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Recommendations Concerning Professional Quality Denture Services
Recommendations Concerning Professional Quality Denture Services A special Reference Committee of the House of Delegates reviewed the full report of the Ad Hoc Committee for the Delivery of Quality Prosthetic Care for the Financially Disadvantaged. The report was published in the November 1977 issue of The Journal, page 1024. The Reference Committee has requested that the term “professional quality denture treatm ent” be substituted for the previous term, “professionally acceptable economy denture services” (PAEDS). The following abstract containing recommendations from the full report should be of special interest to the profession.
T h e S p ecial S tu d y C o m m issio n fo r th e C a re o f E d e n tu lo u s P a tie n ts re c o m m e n d e d to th e B o ard o f T ru s te e s th a t th e C o u n cil on D e n ta l R e se a rc h d ete rm in e th e feasibility o f w h e th e r eth ic a l d e n tu re g ro u p p ra c tic e s could be estab lish ed to p ro vide p ro fessio n ally a c c e p tab le eco n o m y d e n tu re ca re (P A E D ) [p ro fessio n al q u ality d e n tu re tre a tm e n t] to th e public. In re sp o n se to th is a s sign m en t, th e C o u n cil reco m m en d ed th a t an ad hoc co m m itte e b e a p p o in te d to stu d y th e pro b lem . T h e re c o m m e n d a tio n w as a p p ro v e d b y th e B oard o f T ru s te e s an d th e A d H o c C o m m itte e fo r the D e liv e ry o f Q u ality P ro sth e tic C a re fo r th e F i nan cially D isa d v a n ta g e d w as ap p o in ted b y P re si d e n t F ra n k F . S h u ler. D r. R o b e rt H . G riffith s, tru s te e , E ig h th D is tric t, w as a p p o in te d ch airm an and D r. H a rv e y W . L y o n w as d esig n ated as the re sp o n sib le sta ff p e rso n . C o m m ittee m em b ers w e re se le c te d o n th e b asis o f th e ir ind iv id ual b a c k g ro u n d an d from geographic lo catio n s w h ere th e p ro b le m o f “ d e n tu rism ” is a c u te . T h e co m m ittee w a s c o m p o sed o f m em b ers w ho a re g e n e r al p ra c titio n e rs (d en tists n o w p roviding P A E D c a re [P ro fe ssio n a l Q u ality D e n tu re T re a t m e n t]), p ro s th o d o n tists, e d u c a to rs, a n d a state b o a rd o f d e n ta l e x a m in e rs’ re p re se n ta tiv e . T h e co m m itte e m em b ers include: D r. C h a rle s J . C o l
vin, A tla n ta ; R . A d m . R o b e rt W . E llio tt, J r ., P o to m ac, M d; D r. H a l E . G ro n lu n d , C lin to n , 111; D r. A rth u r H u b e r, A sto ria , O re ; D r. G e o rg e A . L o p ez , C o ro n a , N Y ; D r. R o b e rt B. L y tle , W a sh ington, D C ; D r. R o b e rt M a b e rry , F o rt W o rth , T e x ; D r. H e n ry P o lla rd , P o rtla n d , M e; an d D r. D a le S hirley, T u c s o n , A riz. P e rtin e n t p o rtio n s o f D r. G riffith s’s opening co m m e n ts and in stru c tio n s to th e co m m ittee w ere: 1. T h e pro b lem o f u n m e t d en tu re n e ed s th a t d e n tistry is facing is a real one. 2. T h e B oard o f T ru s te e s decid ed th a t one o f th e m ain th ru sts o f a ctio n is to ale rt and inform o u r m em b ers a b o u t th e p ro b lem , to e d u c ate th em in m eth o d s th e y can u se to help e d u ca te th e p ublic, and e n th u se th em to g e t active. 