{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,18]],"date-time":"2026-10-18T03:28:00Z","timestamp":1792294080187,"version":"4.4.0"},"reference-count":49,"publisher":"Elsevier BV","issue":"4","license":[{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2025,11,24]],"date-time":"2025-11-24T00:00:00Z","timestamp":1763942400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"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":[[2026,4]]},"DOI":"10.1016\/j.prosdent.2025.11.033","type":"journal-article","created":{"date-parts":[[2025,12,9]],"date-time":"2025-12-09T12:55:43Z","timestamp":1765284943000},"page":"807.e1-807.e8","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":2,"title":["Fracture resistance, trueness, and phase transformation of bar-reinforced and nonreinforced implant-supported fixed complete prostheses made of high-strength zirconia: An in vitro study"],"prefix":"10.1016","volume":"135","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9321-1031","authenticated-orcid":false,"given":"Rafat","family":"Sasany","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S\u00fcmeyye","family":"Salvi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sultan Merve","family":"U\u00e7ar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6963-8289","authenticated-orcid":false,"given":"Seyed Ali","family":"Mosaddad","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mutlu","family":"\u00d6zcan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.prosdent.2025.11.033_bib1","doi-asserted-by":"crossref","first-page":"558","DOI":"10.1111\/jopr.13172","article-title":"Complete arch monolithic zirconia prosthesis supported by cobalt chromium metal bar: A clinical report","volume":"29","author":"Bidra","year":"2020","journal-title":"J Prosthodont"},{"key":"10.1016\/j.prosdent.2025.11.033_bib2","doi-asserted-by":"crossref","first-page":"220","DOI":"10.1016\/j.prosdent.2017.05.004","article-title":"Survival of 2039 complete arch fixed implant-supported zirconia prostheses: A retrospective study","volume":"119","author":"Bidra","year":"2018","journal-title":"J Prosthet Dent"},{"key":"10.1016\/j.prosdent.2025.11.033_bib3","doi-asserted-by":"crossref","first-page":"606","DOI":"10.1016\/j.prosdent.2017.05.018","article-title":"Fracture load of complete-arch implant-supported prostheses reinforced with nylon-silica mesh: An in vitro study","volume":"119","author":"Gon\u00e7alves","year":"2018","journal-title":"J Prosthet Dent"},{"key":"10.1016\/j.prosdent.2025.11.033_bib4","first-page":"620","article-title":"Prosthesis misfit and marginal bone loss in edentulous implant patients","volume":"11","author":"Jemt","year":"1996","journal-title":"Int J Oral Maxillofac Implants"},{"issue":"29_","key":"10.1016\/j.prosdent.2025.11.033_bib5","doi-asserted-by":"crossref","first-page":"117","DOI":"10.11607\/jomi.2014suppl.g2.3","article-title":"CAD\/CAM technology for implant abutments, crowns, and superstructures","author":"Kapos","year":"2014","journal-title":"Int J Oral Maxillofac Implants"},{"key":"10.1016\/j.prosdent.2025.11.033_bib6","first-page":"115","article-title":"Full-mouth rehabilitation with monolithic CAD\/CAM-fabricated hybrid and all-ceramic materials: A case report and 3-year follow up","volume":"47","author":"Selz","year":"2016","journal-title":"Quintessence Int"},{"key":"10.1016\/j.prosdent.2025.11.033_bib7","doi-asserted-by":"crossref","DOI":"10.1016\/j.jdent.2023.104675","article-title":"Clinical performance of full-arch implant-supported fixed restorations made of monolithic zirconia luted to a titanium bar: A retrospective study with a mean follow-up of 16 months","volume":"137","author":"Mijiritsky","year":"2023","journal-title":"J