{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T04:04:39Z","timestamp":1789617879610,"version":"build-2803163510"},"reference-count":24,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T00:00:00Z","timestamp":1789516800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T00:00:00Z","timestamp":1789516800000},"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":["Journal of Prosthodontics"],"abstract":"Abstract<\/jats:title>\n \n Purpose<\/jats:title>\n To assess the survival and complication rates of 140 monolithic zirconia implant\u2010supported full\u2010arch fixed complete dental prostheses (IFCDPs) with an up to 8\u2010year\u00a0follow\u2010up at a private practice setting.<\/jats:p>\n <\/jats:sec>\n \n Materials and Methods<\/jats:title>\n A total of 140 edentulous jaws underwent complete\u2010arch fixed implant treatment with a digital workflow and were rehabilitated with monolithic zirconia IFCDPs. The primary outcome was to assess survival and complication rates, whereas the secondary outcome was to measure the cross\u2010sectional surface area (CSSA) dimensions (prosthetic space) of those 140 monolithic zirconia IFCDPs and to correlate potential technical complications with the prosthetic space dimensions.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n Out of the 140 zirconia IFCDPs, six fractured, yielding a 95.7% survival rate up to 8\u2010year follow\u2010up. Out of these, three fractures were located in the maxilla and three in the mandible. Non\u2010fractured maxillary IFCDPs had a mean CSSA of 80.5\u00a0mm\n 2<\/jats:sup>\n , whereas fractured ones measured 62.5\u00a0mm\n 2<\/jats:sup>\n . The connector CSSA of the non\u2010fractured maxillary IFCDPs was 17.9\u00a0mm\n 2<\/jats:sup>\n greater and was statistically significant (\n p<\/jats:italic>\n \u00a0<\u00a00.001). Non\u2010fractured mandibular IFCDPs averaged 79.4\u00a0mm\n 2<\/jats:sup>\n , whereas fractured ones measured 54\u00a0mm\n 2<\/jats:sup>\n . The connector CSSA of the non\u2010fractured mandibular IFCDPs was 25.4\u00a0mm\n 2<\/jats:sup>\n greater, and the difference was statistically significant (\n p<\/jats:italic>\n \u00a0<\u00a00.001). Non\u2010fractured maxillary IFCDPs had a mean posterior linear height measurement (prosthetic space) of 10.58\u00a0mm, whereas fractured ones measured 9\u00a0mm. The 1.58\u00a0mm difference was statistically significant (\n p<\/jats:italic>\n \u00a0=\u00a00.018). Non\u2010fractured mandibular IFCDPs had a mean posterior prosthetic space of 11.89\u00a0mm, compared to 9.55\u00a0mm in fractured ones. The 2.34\u00a0mm difference was statistically significant (\n p<\/jats:italic>\n \u00a0<\u00a00.001).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n \n Monolithic zirconia IFCDPs yielded a 95.7% survival rate after a mean observation period of 3 years (range of 1\u20138 years). Within the limitations of this study, the maxillary and mandibular connector CSSA should be at least 80\u00a0mm\n 2<\/jats:sup>\n , and the linear measurements should be more than 10\u00a0mm during CAD design of the final prosthesis to ensure zirconia prosthesis strength against fracture.\n <\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/jopr.70232","type":"journal-article","created":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T03:39:33Z","timestamp":1789616373000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Zirconia full\u2010arch implant\u2010supported prostheses: An up to 8\u2010year retrospective study with 140 jaws from private practice"],"prefix":"10.1111","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8790-2896","authenticated-orcid":false,"given":"Panos","family":"Papaspyridakos","sequence":"first","affiliation":[{"name":"Private Practice Boston Massachusetts USA"},{"name":"Department of Prosthodontics Tufts University School of Dental Medicine Boston Massachusetts USA"},{"name":"Department of Prosthodontics Eastman Institute for Oral Health Rochester New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8831-8096","authenticated-orcid":false,"given":"Avinash