3. L eg islato rs a re w illing to su p p o rt us . . . b u t th e y also reco g n ize p re ssu re from c o n su m e r g roups. 4. “ D e n tu ris ts ” claim th e y can se rv e a v a st n u m b er o f peo p le w h o a re n o t being serv e d a t a p rice peo p le can p ay . 5. Y o u a re going to b e th e m ain b attle fo rce fo r d e n tistry . W e m u st co m e up w ith solu tio n s th a t can allow d e n tistry to p ro v id e d e n tu re s fo r th e financially d isad v an tag ed . JADA, Vol. 96, March 1978 ■ 393
6. W e m u st d e v e lo p v ario u s m e th o d s o f deliv erin g p ro s th e tic c a re th a t will m e e t th e n e ed s o f th e p eo p le. 7. S o lu tio n s m u st be w o rk ab le an d re a so n ab le so leg islato rs can a c c e p t th em . 8. W e m u st d e v e lo p m e th o d s th a t can w ork in th e h an d s o f th o s e p ra c titio n e rs w ho are d e d ica ted to high p ro fe ssio n a l sta n d a rd s. 9. I th in k th a t th is should in d icate to y ou the urg en cy o f th e m a tte r as w ell as its se rio u sn e ss. I am su re th a t e a c h o f you h as a c c e p te d th is c h a l lenge w ith th e id ea th a t su rely th e re is so m ething w e can d o to d e fe a t th e se p eo p le w ho w ould a t te m p t to d e liv e r h ealth serv ices to th e public w ith o u t a p ro p e r e d u catio n al b a c k g ro u n d in the biological scien ces.
Findings of th e c o m m itte e re g ard in g the m a n a g e m e n t a n d p ra ctice of PA ED [p ro fe s s io n a l q u ality d en tu re tre a tm e n t] s erv ic e
T h e co m m ittee rec e iv e d sev eral re p o rts from d e n tists w ho c o n d u c t full-tim e p ra c tic e s o f th is ty p e. A lth o u g h th e fee fo r a co m p lete u p p e r an d lo w er d e n tu re ran g ed fro m $195 to $250, it w as c o n clu d ed th a t su ch a p ra c tic e co u ld b e fin an cially feasib le an d self-satisfying; h o w e v e r, th e p ra c titio n e r s ) m u st b e co m p letely m o tiv a te d an d d e d ic a te d to th e n e e d an d c a u se fo r P A E D [p ro fe s sio n al q u ality d e n tu re tre a tm e n t]. O th e r e sse n tial fa c to rs re q u ire d fo r a su ccessfu l o p e ra tio n p e rta in to m inim izing o v e rh e a d costs: a . T h e e q u ip m e n t an d furn ish in g s m u st be m o d e st a n d sim p le, y e t efficien t an d fu n ctio n al. b . T h e d e n tu re co n stru c tio n te c h n iq u e m u st be efficient an d sta n d a rd iz e d to req u ire a m inim al a m o u n t o f c h a ir tim e an d au x iliary help. c . O n ly a lim ited n u m b e r o f o p tio n s fo r the p a tie n t a re p e rm itte d . d . C re d it c o n tro l m u st be stric t an d b u si n esslik e. e. S u p p lies a n d m aterials should b e p u rc h a se d in large o r b u lk q u a n titie s in o rd e r to o b tain o p tim u m p rice re d u c tio n s. I f d e n ta l so ciety group p u rc h a se s a re a n tic ip a te d , legal c o u n sel sh o uld be so u g h t. I t w as n o ted th a t m o st la b o ra to ry p ro c e d u re s are acco m p lish ed o n th e p rem ises in full-tim e p ra c tic e s p ro v id in g P A E D c a re [p ro fe ssio n a l q u ality d e n tu re tr e a tm e n t] .