Dent"},{"key":"10.1016\/j.prosdent.2025.11.033_bib8","doi-asserted-by":"crossref","first-page":"403","DOI":"10.1016\/j.prosdent.2019.10.002","article-title":"Maxillary zirconia and mandibular composite resin-lithium disilicate-modified PEEK fixed implant-supported restorations for a completely edentulous patient with an atrophic maxilla and mandible: A clinical report","volume":"124","author":"Cabello-Dom\u00ednguez","year":"2020","journal-title":"J Prosthet Dent"},{"key":"10.1016\/j.prosdent.2025.11.033_bib9","doi-asserted-by":"crossref","first-page":"10","DOI":"10.3390\/prosthesis7010010","article-title":"The effectiveness and predictability of BioHPP (Biocompatible High-Performance Polymer) superstructures in toronto-branemark implant-prosthetic rehabilitations: A case report","volume":"7","author":"Speroni","year":"2025","journal-title":"Prosthesis"},{"key":"10.1016\/j.prosdent.2025.11.033_bib10","doi-asserted-by":"crossref","first-page":"164","DOI":"10.1016\/j.msec.2014.01.013","article-title":"The influence of bone quality on the biomechanical behavior of full-arch implant-supported fixed prostheses","volume":"37","author":"Faverani","year":"2014","journal-title":"Mater Sci Eng C Mater Biol Appl"},{"key":"10.1016\/j.prosdent.2025.11.033_bib11","doi-asserted-by":"crossref","first-page":"141","DOI":"10.2147\/MDER.S130314","article-title":"Bite force and dental implant treatment: A short review","volume":"10","author":"Flanagan","year":"2017","journal-title":"Med Devices (Auckl"},{"key":"10.1016\/j.prosdent.2025.11.033_bib12","doi-asserted-by":"crossref","first-page":"132","DOI":"10.1080\/03036758.2019.1691612","article-title":"Maximum voluntary bite force, occlusal contact points and associated stresses on posterior teeth","volume":"50","author":"Jansen van Vuuren","year":"2020","journal-title":"J R Soc N Z"},{"key":"10.1016\/j.prosdent.2025.11.033_bib13","doi-asserted-by":"crossref","first-page":"222","DOI":"10.1016\/j.prosdent.2024.01.014","article-title":"Misfit simulation on implant-supported prostheses with different combinations of engaging and nonengaging titanium bases: Part 3: A radiographic evaluation","volume":"133","author":"Rutkunas","year":"2025","journal-title":"J Prosthet Dent"},{"key":"10.1016\/j.prosdent.2025.11.033_bib14","doi-asserted-by":"crossref","DOI":"10.1016\/j.jdent.2021.103784","article-title":"Trueness and marginal fit of implant-supported complete-arch fixed prosthesis frameworks made of high-performance polymers and titanium: An explorative in-vitro study","volume":"113","author":"Abou-Ayash","year":"2021","journal-title":"J Dent"},{"key":"10.1016\/j.prosdent.2025.11.033_bib15","doi-asserted-by":"crossref","first-page":"763","DOI":"10.1007\/s00784-017-2151-x","article-title":"Bonding of composite resins to PEEK: the influence of adhesive systems and air-abrasion parameters","volume":"22","author":"Stawarczyk","year":"2018","journal-title":"Clin Oral Investig"},{"key":"10.1016\/j.prosdent.2025.11.033_bib16","doi-asserted-by":"crossref","DOI":"10.1155\/2015\/392496","article-title":"Clinical advantages and limitations of monolithic zirconia restorations full arch implant supported reconstruction: Case series","volume":"2015","author":"Carames","year":"2015","journal-title":"Int J Dent"},{"key":"10.1016\/j.prosdent.2025.11.033_bib17","doi-asserted-by":"crossref","first-page":"32","DOI":"10.1016\/j.jmbbm.2018.11.027","article-title":"Bacterial leakage and bending moments of screw-retained, composite-veneered PEEK implant crowns","volume":"91","author":"Wachtel","year":"2019","journal-title":"J Mech Behav Biomed Mater"},{"key":"10.1016\/j.prosdent.2025.11.033_bib18","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.jdsr.2019.09.002","article-title":"Strength