S","family":"Bidra","sequence":"additional","affiliation":[{"name":"Private Practice Glastonbury Connecticut USA"},{"name":"Department of Prosthodontics School of Dental Medicine University of Connecticut Farmington Connecticut USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7603-1722","authenticated-orcid":false,"given":"Armand","family":"Bedrossian","sequence":"additional","affiliation":[{"name":"Private Practice San Francisco California USA"},{"name":"Department of Prosthodontics University of Washington Seattle Washington USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7749-1210","authenticated-orcid":false,"given":"Sindhu","family":"Kanikicharla","sequence":"additional","affiliation":[{"name":"Department of Prosthodontics Eastman Institute for Oral Health Rochester New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7067-9712","authenticated-orcid":false,"given":"Abdul Basir","family":"Barmak","sequence":"additional","affiliation":[{"name":"Clinical Research and Biostatistics Eastman Institute for Oral Health University of Rochester Rochester New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1349-2548","authenticated-orcid":false,"given":"Panagiotis","family":"Ntovas","sequence":"additional","affiliation":[{"name":"Department of Prosthodontics Tufts University School of Dental Medicine Boston Massachusetts USA"},{"name":"Department of Operative Dentistry School of Dentistry National and Kapodistrian University of Athens Athens Greece"},{"name":"Division of Fixed Prosthodontics and Biomaterials University Clinics for Dental Medicine University of Geneva Geneva Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9356-3600","authenticated-orcid":false,"given":"Lawrence","family":"Brecht","sequence":"additional","affiliation":[{"name":"Private Practice New York New York USA"},{"name":"Department of Dental Medicine and Oral & Maxillofacial Surgery Department of Otolaryngology Northwell Health New Hyde Park New York USA"},{"name":"Advanced Education Program in Prosthodontics New York University College of Dentistry New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-0746-914X","authenticated-orcid":false,"given":"Marisa","family":"Notturno","sequence":"additional","affiliation":[{"name":"Private Practice New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2250-2274","authenticated-orcid":false,"given":"Konstantinos","family":"Chochlidakis","sequence":"additional","affiliation":[{"name":"Department of Prosthodontics Eastman Institute for Oral Health Rochester New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,16]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"crossref","first-page":"271","DOI":"10.1111\/jopr.13922","article-title":"Zirconia full\u2010arch implant prostheses: survival, complications, and prosthetic space dimensions with 115 edentulous jaws","volume":"34","author":"Papaspyridakos P","year":"2025","journal-title":"J Prosthodont"},{"key":"e_1_2_6_3_1","doi-asserted-by":"crossref","first-page":"220","DOI":"10.1016\/j.prosdent.2017.05.004","article-title":"Survival of 2039 complete\u2010arch fixed implant\u2010supported zirconia prostheses: a retrospective study","volume":"119","author":"Bidra AS","year":"2018","journal-title":"J Prosthet Dent"},{"key":"e_1_2_6_4_1","doi-asserted-by":"crossref","first-page":"501","DOI":"10.1111\/jopr.12528","article-title":"Retrospective 2\u2010 to 7\u2010year follow\u2010up study of 20 double full\u2010arch implant\u2010supported monolithic zirconia fixed prostheses: measurements and recommendations for optimal design","volume":"27","author":"Rojas Vizcaya F","year":"2018","journal-title":"J Prosthodont"},{"key":"e_1_2_6_5_1","doi-asserted-by":"crossref","first-page":"204","DOI":"10.1016\/j.prosdent.2017.12.010","article-title":"Rehabilitation of edentulous jaws with zirconia complete\u2010arch fixed implant\u2010supported prostheses: an up to 4\u2010year retrospective clinical study","volume":"120","author":"Tischler M","year":"2018","journal-title":"J Prosthet