Non-Cochrane · intervention · PM42345594
Survival Rate and Biological Complications of Screw-Retained Ceramic-Veneered Implant-Supported Fixed Dental Prostheses: A Systematic Review and Meta-Analysis.
Sheykhian Mojtaba, Garjan Javad Hayati, Sharifi Ali, et al. · BioMed research international · 2026 · PubMed · doi:10.1155/bmri/5326872
Findings
5 findings
| Population | ||||
|---|---|---|---|---|
| Patients missing more than two teeth in the upper jaw, lower jaw or both jaws | Screw-retained ceramic-veneered implant-supported fixed dental prostheses (single-arm) | Not applicable (no comparator) | Survival rate Follow-up 3 to 12 years | Pooled proportion 0.97 [0.92, 1.02] GRADE not reported 7 studies · 694 participants |
| Patients missing more than two teeth in the upper jaw, lower jaw or both jaws | Screw-retained ceramic-veneered implant-supported fixed dental prostheses (single-arm) | Not applicable (no comparator) | Complication rate Follow-up 3 to 12 years | Pooled proportion 0.13 [0.08, 0.18] GRADE not reported 7 studies · 694 participants |
| Patients missing more than two teeth in the upper jaw, lower jaw or both, treated with implant-supported fixed dental prostheses | Screw-retained ceramic-veneered implant-supported fixed dental prostheses (ISFDPs) | Not applicable (single-arm pooled proportions) | Survival rate of prostheses Follow-up 3 to 12 years, varying across studies · Clinical · Sensitivity analysis: excluding the two moderate-risk-of-bias studies (Diéguez-Pereira 2020, Wittneben 2014) Unresolved: the two extractors disagree on this row. | The pooled survival and complication rates remained stable, with no significant changes observed GRADE not reported 5 studies |
| Patients missing more than two teeth in the upper jaw, lower jaw or both, treated with implant-supported fixed dental prostheses | Screw-retained ceramic-veneered implant-supported fixed dental prostheses (ISFDPs) | Not applicable (single-arm pooled proportions) | Complication rate Follow-up 3 to 12 years, varying across studies · Clinical · Sensitivity analysis: excluding the two moderate-risk-of-bias studies (Diéguez-Pereira 2020, Wittneben 2014) Unresolved: the two extractors disagree on this row. | The pooled survival and complication rates remained stable, with no significant changes observed GRADE not reported 5 studies |
| Patients missing more than two teeth in the upper jaw, lower jaw or both jaws | Screw-retained ceramic-veneered implant-supported fixed dental prostheses (single-arm) | Not applicable (no comparator) | Success rate Follow-up 3 to 12 years | Pooled proportion 0.82 [0.74, 0.90] GRADE not reported 7 studies · 694 participants |
Included primary studies 8
Open in Studies| Study | Year | Also included by | Outcomes it informs here | Trial data |
|---|---|---|---|---|
| De Angelis 2021 matched by author and year (probable) | NR | this review only | not stated | not extracted yet |
| De Angelis 2021 Technical and Biological Complications of Screw-Retained (CAD/CAM) Monolithic and Partial Veneer Zirconia for Fixed Dental Prostheses on… PMID:34307657 | 2021 | this review only | not stated | not extracted yet |
| Dieguez-Pereira 2020 Monolithic and Minimally Veneered Zirconia Complications as Implant-Supported Restorative Material: A Retrospective Clinical Study up to 5… PMID:33134389 | 2020 | this review only | not stated | not extracted yet |
| Pontevedra 2022 Randomized clinical trial comparing monolithic and veneered zirconia three-unit posterior fixed partial dentures in a complete digital… PMID:35142924 | 2022 | this review only | not stated | not extracted yet |
| Pontevedra 2024 Digital workflow for monolithic and veneered zirconia and metal-ceramic posterior fixed partial dentures: A five-year prospective… PMID:36990752 | 2024 | this review only | not stated | not extracted yet |
| Sola-Ruiz 2022 Clinical outcomes of veneered zirconia anterior partial fixed dental prostheses: A 12-year prospective clinical trial. PMID:33495043 | 2022 | this review only | not stated | not extracted yet |
| Wittneben 2014 Complication and failure rates with implant-supported fixed dental prostheses and single crowns: a 10-year retrospective study. PMID:23551688 | 2014 | this review only | not stated | not extracted yet |
| Zhang 2024 Screw-retained ceramic-veneered/monolithic zirconia partial implant-supported fixed dental prostheses: A 5 to 10-year retrospective study… PMID:37302066 | 2024 | this review only | not stated | not extracted yet |
Review question
| Element | Planned (methods) | Found (results) |
|---|---|---|
| Population | Patients missing more than two teeth in the upper jaw, lower jaw, or both | 694 patients, 663 ISFDPs on 1246 implants (n=7 studies) |
| Intervention | Screw-retained ceramic-veneered ISFDPs | Screw-retained ceramic-veneered ISFDPs: monolithic and veneered zirconia, metal-ceramic (n=7) |
| Comparison | Not applicable | Not applicable |
| Outcomes | Survival rate, success rate, complication rate | Survival rate (n=7); success rate (n=7); complication rate (n=7) |
| Study designs | RCTs or cohort studies; English only | Cohort studies: 6 retrospective, 1 prospective (n=7) |
| Timing | Not specified | Follow-up 3 to 12 years |
AMSTAR 2 items
Two independent extractors rated each item. Their ratings are shown side by side because they have not been reconciled yet. The overall rating follows Shea et al. 2017: one critical flaw gives Low, more than one gives Critically Low.
| Item | Extractor A | Extractor B | Agree |
|---|---|---|---|
| 1Research question includes PICO components | Yes | Yes | yes |
| 2Protocol established before the reviewcritical | No | No | yes |
| 3Choice of study designs explained | No | No | yes |
| 4Comprehensive literature searchcritical | Partial Yes | No | no |
| 5Study selection in duplicate | Yes | Yes | yes |
| 6Data extraction in duplicate | Yes | Yes | yes |
| 7List of excluded studies with reasonscritical | No | No | yes |
| 8Included studies described in detail | Partial Yes | Partial Yes | yes |
| 9Risk of bias assessed satisfactorilycritical | RCT: N/A · NRSI: Partial Yes | NRSI: Yes · RCT: N/A | no |
| 10Funding of included studies reported | No | No | yes |
| 11Appropriate meta-analysis methodscritical | RCT: N/A · NRSI: No | NRSI: Partial Yes · RCT: N/A | no |
| 12Impact of risk of bias on the pooled results | Yes | Yes | yes |
| 13Risk of bias accounted for in interpretationcritical | Yes | Yes | yes |
| 14Heterogeneity explained | Yes | Yes | yes |
| 15Publication bias investigatedcritical | No | No | yes |
| 16Conflicts of interest reported | Yes | Yes | yes |
| Overall | Critically Low | Critically Low | yes |