and aging resistance of monolithic zirconia: An update to current knowledge","volume":"56","author":"Kontonasaki","year":"2020","journal-title":"Jpn Dent Sci Rev"},{"key":"10.1016\/j.prosdent.2025.11.033_bib19","doi-asserted-by":"crossref","first-page":"824","DOI":"10.1016\/j.dental.2024.02.026","article-title":"Recent advances in dental zirconia: 15 years of material and processing evolution","volume":"40","author":"Cesar","year":"2024","journal-title":"Dent Mater"},{"key":"10.1016\/j.prosdent.2025.11.033_bib20","doi-asserted-by":"crossref","DOI":"10.1016\/j.tafmec.2025.105047","article-title":"Numerical study of the effect of residual stresses on fracture toughness in the microstructure of ZrO2 ceramics","volume":"139","author":"Lasko","year":"2025","journal-title":"Theor Appl Fract Mech"},{"key":"10.1016\/j.prosdent.2025.11.033_bib21","doi-asserted-by":"crossref","first-page":"24","DOI":"10.4012\/dmj.2019-172","article-title":"Zirconia versus titanium in dentistry: A review","volume":"39","author":"Hanawa","year":"2020","journal-title":"Dent Mater J"},{"key":"10.1016\/j.prosdent.2025.11.033_bib22","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.2025.11.033_bib23","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))"},{"issue":"16","key":"10.1016\/j.prosdent.2025.11.033_bib24","doi-asserted-by":"crossref","first-page":"215","DOI":"10.1111\/clr.13298","article-title":"Group 2 ITI Consensus Report: Prosthodontics and implant dentistry","volume":"29","author":"Morton","year":"2018","journal-title":"Clin Oral Implants Res"},{"key":"10.1016\/j.prosdent.2025.11.033_bib25","doi-asserted-by":"crossref","first-page":"543","DOI":"10.3390\/bioengineering12050543","article-title":"Zirconia in dental implantology: A review of the literature with recent updates","volume":"12","author":"Aldhuwayhi","year":"2025","journal-title":"Bioengineering (Basel)"},{"key":"10.1016\/j.prosdent.2025.11.033_bib26","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1146\/annurev.matsci.37.052506.084250","article-title":"Low-temperature degradation of zirconia and implications for biomedical implants","volume":"37","author":"Chevalier","year":"2007","journal-title":"Annu Rev Mater Res"},{"key":"10.1016\/j.prosdent.2025.11.033_bib27","doi-asserted-by":"crossref","DOI":"10.1016\/j.jmbbm.2025.107064","article-title":"Phase transformation of yttria-stabilized zirconia after the use of various bur types in dry and wet conditions: A systematic review and meta-analysis","volume":"169","author":"Rautenbach","year":"2025","journal-title":"J Mech Behav Biomed Mater"},{"key":"10.1016\/j.prosdent.2025.11.033_bib28","doi-asserted-by":"crossref","first-page":"155","DOI":"10.1016\/j.jeurceramsoc.2015.09.016","article-title":"Low-temperature degradation in yttria-stabilized tetragonal zirconia polycrystal doped with small amounts of alumina: Effect of grain-boundary energy","volume":"36","author":"Matsui","year":"2016","journal-title":"J Eur Ceram Soc"},{"key":"10.1016\/j.prosdent.2025.11.033_bib29","doi-asserted-by":"crossref","first-page":"91","DOI":"10.1177\/0022034509354193","article-title":"Concerns of hydrothermal degradation in CAD\/CAM zirconia","volume":"89","author":"Kim","year":"2010","journal-title":"J Dent Res"},{"key":"10.1016\/j.prosdent.2025.11.033_bib30","doi-asserted-by":"crossref","first-page":"113","DOI":"10.4047\/jap.2009.1.3.113","article-title":"The effect of low temperature aging on the mechanical property & phase stability of Y-TZP ceramics","volume":"1","author":"Kim","year":"2009","journal-title":"J Adv Prosthodont"},{"key":"10.1016\/j.prosdent.2025.11.033_bib31","doi-asserted-by":"crossref","first-page":"4719","DOI":"10.3390\/ma17194719","article-title":"Investigation