Clinical performance of single implant-supported ceramic and metal-ceramic crowns: A systematic review and meta-analysis of randomized clinical trials

Alqutaibi, Ahmed Yaseen; Alnazzawi, Ahmad; Algabri, Radwan; Aboalrejal, Afaf; AbdElaziz, Mohammed Hosny

doi:10.1016/j.prosdent.2020.06.011

Cited by 22 publications

(14 citation statements)

References 33 publications

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“…Single fixed implant-supported prostheses, also referred to as implant-supported single crowns (iSC), have predictable clinical outcomes with high survival and success rates, and are a reliable option to replace the single missing tooth (Alqutaibi et al, 2021;Buser et al, 1997;Jung et al, 2012;.…”

Section: Introductionmentioning

confidence: 99%

Clinical performance of single implant prostheses restored using titanium base abutments: A systematic review and meta‐analysis

Chantler,

Evans,

Zitzmann

et al. 2023

Clinical Oral Implants Res

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PurposeThe aim of this review was to evaluate the survival rates of restorations utilizing titanium base abutments (TBA) for restoring single‐unit implant prostheses.Materials and MethodsThis review was conducted following the preferred reporting items for systematic reviews and meta‐analyses (PRISMA) guidelines. The focus question was: In patients who require the restoration of a single dental implant utilizing a titanium base abutment, what are the determining factors and outcomes relating to implant prosthesis prognosis and survival? A comprehensive search of databases (PubMed, EMBASE, and Cochrane Library) was conducted on 16 April 2023 and updated on 5 May 2023. Randomized clinical trials (RCT), retrospective studies and prospective studies, reporting on the use of TBA for single implant prostheses, were reviewed. A Cochrane collaboration risk of bias assessment analysis was performed for randomized clinical studies, and the Newcastle–Ottawa Scale tool was applied for non‐randomized studies. A meta‐analysis was performed on clinical trials reporting on survival rates of both TBA and other abutments. Other clinical studies, reporting on TBA only, were included for descriptive statistics.ResultsThe search provided 1159 titles after duplicates were removed. Six RCTs were included to perform a meta‐analysis and compare the survival of the TBA to other abutments [OR 0.74; 95% CI: 0.21–2.63, heterogeneity; I2 0%; p = .99]. Twenty‐three prospective and retrospective studies fulfilled the criteria and were included in the meta‐analysis after 12 months of function. A total of 857 single implant‐supported prostheses fabricated with a TBA were included. TBA abutments have an estimate 98.6% survival rate after 1 year in function (95% CI: 97.9%–99.4%). The mean follow‐up period was 31.2 ± 16.9 months.ConclusionsSingle implant prosthesis restored with titanium base abutments showed favourable short‐term survival rates.

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Section: Introductionmentioning

confidence: 99%

Clinical performance of single implant prostheses restored using titanium base abutments: A systematic review and meta‐analysis

Chantler,

Evans,

Zitzmann

et al. 2023

Clinical Oral Implants Res

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“…Monolithic Zir is used for single crowns and has a high survival rate. Currently, the material is being tested to manufacture tooth- or implant-supported fixed partial dentures [ 2 , 3 , 4 , 5 , 6 , 7 , 8 , 9 ]. Dental Zir has traditionally been manufactured mainly from tetragonal Zir crystals with a minor proportion of yttria stabilizer (3Y-TZP); this type is extremely strong but has low translucency [ 10 ].…”

Section: Introductionmentioning

confidence: 99%

Revolution of Current Dental Zirconia: A Comprehensive Review

et al. 2022

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The aim of this article is to comprehensively review the revolution of dental zirconia (Zir), including its types, properties, applications, and cementation procedures. A comprehensive search of PubMed and Embase was conducted. The search was limited to manuscripts published in English. The final search was conducted in October 2021. Newly developed monolithic Zir ceramics have substantially enhanced esthetics and translucency. However, this material must be further studied in vitro and in vivo to determine its long-term ability to maintain its exceptional properties. According to the literature, monolithic translucent Zir has had promising results and a high survival rate. Thus, the utilization of this material is indicated when strength and esthetics are needed. Both the materials and methods used for cementation of monolithic Zir have significantly improved, encouraging dentists to use this material, especially when a conservative approach is required. Zir restorations showed promising outcomes, particularly for monolithic Zir crowns supported with implant and fixed dental prostheses.

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“…1 Technical complications include fracturing of the veneering material or abutment and screw loosening, whereas biological complications comprise peri-implant soft tissue inflammation and a marginal bone loss of >2 mm. 2,3 The aim of any improvements in the design and the materials of implant-supported restorations is to reduce these complications. Using monolithic zirconia instead of bilayered restorations could be a solution for veneering material chipping, especially in the posterior area.…”

Section: Introductionmentioning

confidence: 99%

“…High survival rates for single tooth implants and restorations have been documented, but technical and biological complications can occur 1 . Technical complications include fracturing of the veneering material or abutment and screw loosening, whereas biological complications comprise peri‐implant soft tissue inflammation and a marginal bone loss of >2 mm 2,3 . The aim of any improvements in the design and the materials of implant‐supported restorations is to reduce these complications.…”

Section: Introductionmentioning

confidence: 99%

Monolithic zirconia single tooth implant‐supported restorations with CAD/CAM titanium abutments in the posterior region: A 1‐year prospective case series study

Donker

Raghoebar

Jensen‐Louwerse

et al. 2022

Clin Implant Dent Rel Res

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To assess the clinical, radiographic, and patient-reported outcome measures, including the success of screw-retained monolithic zirconia implant-supported restorations with CAD/CAM titanium abutments in the posterior region during a 1-year follow-up.Methods: In a prospective case series, 50 molar sites in the posterior region of 46 patients with a minimum age of 18 years and sufficient bone volume and anatomical conditions for placing an implant (≥8 mm) and an anatomical restoration were included. Parallel-walled implants with a conical connection were inserted in a twostage surgical procedure. Implant uncovering and healing abutment placement occurred 12 weeks after insertion. Two weeks after mucosa healing, a screw-retained monolithic zirconia restoration with a CAD/CAM titanium abutment was placed.Clinical, radiographic, and patient-reported outcome measures were collected at baseline before implant placement and then during the 1 month and 1 year follow-ups.Results: At the 1 year follow-up, 49 restorations could be evaluated. The plaque accumulation, presence of calculus, bleeding tendency and peri-implant inflammation indices were low, representing healthy peri-implant conditions. The mean marginal bone level change between the 1 month and the 1 year follow-up was À0.17 ± 0.46 mm. The mean patient satisfaction was high. The restoration success was, according to the modified USPHS criteria, 95.9%. Conclusion:Monolithic zirconia implant-supported restorations with CAD/CAM titanium abutments have very good clinical, radiographic and patient-reported outcomes after 1 year in function.

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Clinical performance of single implant-supported ceramic and metal-ceramic crowns: A systematic review and meta-analysis of randomized clinical trials

Cited by 22 publications

References 33 publications

Clinical performance of single implant prostheses restored using titanium base abutments: A systematic review and meta‐analysis

Clinical performance of single implant prostheses restored using titanium base abutments: A systematic review and meta‐analysis

Revolution of Current Dental Zirconia: A Comprehensive Review

Monolithic zirconia single tooth implant‐supported restorations with CAD/CAM titanium abutments in the posterior region: A 1‐year prospective case series study

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