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| ORIGINAL ARTICLE |
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| Year : 2019 | Volume
: 6
| Issue : 2 | Page : 39-41 |
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Evaluation of fixed partial dentures' complications among patients attending a dental college in Ahmedabad, Gujarat, India
Ravindra Mandanbhai Chavda1, Ronak Choksi1, Kinjal Solanki2, Rajendra P Bharatiya3, Rahul Rupapara4, Monika Khatri5
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 Publication | 25-Sep-2019 |
Correspondence Address:
Dr. Ravindra Mandanbhai Chavda
Department of Prosthodontics, AMC Dental College and Hospital, Ahmedabad - 380 008, Gujarat
India
 Source of Support: None, Conflict of Interest: None
DOI: 10.4103/INPC.INPC_31_19
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 2023 Jun 2];6:39-41. Available from: https://www.ijpcdr.org/text.asp?2019/6/2/39/267797 |
| Introduction | |  |
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 | | |
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 | | |
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].
| Discussion | | |
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 | | |
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.
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[Table 1]
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