Patient-reported outcomes of zirconia dental implants: a systematic review and future directions
Abstract Purpose Zirconia dental implants show excellent biocompatibility and tissue integration, low affinity for plaque, and favorable biomechanical properties. However, these objective measures do not adequately replicate the patient’s perception. This systematic review evaluated the evidence on...
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| Format: | Article |
| Language: | English |
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SpringerOpen
2025-01-01
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| Series: | Journal of Patient-Reported Outcomes |
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| Online Access: | https://doi.org/10.1186/s41687-025-00839-8 |
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| author | Behrouz Arefnia Omid Fakheran Norbert Jakse Michael Payer |
| author_facet | Behrouz Arefnia Omid Fakheran Norbert Jakse Michael Payer |
| author_sort | Behrouz Arefnia |
| collection | DOAJ |
| description | Abstract Purpose Zirconia dental implants show excellent biocompatibility and tissue integration, low affinity for plaque, and favorable biomechanical properties. However, these objective measures do not adequately replicate the patient’s perception. This systematic review evaluated the evidence on patient-reported outcome (PROs) in zirconia dental implant treatment. Methods A systematic literature review was conducted following the PRISMA guidelines, utilizing six electronic databases, and supplemented by a manual search of relevant journals and websites to ensure a thorough and comprehensive screening process. The identified studies were subjected to preidentified inclusion criteria. Only controlled clinical trials published in English were considered without limitations on the year of publication. Data on the study characteristics (follow-up, survival rate (%), implant system, number of implants, and type of treatment), PROMs, level of evidence, and Methodological Index for Nonrandomized Studies (MINORS) Bias Score were extracted. Results The initial database and hand search yielded 596 articles; 189 were included in the title and abstract screening after excluding the duplicates. Eighteen articles were selected based on the inclusion criteria, among which six were excluded because they did not match the research question. Thus, the final selection comprised 12 articles. Most PROMs (aesthetics, speaking, comfort, chewing ability, and general satisfaction) at prosthetic delivery revealed significantly improved average scores than those at pretreatment. Conclusions Despite the respective limitations of the articles included in this systematic review, patients revealed high satisfaction levels with regard to zirconia dental implants. A high level of heterogeneity was observed among the instruments used for measuring the patient-reported outcomes in patients with zirconia implants, thus highlighting the need to develop specific PROMs in the future. |
| format | Article |
| id | doaj-art-5fbc13502225454e81c74f53e26b1fd9 |
| institution | Kabale University |
| issn | 2509-8020 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | Journal of Patient-Reported Outcomes |
| spelling | doaj-art-5fbc13502225454e81c74f53e26b1fd92025-01-19T12:25:37ZengSpringerOpenJournal of Patient-Reported Outcomes2509-80202025-01-019111010.1186/s41687-025-00839-8Patient-reported outcomes of zirconia dental implants: a systematic review and future directionsBehrouz Arefnia0Omid Fakheran1Norbert Jakse2Michael Payer3Division of Restorative Dentistry, Periodontology and Prosthodontics, Department of Dental Medicine and Oral Health, Medical University of GrazDivision of Oral Surgery and Orthodontics, Department of Dental Medicine and Oral Health, Medical University of GrazDivision of Oral Surgery and Orthodontics, Department of Dental Medicine and Oral Health, Medical University of GrazDivision of Oral Surgery and Orthodontics, Department of Dental Medicine and Oral Health, Medical University of GrazAbstract Purpose Zirconia dental implants show excellent biocompatibility and tissue integration, low affinity for plaque, and favorable biomechanical properties. However, these objective measures do not adequately replicate the patient’s perception. This systematic review evaluated the evidence on patient-reported outcome (PROs) in zirconia dental implant treatment. Methods A systematic literature review was conducted following the PRISMA guidelines, utilizing six electronic databases, and supplemented by a manual search of relevant journals and websites to ensure a thorough and comprehensive screening process. The identified studies were subjected to preidentified inclusion criteria. Only controlled clinical trials published in English were considered without limitations on the year of publication. Data on the study characteristics (follow-up, survival rate (%), implant system, number of implants, and type of treatment), PROMs, level of evidence, and Methodological Index for Nonrandomized Studies (MINORS) Bias Score were extracted. Results The initial database and hand search yielded 596 articles; 189 were included in the title and abstract screening after excluding the duplicates. Eighteen articles were selected based on the inclusion criteria, among which six were excluded because they did not match the research question. Thus, the final selection comprised 12 articles. Most PROMs (aesthetics, speaking, comfort, chewing ability, and general satisfaction) at prosthetic delivery revealed significantly improved average scores than those at pretreatment. Conclusions Despite the respective limitations of the articles included in this systematic review, patients revealed high satisfaction levels with regard to zirconia dental implants. A high level of heterogeneity was observed among the instruments used for measuring the patient-reported outcomes in patients with zirconia implants, thus highlighting the need to develop specific PROMs in the future.https://doi.org/10.1186/s41687-025-00839-8Dental implantsZirconiaPatient-reported outcome measuresSystematic review |
| spellingShingle | Behrouz Arefnia Omid Fakheran Norbert Jakse Michael Payer Patient-reported outcomes of zirconia dental implants: a systematic review and future directions Journal of Patient-Reported Outcomes Dental implants Zirconia Patient-reported outcome measures Systematic review |
| title | Patient-reported outcomes of zirconia dental implants: a systematic review and future directions |
| title_full | Patient-reported outcomes of zirconia dental implants: a systematic review and future directions |
| title_fullStr | Patient-reported outcomes of zirconia dental implants: a systematic review and future directions |
| title_full_unstemmed | Patient-reported outcomes of zirconia dental implants: a systematic review and future directions |
| title_short | Patient-reported outcomes of zirconia dental implants: a systematic review and future directions |
| title_sort | patient reported outcomes of zirconia dental implants a systematic review and future directions |
| topic | Dental implants Zirconia Patient-reported outcome measures Systematic review |
| url | https://doi.org/10.1186/s41687-025-00839-8 |
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