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Meta-Analysis
. 2024 Jan 1;24(1):25-35.
doi: 10.4103/jips.jips_524_23. Epub 2024 Jan 24.

Evaluation of marginal bone level, technical and biological complications between screw-retained and cement-retained all-ceramic implant-supported crowns on zirconia abutment: A systematic review and meta-analysis

Shruti S Potdukhe  1 , Janani M Iyer, Jyoti B Nadgere
Affiliations
Meta-Analysis

Evaluation of marginal bone level, technical and biological complications between screw-retained and cement-retained all-ceramic implant-supported crowns on zirconia abutment: A systematic review and meta-analysis

Shruti S Potdukhe et al. J Indian Prosthodont Soc. .

Abstract

Purpose: The purpose of this study was to evaluate the difference in marginal bone level, technical and biological complications between screw-retained and cemented all-ceramic implant-supported crowns fabricated on zirconia abutment at different follow-up periods.

Materials and methods: Independent search was conducted in Cochrane Library, EBSCO, and PubMed/PubMed Central/MEDLINE databases and the Google Scholar search engine for prospective studies and randomized controlled trials published between January 2014 and June 2023 evaluating the marginal bone level, technical and biological complications between screw-retained and cemented all-ceramic implant-supported crowns fabricated on zirconia abutment. Meta-analysis was conducted to assess the quantitative data on the marginal bone level and biological complications.

Results: A total of eight studies were included for qualitative synthesis and six studies for quantitative synthesis. For marginal bone level, no statistically significant difference was observed (P = 0.83 and P = 0.69, respectively) during the follow-up period of 3 years and 5 years. For probing depth, the cemented group showed more amount of probing depth than the screw-retained group at a follow-up period of 3 years (P < 0.05) whereas no statistically significant difference was observed at a follow-up period of 5 years (P = 0.73). For bleeding on probing, the cemented group showed more probing depth than the screw-retained group at a follow-up period of 5 years (P = 0.10).

Conclusion: The evidence suggests that the screw-retained group showed no statistically significant difference in marginal bone level, comparatively fewer biological complications, and relatively higher technical complications than the cemented group at different follow-up periods.

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Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1
Figure 1
Preferred Reporting Items for Systematic Reviews and Meta-Analyses flow diagram
Figure 2
Figure 2
Graph for risk of bias and risk of bias summary
Figure 3
Figure 3
Forest plot for marginal bone level, probing depth, and bleeding on probing at 3-year follow-up period. SD: Standard deviation, CI: Confidence interval, IV: Intravenous
Figure 4
Figure 4
Forest plot for marginal bone level, probing depth, and bleeding on probing at 5-year follow-up period. SD: Standard deviation, CI: Confidence interval, IV: Intravenous
See this image and copyright information in PMC

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References

    1. Pjetursson BE, Brägger U, Lang NP, Zwahlen M. Comparison of survival and complication rates of tooth-supported fixed dental prostheses (FDPs) and implant-supported FDPs and single crowns (SCs) Clin Oral Implants Res. 2007;18(Suppl 3):97–113. - PubMed
    1. Yuan JC, Sukotjo C. Occlusion for implant-supported fixed dental prostheses in partially edentulous patients: A literature review and current concepts. J Periodontal Implant Sci. 2013;43:51–7. - PMC - PubMed
    1. Jung RE, Zembic A, Pjetursson BE, Zwahlen M, Thoma DS. Systematic review of the survival rate and the incidence of biological, technical, and aesthetic complications of single crowns on implants reported in longitudinal studies with a mean follow-up of 5 years. Clin Oral Implants Res. 2012;23(Suppl 6):2–21. - PubMed
    1. Poggio CE, Ercoli C, Rispoli L, Maiorana C, Esposito M. Metal-free materials for fixed prosthodontic restorations. Cochrane Database Syst Rev. 2017;12:CD009606. - PMC - PubMed
    1. Potdukhe SS, Iyer JM, Nadgere JB. Translucency and wear of pressable lithium disilicate and zirconia-reinforced lithium silicate glass-ceramics: An in-vitro study. J Clin Diagn Res. 2023;17:ZC36–9.

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