Evidence map›Paper›PMID 30813009›Full record

ReviewMaterials science & engineering. C, Materials for biological applications2019

Zirconia surface modifications for implant dentistry.

Fernanda H Schünemann, María E Galárraga-Vinueza, Ricardo Magini, Márcio Fredel, Filipe Silva, Júlio C M Souza, Yu Zhang, Bruno Henriques

Open access · greenAbstract readReview
In one paragraph

Review in Materials science & engineering. C, Materials for biological applications, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 99 papers.

0numbers the graph read from it
0cells of the map it votes in
99citing papers in PubMed
13.6field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

99 citing papers in PubMed, 292 citations in OpenAlex.

  1. Review
  2. Review
  3. Review
  4. Article
  5. Article
  6. The dental implant surface: a review of the past, present and future.Journal of materials science. Materials in medicine · 2026
    Review
  7. Article
  8. Article
  9. Simulated oral environment affects zirconia aging and mechanical strength.Journal of the mechanical behavior of biomedical materials · 2026
    Article
  10. Article
  11. Review
  12. Article
  13. Review
  14. Article
  15. Hybrid TiONature communications · 2025
    Article
  16. Article
  17. Article
  18. Article
  19. Review
  20. Article

39 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 4 institutions in 3 countries.

Fernanda H SchünemannSchool of Dentistry (DODT), Post-Graduate Program in Dentistry (PPGO), Federal University of Santa Catarina (UFSC), Campus Trindade, 88040-900 Florianópolis, SC, Brazil.
María E Galárraga-VinuezaSchool of Dentistry (DODT), Post-Graduate Program in Dentistry (PPGO), Federal University of Santa Catarina (UFSC), Campus Trindade, 88040-900 Florianópolis, SC, Brazil.
Ricardo MaginiSchool of Dentistry (DODT), Post-Graduate Program in Dentistry (PPGO), Federal University of Santa Catarina (UFSC), Campus Trindade, 88040-900 Florianópolis, SC, Brazil.
Márcio FredelCeramic and Composite Materials Research Group (CERMAT), Federal University of Santa Catarina (UFSC), Campus Trindade, 88040-900, Florianópolis, SC, Brazil.
Filipe SilvaCMEMS-UMinho, University of Minho, Campus de Azurém, 4800-058 Guimarães, Portugal.
Júlio C M SouzaCMEMS-UMinho, University of Minho, Campus de Azurém, 4800-058 Guimarães, Portugal; Department of Dental Sciences, University Institute of Health Sciences (IUCS), CESPU, 4585-116, Gandra, Portugal.
Yu ZhangDepartment of Biomaterials and Biomimetics, New York University College of Dentistry, NYU, New York, NY 10010, USA.
Bruno HenriquesCeramic and Composite Materials Research Group (CERMAT), Federal University of Santa Catarina (UFSC), Campus Trindade, 88040-900, Florianópolis, SC, Brazil; CMEMS-UMinho, University of Minho, Campus de Azurém, 4800-058 Guimarães, Portugal. Electronic address: bruno.henriques@ufsc.br.
Universidade Federal de Santa Catarina · BRCooperativa de Ensino Superior Politécnico e Universitário · PTNew York University · USUniversity of Minho · PT

Funding

Graded Zirconia Structures for Resistance to Chipping, Delamination, and FatigueR01DE017925 · NIDCR · NEW YORK UNIVERSITY · PI ZHANG, YU · 2007 to 2016
$3.0M
Viscoelastic Modeling Aided Experimental Optimization toward Fracture-Resistant Porcelain-Veneered Zirconia and Lithium Disilicate RestorationsR01DE026279 · NIDCR · UNIVERSITY OF PENNSYLVANIA · PI KIM, JEONGHO, ZHANG, YU · 2017 to 2021
$2.0M
Toward novel translucent and strong nanostructured dental zirconiaR01DE026772 · NIDCR · UNIVERSITY OF PENNSYLVANIA · PI ZHANG, YU · 2017 to 2021
$1.8M
NIDCR NIH HHS R01 DE017925NIDCR NIH HHS R01 DE026279NIDCR NIH HHS R01 DE026772
6 · The paper itself

Abstract

backgroundZirconia has emerged as a versatile dental material due to its excellent aesthetic outcomes such as color and opacity, unique mechanical properties that can mimic the appearance of natural teeth and decrease peri-implant inflammatory reactions.

objectiveThe aim of this review was to critically explore the state of art of zirconia surface treatment to enhance the biological and osseointegration behavior of zirconia in implant dentistry. MATERIALS AND

methodsAn electronic search in PubMed database was carried out until May 2018 using the following combination of key words and MeSH terms without time periods: "zirconia surface treatment" or "zirconia surface modification" or "zirconia coating" and "osseointegration" or "biological properties" or "bioactivity" or "functionally graded properties".

resultsPrevious studies have reported the influence of zirconia-based implant surface on the adhesion, proliferation, and differentiation of osteoblast and fibroblasts at the implant to bone interface during the osseointegration process. A large number of physicochemical methods have been used to change the implant surfaces and therefore to improve the early and late bone-to-implant integration, namely: acid etching, gritblasting, laser treatment, UV light, CVD, and PVD. The development of coatings composed of silica, magnesium, graphene, dopamine, and bioactive molecules has been assessed although the development of a functionally graded material for implants has shown encouraging mechanical and biological behavior.

conclusionModified zirconia surfaces clearly demonstrate faster osseointegration than that on untreated surfaces. However, there is no consensus regarding the surface treatment and consequent morphological aspects of the surfaces to enhance osseointegration.

Indexed as

AnimalsDental ImplantsDental MaterialsDental Prosthesis DesignHumansOsseointegrationSurface PropertiesZirconiumDental ImplantsDental MaterialsZirconiumzirconium oxideBioactivityFunctionally graded materialsImplant surfaceOsseointegrationSurface modificationZirconiaZirconia surface treatment

Identifiers

PMID30813009
PMCPMC6402584
OpenAlexW2908805298

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.