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Zirconia dental implants; the relationship between design and clinical outcome: A systematic review
Malmö University, Faculty of Odontology (OD). Department of Oral and Maxillofacial Surgery, Faculty of Dental Medicine, Umm Al-Qura University, Makkah, Saudi Arabia.
Malmö University, Faculty of Odontology (OD).ORCID iD: 0000-0001-6260-473X
Malmö University, Faculty of Odontology (OD).ORCID iD: 0000-0002-5248-9202
Nordic Institute of Dental Materials, NIOM, Oslo, Norway.
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2024 (English)In: Journal of Dentistry, ISSN 0300-5712, E-ISSN 1879-176X, Vol. 143, p. 104903-, article id 104903Article, review/survey (Refereed) 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.

Place, publisher, year, edition, pages
2024. Vol. 143, p. 104903-, article id 104903
Keywords [en]
Ceramics, Clinical outcome, Dental implant, Implant design, Implant diameter, Implant surface
National Category
Dentistry
Identifiers
URN: urn:nbn:se:mau:diva-66564DOI: 10.1016/j.jdent.2024.104903PubMedID: 38437977Scopus ID: 2-s2.0-85187316975OAI: oai:DiVA.org:mau-66564DiVA, id: diva2:1847655
Available from: 2024-03-28 Created: 2024-03-28 Last updated: 2024-03-28Bibliographically approved

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

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