of phase transformation and fracture pattern as a result of long-term chewing simulation and static loading of reduced-diameter zirconia implants","volume":"17","author":"Atalay Se\u00e7kiner","year":"2024","journal-title":"Materials (Basel)"},{"key":"10.1016\/j.prosdent.2025.11.033_bib32","doi-asserted-by":"crossref","first-page":"E119","DOI":"10.2341\/17-019-L","article-title":"Mechanical and surface properties of monolithic zirconia","volume":"43","author":"Candido","year":"2018","journal-title":"Oper Dent"},{"key":"10.1016\/j.prosdent.2025.11.033_bib33","doi-asserted-by":"crossref","first-page":"340","DOI":"10.1016\/S0022-3913(07)60022-5","article-title":"Treatment considerations for maxillary implant overdentures: A systematic review","volume":"97","author":"Sadowsky","year":"2007","journal-title":"J Prosthet Dent"},{"key":"10.1016\/j.prosdent.2025.11.033_bib34","first-page":"176","article-title":"The metal-zirconia implant fixed hybrid full-arch prosthesis: An alternative technique for fabrication","volume":"39","author":"Stumpel","year":"2018","journal-title":"Compend Contin Educ Dent"},{"key":"10.1016\/j.prosdent.2025.11.033_bib35","article-title":"Evaluation and comparison of stresses between all-on-4 and all-on-6 treatment concepts with three different prosthetic materials in the maxilla: A finite element analysis study","volume":"16","author":"Jaiswal","year":"2024","journal-title":"Cureus"},{"key":"10.1016\/j.prosdent.2025.11.033_bib36","doi-asserted-by":"crossref","first-page":"408","DOI":"10.3390\/dj12120408","article-title":"Fixed full-arch implant-supported restorations: Techniques review and proposal for improvement","volume":"12","author":"Froimovici","year":"2024","journal-title":"Dent J ((Basel))"},{"key":"10.1016\/j.prosdent.2025.11.033_bib37","doi-asserted-by":"crossref","first-page":"409","DOI":"10.1016\/j.prosdent.2017.04.023","article-title":"In vitro fit of CAD-CAM complete arch screw-retained titanium and zirconia implant prostheses fabricated on 4 implants","volume":"119","author":"Al-Meraikhi","year":"2018","journal-title":"J Prosthet Dent"},{"key":"10.1016\/j.prosdent.2025.11.033_bib38","doi-asserted-by":"crossref","first-page":"416","DOI":"10.3390\/app15010416","article-title":"Retrospective analysis of full-arch zirconia rehabilitations on dental implants: Clinical outcomes and patient satisfaction","volume":"15","author":"Marchio","year":"2025","journal-title":"Appl Sci"},{"key":"10.1016\/j.prosdent.2025.11.033_bib39","doi-asserted-by":"crossref","first-page":"552","DOI":"10.1186\/s12903-025-05928-0","article-title":"Biomechanical analysis of All-on-4 implant supported framework using different materials across various clinical practice","volume":"25","author":"Chen","year":"2025","journal-title":"BMC Oral Health"},{"key":"10.1016\/j.prosdent.2025.11.033_bib40","doi-asserted-by":"crossref","first-page":"217","DOI":"10.1186\/s12903-020-01202-7","article-title":"The use of PEEK in digital prosthodontics: A narrative review","volume":"20","author":"Papathanasiou","year":"2020","journal-title":"BMC Oral Health"},{"key":"10.1016\/j.prosdent.2025.11.033_bib41","doi-asserted-by":"crossref","first-page":"501","DOI":"10.1111\/jopr.12528","article-title":"Retrospective 2- to 7-Year follow-up study of 20 double full-arch implant-supported monolithic zirconia fixed prostheses: Measurements and recommendations for optimal design","volume":"27","author":"Rojas Vizcaya","year":"2018","journal-title":"J Prosthodont"},{"key":"10.1016\/j.prosdent.2025.11.033_bib42","first-page":"415","article-title":"Implant-supported laser-welded titanium and conventional cast frameworks in the partially edentulous law: A\u00a05-year prospective