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Treatment planning for replacing missing teeth in UK general dental practice: current trends

Patel, P. M., Lynch, Christopher Daniel, Sloan, Alastair James and Gilmour, Alan Scott Maxwell 2010. Treatment planning for replacing missing teeth in UK general dental practice: current trends. Journal of Oral Rehabilitation 37 (7) , pp. 509-517. 10.1111/j.1365-2842.2010.02077.x

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Abstract

The aim of this study was to examine the confidence, replacement practitioners the recently barriers and attitudes towards the of missing teeth by general dental (GDPs). The perceived impact of introduced National Health Service (NHS) contract on the provision of prosthodontic treatments was also considered. Pre-piloted postal questionnaires were mailed to 500 GDPs in Wales. Open- and closed-ended questions were utilised to establish confidence, adequacy of training and attitudes towards treatments for replacing missing teeth. Two hundred and seventeen completed questionnaires were received (response rate = 43.4%). Many respondents described themselves as 'confident' or 'very confident' in the provision of removable partial dentures (RPDs) (acrylic = 100%, metal based = 99.5%), cantilever resin-bonded bridges (94.4%) and conventional bridgework (98.6%). GDPs were 'not confident' providing fixed-fixed resin-bonded bridges (21.1%) or implants (81.4%). Financial barriers were identified to the provision of prosthodontic treatments, including comments such as "the new [National Health Service] contract does limit the treatments available". Privately funded patients were more likely to be offered a fixed bridge or implant replacement of a missing upper first molar, whereas non-privately funded patients were more likely to be offered no treatment (P < 0.01). Most respondents reported confidence at providing more routine forms of prosthodontic care such as RPDs and bridges. It appears that funding arrangements may have an impact on treatments offered to replace missing teeth, particularly under the current NHS contract.

Item Type: Article
Status: Published
Schools: Dentistry
Uncontrolled Keywords: missing teeth; prosthodontics; treatment planning; removable partial dentures; implants; bridges
Publisher: Wiley
ISSN: 0305-182X
Last Modified: 04 Jun 2017 03:03
URI: http://orca.cf.ac.uk/id/eprint/16013

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