Factors influencing the provision of removable partial dentures by dentists in Ireland.
Identifieur interne : 011364 ( Main/Exploration ); précédent : 011363; suivant : 011365Factors influencing the provision of removable partial dentures by dentists in Ireland.
Auteurs : Finbarr Allen [Irlande (pays)]Source :
- Journal of the Irish Dental Association [ 0021-1133 ]
Descripteurs français
- KwdFr :
- Alliages de chrome (), Attitude du personnel soignant, Attitude envers la santé, Bases d'appareil de prothèse dentaire, Conception d'appareil de prothèse dentaire, Dentisterie esthétique, Dentistes (psychologie), Femelle, Honoraires dentaires, Humains, Irlande, Irlande du Nord, Matériaux dentaires (), Mâchoire partiellement édentée (rééducation et réadaptation), Mâle, Mécanismes de remboursement (économie), Odontologie d'État (économie), Odontologie générale, Participation du patient, Perte dentaire (rééducation et réadaptation), Prothèse dentaire partielle amovible (psychologie), Résines acryliques (), Résultat thérapeutique, Études de suivi.
- MESH :
- psychologie : Dentistes, Prothèse dentaire partielle amovible.
- rééducation et réadaptation : Mâchoire partiellement édentée, Perte dentaire.
- économie : Mécanismes de remboursement, Odontologie d'État.
- Alliages de chrome, Attitude du personnel soignant, Attitude envers la santé, Bases d'appareil de prothèse dentaire, Conception d'appareil de prothèse dentaire, Dentisterie esthétique, Femelle, Honoraires dentaires, Humains, Irlande, Irlande du Nord, Matériaux dentaires, Mâle, Odontologie générale, Participation du patient, Résines acryliques, Résultat thérapeutique, Études de suivi.
English descriptors
- KwdEn :
- Acrylic Resins (chemistry), Attitude of Health Personnel, Attitude to Health, Chromium Alloys (chemistry), Dental Materials (chemistry), Dentists (psychology), Denture Bases, Denture Design, Denture, Partial, Removable (psychology), Esthetics, Dental, Fees, Dental, Female, Follow-Up Studies, General Practice, Dental, Humans, Ireland, Jaw, Edentulous, Partially (rehabilitation), Male, Northern Ireland, Patient Participation, Reimbursement Mechanisms (economics), State Dentistry (economics), Tooth Loss (rehabilitation), Treatment Outcome.
- MESH :
- chemical , chemistry : Acrylic Resins, Chromium Alloys, Dental Materials.
- geographic : Ireland, Northern Ireland.
- economics : Reimbursement Mechanisms, State Dentistry.
- psychology : Dentists, Denture, Partial, Removable.
- rehabilitation : Jaw, Edentulous, Partially, Tooth Loss.
- Attitude of Health Personnel, Attitude to Health, Denture Bases, Denture Design, Esthetics, Dental, Fees, Dental, Female, Follow-Up Studies, General Practice, Dental, Humans, Male, Patient Participation, Treatment Outcome.
Abstract
Factors 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.
PubMed: 21192619
Affiliations:
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Le document en format XML
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<front><div type="abstract" xml:lang="en">Factors 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.</div>
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