A Systematic Review and Meta-Analysis Evaluating the Survival, the Failure and the Complication Rates of Metal-Ceramic, Veneered and Monolithic All-Ceramic Tooth-Supported Multiple- Unit Fixed Dental Prostheses (Fdps).

P Romandini; B E Pjetursson; J Pitta; A Balet; R Ikumi; I Sailer

doi:10.11607/ijp.9666

February 6, 2026

A Systematic Review and Meta-Analysis Evaluating the Survival, the Failure and the Complication Rates of Metal-Ceramic, Veneered and Monolithic All-Ceramic Tooth-Supported Multiple- Unit Fixed Dental Prostheses (Fdps).

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Key Points

The aim is to evaluate and compare the survival, failure, and complication rates of various dental prostheses.
Conducted a systematic review and meta-analysis of existing studies.
Evaluated outcomes of metal-ceramic, veneered, and monolithic all-ceramic FDPs.
Assessed survival rates over a 5-year period and analyzed complication types.
Veneered and monolithic zirconia FDPs showed comparable 5-year survival rates.
Higher fracture rates were observed in weaker ceramics, making them less suitable.
Monolithic zirconia demonstrated improved resistance to chipping and framework fractures.

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Implication

This systematic review compares survival and complication rates of different types of dental prostheses, suggesting favorable outcomes for certain materials.

Abstract

Veneered and monolithic densely sintered zirconia and metal-ceramic FDPs demonstrate comparable 5-year survival. High fracture rates make weaker ceramics unsuitable for multi-unit restorations. Monolithic zirconia offers improved resistance to chipping and framework fractures.

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Romandini et al. (2026) studied this question.

synapsesocial.com/papers/698979d9f0ec2af6756e7cd4 https://doi.org/10.11607/ijp.9666

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A Systematic Review and Meta-Analysis Evaluating the Survival, the Failure and the Complication Rates of Metal-Ceramic, Veneered and Monolithic All-Ceramic Tooth-Supported Multiple- Unit Fixed Dental Prostheses (Fdps).

Key Points

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Implication

Abstract

Discussion

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A Systematic Review and Meta-Analysis Evaluating the Survival, the Failure and the Complication Rates of Metal-Ceramic, Veneered and Monolithic All-Ceramic Tooth-Supported Multiple- Unit Fixed Dental Prostheses (Fdps).

Key Points

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Implication

Abstract

Discussion

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