Metal-ceramic prosthesis pitfalls: a clinical cross-sectional study at a tertiary care hospital in pakistan
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:…
How strong is the evidence?
Evidence Hub reads this as a cross-sectional, done in people. Its evidence level is 4 of 5 (Low · observational). Observational designs can show an association but not prove cause. Reported size: 150 participants or records.
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