394 ■ JADA, Vol. 96, M arch 1978
C onclusions
C o m m itte e m em b e rs are o f th e opinion th a t p ro fessio n ally a c c e p tab le eco n o m y d e n tu re s [p ro fessio n al quality d e n tu re tre a tm e n t] c a n indeed b e m ad e availab le to th e public. T h e esta b lish m en t and o p e ra tio n o f this ty p e o f pro fessio n al d e n tu re serv ic e, w h en co u p led to a p p ro p riate and effective lobbying a ctiv ities in th e sta te legisla tu re s, can b e co m e th e prim e o ffensive in stru m e n t fo r m eeting th e n e e d s o f th e financially d isa d v an taged. T h e co m m ittee ex am in ed and ev a lu a te d as m any asp e c ts o f th e pro b lem as p o ssib le, in clud ing som e w ell-estab lish ed P A E D [p ro fessio n al quality d e n tu re tre a tm e n t] se rv ic e s, th e sta tu s o f p re fab ricate d d e n tu re tec h n iq u es, co ntinuing ed u ca tio n c o u rse s, and c u rre n t d en ta l school p ro sth e tic cu rricu lu m . S pecial co m m e n ts c o n cerning th e re latio n sh ip o f th e d e n tist w ith c o m m ercial d en ta l la b o ra to rie s, sta te and local dental so c ieties, as w ell as to th e sta te b o ard s o f den tal ex am in ers, a re p re se n te d in th e full re p o rt. R ec o m m e n d a tio n s
1. T h e c o n stitu e n t and c o m p o n en t societies should m ak e e v e ry effo rt to fulfill th e reso lu tio n from the B oard o f T ru ste e s co n cern in g th e avail ability o f p ro fessio n ally a c c ep tab le eco n o m y d e n tu re [p ro fe ssio n a l quality d e n tu re tre a tm e n t] se r v ices. 2. T h e A m e ric a n A sso c ia tio n o f D en ta l S chools is urged to reco m m e n d th a t continuing e d u c atio n c o u rse s in P A E D [p ro fessio n al quality d e n tu re tre a tm e n t] c are b e offered by th e dental schools. 3. T h e A m erica n D e n ta l A sso c iatio n is urged to c o n tin u e to w o rk w ith th e A m e rica n A sso c ia tion o f D e n ta l S chools to upgrade the guidelines fo r teach in g p ro sth e tic c o u rse s. 4. C o n tin u in g ed u c a tio n c o u rse s in la b o rato ry p ro c e d u re s fo r d e n tists should be sp o n so red by th e A m erican D e n ta l A sso c ia tio n and sta te dental societies. T h e se c o u rse s should include: d e n tu re rep airs, all p ro c e d u re s relate d to d e n tu re c o n stru ctio n , and te c h n iq u e s fo r training perso n n el in b asic p ro c e d u re s. 5. S ta te den tal so cieties should m ake ev e ry ef fo rt p o ssible to in clude in th e ir p ro g ram s som e in stru ctio n on th e p ro p e r co m pletion o f w orko rd e r form s fo r th e d en ta l lab o rato ry . 6. T h e C o u n cil on D e n ta l L a b o ra to ry R ela tio n s [n o w th e C o u n cil on P ro sth e tic S ervices
and D e n ta l L a b o ra to ry R e la tio n s] sh o u ld c o n tin u e to p u rsu e th e d e v e lo p m e n t o f an a d e q u a te w o rk -o rd e r form so th e d e n tis t can easily p ro v id e th e n e c e s s a ry in fo rm atio n to th e la b o ra to ry . 7. T h e d e n tist should m ak e e v e ry e ffo rt to e s tab lish b e tte r ra p p o rt w ith th e co m m ercial la b o ra to ry p e rso n n e l w ho d o his la b o ra to ry w o rk . 8. A specific tre a tm e n t p re sc rip tio n signed by th e d e n tis t should a c c o m p a n y e v e ry p a tie n t re ferre d to an e x o d o n tist o r an o ral su rg eo n . T h is in clu d es th o se p a tie n ts w h o se m o u th s re q u ire som e su rg ical p ro c e d u re s p rio r to th e in se rtio n o f an im m ed iate d e n tu re . T h e e x o d o n tist o r th e oral surgeo n sh o u ld c o n ta c t th e referrin g d e n tis t b e fo re p ro c e e d in g w ith tre a tm e n t w h e n th e re is a differen ce in opinion. 9. P a tie n ts sh o u ld n e v e r b e d ire c te d b y th e d e n tist to d e liv e r o r p ick up a d e n tu re re p a ir a t a co m m ercial d e n ta l la b o ra to ry . 10. T h e C ou n cil on D e n ta l H e a lth [n o w th e C o un cil o n D e n ta l H e a lth an d H e a lth P lan n in g ] should p u rsu e a vig o ro u s p a tie n t e d u c a tio n a l p ro gram d ire c te d to w a rd th e lifetim e re te n tio n o f te eth .
