Assessment of Fixed Dental Prosthesis Failure In Patients Reporting to a Tertiary Care Hospital: A Cross-Sectional Survey

Authors

  • Qamar Ishfaque Department of Prosthodontics, Armed Forces Institute of Dentistry/National University of Medical Sciences (NUMS) Rawalpindi Pakistan
  • Kiran Javed Department of Prosthodontics, Armed Forces Institute of Dentistry/National University of Medical Sciences (NUMS) Rawalpindi Pakistan
  • Azmina Salman Department of Prosthodontics, Armed Forces Institute of Dentistry/National University of Medical Sciences (NUMS) Rawalpindi Pakistan
  • M Omer Awan Department of Prosthodontics, Armed Forces Institute of Dentistry/National University of Medical Sciences (NUMS) Rawalpindi Pakistan
  • Qayyum Akhtar Department of Prosthodontics, Armed Forces Institute of Dentistry/National University of Medical Sciences (NUMS) Rawalpindi Pakistan
  • Muhammad Sajjad Department of Prosthodontics, Armed Forces Institute of Dentistry/National University of Medical Sciences (NUMS) Rawalpindi Pakistan

DOI:

https://doi.org/10.51253/pafmj.v76iSUPPL-9.8580

Keywords:

Crowns; Dental prosthesis failure; Fixed dental prosthesis

Abstract

Objective: To evaluate the causes of failure of fixed dental prostheses (FDPs) in patients reporting to the Prosthodontic outpatient department.

Study Design: Cross-sectional study

Place and Duration of Study: Department of Prosthodontics, Armed Forces Institute of Dentistry (AFID), Rawalpindi, Pakistan, from Jan to Jun 2021.

Methodology: Fifty-four patients aged 21–65 years presenting with failed fixed dental prostheses were included. Participants’ age, gender, prosthesis-related factors, reasons for failure, opposing dentition, and patient-related factors were recorded.

Results: The total sample size was 54. The mean age was 47.67±9.898 years. The males were 31(57.4%) and females were 23(42.6%). The most common reasons for failure were periodontal issues 14(25.93%) followed by endodontic 10(18.52%), fracture of abutments 9(16.67%), restorative issue 6(11.11%), dislodgment of crown 6(11.11%), incorrect margin 3(5.56%), and esthetic problems 3(5.56%). There was a statistically significant association between gender and reasons for failure of fixed partial denture (p-value=0.04).

Conclusion: Periodontal and endodontic problems were the most common causes of fixed dental prosthesis failure. Careful assessment of abutment teeth, periodontal and endodontic status, prosthesis-related factors, and oral hygiene is important during treatment planning.

Downloads

Download data is not yet available.

References

1. Kassebaum NJ, Bernabé E, Dahiya M, Bhandari B, Murray CJ, Marcenes W. Global burden of severe tooth loss: a systematic review and meta-analysis. J Dent Res 2014; 93(7 Suppl): 20S-28S. https://doi.org/10.1177/0022034514537828

2. Goodday RH. Management of fractures of the mandibular body and symphysis. Oral Maxillofac Surg Clin North Am 2013; 25(4): 601-616.

https://doi.org/10.1016/j.coms.2013.07.004

3. Helal O, Göstemeyer G, Krois J, Fawzy El Sayed K, Graetz C, Schwendicke F. Predictors for tooth loss in periodontitis patients: systematic review and meta-analysis. J Clin Periodontol 2019; 46(7): 699-712. https://doi.org/10.1111/jcpe.13127

4. Dewan H, Haroon TM, Mogla S, Gupta A, Loganathan J, Ahammed AN, et al. Assessment of Failure Rate of Fixed Partial Dentures: A Clinical Study. J Pharm Bioallied Sci 2022; 14(Suppl 1): S262-S263.

https://doi.org/10.4103/jpbs.jpbs_718_21.

