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Zirconia dental implants; the relationship between design and clinical outcome: A systematic review
Malmö universitet, Odontologiska fakulteten (OD). Department of Oral and Maxillofacial Surgery, Faculty of Dental Medicine, Umm Al-Qura University, Makkah, Saudi Arabia.
Malmö universitet, Odontologiska fakulteten (OD).ORCID-id: 0000-0001-6260-473X
Malmö universitet, Odontologiska fakulteten (OD).ORCID-id: 0000-0002-5248-9202
Nordic Institute of Dental Materials, NIOM, Oslo, Norway.
Vise andre og tillknytning
2024 (engelsk)Inngår i: Journal of Dentistry, ISSN 0300-5712, E-ISSN 1879-176X, Vol. 143, s. 104903-, artikkel-id 104903Artikkel, forskningsoversikt (Fagfellevurdert) Published
Abstract [en]

OBJECTIVE: To evaluate the clinical outcome of different designs of zirconia dental implants.

DATA: This systematic review adhered to the PRISMA checklist and followed the PICO framework. The protocol is registered in PROSPERO (CRD42022337228).

SOURCES: The search was conducted in March 2023 through four databases (PubMed, Web of Science, Cochrane Library, and Google Scholar) along with a search of references in the related reviews. Three authors reviewed on title, and abstract level and analysed the risk of bias, and all authors reviewed on a full-text level.

STUDY SELECTION: Clinical studies excluding case reports for patients treated with different designs of zirconia dental implants were included. From a total of 2728 titles, 71 full-text studies were screened, and 27 studies were included to assess the risk of bias (ROBINS-I tool) and data extraction. After quality assessment, four studies were included, and the remaining 23 excluded studies were narratively described.

RESULT: The included prospective studies with moderate risk of bias reported success and survival rates of one-piece implants that ranged between 95 and 98.4 % with no difference between different lengths and diameters. The acid-etched roughened surface showed higher clinical outcomes compared to other surface roughness designs.

CONCLUSION: Promising 5-year clinical outcomes were found for one-piece zirconia implants with no difference between different diameters and lengths. Concerning surface roughness, better outcomes were found when using the acid-etched implant surface. However, due to the limited available studies, further high-quality clinical studies comparing zirconia one-piece and two-piece implants with different diameters, lengths, and surface roughness are needed.

CLINICAL SIGNIFICANCE: Based on this systematic review, under suitable clinical situations, the one-piece zirconia implants with diameters of 4.0 mm, 4.5 mm, or 5.5 mm and lengths of 8 mm, 10 mm, 12 mm, or 14 mm have similar promising clinical outcomes. Additionally, the acid-etched roughened implant surface may be preferable.

sted, utgiver, år, opplag, sider
Elsevier, 2024. Vol. 143, s. 104903-, artikkel-id 104903
Emneord [en]
Ceramics, Clinical outcome, Dental implant, Implant design, Implant diameter, Implant surface
HSV kategori
Identifikatorer
URN: urn:nbn:se:mau:diva-66564DOI: 10.1016/j.jdent.2024.104903ISI: 001207555400001PubMedID: 38437977Scopus ID: 2-s2.0-85187316975OAI: oai:DiVA.org:mau-66564DiVA, id: diva2:1847655
Tilgjengelig fra: 2024-03-28 Laget: 2024-03-28 Sist oppdatert: 2024-05-20bibliografisk kontrollert

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Gul, AbdulazizPapia, EvaggeliaNaimi-Akbar, AronVult von Steyern, Per

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