Oh, he’s gonna love hearing that because Mark is a good friend. And he listens. And he did an episode on complete dentures. And now I’m so excited. And so are the Protruserati. So the people who listened to the podcast called the Protruserati and the other day I posted on Facebook, I said, “Hey, Fin’s coming on the podcast. Finally, what do you want to know?” And so it was it was the Protruserati decided they want to know more about Chrome dentures. And specifically, I’ll give everyone a flavor of the kind of things we’re talking about today, so that it wets their appetite for the rest of the episode, we’re gonna talk about troubleshooting chrome dentures, and common errors and issues that we have, framework issues, not fitting, that sort of stuff. We’re also going to cover a specific scenario with a client Kennedy class four, you know, obviously difficult scenarios in any case, but it’s particularly in a deep bite. I want to hear from you, how you manage that? And that question was sending from Gian-Marco D’Andrea. Gian, hopefully, hope you’re doing well, buddy. Thanks for saying that question in. Milled crowns, people want to know about precision attachments. So it’ll be interesting to know about your experiences with that. And then something I’ve never done before. And I didn’t know what the thing was immediate anterior chrome dentures. So I’ll be very interested to know, you know, how you do those? But before we get into that, there may be a very small number of people listen to this somewhere in the world who don’t know you often. So for those very small number of people, please tell them who you are. And I’m going to say Firstly, that I’m so glad that you’re British. Because Wow. You are really I think the state of the art in dentistry in rural prosthodontics, which is your, the real passion area. And I’ve seen you educate at the BARD a few years ago as well. Your lectures are so engaging and funny and educational, your online content, no one has ever obviously, no one’s ever said I went to a Fin lecture and it was a bit boring wherever, you are just full of so many gems, which is why I’ve been so excited for you to come on. So please introduce yourself, Fin. So last big question is a big one, right? Because I had zero experience with this, but it’s something I want to learn more. And I’m so glad I’ve have you on to talk about this. So this is milled crowns. So for example, the other day, I made a fixed prosth case I replaced mobile and upper anterior teeth. But the three is a solid with a fixed, you know, six unit bridge. But if I was to now because he’s got really mobile posterior teeth and I know that he’s gonna need a denture in the future. So be clever once all the healing has happened to make these milled crowns so that a future chrome work can slot into it. But I have no idea. I haven’t got the knowledge or the experience yet to be able to plan that. So any advice you can do about it give us about getting started with milled crowns and some considerations and also precision attachments. So it can maybe explain for the younger dentist, what those are and how much of your day to day work involves precision attachments and milled crowns? These can be used on top of, or instead of soaking your denture in a cleanser. There is no evidence to support one method over the other. But some sort of chemical cleaning in addition to brushing is beneficial. Examples of denture cleaning creme and pastes include: Cover the dentures in warm water and add 20ml (4 teaspoon) of Dentural. Leave for 20 minutes. Rinse thoroughly in running water before replacing dentures in mouth.

That is genius. That is genius. So same analogy as in I do orthodontics. So your upper fixed retainer, there’s sometimes not enough room for upper fixed retainer, but you can always do a lower fixed retainer. So the same vein, you can have those dimples coming out of the projecting out of the lingual surface of the lower incisors if I interpret that correctly. And lovely analogy about the climbing Actually, that’s genius. Fit, we’re out of time now. But Wow, this episode is going to go down in protrusive history for sure as being one of the most clinically excellent, just wow, that was so many gems you shared with us there and that’s gonna immediately improve my dental work. And my choice selection, I’m now going to be speaking to my technician about using monolithic Zirconia in a ways that are not so primitive and maybe not having to always go for the metal. So you give me great confidence. You’ve taught me about occlude spray, and so many other factors there and communication gems and loom right at the beginning, where I thankfully, hit the record button, how we can be using video better with patients and with technicians, including the way you use loom. So thank you so much for coming on this podcast, I would love to have you on again one day because I can just speak to forever and ever and ever about this stuff. And I know I’m gonna be bombarded with messages of like, wow, Fin was awesome whatnot, and I’ll be sort of send those to you. But I’m desperate for people, because I’m going to get hundreds of messages saying where can I find out more? So please tell us about where can people learn more from you, Fin, because inevitably they’ll want to. Absolutely. So that’s really good. And what I do is I think it’s all about we’re going to manage the patients as well in this situation. So what I’ll say to the patient is at the beginning of the appointment “Look, I’m going to try this chrome framework in here. Sometimes it takes quite a long time to do this, I might need to keep putting it in and out in and out to adjust it. So there’s nothing wrong with that, that is totally normal, because we’ve got a plaster model which is going to be different than your mouth.” So I just try and put the patient’s mind at rest because if I didn’t say that to them and I have done you know, in the past to be like Is everything okay? Is it fitting all right? You know, so it just lays and manages the expectations straightaway.

