The Complications Associated with Metal Ceramic Prosthesis in Fixed Partial Denture used in Peshawar
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Abstract
Background: Fixed Partial Dentures (FPDs) are a cornerstone in the restoration of missing teeth, offering both functional and aesthetic benefits. Metal-ceramic FPDs, in particular, have gained popularity due to their durability and mechanical properties. However, their associated complications can significantly impact patient satisfaction and prosthesis longevity.
Objective: This study aims to investigate the complications associated with metal-ceramic FPDs in a Pakistani population, focusing on their prevalence, types, and distribution across different dental arches and locations.
Methods: Conducted at Sardar Begum Dental College, Peshawar, Pakistan, this descriptive cross-sectional study involved 183 participants, selected via non-probability convenience sampling over 4 to 6 months. Participants aged 15 to 60 years, who had been wearing metal-ceramic FPDs for more than a month, were included. Data were collected through a structured questionnaire, with complications categorized into biological and technical issues. SPSS version 25 was utilized for data analysis, employing descriptive statistics to quantify the prevalence and distribution of complications.
Results: The study identified pain on chewing (46.4%) and de-cementation (23.5%) as the most frequent complications. The distribution of complications was nearly even between the maxillary (49.1%) and mandibular (50.9%) arches, with a higher incidence in the posterior regions. Specifically, the mandibular posterior region recorded the most problems (45.4%), followed by the maxillary posterior (28.4%), maxillary anterior (20.8%), and mandibular anterior (5.5%) regions.
Conclusion: The prevalence of complications associated with metal-ceramic FPDs, particularly pain on chewing and de-cementation, underscores the need for meticulous case selection, precise treatment planning, and enhanced patient education on oral hygiene. These measures are essential to improving the longevity of FPDs and patient satisfaction, highlighting the importance of a multidisciplinary approach in dental care.
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