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EAO Position Paper: Material Selection for Implant-Supported Restorations.

Bjarni Elvar Pjetursson, Vincent Fehmer, Irena Sailer

    The International Journal of Prosthodontics
    |March 1, 2022
    PubMed
    Summary
    This summary is machine-generated.

    The European Association for Osseointegration (EAO) provides clinical recommendations for dental implant restorations. Metal-ceramics are preferred for complex cases, while monolithic zirconia offers a promising alternative for fixed dental prostheses (FDPs).

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    Area of Science:

    • Dental Materials Science
    • Implant Prosthodontics
    • Biomaterials Engineering

    Background:

    • Numerous novel dental materials challenge traditional metal-ceramic restorations for teeth and implants.
    • Material selection is critical for the long-term success of implant-supported restorations.

    Purpose of the Study:

    • To present the European Association for Osseointegration (EAO) evidence-based clinical recommendations for material selection.
    • To guide clinicians on choosing materials for single crowns (SCs) and multiple-unit implant-supported fixed dental prostheses (FDPs).

    Main Methods:

    • Review of current scientific evidence on dental materials for implant restorations.
    • Formulation of clinical recommendations by the EAO based on evidence synthesis.

    Main Results:

    • Metal-ceramics remain suitable for complex indications like long crowns, cantilever restorations, and FDPs with extension units or small connectors.
    • Veneered or monolithic zirconia-ceramic and reinforced glass-ceramic are indicated for most implant-supported SCs.
    • Conventionally veneered zirconia FDPs pose a high risk of framework and veneering material fracture; monolithic zirconia FDPs are a promising alternative.
    • Mechanical stability varies significantly among different translucency grades of zirconia, impacting clinical recommendations.

    Conclusions:

    • Material choice for implant restorations depends on specific clinical scenarios, including complexity and biomechanical demands.
    • Monolithic zirconia FDPs show potential but require careful consideration of translucency and mechanical properties.
    • Ongoing research and future consensus meetings will continue to refine recommendations for implant prosthodontics materials.