Knowledge and Attitude of Dental Clinicians and Dental Technologists on Removable Complete Denture Fabrication Procedures in Uganda: A Qualitative Study
Abstract:
Removable Complete
Dentures (RCDs) are crucial for restoring function and aesthetics in edentulous
patients. The
prevalence of edentulism rises with age, affecting 2.3% of the world's
population. This study explored the knowledge
and attitudes of dental clinicians and technologists regarding Removable
Complete Denture (RCD) fabrication procedures at Makerere University Dental
Hospital, Uganda. This qualitative study employed a phenomenological approach
and 25 respondents were purposively selected to elicit data on a range of
patient-specific considerations and needs during the Removable Complete
Dentures fabrication process. Semi-structured interviews were conducted, and data
were analyzed thematically. Respondents identified the critical
steps in RCD fabrication, including examination and diagnosis, impression
taking, determination of Occlusal Rim Block (ORB) height, proper jaw relation recording, and
meticulous fabrication techniques during RCD fabrication, continuous professional development and patients’ education, and went further to explain how these processes
align with international guidelines. While dental clinicians and technologists
generally adhered to international guidelines, our findings highlighted the
need for updated and context-specific guidelines tailored to the Ugandan
setting, as well as the importance of effective communication and
synchronization among dental practitioners for successful RCD fabrication. The study highlighted dental clinicians' and
technologists' knowledge of critical steps in removable complete denture (RCD)
fabrication emphasized the need for updated, context-specific guidelines,
particularly in impression taking, occlusal rim block height, removable
complete denture fabrication steps, examination and diagnosis and patient education, to ensure accurate measurements and improved patient
outcomes.
References:
[1]. Awawdeh, M., Alotaibi,
M. B., Alharbi, A. H., Alnafisah, S. A., Alasiri, T. S., Alrashidi, N. I., and
Alnafisah, S. A., 2024, A systematic review of patient satisfaction with
removable partial dentures (RPDs). Cureus, 16(1).
[2].
WHO. Oral health
[Internet]. 2023 [cited 2024 May 8], Available from: https://www.who.int/news-room/fact-sheets/detail/oral-health
[3]. Nono, D., Bagenda, G.,
Okullo, I., and Rwenyonyi, C. M., 2024, Exploring lived experiences on the
usage of removable complete dentures among edentulous patients attending
Makerere University Dental Hospital, Kampala, Uganda. BMC Oral Health, 24(1),
p.709.
[4]. Felton, D., Cooper, L.,
Duqum, I., Minsley, G., Guckes, A., Haug, S., Meredith, P., Solie, C., Avery,
D., and Deal Chandler, N., 2011. Evidence‐based guidelines for the care and
maintenance of complete dentures: A publication of the American College of
Prosthodontists. Journal of Prosthodontics: Implant, Esthetic and
Reconstructive Dentistry, 20, pp. S1-S12.
[5]. Kausher, H., Suganna,
M., Ali, A. B. M. R., Ahmed, S. T., Punj, A., and Gomawi, A. A., 2023, Dental
Technicians’ Perception of the Quality of Dentists’ Communication on the
Fabrication of Removable Partial Dentures: A Cross-Sectional Study in Saudi
Arabia. Cureus, 15(11).
[6]. Prakash, P., Singh, K.,
Bahri, R., and Bhandari, S. K., 2020, Utility versus futility of facebow in the
fabrication of complete dentures: A systematic review. The Journal of
Indian Prosthodontic Society, 20(3), pp.237-243.
[7]. Farias Neto, A.,
Mestriner Junior, W., and Carreiro, A. D. F. P., 2010, Masticatory afficiency
in denture wearers with bilateral balanced occlusion and canine guidance. Brazilian
Dental Journal, 21, pp.165-169.
[8]. Al-Quran, F. A.,
Al-Ghalayini, R. F. and Al-Zu'bi, B. N., 2011. Single-tooth replacement:
factors affecting different prosthetic treatment modalities. BMC Oral
Health, 11(1), p.34.
[9]. Albeshti, R., Khmaj, M.,
Khmaj, A., Albaden, A., and Almagtof, H., 2024, A Questionnaire-based Study on
Impression Materials and Techniques for Complete Denture Construction among
Dentists Practicing in Central/Western Regions of Libya. Libyan Journal
of Dentistry, 8(1), pp. 33-41.
[10]. Deshmukh, M., Rajaraman,
V., Duraisamy, R., and Maiti, S., 2022, Knowledge, awareness, and attitude of
dentists toward use of denture adhesives in Tamil Nadu: A questionnaire
survey. Journal of Advanced Pharmaceutical Technology & Research, 13(Suppl
1), pp. S243-S248.
