“…Regarding framework fractures, metalacrylic CFIDPs experienced a cumulative 5-year complication rate of 3.0 to 4.9%, whereas for metal-ceramic CFIDPs, there was only 1 in 235 (0.43%) prostheses after a mean followup period of 5 years, and all-ceramic CFIDPs experienced no framework fracture at all. A possible explanation for the 35 Selection: Score = 4 * (a) Representation of the exposed cohort = 1 * (b) Selection of the exposed non cohort = 1 * 38 11/18 Oliva et al, 2012 40 9/18 Penarrocha-Oltra et al, 2014 41 12/18 Romanos et al, 2014 43 8/18 minimum incidence of all these mechanical complications in the included studies of this review, compared to previous studies on metal-acrylic CFIDPs, could be the advances in materials, screw mechanics, and interfaces, as well as dental technology, as most of the metal-acrylic CFIDPs studies were older than the ones studying metal-ceramic or all-ceramic prostheses. A systematic review 16 of the clinical success of both tooth-and implant-supported zirconia fixed dental prostheses identified four studies of CIFDPs.…”