The Journal of Contemporary Dental Practice

Register      Login

SEARCH WITHIN CONTENT

FIND ARTICLE

Volume / Issue

Online First

Archive
Related articles

VOLUME 21 , ISSUE 10 ( October, 2020 ) > List of Articles

ORIGINAL RESEARCH

Quality of Fixed Dental Prostheses and Associated Biological Complications in a Saudi Population

Raghad A Al-Dabbagh

Keywords : Caries risk, Crown, Margin adaptation, Periodontal disease, Proximal contact

Citation Information : Al-Dabbagh RA. Quality of Fixed Dental Prostheses and Associated Biological Complications in a Saudi Population. J Contemp Dent Pract 2020; 21 (10):1130-1136.

DOI: 10.5005/jp-journals-10024-2887

License: CC BY-NC 4.0

Published Online: 08-01-2021

Copyright Statement:  Copyright © 2020; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Aim: The interrelationships between dental prostheses, abutments, and supporting periodontal tissue are dynamic. Clinical studies assessing the quality and associated complications of fixed dental prostheses (FDPs) in the Saudi population are scarce. The aims of this project were to assess the location and accuracy of marginal adaptation and proximal contact quality of FDPs provided by dentists in the Kingdom of Saudi Arabia and to assess the impact of these factors on the health of the periodontium and caries susceptibility. Materials and methods: This retrospective cohort study collected demographic, dental, and social history data from patients with FDPs. Fixed dental prostheses quality was assessed using the United States Public Health Service Criteria, and periodontal health indices were measured. Descriptive and inferential statistics were used for data analysis. Logistic and multiple linear regression analyses were performed to assess predictors of caries risk and periodontal disease, respectively. Results: Sixty-two patients with 62 FDPs were assessed. The mean patient age was 32.45 ± 9.0 (19–61) years with a male-to-female ratio of 3:1. On the assessment, 74.2% had marginal discrepancy, 54.8% had subgingival margins, 22.6% had open or tight proximal contacts, and 8.1% had marginal caries. Well-adapted margins promoted periodontal health, and inadequate proximal contact increased the risk of marginal caries. Conclusion: This study suggests that 26% of FDPs provided by dental practitioners in the Western province, Kingdom of Saudi Arabia, were of high marginal fit and proximal contact quality. Clinical significance: Constructing FDPs with high-quality marginal fit and proximal contact promotes periodontal health and reduces caries risk, thereby improving FDP outcome.


