Cochrane · intervention · CD003815

Interventions for replacing missing teeth: different types of dental implants

Cochrane Database of Systematic Reviews · 2014 · Cochrane Library

Oral HealthImplants and prosthodontics4 versionsAMSTAR 2: not assessed
Full textEvery question was extracted from the full review (methods and results), not only its Summary of Findings table.
Questions
46
current version
GRADE rated
2
No studies
0
Included studies
27
as reported
No studies 0 · 0%Ungraded 44 · 95.7%Very low 0 · 0%Low 2 · 4.3%Moderate 0 · 0%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Review question

ElementPlanned (methods)Found (results)
PopulationPeople who received osseointegrated root-formed oral/dental implants and were followed up for at least 1 year with the implant functionally loaded; patients with bone grafting, guided tissue regeneration or immediate placement in fresh extraction sockets were excluded1512 participants and 3230 implants; adults; 6 Italy, 5 New Zealand, 5 Sweden, 3 Netherlands, 2 Korea, 1 Turkey, 1 Germany, 1 Switzerland, 3 multicentre European
InterventionOral/dental implant treatment for replacing missing teeth with implants of a given material, shape and/or surface preparation38 different implant types compared, differing in surface preparation, shape, degree of titanium purity and titanium alloys (all commercially pure titanium or alloys) (n=38 types)
ComparisonImplants of a different material, shape and/or surface preparation (different implant type)Different implant type (see comparisons)
OutcomesPrimary: implant failure (biological or mechanical). Secondary: radiographic marginal bone level change; occurrence of peri-implantitisImplant failure (n=27); Marginal bone level change (n=NA); Peri-implantitis (n=4); Early implant failure (turned vs roughened) (n=7)
Study designsAll randomised controlled trials of oral/dental implants for replacing missing teeth comparing different implant types, with at least 1 year functional loadingRandomised controlled trials (parallel-group and split-mouth)
TimingAt least 1 year with the implant functionally loaded1 year; 3 years; 5 years; 10 years

Search date: 2014-01. Databases: Cochrane Oral Health Group's Trials Register; Cochrane Central Register of Controlled Trials (CENTRAL); MEDLINE via OVID; EMBASE via OVID

Questions and results

Current version only

Astra TiO2-blasted titanium screws vs Branemark turned titanium screws

Population: Adults with missing teeth who received osseointegrated root-formed dental implants, functionally loaded and followed for at least 1 year
CD003815.PUB4 (current) · 2 questions
OutcomeEffectEvidenceStatus / GRADE
Marginal bone level change
1 to 5 years
MD -0.09 [-0.33, 0.15]1 study · 65 participantsUngraded
Implant failure
1 to 5 years
RR 0.25 [0.03, 2.12]1 study · 66 participantsUngraded

Branemark Mark II standard titanium screws vs Branemark conical transmucosal titanium screws

Population: Adults with missing teeth who received osseointegrated root-formed dental implants, functionally loaded and followed for at least 1 year
CD003815.PUB4 (current) · 1 question
OutcomeEffectEvidenceStatus / GRADE
Implant failure
1 to 2 years
No failures in either group; risk ratio not estimable (Gatti 2002)1 study · 10 participantsUngraded

Branemark turned titanium screws vs IMZ TPS titanium cylinders

Population: Adults with missing teeth who received osseointegrated root-formed dental implants, functionally loaded and followed for at least 1 year
CD003815.PUB4 (current) · 1 question
OutcomeEffectEvidenceStatus / GRADE
Implant failure
1 to 10 years
RR 1.00 [0.07, 15.26]1 study · 60 participantsUngraded

Branemark Mark II turned titanium screws vs ITI TPS hollow titanium screws

Population: Adults with missing teeth who received osseointegrated root-formed dental implants, functionally loaded and followed for at least 1 year
CD003815.PUB4 (current) · 1 question
OutcomeEffectEvidenceStatus / GRADE
Implant failure
1 to 10 years
RR 1.64 [0.22, 12.01]2 studies · 99 participantsUngraded

Branemark Mark II turned titanium screws vs ITI TPS solid titanium screws

Population: Adults with missing teeth who received osseointegrated root-formed dental implants, functionally loaded and followed for at least 1 year
CD003815.PUB4 (current) · 1 question
OutcomeEffectEvidenceStatus / GRADE
Implant failure
3 years
RR 0.05 [0.05, 5.20]1 study · 56 participantsUngraded

IMZ TPS titanium cylinders vs ITI TPS hollow titanium screws

Population: Adults with missing teeth who received osseointegrated root-formed dental implants, functionally loaded and followed for at least 1 year
CD003815.PUB4 (current) · 1 question
OutcomeEffectEvidenceStatus / GRADE
Implant failure
1 to 10 years
RR 2.90 [0.12, 68.50]1 study · 59 participantsUngraded

IMZ TPS titanium cylinders vs ITI TPS solid titanium screws

Population: Adults with missing teeth who received osseointegrated root-formed dental implants, functionally loaded and followed for at least 1 year
CD003815.PUB4 (current) · 1 question
OutcomeEffectEvidenceStatus / GRADE
Implant failure
1 to 5 years
RR 3.00 [0.13, 69.52]1 study · 40 participantsUngraded

