{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T12:11:37Z","timestamp":1791807097757,"version":"4.3.4"},"reference-count":47,"publisher":"Elsevier BV","issue":"5","license":[{"start":{"date-parts":[[2025,11,1]],"date-time":"2025-11-01T00:00:00Z","timestamp":1761955200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2025,11,1]],"date-time":"2025-11-01T00:00:00Z","timestamp":1761955200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"funder":[{"DOI":"10.13039\/501100004586","name":"Carlos Chagas Filho Foundation for Research Support of Rio de Janeiro State","doi-asserted-by":"publisher","award":["200183\/23"],"award-info":[{"award-number":["200183\/23"]}],"id":[{"id":"10.13039\/501100004586","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.jp","prosdent.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["The Journal of Prosthetic Dentistry"],"published-print":{"date-parts":[[2025,11]]},"DOI":"10.1016\/j.prosdent.2025.07.020","type":"journal-article","created":{"date-parts":[[2025,8,7]],"date-time":"2025-08-07T20:43:25Z","timestamp":1754599405000},"page":"1631.e1-1631.e8","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":1,"title":["Clinical outcomes of zirconia implants supporting multi-unit and complete arch prostheses: A systematic review and meta-analysis"],"prefix":"10.1016","volume":"134","author":[{"given":"Camila Gon\u00e7alves Jezini","family":"Monteiro","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alice Maria","family":"de Oliveira Silva","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel Costa Ferreira","family":"de Almeida","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5372-5564","authenticated-orcid":false,"given":"Glauco","family":"Velloso","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7559-2555","authenticated-orcid":false,"given":"Alexandre Marques Paes","family":"da Silva","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Welson Pimentel Alves","family":"Filho","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5739-394X","authenticated-orcid":false,"given":"Vittorio","family":"Moraschini","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.prosdent.2025.07.020_bib1","doi-asserted-by":"crossref","first-page":"290","DOI":"10.1111\/clr.13115","article-title":"Three-year analysis of zirconia implants used for single-tooth replacement and three-unit fixed dental prostheses: A prospective multicenter study","volume":"29","author":"Balmer","year":"2018","journal-title":"Clin Oral Implants Res"},{"key":"10.1016\/j.prosdent.2025.07.020_bib2","first-page":"47","article-title":"Impact of prosthetic material on mid- and long-term outcome of dental implants supporting single crowns and fixed partial dentures: A systematic review and meta-analysis","volume":"10 1","author":"Abou-Ayash","year":"2017","journal-title":"Eur J Oral Implantol"},{"key":"10.1016\/j.prosdent.2025.07.020_bib3","doi-asserted-by":"crossref","first-page":"1403","DOI":"10.1007\/s00784-016-1853-9","article-title":"A systematic review of the clinical survival of zirconia implants","volume":"20","author":"Hashim","year":"2016","journal-title":"Clin Oral Investig"},{"key":"10.1016\/j.prosdent.2025.07.020_bib4","doi-asserted-by":"crossref","first-page":"241","DOI":"10.1111\/prd.12180","article-title":"Zirconia dental implants: Where are we now, and where are we heading?","volume":"73","author":"Cionca","year":"2017","journal-title":"Periodontol 2000"},{"key":"10.1016\/j.prosdent.2025.07.020_bib5","doi-asserted-by":"crossref","first-page":"229","DOI":"10.4041\/kjod.2017.47.4.229","article-title":"Comparison of mechanical and biological properties of zirconia and titanium alloy orthodontic micro-implants","volume":"47","author":"Choi","year":"2017","journal-title":"Korean