PATIENT-DRIVEN LIMITATIONS IN DENTAL IMPLANT THERAPY: A CROSS-SECTIONAL STUDY OF ITS BARRIERS

Authors

  • Rakhshanda Cat-D hospital Drosh Chitral Lower, Health Department, KPK, Pakistan.
  • Ali Waqar Qureshi SHIFA COLLEGE OF DENTISTRY (SCD), SHIFA TAMEER - E - MILLAT UNIVERSITY, ISLAMABAD https://orcid.org/0000-0003-2601-6935
  • Adnan Sunny SHIFA COLLEGE OF DENTISTRY (SCD), SHIFA TAMEER - E - MILLAT UNIVERSITY, ISLAMABAD
  • Asma Ejaz Khan SHIFA COLLEGE OF DENTISTRY (SCD), SHIFA TAMEER - E - MILLAT UNIVERSITY, ISLAMABAD
  • Shujaat Hasan Idris SHIFA COLLEGE OF DENTISTRY (SCD), SHIFA TAMEER - E - MILLAT UNIVERSITY, ISLAMABAD
  • Sardar Waleed Babar SHIFA COLLEGE OF DENTISTRY (SCD), SHIFA TAMEER - E - MILLAT UNIVERSITY, ISLAMABAD

DOI:

https://doi.org/10.69656/pjp.v21i3.1861

Keywords:

Complete Dentures, Implant-Supported Fixed Dental Prostheses (ISFDP), Fixed Partial Denture (FDP), Lifetime cumulative attachment loss (LCAL), Removable Partial Denture (RPD)

Abstract

Background: Implant dentistry offers a reliable, advanced alternative to traditional prosthetics for replacing missing teeth. The objective of this study was to document patient’s related local and systemic causes that preclude dental implant prosthesis. Methods: This descriptive cross-sectional study was conducted over a period of 16 months in Prosthodontics Department, Peshawar Dental College, Peshawar, Pakistan. The study population consisted of patients seeking missing tooth/ teeth replacements. The data to identify factors hindering implant supported prosthesis was collected through a pre-structured proforma, interviews, clinical, and radiographic assessments. Data was analysed on SPSS-24 via post-stratification chi-square test. Results: The study involved 219 participants aged 19–65 years, with a mean age of 41.79±12.5 years. The implant supported prosthesis faced psycho-social obstacles (180, 82%) such as lack of information, time constraints, and procedure-related fear. Systemic causes included uncontrolled diabetes (26, 11.9%), active smoking (15, 6.8%), and age extremes (7, 3.2%), while local/oral factors included inadequate space and bruxism due to protracted tooth loss (11, 5%), and bruxism (13, 5.9%). Conclusion: Ignorance and cost are the major barriers to dental implant supported prosthesis selection, along with oral factors like bruxism and insufficient space, and systemic variables like diabetes and smoking. Public education regarding these issues is recommended.

Pak J Physiol 2025;21(3):22–5, DOI: https://doi.org/10.69656/pjp.v21i3.1861

Downloads

Download data is not yet available.

Author Biographies

Ali Waqar Qureshi, SHIFA COLLEGE OF DENTISTRY (SCD), SHIFA TAMEER - E - MILLAT UNIVERSITY, ISLAMABAD

Assistant Professor Prosthodontics

Department of Prosthodontics

Shifa College of Dentistry (SCD),

Shifa Tameer-e-Millat University (STMU), Islamabad

Pakistan.

Adnan Sunny, SHIFA COLLEGE OF DENTISTRY (SCD), SHIFA TAMEER - E - MILLAT UNIVERSITY, ISLAMABAD

Department of Prosthodontics.

Senior Registrar Prosthodontics.

Asma Ejaz Khan, SHIFA COLLEGE OF DENTISTRY (SCD), SHIFA TAMEER - E - MILLAT UNIVERSITY, ISLAMABAD

Ex-Demonstrator

Department of Prosthodontics

Shifa College of Dentistry.

Shujaat Hasan Idris, SHIFA COLLEGE OF DENTISTRY (SCD), SHIFA TAMEER - E - MILLAT UNIVERSITY, ISLAMABAD

HOD & Professor Community Dentistry,

Department of Community Dentistry,

Shifa College of Dentistry (SCD), Chaudhry Ghulam Abbas Road, 996 Service Rd W, Dhoke Kala Khan, Rawalpindi, Punjab, Pakistan.

Shifa Tameer-e-Millat University (STMU), Islamabad, Pakistan.

Sardar Waleed Babar, SHIFA COLLEGE OF DENTISTRY (SCD), SHIFA TAMEER - E - MILLAT UNIVERSITY, ISLAMABAD

Demonstrator Oral Pathology Department,

Shifa College of Dentistry (SCD), Chaudhry Ghulam Abbas Road, 996 Service Road West, Near Sohan Interchange, Dhoke Kala Khan, Rawalpindi.

Shifa Tameer-e-Millat University (STMU), Islamabad, Pakistan.

References

Nulty AA. Literature review on prosthetically designed guided implant placement and the factors influencing dental implant success. Br Dent J 2024;236(3):169–80.

Sailer I, Karasan D, Todorovic A, Ligoutsikou M, Pjetursson BE. Prosthetic failures in dental implant therapy. Periodontol 2000 2022;88(1):130–44.

Do TA, Le HS, Shen YW, Huang HL, Fuh LJ. Risk Factors related to Late Failure of Dental Implant-A Systematic Review of Recent Studies. Int J Environ Res Public Health 2020;17(11):3931.

Dutta SR, Passi D, Singh P, Atri M, Mohan S, Sharma A. Risks and complications associated with dental implant failure: Critical update. Natl J Maxillofac Surg 2020;11(1):14–9.

