AIMS AND METHODWe questioned 141 senior house officers (SHOs) across three training schemes in order to ascertain the awareness and achievement of psychotherapy requirements as recommended by the College. A structured questionnaire was used and administered either in person or over the telephone to all SHOs. Of all the trainees surveyed, 32 were eligible for MRCPsych part II.RESULTSOnly 9% of the SHOs eligible for MRCPsych part II were able to meet the requirements. Less than a third of all trainees were aware of the College guidelines.CLINICAL IMPLICATIONSTrainees face a number of practical problems in meeting the College guidelines. Psychotherapy training for basic specialist trainees is in need of urgent reviewand steps need to be taken to ensure that SHOs are gaining basic psychotherapeutic skills.
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This article describes the types and functions of connectors for RPDS. It also considers the relative merits and limitations of these connectors.
This article explains the mechanism of indirect retention for RPDs and discusses the factors which determine its effectiveness. Examples are given of designs which incorporate indirect retention.
This final article in the series describes the modification of teeth to improve their shape for the support and retention of RPDs.
In this part, we will discuss New publications: All the parts which comprise this series (which will be published in the BDJ) have been included (together with a number of unpublished parts) in the books A Clinical Guide to Removable Partial Dentures (ISBN 0-904588-599) and A Clinical Guide to Removable Partial Denture Design (ISBN 0-904588-637). Available from Macmillan on 01256 302699 This article describes the types and functions of connectors for RPDs. It also considers the relative merits and limitations of these connectors.
Context Removable partial dentures used to restore the shortened lower dental arch may adversely affect the remaining natural teeth and are associated with a low prevalence of use. Objective To report the findings for caries incidence 2 years after restoration of lower shortened arches with bilateral cantilever resin-bonded bridges (RBBs) and conventional partial dentures (RPDs). Design Randomised controlled trial. Setting Secondary care Patients 25 male and 35 female subjects of median age 67 years were randomly allocated to 'bridge' and 'denture' treatment groups of 30 patients each matched for age and sex. Caries incidence was recorded during dental examinations 3 months, 1 and 2 years after insertion of new lower prostheses. Interventions Cantilever RBBs and conventional RPDs with cast metal frameworks. Results There was a highly significant difference in the frequency of new caries lesions, 11 and 51 in the bridge and denture groups respectively (P < 0.01). 20 out of 27 bridge patients and 9 of 23 denture patients had no caries experience. Multivariate modeling identified treatment group as the only significant predictor of caries occurrence. Conclusions Two years after restoration of lower shortened arches for an elderly sample of patients, there was a significantly greater incidence of new and recurrent caries lesions in subjects restored with RPDs compared with cantilever RBBs.
This article describes measures designed to provide short-term solutions to existing RPD problems and to establish an optimum oral environment for the provision of definitive prostheses.
In this article statements related to the design of clasps are listed and discussed. The opinion of prosthodontic experts regarding these statements is indicated in the accompanying pie charts.
In this part, we will discuss This article describes how bracing can be used to produce stable RPDs which distribute forces efficiently to the supporting tissues. The contribution of reciprocation to effective clasping is also discussed.
This article describes the types and functions of connectors for RPDs. It also considers the relative merits and limitations of these connectors.
This article describes the benefits and risks of providing RPDs. It emphasises the importance of co-operation between the dental team and patient to ensure that the balance of this 'equation' is in the patient's favour.
This article describes the clinical objectives and procedures for surveying a dental cast prior to designing an RPD
This article describes the benefits and risks of providing RPDs. It emphasises the importance of co-operation between the dental team and patient to ensure that the balance of this 'equation' is in the patient's favour.
This article describes a method of building RPD components into an effective design and indicates how the details of the design can be communicated clearly to the dental technician.
Contemporary Fixed ProsthodonticsStewart's Clinical Removable Partial ProsthodonticsA Clinical Guide to Crowns and Other Extra-coronal RestorationsA Clinical Guide to OcclusionOverdentures in General Dental PracticeFunctional Occlusion in Restorative Dentistry and ProsthodonticsRemovable Prosthodontics at a GlanceProsthodontic Treatment for Partially Edentulous PatientsRemovable Partial DenturesOverdentures Made EasyA Clinical Guide to Removable Partial DenturesStrategies in Dental Diagnosis and Treatment PlanningTechniques in Complete Denture TechnologyAn Atlas of Removable Partial Denture DesignFundamentals of Fixed ProsthodonticsRemovable Partial Denture DesignMcCracken's Removable Partial Prosthodontics E-BookUnderstanding Partial Denture DesignPrecision Attachments in Prosthodontics: Overdentures and telescopic prosthesesFundamentals of Removable Partial DenturesSectional DenturesStudy Guide for the Pre-clinical Course in Removable Partial DentureA Clinical Guide to Removable Partial Denture DesignRemovable Partial DenturesRemovable Partial DenturesThe Dental Reference ManualOverdentures In GdpA Clinical Guide to Temporomandibular DisordersRemovable Prosthodontics at a GlanceMcCracken's Removable Partial ProsthodonticsClinical Guide for Overseas Dental Examination (UK, Europe & Australia)Digital Restorative DentistryColor Atlas of Removable Partial DenturesClinical Guide to Principles of Fiber-Reinforced Composites in DentistryMcCracken's Removable Partial Prosthodontics EBookProsthetic Treatment of the Edentulous PatientTextbook of ProsthodonticsPartial Denture ProstheticsKratochvil's Fundamentals of Removable Partial DenturesClinical Cases in Prosthodontics
This article describes the mechanisms for retaining RPDs and considers the different types of direct retainer. The factors influencing the effectiveness of retentive clasps and governing the choice of clasp are discussed.