Research Article
Open Access Peer-reviewed

Evaluating Knowledge of Complete Denture Fabrication Procedures among General Dentists: A Questionnaire-Based Study

Dr. Shilpi Deshpande1, Dr. Sandeep Singh2,, Dr. Latifa Elbanna3, Dr. Jayeesha Kothapalle4, Dr. Manjiri Chakor5, Dr. Sonali Badve6, Dr. Ridhi Bhola7

1BDS, GDC Aurangabad, Maharashtra, India

2MDS (Prosthodontics), Post Graduate Institute of Dental Sciences, Rohtak, India

3(PhD, Prosthodontics) Faculty of Dental Medicine - AlAzhar University, Cairo, Egypt

4BDS/MPH. AECS Maaruti Dental College and Research Centre, India

5MDS (Oral and Maxillofacial surgery), RD Dental College and Research Center, Nagpur, India

6BDS, Bharti Vidyapeeth Dental College, India

7MDS, Post Graduate Institute of Dental Sciences, Rohtak, India

American Journal of Public Health Research. 2026, 14(1), 13-17. DOI: 10.12691/ajphr-14-1-3
Received January 24, 2026; Revised February 26, 2026; Accepted March 05, 2026

Abstract

Background: Fabrication of complete dentures is a fundamental prosthodontic skill for restoring function and esthetics in edentulous patients. However, the knowledge and confidence of general dentists in performing each procedural step can vary considerably. Objective: To assess the knowledge and self-reported confidence of general dentists regarding complete denture fabrication procedures using a structured questionnaire. Methods: A descriptive, cross-sectional survey was conducted among 126 general dentists. The questionnaire comprised demographic details and 15 knowledge-based items covering primary impressions, border molding, neutral zone concept, mandibular retention, facebow transfer, articulator transfer, SPA factors, try-in evaluation, laboratory procedures, post- insertion management, balanced occlusion, follow-up protocols, relining/rebasing, and adequacy of undergraduate training. Responses were recorded on a five-point Likert scale and analyzed using descriptive statistics. Results: Most respondents were aged above 40 years (55.6%), with 35.7% having more than 10 years of clinical experience. A majority reported confidence in primary impressions (84.1%), border molding (82.5%), and the neutral zone concept (78.6%). Confidence was moderate for balanced occlusion (64.3%) and facebow transfer (46.0%), but lower for articulator transfer (42.9%). Although 87.3% routinely provided post-insertion instructions, only 68.3% consistently scheduled follow-up appointments. Undergraduate training was considered adequate for complete denture fabrication by 81.7% of participants. Conclusion: The study revealed generally high self-reported knowledge in most aspects of complete denture fabrication, but notable gaps were identified in facebow and articulator transfer, balanced occlusion, and follow-up practices. These findings highlight the need for targeted continuing education to strengthen competencies in these critical areas

Keywords:

Complete denture fabrication, General dentists, Knowledge assessment, Prosthodontics
[1]  Zarb GA, Hobkirk J, Eckert S, Jacob R. Prosthodontic treatment for edentulous patients. 13th ed. St. Louis: Elsevier; 2013.
 
[2]  Carlsson GE, Omar R. The future of complete dentures in oral rehabilitation. A critical review. J Oral Rehabil. 2010; 37(2): 143-156.View Article  PubMed
 
[3]  Phoenix RD, Cagna DR, DeFreest CF. Stewart’s clinical removable partial prosthodontics. 4th ed. Chicago: Quintessence Publishing; 2008.
 
[4]  Fenlon MR, Sherriff M, Walter JD. Factors influencing patient satisfaction with dentures: A cross-sectional study of patients attending a dental hospital. J Prosthet Dent. 2000; 83(5): 556-563.
 
[5]  Patel J, Malkawi Z, Al Sheeb M, Al Bayatti S. Undergraduate teaching of complete dentures: knowledge and confidence of graduates. Eur J Dent Educ. 2019; 23(4): 495- 502.
 
[6]  Elbanna L, et al. Fundamentals of dental implantology: A comprehensive review. Saudi J Oral Dent Res. 2025; 10(8): 308-315.View Article
 
[7]  Kawai Y, Murakami H, Shariati B, Klemetti E, Blomfield JV, Billette L, et al. Do traditional techniques produce better conventional complete dentures than simplified techniques? J Dent. 2005; 33(8): 659-668.View Article  PubMed
 
[8]  Elbanna L, Rahimi H, Mohammadi M, Saeedi N, Ahmadyar R, Rezaee N, Nikferjam AZ, Safi P, Singh S. Integration of digital technologies in implant dentistry: Workflow, challenges, and opportunities. Eur J Dent Oral Health. 2026; 7(1): 22–28.
 