[11]. Guest, G., Namey, E.,
and Chen, M., 2020, A simple method to assess and report thematic saturation in
qualitative research. PloS One, 15(5), p.e0232076.
[12]. Hennink, M., and Kaiser,
B. N., 2022, Sample sizes for saturation in qualitative research: A systematic
review of empirical tests. Social Science & Medicine, 292,
p. 114523.
[13]. Braun, V., and Clarke,
V., 2006, Using thematic analysis in psychology. Qualitative Research in
Psychology, 3(2), pp.77-101.
[14]. Nono, D., Bagenda, G.,
Okullo, I., and Rwenyonyi, C. M., 2024, Exploring lived experiences with tooth
loss among fully edentulous patients attending Makerere University Dental
Hospital, Kampala, Uganda. BMC Oral Health, 24(1),
p.1355.
[15].
World Medical Association, 2013, Declaration of Helsinki:
Ethical principles for medical research involving human subjects. Journal of the American Medical Association, 310 (20):2191–4.
[16]. Saidin, W., Kassim, N.,
Yusof, Y., and Ahmad Rajion, Z., 2012, Manufacturing of removable complete
dentures using vacuum casting technique. Applied Mechanics and
Materials, 120, pp. 32-35.
[17]. Hall, M. A., Karawia,
I., Mahmoud, A. Z. and Mohamed, O. S., 2023, Knowledge, awareness, and
perception of digital dentistry among Egyptian dentists: a cross-sectional
study. BMC Oral Health, 23(1), p. 963.
[18]. Owen, C. P., 2006,
Guidelines for a minimum acceptable protocol for the construction of complete
dentures. International Journal of Prosthodontics, 19(5).
[19]. Grachev, D. I.,
Chizhmakov, E. A., Stepanov, D. Y., Buslovich, D. G., Khulaev, I. V., Deshev,
A. V., Kirakosyan, L. G., Arutyunov, A. S., Kardanova, S. Y., Panin, K. S. and
Panin, S. V., 2023, Dental material selection for the additive manufacturing of
removable complete dentures (RCD). International Journal of Molecular
Sciences, 24(7), p. 6432.
[20]. Regis, R. R., Alves, C. C.
S., Rocha, S. S. M., Negreiros, W. A. and Freitas‐Pontes, K. M., 2016. The
importance of a two‐step impression procedure for complete denture fabrication:
A systematic review of the literature. Journal of Oral Rehabilitation, 43(10),
pp. 771-777.
[21]. Nono, D., Mwebesa, E.,
Bagenda, G., Okullo, I. and Rwenyonyi, C., 2024, Statistical investigation of
the standard height of occlusal rim blocks among patients attending Makerere
University Dental Hospital, Kampala, Uganda. Texila Int. J. Acad. Res., 2024,
pp. 38-46.
[22]. Nand, M., and
Mohammadnezhad, M., 2022, Challenges faced by edentulous patients (EDPs) during
complete denture prostheses (CDP) service delivery in Fiji–a qualitative
study. BMC Health Services Research, 22(1), p. 742.
[23]. May, L. W., and Seong,
L. G., 2018, A narrative review of different types and processing methods of
acrylic denture base material. Annals of Dentistry University of Malaya, 25(2),
pp. 58-67.
[24]. Alqutaibi, A. Y., Baik,
A., Almuzaini, S. A., Farghal, A. E., Alnazzawi, A. A., Borzangy, S.,
Aboalrejal, A. N., AbdElaziz, M. H., Mahmoud, I. I. and Zafar, M. S., 2023,
Polymeric denture base materials: a review. Polymers, 15(15),
p.3258.
[25]. Elzahar, H. B.,
El-Okaily, M. S., Khedr, M. H., Amgad Kaddah, M., and El-Shahawy, A. A., 2022,
Novel cold cure acrylic denture base with recycled zirconia nano-fillers that
were functionalized by HEMA Agent Incorporation: using the Sprinkle Approach. International
Journal of Nanomedicine, pp.4639-4658.
[26]. Arbab Ali, S., Khalifa,
N., and Alhajj, M. N., 2018, Communication between dentists and dental
technicians during the fabrication of removable partial dentures in Khartoum
State, Sudan. Acta stomatologica Croatica: International Journal of Oral
Sciences and Dental Medicine, 52(3), pp.246-253.
[27]. Al-AlSheikh, H. M., 2012, Quality of communication between dentists and dental technicians for fixed and removable prosthodontics. King Saud University Journal of Dental Sciences, 3(2), pp. 55-60.
