Evidence map›Paper›PMID 40458331›Full record

ReviewCureus2025

Evaluating Complications, Success Rate, and Marginal Bone Loss in Cement- Versus Screw-Retained Single Implant-Supported Zirconia Crowns: A Systematic Review and Meta-Analysis.

Sidhartha Tomar, Deepesh Saxena, Pragati Rawat, Sukhmeen Madaan, Ayush Kumar

Abstract readReview
In one paragraph

Review in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. 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

5 authors.

Sidhartha TomarProsthodontics and Crown & Bridge, Subharti Dental College and Hospital, Swami Vivekanand Subharti University, Meerut, IND.
Deepesh SaxenaProsthodontics and Crown & Bridge, Subharti Dental College and Hospital, Swami Vivekanand Subharti University, Meerut, IND.
Pragati RawatProsthodontics and Crown & Bridge, Subharti Dental College and Hospital, Swami Vivekanand Subharti University, Meerut, IND.
Sukhmeen MadaanDentistry, Tri-Town Dental Clinic, Haileybury, CAN.
Ayush KumarProsthodontics and Crown & Bridge, Subharti Dental College and Hospital, Swami Vivekanand Subharti University, Meerut, IND.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This systematic review and meta-analysis aimed to compare marginal bone loss (MBL), bleeding on probing (BOP), and the incidence of complications between cement-retained and screw-retained (SR) single implant-supported zirconia crowns to provide evidence-based guidance for clinicians. A comprehensive search of PubMed/MEDLINE, Scopus, Embase, Google Scholar, and Lilac databases was conducted by two independent reviewers for studies published between January 2000 and March 2024. Studies evaluating the success rates and complications of single zirconia implant crowns with either cement or screw retention were included. Data on complication frequency, types, and overall success rates were extracted and analyzed. A total of 168 cement-retained and 166 SR zirconia crowns from seven studies with follow-ups ranging from 3 to 10 years were included. Meta-analysis of three to six studies per outcome indicated that SR crowns had significantly lower MBL at six months (standardized mean difference (SMD): -0.63; p = 0.002), though no significant differences in MBL were found at one, three, and five years. BOP outcomes were similar between both retention types. Notably, SR restorations demonstrated a 46% reduced risk of complications compared to cement-retained ones (RR: 0.54; p = 0.02). In conclusion, SR implant-supported zirconia crowns are associated with fewer early MBL and complications. However, long-term bone loss and peri-implant mucosal health appear comparable between the two retention methods.

Indexed as

cement-retained crownmarginal bone lossscrew-retained crownsurvival ratezirconia prosthesis

Identifiers

PMID40458331
PMCPMC12127220

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Registered trials

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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.