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Differences in Titanium, Titanium-Zirconium, Zirconia Implants Treatment Outcomes: a Systematic Literature Review and Meta-Analysis J Oral Maxillofac Res 2023;14(3):e1 doi:10.5037/jomr.2023.14301 Abstract | HTML | PDF | XML |
Differences in Titanium, Titanium-Zirconium, Zirconia Implants Treatment Outcomes: a Systematic Literature Review and Meta-Analysis
1Faculty of Odontology, Medical Academy, Lithuanian University of Health Sciences, Kaunas, Lithuania.
2Oral and Maxillofacial Rehabilitation Department and the Temporomandibular Joint Diseases Unit, Rambam Medical Center, Haifa, Israel.
Corresponding Author:
Haim Harari, 5824556, Holon
Israel
Phone: +972537175713
E-mail: eliezer0501@gmail.com
ABSTRACT
Objectives: The objective of this systematic review is to test the hypothesis that treatment with titanium, titanium-zirconium and zirconia dental implants has different clinical outcomes in survival rate, marginal bone loss, bleeding on probing, plaque control record, and probing depth.
Material and Methods: A systematic electronic search through the PubMed (MEDLINE) and Cochrane Library databases was performed to identify studies published between January 1, 2013 and January 1, 2023 containing a minimum of 10 patients per study comparing titanium (Ti), titanium-zirconium (Ti-Zr), and zirconia (Zr) dental implants. Ti, Ti-Zr, and Zr dental implant clinical outcomes were determined by evaluating survival rate, marginal bone level, bleeding on probing, probing depth, plaque control record. Quality and risk-of-bias assessment were evaluated by Cochrane risk of bias tool.
Results: A total of 1361 articles were screened, with 10 meeting the inclusion criteria and being utilized for this systematic review and meta-analysis. A total of 301 patients with 637 implants (304 Ti, 134 Ti-Zr, and 199 Zr) were evaluated, showing a survival rate of 97.7% for Ti, 98.6% for Ti-Zr, and 93.8% for Zr implants respectively. In a meta-analysis, no difference in marginal bone level was found between Ti, Ti-Zr, and Zr implants (P = 0.84).
Conclusions: Dental implant survival rate was lower in zirconia group. Assessment of marginal bone loss and bleeding on probing showed better results with titanium-zirconium dental implants. Plaque control result was similar in all groups. Due to limited sample size assessed it was not possible to obtain conclusion on probing depth parameter.
J Oral Maxillofac Res 2023;14(3):e1
doi: 10.5037/jomr.2023.14301
Accepted for publication: 25 August 2023
Keywords: dental implants; systematic review; titanium; zirconia.
To cite this article: Differences in Titanium, Titanium-Zirconium, Zirconia Implants Treatment Outcomes: a Systematic Literature Review J Oral Maxillofac Res 2023;14(3):e1 URL: http://www.ejomr.org/JOMR/archives/2023/3/e1/v14n3e1ht.htm |
Received: 25 August 2023 | Accepted: 29 September 2023 | Published: 30 September 2023
Copyright: © The Author(s). Published by JOMR under CC BY-NC-ND 3.0 licence, 2023.