PubMed · 15942607
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M M Devan. 2005. Basic principles in impression making. 1952.. https://doi.org/10.1016/j.prosdent.2005.02.007
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In years past, removable prosthodontics was a large and highly respected part of dentistry. During the past 50 years, removal of teeth has become less common, and placement of removable complete dentures has become less desirable to dentists. Tooth extraction is now limited to more legitimate reasons than in the past. The result is that removable prosthodontics has lost its appeal to many dentists. Polling large groups of dentists in continuing education courses, I have found that some dentists will not make removable complete dentures, and they do not provide dentures in their practices. Additionally, teaching complete dentures in dental schools has been diluted, because of the necessity to teach many other subjects and the reduced interest in the subject. Are these changes desirable, or should removable prosthodontics receive more emphasis? I discuss the need for dentures in the United States and make suggestions to potentially remedy the current situation.
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UNLABELLED: The rate of edentulism is falling but many edentulous people still need complete dentures. There is poor correlation between the quality of dentures and patient satisfaction. There is no evidence that a more complex fabrication technique including face-bow registration results in a better clinical outcome. Balanced occlusion/articulation is not necessary for successful complete denture function. Variations in materials and techniques appear to have only minor influence, if any, on the clinical end result. Psychosocial factors, especially a good relationship between dentist and patient, are more important than prosthodontic factors for a positive outcome. CLINICAL RELEVANCE: Creating a good relationship between the dentist and the patient is extremely important for a successful outcome of a complete denture treatment.