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Communication methods and production techniques in fixed prosthesis fabrication: a UK based survey. Part 2:
J Berry1, M Nesbit2, S Saberi2
1Department of Adult Oral Health, Institute of Dentistry, Barts and The London School of Medicine and Dentistry, Queen Mary University of London, London.
British Dental Journal
|September 27, 2014
Summary
Dental technicians report ongoing issues with fixed prosthesis production techniques, including poor impressions and inaccurate jaw records. These challenges persist despite various communication methods and materials used in UK dental laboratories.
Area of Science:
- Dental materials science
- Prosthodontics
- Dental laboratory technology
Background:
- Effective communication and standardized production techniques are crucial for successful fixed prosthesis fabrication.
- Previous research has highlighted communication gaps between dentists and dental technicians.
- This study focuses on the dental technicians' perspective regarding production techniques in the UK.
Purpose of the Study:
- To identify communication methods and production techniques used in fixed prosthesis fabrication from UK dental technicians' viewpoint.
- To report on the specific production techniques utilized in dental laboratories.
- To assess the quality of impressions and other critical fabrication inputs.
Main Methods:
- An online questionnaire survey was distributed to 782 members of the Dental Laboratories Association.
- The survey covered demographics, impression disinfection, suitability, and various production techniques.
- Statistical analysis was performed to examine the influence of demographic variables.
Main Results:
- A 32% response rate (248 completed questionnaires) was achieved, with most labs in England and categorized as small.
- Concerns were raised about inadequate disinfection protocols and poor-quality master impressions.
- Metal-ceramic crowns were the most popular choice, but issues like inaccurate jaw records and abutment under-preparation were reported.
Conclusions:
- Continuing issues exist in the production techniques utilized between dentists and dental laboratories.
- Improvements in impression quality and disinfection protocols are needed.
- Standardization of techniques could enhance the quality of fixed prostheses.

