{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T01:24:54Z","timestamp":1786929894760,"version":"build-2736575974"},"reference-count":50,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2026,6,17]],"date-time":"2026-06-17T00:00:00Z","timestamp":1781654400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,6,17]],"date-time":"2026-06-17T00:00:00Z","timestamp":1781654400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Clinic Periodontology"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>The intention of this 10\u2010year prospective case series investigation was to clinically and radiographically investigate the outcomes of a one\u2010piece alumina\u2010toughened zirconia oral implant.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods<\/jats:title>\n                    <jats:p>\n                      Twenty seven patients received one implant each for single crown restorations (SC), while 13 patients received two implants for a three\u2010unit fixed dental prosthesis (FDP). Eighteen implants were placed in the upper jaw, with four implants in the upper anterior region and nine in the premolar region. The 35 implants of the lower jaw were placed in the premolar (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200915) or molar region. Follow\u2010up assessments were performed at final restoration insertion (RI), after 1, 5 and 10\u2009years. Peri\u2010implant soft tissue parameters were evaluated, and the peri\u2010implant bone assessed at implant placement, final RI and at the 1\u2010, 5\u2010 and 10\u2010year follow\u2010ups. Statistical analysis was conducted to compare differences over time and between groups (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.05).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Three implants were lost in the SC patient group and none in the FDP group, yielding a cumulative survival rate of 94.3% for SC and FDP combined. The mean marginal bone loss of the remaining implants was 0.99\u2009mm (implant placement to 10\u2009years:\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001) (0.61\u2009mm for SC and 1.26\u2009mm for FDP; difference:\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.05). Probing depth at implant sites increased (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.006), the plaque index remained stable (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.639) and the bleeding showed a significant decrease (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001), each from RI to the 10\u2010year follow\u2010up after loading. Patients experienced significant improvements in function, aesthetics, sense, speech and self\u2010esteem from pretreatment up to the 10\u2010year follow\u2010up (all\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.05).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The high implant survival rate observed after 10\u2009years substantiates the clinical applicability of the investigated implant system.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jcpe.70156","type":"journal-article","created":{"date-parts":[[2026,6,18]],"date-time":"2026-06-18T02:26:29Z","timestamp":1781749589000},"page":"1403-1412","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Ten\u2010Year Results of a Prospective Case Series on Immediately Provisionalized One\u2010Piece Alumina\u2010Toughened Zirconia (\n                    <scp>ATZ<\/scp>\n                    ) Oral Implants for Single\u2010Tooth Restoration and Three\u2010Unit Fixed Dental Prostheses"],"prefix":"10.1111","volume":"53","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7095-4190","authenticated-orcid":false,"given":"Ralf\u2010Joachim","family":"Kohal","sequence":"first","affiliation":[{"name":"Department of Prosthetic Dentistry, Faculty of Medicine, Center for Dental Medicine Medical Center \u2013 University of Freiburg  Freiburg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1434-5398","authenticated-orcid":false,"given":"Sebastian B. M.","family":"Patzelt","sequence":"additional","affiliation":[{"name":"Department of Prosthetic Dentistry, Faculty of Medicine, Center for Dental Medicine Medical Center \u2013 University of Freiburg  Freiburg Germany"},{"name":"Private Dental Clinic  Zimmern ob Rottweil Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1702-1679","authenticated-orcid":false,"given":"Benedikt C.","family":"Spies","sequence":"additional","affiliation":[{"name":"Department of Prosthetic Dentistry, Faculty of Medicine, Center for Dental Medicine Medical Center \u2013 University of Freiburg  Freiburg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Taro","family":"Iwasaki","sequence":"additional","affiliation":[{"name":"Department of Fixed Prosthodontics Nihon University School of Dentistry  Chiyoda\u2010Ku Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-7241-2635","authenticated-orcid":false,"given":"Kei","family":"Kubochi","sequence":"additional","affiliation":[{"name":"Department of Fixed Prosthodontics Nihon University School of Dentistry  Chiyoda\u2010Ku Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9278-2203","authenticated-orcid":false,"given":"Kirstin","family":"Vach","sequence":"additional","affiliation":[{"name":"Institute of Medical Biometry and Statistics, Medical Center \u2013 University of Freiburg  Freiburg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marc","family":"Balmer","sequence":"additional","affiliation":[{"name":"Clinic of Reconstructive Dentistry, Center for Dental Medicine University of Zurich  Zurich 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