J Orthod"},{"key":"10.1016\/j.prosdent.2025.07.020_bib6","doi-asserted-by":"crossref","first-page":"121","DOI":"10.1016\/j.jpor.2017.07.003","article-title":"Is zirconia a viable alternative to titanium for oral implant? A critical review","volume":"62","author":"Sivaraman","year":"2018","journal-title":"J Prosthodont Res"},{"key":"10.1016\/j.prosdent.2025.07.020_bib7","doi-asserted-by":"crossref","DOI":"10.1016\/j.jdent.2024.105111","article-title":"Advances in zirconia-based dental materials: Properties, classification, applications, and future prospects","volume":"147","author":"Huang","year":"2024","journal-title":"J Dent"},{"key":"10.1016\/j.prosdent.2025.07.020_bib8","article-title":"One-piece zirconia oral implants for the support of three-unit fixed dental prostheses: Three-year results from a prospective case series","volume":"14","author":"Kohal","year":"2023","journal-title":"J Funct Biomater"},{"issue":"18","key":"10.1016\/j.prosdent.2025.07.020_bib9","doi-asserted-by":"crossref","first-page":"224","DOI":"10.1111\/clr.13345","article-title":"Clinical outcomes of partial and full-arch all-ceramic implant-supported fixed dental prostheses. A systematic review and meta-analysis","volume":"29","author":"Pieralli","year":"2018","journal-title":"Clin Oral Implants Res"},{"key":"10.1016\/j.prosdent.2025.07.020_bib10","doi-asserted-by":"crossref","first-page":"6279","DOI":"10.1007\/s00784-023-05242-5","article-title":"Survival and success of zirconia compared with titanium implants: A systematic review and meta-analysis","volume":"27","author":"Padhye","year":"2023","journal-title":"Clin Oral Investig"},{"key":"10.1016\/j.prosdent.2025.07.020_bib11","doi-asserted-by":"crossref","first-page":"351","DOI":"10.1016\/j.prosdent.2015.03.016","article-title":"Crestal bone loss and periimplant inflammatory parameters around zirconia implants: A systematic review","volume":"114","author":"Vohra","year":"2015","journal-title":"J Prosthet Dent"},{"key":"10.1016\/j.prosdent.2025.07.020_bib12","doi-asserted-by":"crossref","first-page":"569","DOI":"10.1111\/j.1600-0501.2012.02425.x","article-title":"Immediate provisional restoration of single-piece zirconia implants: A prospective case series - Results after 24 months of clinical function","volume":"24","author":"Payer","year":"2013","journal-title":"Clin Oral Implants Res"},{"issue":"1","key":"10.1016\/j.prosdent.2025.07.020_bib13","doi-asserted-by":"crossref","DOI":"10.1186\/2046-4053-4-1","article-title":"Preferred reporting items for systematic review and meta-analysis protocols (PRISMA-P) 2015 statement","volume":"4","author":"Moher","year":"2015","journal-title":"Syst Rev"},{"key":"10.1016\/j.prosdent.2025.07.020_bib14","doi-asserted-by":"crossref","first-page":"n71","DOI":"10.1136\/bmj.n71","article-title":"The PRISMA 2020 statement: an updated guideline for reporting systematic reviews","volume":"372","author":"Page","year":"2021","journal-title":"Bmj"},{"key":"10.1016\/j.prosdent.2025.07.020_bib15","doi-asserted-by":"crossref","first-page":"l4898","DOI":"10.1136\/bmj.l4898","article-title":"RoB 2: A revised tool for assessing risk of bias in randomised trials","volume":"366","author":"Sterne","year":"2019","journal-title":"Bmj"},{"key":"10.1016\/j.prosdent.2025.07.020_bib16","doi-asserted-by":"crossref","first-page":"i4919","DOI":"10.1136\/bmj.i4919","article-title":"ROBINS-I: A tool for assessing risk of bias in non-randomised studies of interventions","volume":"355","author":"Sterne","year":"2016","journal-title":"Bmj"},{"key":"10.1016\/j.prosdent.2025.07.020_bib17","doi-asserted-by":"crossref","DOI":"10.2196\/64016","article-title":"MetaAnalysisOnline.com: Web-based tool for the rapid meta-analysis of clinical and