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Systematic review and meta-analysis reveals similar outcomes for zirconia and titanium implants, suggesting further studies are needed.
Within the limits of the available evidence, zirconia and titanium implants demonstrate comparable biological performance in terms of peri-implant tissue health and the incidence of biological complications. Zirconia implants exhibited an isolated increase in BoP at 12 months; however, this difference was not accompanied by changes in the other peri-implant parameters or biological complications. The biological and clinical significance of this finding remains uncertain and warrants further investigation. Further long-term, adequately powered RCTs with standardized outcome reporting are needed to clarify the long-term biological performance of both materials.
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Alccayhuaman et al. (2026) studied this question.
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