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Guidelines for a minimum acceptable protocol for the construction of complete dentures.
1Department of Prosthodontics, School of Oral Health Science, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa. owenp@dentistry.wits.ac.za
The International Journal of Prosthodontics
|February 28, 2007
Summary
This study established a Minimum Acceptable Protocol (MAP) for complete dentures using expert consensus. The protocol ensures prosthodontic principles are maintained, aligning with the "appropriatech" philosophy for quality dental services.
Area of Science:
- Dental Prosthodontics
- Evidence-Based Dentistry
Background:
- Establishing standardized prosthodontic principles for complete dentures is crucial for quality patient care.
- The
- appropriatech
- philosophy emphasizes maintaining core principles despite material and method modifications.
Purpose of the Study:
- To determine the feasibility of achieving expert consensus on essential prosthodontic principles for complete denture construction.
- To develop a Minimum Acceptable Protocol (MAP) for complete dentures based on expert agreement.
Main Methods:
- A modified Delphi survey technique was employed with international prosthodontic experts.
- Three rounds of questionnaires with yes/no statements were used to gather consensus on denture construction stages.
- A 90% consensus threshold was set for statements to be included in the MAP.
Main Results:
- The study involved 41, 39, and 36 respondents across three Delphi survey rounds.
- Initial 75 statements were refined, resulting in 18 statements achieving 90% or greater expert agreement.
- A consensus-based Minimum Acceptable Protocol (MAP) for complete dentures was successfully derived.
Conclusions:
- The Delphi technique proved effective for obtaining expert consensus on prosthodontic principles, despite expert opinion being a lower evidence level.
- The developed MAP can serve as a benchmark for evaluating clinical techniques aiming for efficiency without compromising quality.
- This protocol supports the
- appropriatech
- philosophy in complete denture fabrication.
