Partial Dentures: General Dentist vs. Prosthodontist - When to Refer

General dentists routinely provide partial dentures. Referral to a prosthodontist (specialist in tooth replacement) is considered for:

1. Complex rehabilitation: Multiple missing teeth, combined fixed/removable design, implant-supported partials.
2. Challenging anatomy: Severe ridge resorption, undercuts, palatal torus, limited interarch space.
3. Compromised oral health: Active perio disease, caries susceptibility, xerostomia.
4. Medical complexity: Immunosuppression, bisphosphonate use, radiation history.
5. Patient preference: Desire for specialist-level aesthetics/function.
6. Insurance requirements: Some plans mandate specialist for complex codes.
7. Lab/technical limitations: Office lacks in-house lab or digital workflow for complex frameworks.

Collaborative Model

Many cases: GDP handles records, prep, try-in, delivery; prosthodontist designs framework, selects attachments, oversees complex steps.

Discuss with your dentist; they know your mouth and the local specialist network.