epidemiological studies","volume":"27","author":"Fekete","year":"2025","journal-title":"J Med Internet Res"},{"key":"10.1016\/j.prosdent.2025.07.020_bib18","doi-asserted-by":"crossref","first-page":"654","DOI":"10.1111\/cid.12106","article-title":"Survival rates and bone level changes around porous oxide-coated implants (TiUnite)","volume":"15","author":"Becker","year":"2013","journal-title":"Clin Implant Dent Relat Res"},{"key":"10.1016\/j.prosdent.2025.07.020_bib19","doi-asserted-by":"crossref","first-page":"177","DOI":"10.1111\/cid.13153","article-title":"Survival and complications of zygomatic implants compared to conventional implants reported in longitudinal studies with a follow-up period of at least 5\u2009years: A systematic review and meta-analysis","volume":"25","author":"Moraschini","year":"2023","journal-title":"Clin Implant Dent Relat Res"},{"key":"10.1016\/j.prosdent.2025.07.020_bib20","first-page":"Ed000142","article-title":"Updated guidance for trusted systematic reviews: A new edition of the Cochrane Handbook for Systematic Reviews of Interventions","volume":"10","author":"Cumpston","year":"2019","journal-title":"Cochrane Database Syst Rev"},{"key":"10.1016\/j.prosdent.2025.07.020_bib21","doi-asserted-by":"crossref","first-page":"89","DOI":"10.1111\/prd.12440","article-title":"Minimal invasiveness at dental implant placement: A systematic review with meta-analyses on flapless fully guided surgery","volume":"91","author":"Romandini","year":"2023","journal-title":"Periodontol 2000"},{"key":"10.1016\/j.prosdent.2025.07.020_bib22","doi-asserted-by":"crossref","first-page":"483","DOI":"10.1111\/cid.12159","article-title":"Soft and hard tissue response to zirconia versus titanium one-piece implants placed in alveolar and palatal sites: A randomized control trial","volume":"17","author":"Siddiqi","year":"2015","journal-title":"Clin Implant Dent Relat Res"},{"key":"10.1016\/j.prosdent.2025.07.020_bib23","doi-asserted-by":"crossref","first-page":"e981","DOI":"10.4317\/medoral.18194","article-title":"Multiple teeth replacement with endosseous one-piece yttrium-stabilized zirconia dental implants","volume":"17","author":"Borgonovo","year":"2012","journal-title":"Med Oral Patol Oral Cir Bucal"},{"key":"10.1016\/j.prosdent.2025.07.020_bib24","doi-asserted-by":"crossref","first-page":"553","DOI":"10.1111\/jcpe.12093","article-title":"One-piece zirconia oral implants: one-year results from a prospective case series. 2. Three-unit fixed dental prosthesis (FDP) reconstruction","volume":"40","author":"Kohal","year":"2013","journal-title":"J Clin Periodontol"},{"key":"10.1016\/j.prosdent.2025.07.020_bib25","doi-asserted-by":"crossref","DOI":"10.1155\/2013\/463073","article-title":"Evaluation of the success criteria for zirconia dental implants: A four-year clinical and radiological study","volume":"2013","author":"Borgonovo","year":"2013","journal-title":"Int J Dent"},{"key":"10.1016\/j.prosdent.2025.07.020_bib26","doi-asserted-by":"crossref","first-page":"1385","DOI":"10.1177\/0022034515598962","article-title":"Clinical and patient-reported outcomes of a zirconia oral implant: Three-year results of a prospective cohort investigation","volume":"94","author":"Spies","year":"2015","journal-title":"J Dent Res"},{"key":"10.1016\/j.prosdent.2025.07.020_bib27","doi-asserted-by":"crossref","first-page":"751","DOI":"10.1111\/clr.12670","article-title":"Evaluation of a one-piece ceramic implant used for single-tooth replacement and three-unit fixed partial dentures: A prospective cohort clinical trial","volume":"27","author":"Jung","year":"2016","journal-title":"Clin Oral Implants Res"},{"key":"10.1016\/j.prosdent.2025.07.020_bib28","doi-asserted-by":"crossref","first-page":"545","DOI":"10.1111\/cid.12323","article-title":"A