Evidence map›Paper›PMID 40976576›Full record

Trial reportJournal of clinical periodontology2025

Cost Effectiveness of Two Short Implants Versus One Short Implant With a Cantilever in the Posterior Region: 7.5-Year Follow-Up of a Randomised Controlled Trial.

Franz J Strauss, Lucia Schiavon, Nadja Naenni, Riccardo D Kraus, Gustavo Sáenz-Ravello, Nicolas Müller, Ronald E Jung, Daniel S Thoma

Registry-linked trialAbstract readRandomized Controlled TrialComparative Study
In one paragraph

Trial report in Journal of clinical periodontology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01649531 (Two Implants Versus One Implant With a Cantilever - a Randomized Controlled Clinical Trial), which is not on this 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.

NCT01649531 naunknown statusnot on this map

Two Implants Versus One Implant With a Cantilever - a Randomized Controlled Clinical Trial

TypeinterventionalSponsorUniversity of ZurichRan2012 to 2025Enrolled36ConditionsDental ImplantsArms1 Implant, 2 Implants
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Trial
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

8 authors.

Franz J StraussClinic of Reconstructive Dentistry, University of Zurich, Zurich, Switzerland.ORCID 0000-0002-5832-7327
Lucia SchiavonClinic of Reconstructive Dentistry, University of Zurich, Zurich, Switzerland.ORCID 0000-0002-7845-6011
Nadja NaenniClinic of Reconstructive Dentistry, University of Zurich, Zurich, Switzerland.
Riccardo D KrausClinic of Reconstructive Dentistry, University of Zurich, Zurich, Switzerland.
Gustavo Sáenz-RavelloCenter for Surveillance and Epidemiology of Oral Diseases, Faculty of Dentistry, University of Chile, Santiago, Chile.ORCID 0000-0001-8959-3989
Nicolas MüllerClinic of Reconstructive Dentistry, University of Zurich, Zurich, Switzerland.
Ronald E JungClinic of Reconstructive Dentistry, University of Zurich, Zurich, Switzerland.
Daniel S ThomaClinic of Reconstructive Dentistry, University of Zurich, Zurich, Switzerland.

Funding

International Team for Implantology 1677-2022Zentrum für Zahnmedizin, Universität Zürich
6 · The paper itself

Abstract

aimTo compare long-term clinical and radiographic outcomes of a single short implant (6 mm) supporting a cantilevered restoration versus two adjacent short implants with non-splinted single crowns over a 7.5-year follow-up and determine which approach is more cost effective. MATERIALS AND

methodsA total of 36 patients with at least a two-tooth gap in the posterior region were randomised to receive either one short implant with a cantilever prosthesis (ONE-C) or two short implants with individual crowns (TWO). Fixed restorations were placed 3-6 months post implantation, and patients were evaluated at baseline and at 6 months and 1, 3, 5 and 7.5 years. Kaplan-Meier curves, mixed-effects models and cost-effectiveness models were used to compare the groups.

resultsTwenty-five patients (15 in ONE-C, 10 in TWO) completed the 7.5-year follow-up. Implant survival was 83.3% in group ONE-C and 86.6% in group TWO, with no significant differences between the groups (p = 0.772). No statistically significant differences were found between groups for marginal bone levels (mean difference -0.16 [95% CI: -0.7 to 0.3] p = 0.57), probing depth (mean difference -0.13 [95% CI: -0.5 to 0.3] p = 0.58), bleeding on probing (mean difference 0.0 [95% CI: -0.0; 0.2] p = 0.31) or plaque levels (mean difference -0.0 [95% CI: -0.1 to 0.1] p = 0.93). Technical complications were more frequent in the ONE-C group (64%) than in the TWO group (36%).

conclusionBoth treatment approaches showed comparable clinical and radiographic outcomes. Short implants supporting cantilever restorations were generally more cost effective than two short implants but exhibited higher early complication and failure rates, likely related to mechanical overload.

trial registrationClinicalTrials.gov Identifier: NCT01649531.

Indexed as

Cost-Benefit AnalysisDental Implants, Single-ToothDental Prosthesis DesignDental Prosthesis, Implant-SupportedAdultAgedAlveolar Bone LossCost-Effectiveness AnalysisCrownsDental ImplantsDental Restoration FailureFemaleFollow-Up StudiesHumansMaleMiddle AgedDental Implants

Identifiers

PMID40976576
PMCPMC12605678

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Registered trials

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.