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A systematic review and meta-analysis evaluating the survival, the failure, and the complication rates of veneered and monolithic all-ceramic implant-supported single crowns

A systematic review and meta-analysis evaluating the survival, the failure, and the complication rates of veneered and monolithic all-ceramic implant-supported single crowns


Title: A systematic review and meta-analysis evaluating the survival, the failure, and the complication rates of veneered and monolithic all-ceramic implant-supported single crowns
Author: Pétursson, Bjarni Elvar
Sailer, Irena
Latyshev, Andrey
Rabel, Kerstin
Kohal, Ralf Joachim
Karasan, Duygu
Date: 2021-10
Language: English
Scope: 35
Department: Faculty of Odontology
Series: Clinical Oral Implants Research; 32 Suppl 21(S21)
ISSN: 0905-7161
DOI: https://doi.org/10.1111/clr.13863
Subject: Tanngervi; Tannplantar; Afturskyggnar rannsóknir; biological; complications; fixed dental prostheses; implant crown; meta-analysis; monolithic; success; survival; systematic review; technical; veneered; zirconia framework; Prospective Studies; Ceramics; Dental Restoration Failure; Crowns; Retrospective Studies; Dental Implants; Dental Prosthesis, Implant-Supported/adverse effects; Oral Surgery
URI: https://hdl.handle.net/20.500.11815/3135

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Citation:

Pétursson , B E , Sailer , I , Latyshev , A , Rabel , K , Kohal , R J & Karasan , D 2021 , ' A systematic review and meta-analysis evaluating the survival, the failure, and the complication rates of veneered and monolithic all-ceramic implant-supported single crowns ' , Clinical Oral Implants Research , vol. 32 Suppl 21 , no. S21 , pp. 254-288 . https://doi.org/10.1111/clr.13863

Abstract:

OBJECTIVE: To assess the survival, failure, and complication rates of veneered and monolithic all-ceramic implant-supported single crowns (SCs). METHODS: Literature search was conducted in Medline (PubMed), Embase, and Cochrane Central Register of Controlled Trials until September 2020 for randomized, prospective, and retrospective clinical trials with follow-up time of at least 1 year, evaluating the outcome of veneered and/or monolithic all-ceramic SCs supported by titanium dental implants. Survival and complication rates were analyzed using robust Poisson's regression models. RESULTS: Forty-nine RCTs and prospective studies reporting on 57 material cohorts were included. Meta-analysis of the included studies indicated an estimated 3-year survival rate of veneered-reinforced glass-ceramic implant-supported SCs of 97.6% (95% CI: 87.0%-99.6%). The estimated 3-year survival rates were 97.0% (95% CI: 94.0%-98.5%) for monolithic-reinforced glass-ceramic implant SCs, 96.9% (95% CI: 93.4%-98.6%) for veneered densely sintered alumina SCs, 96.3% (95% CI: 93.9%-97.7%) for veneered zirconia SCs, 96.1% (95% CI: 93.4%-97.8%) for monolithic zirconia SCs and only 36.3% (95% CI: 0.04%-87.7%) for resin-matrix-ceramic (RMC) SCs. With the exception of RMC SCs (p < 0.0001), the differences in survival rates between the materials did not reach statistical significance. Veneered SCs showed significantly (p = 0.017) higher annual ceramic chipping rates (1.65%) compared with monolithic SCs (0.39%). The location of the SCs, anterior vs. posterior, did not influence survival and chipping rates. CONCLUSIONS: With the exception of RMC SCs, veneered and monolithic implant-supported ceramic SCs showed favorable short-term survival and complication rates. Significantly higher rates for ceramic chipping, however, were reported for veneered compared with monolithic ceramic SCs.

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Publisher Copyright: © 2021 The Authors. Clinical Oral Implants Research published by John Wiley & Sons Ltd.

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