11. T h e A m eric an D e n ta l A sso ciatio n should c o n tin u e re se a rc h an d m onitoring o f th e a re a o f p re fab ricate d d e n tu re s. 12. T h e a p p ro p ria te A m e ric an D e n ta l A sso c i a tio n agen cies should b e d ire c te d to co n tin u e re sea rch into sim plified m eth o d s fo r d eliv ery o f p ro fessionally ac c e p tab le eco n o m y d e n tu re s [p ro fessio n al quality d e n tu r e s ] . 13. T h e a p p ro p ria te agencies o f th e A sso c ia tion should study d e liv e ry sy ste m s th a t a re sim ilar in n a tu re to th e p ro fessio n ally ac c e p tab le e c o nom y d e n tu re [p ro fe ssio n a l quality d e n tu re tre a tm e n t] serv ice b u t p ertain in g to th e p ro v isio n o f to ta l d e n tal h e alth c a re o f th e financially d isa d vantaged. 14. P eo p le know led g eab le a b o u t th e c o n te n ts o f th is special co m m itte e re p o rt should b e m ade available to c o n su lt w ith c o n stitu e n t and c o m p o n e n t d en tal so cieties an d in te re ste d g ro u p s o f d e n tists w h ere th e re will b e b en efit in pro v id in g u n m et n eed s. 15. A ll c o n stitu e n t d en ta l so cieties shall re ceive a co p y o f all th re e p a rts o f th e full re p o rt. 16. A ll c o m p o n e n t d en ta l so cieties shall re ceiv e a co p y o f P a rt I (ab strac t) o f th e re p o rt.
PROFESSIONAL QUALITY DENTURE SERVICES ■ 395
T h e S p ecial S tu d y C o m m issio n fo r th e C a re o f E d e n tu lo u s P a tie n ts re c o m m e n d e d to th e B o ard o f T ru s te e s th a t th e C o u n cil on D e n ta l R e se a rc h d ete rm in e th e feasibility o f w h e th e r eth ic a l d e n tu re g ro u p p ra c tic e s could be estab lish ed to p ro vide p ro fessio n ally a c c e p tab le eco n o m y d e n tu re ca re (P A E D ) [p ro fessio n al q u ality d e n tu re tre a tm e n t] to th e public. In re sp o n se to th is a s sign m en t, th e C o u n cil reco m m en d ed th a t an ad hoc co m m itte e b e a p p o in te d to stu d y th e pro b lem . T h e re c o m m e n d a tio n w as a p p ro v e d b y th e B oard o f T ru s te e s an d th e A d H o c C o m m itte e fo r the D e liv e ry o f Q u ality P ro sth e tic C a re fo r th e F i nan cially D isa d v a n ta g e d w as ap p o in ted b y P re si d e n t F ra n k F . S h u ler. D r. R o b e rt H . G riffith s, tru s te e , E ig h th D is tric t, w as a p p o in te d ch airm an and D r. H a rv e y W . L y o n w as d esig n ated as the re sp o n sib le sta ff p e rso n . C o m m ittee m em b ers w e re se le c te d o n th e b asis o f th e ir ind iv id ual b a c k g ro u n d an d from geographic lo catio n s w h ere th e p ro b le m o f “ d e n tu rism ” is a c u te . T h e co m m ittee w a s c o m p o sed o f m em b ers w ho a re g e n e r al p ra c titio n e rs (d en tists n o w p roviding P A E D c a re [P ro fe ssio n a l Q u ality D e n tu re T re a t m e n t]), p ro s th o d o n tists, e d u c a to rs, a n d a state b o a rd o f d e n ta l e x a m in e rs’ re p re se n ta tiv e . T h e co m m itte e m em b ers include: D r. C h a rle s J . C o l
