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References

Fuller E, Steele J, Watt R, Nuttall N. Oral Health and Function – a Report from the Adult Dental Health Survey 2009.London: Health and Social Care Information Centre; 2011
Clark R, Radford D, Juszczyk A. Current trends in complete denture teaching in British dental schools. Br Dent J. 2010; 208
Preparing for Practice. Dental Team Learning Outcomes for Registration.: GDC; 2012
Smith JP, Hughes D. A survey of referred patients experiencing problems with complete dentures. J Prosthet Dent. 1988; 60:583-586
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Koper A. Difficult denture birds. J Prosthet Dent. 1967; 17:532-539
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Jacobson TE, Krol AJ. A contemporary review of the factors involved in complete denture retention, stability, and support. Part I: Retention. J Prosthet Dent. 1983; 49:5-15
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Complete denture series part 1: referrals for complete dentures – identifying the reasons

From Volume 46, Issue 5, May 2019 | Pages 466-472

Authors

Wouter Leyssen

BDS, MJDF, MSc

Specialty Dentist in Restorative Dentistry, Birmingham Community NHS Healthcare Foundation Trust

Articles by Wouter Leyssen

Sivakumar Jayachandran

MDS, BDS, AFHEA

Specialty Dentist and PhD Student, Prosthetic Dentistry, School of Dentistry, University of Birmingham, 5 Mill Pool Way, Edgbaston, Birmingham B5 7EG, UK

Articles by Sivakumar Jayachandran

A Damien Walmsley

PhD, MSc, BDS, FDS RCPS,

Professor of Restorative Dentistry, School of Dentistry, The University of Birmingham, St Chad's Queensway, Birmingham, B4 6NN, UK

Articles by A Damien Walmsley

Email A Damien Walmsley

Abstract

General dental practitioners (GDPs) continue to refer edentulous patients to secondary care for advice and treatment. The clinical records of edentulous patients referred to Birmingham Dental Hospital were reviewed to determine the common problems encountered by GDPs when constructing complete dentures. The main reasons for referral were resorption of the lower ridge (39%) followed by a series of ill-defined reasons (28%), looseness of either or both dentures (25%), pain (11%), immediate dentures (8%), exaggerated gag reflex (7%) and implants (7%). The reasons for referral do not always correspond to the clinical findings on the New Patient Assessment Clinics.

CPD/Clinical Relevance: The findings of the article could be used as a guide for GDPs in identifying problems with problematic dentures.

Article

Complete denture construction is often seen as a technically demanding clinical technique. This is partly due to a decreasing edentulous population with many of the patients remaining becoming more difficult to treat. From the figures of the Adult Dental Health Survey in 2011, it is estimated that 6% of the adult population in the UK was edentulous.1 Age wise, 45% of people over 85 years and 29% of people between 75 and 84 years of age were found to be edentulous.1 These patients generally have been edentulous for a considerable time and are more likely to suffer from co-morbidities (including xerostomia, dementia, etc). It is assumed that, because of these difficulties, such patients tend to be referred to secondary care for prosthetic treatment.

Not only is there a decreasing skill base of clinicians able to supply complete dentures, but dental schools are finding it more difficult to recruit suitable patients for student clinics. The teaching of complete dentures has decreased over the years2 and may explain why some GDPs are not confident in providing successful complete dentures, although the General Dental Council states that the graduating dentist has to be able to ‘Assess the need for, design, prescribe and provide biomechanically sound partial and complete dentures’.3

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