Frequency of Pre-Prosthetic Procedures Involving Abutments of Partial Edentulous Patients Undergoing Rehabilitation with Fixed Dental Prosthesis Reporting to Department of Prosthodontics, Bacha Khan College of Dentistry
DOI:
https://doi.org/10.52206/jsmc.2026.16.1.1316Abstract
Background: Pre-prosthetic treatment plays a crucial role in preparing abutment teeth for fixed dental prostheses (FDPs) and is fundamental to achieving long-term functional and biological success. These procedures range from simple restorative and periodontal interventions to complex endodontic and surgical procedures, depending on the condition of the abutment teeth.
Objective: The objective of this study was to evaluate the types, frequency, and complexity of pre-prosthetic procedures required for abutment teeth in partially edentulous patients undergoing rehabilitation with fixed dental prostheses at Bacha Khan Dental Hospital.
Methodology: A cross-sectional analytical study was conducted in the Department of Prosthodontics, Bacha Khan College of Dentistry, Mardan. A total of 148 partially edentulous patients aged 18–40 years, requiring fixed dental prostheses, were enrolled through non-probability consecutive sampling. Clinical intraoral examination was performed to assess abutment teeth for caries, periodontal status, restorability, and need for pre-prosthetic intervention. Required procedures were documented and abutments were categorized according to treatment complexity.
Results: Among the 312 abutment teeth evaluated, 201 (64.4%) required one or more pre-prosthetic procedures. At the patient level, 133 patients (89.9%) required pre-prosthetic intervention. The most frequently required procedures were direct composite restorations (30.8%) and supra-gingival scaling (26.9%). More than half of the abutments (53.5%) required complex procedures such as endodontic therapy or crown lengthening, while 10.9% were deemed non-restorable and extracted. A significantly higher need for pre-prosthetic procedures was observed in patients aged 31–40 years compared to those aged 18–30 years (p = 0.048), while no significant gender-based association was identified.
Conclusion: A high proportion of partially edentulous patients require pre-prosthetic treatment prior to FDP placement, with a substantial number of abutments needing complex interventions.
Keywords: Abutment Teeth, Fixed Dental Prosthesis, Pre-Prosthetic Procedures, Partial Edentulism, Prosthodontic Rehabilitation, Treatment Planning.
References
Khalil A, Ejaz F, Sabir W, Jabbar S, Riaz S, Mahmood K. Assessment of awareness about fixed partial denture among undergraduate dental students. Pak Oral Dent J. 2024 Mar 29;44(1):78-82. Available from: https://www.podj.com.pk/index.php/podj/article/view/780
Jelina JA, Dipin PP, Prasad Aravind DL, Ahnaf Abdulla DA. Evaluation of abutments in fixed partial denture. Gsarjdom. 2025 May 15;2(5):01-05.
Cristea I, Agop-Forna D, Dasc?lu C, Bardis D, Topoliceanu C, Forna N. Survival and prosthetic success of fixed partial dentures supported by either abutment teeth or implants: A retrospective study. Rom. J. Oral Rehab. 2022 Jul;14(3):40-7.
Sailer I, Makarov NA, Thoma DS, Zwahlen M, Pjetursson BE. All-ceramic or metal-ceramic tooth-supported fixed dental prostheses (FDPs)? A systematic review of the survival and complication rates. Part I: Single crowns (SCs). Dent Mater. 2015;31(6):603–23.
https://doi.org/10.1016/j.dental.2015.02.011
Sayed M, Jameel A, Duhduh G, Arishi T, Alqadi A, Jain S. Assessment of undercuts relative to abutment teeth and edentulous area: A retrospective cross-sectional study. J Contemp Dent Pract. 2020;21(1):41–6. https://doi.org/10.5005/jp-journals-10024-2728
Malik MHA, Yazdanie N. Perio-prosthodontics considerations in removable partial denture: The role of the prosthodontist. J Pak Dent Assoc. 2021;30(3):219–27. https://doi.org/10.25301/jpda.303.219
Harrita S, Suresh V, Senthil Murugan P. Abutment conditions in faulty prosthesis among Indians. Bioinformation. 2021 Dec 31;17(12):1101-4. https://doi.org/10.6026/973206300171101
Khalil A, Afreen Z, Afreen A, Javed U, Rahim S, Asim A. Common conditions of abutment teeth and their severity in subjects requesting fixed dental prostheses at Watim Dental Hospital, Rawalpindi. Prof Med J. 2021;28(2):253–9. https://doi.org/10.29309/tpmj/2021.28.02.6182
Uzgur Z, Uzgur R, Çolak H, Ercan E, Dall? M. Analysis of endodontic complications following fixed prosthodontic rehabilitation. Int J Prosthodont. 2016 Nov-Dec;29(6):565-9. https://doi.org/10.11607/ijp.4601
Elabdouli R, Ghazzar FZ, Bellemkhannate S. Therapeutic approaches for managing prosthetic instability in the fully edentulous mandible. Int J Dent Sci Res. 2024;12(3):35–40. https://doi.org/10.12691/ijdsr-12-3-1
Shash YH. Mandibular biomechanics rehabilitated with different prosthetic restorations under normal and impact loading scenarios. BMC Oral Health. 2024;24(1):946. https://doi.org/10.1186/s12903-024-04681-0
Hariharan AS, Rakshagan V. Prevalence of pre-prosthetic surgery performed before fabrication of complete denture. Int J Pharm Res. 2020;12(3):2220.
Shanab H, Ghufran IA, Alayfan G, Khaleelahmed S, Rhman A, Alyousef M, et al. Preprosthetic surgeries and its protocol for complete dentures: A review. Int J Pharm Res Scholars. 2021;13(1):5239. https://doi.org/10.31838/ijpr/2021.13.01.702
Terheyden H, Raghoebar GM, Sjöström M, Starch-Jensen T, Cawood J. Preprosthetic surgery—narrative review and current debate. JCM. 2023 Nov 23;12(23):7262. https://doi.org/10.3390/jcm12237262
Chari H, Shaik KV. Preprosthetic surgery: review of literature. IJSS Case Reports & Reviews. 2016 Sep;3(4):10.
LakshmanaRao B. “Pre-Prosthetic Surgery”-A Narrative Review. IJARETY. 2025 Jan-Feb;12(1).
Ettinger RL, Qian F. Abutment tooth loss in patients with overdentures. JADA. 2004 Jun 1;135(6):739-46. https://doi.org/10.14219/jada.archive.2004.0300
Ganapathi A, Ganapathy D, Jeevitha M. Alveoloplasty in Complete Denture Patients-A Retrospective Study. Int J Dentistry Oral Sci. 2021 Aug 17;8(8):3897-900. https://doi.org/10.19070/2377-8075-21000797
Shokraei G, Doriana AF, Consuela FN. Pre-prosthetic and pre-implant therapeutic management of edentulous patients to improve biomechanical stability of future hybrid prostheses. Rom. J. Oral Rehab. 2024 Jul 1;16(3). https://doi.org/10.62610/RJOR.2024.3.16.36
Additional Files
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 The authors retain the copyrights. Authors are permitted and encouraged to post their work online (e.g. in institutional repositories or on their website), as it can lead to productive exchanges, as well as greater citation of published work.
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Readers may “Share-copy and redistribute the material in any medium or format” and “Adapt-remix, transform, and build upon the material”. The readers must give appropriate credit to the source of the material and indicate if changes were made to the material. Readers may not use the material for commercial purpose. The readers may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.
