Clinical Audit of Denture Fabrication by Undergraduate Students: Error Frequency and its Association with Patient Demographics
DOI:
https://doi.org/10.65761/pjcr.2025.2.1.1Keywords:
Denture fabrication, Undergraduate dental students, Clinical audit, Prosthodontics, Occlusal errors, Esthetic finishing, Patient satisfactionAbstract
This clinical audit aimed to evaluate the frequency and types of errors made by undergraduate dental students during the fabrication of complete dentures and to determine the association of these errors with patient demographics such as age and gender. A cross-sectional observational study was conducted at Lady Reading Hospital, Peshawar, from January 10 to September 10, 2024. A total of 163 complete dentures (80 maxillary and 80 mandibular) fabricated by BDS students were included. Each denture was assessed by senior clinicians at the final insertion stage, focusing on four domains affecting denture satisfaction: retention, stability, support, and esthetics. Each domain was evaluated using three clinical parameters. Statistical analysis was performed to determine the frequency of errors and their association with patient age and gender. Retention and support-related errors were relatively low across most parameters. However, the most frequent error was found in occlusal interferences (64%) under the stability domain, and poor surface finishing (75.2%) under esthetics. The association of errors with patient gender was statistically insignificant for most parameters except for support-related tissue extension (p<0.05). A significant correlation was found between tooth shade/shape selection and patient age (p<0.05). The audit highlights that the most common errors made by undergraduate students occur during the final stages of denture fabrication—specifically in achieving occlusal harmony and esthetic finishing. These errors may adversely affect patient satisfaction, indicating the need for enhanced supervision, better clinical training in occlusion, and greater emphasis on esthetic considerations in the undergraduate prosthodontic curriculum.
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