Knowledge, attitude, and practice of dental professionals regarding the effect and management of food impaction associated with fixed partial denture prostheses: A survey
Identifieur interne : 006B12 ( Ncbi/Curation ); précédent : 006B11; suivant : 006B13Knowledge, attitude, and practice of dental professionals regarding the effect and management of food impaction associated with fixed partial denture prostheses: A survey
Auteurs : Aradhana Nagarsekar [Inde] ; Ridhima Gaunkar [Inde] ; Meena Aras [Inde]Source :
- The Journal of the Indian Prosthodontic Society [ 0972-4052 ] ; 2016.
Abstract
This survey was undertaken to assess dentist's opinion regarding the occurrence and pattern of food impaction in relation to fixed partial denture (FPD) prostheses, its commonly observed consequences, factors contributing to it, and its management.
A descriptive survey was conducted on a sample size of 150 dental practitioners. The pro forma consisted of informed consent, demographic information, and questionnaire. The results were tallied and quantitative analysis was performed to obtain the descriptive statistics for the data using SPSS version 20.
All the study respondents had come across patients who complained of food impaction in relation to FPD. The most common consequences of food impaction were proximal caries of the adjacent teeth and interdental bone loss. Majority of the dentists considered faulty FPD design with improper contact relation, improper crown contour, poor margin adaptation, and faulty pontic design as the most likely reason for food impaction. Repeating the FPD with emphasis on prescribing and reinforcing the use of proper interdental aids was considered as the ideal treatment option. It was also observed that about half of the dentists always communicated inadequate information of the FPD prostheses that needed replacement to the dental laboratory technician for the successive bridge. Most of the times, prosthodontists were consulted to rectify the problem of food impaction resulting from faulty FPD prostheses. However, it is obvious that it is easier and more prudent to prevent rather than treat food impaction. This study gives an overview of some of the common errors in designing the FPD prostheses which often lead to food impaction and measures to be taken to overcome them.
It may be concluded as all the dentists participating in the survey agreed that food impaction is one of the common complaint among FPD Patients. Proximal caries and interdental bone loss were the prevalent outcomes of food impaction. Faulty FPD design was allegedly attributed as the reason for food impaction. Prosthodontists were routinely consulted to resolve the dilemma of food impaction. However, it is rational to prevent food impaction rather than to tackle the sequel later.
Url:
DOI: 10.4103/0972-4052.191286
PubMed: 27746602
PubMed Central: 5062150
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<author><name sortKey="Nagarsekar, Aradhana" sort="Nagarsekar, Aradhana" uniqKey="Nagarsekar A" first="Aradhana" last="Nagarsekar">Aradhana Nagarsekar</name>
<affiliation wicri:level="1"><nlm:aff id="aff1">Department of Prosthodontics, Goa Dental College and Hospital, Bambolim, Goa, India</nlm:aff>
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<author><name sortKey="Gaunkar, Ridhima" sort="Gaunkar, Ridhima" uniqKey="Gaunkar R" first="Ridhima" last="Gaunkar">Ridhima Gaunkar</name>
<affiliation wicri:level="1"><nlm:aff id="aff2">Department of Community Dentistry, Goa Dental College and Hospital, Bambolim, Goa, India</nlm:aff>
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<author><name sortKey="Aras, Meena" sort="Aras, Meena" uniqKey="Aras M" first="Meena" last="Aras">Meena Aras</name>
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<author><name sortKey="Gaunkar, Ridhima" sort="Gaunkar, Ridhima" uniqKey="Gaunkar R" first="Ridhima" last="Gaunkar">Ridhima Gaunkar</name>
<affiliation wicri:level="1"><nlm:aff id="aff2">Department of Community Dentistry, Goa Dental College and Hospital, Bambolim, Goa, India</nlm:aff>
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<author><name sortKey="Aras, Meena" sort="Aras, Meena" uniqKey="Aras M" first="Meena" last="Aras">Meena Aras</name>
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<series><title level="j">The Journal of the Indian Prosthodontic Society</title>
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<front><div type="abstract" xml:lang="en"><sec id="st1"><title>Objective:</title>
<p>This survey was undertaken to assess dentist's opinion regarding the occurrence and pattern of food impaction in relation to fixed partial denture (FPD) prostheses, its commonly observed consequences, factors contributing to it, and its management.</p>
</sec>
<sec id="st2"><title>Methods:</title>
<p>A descriptive survey was conducted on a sample size of 150 dental practitioners. The pro forma consisted of informed consent, demographic information, and questionnaire. The results were tallied and quantitative analysis was performed to obtain the descriptive statistics for the data using SPSS version 20.</p>
</sec>
<sec id="st3"><title>Results and Interpretation:</title>
<p>All the study respondents had come across patients who complained of food impaction in relation to FPD. The most common consequences of food impaction were proximal caries of the adjacent teeth and interdental bone loss. Majority of the dentists considered faulty FPD design with improper contact relation, improper crown contour, poor margin adaptation, and faulty pontic design as the most likely reason for food impaction. Repeating the FPD with emphasis on prescribing and reinforcing the use of proper interdental aids was considered as the ideal treatment option. It was also observed that about half of the dentists always communicated inadequate information of the FPD prostheses that needed replacement to the dental laboratory technician for the successive bridge. Most of the times, prosthodontists were consulted to rectify the problem of food impaction resulting from faulty FPD prostheses. However, it is obvious that it is easier and more prudent to prevent rather than treat food impaction. This study gives an overview of some of the common errors in designing the FPD prostheses which often lead to food impaction and measures to be taken to overcome them.</p>
</sec>
<sec id="st4"><title>Conclusion:</title>
<p>It may be concluded as all the dentists participating in the survey agreed that food impaction is one of the common complaint among FPD Patients. Proximal caries and interdental bone loss were the prevalent outcomes of food impaction. Faulty FPD design was allegedly attributed as the reason for food impaction. Prosthodontists were routinely consulted to resolve the dilemma of food impaction. However, it is rational to prevent food impaction rather than to tackle the sequel later.</p>
</sec>
</div>
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