ReviewMaterials (Basel, Switzerland)2020
Fracture Resistance of Zirconia Oral Implants In Vitro: A Systematic Review and Meta-Analysis.
Review in Materials (Basel, Switzerland), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 2 of them syntheses that pooled 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.
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.
Who cites it
36 citing papers in PubMed, 2 syntheses or guidelines pooled it, 56 citations in OpenAlex.
- Clinical effectiveness of Zirconia versus titanium dental implants in anterior region: an overview of systematic reviews.European journal of medical research · 2025Pooled it
- Clinical outcomes of zirconia implants: a systematic review and meta-analysis.Clinical oral investigations · 2023Pooled it
- A Randomised Controlled Trial Comparing a One-Piece Zirconia Tissue-Level Implant and Two-Piece Titanium Bone-Level Implant for Maxillary Single Tooth Replacement-3 year Results.Clinical oral implants research · 2026Trial
- A Randomised Controlled Trial Evaluating 3-Year Survival Rates and Technical Complications of Screw-Retained Hybrid Abutment Crowns on Two-Piece Zirconia and Titanium Implants.Clinical oral implants research · 2025Trial
- Metal-Free Custom-Made Zirconia Implants-A Prospective 5-Year Follow-Up Single-Arm Clinical Trial.Clinical implant dentistry and related research · 2025Trial
- Clinical outcomes of a two-piece zirconia dental implant system.International journal of implant dentistry · 2026Article
- Ten-Year Results of a Prospective Case Series on Immediately Provisionalized One-Piece Alumina-Toughened Zirconia (ATZ) Oral Implants for Single-Tooth Restoration and Three-Unit Fixed Dental Prostheses.Journal of clinical periodontology · 2026Article
- Effect of Implant Design on Fracture Resistance, Mode, and Crystal Structure of One- and Two-Piece Zirconia Implants With Ceramic or Titanium Abutment Screws: An In Vitro Study.Clinical oral implants research · 2026Article
- Stress distribution in titanium and zirconia implants with full-arch prostheses: a finite element analysis.BMC oral health · 2026Article
- Assessment of mid-term success in various types of zirconia implants: a retrospective clinical analysis.Clinical oral investigations · 2026Article
- Ten-Year Results of a Prospective Study on One-Piece Zirconia Oral Implants for Single-Tooth Reconstruction.Clinical oral implants research · 2026Article
- Zirconia vs. titanium dental implants in maxillofacial trauma: a preliminary comparative biomechanical analysis in the maxilla using the finite element method.Head & face medicine · 2025Article
- Long term follow-up of immediately temporized zirconia and titanium one-piece dental implants-a prospective cohort study.International journal of implant dentistry · 2025Article
- Zirconia Dental Implant Designs and Surface Modifications: A Narrative Review.Materials (Basel, Switzerland) · 2024Review
- Impact Testing in Implant-Supported Prostheses and Natural Teeth: A Systematic Review of Properties and Performance.Materials (Basel, Switzerland) · 2024Review
- Fracture Resistance of a Bone-Level Two-Piece Zirconia Oral Implant System-The Influence of Artificial Loading and Hydrothermal Aging.Journal of functional biomaterials · 2024Article
- Fracture Resistance of a Two-Piece Zirconia Implant System after Artificial Loading and/or Hydrothermal Aging-An In Vitro Investigation.Journal of functional biomaterials · 2023Article
- Biomaterials and Clinical Application of Dental Implants in Relation to Bone Density-A Narrative Review.Journal of clinical medicine · 2023Review
- Comparison between bone-implant interfaces of microtopographically modified zirconia and titanium implants.Scientific reports · 2023Article
- Long-Term Stability of Hydrothermally Aged and/or Dynamically Loaded One-Piece Diameter Reduced Zirconia Oral Implants.Journal of functional biomaterials · 2023Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Various protocols are available to preclinically assess the fracture resistance of zirconia oral implants. The objective of the present review was to determine the impact of different treatments (dynamic loading, hydrothermal aging) and implant features (e.g., material, design or manufacturing) on the fracture resistance of zirconia implants. An electronic screening of two databases (MEDLINE/Pubmed, Embase) was performed. Investigations including > 5 screw-shaped implants providing information to calculate the bending moment at the time point of static loading to fracture were considered. Data was extracted and meta-analyses were conducted using multilevel mixed-effects generalized linear models (GLMs). The Šidák method was used to correct for multiple testing. The initial search resulted in 1864 articles, and finally 19 investigations loading 731 zirconia implants to fracture were analyzed. In general, fracture resistance was affected by the implant design (1-piece > 2-piece,
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Registered trials
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.