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


Article Information

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

Authors: Zaibun Nisa Javed, Ali Waqar Qureshi, Adnan Sunny, Asma Ejaz Khan, Shujaat Hasan Idris, Sardar Waleed Babar

Journal: Pakistan Journal of Physiology

HEC Recognition History
Category From To
Y 2023-07-01 2024-09-30
Y 2022-07-01 2023-06-30
Y 2021-07-01 2022-06-30
Y 2020-07-01 2021-06-30

Publisher: Pakistan Physiological Society

Country: Pakistan

Year: 2025

Volume: 21

Issue: 3

Language: en

DOI: 10.69656/pjp.v21i3.1862

Keywords: FrequencyBiological complicationsTechnical complicationsFixed-Fixed Metal Ceramic Fixed Dental ProsthesisTeaching Dental Care Hospital

Categories

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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