{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T01:03:15Z","timestamp":1787014995025,"version":"build-2736575974"},"reference-count":287,"publisher":"Wiley","issue":"s4","license":[{"start":{"date-parts":[[2009,7,24]],"date-time":"2009-07-24T00:00:00Z","timestamp":1248393600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Clinical Oral Implants Res"],"published-print":{"date-parts":[[2009,9]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>\n                    <jats:bold>Objectives:<\/jats:bold>\n                    The objective of this systematic review was to assess the 5\u2010year survival rates and incidences of complications associated with ceramic abutments and to compare them with those of metal abutments.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Methods:<\/jats:bold>\n                    An electronic Medline search complemented by manual searching was conducted to identify randomized\u2010controlled clinical trials, and prospective and retrospective studies providing information on ceramic and metal abutments with a mean follow\u2010up time of at least 3 years. Patients had to have been examined clinically at the follow\u2010up visit. Assessment of the identified studies and data abstraction was performed independently by three reviewers. Failure rates were analyzed using standard and random\u2010effects Poisson regression models to obtain summary estimates of 5\u2010year survival proportions.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Results:<\/jats:bold>\n                    Twenty\u2010nine clinical and 22 laboratory studies were selected from an initial yield of 7136 titles and data were extracted. The estimated 5\u2010year survival rate of ceramic abutments was 99.1% [95% confidence interval (CI): 93.8\u201399.9%] and 97.4% (95% CI: 96\u201398.3%) for metal abutments. The estimated cumulative incidence of technical complications after 5 years was 6.9% (95% CI: 3.5\u201313.4%) for ceramic abutments and 15.9% (95% CI: 11.6\u201321.5%) for metal abutments. Abutment screw loosening was the most frequent technical problem, occurring at an estimated cumulative incidence after 5 years of 5.1% (95% CI: 3.3\u20137.7%). All\u2010ceramic crowns supported by ceramic abutments exhibited similar annual fracture rates as metal\u2013ceramic crowns supported by metal abutments. The cumulative incidence of biological complications after 5 years was estimated at 5.2% (95% CI: 0.4\u201352%) for ceramic and 7.7% (95% CI: 4.7\u201312.5%) for metal abutments. Esthetic complications tended to be more frequent at metal abutments. A meta\u2010analysis of the laboratory data was impossible due to the non\u2010standardized test methods of the studies included.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Conclusion:<\/jats:bold>\n                    The 5\u2010year survival rates estimated from annual failure rates appeared to be similar for ceramic and metal abutments. The information included in this review did not provide evidence for differences of the technical and biological outcomes of ceramic and metal abutments. However, the information for ceramic abutments was limited in the number of studies and abutments analyzed as well as the accrued follow\u2010up time. Standardized methods for the analysis of abutment strength are needed.\n                  <\/jats:p>","DOI":"10.1111\/j.1600-0501.2009.01787.x","type":"journal-article","created":{"date-parts":[[2009,7,24]],"date-time":"2009-07-24T11:38:21Z","timestamp":1248435501000},"page":"4-31","source":"Crossref","is-referenced-by-count":286,"title":["A systematic review of the performance of ceramic and metal implant abutments supporting fixed implant reconstructions"],"prefix":"10.1111","volume":"20","author":[{"given":"Irena","family":"Sailer","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexander","family":"Philipp","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anja","family":"Zembic","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bjarni E.","family":"Pjetursson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christoph H. 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