Factors influencing the provision of removable partial dentures by dentists in Ireland.
Authors
Allen, FinbarrAffiliation
Cork Dental School and Hospital, Wilton, Cork. f.allen@ucc.ieIssue Date
2010-10MeSH
Acrylic ResinsAttitude 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
Metadata
Show full item recordCitation
Factors influencing the provision of removable partial dentures by dentists in Ireland., 56 (5):224-9 J Ir Dent AssocPublisher
Irish Dental AssociationJournal
Journal of the Irish Dental AssociationPubMed ID
21192619Additional Links
Journal of the Irish Dental Association 2010; 56 (5): 224-229Abstract
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
ArticleLanguage
enISSN
0021-1133Collections
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