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Related Experiment Videos

Clinical complications in fixed prosthodontics.

Charles J Goodacre1, Guillermo Bernal, Kitichai Rungcharassaeng

  • 1Loma Linda University, Loma Linda, CA, USA.

The Journal of Prosthetic Dentistry
|July 19, 2003
PubMed
Summary

All-ceramic crowns exhibit the lowest complication rates (8%) among various dental prostheses. Conventional single crowns and posts/cores also show low complication incidences, while resin-bonded prostheses and fixed partial dentures have higher complication rates.

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Area of Science:

  • Dentistry
  • Prosthodontics
  • Dental Materials

Background:

  • Dental prostheses are crucial for restoring oral function and aesthetics.
  • Understanding complication rates is essential for selecting appropriate prosthetic treatments.
  • Previous literature reviews have varied in scope and focus regarding dental prosthesis complications.

Purpose of the Study:

  • To identify the incidence and common types of complications associated with various dental prostheses.
  • To compare complication rates across different prosthetic modalities, including single crowns, fixed partial dentures, all-ceramic crowns, resin-bonded prostheses, and posts and cores.

Main Methods:

  • A comprehensive literature search was conducted using Medline and hand searches.
  • English-language publications from the last 50 years focusing on clinical data of success, failure, and complications were included.

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  • Data from multiple studies were combined, and mean values were calculated for each prosthesis type.
  • Main Results:

    • All-ceramic crowns demonstrated the lowest complication incidence (8%).
    • Posts and cores (10%) and conventional single crowns (11%) had similar complication rates.
    • Resin-bonded prostheses (26%) and conventional fixed partial dentures (27%) showed comparable, higher complication rates.
    • Common complications included crown fracture, loss of retention, endodontic treatment needs, post loosening, root fracture, and caries, varying by prosthesis type.

    Conclusions:

    • All-ceramic crowns represent a highly reliable prosthetic option with a low complication incidence.
    • Conventional single crowns and posts/cores offer favorable clinical outcomes.
    • Fixed partial dentures and resin-bonded prostheses require careful consideration due to their higher complication rates and specific associated issues.