[9]  Luo F, Luo L, Zhang Y, Wen W, Ye B, Mo Y, Wan Q. Enhancing dental education: integrating online learning in complete denture rehabilitation. BMC Med Educ. 2024 Oct 1; 24(1): 1079.View Article  PubMed
 
[10]  Nono D, Akugizibwe M, Bagenda G, Okullo I, Rwenyonyi CM. Dental Clinicians' and Technologists' Experiences and Perspectives on Removable Complete Denture Fabrication Services in Makerere University Dental Hospital, Uganda. Clin Cosmet Investig Dent. 2024 Dec 6; 16: 499-511.View Article  PubMed
 
[11]  Lone MA, Kumar B, Musharraf H, Lone MM, Lone MA, Shaikh MS, Inayat A, Abbas M. Current Trends In Complete Denture Education In Undergraduate Dental Colleges Of Pakistan. J Pak Med Assoc. 2023 Oct; 73(10): 2029-2035.View Article  PubMed
 
[12]  Elagra ME, Rayyan MR, Bin Razin KI, Alanazi AA, Aldossary MF, Alqahtani AM, Alhomoud SA, Almutair AM. Self-reported stress among senior dental students during complete denture procedures. J Family Med Prim Care. 2022 Nov; 11(11): 6726-6730.View Article  PubMed
 
[13]  Abualsaud R, Al-Thobity AM, Qaw MS, Almaskin DF, Alzaher ZA, Khan SQ, Gad MM. Students' Awareness of the Role of Phonetics in Construction of Removable Dental Prostheses: A Questionnaire-Based Cross-Sectional Study. Dent J (Basel). 2022 Dec 1; 10(12): 227.View Article  PubMed
 
[14]  Paul MJV, Manimaran P, Kumar CD, Simon EP, Paul V. Knowledge and Awareness of Jaw Relation among Dental Interns: A Questionnaire Survey. J Pharm Bioallied Sci. 2021 Nov; 13(Suppl 2): S1263-S1265.View Article  PubMed
 
[15]  Sampaio-Fernandes M, Dutra M, Oliveira SJ, Reis-Campos JC, Azevedo Á, Figueiral MH. Students' self-confidence and perceived quality of prosthodontics education: A study in the Faculty of Dental Medicine of the University of Porto. Eur J Dent Educ. 2020 Aug; 24(3): 559-571.View Article  PubMed
 
[16]  Puryer J, Woods K, Terry J, Sandy J, Ireland AJ. The confidence of undergraduate dental students when carrying out prosthodontic treatment and their perception of the quality of prosthodontic education. Eur J Dent Educ. 2018 Feb; 22(1): e142-e148.View Article  PubMed
 
[17]  Ozkurt Z, Dikbas I, Kazazoglu E. Predoctoral prosthodontic clinical curriculum for complete dentures: survey in Turkish dental schools. J Dent Educ. 2013 Jan; 77(1): 93- 8.View Article  PubMed
 
[18]  Arbree NS, Fleck S, Askinas SW. The results of a brief survey of complete denture prosthodontic techniques in predoctoral programs in North American dental schools. J Prosthodont. 1996 Sep; 5(3): 219-25.View Article  PubMed
 
[19]  Patel J, Malkawi Z, Al Sheeb M, Al Bayatti S. Undergraduate teaching of complete dentures: knowledge and confidence of graduates. Eur J Dent Educ. 2019; 23(4): 495- 502.
 
[20]  Al-Dwairi ZN, El Masoud BM. Complete denture construction: A survey of the attitudes and practice of dentists in North Jordan. J Contemp Dent Pract. 2008; 9(4): 65-72.
 
[21]  Zarb GA, Hobkirk J, Eckert S, Jacob R. Prosthodontic treatment for edentulous patients. 13th ed. St. Louis: Elsevier; 2013.
 
[22]  Lynch CD, Allen PF. Teaching of removable partial dentures in Ireland and the United Kingdom. Br Dent J. 2007; 203(11): E17; discussion 646-647.View Article  PubMed
 
[23]  Al Quran FA, Al-Ghalayini RF, Al-Zu’bi BN. Single complete denture: effect of different teeth forms on patient satisfaction. Quintessence Int. 2011; 42(7): 569-578.
 
[24]  Rehmann P, Balkenhol M, Ferger P, Wostmann B. Influence of the occlusal concept of complete dentures on patient satisfaction in the initial phase after fitting: Bilateral balanced occlusion vs canine guidance. Int J Prosthodont 2008; 21: 60-1.
 
[25]  Zarb GA, Bolender CL, Eckert SE, Jacob RF, Fenton AH, Stern RM, editors. Prosthodontic Treatment for Edentulous Patients-Complete Dentures and Implant- Supported Prostheses. St. Louis: Mosby; 2003.
 
[26]  Trapozzano VR: Tests of balanced and nonbalanced occlusions. J Prosthet Dent 1960; 10: 476-87.View Article
 
[27]  Pound E. Lost-fine arts in the fallacy of the ridges. J Prosthet Dent 1954; 4: 6-16. Fenlon MR, Sherriff M, Walter JD. Factors influencing patient satisfaction with dentures: A cross-sectional study of patients attending a dental hospital. J Prosthet Dent. 2000; 83(5): 556-563.
 
[28]  Lynch CD, McConnell RJ. Attitudes and use of teaching aids for complete denture fabrication in Ireland and the United Kingdom. Eur J Dent Educ. 2004; 8(2): 58-63.
 
[29]  Adawi H, Jain S, Atiah AYM, Salwy NK, Khormi LAM, Adawi SA, Atiah AYM, Aggarwal A. A Comparison of Undergraduate Prosthodontic Teaching of Removable Partial Dentures in Saudi Arabian Dental Colleges with North American and Turkish Dental Schools. J Int Soc Prev Community Dent. 2021 Apr 15; 11(2): 144-151.View Article  PubMed