Evidence map›Paper›PMID 39641983›Full record

Trial reportClinical oral implants research2025

Effect of CAD/CAM Abutment Morphology on the Outcomes of Implant Therapy: A Randomized Controlled Trial.

Christopher A Barwacz, Madeline Swenson, Emilio Couso-Queiruga, Carissa Comnick, Xian Jin Xie, Gustavo Avila-Ortiz

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Clinical oral implants research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

7 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Influence of Concave Versus Convex Emergence Profiles on Midfacial Mucosal Stability-A Systematic Review With Meta-Analysis.Journal of esthetic and restorative dentistry : official publication of the American Academy of Esthetic Dentistry ... [et al.] · 2026
    Pooled it
  2. Trial
  3. Article
  4. Article
  5. Emergence Profile Angle Matters-Restoring Peri-Implant Health by Adjusting Prosthetics-A Narrative Review.Journal of esthetic and restorative dentistry : official publication of the American Academy of Esthetic Dentistry ... [et al.] · 2026
    Review
  6. Article
  7. Peri-Implant Inflammation Varies With Different Restorative Emergence Angles: An Histological Evaluation.Journal of esthetic and restorative dentistry : official publication of the American Academy of Esthetic Dentistry ... [et al.] · 2026
    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.

Christopher A BarwaczDepartment of Family Dentistry, University of Iowa College of Dentistry, Iowa City, Iowa, USA.ORCID 0000-0003-0349-4299
Madeline SwensonPrivate Practice, West Des Moines, Iowa, USA.
Emilio Couso-QueirugaDepartment of Oral Surgery and Stomatology, University of Bern, Bern, Switzerland.ORCID 0000-0002-9989-4483
Carissa ComnickOperations Research, United Airlines, Chicago, Illinois, USA.
Xian Jin XieBiostatistics and Computational Biology, University of Iowa College of Dentistry, Iowa City, Iowa, USA.
Gustavo Avila-OrtizDepartment of Medicine, Infection, and Immunity, Harvard School of Dental Medicine, Boston, Massachusetts, USA.ORCID 0000-0002-5763-0201

Funding

Dentsply Sirona
6 · The paper itself

Abstract

objectivesVariations in transmucosal abutment contour design may affect the outcomes of implant therapy. This randomized controlled trial was primarily aimed at testing the effect that CAD/CAM zirconia abutments with either a concave or linear divergent transmucosal morphology have on peri-implant mucosal dynamics and indicators of peri-implant health at 1 year after final implant-supported prosthesis insertion in the anterior maxilla. MATERIALS AND

methodsFollowing computer-guided implant placement and osseointegration, eligible subjects were randomized into either the experimental (concave morphology) or the control (linear divergent morphology) group. A comprehensive set of outcomes of interest related to peri-implant soft tissue dynamics, phenotypical features, and indicators of peri-implant health were assessed at different time points over a 1-year period after insertion of the final restoration.

resultsOut of 60 initially recruited subjects, a total of 54 completed the study (n = 29 in the experimental group concave/n = 25 in the control group). Overall implant survival and restoration rates between master impression and 12 months were 100% and 98.2%, respectively. Although a trend for coronal migration of the buccal mucosa zenith, gain in mucosal thickness, and increased probing depth and bleeding on probing was observed in both groups, these changes were clinically negligible, and no substantial differences were observed between study groups regardless of variations in transmucosal abutment morphology.

conclusionThe use of either linear divergent or concave custom CAD/CAM zirconia abutments in a screw-retained, delayed loading approach yielded no significant differences.

Indexed as

Computer-Aided DesignDental AbutmentsDental Implant-Abutment DesignDental Implantation, EndosseousDental Prosthesis, Implant-SupportedAdultAgedFemaleHumansMaleMaxillaMiddle AgedOsseointegrationTreatment OutcomeZirconiumZirconiumzirconium oxideabutmentCAD‐CAMestheticsmucosaprospectivesingle‐tooth dental implant

Identifiers

PMID39641983
PMCPMC11891029

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.