Frequency of Different Fracture Patterns of Acrylic Partial Denture in the Patients Visiting Sardar Begum Dental College

Frequency of Different Fracture Patterns of Acrylic Partial Denture

Authors

  • Faiza Irshad Department of Prosthodontics, Sardar Begum Dental College, Peshawar, Pakistan
  • Mohammad Ali Chughtai Department of Prosthodontics, Sardar Begum Dental College, Peshawar, Pakistan
  • Faisal Hayat Department of Prosthodontics, Rehman College of Dentistry, Peshawar, Pakistan
  • Sajid Ali Department of Prosthodontics, Rehman College of Dentistry, Peshawar, Pakistan
  • Afreen Shameem Department of Orthodontics, Mediciti Medical Center, United Arab Emirates
  • Jawad Ali Department of Prosthodontics, Sardar Begum Dental College, Peshawar, Pakistan

DOI:

https://doi.org/10.54393/pjhs.v6i11.3530

Keywords:

Acrylic Partial Denture, Fracture Pattern, Midline Fracture, Parafunction, Reinforcement

Abstract

Fracture of acrylic removable partial dentures (RPDs) is a major cause of prosthesis failure, often requiring repair or replacement. Objective: To determine the distribution of fracture patterns in acrylic RPDs and assess associations with demographic and clinical factors in patients at Sardar Begum Dental College. Methods: In this cross-sectional study (Sept 2023–Mar 2024), 96 patients with fractured acrylic partial dentures were enrolled consecutively. Fracture types (midline, clasp, connector, crack line, multiple) and variables including age, gender, reinforcement, parafunctional habits, and ridge resorption were recorded. Data were analyzed using chi-square tests and Cramer’s V, with p<0.05 considered significant. Results: Midline fractures were most frequent (57.3%), followed by clasp fractures (28.1%), multiple-site (12.5%), connector (1.0%), and crack line only (1.0%). Parafunctional habits were significantly associated with fracture pattern (p=0.042, Cramer’s V = 0.321). Reinforcement showed borderline significance (p=0.060). Other factors showed no significant relationship. Conclusions: Midline fractures predominate in acrylic RPDs. Parafunction is a significant modifiable risk factor, and reinforcement may offer a protective benefit. Screening for parafunctional habits and implementing prudent reinforcement strategies could reduce fracture incidence.

Author Biographies

Mohammad Ali Chughtai, Department of Prosthodontics, Sardar Begum Dental College, Peshawar, Pakistan

 

 

 

Faisal Hayat, Department of Prosthodontics, Rehman College of Dentistry, Peshawar, Pakistan

 

 

 

Sajid Ali, Department of Prosthodontics, Rehman College of Dentistry, Peshawar, Pakistan

 

 

 

Afreen Shameem, Department of Orthodontics, Mediciti Medical Center, United Arab Emirates

 

 

 

Jawad Ali, Department of Prosthodontics, Sardar Begum Dental College, Peshawar, Pakistan

 

 

 

References

Zahel A, Roehler A, Kaucher-Fernandez P, Spintzyk S, Rupp F, Engel E. Conventionally and Digitally Fabricated Removable Complete Dentures: Manufacturing Accuracy, Fracture Resistance and Reparability. Dental Materials. 2024 Oct 1; 40(10): 1635-42. doi: 10.1016/j.dental.2024.07.022. DOI: https://doi.org/10.1016/j.dental.2024.07.022

Mohamed SZ, Ghobashy MM, Taymour N, Abdelwahab S, Srimaneepong V, Rokaya D. Accuracy of Repaired Maxillary Dentures from Two Different Repairing Techniques: In Vitro Study. Heliyon. 2024 Nov; 10(21). doi: 10.1016/j.heliyon.2024.e40017. DOI: https://doi.org/10.1016/j.heliyon.2024.e40017

Alqutaibi AY, Baik A, Almuzaini SA, Farghal AE, Alnazzawi AA, Borzangy S et al. Polymeric Denture Base Materials: A Review. Polymers. 2023; 15: 3258. doi: 10.3390/polym15153258. DOI: https://doi.org/10.3390/polym15153258

Qin LX, Zhou T, Wang X, Jiang YB, Liu F, Xiao Z et al. Precipitation Behavior of A New Cu-Ni-Co-Si-Fe-Mg Alloy Designed with Low Cobalt Content. Materials and Design. 2024 Apr; 240: 112833. doi: 10.1016/j.matdes.2024.112833. DOI: https://doi.org/10.1016/j.matdes.2024.112833

Chen Y, Caneli G, Almousa R, Xie D. A Novel Antibacterial Zirconia-Containing PMMA Bone Cement. Journal of the Mechanical Behavior of Biomedical Materials. 2022 May; 129: 105135. doi: 10.1016/j.jmbbm.2022.105135. DOI: https://doi.org/10.1016/j.jmbbm.2022.105135

Chen R, Chen Y, Zheng Z, Lin J. Effect of Geometry on Clasp Retention Force: A Finite Element Analysis Study. BioMed Central Oral Health. 2024 Dec; 24(1): 1522. doi: 10.1186/s12903-024-05334-y. DOI: https://doi.org/10.1186/s12903-024-05334-y

Mohsen N, Elmaroush M, Hamida SB, Abusua F. In Vitro Evaluation of the Fracture Strength among Three Different Denture Base Materials. Al-Qalam Journal of Medical and Applied Sciences. 2025 Feb: 230-5. doi: 10.54361/ajmas.258135. DOI: https://doi.org/10.54361/ajmas.258135

