Conference 2022 please come along - NEC Saturday 14th May 2022
A day with Finlay Sutton - Amazing Dentures
A day with Finlay Sutton - Amazing Dentures

Finlay's Blog

Finlay's lecture in Las Vegas, USA

I am super excited about giving a 2-hour Masterclass on Thursday 13 October 2022 8.00am –10.00am at the National Denturist Association Meeting in Las Vegas. I will be at the conference all day (Thursday) and at the evening event if you want to chat. Please contact Shelly Joines (sjoines@executiveoffice.org) if you would like to come along. This is open to all dental professionals – Dentists, Denturists, Prosthodontists and Dental Technicians.

LONDON SUNDAY JUNE 12 AND BIRMINGHAM JUNE 26 A DAY WITH FINLAY SUTTON - AMAZING DENTURES

A one day seminar packed with practical information of value to Dentists, CDTs & Dental Technicians

London - Sunday 12th June 2022

Birmingham - Sunday 26th June 2022

£270 per delegate

Finlay's speaking at the British Dental Conference 2022 please come along - NEC Saturday 14th May 2022

Removable prosthodontics is very difficult because we are heavily reliant on our patients’ adaptation. I will present step by step clinical techniques used to deliver dentures with the best possible function and superb aesthetics. A lecture packed full of practical advice ready to be put into action on Monday morning.

A day with Finlay Sutton - Amazing Dentures

A one day seminar packed with practical information of value to Dentists, CDTs & Dental Technicians

London - Sunday 12th June 2022

Birmingham - Sunday 26th June 2022

Book before end of April - £210

Book after end of April - £270

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