Evidence map›Paper›PMID 42293808›Full record

ReviewInternational journal of dentistry2026

Clinical Efficacy of Cemented Versus Screw-Retained Zirconia Single Crowns: A Systematic Review and Meta-Analysis.

Frank Mayta-Tovalino, Fran Espinoza-Carhuancho, Daniel Alvitez-Temoche, Ivan Calderon-Cortez, Miguel Cabanillas-Lazo, Joshuan J Barboza, Adrian V Hernandez

Abstract readReview
In one paragraph

Review in International journal of dentistry, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Review
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.

Frank Mayta-TovalinoAcademic Department, Systematic Reviews and Meta-Analysis Unit (URSIGET), Vice-Rectorate for Research, Universidad San Ignacio de Loyola, Lima, Peru, usil.edu.pe.ORCID https://orcid.org/0000-0002-3280-0024
Fran Espinoza-CarhuanchoAcademic Department, Bibliometrics Evidence Evaluation and Systematic Reviews Group (BEERS) Human Medicine Career, Universidad Científica del Sur, Lima, Peru, cientifica.edu.pe.ORCID https://orcid.org/0009-0000-4692-942X
Daniel Alvitez-TemocheAcademic Department, Research, Innovation and Entrepreneurship Unit, Faculty of Dentistry, Universidad Nacional Federico Villarreal, Lima, Peru, unfv.edu.pe.ORCID https://orcid.org/0000-0002-3337-4098
Ivan Calderon-CortezAcademic Department, EVIDENTIA Research Group, Universidad Nacional Mayor de San Marcos, Lima, Peru, unmsm.edu.pe.ORCID https://orcid.org/0009-0008-4572-5669
Miguel Cabanillas-LazoAcademic Department, Neuroscience, Metabolism, Clinical and Health Effectiveness Research Group (NEMECS), Universidad Científica del Sur, Lima, Peru, cientifica.edu.pe.ORCID https://orcid.org/0000-0002-9976-0530
Joshuan J BarbozaMedicine Program, School of Health Sciences, Universidad Peruana de Ciencias Aplicadas, Lima, Peru, upc.edu.pe.ORCID https://orcid.org/0009-0006-9283-6850
Adrian V HernandezAcademic Department, Systematic Reviews and Meta-Analysis Unit (URSIGET), Vice-Rectorate for Research, Universidad San Ignacio de Loyola, Lima, Peru, usil.edu.pe.ORCID https://orcid.org/0000-0002-9999-4003

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The choice between cemented and screw-retained zirconia single crowns remains a matter of debate, especially concerning long-term biological and prosthetic outcomes. Objective: This systematic review and meta-analysis aimed to compare the clinical and mechanical performance of cemented versus screw-retained zirconia single crowns. Methods: An extensive search of PubMed, Embase, Web of Science, and Scopus was performed until July 2025. Only randomized controlled trials (RCTs) that compared cemented to screw-retained zirconia single crowns were eligible for inclusion. Primary outcomes were marginal bone level (MBL) changes, bleeding on probing (BoP), and plaque index (PI). Secondary outcomes included probing depth (PD), modified PI (MPLI), width of keratinized (KT) mucosa, and mechanical complications (i.e., fracture and loosening). Risk of bias was evaluated using the Cochrane RoB 2.0 tool and certainty of evidence (CoE) was assessed with GRADE methods. Results: Nine RCTs involving 298 patients were included. Cemented zirconia single crowns probably result in a slight reduction in marginal bone loss compared with screw-retained crowns (mean difference [MD] = -0.04 mm; 95% confidence interval [CI]: -0.08 to -0.00; Conclusion: Cemented zirconia single crowns may lead to slightly less marginal bone loss than screw-retained ones, but no meaningful differences were found in other biological or prosthetic complications. Current evidence remains limited, underscoring the need for well-designed, long-term RCTs to provide more definitive guidance.

Identifiers

PMID42293808
PMCPMC13261538

What OpenQuestion holds

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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.