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Finlay Sutton has made Dentures sexy again. His teaching style is world-famous and it was an absolute thrill to chat to him. Protruserati - this one is going to be clinically IMPACTFUL.\n\n\n\n\nhttps://youtu.be/6Hz208Zv6yU\nThe KING of Removal Prosthodontics\n\n\n\nNeed to Read it? Check out the Full Episode Transcript below!\n\n\n\nWe started by discussing the benefits of using Loom for video communication with patients and lab - it adds a personal touch. Genius!\n\n\n\nWhat do you do when the framework does not fit?!Finlay will firstly trial the denture on the model. If in doubt, rehearse the path of insertion several times and you can ask your lab.You can use occlude spray on the denture fit surface\n\n\n\nRegarding Immediate Dentures:\n\n\n\nLeave your patients in immediate denture (plus relines) for 9-12 months to get maximum shrinkage before upgrading to Chrome. Sometimes you move quicker but need to reline (use ZOE) and then alginate pick up 12 months later.\n\n\n\nShould you use high impact acrylic? It seems a sensible idea!How about metal mesh?\n\n\n\nWhat if your partial denture wearer is a bruxist? We talked about how your partial denture can BECOME a splint.\n\n\n\nPrecision Attachments and Milled Crowns\n\n\n\nWhy Finlay has moved away from precision attachments and true 'milled' crowns as they are maintenance heavy. It is simpler to have crowns that are shaped appropriately with guide surfaces that will improve the denture.\n\n\n\nHe does use Stud Attachments, which he uses just twice a year, to resurrect a root-filled retained root to negate the need for a clasp in a high smile line patient. Tell the patient the root may split, AND the tooth in front will need a clasp in the future. Metal backings are amazing for bracing - 'My dentures are like removable resin bonded bridges'. Hidden away but provide great resistance to rotation and adds rigidity and bracing.\n\n\n\nAnother gem was the use of dimples in to the crowns palatally and distal guide surfaces - with metal backings. The metal backing would have small balls that would slot in to the dimples.\n\n\n\n'What I hate is patients coming back with problems after they spent lots of money. If it all fell apart in a few years time, which these do, we're in dickie's meadow' - there we are, keep it simple!\n\n\n\nYou can use Zirconia crowns with rest seats and dimples but ensure, smooth, round, organic shapes. Be careful about making upper palatal too bulky as affects speech - hence why preferences to make these dimples substractive.\n\n\n\nIf you want to learn more from Finlay, do check out his website for denture courses and learning resources.\n\n\n\nIf you enjoyed this, you may also like the episode about Complete Dentures with Mark Bishop!\n\n\n\n\n\n\n\nClick below for full episode transcript:\n\n\n\nOpening Snippet:Welcome Protruserati to Episode 56 with Finley Sutton. Now, we've all had these situations with dentures before, right? You're trying to fit the framework which has just come back from the lab and it doesn't fit. And you have this heart sink moment like oh my god, like, what do I do now? Right? So if you're ever in that situation and you want to know how to fix it, Finlay Sutton, who is a phenomenal dental educator, will answer this question on this podcast for you, as well as so many others, like what do you do in a deep bite And there's no space for the chrome? Or how about milled crowns? And how to incorporate that with your Chrome dentures workflow. So stick with this episode to learn all about that with Finlay Sutton...\n\n\n\nJaz's Introduction: I know I've been teasing you for a while about this episode with a fantastic educator in the field of dentures, which let's face it, I mean, since I was a student, I've always found dentures confusing. I don't do many at the moment. It's just the nature of I think demographics has a lot to do with how many dentures you make. At the moment, I'm not making load. But certainly those struggles I've had with dentures, they never leave you even throughout student young dentist,