SynthesisJournal of esthetic and restorative dentistry : official publication of the American Academy of Esthetic Dentistry ... [et al.]2026
Systematic Review Evaluating the Influence of Veneering Design on the Clinical Outcome of All-Ceramic Implant-Supported 3-4 Units and Full Arch Fixed Dental Prostheses.
Synthesis in Journal of esthetic and restorative dentistry : official publication of the American Academy of Esthetic Dentistry ... [et al.], 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
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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.
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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.
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo systematically assess survival, failure, and complication rates of all-ceramic implant-supported monolithic and micro-veneered FDPs (i-FDPs) in partially/completely edentulous patients compared to veneered restorations. MATERIALS AND
methodsAn electronic search identified prospective clinical studies on all-ceramic i-FDPs with at least one inter-implant pontic and a minimal follow-up of 1 year, with no restrictions in language and publication date.
resultsOnly studies on posterior 3-4-unit and full-arch i-FDPs were identified. Twelve studies assessing monolithic, fully veneered, and micro-veneered restorations were included. Regardless of veneering design, the meta-analysis indicated a 3-year success rate of 89.36% for 3-4-unit and 75.56% for full-arch i-FDPs, and an estimated 3-year survival rate of 98.64% and 96.45%, respectively. Analyzing veneering design influence was feasible only for 3-4-unit i-FDPs. Monolithic and micro-veneered 3-4-unit restorations showed significantly lower chipping incidence than fully veneered ones (p < 0.0001). The estimated annual chipping rate was 2.1% for 3-4-unit i-FDPs and 6.9% for full-arch restorations.
conclusionMonolithic/micro-veneered designs are preferred for short-span i-FDPs to minimize chipping, whereas full-arch all-ceramic restorations require caution due to limited evidence and high complication rates. Current findings are based solely on high-strength 3Y-TZP zirconia (> 1000 MPa). No conclusions can be drawn for multilayer zirconia or other ceramics.
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