The Scope of Practice of a Denturist is that covered by the Objectives and the Subjects and Topics outlined in the International Baseline Competency Profile. Denturists provide removable oral appliances (also classified as Medical Devices) directly to a patient, some procedures collaboratively with other oral health practitioners.

The Scope of Practice of a Denturist in a specific country may be prescribed in relevant regulations, but generally comprises treatment-planning, design, construction, fitting and repair of the full range of patient-removable prosthetic appliances, which may include:   

  • Full dentures,  
  • partial dentures,  
  • flexible dentures  
  • immediate dentures,  
  • implant supported over-dentures,  
  • metal frames, substructures and special attachments  
  • oral protectors, mouth guards and bleaching trays  
  • sleep apnoea and anti-snoring devices. 

In line with international norms and trends, The Society recommends this range of appliances as a benchmark for practice to be implemented in South Africa. In providing their services, Denturists complete the following functions:  

  • discuss treatmentPerform a complete visual/digital examination and evaluation of the patient’s head and oral cavity, with a view to prosthetic rehabilitation. This includes obtaining a complete medical and dental history of the patient. In some jurisdictions Denturists take and process radiographs and other images related to providing removable dental appliances.  
  • Discuss fully-disclosed treatment-options with the patient; obtain patient-consent for a treatment-plan and appropriate financing (including Health Insurance) to conclude the business of Denturism. 
  • Take impressions, record the required jaw relationship, select the artificial teeth (with patient involvement), and design the dentures, oral protector, anti-snoring device or oral appliance, as applicable.  
  • Try-in and all required retries of trial wax dentures in the patient’s mouth, clinical assessment of all the variables for optimal accuracy, function and aesthetics,  do all the required adjustments until both clinician and patient agrees to proceed with completion of the appliance in acrylic.  
  • Fabricate the appliance according to regular dental laboratory protocol as defined in the scope of dental technology practice, or as the individual case may require.  
  • Insert the completed appliance in the mouth of the patient and carry out any follow-up adjustment to the appliance or patient aftercare, as required.  
  • When applicable, send the completed appliance to the prescribing Dentist for final fitting in the patient’s mouth.  
  • Performs any adjunctive services such as Repairs, Relines or Adjustments of removable oral appliances.  
  • Supervises auxiliary personnel in the performance of their delegated duties. 
  • Distinguish between normal and abnormal effects of ageing and recognise abnormal oral mucosa and related underlying structures for referral of patients to other healthcare professionals, when necessary. 
  • Appropriate referral of patients for required procedures beyond their scope of expertise. 
  • Give appropriate advice to patients.