5. Sailer I, Pjetursson BE, Zwahlen M, Hämmerle CH. A systematic review of the survival and complication rates of all-ceramic and metal-ceramic reconstructions after an observation period of at least 3 years. Part II: fixed dental prostheses. Clin Oral Implants Res 2007; 18(Suppl 3): 86-96.

https://doi.org/10.1111/j.1600-0501.2007.01468.x

6. Tay ABG, Lai JB, Lye KW, Wong WY, Nadkarni NV, Li W, et al. Inferior alveolar nerve injury in trauma-induced mandible fractures. J Oral Maxillofac Surg 2015; 73(7): 1328-1340.

https://doi.org/10.1016/j.joms.2015.01.026

7. Swain PK. Failure rate in fixed partial denture patients - a clinical study. J Adv Med Dent Sci Res 2018; 6(10): 13-18. https://doi.org/10.21276/jamdsr

8. Vlăduțu DE, Pârvănescu V, Ștefârță A, Rădulescu VM, et al. Risk Factors Associated with Complications in Fixed Partial Dentures. J Clin Med 2026; 15(4): 1471.

https://doi.org/10.3390/jcm15041471.

9. Zavanelli AC, Mazaro JVQ, Nóbrega PI, Falcón-Antenucci RM, Zavanelli RA. Data collection about failures in fixed partial dentures: 1-year monitoring. RGO Rev Gaúch Odontol 2018; 66(3): 250-256.

https://doi.org/10.15090/1981-863720180003000093482

10. Shah DS, Vaishnav K, Duseja S, Joshi R. Clinical evaluation of fixed dental prosthesis failures in indian population: an in vivo study. Adv Hum Biol 2014; 4(3): 37-43.

11. Riaz W, Aslam A, Aziz S. Assessment of grades of failures of conventional fixed dental prosthesis based on severity. Prof Med J 2018; 25(8): 1184-1189. https://doi.org/10.29309/TPMJ/18.4529

12. Khan K, Shahzadi A, Gul M, Naz N, Faisal M, Faryal S. Complications associated with metal ceramic prosthesis in fixed partial denture used in Peshawar. J Health Rehabil Res 2024; 4(1): 967-972.

https://doi.org/10.61919/jhrr.v4i1.524

13. Schüz B, Sniehotta FF, Wiedemann A, Seemann R. Adherence to a daily flossing regimen in university students: effects of planning when, where, how and what to do in the face of barriers. J Clin Periodontol 2006; 33(9): 612-619.

https://doi.org/10.1111/j.1600-051X.2006.00967.x

14. De Backer H, Van Maele G, De Moor N, Van den Berghe L, De Boever J. A 20-year retrospective survival study of fixed partial dentures. Int J Prosthodont 2006; 19(2): 52-58.

15. Chandranaik MB, Thippanna RK. Fixed partial denture failures: a clinical survey for evaluation of the factors responsible. CODS J Dent 2017; 9(2): 41-45.

https://doi.org/10.5005/jp-journals-10063-0031

16. Naz A, Musharraf H, Jawad A, Kumar B, Lone MA. Assessment of failure of prosthesis in fixed prosthodontics among patients reporting to a teaching dental hospital of Karachi. J Pak Dent Assoc 2020; 29(3): 105-109.

https://doi.org/10.25301/JPDA.293.105

17. Tatematsu M, Mori T, Kawaguchi T, Takeuchi K, Hattori M, Morita I, et al. Masticatory performance in 80-year-old individuals. Gerodontology 2004; 21(2): 112-119. https://doi.org/10.1111/j.1741-2358.2004.00015.x

18. Setia S, Pannu P, Gambhir RS, Galhotra V, Ahluwalia P, Sofat A. Correlation of oral hygiene practices, smoking and oral health conditions with self-perceived halitosis amongst undergraduate dental students. J Nat Sci Biol Med 2014; 5(1): 67-72.

https://doi.org/10.4103/0976-9668.127291

19. Wiener RC, Wu B, Crout RJ, Plassman BL, McNeil DW, Wiener MA, et al. Hygiene self-care of older adults in West Virginia: effects of gender. J Dent Hyg 2012; 86(3): 231-238.

Downloads

Published

30-09-2026

How to Cite

1.
Ishfaque Q, Javed K, Salman A, Awan MO, Akhtar Q, Sajjad M. Assessment of Fixed Dental Prosthesis Failure In Patients Reporting to a Tertiary Care Hospital: A Cross-Sectional Survey. Pak Armed Forces Med J [Internet]. 2026 Sep. 30 [cited 2026 Oct. 6];76(SUPPL-9):S1521-S1525. Available from: https://www.pafmj.org/PAFMJ/article/view/8580