Ceramic versus metal-ceramic implant-supported prostheses: A systematic review and meta-analysis

Autor(es)

Araujo Lemos, Cleidiel Aparecido ^[1] ; Verri, Fellippo Ramos ^[1] ; de Luna Gomes, Jessica Marcela ^[1] ; de Souza Batista, Victor Eduardo ^[2] ; Cruz, Ronaldo Silva ^[1] ; Fernandes e Oliveira, Hiskell Francine ^[1] ; Pellizzer, Eduardo Piza ^[1]

Afiliação do(s) autor(es)

^[1] Sao Paulo State Univ, UNESP, Dept Dent Mat & Prosthodont, Aracatuba - Brazil

^[2] Univ Western Sao Paulo, UNOESTE, Presidente Prudente Dent Sch, Dept Prosthodont, Presidente Prudente - Brazil

• Tipo de documento: Artigo de Revisão
• Fonte: JOURNAL OF PROSTHETIC DENTISTRY; v. 121, n. 6, p. 879+, JUN 2019.
• Citações Web of Science: 1

Resumo

Statement of problem. There is insufficient evidence to recommend the restorative material for implant-supported prostheses. Purpose. The purpose of this systematic review and meta-analysis was to evaluate studies that compared ceramic and metal-ceramic restorations for implant-supported prostheses (within the same study to avoid indirect comparison) in terms of the mechanical and biological complication rates, prosthesis survival rate, and marginal bone loss. Material and methods. Two independent reviewers performed a comprehensive search in databases (PubMed/MEDLINE, Web of Science, and Cochrane Library) for articles indexed until March 31, 2018. The search was performed in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement and methods were registered in the International Prospective Register of Systematic Reviews (PROSPERO). The focused question was ``Do ceramic restorations have mechanical/biological complication rates, prosthesis survival rates, and marginal bone loss similar to those of metal-ceramic restorations?{''} Results. The search identified 949 references. The interinvestigator agreement using kappa values was 0.87 for PubMed/MEDLINE, 0.93 for Scopus, and 1.0 for the Cochrane Library. After analysis, 12 studies were selected for qualitative and quantitative analysis. The mechanical complication rate did not differ between ceramic and metal-ceramic restorations (P=.89), independent of the type of prostheses (single crown: P=.63; fixed partial denture: P=.65). The biological complication rate was also not significantly different between ceramic and metal-ceramic restorations (P=.21). The prosthesis survival rate showed no significant differences between the 2 types of restorations (P=.56). Marginal bone loss was also similar for both types of restorations (P=.12). Conclusions. This systematic review indicated that ceramic and metal-ceramic implant-supported prostheses have similar mechanical and biological complication rates, prosthesis survival rates, and marginal bone loss. Thus, both treatments are appropriate options for long-term rehabilitation treatment. (AU)

• Processo FAPESP: 15/24442-8 - Análise biomecânica de próteses implantossuportadas variando a conexão, o sistema de retenção, material restaurador, tipo e o nível do tecido ósseo. Estudo pelo métodos dos elementos finitos tridimensionais.
• Beneficiário: Cleidiel Aparecido Araujo Lemos
• Modalidade de apoio: Bolsas no Brasil - Doutorado