In some countries, including South Africa, the customary fragmented procedure remains, whereby a Dental Surgeon go-between facilitates the clinical measurement procedures and the Dental Technician “custom-makes” the appliance in isolation from the denture wearer. Patients are often not given fully disclosed treatment-options and have to accept what they get, often complaining about unsuitable aesthetic appearance and/or dysfunction.

Too often Dental Technicians have to remake dentures (free of charge) due to the prescribed communication-barrier with the consumer and deficiencies of the fragmented go-between system. This underscores the desire for direct provision of dentures by both consumer and manufacturer! The go-between monopoly-holder ignores the quest and hangs on to their position of privilege, by refusing to participate in a debate. In the absence of a deployed category of Denturist (CDT) in South Africa, many Dentists refer their patients with denture complications they cannot solve themselves, directly to Dental Technicians to resolve. At the same time, unqualified “Quacks”, operating underground, are becoming essential service providers to vast numbers of indigent denture wearers.

After patients have lost their natural teeth, the clinician takes impressions of the mouth and records the bite-relationship, simple measurement-procedures calling for no greater skill or precision than is required for the actual making of the denture. The trial denture and finished restoration is placed in the patient’s mouth and such minor adjustments that are required are carried out. Again, the procedure is of technical nature and does not call for surgical skill. Any adjustments required throughout the procedures have to be communicated by the go-between Clinician to the Dental Technician. Such instructions are often vague, incomplete or absent, and since contact with the patient is strictly prohibited, this leaves the Dental Technician to depend on own initiative or ESP to “custom-make” the denture! The Dental Technician often have to wait for the busy Dentist to phone back and discuss what he can remember about a specific patient case, before adjustments can be made. All the back-and-forth transportation (± 5-7 visits) to and from the dental surgery and back to the dental laboratory between every step, can all be eliminated by the implementation of a one-stop service of a Denturist. Where Denturism is practised, the conventional fragmented procedures and communication barriers are replaced by direct communication, eliminating the all-round frustrations and inefficiency of having to work through a go-between.