METAL-CERAMIC PROSTHESIS PITFALLS: A CLINICAL CROSS-SECTIONAL STUDY AT A TERTIARY CARE HOSPITAL IN PAKISTAN

Authors

  • Zaibun Nisa Javed Peshawar Dental College and Hospital, Peshawar, Pakistan
  • Ali Waqar Qureshi Department of Prosthodontics, Shifa College of Dentistry, Shifa Tameer-e-Millat University, Islamabad, Pakistan
  • Adnan Sunny Department of Prosthodontics, Shifa College of Dentistry, Shifa Tameer-e-Millat University, Islamabad, Pakistan
  • Asma Ejaz Khan Department of Prosthodontics, Shifa College of Dentistry, Shifa Tameer-e-Millat University, Islamabad, Pakistan
  • Shujaat Hasan Idris Department of Community Dentistry, Shifa College of Dentistry, Shifa Tameer-e-Millat University, Islamabad, Pakistan
  • Sardar Waleed Babar Department of Oral Pathology, Watim Medical and Dental College, Rawalpindi, Pakistan

DOI:

https://doi.org/10.69656/pjp.v21i3.1862

Keywords:

Biological complications, Technical complications, Fixed-Fixed Metal Ceramic Fixed Dental Prosthesis, Teaching Dental Care Hospital, Frequency

Abstract

Background: Tooth-supported Metal Ceramic Fixed Dental Prosthesis (MCFPDs) offers strength, aesthetics, and affordability, but often face minor complications. This study documents common complications of MCFPDs at a tertiary care hospital in Pakistan. Methods: This 12-month cross-sectional study included 150 patients with MCFDP complications. Data were collected through patient examination and records, and analyzed on SPSS-23 with Chi-square test, considering p?0.05 as significant. Results: A total of 150 patients (63 males, 87 females) with a mean age of 38±8 years (Range: 20–60 years) were examined for complications in tooth-supported fixed-fixed metal-ceramic prostheses. Most belonged to high (52.7%) and mid (46%) socioeconomic status (SES); 1.3% were low-income. Education levels included primary (34.7%), secondary (40%), and higher (25.3%). Among 566 MCFDP units (323 retainers, 243 pontics), complications were more frequent in the maxillary arch (56%) and in anterior (32.7%) right posterior (32.7%) and left posterior regions (30.0%). Biological failures (78.7%), mainly secondary caries (35.3%) dominated. Failures occurred mostly in general practice (96.7%), and after 12 years (22%). Conclusion: The most prevalent fixed dental prosthesis (FDP) complication was secondary caries, followed by periodontal compromises. Dental practitioners must ensure effective case selection, diagnosis, and treatment plan.

Pak J Physiol 2025;21(3):34–6, DOI: https://doi.org/10.69656/pjp.v21i3.1862 

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References

Alenezi A, Aloqayli S. Technical complications with tooth-supported fixed dental prostheses (FDPs) of different span lengths: an up to 15-year retrospective study. BMC Oral Health 2023;23(1):393.

Montero J. A Review of the major prosthetic factors influencing the prognosis of implant prosthodontics. J Clin Med 2021;10(4):816.

Saima, Khan AU, Khan MS, Raza M, Zubair N, Manzar S, et al. Fixed partial denture failure: types of failure in non maintained metal ceramic fixed dental prosthesis in the different location of arches. J Saidu Med Coll Swat 2024;14(3):144–7.

Muhammad T, Srivastava S. Tooth loss and associated self-rated health and psychological and subjective wellbeing among community-dwelling older adults: A cross-sectional study in India. BMC Public Health 2022;22(1):7.

Zaugg FL, Molinero-Mourelle P, Abou-Ayash S, Schimmel M, Brägger U, Wittneben JG. The influence of age and gender on perception of orofacial esthetics among laypersons in Switzerland. J Esthet Restor Dent 2022;34(6):959–68.

Saeed F, Muhammad N, Khan AS, Sharif F, Rahim A, Ahmad P, et al. Prosthodontics dental materials: From conventional to unconventional. Mater Sci Eng C Mater Biol Appl 2020;106:110167.