vin, A tla n ta ; R . A d m . R o b e rt W . E llio tt, J r ., P o to m ac, M d; D r. H a l E . G ro n lu n d , C lin to n , 111; D r. A rth u r H u b e r, A sto ria , O re ; D r. G e o rg e A . L o p ez , C o ro n a , N Y ; D r. R o b e rt B. L y tle , W a sh ington, D C ; D r. R o b e rt M a b e rry , F o rt W o rth , T e x ; D r. H e n ry P o lla rd , P o rtla n d , M e; an d D r. D a le S hirley, T u c s o n , A riz. P e rtin e n t p o rtio n s o f D r. G riffith s’s opening co m m e n ts and in stru c tio n s to th e co m m ittee w ere: 1. T h e pro b lem o f u n m e t d en tu re n e ed s th a t d e n tistry is facing is a real one. 2. T h e B oard o f T ru s te e s decid ed th a t one o f th e m ain th ru sts o f a ctio n is to ale rt and inform o u r m em b ers a b o u t th e p ro b lem , to e d u c ate th em in m eth o d s th e y can u se to help e d u ca te th e p ublic, and e n th u se th em to g e t active. 3. L eg islato rs a re w illing to su p p o rt us . . . b u t th e y also reco g n ize p re ssu re from c o n su m e r g roups. 4. “ D e n tu ris ts ” claim th e y can se rv e a v a st n u m b er o f peo p le w h o a re n o t being serv e d a t a p rice peo p le can p ay . 5. Y o u a re going to b e th e m ain b attle fo rce fo r d e n tistry . W e m u st co m e up w ith solu tio n s th a t can allow d e n tistry to p ro v id e d e n tu re s fo r th e financially d isad v an tag ed . JADA, Vol. 96, March 1978 ■ 393
6. W e m u st d e v e lo p v ario u s m e th o d s o f deliv erin g p ro s th e tic c a re th a t will m e e t th e n e ed s o f th e p eo p le. 7. S o lu tio n s m u st be w o rk ab le an d re a so n ab le so leg islato rs can a c c e p t th em . 8. W e m u st d e v e lo p m e th o d s th a t can w ork in th e h an d s o f th o s e p ra c titio n e rs w ho are d e d ica ted to high p ro fe ssio n a l sta n d a rd s. 9. I th in k th a t th is should in d icate to y ou the urg en cy o f th e m a tte r as w ell as its se rio u sn e ss. I am su re th a t e a c h o f you h as a c c e p te d th is c h a l lenge w ith th e id ea th a t su rely th e re is so m ething w e can d o to d e fe a t th e se p eo p le w ho w ould a t te m p t to d e liv e r h ealth serv ices to th e public w ith o u t a p ro p e r e d u catio n al b a c k g ro u n d in the biological scien ces.
