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At least 19 recordsLinked to original sources
PubMed2002

Cooperation and competition between dentists and denturists in Finland.

The aim of this study was to investigate cooperation between dentists and denturists in Finland, particularly in relation to perceived competition between the two professions. From a representative sample of 350 private dentists and 253 denturists, 68% returned acceptably filled-in questionnaires dealing with competition and cooperation with other healthcare professionals. Dentists referred their patients significantly (P < 0.001) less often to denturists (26.2%) than denturists did to dentists (94.1%). Those who referred their patients to members of the other profession also received patients from the other profession significantly (P< 0.001) more often than those who did not (60.7% vs 16.7% among dentists; 90.0% vs 44.4% among denturists). Denturists saw themselves as competing with dentists (56.0%) significantly (P< 0.001) more often than dentists did with denturists (29.2%). Dentists practicing in small towns or rural areas cooperated more often with denturists than did those practicing in more urban areas. Among denturists, the likelihood of referring patients to dentists was associated with younger age and fewer clinical working hours. It was concluded that cooperation between dentists and denturists was common. Oral healthcare professionals who referred their patients to the other profession also benefited by receiving more patients on referral from them. Dental services provided by denturists are limited, which may explain their greater willingness to cooperate with dentists.

Age Factors↗
PubMed2003

Removable dentures provided by dentists, denturists and laboratory technicians.

In several countries removable dentures can be supplied by either dentists or denturists. Dental laboratory technicians, on the other hand, are licensed only to construct dentures on the prescription of a dentist and do not supply dentures directly to patients. This study investigates provision of dentures by dentists, denturists and laboratory technicians to 264 elderly Finnish World War II veterans. The veterans were wearing 454 removable dentures, of which 272 were complete dentures (CD) and 177 were removable partial dentures (RPD). Dentists had supplied one-quarter of the CD and three-quarters of the RPD, denturists had supplied two-thirds of the CD and one-fifth of the RPD, whereas the dental laboratory technicians had supplied the remaining seven per cent of the CD and four per cent of the RPD. Denturists had provided mainly mandibular partial dentures. A high proportion of the RPD provided illegally by denturists were made to oppose CD. The subjects reported that maxillary CD were good or very good more often than mandibular CD and considered more often CD by dentists or denturists good or very good than CD by dental laboratory technicians.

Aged↗
PubMed2003

Clinical quality of removable dentures provided by dentists, denturists and laboratory technicians.

The aim of this study was to evaluate the clinical quality of removable dentures of elderly Finnish men, which had been prepared either by dentists, denturists or dental laboratory technicians. The participants comprised 242 denture-wearing subjects, with 231 maxillary and 177 mandibular removable dentures which had been prepared either by dentists, denturists or dental laboratory technicians. Clinical examinations were carried out without the examining dentist knowing who had provided the dentures. Complete dentures which had been illegally provided by laboratory technicians had significantly poorer retention and fitted less well in tuber and alveolar areas than those provided by either dentists or denturists. Complete maxillary dentures which had been provided illegally by laboratory technicians had significantly (P < 0.01) higher occurrence (90%) of some unacceptable characteristics than those (43%) provided by dentists or denturists. The difference between complete mandibular dentures was also obvious, 86% versus 59%, although statistically non-significant. Of those partial maxillary dentures provided by dentists 53% had some unacceptable characteristics, compared with 80% of those illegally provided by denturists or laboratory technicians (NS). In the case of partial mandibular dentures, 36% of those provided by dentists and 32% of those by denturists or laboratory technicians had some unacceptable characteristic (NS). Illegal provision of removable dentures seemed to be related to decreased clinical quality.

Aged↗
PubMed1997

Denturists: do they really provide more affordable care in Ontario?

The 1996 Denturist Association of Ontario fee guide and the Ontario Dental Association Fee Guide for General Practitioners were examined to identify variations in the fees charged for a range of removable prosthodontic services. Fee guides were selected for this analysis as third-party insurers and government dental plans frequently use them to establish fee schedules and levels of reimbursement. However, it is recognized that dentists set their own fees, which may be higher or lower than the fees suggested in the guide. Although the descriptions of the specific services listed in the guides were similar in many cases, no attempt was made to examine variations in the quality of care provided by dentists and denturists, or the approach to treatment offered by their respective professions. The analysis revealed that a number of procedure fees were, on average, 15 per cent higher in the Ontario Dental Association (ODA) fee guide compared to the denturists' fee guide. However, a wide range of prosthetic services, including partial dentures, were less expensive in the ODA fee guide. Based on this analysis, there appears to be no substantial cost differential between the services provided by dentists and denturists six years after the proclamation of the new Regulated Health Professions Act in Ontario, as the denturists have claimed. The denturist association's further claims of greater choice and improved access may also be questionable, and should be reexamined in light of these findings.

