Evidence map›Paper›PMID 40911436›Full record

SynthesisJournal of prosthodontics : official journal of the American College of Prosthodontists2026

Comparative effect of Zircos-E and airborne-particle abrasion on zirconia surface treatment: A meta-analysis.

Osayd Alawawda, Husam Altalla, Funda Bayindir

Abstract readMeta-AnalysisComparative StudyReview
In one paragraph

Synthesis in Journal of prosthodontics : official journal of the American College of Prosthodontists, 2026. 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

3 authors.

Osayd AlawawdaDepartment of Prosthodontics, Faculty of Dentistry, Ataturk University, Erzurum, Turkey.
Husam AltallaDepartment of Prosthodontics, Faculty of Dentistry, Ataturk University, Erzurum, Turkey.ORCID https://orcid.org/0009-0002-9852-6686
Funda BayindirDepartment of Prosthodontics, Faculty of Dentistry, Ataturk University, Erzurum, Turkey.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeDebonding of zirconia restorations remains a significant clinical challenge due to its glass-free microstructure, which limits micromechanical and chemical adhesion. Zircos-E, a nitric-hydrofluoric acid mixture, has been proposed as a simplified room-temperature alternative to airborne-particle abrasion (APA). This meta-analysis aimed to compare the shear bond strength (SBS) of zirconia surfaces treated with Zircos-E etching versus APA.

methodsA systematic search of PubMed, Web of Science, and Scopus databases identified in vitro studies published from 2015 to January 2025 comparing Zircos-E etching with APA and reporting SBS values with standard deviations and sample sizes. Eight studies (308 specimens) met the inclusion criteria. Quality assessment was performed using the QUIN tool. A random-effects model was applied to calculate standardized mean differences (SMDs) with 95% confidence intervals (CIs). Subgroup analyses were conducted according to aluminum oxide particle size, and heterogeneity was assessed using the I

resultsOverall, Zircos-E etching significantly increased SBS compared with APA (SMD = 1.54; 95% CI: 0.08-3.00; p = 0.04), with substantial heterogeneity (I

Indexed as

Air Abrasion, DentalDental EtchingDental MaterialsHydrofluoric AcidZirconiumDental BondingHumansShear StrengthSurface PropertiesDental MaterialsHydrofluoric AcidZirconiumzirconium oxideadhesionairborne‐particle abrasionhydrofluoric acidshear bond strength (SBS)zirconiaZircos‐E

Identifiers

PMID40911436
PMCPMC13456407

What OpenQuestion holds

Textmetadata
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.