ITI SLA titanium screws vs Southern blasted/etched titanium screws

Population: Adults with missing teeth who received osseointegrated root-formed dental implants, functionally loaded and followed for at least 1 year
CD003815.PUB4 (current) · 2 questions
OutcomeEffectEvidenceStatus / GRADE
Implant failure
10 years
No failures at 10 years; risk ratio not estimable (Payne 2003, Table 4)1 study · 24 participantsUngraded
Marginal bone level change
1 to 10 years
MD -0.02 [-0.18, 0.14]1 study · 24 participantsUngraded

Steri-Oss acid-etched titanium screws vs Southern blasted/etched titanium screws

Population: Adults with missing teeth who received osseointegrated root-formed dental implants, functionally loaded and followed for at least 1 year
CD003815.PUB4 (current) · 1 question
OutcomeEffectEvidenceStatus / GRADE
Implant failure
1 to 10 years
RR 0.14 [0.02, 1.08]2 studies · 48 participantsUngraded

Turned (smoother) implant surfaces vs Roughened implant surfaces

Population: Adults with missing teeth who received osseointegrated root-formed dental implants, functionally loaded and followed for at least 1 year
CD003815.PUB4 (current) · 2 questions
OutcomeEffectEvidenceStatus / GRADE
Early implant failure
before prosthetic loading · turned vs roughened surfaces
RR 2.79 [0.87, 8.90]
50 per 1000 vs 140 per 1000
7 studies · 404 participantsLow
Downgraded: risk of bias, imprecision
Peri-implantitis
3 years · turned vs roughened surfaces
RR 0.80 [0.67, 0.96]
50 per 1000 vs 40 per 1000
4 studies · 144 participantsLow
Downgraded: risk of bias, imprecision

Branemark Mark IV TiUnite titanium screws vs Southern regular titanium screws

Population: Adults with missing teeth who received osseointegrated root-formed dental implants, functionally loaded and followed for at least 1 year
CD003815.PUB4 (current) · 1 question
OutcomeEffectEvidenceStatus / GRADE
Implant failure
1 year
RR 0.57 [0.20, 1.63]1 study · 38 participantsUngraded

Branemark Mark III turned titanium implants vs Branemark Mark III TiUnite oxidised implants

Population: Adults with missing teeth who received osseointegrated root-formed dental implants, functionally loaded and followed for at least 1 year
CD003815.PUB4 (current) · 1 question
OutcomeEffectEvidenceStatus / GRADE
Implant failure
1 year
No failures (Froberg 2006, Table 1); risk ratio not estimable1 study · 15 participantsUngraded

Branemark Mark IV turned titanium implants vs Branemark Mark IV TiUnite oxidised implants

Population: Adults with missing teeth who received osseointegrated root-formed dental implants, functionally loaded and followed for at least 1 year
CD003815.PUB4 (current) · 2 questions
OutcomeEffectEvidenceStatus / GRADE
Implant failure
1 year
RR 0.33 [0.82, 7.32]1 study · 20 participantsUngraded
Marginal bone level change
1 to 3 years
MD 0.11 [-0.38, 0.60]1 study · 20 participantsUngraded

ITI SLA cylindrical implants vs ITI SLA tapered implants

Population: Adults with missing teeth who received osseointegrated root-formed dental implants, functionally loaded and followed for at least 1 year
CD003815.PUB4 (current) · 1 question
OutcomeEffectEvidenceStatus / GRADE
Implant failure
1 year
No failures (Lang 2007, Table 2); risk ratio not estimable1 study · 208 participantsUngraded

Astra cylindrical turned surface implants vs Astra cylindrical TiO2-blasted surface implants

Population: Adults with missing teeth who received osseointegrated root-formed dental implants, functionally loaded and followed for at least 1 year
CD003815.PUB4 (current) · 1 question
OutcomeEffectEvidenceStatus / GRADE
Implant failure
5 years
Primary pairwise data unusable (implant numbers per surface not disclosed); one turned implant failed early. Data used only for the turned-vs-roughened secondary analysis (Wennstrom 2004)1 study · 51 participantsUngraded

ITI SLA standard (regular neck) implants vs ITI SLActive implants

Population: Adults with missing teeth who received osseointegrated root-formed dental implants, functionally loaded and followed for at least 1 year
CD003815.PUB4 (current) · 1 question
OutcomeEffectEvidenceStatus / GRADE
Implant failure
1 year
RR 5.00 [0.26, 98.00]1 study · 40 participantsUngraded

MegaGen EZ Plus blasted standard implants vs MegaGen EZ Plus calcium-incorporated (Xpeed) implants

Population: Adults with missing teeth who received osseointegrated root-formed dental implants, functionally loaded and followed for at least 1 year
CD003815.PUB4 (current) · 2 questions
OutcomeEffectEvidenceStatus / GRADE
Marginal bone level change
1 year
MD 0.04 [-0.13, 0.21]1 study · 60 participantsUngraded
Implant failure
1 year
No failures; risk ratio not estimable (Esposito 2012)1 study · 60 participantsUngraded

