Article: Volume 46 Number 5 Page 466 - May 2019

  Dent Update 2019; 46: 466-472  Read article

Prosthodontics:  Complete Denture Series Part 1: Referrals for Complete Dentures – Identifying the Reasons

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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.

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

Author notes: Wouter Leyssen, BDS, MJDF, MSc, MSc, Specialty Dentist Restorative Dentistry, Birmingham Dental Hospital, (email:, Sivakumar Jayachandran, MDS, BDS, AFHEA, Clinical Specialist, Prosthodontics, Birmingham Dental Hospital and General Dental Practitioner, Barnes Hill Dental Surgery, Birmingham B29 5TX and A Damien Walmsley, PhD, MSc, BDS, FDS RCPS, Director of Internationalization, Professor and Head of Teaching Unit of Prosthetic Dentistry, Birmingham Dental Hospital, 5 Mill Pool Way, Edgbaston, Birmingham B5 7EG, UK.

Objective: To describe the potential difficulties in constructing complete dentures for patients referred to the New Patient Clinics at Birmingham Dental Hospital.

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