Clinical Performance of Narrow-Diameter Titanium-Zirconium Implants

Badran, Zahi; Struillou, Xavier; Strube, Nicolas; Bourdin, David; Dard, Michel; Soueidan, Assem; Hoornaert, Alain

doi:10.1097/id.0000000000000557

Cited by 20 publications

(21 citation statements)

References 28 publications

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“…However, there were several studies showing promising results for NDI of Category 3 for the posterior jaw. A recent review on the clinical performance of narrow‐diameter titanium–zirconium implants (TiZr) indicated that these implants could be reliable for restorations in the posterior region, even when replacing single missing molars (Badran et al., ; F. E. Lambert et al., ; Tolentino et al., ). However, long‐term data are rare so far.…”

Section: Discussionmentioning

confidence: 99%

Narrow‐diameter implants: A systematic review and meta‐analysis

Schiegnitz

Al‐Nawas

2018

Clinical Oral Implants Res

131

185

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Objectives: Narrow-diameter implants (NDI) are claimed to be a reasonable alternative to bone augmentation procedures. The aim of this comprehensive literature review was to conduct a meta-analysis comparing the implant survival of NDI and standard diameter implants (SDI) and to provide recommendations and guidelines for application of NDI.Material and methods: An extensive systematic literature search was performed in the PubMed/MEDLINE and the Cochrane Library databases. NDI were classified into Category 1 (implant diameter <3.0 mm, "mini-implants"), Category 2 (implant diameter 3-3.25 mm) and Category 3 (implant diameters 3.3-3.5 mm). Clinical studies at all levels of evidence with at least 10 patients included and a follow-up time of at least 12 months were included. The primary outcome criterion was the survival rates of NDI. Results: Seventy-six studies were identified for qualitative and 16 studies for quantitative synthesis. Quality assessment illustrated a high risk of bias for the included literature. Mean implant survival rates were 94.7 ± 5%, 97.3 ± 5% and 97.7 ± 2.3% for Categories 1, 2 and 3. Meta-analysis indicated a statistically significant lower implant survival of Category 1 NDI compared to SDI ([OR], 4.54; [CI], 1.51-13.65). For Category 2 and Category 3, no statistical significant differences in implant survival were seen compared to SDI ([OR], 1.06; [CI], 0.31-3.61 and [OR], 1.19; [CI], 0.83-1.70).Conclusion: NDI of Category 1 performed statistically significantly worse than SDI and were mainly described for the rehabilitation of the highly atrophic maxilla or mandible. Category 2 and Category 3 NDI showed no difference in implant survival compared to SDI. Category 2 NDI were mostly used for the rehabilitation of limited interdental spaces in anterior single-tooth restorations. NDI of Category 3 were described in all regions, including posterior single-tooth restorations. However, resilient long-term data and data on the possible risk of biological and technical complications with wide platform teeth on NDI are missing so far. K E Y W O R D Smeta-analysis, narrow diameter, review, small dental implants, survivalThis is an open access article under the terms of the Creative Commons Attribution-NonCommercial License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.

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Section: Discussionmentioning

confidence: 99%

Narrow‐diameter implants: A systematic review and meta‐analysis

Schiegnitz

Al‐Nawas

2018

Clinical Oral Implants Res

131

185

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“…Their review included a broader range of studies designs, including retrospective and prospective single cohort studies, which were excluded from the present review. Moreover, another recent systematic review included single cohort, RCT and prospective studies; some with 1‐, 3‐, and 5‐year follow up results of the same subjects. It was conducted with a data comparison of the results and no meta‐analysis was performed.…”

Section: Discussionmentioning

confidence: 99%

“…There is few clinical evidence of the success of TiZr narrow diameter implants (TiZr NDIs) regarding fracture and marginal bone loss. Two previous systematic reviews were published on the subject. Despite their significant contribution, some limitations from these reviews should be considered.…”

Section: Introductionmentioning

confidence: 99%

“…One of the reviews, included some low quality studies, inadequately combined RCTs, prospective, and retrospective studies in the same statistical model, which may be associated with bias in the estimates. The other review did not perform a meta‐analysis and focused solely on survival rate, not considering marginal bone loss as an outcome factor. Also, the search strategy of both reviews covered only Pubmed and/or Embase databases.…”

Section: Introductionmentioning

confidence: 99%

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Survival rate of titanium‐zirconium narrow diameter dental implants versus commercially pure titanium narrow diameter dental implants: A systematic review

Iegami

Uehara

Sesma

et al. 2017

Clin Implant Dent Rel Res

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“…Ceramic coatings aim to give the same biocompatibility advantages to metals or alloys to be coated [46]. A systematic review including six randomized controlled trials (RCTs) studied implants consisting of 85% Ti and 15% Zr found that narrow Ti-Zr implants have comparable performance to regular diameter Ti implants noting further research is necessary [47]. Some studies tested alloys consisting of Ti-Nb and found the material to be cytocompatible and a good candidate for implantology in future research due to its very low elasticity modulus [48,49].…”

Section: Long-term Influences On Peri-implant Tissuesmentioning

confidence: 99%

Dental Implants

Çınar¹,

Gültekin²,

Saglanmak³

et al. 2020

Biomaterials

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The goal of modern dentistry is to return patients to oral health in a predictable fashion. The partial and complete edentulous patient may be unable to recover normal function, esthetics, comfort, or speech with a traditional removable prosthesis. The patient’s function when wearing a denture may be reduced to one sixth of the level formerly experienced with natural dentition; however, an implant prosthesis may return the function to near-normal limits. The esthetics of the edentulous patient is affected as a result of muscle and bone atrophy. In order to replace a missing tooth, the development of materials science and technology improved the materials for implant application. Nowadays, titanium has become the most popular implant material due to its advantages. The first submerged implant placed by Strock was still functioning 40 years later. Recently, zirconia implants and innovative surface designs are being researched and practiced. In this chapter, these materials will be comparatively discussed through contemporary literature and research.

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Clinical Performance of Narrow-Diameter Titanium-Zirconium Implants

Abstract: Short-term results from preliminary clinical reports are quite promising, although the number of published studies and the follow-up periods are still insufficient to determine the real benefit of this hybrid material compared with titanium, especially when using NDI.

Cited by 20 publications

References 28 publications

Narrow‐diameter implants: A systematic review and meta‐analysis

Narrow‐diameter implants: A systematic review and meta‐analysis

Survival rate of titanium‐zirconium narrow diameter dental implants versus commercially pure titanium narrow diameter dental implants: A systematic review

Dental Implants

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