Dent"},{"key":"e_1_2_6_6_1","doi-asserted-by":"crossref","first-page":"365","DOI":"10.1111\/jopr.13991","article-title":"A retrospective single cohort study on the 5\u201313 year clinical outcomes of implant\u2010supported cross\u2010arch fixed dental prostheses with monolithic zirconia\u2010based frameworks","volume":"34","author":"Luo J","year":"2025","journal-title":"J Prosthodont"},{"key":"e_1_2_6_7_1","doi-asserted-by":"crossref","first-page":"121","DOI":"10.1111\/jopr.13388","article-title":"Framework fracture of zirconia\u2010supported full\u2010arch implant rehabilitation: a retrospective evaluation of cantilever length and distal cross\u2010sectional connection area in 140 patients over an up\u2010to\u20107\u2010year follow\u2010up period","volume":"31","author":"Tirone F","year":"2022","journal-title":"J Prosthodont"},{"key":"e_1_2_6_8_1","doi-asserted-by":"crossref","first-page":"96","DOI":"10.1016\/j.prosdent.2021.04.026","article-title":"Long\u2010term survival and success of zirconia screw\u2010retained implant\u2010supported prostheses for up to 12 years: a retrospective multicenter study","volume":"129","author":"Pozzi A","year":"2023","journal-title":"J Prosthet Dent"},{"key":"e_1_2_6_9_1","doi-asserted-by":"crossref","first-page":"84","DOI":"10.11607\/jomi.9808","article-title":"Implant survival and complication prevalence in complete\u2010arch implant\u2010supported fixed dental prostheses: a retrospective study with a mean follow\u2010up of 5 years","volume":"38","author":"Tang Y","year":"2023","journal-title":"Int J Oral Maxillofac Implants"},{"key":"e_1_2_6_10_1","doi-asserted-by":"crossref","first-page":"381","DOI":"10.11607\/jomi.10022","article-title":"Retrospective cohort evaluation of full\u2010arch zirconia implant\u2010supported fixed prostheses","volume":"38","author":"Al\u2010Tarawneh S","year":"2023","journal-title":"Int J Oral Maxillofac Implants"},{"key":"e_1_2_6_11_1","doi-asserted-by":"crossref","first-page":"790","DOI":"10.1016\/j.prosdent.2023.04.031","article-title":"Survival analysis of zirconia implant\u2010supported, fixed complete dentures: a 5\u2010year retrospective cohort study","volume":"133","author":"Thompson J","year":"2025","journal-title":"J Prosthet Dent"},{"key":"e_1_2_6_12_1","doi-asserted-by":"crossref","first-page":"659","DOI":"10.1111\/j.1600-0501.2012.02447.x","article-title":"Computer\u2010assisted design\/computer\u2010assisted manufacturing zirconia implant fixed complete prostheses: clinical results and technical complications up to 4 years of function","volume":"24","author":"Papaspyridakos P","year":"2013","journal-title":"Clin Oral Implants Res"},{"key":"e_1_2_6_13_1","doi-asserted-by":"crossref","first-page":"68","DOI":"10.1111\/clr.13393","article-title":"Full\u2010arch implant\u2010supported rehabilitation: a prospective study comparing porcelain\u2010veneered zirconia frameworks to monolithic zirconia","volume":"30","author":"Caram\u00eas J","year":"2019","journal-title":"Clin Oral Implants Res"},{"key":"e_1_2_6_14_1","doi-asserted-by":"crossref","first-page":"506","DOI":"10.1016\/j.prosdent.2015.02.010","article-title":"Retrospective analysis of 26 complete\u2010arch implant\u2010supported monolithic zirconia prostheses with feldspathic porcelain veneering limited to the facial surface","volume":"114","author":"Venezia P","year":"2015","journal-title":"J Prosthet Dent"},{"key":"e_1_2_6_15_1","doi-asserted-by":"crossref","first-page":"99","DOI":"10.1111\/cid.13149","article-title":"Prosthetic complications with monolithic or micro\u2010veneered implant supported zirconia single\u2010unit, multiple\u2010unit, and complete\u2010arch prostheses on titanium base abutments: a single center retrospective study with mean follow\u2010up period of 72.35 months","volume":"25","author":"Saponaro PC","year":"2023","journal-title":"Clin Implant Dent Relat Res"},{"key":"e_1_2_6_16_1","doi-asserted-by":"crossref","first-page":"51","DOI":"10.1563\/aaid-joi-D-17-00184","article-title":"Patient\u2010reported and clinical outcomes of implant\u2010supported fixed complete dental prostheses: a comparison