Evaluating the clinical behavior of veneered zirconia in comparison with monolithic zirconia complete arch implant-supported prostheses: A systematic review and meta-analysis

doi:10.1016/j.prosdent.2023.07.021

★ Alto impactoQ1 · DentistryImpact Factor · 3.6

AutoresSara Martakoush-Saleh, Ángel-Orión Salgado-Peralvo, Juan-Francisco Peña-Cardelles, Naresh Kewalramani, German O. Gallucci

Por qué importa

Este análisis sistemático y meta-análisis compara el comportamiento clínico de las prótesis completas implantosoportadas de zirconia totalmente anatómica (MZir) frente a las de zirconia estratificada con porcelana (VZir). Ante la relativa novedad de la zirconia y la escasez de estudios, esta investigación resulta crucial para el odontólogo, ya que el material de la prótesis influye directamente en su rendimiento y durabilidad. Los resultados sugieren que las prótesis MZir presentan mayores tasas de supervivencia y éxito, además de significativamente menos complicaciones protésicas en comparación con las VZir. Estos hallazgos son relevantes para la toma de decisiones clínicas en la rehabilitación de arcos completos sobre implantes, ayudando a optimizar la selección de materiales para mejorar los resultados a largo plazo.

Abstract original

Statement of problem: Because the use of zirconia in dentistry is relatively new, the number of published studies on the subject is scarce, even though material selection is an important factor in clinical performance. Therefore, a systematic assessment of the impact of the prosthetic material, framework design, veneering material, and manufacturing process is required. Purpose: The purpose of this systematic review and meta-analysis was to investigate the survival and success rates of feldspathic porcelain veneered zirconia (VZir) in comparison with monolithic zirconia (MZir) complete arch implant-supported prostheses (CAISPs). A secondary objective was to assess the influence of the type of loading, the presence or absence of a cantilever, the type of zirconia used, the location, and the opposing arch on complications rates and patient satisfaction. Material and methods: An electronic search of the MEDLINE database (via PubMed), Scopus, Science Direct, Cochrane Library, and OpenGrey was carried out. The criteria described in the preferred reporting items for systematic reviews and meta-analyses statement were used. The search was restricted from January 2000 to January 2022. Results: The systematic search resulted in 20 articles that met the established criteria. In total, 751 patients (VZir=302; MZir=449) with 3038 CAISPs (VZir=368; MZir=2670) were analyzed. Higher prosthetic survival and success rates were found in MZir compared with VZir CAISPs (100% and 95.45%, respectively). The meta-analysis found significantly fewer complications related to MZir (9.4% [4.8%-14.1%]) compared with VZir (33.7% [17.5%-49.9%]). Conclusions: Based on the findings of this systematic review, MZir CAISPs had higher survival and success rates than VZir CAISPs, with significantly fewer prosthetic complications. The influence of factors such as the type of functional loading, the presence of a cantilever, the material used in the prosthodontic workflow, the location of CAISP, and the type of antagonist arch on the performance of Zir CAISPs remains unclear.

Leer texto completo ↗DOI · 10.1016/j.prosdent.2023.07.021

Autores Doctor&Cols

Cómo citar

Martakoush-Saleh S, Salgado-Peralvo Á, Peña-Cardelles J, Kewalramani N, Gallucci GO. Evaluating the clinical behavior of veneered zirconia in comparison with monolithic zirconia complete arch implant-supported prostheses: A systematic review and meta-analysis. Journal of Prosthetic Dentistry. 2023. doi:10.1016/j.prosdent.2023.07.021