Ho JCY, Chai HH, Lo ECM, Huang MZ, Chu CH. Strategies for effective dentist-patient communication: a literature review. Patient Prefer Adherence 2024;18:1385–94.

Gomez Meda R EJ. Perio-prosthodontic pontic site management, part II: Pontic site reconstruction strategies to enhance the esthetic and biological outcomes. J Esthet Restor Dent 2024;36(5):737–45.

Rosenstiel SF, Land MF, Walter RD, (Eds). Contemporary Fixed Prosthodontics. 6th ed. Philadelphia: Elsevier; 2022.p.934.

Assiri AYK, Saafi J, Al-Moaleem MM, Mehta V. Ferrule effect and its importance in restorative dentistry: A literature Review. J Popul Ther Clin Pharmacol 2022;29(4):e69–82.

Li N, Li Y, Gao Y, Jiang L. Biomechanical assessment of tilted mandibular second molars with full-crown adjacent to implant-supported restoration: 3D finite element analysis. Int J Gen Med 2022;15:3459–70.

Albaqawi AH, Aljanakh MD, Alshammari BN, Alshammari MA, Alshammari RH, Alshammari GD, et al. quality of fixed dental prostheses and patient satisfaction in a sample from Saudi Arabia. Cureus 2023;15(12):e51063.

Salim M, Tirmizi R, Abbasi MS, Ahmed N, Lone MA, Rashid H, et al. Evaluation of the marginal location and periodontal health in crowns and bridges –A patient preference based Study. J Pak Dent Assoc 2021;30(3):194–8.

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

Binhuraib HM, Alqarni SS, Mohsen NM, Alharbi AA, Alghamdi AI, Almotairi AM, et al. Long-term maintenance and complications of fixed dental prostheses. Int J Community Med Public Health 2024;11(2):977–81.

Khan M, Hussain T, Zaffar K, Uzair P. Prevalence of fixed partial denture complications: a local study. J Khyber Coll Dent 2024;14(4):35–40.

Pol CWP, Raghoebar, GM, Cune, MS, Meijer HJA. Three?unit fixed dental prostheses supported by either two abutment implants or two abutment teeth: A comparative retrospective cohort study. Clin Exp Dent Res 2022;8:497–505. DOI: https://doi.org/ 10.1002/cre2.562.

Khan R, Shahzadi A, Gul M, Naz N, Faisal, Faryal S. Complications associated with metal ceramic prosthesis in fixed partial denture used in Peshawar. J Health Rehabil Res 2024;4(1):967–72. DOI: https://doi.org/10.61919/jhrr.v4i1.524.

Ispas A, Iosif L, Popa D, Negucioiu M, Constantiniuc M, Bacali C, et al. Comparative assessment of the functional parameters for metal-ceramic and all-ceramic teeth restorations in prosthetic dentistry—A literature review. Biology 2022;11(4):556. DOI: https://doi.org/10.3390/biology11040556.

Ismail NH, Aljamani S, Al-Haddad A, Sa’deh O, Alkiswani F, Abd Alraheam I. The quality of fixed prosthetic work provided by undergraduate dental students and its correlation with patient satisfaction: a prospective study. BMC Oral Health 2025;25(1):1–7.

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Published

30-09-2025

How to Cite

1.
Javed ZN, Qureshi AW, Sunny A, Khan AE, Idris SH, Babar SW. METAL-CERAMIC PROSTHESIS PITFALLS: A CLINICAL CROSS-SECTIONAL STUDY AT A TERTIARY CARE HOSPITAL IN PAKISTAN. Pak J Phsyiol [Internet]. 2025 Sep. 30 [cited 2025 Oct. 30];21(3):34-6. Available from: https://pjp.pps.org.pk/index.php/PJP/article/view/1862

Issue

Vol. 21 No. 3 (2025): Pak J Physiol

Section

Original Article

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Copyright (c) 2025 Zaibun Nisa Javed, Ali Waqar Qureshi, Adnan Sunny, Asma Ejaz Khan, Shujaat Hasan Idris, Sardar Waleed Babar

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