GuidelineInternational journal of implant dentistry2025
German S3 guideline on implant-supported all-ceramic restorations.
Guideline in International journal of implant dentistry, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07323290 (Twelve-Month Short-Term Marginal Bone Remodeling at Monolithic Zirconia Full-Arch Prostheses in the Maxilla and Mandible), which is not on this map. Cited by 4 papers, 1 of them a synthesis that pooled it.
What it found
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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.
Twelve-Month Short-Term Marginal Bone Remodeling at Monolithic Zirconia Full-Arch Prostheses in the Maxilla and Mandible: A Clinical Study
Who cites it
4 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Systematic Review Evaluating the Influence of Veneering Design on the Clinical Outcome of All-Ceramic Implant-Supported 3-4 Units and Full Arch Fixed Dental Prostheses.Journal of esthetic and restorative dentistry : official publication of the American Academy of Esthetic Dentistry ... [et al.] · 2026Pooled it
- Arch- and Morphology-Related Variation in Early Marginal Bone Remodeling of Monolithic Zirconia Full-Arch Prostheses: An Exploratory Prospective Cohort Study.Bioengineering (Basel, Switzerland) · 2026Article
- Passive fit evaluation of implant superstructures by analyzing the accumulated screw tightening torque.International journal of implant dentistry · 2026Article
- Fitting Accuracy and Constraint Force Measurement of Complete-Arch Implant-Supported Fixed Dental Prostheses Made from Cobalt-Chromium and Zirconia Frameworks Based on the All-on-Four Treatment Concept.Materials (Basel, Switzerland) · 2025Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeWith increasing demand for aesthetic, metal-free restorations, all-ceramic materials have gained popularity in implant prosthodontics. However, questions regarding their long-term performance, material selection, and design features remain unresolved. This guideline, developed by the German Association of Oral Implantology (DGI) in collaboration with the German Society of Dentistry and Oral Medicine (DGZMK), aims to enhance treatment safety, guide clinical decision-making, and improve patient education concerning all-ceramic implant-supported restorations.
methodsA systematic literature review was conducted to evaluate the clinical performance of all-ceramic restorations in three main indications: implant-supported single crowns, short-span fixed dental prostheses, and full-arch restorations. Recommendations were developed based on the quality of evidence or expert consensus.
resultsFor single crowns, lithium disilicate, silicate ceramics, and all generations of zirconia demonstrated favorable 3-year survival rates (~ 96-97%). In contrast, polymer-infiltrated ceramics showed inferior performance and were not recommended. For short-span FDPs and full-arch reconstructions, only 3Y-TZP zirconia is supported by clinical evidence. Micro-veneering and monolithic designs reduce chipping risks. Patient education is emphasized due to limited evidence for newer materials and full-arch restorations.
conclusionsAll-ceramic implant restorations can be successfully implemented with careful material selection, adherence to bonding protocols, and appropriate prosthetic design. However, clinical limitations persist, especially in full-arch indications. Interdisciplinary collaboration is essential to optimize outcomes and minimize complications.
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