multicenter study","volume":"16","author":"Jemt","year":"2003","journal-title":"Int J Prosthodont"},{"key":"10.1016\/j.prosdent.2025.11.033_bib43","doi-asserted-by":"crossref","first-page":"130","DOI":"10.1111\/prd.12416","article-title":"Prosthetic failures in dental implant therapy","volume":"88","author":"Sailer","year":"2022","journal-title":"Periodontol 2000"},{"key":"10.1016\/j.prosdent.2025.11.033_bib44","doi-asserted-by":"crossref","first-page":"65","DOI":"10.1016\/j.prosdent.2017.11.021","article-title":"Marginal discrepancy of CAD-CAM complete-arch fixed implant-supported frameworks","volume":"120","author":"Yilmaz","year":"2018","journal-title":"J Prosthet Dent"},{"key":"10.1016\/j.prosdent.2025.11.033_bib45","doi-asserted-by":"crossref","first-page":"263","DOI":"10.1111\/clr.14039","article-title":"Marginal changes at bone-level implants supporting fixed screw-retained partial implant prostheses with or without intermediate standardised abutments: 1-year results of a randomised controlled clinical trial","volume":"34","author":"Maceiras","year":"2023","journal-title":"Clin Oral Implants Res"},{"key":"10.1016\/j.prosdent.2025.11.033_bib46","first-page":"651","article-title":"Immediate definitive rehabilitation of the edentulous patient using an intraorally welded titanium framework: A\u00a03-year prospective study","volume":"41","author":"Degidi","year":"2010","journal-title":"Quintessence Int"},{"key":"10.1016\/j.prosdent.2025.11.033_bib47","doi-asserted-by":"crossref","first-page":"49","DOI":"10.1002\/cre2.9","article-title":"Fit of cobalt-chromium implant frameworks before and after ceramic veneering in comparison with CNC-milled titanium frameworks","volume":"1","author":"Svanborg","year":"2015","journal-title":"Clin Exp Dent Res"},{"key":"10.1016\/j.prosdent.2025.11.033_bib48","unstructured":"Zirkonzahn. ICE Plus zirconia: Zirkonzahn; 2025 [updated September 25, 2025. Accessed September 25, 2025:[Available from: \u3008https:\/\/zirkonzahn.com\/en\/products\/millable-materials\/ice-plus\u3009."},{"key":"10.1016\/j.prosdent.2025.11.033_bib49","doi-asserted-by":"crossref","first-page":"303","DOI":"10.1111\/j.1151-2916.1972.tb11290.x","article-title":"Phase analysis in zirconia systems","volume":"55","author":"Garvie","year":"1972","journal-title":"J Am Ceram Soc"}],"container-title":["The Journal of Prosthetic Dentistry"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0022391325009382?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0022391325009382?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,4,10]],"date-time":"2026-04-10T02:13:37Z","timestamp":1775787217000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0022391325009382"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4]]},"references-count":49,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2026,4]]}},"alternative-id":["S0022391325009382"],"URL":"https:\/\/doi.org\/10.1016\/j.prosdent.2025.11.033","relation":{},"ISSN":["0022-3913"],"issn-type":[{"value":"0022-3913","type":"print"}],"subject":[],"published":{"date-parts":[[2026,4]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Fracture resistance, trueness, and phase transformation of bar-reinforced and nonreinforced implant-supported fixed complete prostheses made of high-strength zirconia: An in vitro study","name":"articletitle","label":"Article Title"},{"value":"The Journal of Prosthetic Dentistry","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.prosdent.2025.11.033","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"Copyright \u00a9 2026 The Authors. Published by Elsevier Inc. on behalf of the Editorial Council of The Journal of Prosthetic Dentistry.","name":"copyright","label":"Copyright"}]}}