of metal\u2010acrylic, milled zirconia, and retrievable crown prostheses","volume":"44","author":"Box VH","year":"2018","journal-title":"J Oral Implantol"},{"key":"e_1_2_6_17_1","doi-asserted-by":"crossref","first-page":"441","DOI":"10.1016\/j.prosdent.2019.01.022","article-title":"Complications and survival rates of 55 metal\u2010ceramic implant\u2010supported fixed complete\u2010arch prostheses: a cohort study with mean 5\u2010year follow\u2010up","volume":"122","author":"Papaspyridakos P","year":"2019","journal-title":"J Prosthet Dent"},{"key":"e_1_2_6_18_1","doi-asserted-by":"crossref","first-page":"395","DOI":"10.11607\/jomi.7833","article-title":"Long\u2010term clinical outcomes and cost\u2010effectiveness of full arch implant\u2010supported zirconia\u2010based and metal\u2010acrylic fixed dental prostheses: a retrospective analysis","volume":"35","author":"Barootchi S","year":"2020","journal-title":"Int J Oral Maxillofac Implants"},{"key":"e_1_2_6_19_1","doi-asserted-by":"crossref","first-page":"465","DOI":"10.1111\/jopr.13348","article-title":"Management of fractured zirconia complete arch fixed implant\u2010supported prosthesis caused by misfit due to diverse implant components: a case report","volume":"30","author":"Shuen C","year":"2021","journal-title":"J Prosthodont"},{"key":"e_1_2_6_20_1","doi-asserted-by":"crossref","DOI":"10.1016\/j.jdent.2025.105851","article-title":"Relation between CAD dimensional parameters and framework fracture in zirconia full arch implant rehabilitation: an observational cohort study","volume":"160","author":"Tirone F","year":"2025","journal-title":"J Dent"},{"key":"e_1_2_6_21_1","doi-asserted-by":"crossref","first-page":"651","DOI":"10.1111\/jopr.13409","article-title":"Digitally designed and milled verification jigs generated from photogrammetry data acquisition: a clinical report","volume":"30","author":"Sinada N","year":"2021","journal-title":"J Prosthodont"},{"issue":"1","key":"e_1_2_6_22_1","first-page":"e188","article-title":"The influence of jig on framework fit for nonsegmented fixed implant\u2010supported complete denture","volume":"14","author":"Ercoli C","year":"2012","journal-title":"Clin Implant Dent Relat Res"},{"key":"e_1_2_6_23_1","first-page":"13","article-title":"Full\u2010arch implant\u2010supported monolithic zirconia fixed dental prostheses: an updated systematic review","volume":"14","author":"AlTarawneh S","year":"2021","journal-title":"Int J Oral Implantol (Berl)"},{"key":"e_1_2_6_24_1","doi-asserted-by":"crossref","first-page":"502","DOI":"10.1111\/jopr.12426","article-title":"Cantilever lengths and anterior\u2010posterior spreads of interim, acrylic resin, full\u2010arch screw\u2010retained prostheses and their relationship to prosthetic complications","volume":"26","author":"Drago C","year":"2017","journal-title":"J Prosthodont"},{"key":"e_1_2_6_25_1","first-page":"1","article-title":"Evidence\u2010based prosthodontics: fundamental considerations, limitations, and guidelines","volume":"58","author":"Bidra AS","year":"2014","journal-title":"Dent Clin North Am"}],"container-title":["Journal of Prosthodontics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jopr.70232","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/jopr.70232","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jopr.70232","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T03:39:37Z","timestamp":1789616377000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jopr.70232"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,16]]},"references-count":24,"alternative-id":["10.1111\/jopr.70232"],"URL":"https:\/\/doi.org\/10.1111\/jopr.70232","archive":["Portico"],"relation":{},"ISSN":["1059-941X","1532-849X"],"issn-type":[{"value":"1059-941X","type":"print"},{"value":"1532-849X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,16]]},"assertion":[{"value":"2026-05-13","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-08-17","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-09-16","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"jopr.70232"}}