SPI Element sand-blasted acid-etched standard implants vs SPI Element SurfLink-modified implants

Population: Adults with missing teeth who received osseointegrated root-formed dental implants, functionally loaded and followed for at least 1 year
CD003815.PUB4 (current) · 2 questions
OutcomeEffectEvidenceStatus / GRADE
Marginal bone level change
1 year
MD 0.27 [-0.01, 0.55]1 study · 42 participantsUngraded
Implant failure
1 year
No failures; risk ratio not estimable (Esposito 2013a)1 study · 23 participantsUngraded

Astra TiO2-blast cylindrical implants vs Astra TiO2-blast conical (tapered, microthreaded) implants

Population: Adults with missing teeth who received osseointegrated root-formed dental implants, functionally loaded and followed for at least 1 year
CD003815.PUB4 (current) · 1 question
OutcomeEffectEvidenceStatus / GRADE
Implant failure
3 years
No failures; risk ratio not estimable (Lee 2007)1 study · 34 participantsUngraded

Implantium microthreads at the coronal top vs Implantium microthreads 0.5 mm below the top

Population: Adults with missing teeth who received osseointegrated root-formed dental implants, functionally loaded and followed for at least 1 year
CD003815.PUB4 (current) · 1 question
OutcomeEffectEvidenceStatus / GRADE
Implant failure
1 year
No failures; risk ratio not estimable (Song 2009)1 study · 20 participantsUngraded

NobelActive external connection implants vs NobelActive internal connection implants

Population: Adults with missing teeth who received osseointegrated root-formed dental implants, functionally loaded and followed for at least 1 year
CD003815.PUB4 (current) · 2 questions
OutcomeEffectEvidenceStatus / GRADE
Marginal bone level change
1 year
MD 0.30 [-0.17, 0.77]1 study · 97 participantsUngraded
Implant failure
1 to 3 years
RR 1.06 [0.25, 4.51]1 study · 113 participantsUngraded

NobelActive external connection implants vs NobelReplace implants

Population: Adults with missing teeth who received osseointegrated root-formed dental implants, functionally loaded and followed for at least 1 year
CD003815.PUB4 (current) · 2 questions
OutcomeEffectEvidenceStatus / GRADE
Implant failure
1 to 3 years
RR 0.67 [0.17, 2.67]1 study · 106 participantsUngraded
Marginal bone level change
1 year
MD 0.00 [-0.41, 0.41]1 study · 88 participantsUngraded

NobelActive internal connection implants vs NobelReplace implants

Population: Adults with missing teeth who received osseointegrated root-formed dental implants, functionally loaded and followed for at least 1 year
CD003815.PUB4 (current) · 2 questions
OutcomeEffectEvidenceStatus / GRADE
Marginal bone level change
1 year
MD 0.30 [-0.17, 0.77]1 study · 97 participantsUngraded
Implant failure
1 to 3 years
RR 0.90 [0.25, 3.15]1 study · 106 participantsUngraded

NobelActive internal connection implants vs Nobel Speedy Groovy external connection implants

Population: Adults with missing teeth who received osseointegrated root-formed dental implants, functionally loaded and followed for at least 1 year
CD003815.PUB4 (current) · 2 questions
OutcomeEffectEvidenceStatus / GRADE
Implant failure
1 year
No failures; risk ratio not estimable (Pozzi 2014)1 study · 34 participantsUngraded
Marginal bone level change
1 year
MD -0.59 [-0.74, -0.44]1 study · 34 participantsUngraded

WINSIX cylindrical implants vs WINSIX tapered implants

Population: Adults with missing teeth who received osseointegrated root-formed dental implants, functionally loaded and followed for at least 1 year
CD003815.PUB4 (current) · 1 question
OutcomeEffectEvidenceStatus / GRADE
Implant failure
1 to 2 years
RR 2.00 [0.38, 10.58]1 study · 132 participantsUngraded

ITI SLActive titanium grade 4 implants vs ITI SLActive titanium-13zirconium (Roxolid) implants

Population: Adults with missing teeth who received osseointegrated root-formed dental implants, functionally loaded and followed for at least 1 year
CD003815.PUB4 (current) · 1 question
OutcomeEffectEvidenceStatus / GRADE
Implant failure
1 year
RR 2.00 [0.18, 21.66]1 study · 178 participantsUngraded

Ankylos Plus (Dentsply) implants vs Seven (Sweden & Martina) implants

Population: Adults with missing teeth who received osseointegrated root-formed dental implants, functionally loaded and followed for at least 1 year
CD003815.PUB4 (current) · 2 questions
OutcomeEffectEvidenceStatus / GRADE
Marginal bone level change
1 year
MD 0.03 [-0.29, 0.35]1 study · 48 participantsUngraded
Implant failure
1 year
No failures; risk ratio not estimable (Crespi 2009)1 study · 48 participantsUngraded

