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Osseointegration of zirconia and titanium implants : systematic review

datacite.subject.fosCiências Médicas::Outras Ciências Médicaspt_PT
dc.contributor.advisorBorges, Tiago Gonçalves Ferreira
dc.contributor.advisorFernandes, Gustavo Vicentis de Oliveira
dc.contributor.authorRemísio, Maria João da Silva
dc.date.accessioned2022-08-30T10:45:39Z
dc.date.available2022-08-30T10:45:39Z
dc.date.issued2022-07-19
dc.date.submitted2022
dc.description.abstractIntroduction: Titanium implants are the gold standard, but due to problems with aesthetic and structural components, there has been an increase in research for zirconia implants. They have ivory color, good biomechanical characteristics, and a satisfactory survival rate. Thus, this study's goal was to systematically verify the literature to compare the osseointegration levels between titanium and zirconia dental implants, shown through histological analysis. Material and Methods: This review was conducted following the PRISMA guidelines and was registered in PROSPERO. Electronic and manual searches were carried out through PubMed/Medline, PMC, and Embase databases, with a platform-specific search strategy combining controlled terms (MeSH and Emtree) and text words. The selection of articles was carried out by two independent investigators and Cohen's kappa coefficient was used to assess the agreement, which was then evaluated using the defined inclusion and exclusion criteria. Results: From the initial 271 abstracts screened, 17 articles were included for full-text reading. All of them were preclinical in vivo studies that compared the osseointegration level between zirconia and titanium implants. A total of 370 titanium implants (Ti) and 537 zirconia implants (Zr) were evaluated. The percentual average of osseointegration for Zr was 55.51% (min. 17.6% and max. 89.09%), whereas Ti was 58.50% (min. 23,2% and max. 87.85%). There was no statistical difference between studies at 2 months of histomorphometry (p = 0.672). While for the studies analyzed at 1 month and 3 months, statistically significant data of p < 0.001 were found for both. Conclusion: Zirconia implants have presented a similar level of osseointegration compared to titanium implants. Therefore, based on results on osseointegration it was conceivable to conclude that Zr implants are a viable choice for oral rehabilitation. Nonetheless, because these findings are based on preclinical research, all data must be thoroughly examined, and clinical trials evaluating osseointegration of Ti and Zr implants are required.pt_PT
dc.identifier.tid203046170pt_PT
dc.identifier.urihttp://hdl.handle.net/10400.14/38613
dc.language.isoengpt_PT
dc.subjectDental implantspt_PT
dc.subjectOsseointegrationpt_PT
dc.subjectSystematic reviewpt_PT
dc.titleOsseointegration of zirconia and titanium implants : systematic reviewpt_PT
dc.typemaster thesis
dspace.entity.typePublication
rcaap.rightsopenAccesspt_PT
rcaap.typemasterThesispt_PT
thesis.degree.nameMestrado em Medicina Dentáriapt_PT

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