retrospective clinical study with regard to survival and success rates of zirconia implants up to and after 7 years of loading","volume":"18","author":"Roehling","year":"2016","journal-title":"Clin Implant Dent Relat Res"},{"key":"10.1016\/j.prosdent.2025.07.020_bib29","doi-asserted-by":"crossref","first-page":"91","DOI":"10.1111\/clr.13072","article-title":"Clinical and patient-reported outcomes of zirconia-based implant fixed dental prostheses: Results of a prospective case series 5 years after implant placement","volume":"29","author":"Spies","year":"2018","journal-title":"Clin Oral Implants Res"},{"key":"10.1016\/j.prosdent.2025.07.020_bib30","doi-asserted-by":"crossref","first-page":"452","DOI":"10.1111\/clr.13581","article-title":"Zirconia implants restored with single crowns or fixed dental prostheses: 5-year results of a prospective cohort investigation","volume":"31","author":"Balmer","year":"2020","journal-title":"Clin Oral Implants Res"},{"key":"10.1016\/j.prosdent.2025.07.020_bib31","doi-asserted-by":"crossref","DOI":"10.1111\/clr.14407","article-title":"Five-year results of one-piece zirconia oral implants supporting three-unit fixed dental prostheses","author":"Kohal","year":"2025","journal-title":"Clin Oral Implants Res"},{"key":"10.1016\/j.prosdent.2025.07.020_bib32","doi-asserted-by":"crossref","first-page":"1366","DOI":"10.1111\/clr.12272","article-title":"Ceramic implants (Y-TZP): Are they a viable alternative to titanium implants for the support of overdentures? A randomized clinical trial","volume":"25","author":"Osman","year":"2014","journal-title":"Clin Oral Implants Res"},{"key":"10.1016\/j.prosdent.2025.07.020_bib33","doi-asserted-by":"crossref","first-page":"15","DOI":"10.1007\/s00784-023-05401-8","article-title":"Clinical outcomes of zirconia implants: A systematic review and meta-analysis","volume":"28","author":"Mohseni","year":"2023","journal-title":"Clin Oral Investig"},{"key":"10.1016\/j.prosdent.2025.07.020_bib34","doi-asserted-by":"crossref","first-page":"30","DOI":"10.11607\/jomi.10500","article-title":"Ceramic dental implants: A systematic review and meta-analysis","volume":"38","author":"Neugebauer","year":"2023","journal-title":"Int J Oral Maxillofac Implants"},{"issue":"26","key":"10.1016\/j.prosdent.2025.07.020_bib35","doi-asserted-by":"crossref","first-page":"112","DOI":"10.1111\/clr.14133","article-title":"Clinical and radiographic outcomes of zirconia dental implants-A systematic review and meta-analysis","volume":"34","author":"Roehling","year":"2023","journal-title":"Clin Oral Implants Res"},{"key":"10.1016\/j.prosdent.2025.07.020_bib36","doi-asserted-by":"crossref","first-page":"e125","DOI":"10.11607\/jomi.5223","article-title":"Zirconia implants as an alternative to titanium: A systematic review and meta-analysis","volume":"32","author":"Elnayef","year":"2017","journal-title":"Int J Oral Maxillofac Implants"},{"key":"10.1016\/j.prosdent.2025.07.020_bib37","doi-asserted-by":"crossref","first-page":"468","DOI":"10.1067\/mpr.2001.119921","article-title":"Mandibular implant-retained overdentures: A literature review","volume":"86","author":"Sadowsky","year":"2001","journal-title":"J Prosthet Dent"},{"key":"10.1016\/j.prosdent.2025.07.020_bib38","doi-asserted-by":"crossref","first-page":"e953","DOI":"10.4317\/medoral.17312","article-title":"Complications associated with the ball, bar and Locator attachments for implant-supported overdentures","volume":"16","author":"Cakarer","year":"2011","journal-title":"Med Oral Patol Oral Cir Bucal"},{"key":"10.1016\/j.prosdent.2025.07.020_bib39","first-page":"11","article-title":"The long-term efficacy of currently used dental implants: A review and proposed criteria of