Astra TiO2-blast titanium implants vs ITI SLA titanium implants

Population: Adults with missing teeth who received osseointegrated root-formed dental implants, functionally loaded and followed for at least 1 year
CD003815.PUB4 (current) · 1 question
OutcomeEffectEvidenceStatus / GRADE
Implant failure
5 years
No failures; risk ratio not estimable (Akoglu 2011)1 studyUngraded

Astra TiO2-blast titanium implants vs SwissPlus (Zimmer) cylindrical implants

Population: Adults with missing teeth who received osseointegrated root-formed dental implants, functionally loaded and followed for at least 1 year
CD003815.PUB4 (current) · 1 question
OutcomeEffectEvidenceStatus / GRADE
Implant failure
5 years
No failures; risk ratio not estimable (Akoglu 2011)1 studyUngraded

ITI SLA titanium implants vs SwissPlus (Zimmer) cylindrical implants

Population: Adults with missing teeth who received osseointegrated root-formed dental implants, functionally loaded and followed for at least 1 year
CD003815.PUB4 (current) · 1 question
OutcomeEffectEvidenceStatus / GRADE
Implant failure
5 years
No failures at 5 years; risk ratio not estimable (Akoglu 2011)1 studyUngraded

NobelReplace Select Tapered implants vs NobelReplace Groovy implants

Population: Adults with missing teeth who received osseointegrated root-formed dental implants, functionally loaded and followed for at least 1 year
CD003815.PUB4 (current) · 2 questions
OutcomeEffectEvidenceStatus / GRADE
Marginal bone level change
1 year
MD 0.29 [-0.06, 0.64]1 study · 62 participantsUngraded
Implant failure
1 year
RR 3.00 [0.13, 70.92]1 study · 62 participantsUngraded

Southern regular implants vs Neoss turned implants

Population: Adults with missing teeth who received osseointegrated root-formed dental implants, functionally loaded and followed for at least 1 year
CD003815.PUB4 (current) · 1 question
OutcomeEffectEvidenceStatus / GRADE
Implant failure
1 year
RR 3.25 [0.15, 72.36]1 study · 23 participantsUngraded

Southern wide implants vs Neoss turned implants

Population: Adults with missing teeth who received osseointegrated root-formed dental implants, functionally loaded and followed for at least 1 year
CD003815.PUB4 (current) · 1 question
OutcomeEffectEvidenceStatus / GRADE
Implant failure
1 year
No failures; risk ratio not estimable (Alsabeeha 2011)1 studyUngraded

Southern regular implants vs Southern wide implants

Population: Adults with missing teeth who received osseointegrated root-formed dental implants, functionally loaded and followed for at least 1 year
CD003815.PUB4 (current) · 1 question
OutcomeEffectEvidenceStatus / GRADE
Implant failure
1 year
RR 3.25 [0.15, 72.36]1 study · 23 participantsUngraded

Astra TiO2-blasted titanium screws vs Branemark turned titanium screws

Population: Adults with missing teeth who received osseointegrated root-formed oral implants, functionally loaded and followed for at least 1 year
CD003815.PUB3 · 2 questions
OutcomeEffectEvidenceStatus / GRADE
Implant failure
1 to 5 years
RR 0.25 [0.03, 2.12]1 study · 66 participantsUngraded
Marginal bone level change
1 to 3 years
MD -0.09 [-0.33, 0.15]1 study · 65 participantsUngraded

Astra TiO2-blasted titanium screws vs ITI TPS hollow titanium screws and cylinders

Population: Adults with missing teeth who received osseointegrated root-formed oral implants, functionally loaded and followed for at least 1 year
CD003815.PUB3 · 2 questions
OutcomeEffectEvidenceStatus / GRADE
Implant failure
1 year
RR 3.63 [0.15, 88.57]1 study · 82 participantsUngraded
Marginal bone level change
1 year
MD 0.02 [-0.02, 0.06]1 study · 82 participantsUngraded

Branemark Mark II standard titanium screws vs Branemark conical transmucosal titanium screws

Population: Adults with missing teeth who received osseointegrated root-formed oral implants, functionally loaded and followed for at least 1 year
CD003815.PUB3 · 1 question
OutcomeEffectEvidenceStatus / GRADE
Implant failure
1 to 2 years
No failures in either group; risk ratio not estimable (Gatti 2002)1 study · 10 participantsUngraded

Branemark turned titanium screws vs IMZ TPS titanium cylinders

Population: Adults with missing teeth who received osseointegrated root-formed oral implants, functionally loaded and followed for at least 1 year
CD003815.PUB3 · 2 questions
OutcomeEffectEvidenceStatus / GRADE
Marginal bone level change
1 to 5 years
MD -0.60 [-1.10, -0.10]1 study · 59 participantsUngraded
Implant failure
1 to 5 years
RR 1.00 [0.06, 15.55]1 study · 60 participantsUngraded

Branemark Mark II turned titanium screws vs ITI TPS hollow titanium screws

Population: Adults with missing teeth who received osseointegrated root-formed oral implants, functionally loaded and followed for at least 1 year
CD003815.PUB3 · 2 questions
OutcomeEffectEvidenceStatus / GRADE
Marginal bone level change
1 to 5 years
MD -0.10 [-0.44, 0.24]1 study · 58 participantsUngraded
Implant failure
1 to 5 years
RR 2.95 [0.31, 28.24]2 studies · 99 participantsUngraded

