Evidence map›Paper›PMID 41095327›Full record

ReviewMaterials (Basel, Switzerland)2025

Enhancing Osseointegration of Zirconia Implants Using Calcium Phosphate Coatings: A Systematic Review.

Jacek Matys, Ryszard Rygus, Julia Kensy, Krystyna Okoniewska, Wojciech Zakrzewski, Agnieszka Kotela, Natalia Struzik, Hanna Gerber, Magdalena Fast, Maciej Dobrzyński

Abstract readReview
In one paragraph

Review in Materials (Basel, Switzerland), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. Article
  2. Review
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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

10 authors.

Jacek MatysDental Surgery Department, Wroclaw Medical University, 50-425 Wroclaw, Poland.ORCID 0000-0002-3801-0218
Ryszard RygusHospital in Swidnica, 58-100 Świdnica, Poland.
Julia KensyFaculty of Dentistry, Wroclaw Medical University, 50-425 Wroclaw, Poland.ORCID 0009-0008-1680-793X
Krystyna OkoniewskaUniversity Hospital in Wroclaw, 50-556 Wroclaw, Poland.
Wojciech ZakrzewskiMedical Center of Innovation, Wroclaw Medical University, 50-425 Wroclaw, Poland.
Agnieszka KotelaMedical Center of Innovation, Wroclaw Medical University, 50-425 Wroclaw, Poland.ORCID 0009-0008-4353-4607
Natalia StruzikPre-Clinical Research Centre, Wroclaw Medical University, 50-368 Wroclaw, Poland.
Hanna GerberDepartment of Maxillofacial Surgery, Wroclaw Medical University, 50-556 Wroclaw, Poland.ORCID 0000-0002-0954-3955
Magdalena FastDepartment of Drug Form Technology, Wroclaw Medical University, 50-556 Wroclaw, Poland.ORCID 0009-0001-6751-9187
Maciej DobrzyńskiDepartment of Pediatric Dentistry and Preclinical Dentistry, Wroclaw Medical University, 50-425 Wroclaw, Poland.ORCID 0000-0003-2368-1534

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveYttria-stabilized tetragonal zirconia polycrystal (Y-TZP), a variant of zirconia (ZrO MATERIALS AND

methodsThe review process adhered to the PRISMA guidelines. Electronic searches of PubMed, Scopus, Web of Science, Embase, and Cochrane Library (July 2025) identified studies evaluating CaP-coated zirconia implants. Eligible studies included in vitro, in vivo, and preclinical investigations with a control group. Data on coating type, deposition method, and biological outcomes were extracted and analyzed.

resultsA total of 27 studies were analyzed, featuring different calcium phosphate (CaP) coatings including β-tricalcium phosphate (β-TCP), hydroxyapatite (HA), octacalcium phosphate (OCP), and various composites. These coatings were applied using diverse techniques such as RF magnetron sputtering, sol-gel processing, biomimetic methods, and laser-based approaches. In multiple investigations, calcium phosphate coatings enhanced osteoblast attachment, proliferation, alkaline phosphatase (ALP) expression, and bone-to-implant contact (BIC) relative to unmodified zirconia surfaces. Multifunctional coatings incorporating growth factors, antibiotics, or nanoparticles showed additional benefits.

conclusionCaP coatings enhance the bioactivity of zirconia implants and represent a promising strategy to overcome their inertness. Further standardized approaches and long-term studies are essential to verify their translational relevance.

Indexed as

CaP coatingosseointegrationzirconia implant

Identifiers

PMID41095327
PMCPMC12525974

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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.