success","volume":"1","author":"Albrektsson","year":"1986","journal-title":"Int J Oral Maxillofac Implants"},{"key":"10.1016\/j.prosdent.2025.07.020_bib40","doi-asserted-by":"crossref","first-page":"34","DOI":"10.1016\/j.prosdent.2016.07.003","article-title":"Marginal bone loss around dental implants with and without microthreads in the neck: A systematic review and meta-analysis","volume":"117","author":"Niu","year":"2017","journal-title":"J Prosthet Dent"},{"key":"10.1016\/j.prosdent.2025.07.020_bib41","doi-asserted-by":"crossref","first-page":"109","DOI":"10.1016\/j.prosdent.2023.09.009","article-title":"Marginal bone loss around implants with platform switching and platform matched connection: A systematic review","volume":"134","author":"Tomar","year":"2025","journal-title":"J Prosthet Dent"},{"key":"10.1016\/j.prosdent.2025.07.020_bib42","series-title":"Clinical Epidemiology: A Basic Science for Clinical Medicine","author":"Sackett","year":"1991"},{"key":"10.1016\/j.prosdent.2025.07.020_bib43","doi-asserted-by":"crossref","first-page":"1574","DOI":"10.1136\/bmj.320.7249.1574","article-title":"Empirical assessment of effect of publication bias on meta-analyses","volume":"320","author":"Sutton","year":"2000","journal-title":"BMJ"},{"key":"10.1016\/j.prosdent.2025.07.020_bib44","doi-asserted-by":"crossref","first-page":"635","DOI":"10.1111\/j.1600-0501.2008.01543.x-i2","article-title":"The mucosal barrier at implant abutments of different materials","volume":"19","author":"Welander","year":"2008","journal-title":"Clin Oral Implants Res"},{"key":"10.1016\/j.prosdent.2025.07.020_bib45","first-page":"52","article-title":"Collagen fiber orientation around machined titanium and zirconia dental implant necks: An animal study","volume":"24","author":"Tet\u00e8","year":"2009","journal-title":"Int J Oral Maxillofac Implants"},{"key":"10.1016\/j.prosdent.2025.07.020_bib46","doi-asserted-by":"crossref","first-page":"144","DOI":"10.3390\/dj11060144","article-title":"The use of zirconia for implant-supported fixed complete dental prostheses: A narrative review","volume":"11","author":"Cinquini","year":"2023","journal-title":"Dent J (Basel)"},{"key":"10.1016\/j.prosdent.2025.07.020_bib47","doi-asserted-by":"crossref","first-page":"38","DOI":"10.1177\/0022034516664043","article-title":"Clinical outcomes of zirconia dental implants: A systematic review","volume":"96","author":"Pieralli","year":"2017","journal-title":"J Dent Res"}],"container-title":["The Journal of Prosthetic Dentistry"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0022391325006146?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0022391325006146?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,11,20]],"date-time":"2025-11-20T00:57:23Z","timestamp":1763600243000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0022391325006146"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,11]]},"references-count":47,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2025,11]]}},"alternative-id":["S0022391325006146"],"URL":"https:\/\/doi.org\/10.1016\/j.prosdent.2025.07.020","relation":{},"ISSN":["0022-3913"],"issn-type":[{"value":"0022-3913","type":"print"}],"subject":[],"published":{"date-parts":[[2025,11]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Clinical outcomes of zirconia implants supporting multi-unit and complete arch prostheses: A systematic review and meta-analysis","name":"articletitle","label":"Article Title"},{"value":"The Journal of Prosthetic Dentistry","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.prosdent.2025.07.020","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"Copyright \u00a9 2025 by the Editorial Council of The Journal of Prosthetic Dentistry. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}]}}