Branemark Mark II turned titanium screws vs ITI TPS solid titanium screws

Population: Adults with missing teeth who received osseointegrated root-formed oral implants, functionally loaded and followed for at least 1 year
CD003815.PUB3 · 2 questions
OutcomeEffectEvidenceStatus / GRADE
Implant failure
1 to 3 years
RR 1.04 [0.91, 1.18]1 study · 56 participantsUngraded
Marginal bone level change
1 year
MD 0.05 [-0.20, 0.30]1 study · 56 participantsUngraded

IMZ TPS titanium cylinders vs ITI TPS hollow titanium screws

Population: Adults with missing teeth who received osseointegrated root-formed oral implants, functionally loaded and followed for at least 1 year
CD003815.PUB3 · 2 questions
OutcomeEffectEvidenceStatus / GRADE
Implant failure
1 to 5 years
RR 2.90 [0.12, 69.40]1 study · 59 participantsUngraded
Marginal bone level change
1 year
MD 0.50 [0.01, 0.99]1 study · 59 participantsUngraded

IMZ TPS titanium cylinders vs ITI TPS solid titanium screws

Population: Adults with missing teeth who received osseointegrated root-formed oral implants, functionally loaded and followed for at least 1 year
CD003815.PUB3 · 2 questions
OutcomeEffectEvidenceStatus / GRADE
Implant failure
1 to 5 years
RR 3.00 [0.13, 71.79]1 study · 40 participantsUngraded
Marginal bone level change
3 to 5 years
MD 0.30 [-0.32, 0.92]1 study · 57 participantsUngraded

ITI SLA titanium screws vs Southern blasted/etched titanium screws

Population: Adults with missing teeth who received osseointegrated root-formed oral implants, functionally loaded and followed for at least 1 year
CD003815.PUB3 · 2 questions
OutcomeEffectEvidenceStatus / GRADE
Implant failure
1 to 3 years
No implant failed; risk ratio not estimable (Payne 2003)1 study · 21 participantsUngraded
Marginal bone level change
1 to 3 years
MD -0.03 [-0.18, 0.12]1 study · 23 participantsUngraded

Steri-Oss acid-etched titanium screws vs Southern blasted/etched titanium screws

Population: Adults with missing teeth who received osseointegrated root-formed oral implants, functionally loaded and followed for at least 1 year
CD003815.PUB3 · 2 questions
OutcomeEffectEvidenceStatus / GRADE
Implant failure
1 to 5 years
RR 6.25 [0.77, 50.72]2 studies · 48 participantsUngraded
Marginal bone level change
1 to 5 years
MD -0.05 [-0.20, 0.10]2 studies · 42 participantsUngraded

Turned (smoother) implant surfaces vs Roughened implant surfaces

Population: Adults with missing teeth who received osseointegrated root-formed oral implants, functionally loaded and followed for at least 1 year
CD003815.PUB3 · 2 questions
OutcomeEffectEvidenceStatus / GRADE
Peri-implantitis
3 years · turned vs roughened surfaces
RR 0.80 [0.67, 0.96]3 studies · 155 participantsUngraded
Early implant failure
before prosthetic loading · turned vs roughened surfaces
RR 3.06 [0.69, 13.55]3 studies · 196 participantsUngraded

Branemark standard titanium screws vs Branemark Mark IV prototype titanium screws

Population: Adults with missing teeth who received osseointegrated root-formed oral implants, functionally loaded and followed for at least 1 year
CD003815.PUB3 · 2 questions
OutcomeEffectEvidenceStatus / GRADE
Implant failure
1 year
RR 1.67 [0.41, 6.83]1 study · 76 participantsUngraded
Marginal bone level change
1 year
MD 0.02 [-2.31, 2.35]1 study · 56 participantsUngraded

Branemark Mark IV TiUnite titanium screws vs Southern regular titanium screws

Population: Adults with missing teeth who received osseointegrated root-formed oral implants, functionally loaded and followed for at least 1 year
CD003815.PUB3 · 1 question
OutcomeEffectEvidenceStatus / GRADE
Implant failure
1 year
RR 0.57 [0.20, 1.63]1 study · 38 participantsUngraded

Branemark Mark III turned titanium implants vs Branemark Mark III TiUnite oxidised implants

Population: Adults with missing teeth who received osseointegrated root-formed oral implants, functionally loaded and followed for at least 1 year
CD003815.PUB3 · 1 question
OutcomeEffectEvidenceStatus / GRADE
Implant failure
1 year
No withdrawals or failures; risk ratio not estimable (Froberg 2006)1 study · 15 participantsUngraded

Branemark Mark IV turned titanium implants vs Branemark Mark IV TiUnite oxidised implants

