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dc.contributor.authorAllen, Finbarr
dc.date.accessioned2011-03-15T15:18:30Z
dc.date.available2011-03-15T15:18:30Z
dc.date.issued2011-03-15T15:18:30Z
dc.identifier.citationFactors influencing the provision of removable partial dentures by dentists in Ireland., 56 (5):224-9 J Ir Dent Assocen
dc.identifier.issn0021-1133
dc.identifier.pmid21192619
dc.identifier.urihttp://hdl.handle.net/10147/124626
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.
dc.language.isoenen
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
dc.typeArticleen
dc.contributor.departmentCork Dental School and Hospital, Wilton, Cork. f.allen@ucc.ieen
dc.identifier.journalJournal of the Irish Dental Associationen
dc.description.provinceMunster
refterms.dateFOA2018-08-22T11:28:26Z
html.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.


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