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Table of Contents
ORIGINAL ARTICLE
Year : 2019  |  Volume : 6  |  Issue : 2  |  Page : 39-41

Evaluation of fixed partial dentures' complications among patients attending a dental college in Ahmedabad, Gujarat, India


1 Senior Lecturer, Department of Prosthodontics, AMC Dental College and Hospital, Ahmedabad, Gujarat, India
2 Reader, Department of Prosthodontics, AMC Dental College and Hospital, Ahmedabad, Gujarat, India
3 Senior Lecturer, Department of Conservative Dentistry, AMC Dental College and Hospital, Ahmedabad, Gujarat, India
4 Tutor, Department of Dentistry, PDU Medical College and Hospital, Rajkot, Gujarat, India
5 Senior Lecturer, Department of Prosthodontics, Hitkarini Dental College and Hospital, Jabalpur, Madhya Pradesh, India

Date of Web Publication25-Sep-2019

Correspondence Address:
Dr. Ravindra Mandanbhai Chavda
Department of Prosthodontics, AMC Dental College and Hospital, Ahmedabad - 380 008, Gujarat
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/INPC.INPC_31_19

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  Abstract 


Introduction: Fixed partial denture (FPD) is the term used for denoting partial dentures that are cemented to the natural teeth or root, thereby furnishing and providing primary prosthetic support. Prosthetic failure in patients rehabilitated with dental treatment can affect the periodontal health of the abutment teeth.
Aim and Objectives: The present study was conducted to evaluate the FPD's complications among patients attending a dental college in Ahmedabad, Gujarat, India.
Materials and Methods: The study was carried out among patients who visited the Department of Prosthodontics and Crown and Bridge, AMC Dental College and Hospital, Ahmedabad, Gujarat, India, as outpatients from March 2018 to August 2018. A total of 300 patients were randomly selected and interviewed.
Results: Regarding the nature of problems faced with the FPD and crown wearers, 64% of them reported with looseness and repeated dislodgement, whereas 36% of them had no such complaints. The second most common problem encountered with the patients was inability to maintain proper oral hygiene. Nearly 54% of the patients found it difficult to maintain oral hygiene.
Conclusions: Knowledge regarding the clinical FPD complications enhances dentists' ability to complete a thorough diagnosis, develop the most appropriate treatment plan for patients, communicate realistic expectations to patients, and plan time intervals needed for posttreatment care in the dental institutions.

Keywords: Complications, evaluation, fixed partial denture, patients, prosthetic failure


How to cite this article:
Chavda RM, Choksi R, Solanki K, Bharatiya RP, Rupapara R, Khatri M. Evaluation of fixed partial dentures' complications among patients attending a dental college in Ahmedabad, Gujarat, India. Int J Prev Clin Dent Res 2019;6:39-41

How to cite this URL:
Chavda RM, Choksi R, Solanki K, Bharatiya RP, Rupapara R, Khatri M. Evaluation of fixed partial dentures' complications among patients attending a dental college in Ahmedabad, Gujarat, India. Int J Prev Clin Dent Res [serial online] 2019 [cited 2019 Nov 13];6:39-41. Available from: http://www.ijpcdr.org/text.asp?2019/6/2/39/267797




  Introduction Top


A complication has been defined as “a secondary disease or condition developing in the course of a primary disease or condition.” Although complications may be an indication that clinical failure has occurred, this is not typically the case.[1] It is also possible that complications may reflect substandard care. However, once again, this is usually not true. Most of the time, complications are conditions that occur during or after appropriately performed fixed prosthodontic treatment procedures. Knowledge regarding the clinical complications that can occur in fixed prosthodontics enhances the clinician's ability to complete a thorough diagnosis, develop the most appropriate treatment plan, communicate realistic expectations to patients, and plan the time intervals needed for posttreatment care.[2],[3],[4],[5] Fixed partial denture (FPD) is the term used for denoting partial dentures that are cemented to the natural teeth or root, thereby furnishing and providing primary prosthetic support. Healthy occlusion with longevity of several years can be achieved by FPD which transforms unhealthy poor functioning dentition into a comfortable one.[6],[7],[8] Prosthetic failure in patients rehabilitated with dental treatment can affect the periodontal health of the abutment teeth.[9] Hence, we have planned the present study to evaluate the FPD's complications among patients attending a dental college in Ahmedabad.


  Materials and methods Top


A sample questionnaire with 18 questions was prepared, pertaining to the period of the prosthesis in place, the nature of complaint as told by the patient in his or her own words, number of units involved, and the type of materials used in the fabrication of prosthesis. The study was carried out among patients who visited the Department of Prosthodontics and Crown and Bridge, AMC Dental College and Hospital, Ahmedabad, Gujarat, India, as outpatients from March 2018 to August 2018. A total of 300 patients were randomly selected and interviewed.


