Evidence map›Paper›PMID 42230722›Full record

Trial reportScientific reports2026

Microbial evaluation of zirconia and titanium implants in the anterior mandibula: a randomized controlled clinical trial.

Kristian Kniha, Konstantin J Scholz, Eva Kohnert, Sibylle Bartsch, Marius Heitzer, Frank Hölzle, Ali Al-Ahmad, Ali Modabber

Erratum issuedAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Scientific reports, 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.

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

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

8 authors.

Kristian KnihaDepartment of Oral and Cranio-Maxillofacial Surgery, University Hospital RWTH Aachen, Pauwelsstraße 30, Aachen, Germany.
Konstantin J ScholzCenter for Dental Medicine, Department of Operative Dentistry and Periodontology, Faculty of Medicine and Medical Center, University of Freiburg, Freiburg, Germany.
Eva KohnertInstitute for Medical Biometry and Statistics, Faculty of Medicine, University of Freiburg, Freiburg im Breisgau, Germany.
Sibylle BartschCenter for Dental Medicine, Department of Operative Dentistry and Periodontology, Faculty of Medicine and Medical Center, University of Freiburg, Freiburg, Germany.
Marius HeitzerDepartment of Oral and Cranio-Maxillofacial Surgery, University Hospital RWTH Aachen, Pauwelsstraße 30, Aachen, Germany. mheitzer@ukaachen.de.
Frank HölzleDepartment of Oral and Cranio-Maxillofacial Surgery, University Hospital RWTH Aachen, Pauwelsstraße 30, Aachen, Germany.
Ali Al-AhmadCenter for Dental Medicine, Department of Operative Dentistry and Periodontology, Faculty of Medicine and Medical Center, University of Freiburg, Freiburg, Germany.
Ali ModabberDepartment of Oral and Cranio-Maxillofacial Surgery, University Hospital RWTH Aachen, Pauwelsstraße 30, Aachen, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

To evaluate the effect of the implant material-either titanium or zirconia-on the development of bacterial deposits. In this one-year prospective split-mouth study, 20 patients with an edentulous lower jaw were treated with two zirconia and two titanium implants. Clip attachments were used for the removable denture. During the follow-up period, fluid samples were taken from around each patient's implants and natural teeth to analyze the microbiota using DNA isolation, amplicon sequencing, and downstream analysis. Between the different time points, for the titanium material, the relative abundance of Actinomyces israelii increased significantly (p = 0.009) after 12 months when compared with the baseline. When comparing the different time points for each material, a significant decrease in the phyla Fusobacteria (p = 0.03) and Proteobacteria (p = 0.03) after six months versus baseline was detected for only zirconia, whereas the abundance of Firmicutes was significantly increased (p = 0.03). When comparing the different materials at each time point, the phylum Actinobacteria was found to be less abundant after 12 months on the zirconia implants than on the titanium implants (p = 0.04). By contrast, on the zirconia material, the relative abundance of the genus Leptotrichia decreased significantly after six months when compared with the baseline, while no significant changes in terms of this genus were found for the titanium implants or teeth over time. Zirconia tended to show less abundant bacterial deposits over time. The microbial diversity was lower on the titanium implants than on the ceramic material after 12 months. In addition, after 12 months of evaluation, neither the teeth nor the implants showed similar prevalences or levels of the target species.

Indexed as

Dental ImplantsMandibleMicrobiotaTitaniumZirconiumBacteriaHumansProspective StudiesDental ImplantsTitaniumZirconiumzirconium oxideCeramicDental implantMicrobiotaRemovable dentureTitaniumZirconia

Identifiers

PMID42230722
PMCPMC13230837

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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.