Survival Rate and Biological Complications of Screw-Retained Ceramic-Veneered Implant-Supported Fixed Dental Prostheses: A Systematic Review and Meta-Analysis

Sheykhian M, Garjan JH, Sharifi A, Rahbar M

BioMed research international, 2026

Abstract

Aim: The present systematic review and meta-analysis were aimed at evaluating the survival rate and biological complications of screw-retained ceramic-veneered implant-supported fixed dental prostheses (ISFDPs).

Method: The design and implementation of the present systematic review and meta-analysis were based on the 27-item PRISMA 2020 checklist. A search was conducted based on keywords related to the research objective in the international databases (Cochrane, Embase, and MEDLINE [PubMed and Ovid]) until January 2025. The quality and risk of bias of the studies were assessed using the standard Newcastle-Ottawa Scale. In the present study, survival rate, success rate, and complication rate were evaluated with a fixed effects model at a 95% confidence level; Stata 17 software was used to perform meta-analysis.

Result: The survival rate of screw-retained ceramic-veneered ISFDPs was 97% (effect size [ES]: 0.97; 95% CI: 0.92-1.09; I2 = 0.0%, Q = 3.41, p = 0.7565). The complication rate of screw-retained ceramic-veneered ISFDPs was 13% (ES: 0.13; 95% CI: 0.08-0.18; I2 = 5.7%, Q = 6.36, p = 0.3839).

Conclusion: Screw-retained ceramic-veneered ISFDPs had a high and acceptable success rate and survival rate.

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