Assessment of Communication Quality through Work Authorization between Dentists, Prosthodontic Consultants, and Dental Assistants in Fixed and Removable Prosthodontics
VOLUME 22, 2025
The Role of Targeted Infra-popliteal Endovascular Angioplasty to Treat Diabetic Foot Ulcers Using the Angiosome Model: A Systematic Review
VOLUME 6, 2023
Nehad Omar Nawfawi, Alhanouf Khalid Alotaibi, Souad Nasser Alanazi, Hanaa Salman Aljuaid, Maryam Motared Alanazi
Samiah Shoail Alotaibi, Amal Jalil Alshammari, Modhi Naif Alhethleen, Abeer Mari Alqahtani, Nouf Said Al garni
Abstract
Background: Effective communication between dentists, prosthodontic consultants, and dental assistants is fundamental to the success of fixed and removable prosthodontic treatments. Work authorization documents serve as a critical bridge between clinical and laboratory processes, yet studies reveal persistent gaps in clarity, completeness, and standardization. These deficiencies often result in laboratory errors, remakes, and compromised patient outcomes.
Aim: This review aims to analyze the quality of communication and work authorization practices in prosthodontics, identify barriers affecting interdisciplinary collaboration, and explore the potential of digital and artificial intelligence (AI)-based solutions to enhance communication efficiency and accuracy within Saudi dental centers.
Methods: A narrative review approach was employed, synthesizing literature published between 2015 and 2025 from databases including PubMed, Scopus, Web of Science, and ScienceDirect. Studies focusing on dentist–technician communication, documentation quality, interprofessional collaboration, and digital innovation were thematically analyzed following Braun and Clarke’s framework.
Results: Findings revealed consistent communication challenges worldwide, with incomplete documentation, ambiguous terminology, and inadequate supervision by prosthodontic consultants identified as key issues. Saudi-based studies reported heavy reliance on handwritten work authorizations and limited use of standardized digital templates. Conversely, international research demonstrated the benefits of CAD/CAM integration, cloud-based laboratory portals, and AI-assisted documentation systems in improving accuracy and traceability.
Conclusion: Enhancing communication quality through digital standardization, AI integration, and interprofessional training is vital for improving prosthodontic outcomes. Empowering dental assistants, formalizing consultant oversight, and implementing smart documentation frameworks will ensure consistency, accountability, and clinical precision. These advancements align with Saudi Vision 2030, fostering an intelligent, data-driven dental communication model that merges human expertise with technological innovation for sustainable excellence in oral healthcare.
Keywords :
communication quality, prosthodontics, work authorization, digital dentistry, artificial intelligence, dental assistants, Saudi Arabia, interdisciplinary collaboration.
Erin Saricilar
Lecture in accounting. University of Basrah, College of Administration and Economics, Department of Accounting.
Lecture in accounting. University of Basrah, College of Administration and Economics, Department of Accounting.
Abstract
Atherosclerotic disease significantly impacts patients with type 2 diabetes, who often present with recalcitrant peripheral ulcers. The angiosome model of the foot presents an opportunity to perform direct angiosome-targeted endovascular interventions to maximise both wound healing and limb salvage. A systematic review was performed, with 17 studies included in the final review. Below-the-knee endovascular interventions present significant technical challenges, with technical success depending on the length of lesion being treated and the number of angiosomes that require treatment. Wound healing was significantly improved with direct angiosome-targeted angioplasty, as was limb salvage, with a significant increase in survival without major amputation. Indirect angioplasty, where the intervention is applied to collateral vessels to the angiosomes, yielded similar results to direct angiosome-targeted angioplasty. Applying the angiosome model of the foot in direct angiosome-targeted angioplasty improves outcomes for patients with recalcitrant diabetic foot ulcers in terms of primary wound healing, mean time for complete wound healing and major amputation-free survival.
Keywords :
Diabetic foot ulcer, angiosome, angioplasty