Clinical Evaluation and Periapical Status of Crowns and Fixed Partial Dentures in a Selected Saudi Population: Retrospective Study

Abstract

Background: Patient satisfaction is a critical component of clinical success in patients undergoing restorations. As a result, the purpose of this study was to assess the clinical performance of crowns and multi-unit fixed prosthodontics in order to determine the frequency of problems associated with crowns and fixed restorations in a Saudi subpopulation using clinical and radiographic parameters. Methods: Three-hundred patients who received crowns and tooth-supported fixed partial dentures at dental polyclinics center in Hail region, Saudi Arabia between March 2021 and October 2021 were included in the study. The method of purposeful sampling was used. Clinical and radiographic examinations were used to identify patients who received crowns and FPDs at the dental center during the specified time. Patients with at least three-unit FPDs or a single crown with a natural contra-lateral tooth / teeth met the inclusion criteria. Six general dentists performed clinical and radiographic examinations. The criteria for evaluation the crowns and FPDs were technical and biological complications and satisfaction of the patients. Cross-tabulation is used to determine the frequency and percentage of the various parameters used in the current study. Results: The majority of the restoration had non-acceptable marginal integrity 249 (83%). Most of the restorations 181 (60.3%) had acceptable morphology. Almost all of the restorations 289 (96.3%) had un-satisfactory color. Visible periodontal depth equal or more than 5 mm were found in 53 (17.7%). Most of the fixed restorations were associated with gingival bleeding 240 (80%), while periapical lesion was found on 72 (24% teeth in all patients. The most patients 219 (73%) reported to be non-satisfied with their fixed restorations. Conclusions: The technical and biological complications noted in the current study were higher to other studies of FPDs. The majority of patients were dissatisfied with the restoration.