Kamble VB, Mangalvedhekar MS, Desai RG, Arabbi KC, Patil SM, Dessai DS et al. Assessment of Incidence, Causes and Types of Removable Denture Fractures: A Cross-sectional Clinical Survey from Northern Karnataka, India. Journal of Clinical and Diagnostic Research. 2021 Nov; 15(11). doi: 10.7860/JCDR/2021/48087.15614. DOI: https://doi.org/10.7860/JCDR/2021/48087.15614

Zheng J, Aarts JM, Ma S, Waddell JN, Choi JJ. Fatigue Behavior of Removable Partial Denture Cast and Laser‐Sintered Cobalt‐Chromium (COCR) and Polyetheretherketone (PEEK) Clasp Materials. Clinical and Experimental Dental Research. 2022 Dec; 8(6): 1496-504. doi: 10.1002/cre2.645. DOI: https://doi.org/10.1002/cre2.645

Iris GS. Midline Deviation Treatment Mechanics: A Systematic Review. 2024.

Chrcanovic BR, Bergengren T, Stanisic N, Sohrabi S, Larsson C, Svensson P et al. Relationship Between Bite Force, Bruxism, and Fractures of Teeth and Dental Restorations. Scientific Reports. 2025 Jul; 15(1): 22752. doi: 10.1038/s41598-025-07772-2. DOI: https://doi.org/10.1038/s41598-025-07772-2

Ionfrida JA, Stiller HL, Kämmerer PW, Walter C. Dental Implant Failure Risk in Patients with Bruxism—A Systematic Review and Meta-Analysis of the Literature. Dentistry Journal. 2024 Dec; 13(1): 11. doi: 10.3390/dj13010011. DOI: https://doi.org/10.3390/dj13010011

Hussein LA, Mahmoud MR, Hussein MO, Rayyan M, Naguib A, Sayed M. Impact of Graphene-Incorporated Nanofillers on Material Properties and Performance of Polymers Used for Prosthodontic Patients: A Systematic Review and Meta-Analysis. BioMed Central Oral Health. 2025 Sep; 25(1): 1420. doi: 10.1186/s12903-025-06867-6. DOI: https://doi.org/10.1186/s12903-025-06867-6

Pavlin M, Gubeljak N, Predan J, Ćelić R. Evaluation of the Bond Strength Between the Acrylic Teeth and Reinforced or Non-Reinforced Complete Denture Base. Acta Stomatologica Croatica: International Journal of Oral Sciences and Dental Medicine. 2024 Oct; 58(3): 218-32. doi: 10.15644/asc58/3/3. DOI: https://doi.org/10.15644/asc58/3/3

Szymlet P, Jedliński M, Frąckiewicz W, Jankowska A, Wdowiak-Szymanik A, Sobolewska E. Characteristics of Acrylic Produced Additively by 3D Printing in Dentistry: Comparison of Mechanical and Surface Parameters—A Systematic Review with Meta-Analysis of Novel Reports. Materials. 2025 Sep; 18(18): 4409. doi: 10.3390/ma18184409. DOI: https://doi.org/10.3390/ma18184409

Negm HM, Elkharadly DY, Badawy S, Taha RR. Fracture Resistance in Fibre-Reinforced Resin Composite Restorations in Deciduous and Permanent Molars: An Ex Vivo Study. The Saudi Dental Journal. 2024 Sep; 36(9): 1197-202. doi: 10.1016/j.sdentj.2024.06.017. DOI: https://doi.org/10.1016/j.sdentj.2024.06.017

Barbosa L, Figueiral MH, Neves CB, Malheiro R, Sampaio-Fernandes MA, Oliveira SJ et al. Fit Accuracy of Cobalt–Chromium and Polyether Ether Ketone Prosthetic Frameworks Produced Using Digital Techniques: In Vitro Pilot Study. Applied Sciences. 2023 Dec; 14(1): 118. doi: 10.3390/app14010118. DOI: https://doi.org/10.3390/app14010118

Naka O, Kamalakidis SN, Anastassiadou V. The Impact of Current Fabrication Methods on the Fit Accuracy of Removable Partial Dentures: A Systematic Review and Meta-Analysis. Applied Sciences. 2024 Nov; 14(23): 11034. doi: 10.3390/app142311034. DOI: https://doi.org/10.3390/app142311034

Chladek G, Adeeb S, Pakieła W, Coto NP. Effect of Different Surface Treatments as Methods of Improving the Mechanical Properties After Repairs of PMMA for Dentures. Materials. 2024 Jul; 17(13): 3254. doi: 10.3390/ma17133254. DOI: https://doi.org/10.3390/ma17133254

Wu S, Qian C, Jiao T, Sun J. Comparison of the Retention and Fit of Polyether Ether Ketone Clasps during Fatigue Circulation Tests. Heliyon. 2023 Sep; 9(9). doi: 10.1016/j.heliyon.2023.e19959. DOI: https://doi.org/10.1016/j.heliyon.2023.e19959

Downloads

Published

2025-11-30
CITATION
DOI: 10.54393/pjhs.v6i11.3530
Published: 2025-11-30

How to Cite

Irshad, F., Chughtai, M. A., Hayat, F., Ali, S., Shameem, A., & Ali, J. (2025). Frequency of Different Fracture Patterns of Acrylic Partial Denture in the Patients Visiting Sardar Begum Dental College: Frequency of Different Fracture Patterns of Acrylic Partial Denture. Pakistan Journal of Health Sciences, 6(11), 108–113. https://doi.org/10.54393/pjhs.v6i11.3530

Issue

Section

Original Article

Plaudit

Most read articles by the same author(s)