CAD/CAM‐fabricated implant‐supported restorations: a systematic review

Abstract

The available data provided promising results for CAD/CAM-fabricated implant-supported restorations; nonetheless, current evidence is limited due to the quality of available studies and the paucity of data on long-term clinical outcomes of 5 years or more. In the sense of an evidence-based dentistry, the authors recommend further studies designed as randomized controlled clinical trials and reported according to the CONSORT statement.

Prosthodontic Complications of Metal‐Ceramic and All‐Ceramic, Complete‐Arch Fixed Implant Prostheses with Minimum 5 Years Mean Follow‐Up Period. A Systematic Review and Meta‐Analysis

“…This observation may provide some preliminary evidence to support a better clinical performance of monolithic over bi‐layered all‐ceramic CFIDPs. Another recent systematic review by Patzelt et al, examining CAD/CAM‐fabricated implant‐supported restorations identified some studies on metal‐ceramic or all‐ceramic CFIDPs and also reported that the most commonly reported technical complication was veneer fractures, in line with the results of this study. Therefore, the results of this study showed that the mid‐term clinical documentation of AC CFIDPs is still minimal, and more studies are needed before it can be proposed as mainstream treatment choice material.…”

In vitro performance and fracture resistance of CAD/CAM-fabricated implant supported molar crowns

“…Although already clinically used, there is only little scientific information and even less clinical data that show the longterm applicability of implant-supported restorations [11].…”

Use of High Performance Polymers as Dental Implant Abutments and Frameworks: A Case Series Report

“…One‐piece zirconia abutments were associated with high success rates when 289 implants were recalled over 7 years . A systematic review affirmed the need for further randomized controlled clinical trials when addressing the use of CAD/CAM crowns and FPDs made of zirconia . Ten trials were identified in the same systematic review to compare the performance of full‐arch reconstruction, where survival rates ranged between 92% and 100% over an observation period of 1 to 10 years .…”

“…A systematic review affirmed the need for further randomized controlled clinical trials when addressing the use of CAD/CAM crowns and FPDs made of zirconia . Ten trials were identified in the same systematic review to compare the performance of full‐arch reconstruction, where survival rates ranged between 92% and 100% over an observation period of 1 to 10 years . One‐piece zirconia abutments, either provided as stock abutments or CAD/CAM custom‐made abutments, have lower load bearing capacity when compared to other types of abutments .…”