Hoellwarth JS, Tetsworth K, Akhtar MA, Al Muderis M. The clinical history and basic science origins of transcutaneous osseointegration for amputees. Adv Orthop 2022;2022:7960559.

Boyce RA. Prosthodontic principles in dental implantology: adjustments in a Coronavirus disease-19 Pandemic-battered economy. Dent Clin North Am 2021;65(1):135–65.

Guragain M, Gupta SP, Bhochhibhoya A, Poudel SS, Dahal S, Shakya S. Dental anxiety among the individuals referred for implant as an option for replacement of missing teeth. Essent Dent 2024;3(2):45–50.

Tipan N, Pandey A, Mishra P. Material synthesis and design optimization of biomaterials for biomedical implant applications. Bioimpacts 2024;15:30010.

da Rocha Ferreira JJ, Machado LFM, Oliveira JM, Ramos JCT. Effect of crown-to-implant ratio and crown height space on marginal bone stress: a finite element analysis. Int J Implant Dent 2021;7(1):81.

Sharma M, Dubey R, Sharma R, Agrawal M, Chandela V, Islam A. Implant Biomaterials. J Res Adv Dent 2020;10(3):212–5.

Szabó ÁL, Nagy ÁL, Lászlófy C, Gajdács M, Bencsik P, Kárpáti K, et al. Distally tilted implants according to the all-on-four® treatment concept for the rehabilitation of complete edentulism: A 3.5-Year retrospective radiographic study of clinical outcomes and marginal bone level changes. Dent J (Basel) 2022;10(5):82.

Sun X, Cheng K, Liu Y, Ke S, Zhang W, Wang L, et al. Biomechanical comparison of all-on-4 and all-on-5 implant-supported prostheses with alteration of anterior-posterior spread: a three-dimensional finite element analysis. Front Bioeng Biotechnol 2023;11:1187504.

Khaohoen A, Sornsuwan T, Chaijareenont P, Poovarodom P, Rungsiyakull C, Rungsiyakull P. Biomaterials and clinical application of dental implants in relation to bone density—A narrative review. J Clin Med 2023;12(21):6924.

Zhang C, Zeng C, Wang Z, Zeng T, Wang Y. Optimization of stress distribution of bone-implant interface (BII). Biomater Adv 2023;147;213342.

Hossain N, Mobarak MH, Islam MA, Hossain A, Al Mahmud MZ, Rayhan MT, et al. Recent development of dental implant materials, synthesis process, and failure —a review. Results Chem 2023;6(11):101136.

Vieira SNV, Lourenço MF, Pereira RC, França EC, Vilaça ÊL, Silveira RR, et al. Conventional and digital impressions for fabrication of complete implant-supported bars: A comparative in vitro study. Materials (Basel) 2023;16(11):4176.

BarathSundar A, Saravanan M, Muthukumar B. Comparative evaluation of distortion in wax patterns fabricated using conventional and electrical heat sources: An in vitro study. Cureus 2023;15(6):e41235.

Sharma AR, Rawat P, Gupta U, Tomar S, Tyagi M, Shukla K. Occlusion considrations in implant supported prosthesis: A review. J Orofac Rehab 2023;3(1):22–32.

King EM, Schofield J. Restoratively driven planning for implants in the posterior maxilla - Part 2: implant planning, biomechanics and prosthodontic planning a proposed prosthodontic complexity index. Br Dent J 2023;235(9):695–706.

Mishra K, Hegde D, Shetty S, Shah S, Sreeram S, Reddy SL. Occlusion in implant-at a glance. J Res Dent 2020;8(2):21–7.

Wahid G, Ahmad A, Tariq R, Tamkeen N, Samad M, Khan MR. Evaluation of the socioeconomic status of patients received at Radiology Department, Hayatabad Medical Complex Peshawar. J Postgrad Med Inst 2022;36(2):79–84.

Uesugi T, Shimoo Y, Munakata M, Sato D, Yamaguchi K, Fujimaki M, et al. The All-on-four concept for fixed full-arch rehabilitation of the edentulous maxilla and mandible: a longitudinal study in Japanese patients with 3–17-year follow-up and analysis of risk factors for survival rate. Int J Implant Dent 2023;9(1):43.

Müller F, Srinivasan M, Krause KH, Schimmel M. Periodontitis and peri-implantitis in elderly people experiencing institutional and hospital confinement. Periodontol 2000 2022;90(1):138–45.

Meriç P, Kanmaz B, Çömleko?lu E, Buduneli N. Marginal bone levels around implants in patients with periodontitis history; Two-years findings. Int Arch Dent Sci 2023;44(3):213–8.

Staedt H, Rossa M, Lehmann KM, Al-Nawas B, Kämmerer PW, Heimes D. Potential risk factors for early and late dental implant failure: a retrospective clinical study on 9080 implants. Int J Implant Dent 2020;30;6(1):81.

Palomino-Zorrilla JJ, Córdova-Limaylla NE, Rosas-Díaz JC, Cayo-Rojas CF, Cervantes-Ganoza LA, Guerrero ME. Jawbone quality classification in dental implant planning and placement studies. A scoping review. J Int Soc Prev Community Dent 2024;14(2):89–97.

Downloads

Published

30-09-2025

How to Cite

1.
Rakhshanda, QURESHI AW, Sunny A, Khan AE, Idris SH, Babar SW. PATIENT-DRIVEN LIMITATIONS IN DENTAL IMPLANT THERAPY: A CROSS-SECTIONAL STUDY OF ITS BARRIERS. Pak J Phsyiol [Internet]. 2025 Sep. 30 [cited 2025 Oct. 7];21(3):22-5. Available from: https://pjp.pps.org.pk/index.php/PJP/article/view/1861

Issue

Section

Original Article