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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

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dc.contributor.author Pétursson, Bjarni Elvar
dc.contributor.author Sailer, Irena
dc.contributor.author Latyshev, Andrey
dc.contributor.author Rabel, Kerstin
dc.contributor.author Kohal, Ralf Joachim
dc.contributor.author Karasan, Duygu
dc.date.accessioned 2022-05-05T01:03:48Z
dc.date.available 2022-05-05T01:03:48Z
dc.date.issued 2021-10
dc.identifier.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
dc.identifier.issn 0905-7161
dc.identifier.other PURE: 42067809
dc.identifier.other PURE UUID: 2351b5e6-b456-445a-a400-8eb4a7140dba
dc.identifier.other Scopus: 85116881369
dc.identifier.uri https://hdl.handle.net/20.500.11815/3135
dc.description Publisher Copyright: © 2021 The Authors. Clinical Oral Implants Research published by John Wiley & Sons Ltd.
dc.description.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.
dc.format.extent 35
dc.format.extent 254-288
dc.language.iso en
dc.relation.ispartofseries Clinical Oral Implants Research; 32 Suppl 21(S21)
dc.rights info:eu-repo/semantics/openAccess
dc.subject Tanngervi
dc.subject Tannplantar
dc.subject Afturskyggnar rannsóknir
dc.subject biological
dc.subject complications
dc.subject fixed dental prostheses
dc.subject implant crown
dc.subject meta-analysis
dc.subject monolithic
dc.subject success
dc.subject survival
dc.subject systematic review
dc.subject technical
dc.subject veneered
dc.subject zirconia framework
dc.subject Prospective Studies
dc.subject Ceramics
dc.subject Dental Restoration Failure
dc.subject Crowns
dc.subject Retrospective Studies
dc.subject Dental Implants
dc.subject Dental Prosthesis, Implant-Supported/adverse effects
dc.subject Oral Surgery
dc.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
dc.type /dk/atira/pure/researchoutput/researchoutputtypes/contributiontojournal/systematicreview
dc.description.version Peer reviewed
dc.identifier.pmid 34642991
dc.identifier.doi https://doi.org/10.1111/clr.13863
dc.relation.url http://www.scopus.com/inward/record.url?scp=85116881369&partnerID=8YFLogxK
dc.contributor.department Faculty of Odontology


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