A systematic review of the clinical survival of zirconia implants
Identifieur interne : 000A96 ( Main/Exploration ); précédent : 000A95; suivant : 000A97A systematic review of the clinical survival of zirconia implants
Auteurs : Dena Hashim [Suisse] ; Norbert Cionca [Suisse] ; Delphine S. Courvoisier [Suisse] ; Andrea Mombelli [Suisse]Source :
- Clinical Oral Investigations [ 1432-6981 ] ; 2016.
Abstract
The aim of this review was to evaluate the clinical success and survival rates of zirconia ceramic implants after at least 1 year of function and to assess if there is sufficient evidence to justify using them as alternatives to titanium implants.
An electronic search in MEDLINE, EMBASE, and the Cochrane Central Register of Controlled Clinical Trials (CENTRAL) databases was performed in April 2015 by two independent examiners to retrieve clinical studies focusing on the survival rate of zirconia implants after at least 1 year of function. Implant survival was estimated using the overall proportion reported in the studies with a Clopper-Pearson 95 % confidence interval (random effect model with a Der-Simonian Laird estimate).
Fourteen articles were selected out of the 1519 titles initially screened. The overall survival rate of zirconia one- and two-piece implants was calculated at 92 % (95 % CI 87–95) after 1 year of function. The survival of implants at 1 year for the selected studies revealed considerable heterogeneity.
In spite of the unavailability of sufficient long-term evidence to justify using zirconia oral implants, zirconia ceramics could potentially be the alternative to titanium for a non-metallic implant solution. However, further clinical studies are required to establish long-term results, and to determine the risk of technical and biological complications. Additional randomized controlled clinical trials examining two-piece zirconia implant systems are also required to assess their survival and success rates in comparison with titanium as well as one-piece zirconia implants.
Zirconia implants provide a potential alternative to titanium ones. However, clinicians must be aware of the lack of knowledge regarding long-term outcomes and specific reasons for failure.
Url:
DOI: 10.1007/s00784-016-1853-9
PubMed: 27217032
PubMed Central: 4992030
Affiliations:
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Courvoisier</name><affiliation wicri:level="1"><nlm:aff id="Aff2">University Hospitals of Geneva, Rue Gabrielle-Perret-Gentil 4, CH-1205 Genève, Switzerland</nlm:aff><country xml:lang="fr">Suisse</country><wicri:regionArea>University Hospitals of Geneva, Rue Gabrielle-Perret-Gentil 4, CH-1205 Genève</wicri:regionArea><wicri:noRegion>CH-1205 Genève</wicri:noRegion></affiliation></author><author><name sortKey="Mombelli, Andrea" sort="Mombelli, Andrea" uniqKey="Mombelli A" first="Andrea" last="Mombelli">Andrea Mombelli</name><affiliation wicri:level="4"><nlm:aff id="Aff1">School of Dental Medicine, Division of Periodontology, University of Geneva, Rue Barthelemy-Menn 19, CH-1205 Geneva, Switzerland</nlm:aff><country xml:lang="fr">Suisse</country><wicri:regionArea>School of Dental Medicine, Division of Periodontology, University of Geneva, Rue Barthelemy-Menn 19, CH-1205 Geneva</wicri:regionArea><orgName type="university">Université de Genève</orgName><placeName><settlement type="city">Genève</settlement><region nuts="3" type="region">Canton de Genève</region></placeName></affiliation></author></analytic><series><title level="j">Clinical Oral Investigations</title><idno type="ISSN">1432-6981</idno><idno type="eISSN">1436-3771</idno><imprint><date when="2016">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Objectives</title><p>The aim of this review was to evaluate the clinical success and survival rates of zirconia ceramic implants after at least 1 year of function and to assess if there is sufficient evidence to justify using them as alternatives to titanium implants.</p></sec><sec><title>Materials and methods</title><p>An electronic search in MEDLINE, EMBASE, and the Cochrane Central Register of Controlled Clinical Trials (CENTRAL) databases was performed in April 2015 by two independent examiners to retrieve clinical studies focusing on the survival rate of zirconia implants after at least 1 year of function. Implant survival was estimated using the overall proportion reported in the studies with a Clopper-Pearson 95 % confidence interval (random effect model with a Der-Simonian Laird estimate).</p></sec><sec><title>Results</title><p>Fourteen articles were selected out of the 1519 titles initially screened. The overall survival rate of zirconia one- and two-piece implants was calculated at 92 % (95 % CI 87–95) after 1 year of function. The survival of implants at 1 year for the selected studies revealed considerable heterogeneity.</p></sec><sec><title>Conclusions</title><p>In spite of the unavailability of sufficient long-term evidence to justify using zirconia oral implants, zirconia ceramics could potentially be the alternative to titanium for a non-metallic implant solution. However, further clinical studies are required to establish long-term results, and to determine the risk of technical and biological complications. Additional randomized controlled clinical trials examining two-piece zirconia implant systems are also required to assess their survival and success rates in comparison with titanium as well as one-piece zirconia implants.</p></sec><sec><title>Clinical relevance</title><p>Zirconia implants provide a potential alternative to titanium ones. 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Schlottig</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Nevins, M" uniqKey="Nevins M">M Nevins</name></author><author><name sortKey="Camelo, M" uniqKey="Camelo M">M Camelo</name></author><author><name sortKey="Nevins, Ml" uniqKey="Nevins M">ML Nevins</name></author><author><name sortKey="Schupbach, P" uniqKey="Schupbach P">P Schupbach</name></author><author><name sortKey="Kim, Dm" uniqKey="Kim D">DM Kim</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Sailer, I" uniqKey="Sailer I">I Sailer</name></author><author><name sortKey="Muhlemann, S" uniqKey="Muhlemann S">S Muhlemann</name></author><author><name sortKey="Zwahlen, M" uniqKey="Zwahlen M">M Zwahlen</name></author><author><name sortKey="Hammerle, Ch" uniqKey="Hammerle C">CH Hammerle</name></author><author><name sortKey="Schneider, D" uniqKey="Schneider D">D Schneider</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Wittneben, Jg" uniqKey="Wittneben J">JG Wittneben</name></author><author><name sortKey="Millen, C" uniqKey="Millen C">C Millen</name></author><author><name sortKey="Bragger, U" uniqKey="Bragger U">U Bragger</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Suisse</li></country><region><li>Canton de Genève</li></region><settlement><li>Genève</li></settlement><orgName><li>Université de Genève</li></orgName></list><tree><country name="Suisse"><region name="Canton de Genève"><name sortKey="Hashim, Dena" sort="Hashim, Dena" uniqKey="Hashim D" first="Dena" last="Hashim">Dena Hashim</name></region><name sortKey="Cionca, Norbert" sort="Cionca, Norbert" uniqKey="Cionca N" first="Norbert" last="Cionca">Norbert Cionca</name><name sortKey="Courvoisier, Delphine S" sort="Courvoisier, Delphine S" uniqKey="Courvoisier D" first="Delphine S." last="Courvoisier">Delphine S. Courvoisier</name><name sortKey="Mombelli, Andrea" sort="Mombelli, Andrea" uniqKey="Mombelli A" first="Andrea" last="Mombelli">Andrea Mombelli</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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