Due to the go-between system, the denture delivery procedure is fragmented into different compartmented procedures by a variety of oral health categories, resulting in a restraint-barrier on communication between manufacturer and consumer.

Important information are prevented from being passed on, denture wearers often do not get what they ask (and pay) for, but have to accept what they get (with no/little recourse). Currently Dental Technicians making the dentures, may not have any communication with the person for who the denture is intended, because only a Dentist may legally do any intra-oral clinical procedure that relates to denture delivery.

Restricting the sale of dentures to Dentists prevents the emergence of competition between Dentists and qualified Denturists in the supply of dentures. As a result, denture patients pay more for their dentures than is necessary and have less choice. It is estimated that denturists will be able to provide the service at a conservative estimated 30% reduction to the current price that patients pay through a dentist and dental technician.

By law, anyone who requires dentures must visit a Dentist. The Dentist examines the patient, takes measurements and sends an order for a set of dentures to a dental laboratory. The dentures are manufactured by a Dental Technician who sends the completed dentures back to the Dentist for placement in the patient’s mouth. Only Dentists may provide dentures to denture patient. South African Denture wearers do not have the choice of going directly to a Denturist – for a one-stop-shop service of measurement, manufacture and fitting of dentures - as is the case in various other countries.

Insufficient training in removable prosthetics of dental students have led to flaws in the clinical procedures conducted by some Dentists that often results in the complete remake of the appliance or the referral of the patient to a Dental Technician to sort out the problem. It is difficult for a Dental Technician to refuse doing illegal intra-oral work for his/her client's patient when requested to, in view of the total dependency Dental Technicians have on Dentists (and their limited prescribed market).

The absence of Denturists in South Africa has the effect that price competition and choice in the legal sale of dentures to the public is limited to competition between Dentists. Dentists place a mark-up on the prices they pay Dental Technicians for making the dentures (This is known in economic literature as double marginalization, as more than one mark-up is applied to a product) as an extravagant clinical fee calculated at ±3-4 times the labour rate of Dental Technicians and often tries to find ways to legalize the exhorting of discounted fees from Dental Technicians without passing on the lower fee to the patient (hardly a selfless altruistic service). The absence of competition in the supply of dentures have resulted in some Dentists abusing the services of Dental Technicians who are restricted from doing business with anybody but Dentists, and enforced corrupt incentives on them.  This dependency and abuse is responsible for an often-strained unnatural relationship between the professions and creates friction and conflict.

The poorer segment of the edentulous population, who are not able to afford private dental fees are making use of illegal, untrained, unqualified denture services of Quacks , and due to ignorance are often subjected to unhygienic procedures and cross infection of communicable diseases. The State does not provide a safe alternative route of supply to the indigent population. In this matter of assessment of the impact of the restraint on dentures, the seriousness thereof are more so repugnant, because they have affected the poorest of the poor. The profile of denture wearers are typically the old and the poor. It is inexcusable to deny the vulnerable categories of society from access to a safe and affordable provider of dentures. Elimination of this restraint and introduction of a category of Denturist will make a pertinent difference to denture wearers, because it impacts their human dignity, self-esteem, employability, oral health and general health.