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The Bell BriefFrom Dr. Jennifer Bell, DDS
HIGHResearchTier 1

A Randomised Controlled Trial Comparing a One‐Piece Zirconia Tissue‐Level Implant and Two‐Piece Titanium Bone‐Level Implant for Maxillary Single Tooth Replacement—3 year Results

SourceClinical Oral Implants ResearchTier 1Peer-Reviewed Research

By J. H. W. de Beus, M. S. Cune, L. Muijselaar, J. W. A. Slot, C. Jensen‐Louwerse, S. la Bastide‐van Gemert, H. J. A. Meijer, G. M. Raghoebar, U. Schepke

Originally at onlinelibrary.wiley.com

Summary & scoring by The Bell Brief (Dr. Jennifer Bell) using the Drill-Down Protocol (Drill-Down Score) — not the original publisher.

Why it matters for dental

Implantologists and restorative dentists now have 3-year RCT data showing one-piece zirconia tissue-level implants perform comparably to conventional two-piece titanium implants for maxillary single-tooth replacement, giving practices a metal-free, esthetic option that may reduce peri-implantitis risk without sacrificing survival.

Key points

  • Published in Clinical Oral Implants Research (Sept 2026) with 3-year follow-up; 1069-1080.
  • Maxillary single-tooth sites only—most esthetically demanding area—where zirconia’s translucency can eliminate gray-line show-through.
  • Tissue-level design eliminates micro-gap at crestal bone, potentially lowering peri-implant bone loss and future maintenance visits.
  • Study provides level-1 evidence for treatment-planning decisions; owners and DSOs can add zirconia SKUs with confidence in survival parity.

Who should care

SpecialistAcademia

Read the original on Clinical Oral Implants Research

Full reporting and any paywall content live on onlinelibrary.wiley.com. We summarize and score; we do not republish.

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