Evidence map›Paper›PMID 41934213›Full record

ArticleClinical implant dentistry and related research2026

Zirconia and Titanium Implants Placed at Two Supracrestal Levels in Fresh Extraction Socket: Canine Periodontitis Model.

Hyunkyung Kim, Sungtae Kim, Young-Dan Cho, Homayoun H Zadeh

Erratum issuedAbstract readComparative Study
In one paragraph

Article in Clinical implant dentistry and related research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Not yet cited in PubMed.

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0citing papers in PubMed
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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors.

Hyunkyung KimDepartment of Periodontology, School of Dentistry and Dental Research Institute, Seoul National University and Seoul National University Dental Hospital, Seoul, Republic of Korea.ORCID https://orcid.org/0009-0004-9704-0996
Sungtae KimDepartment of Periodontology, School of Dentistry and Dental Research Institute, Seoul National University and Seoul National University Dental Hospital, Seoul, Republic of Korea.ORCID https://orcid.org/0000-0001-6361-4104
Young-Dan ChoDepartment of Periodontology, School of Dentistry and Dental Research Institute, Seoul National University and Seoul National University Dental Hospital, Seoul, Republic of Korea.ORCID https://orcid.org/0000-0002-4694-5988
Homayoun H ZadehVISTA Institute for Therapeutic Innovations, Los Angeles, California, USA.ORCID https://orcid.org/0000-0002-7770-9363

Funding

Ministry of Education, Repulic of Korea RS-2022-NR067350, RS-2024-00349549Ministry of Health & Welfare, Republic of Korea HI23C0544Seoul National University
6 · The paper itself

Abstract

aimTo compare clinical and radiographic outcomes of titanium and zirconia implants placed supracrestally into fresh extraction sockets in a canine model with naturally occurring periodontitis. MATERIALS AND

methodsA total of 32 implants were placed in eight dogs. The titanium (Control, Group 1) and zirconia (Test, Group 2) implants with a 0.4 mm machined collar were placed into fresh extraction sockets at two vertical positions: 0 mm (subgroup a) and 1 mm (subgroup b) exposure of rough surface to make the artificial condition of alveolar bone loss around the implant. Peri-implant mucosal tissue inflammation (MTI), implant stability quotient (ISQ), and marginal bone loss (MBL) were evaluated at 6, 12, and 18 weeks postoperatively.

resultsZirconia implants demonstrated comparable results to titanium in implant stability and peri-implant soft tissue response. Although MTI scores were slightly higher in zirconia implants than titanium for the entire period, there was no significant issue during osseointegration. The ISQ values increased significantly at 6 weeks in all groups. Mean MBL gradually increased over time; among implants with exposed rough surfaces, Group 1b exhibited the highest MBL (0.71 ± 0.38 mm), whereas Group 2b showed significantly less bone loss (0.32 ± 0.30 mm) (p = 0.05).

conclusionsIn natural periodontitis canine model, titanium and zirconia implants placed into fresh extraction sockets demonstrated similar stability during healing period. Zirconia implants exhibited significantly less MBL than titanium under the condition of rough surface exposure, indicating a more favorable peri-implant bone response with zirconia.

Indexed as

Dental Implantation, EndosseousDental ImplantsPeriodontitisTitaniumTooth SocketZirconiumAlveolar Bone LossAnimalsDisease Models, AnimalDogsOsseointegrationSurface PropertiesTooth ExtractionDental ImplantsTitaniumZirconiumzirconium oxideimmediate implant placementmarginal bone losstitanium implantszirconia implants

Identifiers

PMID41934213
PMCPMC13049562

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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.