The 7 top techniques
for making
superb dentures
Finlay Sutton
Life changing
Schottlander Enigmalife
teeth
Impressions
Occlusion
Aesthetics
RPD design
Denture fitting
Reviews
Patient management
I hated making dentures
Removable prosthodontics
is difficult
Dentistry
is difficult
Prof Fraser McCord
Prof Fraser McCord
“Finlay - you are fxxxxxx shite
at prosthodontics”
Rowan Garstang
Technician
Generalised periodontitis stage 4 (very severe) Grade C (rapid progression)
Generalised Periodontitis stage 4 (very severe) Grade C (rapid progression)
x x x x x x x xx x
x
x x xx
Stabilisation phase
Neocolloid - Injectable
Neocolloid - Injectable Tropicalgin - Base
Zhermack - Tropicalgin - Base
Neocolloid - Injectable
Futar D
Schottlander Enigmalife teeth
Schottlander Enigmalife teeth
loom.com
for post op
instructions
Achieving great aesthetics?
Rim carving
Fast x 4
The “must have” photos for Dental Technician
Schottlander Enigmalife teeth
OJ - 12.5 mm
Centric Relation
Wax Rims
Wax Rims
Manchester Rims
Gothic arch tracing
Central bearing point
Gerber Condylator
Fast x 4
Facebow bite fork
Facebow
Facebow + CR record
Why dentures?
I love doing them
On arrival
Peter Whorlie bridge
Fin, you idiot!
1st attempt
2nd attempt
Schottlander Enigmalife teeth
3rd attempt
John Riach
My Clinical Psychologist
The Besford Study Club
Localised periodontitis stage 4 (very severe) Grade C (rapid progression)
Grade 2 mobility
Localised periodontitis stage 4 (very severe) Grade C (rapid progression)
Treatment options
1. Do nothing
2.Periodontal management
3. Partial dentures
4. Bridges
5. Implant supported fixed teeth
Very high smile line
Fixed restoration - difficult to produce natural aesthetics
Mk 1 Immediate P/P
9 months
Mk 2 P/P
Primary impressions
Aesthetic improvement
Directa Luxators
How to
make it fit
like this in
the mouth
Dentures rarely fit properly
Almost never adjust the collet edge
Adjust below the collet edge
Head cam view
Gap
Wax
Viscogel
1 month after extractions
Lab reline
Zinc Oxide
Zinc Oxide
Lab reline
Whitening trays
10% Carbamide peroxide
Upper Mk 2 design
Promarkers
Removable cobalt chromium based Par3al Denture design sequence by Finlay Su;on with Rowan Garstang
(Analogous to “removable” resin bonded bridges)
1. Intra oral/extra oral photographs and 2. Teeth to be replaced 3. Flange outline - drawn
mounted study casts are used to
assess: a. Opposing occluding contacts a. Avoid gingival margins
b. Interocclusal space posteriorly - is there b. Optimum extension of free-end saddles to
a. Occlusal space for artificial teeth and space for a prosthetic tooth or a need for maximise support
denture components metal occluding surfaces?
b. Need to increase occluding vertical
dimension
c. Visibility and hiding of metal components
d. Anterior saddles and path of insertion
e. Need for restorations indirect restorations
onlays, crowns etc..
4. Maximise rest tooth support 5. Planning for future extractions/ 6. Guide surfaces (GS) - using surveyor
RPD design sequence
Examine occlusal space additions/modification
a. Close gaps - reducing black triangles
a. Additive - in composite anteriorly
b. Subtractive - cut into teeth b. Path of insertion/withdrawal different to
c. Need for splinting to mobile teeth path of displacement with sticky food
Assist with retention
finlaysutton.co.uk/resources
7. Retention, reciprocation and indirect - 8. Major connector -rigid - chassis as 9. Finalise design, discuss with patient.
No more than 2 clasps per denture possible avoid palatal coverage of Confirm the patient is aware of visible
anterior rugae if possible clasping and metal components
Lower Mk 2
design
RPD design: a need to focus on Hygienic Principles.
Öwall B et al Int J Pros 2002
RPD Designs
finlaysutton.co.uk/blog
Greenstick
Working
impression
Working
impression
Wobbly LL4
Wobbly LL4
Futar D
Futar D
Working
impression
Try in
Finish
Good prognosis Poor prognosis
Welded tag
attaches
tooth
Finished RPD, splint/obturator
Finished denture with polished solid acrylic obturator
Definitive dentures fitted 9 months after extractions
9 months after extractions
Definitive dentures fitted 9 months after extractions
Denture
Implant
crowns
Old RPD
New RPD
Fitting
Schottlander
Doric flo-light PVS
Schottlander
Doric flo-light PVS
Top tip - Review visits
Implant supported dentures
Prof Roger Watson
Peter
Call to action
1. Dentures v bridges
Call to action
1. Dentures v bridges
2. finlaysutton.co.uk/resources
Call to action
1. Dentures v bridges
2. finlaysutton.co.uk/resources
3. Visit Schottlander
Thank you!
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