Population: Adults with missing teeth who received osseointegrated root-formed oral implants, functionally loaded and followed for at least 1 year
CD003815.PUB3 · 2 questions
OutcomeEffectEvidenceStatus / GRADE
Implant failure
1 year
One turned-surface implant failed; no statistically significant difference (data not shown) (Schincaglia 2007)1 study · 10 participantsUngraded
Marginal bone level change
1 year
MD 0.11 [-0.38, 0.60]1 study · 20 participantsUngraded

3i full Osseotite surface implants vs 3i dual Osseotite surface implants

Population: Adults with missing teeth who received osseointegrated root-formed oral implants, functionally loaded and followed for at least 1 year
CD003815.PUB3 · 2 questions
OutcomeEffectEvidenceStatus / GRADE
Implant failure
1 year
Failure data not used (prosthesis could not be removed to assess individual implant stability); 4/17 full and 2/18 dual Osseotite implants failed (Stavropoulos 2007)1 study · 26 participantsUngraded
Marginal bone level change
1 year
MD -0.04 [-0.71, 0.63]1 study · 20 participantsUngraded

ITI SLA cylindrical implants vs ITI SLA tapered implants

Population: Adults with missing teeth who received osseointegrated root-formed oral implants, functionally loaded and followed for at least 1 year
CD003815.PUB3 · 1 question
OutcomeEffectEvidenceStatus / GRADE
Implant failure
1 year
No withdrawals or failures; risk ratio not estimable (Lang 2007)1 study · 208 participantsUngraded

Implants differing only in material (same surface and shape) vs Implants differing only in material (same surface and shape)

Population: Adults with missing teeth who received osseointegrated root-formed oral implants, functionally loaded and followed for at least 1 year
CD003815.PUB3 · 1 question
OutcomeEffectEvidenceStatus / GRADE
Outcome NR
Primary objective 3: 'No trials were included' comparing implants made of different materials0 studiesNo studies

Astra TiO2-blasted titanium screws vs Branemark turned titanium screws

Population: Adults with missing teeth who received osseointegrated root-formed oral implants, functionally loaded and followed for at least 1 year
CD003815.PUB2 · 2 questions
OutcomeEffectEvidenceStatus / GRADE
Marginal bone level change
1 to 3 years
MD -0.09 [-0.33, 0.15]1 study · 65 participantsUngraded
Implant failure
1 to 5 years
RR 0.25 [0.03, 2.12]1 study · 66 participantsUngraded

Astra TiO2-blasted titanium screws vs ITI TPS hollow titanium screws and cylinders

Population: Adults with missing teeth who received osseointegrated root-formed oral implants, functionally loaded and followed for at least 1 year
CD003815.PUB2 · 2 questions
OutcomeEffectEvidenceStatus / GRADE
Marginal bone level change
1 year
MD 0.02 [-0.02, 0.06]1 study · 82 participantsUngraded
Implant failure
1 year
RR 3.63 [0.15, 88.57]1 study · 82 participantsUngraded

Branemark Mark II standard titanium screws vs Branemark conical transmucosal titanium screws

Population: Adults with missing teeth who received osseointegrated root-formed oral implants, functionally loaded and followed for at least 1 year
CD003815.PUB2 · 1 question
OutcomeEffectEvidenceStatus / GRADE
Implant failure
1 to 2 years
No failures in either group; risk ratio not estimable (Gatti 2002)1 study · 10 participantsUngraded

Branemark turned titanium screws vs IMZ TPS titanium cylinders

Population: Adults with missing teeth who received osseointegrated root-formed oral implants, functionally loaded and followed for at least 1 year
CD003815.PUB2 · 2 questions
OutcomeEffectEvidenceStatus / GRADE
Marginal bone level change
1 to 5 years
MD -0.60 [-1.10, -0.10]1 study · 59 participantsUngraded
Implant failure
1 to 5 years
RR 1.00 [0.06, 15.55]1 study · 60 participantsUngraded

Branemark Mark II turned titanium screws vs ITI TPS hollow titanium screws

Population: Adults with missing teeth who received osseointegrated root-formed oral implants, functionally loaded and followed for at least 1 year
CD003815.PUB2 · 2 questions
OutcomeEffectEvidenceStatus / GRADE
Implant failure
1 to 5 years
RR 2.95 [0.31, 28.24]2 studies · 99 participantsUngraded
Marginal bone level change
1 to 5 years
MD -0.10 [-0.44, 0.24]1 study · 58 participantsUngraded

Branemark Mark II turned titanium screws vs ITI TPS solid titanium screws

Population: Adults with missing teeth who received osseointegrated root-formed oral implants, functionally loaded and followed for at least 1 year
CD003815.PUB2 · 2 questions
OutcomeEffectEvidenceStatus / GRADE
Marginal bone level change
1 year
MD 0.05 [-0.20, 0.30]1 study · 56 participantsUngraded
Implant failure
1 to 3 years
RR 1.04 [0.91, 1.18]1 study · 56 participantsUngraded

IMZ TPS titanium cylinders vs ITI TPS hollow titanium screws

Population: Adults with missing teeth who received osseointegrated root-formed oral implants, functionally loaded and followed for at least 1 year
CD003815.PUB2 · 2 questions
OutcomeEffectEvidenceStatus / GRADE
Marginal bone level change
1 year
MD 0.50 [0.01, 0.99]1 study · 59 participantsUngraded
Implant failure
1 to 5 years
RR 2.90 [0.12, 69.40]1 study · 59 participantsUngraded

