In South Africa, organized Dentistry has consistently opposed the establishment of clinical training for Dental Technicians to upgrade to Denturists, but have suggested that the irresponsible "Backdoor-quack" providers could be legitimized or that Oral Hygienists and Dental Therapists could be trained to make and provide dentures to address the backlog in denture services. In Australia and Canada Dental Therapists/Oral Hygienists becoming Denturists were given no exemptions for any subjects and vice versa, simply because there are no corresponding overlap in course content of these speciality courses. The Dental Therapist would need to have the full three years training to be taught Prosthetics because they have no grounding in either Dental Technology or Oral Prosthetics including Clinical Prosthetics. The course contents of these disciplines is completely divergent.   PCDs often get frustrated by feeling over trained for what they do, or restricted from what they could do, because of training restrictions, or limited Scope of Practice. There is ample room for integration with career laddering, equity, recognition of prior learning and structural and functional alignment of the Oral Health Professions. The Scopes of Practice should be reviewed, taking into account career pathing, articulation and flexibility in order to eliminate the negative impact of terminal professional Qualifications, with no hope for progressing further. When considering what changes in the law might be appropriate in South Africa to allow PCDs to compete openly in an unrestricted market and allow more efficient utilization of Human Resources, it is useful to consider what has happened in other countries. In consideration of new workforce models in an effort to improve oral health care access and availability and to increase the productive capacity of the overall dental workforce. Allied dental professionals can complement, supplement, or substitute for the Dentist, as part of an efficient and productive Oral Health Care Team.

International research shows that in some countries certain PCDs are allowed to perform certain procedures independently and allowed to charge their patients/consumers directly and also claim directly from Medical Schemes. In Denmark Oral Hygienists have a screening role in some public dental clinics and are authorized to work independently of a Dentist and charge for their services in the private sector. Finland and Sweden have also legalized the independent practice of Hygienists in the private sector.  Currently, Dental Therapists and Oral Hygienists in South Africa can practice certain clinical aspects of Dentistry but Dental Technicians are not allowed to. In their wisdom Parliament has conceded to introduce a category of Denturist. The definition introduced to the Dental Technicians Amendment Act proposed that this category be registered by the HPCSA regulated by the Health Professions Act. This Act does not yet recognize the category of Denturist (Clinical Dental Technologist) and consequently does not provide for their training or registration either. The HPCSA refuses to entertain any/all efforts to introduce Denturism. Therefore, Dental Technicians are unable to acquire appropriate clinical training in South Africa as the category of Denturist does not yet exist in practical terms in South Africa. As a consequence, the sale of dentures directly to the public is not permitted by anyone other than a Dentist and the contravention of this provision is liable for criminal prosecution!