Endosseous implants are routinely used by dental clinicians in order to restore lost or missing teeth. Currently, there are numerous different implant systems and materials that are available that offer significant physical properties. [1][2][3] The most commonly-used implant system is the commercially-pure titanium dental implant that is still commonly used among dental practitioners. 4,5 Data from recent systematic reviews suggest that titanium implants that support single crowns offer a high implant survival and success rates of approximately 97.2% and 95.2% over a period of 5 and 10 years of placement, respectively. 6 In addition, a high rate of success of 95.6% and 93.1% was also observed for fixed dental prostheses over a period of 5 and 10 years, respectively. 6Although the number of cases reported for hypersensitivity due to titanium dental implants are less, a few research studies suggest that such metals in the oral cavity experience corrosion as a consequence of electrochemical redox reaction that might incite allergic reactions. 7-9 Moreover, some studies have documented that a small amount of titanium could be seen in soft tissues that surround dental implants. 10,11 Esthetics are of major concern among both young and middle-aged cohorts. Therefore,
AbstractThe aim of the present review was to evaluate the clinical and radiographic performance of one-piece zirconia implants (O-PZI). This review followed the PRISMA (Preferred Reporting Items for Systematic Review and Meta-Analysis) guidelines that addressed the following focused question: What is the overall clinical and radiographic performance of O-PZI? The MEDLINE, EMBASE, Cochrane Central Register of Controlled Trials, and Cochrane Oral Health Group Trials Register databases were searched. Six clinical studies were included. For studies evaluating O-PZI comparedwith one-piece titanium implants, zirconia implants showed higher crestal bone loss (CBL) in both the studies. However, one study demonstrated a high failure rate compared to titanium dental implants, while one study demonstrated comparable survival rates between zirconia and titanium dental implants. For studies evaluating O-PZI for the restoration of single crown and fixed dental prostheses, O-PZI showed comparable bone loss and survival rates for single crowns and fixed dental prostheses. Two studies were included that compared O-PZI with two-piece zirconia (T-PZI).One study showed a higher CBL and low survival rate for O-PZI compared to T-PZI, whereas the other study demonstrated comparable CBL and survival rates between O-PZI and T-PZI. It is still debatable whether O-PZI demonstrate better clinical performance when compared with titanium implants or two-piece design.
K E Y W O R D Screstal bone loss, dental implant, one-piece zirconia implant, survival rate, titanium implant