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Patient-Reported Outcome Measures (PROMs) in Metal-Ceramic and All-Ceramic Fixed Partial Dentures: A Prospective
Md Miftah Ur Rahman1, Bharani Kumar Bhattu2, Rahul V C Tiwari3
1Department of Prosthodontics, Crown and Bridge, S.B. Patil Institute for Dental Sciences and Research, Bidar, IND.
Cureus
|March 9, 2026
Summary
All-ceramic fixed partial dentures (FPDs) offer superior long-term patient satisfaction and quality of life compared to metal-ceramic FPDs. Patient-reported outcome measures (PROMs) are crucial for evaluating restorative dental treatments.
Area of Science:
- Dental Materials Science
- Prosthodontics
- Patient-Centered Care
Background:
- Traditional evaluation of fixed partial dentures (FPDs) emphasizes clinician-centered outcomes.
- Patient-reported outcome measures (PROMs) offer crucial insights into patient perceptions of comfort, function, esthetics, and oral health-related quality of life (QoL).
Purpose of the Study:
- To compare patient-reported outcomes between metal-ceramic and all-ceramic FPDs over a one-year period.
- To assess the impact of different FPD materials on patient satisfaction and QoL.
Main Methods:
- Prospective observational clinical study involving adult patients receiving posterior FPDs.
- PROMs assessed using Oral Health Impact Profile-14 (OHIP-14) and visual analog scales (VAS) at baseline, 6, and 12 months.
- Clinical parameters including chipping, fractures, and secondary caries were recorded.
Main Results:
- Both metal-ceramic and all-ceramic FPDs significantly improved oral health-related QoL and patient satisfaction.
- All-ceramic restorations demonstrated significantly better PROMs at 6 and 12 months compared to metal-ceramic restorations.
- All-ceramic group showed sustained improvement, while the metal-ceramic group experienced a partial decline in QoL scores over time.
Conclusions:
- All-ceramic FPDs provide superior and more stable long-term patient satisfaction and QoL than metal-ceramic FPDs.
- PROMs are essential for patient-centered treatment planning and material selection in FPD rehabilitation.
- While chipping was more frequent in all-ceramic restorations, overall patient-reported outcomes favored this material.