IMZ TPS titanium cylinders vs ITI TPS solid titanium screws

Population: Adults with missing teeth who received osseointegrated root-formed oral implants, functionally loaded and followed for at least 1 year
CD003815.PUB2 · 2 questions
OutcomeEffectEvidenceStatus / GRADE
Implant failure
1 to 5 years
RR 3.00 [0.13, 71.79]1 study · 40 participantsUngraded
Marginal bone level change
3 to 5 years
MD 0.30 [-0.32, 0.92]1 study · 57 participantsUngraded

ITI SLA titanium screws vs Southern blasted/etched titanium screws

Population: Adults with missing teeth who received osseointegrated root-formed oral implants, functionally loaded and followed for at least 1 year
CD003815.PUB2 · 2 questions
OutcomeEffectEvidenceStatus / GRADE
Marginal bone level change
1 to 3 years
MD -0.03 [-0.18, 0.12]1 study · 23 participantsUngraded
Implant failure
1 to 3 years
No implant failed; risk ratio not estimable at 1 and 3 years (Payne 2003)1 study · 21 participantsUngraded

Steri-Oss acid-etched titanium screws vs Southern blasted/etched titanium screws

Population: Adults with missing teeth who received osseointegrated root-formed oral implants, functionally loaded and followed for at least 1 year
CD003815.PUB2 · 2 questions
OutcomeEffectEvidenceStatus / GRADE
Implant failure
1 to 5 years
RR 6.25 [0.77, 50.72]2 studies · 48 participantsUngraded
Marginal bone level change
1 to 5 years
MD -0.05 [-0.20, 0.10]2 studies · 42 participantsUngraded

Turned (smoother) implant surfaces vs Roughened implant surfaces

Population: Adults with missing teeth who received osseointegrated root-formed oral implants, functionally loaded and followed for at least 1 year
CD003815.PUB2 · 2 questions
OutcomeEffectEvidenceStatus / GRADE
Peri-implantitis
3 years · turned vs roughened surfaces
RR 0.80 [0.67, 0.96]3 studies · 155 participantsUngraded
Early implant failure
before prosthetic loading · turned vs roughened surfaces
RR 3.05 [0.79, 11.73]4 studies · 252 participantsUngraded

Branemark standard titanium screws vs Branemark Mark IV prototype titanium screws

Population: Adults with missing teeth who received osseointegrated root-formed oral implants, functionally loaded and followed for at least 1 year
CD003815.PUB2 · 2 questions
OutcomeEffectEvidenceStatus / GRADE
Marginal bone level change
1 year
MD 0.02 [-2.31, 2.35]1 study · 56 participantsUngraded
Implant failure
1 year
RR 1.67 [0.41, 6.83]1 study · 76 participantsUngraded

Branemark Mark IV TiUnite titanium screws vs Southern regular titanium screws

Population: Adults with missing teeth who received osseointegrated root-formed oral implants, functionally loaded and followed for at least 1 year
CD003815.PUB2 · 1 question
OutcomeEffectEvidenceStatus / GRADE
Implant failure
1 year
RR 0.57 [0.20, 1.63]1 study · 38 participantsUngraded

Implants differing only in surface preparation (same shape and material) vs Implants differing only in surface preparation (same shape and material)

Population: Adults with missing teeth who received osseointegrated root-formed oral implants, functionally loaded and followed for at least 1 year
CD003815.PUB2 · 1 question
OutcomeEffectEvidenceStatus / GRADE
Outcome NR
Primary objective 1: 'No trial was included' comparing implants differing only in surface preparation0 studiesNo studies

Implants differing only in material (same surface and shape) vs Implants differing only in material (same surface and shape)

Population: Adults with missing teeth who received osseointegrated root-formed oral implants, functionally loaded and followed for at least 1 year
CD003815.PUB2 · 1 question
OutcomeEffectEvidenceStatus / GRADE
Outcome NR
Primary objective 3: 'No trials were included' comparing implants made of different materials0 studiesNo studies

Astra TiO2-blasted titanium screws vs Branemark turned titanium screws

Population: Adults with missing teeth who received osseointegrated root-formed oral implants, functionally loaded and followed for at least 1 year
CD003815 · 2 questions
OutcomeEffectEvidenceStatus / GRADE
Marginal bone level change
1 year
MD -0.09 [-0.33, 0.15]1 study · 65 participantsUngraded
Implant failure
1 year
RR 0.25 [0.03, 2.12]1 study · 66 participantsUngraded

Astra TiO2-blasted titanium screws vs ITI TPS hollow titanium screws and cylinders

Population: Adults with missing teeth who received osseointegrated root-formed oral implants, functionally loaded and followed for at least 1 year
CD003815 · 2 questions
OutcomeEffectEvidenceStatus / GRADE
Implant failure
1 year
RR 3.63 [0.15, 86.60]1 study · 82 participantsUngraded
Marginal bone level change
1 year
MD -0.02 [-0.06, 0.02]1 study · 82 participantsUngraded