Findings of th e c o m m itte e re g ard in g the m a n a g e m e n t a n d p ra ctice of PA ED [p ro fe s s io n a l q u ality d en tu re tre a tm e n t] s erv ic e
T h e co m m ittee rec e iv e d sev eral re p o rts from d e n tists w ho c o n d u c t full-tim e p ra c tic e s o f th is ty p e. A lth o u g h th e fee fo r a co m p lete u p p e r an d lo w er d e n tu re ran g ed fro m $195 to $250, it w as c o n clu d ed th a t su ch a p ra c tic e co u ld b e fin an cially feasib le an d self-satisfying; h o w e v e r, th e p ra c titio n e r s ) m u st b e co m p letely m o tiv a te d an d d e d ic a te d to th e n e e d an d c a u se fo r P A E D [p ro fe s sio n al q u ality d e n tu re tre a tm e n t]. O th e r e sse n tial fa c to rs re q u ire d fo r a su ccessfu l o p e ra tio n p e rta in to m inim izing o v e rh e a d costs: a . T h e e q u ip m e n t an d furn ish in g s m u st be m o d e st a n d sim p le, y e t efficien t an d fu n ctio n al. b . T h e d e n tu re co n stru c tio n te c h n iq u e m u st be efficient an d sta n d a rd iz e d to req u ire a m inim al a m o u n t o f c h a ir tim e an d au x iliary help. c . O n ly a lim ited n u m b e r o f o p tio n s fo r the p a tie n t a re p e rm itte d . d . C re d it c o n tro l m u st be stric t an d b u si n esslik e. e. S u p p lies a n d m aterials should b e p u rc h a se d in large o r b u lk q u a n titie s in o rd e r to o b tain o p tim u m p rice re d u c tio n s. I f d e n ta l so ciety group p u rc h a se s a re a n tic ip a te d , legal c o u n sel sh o uld be so u g h t. I t w as n o ted th a t m o st la b o ra to ry p ro c e d u re s are acco m p lish ed o n th e p rem ises in full-tim e p ra c tic e s p ro v id in g P A E D c a re [p ro fe ssio n a l q u ality d e n tu re tr e a tm e n t] .
394 ■ JADA, Vol. 96, M arch 1978
C onclusions
C o m m itte e m em b e rs are o f th e opinion th a t p ro fessio n ally a c c e p tab le eco n o m y d e n tu re s [p ro fessio n al quality d e n tu re tre a tm e n t] c a n indeed b e m ad e availab le to th e public. T h e esta b lish m en t and o p e ra tio n o f this ty p e o f pro fessio n al d e n tu re serv ic e, w h en co u p led to a p p ro p riate and effective lobbying a ctiv ities in th e sta te legisla tu re s, can b e co m e th e prim e o ffensive in stru m e n t fo r m eeting th e n e e d s o f th e financially d isa d v an taged. T h e co m m ittee ex am in ed and ev a lu a te d as m any asp e c ts o f th e pro b lem as p o ssib le, in clud ing som e w ell-estab lish ed P A E D [p ro fessio n al quality d e n tu re tre a tm e n t] se rv ic e s, th e sta tu s o f p re fab ricate d d e n tu re tec h n iq u es, co ntinuing ed u ca tio n c o u rse s, and c u rre n t d en ta l school p ro sth e tic cu rricu lu m . S pecial co m m e n ts c o n cerning th e re latio n sh ip o f th e d e n tist w ith c o m m ercial d en ta l la b o ra to rie s, sta te and local dental so c ieties, as w ell as to th e sta te b o ard s o f den tal ex am in ers, a re p re se n te d in th e full re p o rt. R ec o m m e n d a tio n s
1. T h e c o n stitu e n t and c o m p o n en t societies should m ak e e v e ry effo rt to fulfill th e reso lu tio n from the B oard o f T ru ste e s co n cern in g th e avail ability o f p ro fessio n ally a c c ep tab le eco n o m y d e n tu re [p ro fe ssio n a l quality d e n tu re tre a tm e n t] se r v ices. 2. T h e A m e ric a n A sso c ia tio n o f D en ta l S chools is urged to reco m m e n d th a t continuing e d u c atio n c o u rse s in P A E D [p ro fessio n al quality d e n tu re tre a tm e n t] c are b e offered by th e dental schools. 