Warnings

Smoking Cessation Local stop smoking services are free, friendly and can massively boost your chances of quitting for good. These services staffed by expert advisers provide a range of proven methods to help you quit. They’ll give you accurate information and advice, as well as professional support, during the first few months you stop smoking. They also make it easy and affordable for you to get stop smoking treatments, such as: * Varenicline (Champix) * Bupropion (Zyban) * nicotine replacement therapy, such as patches and gum One-to-one and group stop smoking sessions You’ll normally be offered a one-to-one appointment with an adviser, but many areas also offer group and drop-in services as well. Depending on where you live, the venue could be a local GP surgery, pharmacy, high-street shop, or even a mobile bus clinic. Jennifer Percival, who trains stop smoking advisers, says that using both treatment and specialist support is proven to give you the best chance of stopping smoking. “The majority of people who see an adviser will get through the first month after quitting without smoking a cigarette. “Overall, you’re up to 4 times more likely to stop smoking for good if you use a combination of stop smoking… Physically removing debris from a denture is the most important step to cleaning a denture. You can see an example in our post on how to clean dentures.

Ultrasonic baths have a greater amount of evidence to support them being better than brushing alone. However they are very expensive. Baths can be classified as sonic or ultrasonic depending on the frequency of the vibrations they give off. Sonic versions are available fairly cheaply and work at a lower vibration rate than ultrasonic cleaning baths.Just to clarify that these PBZ with For example, a rounded organic slot or rest slot. Yeah. Distally. And also would you be doing these dimples, flowing dimples into the Zirconia framework as well? I have not tested these hands on yet. But I do think they could be valuable for people who struggle to clean their dentures with a brush. Be careful not to drop your dentures while cleaning them, as they can break. Keep a soft towel nearby to catch your denture should it slip out of your hands while cleaning it. Visit Your Dentist Regularly

Efferdent and Polident are two of the most popular types of denture cleaning tablets. When comparing Efferdent vs Polident there isn’t a lot of difference in how they work – both are effervescent chemical cleaners with a few different formulations available. There isn’t much to say one is definitely better than the other. If you have tried the above products unsuccessfully, visit your dentist. They can help you clean your dentures. Anti Malaria Malaria is a serious tropical disease spread by mosquitoes. If it isn’t diagnosed and treated promptly, it can be fatal. A single mosquito bite is all it takes for someone to become infected. Symptoms of malaria It’s important to be aware of the symptoms of malaria if you’re travelling to areas where there’s a high risk of the disease. Symptoms include: 1. A high temperature of 38C or above 2. Feeling hot and shivery 3. Headaches 4. Vomiting 5. Muscle pains 6. Diarrhoea Symptoms usually appear between 7 and 18 days after becoming infected, but in some cases the symptoms may not appear for up to a year, or occasionally even longer. When to seek medical attention Seek medical help immediately if you develop symptoms of malaria during or after a visit to an area where the disease is found. You should still seek medical help even if it’s several weeks, months or a year after you return from travelling. If there’s a possibility you have malaria, a blood test will be carried out to confirm whether or not you’re infected. You should receive the results of your blood test on the same day. If you have malaria, treatment will…Premolar, as you remove the collets where it’s been to tight and then suddenly, yeah, this horrible gap. So they haunt me every night. So I mean, if you could share some tangible tips to to make us better with that. Wow, that’d be amazing. These are less abrasive than toothpastes, so will not damage the surface of the denture. Toothpastes are much too abrasive and can cause tiny scratches in denture plastic, increasing the amount of staining over time. Amazing. So a lot of dentists who’s been listen to this thing thinking oh my goodness, I’m it’s not me, it is happening to other people and it’s a great way to do it. I don’t have any occlude spray but that’s the first thing I’m going to be getting now. So before, I’ll be honest with you before, it’s a bit of a lot of guesswork involved, and it is going to be very painful. So I think though that protocol, that’s a real gem right there. Next question is Kennedy class four situations in a deep bite. So you can maybe talk about framework design in generally, good practices in Kennedy class four situations. But then anything specific we can do in these deep bite situations that Gian-Marco has specifically asked about?

Listen, Fin, people, the people listening to podcasts have been begging for you to come on the podcast. Since its inception over two years ago now and dentures has been covered once by my ex tutor, Mark Bishop, do you know Mark in Sheffield? Yes. And it is I know that sounds like a long time. And also your thing is, when you try it in, if you’ve sitting there and I think, gosh, this is a long way off. And it’s not seating anywhere close, don’t lose hope. It sometimes just two or three little touches, and then suddenly it starts to drop in and starts to get closer. That’s it’s not technically possible to do it like that. I just use that as a really great sort of guide for the chrome technician to do the waxing up. So yeah, we don’t use that as that. But it’s a good idea. I thought that we originally I thought Rowan, we can do it like that. But no, we can’t. So they can’t do it.

Product Location

Full dentures and partial dentures should be cleaned differently. If you have partial dentures, the metal parts need to be cleaned with a separate brush from what you use for your natural teeth.