title: Clinical evidence on titanium-zirconium dental implants: a systematic review and meta-analysis.
abstract: The use of titanium implants is well documented and they have high survival and success rates. However, when used as reduced-diameter implants, the risk of fracture is increased. Narrow diameter implants (NDIs) of titanium-zirconium (Ti-Zr) alloy have recently been developed (Roxolid; Institut Straumann AG). Ti-Zr alloys (two highly biocompatible materials) demonstrate higher tensile strength than commercially pure titanium. The aim of this systematic review was to summarize the existing clinical evidence on dental NDIs made from Ti-Zr. A systematic literature search was performed using the Medline database to find relevant articles on clinical studies published in the English language up to December 2014. Nine clinical studies using Ti-Zr implants were identified. Overall, 607 patients received 922 implants. The mean marginal bone loss was 0.36±0.06mm after 1 year and 0.41±0.09mm after 2 years. The follow-up period ranged from 3 to 36 months. Mean survival and success rates were 98.4% and 97.8% at 1 year after implant placement and 97.7% and 97.3% at 2 years. Narrow diameter Ti-Zr dental implants show survival and success rates comparable to regular diameter titanium implants (>95%) in the short term. Long-term follow-up clinical data are needed to confirm the excellent clinical performance of these implants.
authors: Department of Oral and Maxillofacial Surgery, School of Dentistry, Universitat Internacional de Catalunya, Sant Cugat del Vallès, Barcelona, Spain. Electronic address: altuna@uic.es.
authors: P
authors: P
authors: Altuna
authors: Department of Oral and Maxillofacial Surgery, School of Dentistry, Universitat Internacional de Catalunya, Sant Cugat del Vallès, Barcelona, Spain.
authors: E
authors: E
authors: Lucas-Taulé
authors: Department of Oral and Maxillofacial Surgery, School of Dentistry, Universitat Internacional de Catalunya, Sant Cugat del Vallès, Barcelona, Spain.
authors: J
authors: J
authors: Gargallo-Albiol
authors: Department of Restorative Dentistry, School of Dentistry, Universitat Internacional de Catalunya, Sant Cugat del Vallès, Barcelona, Spain.
authors: O
authors: O
authors: Figueras-Álvarez
authors: Department of Oral and Maxillofacial Surgery, School of Dentistry, Universitat Internacional de Catalunya, Sant Cugat del Vallès, Barcelona, Spain.
authors: F
authors: F
authors: Hernández-Alfaro
authors: Department of Periodontology, School of Dentistry, Universitat Internacional de Catalunya, Sant Cugat del Vallès, Barcelona, Spain.
authors: J
authors: J
authors: Nart
mesh_terms: D003722:Dental Alloys / Q000737:chemistry / Q000627:therapeutic use*; D015921:Dental Implants; D017267:Dental Prosthesis Design; D006801:Humans; D008422:Materials Testing; D013718:Tensile Strength; D014025:Titanium; D015040:Zirconium
chemical_list: D003722:Dental Alloys; D015921:Dental Implants; D015040:Zirconium; D014025:Titanium
keywords: Roxolid; dental implant; narrow diameter; small diameter; titanium–zirconium