3. T h e A m erica n D e n ta l A sso c iatio n is urged to c o n tin u e to w o rk w ith th e A m e rica n A sso c ia tion o f D e n ta l S chools to upgrade the guidelines fo r teach in g p ro sth e tic c o u rse s. 4. C o n tin u in g ed u c a tio n c o u rse s in la b o rato ry p ro c e d u re s fo r d e n tists should be sp o n so red by th e A m erican D e n ta l A sso c ia tio n and sta te dental societies. T h e se c o u rse s should include: d e n tu re rep airs, all p ro c e d u re s relate d to d e n tu re c o n stru ctio n , and te c h n iq u e s fo r training perso n n el in b asic p ro c e d u re s. 5. S ta te den tal so cieties should m ake ev e ry ef fo rt p o ssible to in clude in th e ir p ro g ram s som e in stru ctio n on th e p ro p e r co m pletion o f w orko rd e r form s fo r th e d en ta l lab o rato ry . 6. T h e C o u n cil on D e n ta l L a b o ra to ry R ela tio n s [n o w th e C o u n cil on P ro sth e tic S ervices
and D e n ta l L a b o ra to ry R e la tio n s] sh o u ld c o n tin u e to p u rsu e th e d e v e lo p m e n t o f an a d e q u a te w o rk -o rd e r form so th e d e n tis t can easily p ro v id e th e n e c e s s a ry in fo rm atio n to th e la b o ra to ry . 7. T h e d e n tist should m ak e e v e ry e ffo rt to e s tab lish b e tte r ra p p o rt w ith th e co m m ercial la b o ra to ry p e rso n n e l w ho d o his la b o ra to ry w o rk . 8. A specific tre a tm e n t p re sc rip tio n signed by th e d e n tis t should a c c o m p a n y e v e ry p a tie n t re ferre d to an e x o d o n tist o r an o ral su rg eo n . T h is in clu d es th o se p a tie n ts w h o se m o u th s re q u ire som e su rg ical p ro c e d u re s p rio r to th e in se rtio n o f an im m ed iate d e n tu re . T h e e x o d o n tist o r th e oral surgeo n sh o u ld c o n ta c t th e referrin g d e n tis t b e fo re p ro c e e d in g w ith tre a tm e n t w h e n th e re is a differen ce in opinion. 9. P a tie n ts sh o u ld n e v e r b e d ire c te d b y th e d e n tist to d e liv e r o r p ick up a d e n tu re re p a ir a t a co m m ercial d e n ta l la b o ra to ry . 10. T h e C ou n cil on D e n ta l H e a lth [n o w th e C o un cil o n D e n ta l H e a lth an d H e a lth P lan n in g ] should p u rsu e a vig o ro u s p a tie n t e d u c a tio n a l p ro gram d ire c te d to w a rd th e lifetim e re te n tio n o f te eth .
11. T h e A m eric an D e n ta l A sso ciatio n should c o n tin u e re se a rc h an d m onitoring o f th e a re a o f p re fab ricate d d e n tu re s. 12. T h e a p p ro p ria te A m e ric an D e n ta l A sso c i a tio n agen cies should b e d ire c te d to co n tin u e re sea rch into sim plified m eth o d s fo r d eliv ery o f p ro fessionally ac c e p tab le eco n o m y d e n tu re s [p ro fessio n al quality d e n tu r e s ] . 13. T h e a p p ro p ria te agencies o f th e A sso c ia tion should study d e liv e ry sy ste m s th a t a re sim ilar in n a tu re to th e p ro fessio n ally ac c e p tab le e c o nom y d e n tu re [p ro fe ssio n a l quality d e n tu re tre a tm e n t] serv ice b u t p ertain in g to th e p ro v isio n o f to ta l d e n tal h e alth c a re o f th e financially d isa d vantaged. 14. P eo p le know led g eab le a b o u t th e c o n te n ts o f th is special co m m itte e re p o rt should b e m ade available to c o n su lt w ith c o n stitu e n t and c o m p o n e n t d en tal so cieties an d in te re ste d g ro u p s o f d e n tists w h ere th e re will b e b en efit in pro v id in g u n m et n eed s. 15. A ll c o n stitu e n t d en ta l so cieties shall re ceive a co p y o f all th re e p a rts o f th e full re p o rt. 16. A ll c o m p o n e n t d en ta l so cieties shall re ceiv e a co p y o f P a rt I (ab strac t) o f th e re p o rt.
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