Patients revealed high satisfaction levels with regard to zirconia dental implants: a systematic review
The patient’s perception of an implant treatment outcome plays a crucial role in implant dentistry. Arefnia et al. (2025) did a systematic literature review to assess the patient-reported outcome (PROs) in edentulous patients rehabilitated with zirconia implants. For this purpose, only controlled clinical trials published in English were included, with no restrictions on the year of publication. The final selection consisted of 12 articles.
The term Patient-Reported Outcome Measures (PROMs) was first introduced at the Eighth European Workshop on Periodontology (Lang et al. 2012; Chanthavisouk 2022). PROMs encompass:
- patients’ perceptions of their oral health status
- its impact on daily life or quality of life
- satisfaction with oral health and/or dental care
- and other nonclinical assessments
Nearly all the included studies (n = 11) utilized researcher-developed questionnaires to assess patient-reported Outcomes (PROs) and examined various patient-centered factors, such as aesthetics, chewing ability, speech, comfort, self-esteem, and overall satisfaction. „Despite the respective limitations of the articles included in this systematic review, patients revealed high satisfaction levels with regard to zirconia dental implants,” the authors conclude.
The full text of the paper is available here.
References
Arefnia, B., Fakheran, O., Jakse, N., & Payer, M. (2025). Patient-reported outcomes of zirconia dental implants: a systematic review and future directions. Journal of Patient-Reported Outcomes, 9(1), 7.
Lang NP, Zitzmann NU, Working Group 3 of the VIII European Workshop on Periodontology (2012) Clinical research in implant dentistry: evaluation of implant-supported restorations, aesthetic and patient‐reported outcomes. J Clin Periodontol 39:133–138
Phonsuda Chanthavisouk RDH (2022) Dental therapy and dental patient-reported outcomes (dPROs). J Evidence-Based Dent Pract 22(1):101660
About the authors
Dr. Behrouz Arefnia, MSc is Director of the Division of Restorative Dentistry, Periodontology, and Prosthodontics at the Medical University of Graz. His research focuses on medical diagnostics and dentistry. Dr. Arefnia has received several awards, including the Summer School Award (2016) and the Austrian Dental Award (2013). He has been actively involved in professional organizations such as ÖGP, ÖGZMK, and ÖGI and has contributed as a reviewer and scientific event organizer.
Assoc. Prof. Dr. Omid Fakheran Esfahani, PhD works at the Department of Oral Surgery and Orthodontics at the Medical University of Graz. His expertise spans dental public health, periodontology, and oral surgery. He has received multiple awards, including grants from the European Association of Dental Public Health and the International Team for Implantology. Dr. Esfahani serves as an editor and reviewer for various scientific journals.
Assoc. Prof. Priv.-Doz. Dr. Michael Payer is Deputy Head of the Department of Oral Surgery and Orthodontics at the Medical University of Graz. His expertise includes implantology, oral surgery, and dental research. He has received prestigious awards such as the André Schroeder Research Prize (2019) and was named Researcher of the Year at the Medical University of Graz (2011). Dr. Payer is actively involved in professional societies, including the European Association for Osseointegration (EAO) and the International Team for Implantology (ITI).