Denture Repair↗
PubMed1994

Denturists and oral health in the aged.

The activities of denturists have been the source of annoyance and alarm to dentists. The dental profession has been unsuccessful in curtailing the prosthodontic service provided by denturists directly to the public despite frequent warnings about the risk to oral health. In many countries denturists have become a legitimate part of the health service in competition with dentists. This article explains the historic circumstances leading to the widespread acceptance of denturists in Canada in contrast to the rejection of these services in Great Britain. It demonstrates that dentists generally were not opposed to an alternative complete denture service and that there is little evidence of a serious threat to the oral health from the complete dentures made by denturists.

Aged↗
PubMed1980

Professional encroachment: a comparison of the emergence of denturists in Canada and Oregon.

In 1978, supporters of denturism in Oregon succeeded in passing an initiative which allows denturists to provide dentures directly to the public. The steps which led to the referendum included three unsuccessful attempts to have the state legislature enact a law legalizing denturism. After capturing broad-based consumer support, the issue was placed on the ballot and passed by an overwhelming margin. Both the denturists and the dentists in Oregon adopted strategies similar to those used in Canada over 20 years ago when the issue was raised in a number of provinces. As was the case in Canada, the denturists prevailed. Denturists stressed the price differential and the issue of freedom of choice. Dentists stressed health and safety issues. The public perceived the dentists' campaign as negative and self-serving. This perception may have contributed to the election results. In order to avoid this tarnished image, dentists must anticipate the public's needs, and formulate strategies to meet such needs.

Canada↗
PubMed1994

[Denturists and the Occupations in Individual Health Care Law].

The legal position of denturists in the Netherlands will be discussed again in the near future. At the moment it is uncertain what the legal basis will be. It is important for denturists and other dental professionals to investigate the different possibilities in the legislation. Historical research and research of sources of law concerning the development of denturism learned that denturists have a lot of arguments to obtain a solid position in future legislation.

Denturists↗
PubMed2003

Oral health in relation to wearing removable dentures provided by dentists, denturists and laboratory technicians.

The aim of this study was to evaluate the oral health of elderly Finnish men wearing removable dentures supplied either by dentists, denturists or laboratory technicians. From a sample of 550 men, 362 subjects were both interviewed and clinically examined. The subjects were asked a range of questions related to their oral health and dentures. Clinical examinations were carried out by one dentist using well-defined criteria and without knowing the information the respective subjects had given in the interview. The 242 denture wearers had a higher frequency (P < 0.001) of mucous membrane lesions (78.7%) than the 120 non-wearers (27.5%). Differences between the denture providers were small, although subjects with dentures provided by dentists had less often most of the recorded mucous membrane lesions than other denture wearers. Coating of tongue and cheilitis angularis were the most commonly encountered lesions. High levels of yeast growth were observed more frequently (P < 0.02) among subjects who had obtained their dentures from dentists (41.3%) than from either denturists (17.1%) or laboratory technicians (18.2%). Among dentate subjects, the average number of remaining teeth was higher (P < 0.05) among those who had obtained their dentures from dentists (8.7) than among subjects wearing dentures from denturists (5.9) or laboratory technicians (6.2). Subjects wearing dentures supplied by dentists had slightly better oral health than other denture wearers. The observed differences can be at least partly explained by dentists' patients having higher number of remaining teeth and also more frequent check-up visits.

Dental Care for Aged↗
PubMed2003

Quackery, fraud, and denturists.

Denturism is questionable dental practice, even in those few states where it is licensed. Incomplete or incompetent care is quackery. In the early 1980s a few states liberalized their laws to allow denturism to those who were educationally qualified. This experiment has generally failed because all accredited training programs have closed, because prices charged by denturists have about reached parity with dentists' fees, and because of limited demand for denturists' services. Because of the complexity of the message about scientifically-grounded oral health care and the populism of stories about the poor and underserved, dentists must be vigilant regarding their interactions with the media.

Canada↗
PubMed1992

Denturists legalized in The Netherlands.

In 1990 the Dutch Government accepted A law which made it possible for dental prosthetic technicians to manufacture full dentures on patients. The Dutch Dental Association opposed of this law. The authors explain, why this law was accepted and the experience with this law so far.

Denturists↗