Removable partial denture survey: Clinical practice today

Cotmore, John M.; Mingledorf, E.B.; Pomerantz, Jeffrey M.; Grasso, Joseph E.

doi:10.1016/0022-3913(83)90269-x

Cited by 29 publications

(28 citation statements)

References 11 publications

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“…[1][2][3][4][5][6][7][8][9][10][11][12][13][14][15] The provision of removable partial dentures is a basic skill that a dentist relies upon when treating partially dentate patients. 7 The General Dental Council requires all new graduates to be competent at 'designing effective indirect restorations and … partial dentures' .…”

Section: Discussionmentioning

confidence: 99%

“…[1][2][3][4][5][6][7][8][9][10][11][12][13][14][15] Against this it must be considered that no undergraduate dental programme would teach a student that it is acceptable to make an impression for a CCRPD in irreversible hydrocolloid and allow a delay of four days before pouring, or that it is acceptable not to clearly design a CCRPD. Based on the first part of this investigation, it is suggested that financial issues may not be as critical to this process.…”

Section: Discussionmentioning

confidence: 99%

“…It is clear that from the findings from studies performed by the authors, [1][2][3] and other investigators, [4][5][6][7][8][9][10][11][12][13][14][15] there is a fundamental problem with the design and fabrication process of a variety of prostheses in general dental practice, most notably relating to cobalt-chromium removable partial dentures.…”

Section: N B R I E Fmentioning

confidence: 99%

“…The problem of inadequate prescription of cobalt-chromium removable partial dentures (CCRPDs) is not new, [1][2][3] and is demonstrated by published studies from as early as 1974 4 through to the early 1990s [5][6][7] in many countries, such as Sweden, 4,6,8 Canada, 7 the USA, [9][10][11] South Africa, 5 and, more recently, in Ireland. [1][2][3] Various studies carried out in the United Kingdom, 3,[12][13][14][15] including a seminal investigation published by Basker et al in 1988, 15 confirm that there is a problem with CCRPD design and fabrication in the United Kingdom.…”

Section: Introductionmentioning

confidence: 99%

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Why do dentists struggle with removable partial denture design? An assessment of financial and educational issues

Lynch¹,

Allen²

2006

Br Dent J

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AimPublished studies in the international dental literature illustrate that the quality of prescription and fabrication of cobalt-chromium removable partial dentures (CCRPDs) by general dental practitioners frequently fail to comply with ethical and legal requirements. The reasons cited for this in the past have broadly related to either financial or educational issues. The aim of this investigation is to determine the effect of financial and educational factors on the quality of CCRPD design and fabrication by general dental practitioners. Materials and methods This investigation was completed in two parts. (1) A pre-piloted pro-forma was distributed to a number of dental laboratories throughout the UK and Ireland. These sought information relating to the quality of written instructions for CCRPDs received by these laboratories, and details of the remunerative scheme under which they were being provided. Three categories of remunerative scheme were considered, private CCRPDs in Ireland, private CCRPDs in the UK, and CCRPDs being provided by salaried NHS practitioners. (2) A pre-piloted questionnaire was distributed to vocational dental practitioners in the UK and Ireland. This sought information relating to their attitudes, opinions, and educational and clinical experiences of CCRPD design and fabrication. Results (1) Three hundred completed pro-formas were returned from dental laboratories, 100 of which related to each of the three remunerative schemes. Poor or no written instructions were provided in 47% (n = 47) of CCRPD cases funded privately in the UK, 46% (n = 46) of CCRPD cases funded privately in Ireland, and 50% (n = 50) of CCRPDs being provided by salaried NHS practitioners. (2) One hundred and seven completed questionnaires were returned from vocational trainees. Vocational dental practitioners had completed fewer CCRPDs during VT than in dental school (dental school: median = 4, inter-quartile range = 3 to 5; VT: median = 2, inter-quartile range = 1 to 4). One-fifth of respondents (n = 22) had not completed any CCRPDs during VT. Nine per cent of VT practices (n = 10) had a surveyor on their premises. Only 15%

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: N B R I E Fmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Why do dentists struggle with removable partial denture design? An assessment of financial and educational issues

Lynch¹,

Allen²

2006

Br Dent J

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“…9,11 Investigations published in the literature have consistently demonstrated that the communication of design information for cobalt-chromium based removable partial dentures from clinician to dental laboratory is poor. 6,[12][13][14][15][16][17][18][19][20][21][22][23][24] This finding has been reported over the last 30 years in many countries including the United Kingdom, 6,13,18,21 Sweden, 14,23,24 Canada, 12 South Africa, 22 USA, 15,19,20 and more recently in Ireland. 16,17 A previous study by the authors 17 also examined the selection of impression trays and materials for master impressions for cobalt-chromium based removable partial dentures and have found extensive use of inappropriate impression trays and materials.…”

Section: Introductionmentioning

confidence: 91%

Quality of written prescriptions and master impressions for fixed and removable prosthodontics: a comparative study

Lynch

Allen

2005

Br Dent J

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A Ai im m: Various ethical and legal guidelines require dental practitioners to adequately design, prescribe and fabricate good quality prostheses. The purpose of this investigation was to examine the quality of written instructions and choice of impression trays and materials for both fixed and removable prosthodontics in Ireland and the United Kingdom. M Ma at te er ri ia al ls s a an nd d m me et th ho od ds s: A pre-piloted questionnaire was distributed to a number of large commercial laboratories geographically distributed throughout the United Kingdom and Ireland. Information was sought relating to the quality of written instructions and use of impression trays and materials for three forms of 'dental precision casting' -cobalt-chromium based removable partial dentures, full veneer porcelain-fused-to-metal crowns, and conventional fixed bridges. R Re es su ul lt ts s: Six hundred questionnaires were distributed, and information was received relating to 447 items of prosthodontic treatment (response rate= 75%). Ninety-five per cent of cases were privately funded. Using pre-determined grading criteria, poor or no written instructions were provided in one-half of cases examined. One-half of master impressions were made using a plastic stock tray. The technician felt that material had been appropriately disinfected prior to being sent to the laboratory in only 57% of cases. C Co on nc cl lu us si io on n: : The written instructions and master impressions examined in this study failed to meet the relevant ethical and legal guidelines in approximately 50% of cases.

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The Use of Specific Dental School‐Taught Restorative Techniques by Practicing Clinicians

Clark

Oyen²,

Feil³

2001

Journal of Dental Education

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In 1995, a survey requesting information about the utilization of certain prosthodontic techniques was mailed to 3,544 graduates of a midwestern dental school. Responses were received from 1,455 alumni, representing a 41 percent return rate. In general, the results are consistent with international and national trends and show significant disparity in the utilization rates of certain procedures between general dentists and prosthodontists, as well as a disconnect between what is taught in the undergraduate dental educational program and what is applied in practice. For example, while prosthodontists typically apply what was taught in their educational program, utilization rates of general dentists for the facebow was 29.64 percent; the custom tray 68.48 percent; border molding 58.67 percent; altered casts 24.10 percent; custom posts 49.29 percent; prefabricated posts 67.54 percent; and semi-adjustable articulators 50.64 percent.

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Removable partial denture survey: Clinical practice today

Cited by 29 publications

References 11 publications

Why do dentists struggle with removable partial denture design? An assessment of financial and educational issues

Why do dentists struggle with removable partial denture design? An assessment of financial and educational issues

Quality of written prescriptions and master impressions for fixed and removable prosthodontics: a comparative study

The Use of Specific Dental School‐Taught Restorative Techniques by Practicing Clinicians

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