Abstract: It is readily apparent that the great variability in edentulous mouths, in patients, and in patient backgrounds does present many problem factors in denture treatments. It is equally apparent that the need for knowledge, skill, and experience correspondingly vary with the case, and that in some instances the operator possesses a marked deficiency. The operator who does not recognize this personal deficiency will later sacrifice some of his professional reputation on the altar of ignorance and faulty procedure.The examining routine is, therefore, a double-edged procedure of evaluating the problems to be met and the possession of the abilities to successfully cope with them. This procedure is a protection to both parties concerned. It takes courage and a high degree of integrity to admit one is unequal to the need, and thus refer the patient to an operator who is more qualified.The needed “know how” to treat difficult cases successfully is gained only through experience, for schools can give only a limited clinical training and try to indoctrinate an acceptable over-all procedure routine. Private practice calls for an ability to handle correctly the many small variations in form, condition, habit patterns, and human reactions to denture substitutes. LaDue11 feels that success resides more in this ability to note and compensate for the many small variations than in the strict application of a learned basic routine. There is no one other step in a denture treatment routine which better focuses the operator's attention on normal conditions and their slight variations than this diagnostic survey step. It is difficult to reason why dentists so neglect this one most important step in a denture treatment routine.There seems no logical reason why the same fee should apply for all denture patients, for the conditions create variable demands on the operator and make each denture an individualized substitute of great value to an edentulous patient. Artificial dentures are perhaps of greater value than other substitutes for human parts if one considers their special abilities to impart a quality of aliveness and beauty, in addition to their remedial and restorative qualities. The editorial by C. N. Johnson12 excellently projects these qualities of artificial dentures, and it is recommended to all dentists for reading.

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