Evidence map›Paper›PMID 35621536›Full record

ReviewDentistry journal2022

Clinical Performance Comparing Titanium and Titanium-Zirconium or Zirconia Dental Implants: A Systematic Review of Randomized Controlled Trials.

Paulo Rafael Esteves Fernandes, Ada Isis Pelaez Otero, Juliana Campos Hasse Fernandes, Leonardo Mohamad Nassani, Rogerio Moraes Castilho, Gustavo Vicentis de Oliveira Fernandes

Open access · goldAbstract readReview
In one paragraph

Review in Dentistry journal, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 8 pooled it
10.5field-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

35 citing papers in PubMed, 8 syntheses or guidelines pooled it, 58 citations in OpenAlex.

  1. Pooled it
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  6. Pooled it
  7. Pooled it
  8. Pooled it
  9. Trial
  10. Review
  11. Review
  12. Article
  13. The dental implant surface: a review of the past, present and future.Journal of materials science. Materials in medicine · 2026
    Review
  14. Article
  15. Article
  16. Future Frontiers in Bioinspired Implanted Biomaterials.Advanced materials (Deerfield Beach, Fla.) · 2025
    Review
  17. Article
  18. Article
  19. Article
  20. Article
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

6 authors at 3 institutions in 2 countries.

Paulo Rafael Esteves FernandesFaculty of Dental Medicine, Universidade Católica Portuguesa, 3460-525 Viseu, Portugal.
Ada Isis Pelaez OteroFaculty of Dental Medicine, Universidade Católica Portuguesa, 3460-525 Viseu, Portugal.
Juliana Campos Hasse FernandesPrivate Clinic, 3505-606 Viseu, Portugal.
Leonardo Mohamad NassaniDivision of Restorative and Prosthetic Dentistry, The Ohio State University College of Dentistry, Columbus, OH 43210, USA.ORCID 0000-0002-0908-6096
Rogerio Moraes CastilhoDepartment of Periodontics and Oral Medicine, University of Michigan, Ann Arbor, MI 48109, USA.ORCID 0000-0001-5358-612X
Gustavo Vicentis de Oliveira FernandesFaculty of Dental Medicine, Universidade Católica Portuguesa, 3460-525 Viseu, Portugal.ORCID 0000-0003-3022-4390
Universidade Católica Portuguesa · PTThe Ohio State University · USUniversity of Michigan · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThis study aimed to compare clinical results between titanium (Ti), zirconia (Zr), or titanium-zirconium (TZ) dental implants and to analyze survival rate (SR), bleeding on probing (BoP), marginal bone loss (MBL), and/or probing depth (PD). DATA SOURCE: Manual and electronic searches were conducted (PubMed and Web of Science) to identify randomized controlled trials that compared the outcomes of at least two implant types (control and test group) within the same study. The focused question was determined according to the PICOT strategy. Seven studies were included out of 202 research studies initially found. The follow-up periods ranged from 12 to 80 months, and the mean age was from 43.3 to 65.8 years old. The SR for Ti, TZ, and Zr implants ranged from 92.6% to 100%, 95.8% to 100%, and 87.5% to 91.25%, respectively; MBL for Ti, TZ, and Zr implants varied from -1.17 mm to -0.125 mm for Ti, -0.6 mm to -0.32 mm for TZ, and -0.25 mm to -1.38 mm for Zr. Studies showed a low incidence of mucositis and peri-implantitis; however, BoP for Zr was 16.43%, Ti ranged between 10% and 20%, and TZ from 10% to 13.8%. PD for Ti ranged from 1.6 mm to 3.05 mm, TZ was 3.12 mm (only one study), and Zr ranged from 2.21 mm to 2.6 mm.

conclusionAll three types of implants showed similar tissue behavior. However, the TZ group had better results when compared with Ti and Zr for SR, MBL, and BoP, except for PD. Furthermore, the worst SR was found in the Zr implants group.

Indexed as

clinical studiesdental implantssystematic reviewtitaniumzirconia

Identifiers

PMID35621536
PMCPMC9140125
OpenAlexW4280585578

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.