Branemark Mark II standard titanium screws vs Branemark conical transmucosal titanium screws

Population: Adults with missing teeth who received osseointegrated root-formed oral implants, functionally loaded and followed for at least 1 year
CD003815 · 1 question
OutcomeEffectEvidenceStatus / GRADE
Implant failure
1 to 2 years
No failures in either group; risk ratio not estimable (Gatti 2002)1 study · 10 participantsUngraded

Branemark turned titanium screws vs IMZ TPS titanium cylinders

Population: Adults with missing teeth who received osseointegrated root-formed oral implants, functionally loaded and followed for at least 1 year
CD003815 · 1 question
OutcomeEffectEvidenceStatus / GRADE
Implant failure
1 year
RR 0.97 [0.06, 14.74]1 study · 59 participantsUngraded

Branemark Mark II turned titanium screws vs ITI TPS hollow titanium screws

Population: Adults with missing teeth who received osseointegrated root-formed oral implants, functionally loaded and followed for at least 1 year
CD003815 · 1 question
OutcomeEffectEvidenceStatus / GRADE
Implant failure
1 year
RR 2.95 [0.32, 27.41]2 studies · 99 participantsUngraded

Branemark Mark II turned titanium screws vs ITI TPS solid titanium screws

Population: Adults with missing teeth who received osseointegrated root-formed oral implants, functionally loaded and followed for at least 1 year
CD003815 · 2 questions
OutcomeEffectEvidenceStatus / GRADE
Implant failure
3 years
Failures not recorded by individual implant stability; risk ratio not estimable. 2 Branemark early failures and 1 ITI peri-implantitis reported (Astrand 2002)1 study · 28 participantsUngraded
Marginal bone level change
1 year
MD 0.05 [-0.20, 0.30]1 study · 28 participantsUngraded

IMZ TPS titanium cylinders vs ITI TPS hollow titanium screws

Population: Adults with missing teeth who received osseointegrated root-formed oral implants, functionally loaded and followed for at least 1 year
CD003815 · 1 question
OutcomeEffectEvidenceStatus / GRADE
Implant failure
1 year
RR 3.00 [0.13, 70.74]1 study · 58 participantsUngraded

IMZ TPS titanium cylinders vs ITI TPS solid titanium screws

Population: Adults with missing teeth who received osseointegrated root-formed oral implants, functionally loaded and followed for at least 1 year
CD003815 · 1 question
OutcomeEffectEvidenceStatus / GRADE
Implant failure
1 year
RR 3.00 [0.13, 69.52]1 study · 40 participantsUngraded

ITI SLA titanium screws vs Southern blasted/etched titanium screws

Population: Adults with missing teeth who received osseointegrated root-formed oral implants, functionally loaded and followed for at least 1 year
CD003815 · 2 questions
OutcomeEffectEvidenceStatus / GRADE
Marginal bone level change
1 year
MD -0.03 [-0.18, 0.12]1 study · 23 participantsUngraded
Implant failure
1 year
No implant failed in either group; risk ratio not estimable (Payne 2003)1 study · 23 participantsUngraded

Steri-Oss acid-etched titanium screws vs Southern blasted/etched titanium screws

Population: Adults with missing teeth who received osseointegrated root-formed oral implants, functionally loaded and followed for at least 1 year
CD003815 · 2 questions
OutcomeEffectEvidenceStatus / GRADE
Implant failure
1 year
RR 6.16 [0.77, 49.10]2 studies · 48 participantsUngraded
Marginal bone level change
1 year
MD 0.00 [-0.14, 0.14]2 studies · 42 participantsUngraded

Turned (smoother) implant surfaces vs Roughened implant surfaces

Population: Adults with missing teeth who received osseointegrated root-formed oral implants, functionally loaded and followed for at least 1 year
CD003815 · 2 questions
OutcomeEffectEvidenceStatus / GRADE
Peri-implantitis
3 years · turned vs roughened surfaces
RR 0.27 [0.05, 1.57]2 studies · 103 participantsUngraded
Early implant failure
before prosthetic loading · turned vs roughened surfaces
RR 3.05 [0.80, 11.69]4 studies · 252 participantsUngraded

Implants differing only in surface preparation (same shape and material) vs Implants differing only in surface preparation (same shape and material)

Population: Adults with missing teeth who received osseointegrated root-formed oral implants, functionally loaded and followed for at least 1 year
CD003815 · 1 question
OutcomeEffectEvidenceStatus / GRADE
Outcome NR
Primary objective 1: 'No trial was included' comparing implants differing only in surface preparation0 studiesNo studies

Implants differing only in material (same surface and shape) vs Implants differing only in material (same surface and shape)

Population: Adults with missing teeth who received osseointegrated root-formed oral implants, functionally loaded and followed for at least 1 year
CD003815 · 1 question
OutcomeEffectEvidenceStatus / GRADE
Outcome NR
Primary objective 3: 'No trials were included' comparing implants made of different materials0 studiesNo studies