title: Clinical acceptability of metal-ceramic fixed partial dental prosthesis fabricated with direct metal laser sintering technique-5 year follow-up.
abstract: BACKGROUND
  In recent years, direct metal laser sintered (DMLS) metal-ceramic-based fixed partial denture prostheses have been used as an alternative to conventional metal-ceramic fixed partial denture prostheses. However, clinical studies for evaluating their long-term clinical survivability and acceptability are limited.
  
  
  OBJECTIVE
  The aim of this study was to assess the efficacy of metal-ceramic fixed dental prosthesis fabricated with DMLS technique, and its clinical acceptance on long-term clinical use.
  
  
  METHODS
  The study group consisted of 45 patients who were restored with posterior three-unit fixed partial denture prosthesis made using direct laser sintered metal-ceramic restorations. Patient recall and clinical examination of the restorations were done after 6months and every 12 months thereafter for the period of 60 months. Clinical examination for evaluation of longevity of restorations was done using modified Ryge criteria which included chipping of the veneered ceramic, connector failure occurring in the fixed partial denture prosthesis, discoloration at the marginal areas of the veneered ceramic, and marginal adaptation of the metal and ceramic of the fixed denture prosthesis. Periapical status was assessed using periodical radiographs during the study period. Survival analysis was made using the Kaplan-Meier method.
  
  
  RESULTS
  None of the patients had failure of the connector of the fixed partial denture prostheses during the study period. Two exhibited biological changes which included periapical changes and proximal caries adjacent to the abutments.
  
  
  CONCLUSIONS
  DMLS metal-ceramic fixed partial denture prosthesis had a survival rate of 95.5% and yielded promising results during the 5-year clinical study.
authors.affiliation: Department of Prosthodontics, Thai Moogambigai Dental College and Hospital, Mogappair, Chennai, Tamil Nadu, India.
authors.forename: Radhakrishnan
authors.initials: R
authors.lastname: Prabhu
authors.affiliation: Department of Prosthodontics, Thai Moogambigai Dental College and Hospital, Mogappair, Chennai, Tamil Nadu, India.
authors.forename: Geetha
authors.initials: G
authors.lastname: Prabhu
authors.affiliation: Department of Prosthodontics, Thai Moogambigai Dental College and Hospital, Mogappair, Chennai, Tamil Nadu, India.
authors.forename: Eswaran
authors.initials: E
authors.lastname: Baskaran
authors.affiliation: Department of Prosthodontics, Thai Moogambigai Dental College and Hospital, Mogappair, Chennai, Tamil Nadu, India.
authors.forename: Eswaran M
authors.initials: EM
authors.lastname: Arumugam
keywords: Direct metal laser sintered crowns; fixed partial denture prosthesis; laser sintered crowns