  Results Top


A total of 300 patients took part in this survey, of which 156 were male and 144 were female. Among the 300 patients, 62% of them had FPDs, 33% of them had crowns, and 5% of them had both. Regarding the nature of problems faced with the FPD and crown wearers, 64% of them reported with looseness and repeated dislodgment, whereas 36% of them had no such complaints. The second most common problem encountered with the patients was inability to maintain proper oral hygiene. Nearly 54% of the patients found it difficult to maintain oral hygiene, 26% of the patients reported with complaints of food impaction, and 36% of them had complaint of pain under the denture/crown.Almost 18% of them found difficulty in mastication, whereas the rest 82% were comfortable during mastication. Halitosis was also complained by 22% of the patients. Nearly 35% of them reported with sensitivity in that region, 34% complained that the color of the prostheses faded away, 32% of them had problems with esthetics, and 13% of them reported with breakage [Table 1].
Table 1: Postoperative complaints

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  Discussion Top


The primary foundation of long-term success with crown and FPD is to achieve good patient recall compliance. The risk of course and FPD failures are divided into four factors, namely patient-related, infection-related, load-related, and technique- and design-related factors. Most of the failures are due to poor patient care after insertion, whereas others occur as a result of defective design and inadequate execution of clinical and laboratory procedures.[10],[11],[12] In this study, a clinic survey was undertaken to access patients' discomfort after cementation of prosthesis. In a study by Palmqvist and Swartz,[13] 75 patients contributing a total of 309 units were included. Qualities of the present FPDs were clinically and radiographically assessed. The results showed that the most common complication was shade mismatch (64%), followed by overcontoured (59.9%), open margins (49.8%), and caries (40.1%). The number of units and duration of service were found to influence most of the assessed complications. The prevalence of complications was high among the studied sample. Rashedi [14] in a study included 98 patients, with 44 FPD and 54 single crowns. The patients were asked questions pertaining to the period, nature of complaint, and type of materials used. Clinical examination was performed. The reasons for the failures were periodontal disease (51%), gingival bleeding (46.9%), open margins (43%), caries (41%), shade mismatch (42%), occlusal wear of the opposing tooth (20.4%), loose prostheses (13%), and porcelain or abutment fracture (12.2%). In that study, the duration of service was found to influence most of the assessed complications, especially periodontal disease, shade mismatch, and occlusal wear. Whereas in our study, regarding the nature of problems faced with the FPD and crown wearers, 64% of them reported with looseness and repeated dislodgment, whereas 36% of them had no such complaints. The second most common problem encountered with the patients was inability to maintain proper oral hygiene. Nearly 54% of the patients found it difficult to maintain oral hygiene, 26% of the patients reported with complaints of food impaction, and 36% of them had a complaint of pain under the denture/crown. Almost 18% of them found difficulty in mastication, whereas the rest 82% were comfortable during mastication. Halitosis was also reported by 22% of the patients. Nearly 35% of them reported sensitivity in that region, 34% complained that the color of the prostheses faded away, 32% of them had problems with esthetics, and 13% of them reported with breakage.


  Conclusions Top


Knowledge regarding clinical FPD complications enhances dentists' ability to complete a thorough diagnosis, develop the most appropriate treatment plan to patients, communicate realistic expectations to patients, and plan time intervals needed for posttreatment care in the dental institutions.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.



 
  References Top

1.
Rania Samara M. The effect of past denture experience on patients satisfaction with their complete dentures. Pak Oral Dent J 2009;29:403-8.  Back to cited text no. 1
    
2.
Walter MH, Woronuk JI, Tan HK, Lenz U, Koch R, Boening KW, et al. Oral health related quality of life and its association with sociodemographic and clinical findings in 3 northern outreach clinics. J Can Dent Assoc 2007;73:153.  Back to cited text no. 2
    
3.
Pan S, Awad M, Thomason JM, Dufresne E, Kobayashi T, Kimoto S, et al. Sex differences in denture satisfaction. J Dent 2008;36:301-8.  Back to cited text no. 3
    
4.
Magnusson T. Clinical judgement and patients' evaluation of complete dentures five years after treatment. A follow-up study. Swed Dent J 1986;10:29-35.  Back to cited text no. 4
    
5.
Fiske J, Davis DM, Frances C, Gelbier S. The emotional effects of tooth loss in edentulous people. Br Dent J 1998;184:90-3.  Back to cited text no. 5
    
6.
Ashok NG, Sangeetha S. Evaluation of post operative complaints in fixed partial denture wearers and those with crowns: A questionnaire based study. Int J Cur Res Rev 2016;8:30-4.  Back to cited text no. 6
    
7.
Newton JT, Prabhu N, Robinson PG. The impact of dental appearance on the appraisal of personal characteristics. Int J Prosthodont 2003;16:429-34.  Back to cited text no. 7
    
8.
Nikias MK, Sollecito WA, Fink R. An empirical approach to developing multidimensional oral status profiles. J Public Health Dent 1978;38:148-58.  Back to cited text no. 8
    
9.
Chezhian N, Abirami S. Patience satisfaction after receiving a fixed partial denture (FPD). Sci Res 2016;8:208-9.  Back to cited text no. 9
    
10.
Ahmed N, Faruqui S. Factors affecting dental prosthesis satisfaction in Pakistani population. Int J Dent Res 2015;3:24-6.  Back to cited text no. 10
    
11.
Geiballa GH, Abubakr NH, Ibrahim YE. Patients' satisfaction and maintenance of fixed partial denture. Eur J Dent 2016;10:250-3.  Back to cited text no. 11
  [Full text]  
12.
Brennan M, Houston F, O'Sullivan M, O'Connell B. Patient satisfaction and oral health-related quality of life outcomes of implant overdentures and fixed complete dentures. Int J Oral Maxillofac Implants 2010;25:791-800.  Back to cited text no. 12
    
13.
Palmqvist S, Swartz B. Artificial crowns and fixed partial dentures 18 to 23 years after placement. Int J Prosthodont 1993;6:279-85.  Back to cited text no. 13
    
14.
A Rashedi. A sanitary “arc-fixed partial denture”: Concept and technique of pontic design. J Prosthet Dent 1983;50:338-41.  Back to cited text no. 14
    



 
 
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