Evidence map›Paper›PMID 41039731›Full record

ArticleClinical oral implants research2026

Ten-Year Results of a Prospective Study on One-Piece Zirconia Oral Implants for Single-Tooth Reconstruction.

Ralf-Joachim Kohal, Agneta Lith, Futoshi Komine, Junichi Honda, Benedikt C Spies, Felix Burkhardt, Kirstin Vach

Abstract read
In one paragraph

Article in Clinical oral implants research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. 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

7 authors.

Ralf-Joachim KohalMedical Center - University of Freiburg, Center for Dental Medicine, Department of Prosthetic Dentistry, Faculty of Medicine, University of Freiburg, Freiburg, Germany.ORCID 0000-0001-7095-4190
Agneta LithDepartment of Oral and Maxillofacial Radiology, Institute of Odontology, Sahlgrenska Academy, Gothenburg University, Göteborg, Sweden.
Futoshi KomineDepartment of Fixed Prosthodontics, Nihon University School of Dentistry, Chiyoda-Ku, Tokyo, Japan.ORCID 0000-0002-9973-6266
Junichi HondaDepartment of Fixed Prosthodontics, Nihon University School of Dentistry, Chiyoda-Ku, Tokyo, Japan.
Benedikt C SpiesMedical Center - University of Freiburg, Center for Dental Medicine, Department of Prosthetic Dentistry, Faculty of Medicine, University of Freiburg, Freiburg, Germany.
Felix BurkhardtMedical Center - University of Freiburg, Center for Dental Medicine, Department of Prosthetic Dentistry, Faculty of Medicine, University of Freiburg, Freiburg, Germany.ORCID 0000-0002-0011-4134
Kirstin VachMedical Center - University of Freiburg, Institute of Medical Biometry and Statistics, Freiburg, Germany.

Funding

Nobel Biocare T-114
6 · The paper itself

Abstract

objectivesThe intention of this 10-year prospective cohort investigation was to clinically and radiographically investigate the outcomes of a one-piece zirconia implant system for single-tooth replacement. MATERIALS AND

methodsA total of 65 patients received 66 single-tooth implants restored with all-ceramic crowns. Follow-up assessments were conducted at the time of prosthetic delivery, after 1, 3, 5, and 10 years. Peri-implant soft tissue parameters were evaluated. To assess peri-implant bone loss, standardized radiographs were taken at implant placement, prosthetic delivery, at the 1-, 3-, 5-, and 10-year follow-ups. Statistical analysis was conducted using linear mixed regression models and Wilcoxon Signed Rank tests to compare differences over time and between groups (p < 0.05).

resultsOver the course of 10 years, 16 implants were lost, yielding a cumulative survival rate of 73.3%. Fifteen patients were lost to follow-up over the 10-year period. The average marginal bone loss of the remaining implants was 1.09 mm. Probing depth, attachment level, and bleeding showed an increase over time, while plaque index slightly decreased.

conclusionsGiven the high implant loss rate after 10 years and the high occurrence of advanced bone loss observed in this study, the implant was not recommended for routine clinical use.

Indexed as

Dental Implantation, EndosseousDental Implants, Single-ToothZirconiumAdultAgedAlveolar Bone LossCrownsDental Prosthesis DesignDental Prosthesis, Implant-SupportedDental Restoration FailureFemaleHumansMaleMiddle AgedProspective StudiesTreatment OutcomeZirconiumzirconium oxideclinical investigationfixed dental prosthesisoral implantprospectivezirconia implant

Identifiers

PMID41039731
PMCPMC12767556

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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.