{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T13:53:25Z","timestamp":1791381205048,"version":"4.3.3"},"reference-count":30,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2026,8,21]],"date-time":"2026-08-21T00:00:00Z","timestamp":1787270400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,8,21]],"date-time":"2026-08-21T00:00:00Z","timestamp":1787270400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100011970","name":"International Team for Implantology","doi-asserted-by":"publisher","award":["ITI Grant No. 1030_2014"],"award-info":[{"award-number":["ITI Grant No. 1030_2014"]}],"id":[{"id":"10.13039\/501100011970","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100030982","name":"Straumann Group","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100030982","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Oral Implants Res"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To compare the clinical, biological, and technical outcomes of posterior three\u2010unit implant\u2010supported fixed dental prostheses (iFDPs) fabricated from monolithic zirconia (MonoZR) or porcelain\u2010fused\u2010to\u2010metal (PFM).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods<\/jats:title>\n                    <jats:p>\n                      In this prospective randomized controlled trial, partially edentulous patients requiring a posterior three\u2010unit iFDP supported by two implants were randomly assigned to MonoZR or PFM iFDPs. The primary outcome was ceramic fracture. Secondary outcomes included prosthesis survival, complication\u2010free survival, marginal bone level (MBL) changes, peri\u2010implant clinical parameters, and USPHS ratings. Follow\u2010up examinations were performed at 1 and 3\u2009years. Statistical analyses included Kaplan\u2013Meier estimates, Fisher's exact test, and linear mixed\u2010effects models (\n                      <jats:italic>\u03b1<\/jats:italic>\n                      \u2009=\u20090.05).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Fifty\u2010five patients received iFDPs at baseline (MonoZR:\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200928; PFM:\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200927), and 45 completed the 3\u2010year follow\u2010up. Two prosthesis failures occurred, one in each group, both associated with implant loss, with no difference in survival between groups (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20091.00). Veneering ceramic chipping occurred only in the PFM group (3\/23; 13%) and not in the MonoZR group (0\/22) (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.11). Complication\u2010free survival, peri\u2010implant clinical parameters, and MBL changes did not differ significantly between groups (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&gt;\u20090.05). Plaque index and bleeding on probing increased over time, while probing depth and MBL remained stable. Both groups showed high clinical acceptability according to USPHS criteria.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Both MonoZR and PFM posterior three\u2010unit iFDPs demonstrated high survival and favorable biological outcomes after 3\u2009years. MonoZR showed no chipping events and may represent a promising alternative to PFM for posterior implant\u2010supported restorations.<\/jats:p>\n                    <jats:p>\n                      <jats:bold>Trial Registration:<\/jats:bold>\n                      German Clinical Trials Register: DRKS00011039\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/clr.70160","type":"journal-article","created":{"date-parts":[[2026,8,22]],"date-time":"2026-08-22T04:15:22Z","timestamp":1787372122000},"page":"1197-1207","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Monolithic Zirconia Versus Porcelain\u2010Fused\u2010to\u2010Metal Implant\u2010Supported Fixed Dental Prostheses in the Posterior Region: 3\u2010Year Results of a Randomized Controlled Clinical Trial"],"prefix":"10.1111","volume":"37","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2236-4345","authenticated-orcid":false,"given":"Aspasia","family":"Pachiou","sequence":"first","affiliation":[{"name":"Clinic of Reconstructive Dentistry, Center for Dental Medicine University of Zurich  Zurich Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raphael","family":"Singh","sequence":"additional","affiliation":[{"name":"Clinic of Reconstructive Dentistry, Center for Dental Medicine University of Zurich  Zurich Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2055-1320","authenticated-orcid":false,"given":"Ronald E.","family":"Jung","sequence":"additional","affiliation":[{"name":"Clinic of Reconstructive Dentistry, Center for Dental Medicine University of Zurich  Zurich Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0637-8314","authenticated-orcid":false,"given":"Marc","family":"Balmer","sequence":"additional","affiliation":[{"name":"Clinic of Reconstructive Dentistry, Center for Dental Medicine University of Zurich  Zurich Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7551-7934","authenticated-orcid":false,"given":"Goran I.","family":"Benic","sequence":"additional","affiliation":[{"name":"Clinic of Reconstructive Dentistry, Center for Dental Medicine University of Zurich  Zurich Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2110-3645","authenticated-orcid":false,"given":"Alexis","family":"Ioannidis","sequence":"additional","affiliation":[{"name":"Clinic of Reconstructive Dentistry, Center for Dental Medicine University of Zurich  Zurich Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,21]]},"reference":[{"issue":"4","key":"e_1_2_13_2_1","first-page":"229","article-title":"Problems and proposals for recording gingivitis and plaque","volume":"25","author":"Ainamo J.","year":"1975","journal-title":"International dental journal"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.11607\/ijp.8248"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/jcpe.12957"},{"key":"e_1_2_13_5_1","first-page":"12","article-title":"Immediate or Early Placement of Implants Following Tooth Extraction: Review of Biologic Basis, Clinical Procedures, and Outcomes","volume":"19","author":"Chen S. 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