PDF Share
  1. Padbury A, Jr, Eber R, Wang HL. Interactions between the gingiva and the margin of restorations. J Clin Periodontol 2003;30(5):379–385. DOI: 10.1034/j.1600-051x.2003.01277.x.
  2. Goldberg PV, Higginbottom FL, Wilson TG. Periodontal considerations in restorative and implant therapy. Periodontol 2000 2001;25(1): 100–109. DOI: 10.1034/j.1600-0757.2001.22250108.x.
  3. Haff A, Lof H, Gunne J, et al. A retrospective evaluation of zirconia-fixed partial dentures in general practices: an up to 13-year study. Dent Mater 2015;31(2):162–170. DOI: 10.1016/j.dental.2014.11. 009.
  4. Sailer I, Strasding M, Valente NA, et al. A systematic review of the survival and complication rates of zirconia-ceramic and metal-ceramic multiple-unit fixed dental prostheses. Clin Oral Implants Res 2018;29(Suppl 16):184–198. DOI: 10.1111/clr.13277.
  5. Pjetursson BE, Valente NA, Strasding M, et al. A systematic review of the survival and complication rates of zirconia-ceramic and metal-ceramic single crowns. Clin Oral Implants Res 2018;29(Suppl 16):199–214. DOI: 10.1111/clr.13306.
  6. Vergel de Dios NV. Do subgingival crown margins adversely affect the periodontium? J Philipp Dent Assoc 1994;46(1):20–24.
  7. Orkin DA, Reddy J, Bradshaw D. The relationship of the position of crown margins to gingival health. J Prosthet Dent 1987;57(4):421–424. DOI: 10.1016/0022-3913(87)90006-0.
  8. Kosyfaki P, del Pilar Pinilla Martin M, Strub JR. Relationship between crowns and the periodontium: a literature update. Quintessence Int 2010;41(2):109–126.
  9. Flores-de-Jacoby L, Zafiropoulos GG, Ciancio S. Effect of crown margin location on plaque and periodontal health. Int J Periodontics Restorative Dent 1989;9(3):197–205.
  10. Valderhaug J, Ellingsen JE, Jokstad A. Oral hygiene, periodontal conditions and carious lesions in patients treated with dental bridges. A 15-year clinical and radiographic follow-up study. J Clin Periodontol 1993;20(7):482–489. DOI: 10.1111/j.1600-051x.1993.tb00395.x.
  11. Valderhaug J, Birkeland JM. Periodontal conditions in patients 5 years following insertion of fixed prostheses. Pocket depth and loss of attachment. J Oral Rehabil 1976;3(3):237–243. DOI: 10.1111/j.1365-2842.1976.tb00949.x.
  12. Cvar JF, Ryge G. Reprint of criteria for the clinical evaluation of dental restorative materials. 1971. Clin Oral Investig 2005;9(4):215–232. DOI: 10.1007/s00784-005-0018-z.
  13. Ao J. Complications associated with fixed prosthodontics in a population presenting for treatment to a dental school in Jeddah, Saudi Arabia. JKAU: Med Sci 2011;18(18):57–67.
  14. Loe H. The gingival index, the plaque index and the retention index systems. J Periodontol 1967;38(Suppl. 6):610–616. DOI: 10.1902/jop.1967.38.6.610.
  15. Ainamo J, Bay I. Problems and proposals for recording gingivitis and plaque. Int Dent J 1975;25(4):229–235.
  16. Sailer I, Balmer M, Husler J, et al. 10-Year randomized trial (RCT) of zirconia-ceramic and metal-ceramic fixed dental prostheses. J Dent 2018;76:32–39. DOI: 10.1016/j.jdent.2018.05.015.
  17. Lang NP, Kiel RA, Anderhalden K. Clinical and microbiological effects of subgingival restorations with overhanging or clinically perfect margins. J Clin Periodontol 1983;10(6):563–578. DOI: 10.1111/j.1600-051x.1983.tb01295.x.
  18. Renggli HH, Regolati B. Gingival inflammation and plaque accumulation by well-adapted supragingival and subgingival proximal restorations. Helv Odontol Acta 1972;16(2):99–101.
  19. Histologic JW. Considerations which govern where the margins of restorations should be locate in relation to the gingiva. Dent Clin North Am 1960;4:161–176.
  20. Silness J. Periodontal conditions in patients treated with dental bridges. J Periodontal Res 1970;5(1):60–68. DOI: 10.1111/j.1600-0765.1970.tb01839.x.
  21. Silness J. Periodontal conditions in patients treated with dental bridges. 3. The relationship between the location of the crown margin and the periodontal condition. J Periodontal Res 1970;5(3):225–229. DOI: 10.1111/j.1600-0765.1970.tb00721.x.
  22. Karlsson S. A clinical evaluation of fixed bridges, 10 years following insertion. J Oral Rehabil 1986;13(5):423–432. DOI: 10.1111/j.1365-2842.1986.tb01304.x.
  23. Durr ES, Ahmad Z. Porcelain fused to metal (PFM) crowns and caries in adjacent teeth. J Coll Physicians Surg Pak 2011;21(3):134–137.
  24. Fayyad MA, Al-Rafee MA. Failure of dental bridges. II. prevalence of failure and its relation to place of construction. I Oral Rehab 1996;23(6):438–440. DOI: 10.1111/j.1365-2842.1996.tb00875.x.
  25. Almogbel AA, Alolayan AA, Alfawzan AA. Assessment of complications associated with tooth-supported fixed dental prosthesis at Qassim region, Saudi Arabia. Int J Med Res Prof 2017;3(2):93–95.
  26. Nilsson H, Sanmartin Berglund J, Renvert S. Longitudinal evaluation of periodontitis and tooth loss among older adults. J Clin Periodontol 2019;46(10):1041–1049. DOI: 10.1111/jcpe.13167.
  27. Chatrchaiwiwatana S, Ratanasiri A, Jaidee J, et al. Factors related to tooth loss due to dental caries among workers in an industrial estates in Thailand. J Med Assoc Thai 2012;95(Suppl 11):S1–S6.
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.