Factors influencing the provision of removable partial dentures by dentists in Ireland.

2.50
Hdl Handle:
http://hdl.handle.net/10147/245034
Title:
Factors influencing the provision of removable partial dentures by dentists in Ireland.
Authors:
Allen, Finbarr
Affiliation:
Cork Dental School and Hospital, Wilton, Cork. f.allen@ucc.ie
Citation:
Factors influencing the provision of removable partial dentures by dentists in Ireland., 56 (5):224-9 J Ir Dent Assoc
Publisher:
Irish Dental Association
Journal:
Journal of the Irish Dental Association
Issue Date:
Oct-2010
URI:
http://hdl.handle.net/10147/245034
PubMed ID:
21192619
Additional Links:
Journal of the Irish Dental Association 2010; 56 (5): 224-229
Abstract:
Factors influencing clinical treatment of partially dentate patients are varied, and there is a need to identify factors influencing success in the provision of removable partial dentures. The aim of this study was to assess the attitudes of general dental practitioners (GDPs) in Ireland towards tooth replacement and use of RPDs, in partially dentate older adults. The sample frame was the Register of Dentists in Ireland; data were also collected from a sample of dentists practising under NHS regulations in Northern Ireland. Validated questionnaires were sent to all dentists on the Register of Dentists in the Republic of Ireland, and dentists working under NHS regulations registered with the Central Services Agency in Northern Ireland. Content of the questionnaire included details of the dentist themselves, their dental practice and the profile of partial denture provision. They were also asked to give their views on factors influencing the success or failure of an RPD, the process of providing RPDs and their attitudes to RPD provision. A total of 1,143 responses were received, a response rate of 45%. A mean number of 61 RPDs per annum were provided, with 75% of dentures provided being acrylic based. Respondents indicate their belief that cobalt-chromium based dentures had a longer prognosis than acrylic dentures, but less than half (46%) claim to design the frameworks themselves. Patients' attitudes are considered influential in the success of RPD provision, and their influence on appearance is considered the most important factor influencing success. The most important factors influencing failure are: the patient not requesting a denture; an RPD restoring unbounded saddles; and, lower RPDs. Although considered important, approximately 60% of the sample do not routinely organise follow-up appointments for patients provided with RPDs. The fee structures in the DTSS and DTBS are considered a barrier to quality in the provision of partial dentures.
Item Type:
Article
Language:
en
MeSH:
Acrylic Resins; Attitude of Health Personnel; Attitude to Health; Chromium Alloys; Dental Materials; Dentists; Denture Bases; Denture Design; Denture, Partial, Removable; Esthetics, Dental; Fees, Dental; Female; Follow-Up Studies; General Practice, Dental; Humans; Ireland; Jaw, Edentulous, Partially; Male; Northern Ireland; Patient Participation; Reimbursement Mechanisms; State Dentistry; Tooth Loss; Treatment Outcome
ISSN:
0021-1133

Full metadata record

DC FieldValue Language
dc.contributor.authorAllen, Finbarren_GB
dc.date.accessioned2012-09-19T15:28:48Z-
dc.date.available2012-09-19T15:28:48Z-
dc.date.issued2010-10-
dc.identifier.citationFactors influencing the provision of removable partial dentures by dentists in Ireland., 56 (5):224-9 J Ir Dent Assocen_GB
dc.identifier.issn0021-1133-
dc.identifier.pmid21192619-
dc.identifier.urihttp://hdl.handle.net/10147/245034-
dc.description.abstractFactors influencing clinical treatment of partially dentate patients are varied, and there is a need to identify factors influencing success in the provision of removable partial dentures. The aim of this study was to assess the attitudes of general dental practitioners (GDPs) in Ireland towards tooth replacement and use of RPDs, in partially dentate older adults. The sample frame was the Register of Dentists in Ireland; data were also collected from a sample of dentists practising under NHS regulations in Northern Ireland. Validated questionnaires were sent to all dentists on the Register of Dentists in the Republic of Ireland, and dentists working under NHS regulations registered with the Central Services Agency in Northern Ireland. Content of the questionnaire included details of the dentist themselves, their dental practice and the profile of partial denture provision. They were also asked to give their views on factors influencing the success or failure of an RPD, the process of providing RPDs and their attitudes to RPD provision. A total of 1,143 responses were received, a response rate of 45%. A mean number of 61 RPDs per annum were provided, with 75% of dentures provided being acrylic based. Respondents indicate their belief that cobalt-chromium based dentures had a longer prognosis than acrylic dentures, but less than half (46%) claim to design the frameworks themselves. Patients' attitudes are considered influential in the success of RPD provision, and their influence on appearance is considered the most important factor influencing success. The most important factors influencing failure are: the patient not requesting a denture; an RPD restoring unbounded saddles; and, lower RPDs. Although considered important, approximately 60% of the sample do not routinely organise follow-up appointments for patients provided with RPDs. The fee structures in the DTSS and DTBS are considered a barrier to quality in the provision of partial dentures.en_GB
dc.language.isoenen
dc.publisherIrish Dental Associationen_GB
dc.relation.urlJournal of the Irish Dental Association 2010; 56 (5): 224-229en_GB
dc.rightsArchived with thanks to Journal of the Irish Dental Associationen_GB
dc.subject.meshAcrylic Resins-
dc.subject.meshAttitude of Health Personnel-
dc.subject.meshAttitude to Health-
dc.subject.meshChromium Alloys-
dc.subject.meshDental Materials-
dc.subject.meshDentists-
dc.subject.meshDenture Bases-
dc.subject.meshDenture Design-
dc.subject.meshDenture, Partial, Removable-
dc.subject.meshEsthetics, Dental-
dc.subject.meshFees, Dental-
dc.subject.meshFemale-
dc.subject.meshFollow-Up Studies-
dc.subject.meshGeneral Practice, Dental-
dc.subject.meshHumans-
dc.subject.meshIreland-
dc.subject.meshJaw, Edentulous, Partially-
dc.subject.meshMale-
dc.subject.meshNorthern Ireland-
dc.subject.meshPatient Participation-
dc.subject.meshReimbursement Mechanisms-
dc.subject.meshState Dentistry-
dc.subject.meshTooth Loss-
dc.subject.meshTreatment Outcome-
dc.titleFactors influencing the provision of removable partial dentures by dentists in Ireland.en_GB
dc.typeArticleen
dc.contributor.departmentCork Dental School and Hospital, Wilton, Cork. f.allen@ucc.ieen_GB
dc.identifier.journalJournal of the Irish Dental Associationen_GB
dc.description.provinceMunsteren
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