Three-year follow-up of a Randomized Clinical Trial on screw-retained monolithic zirconia restorations on ti-base abutments based on digital or conventional impression techniques.

restoration survival and technical complications were documented. Results: A total of 50 patients with 84 restorations completed the 3-year follow-up. One 3-FDP from the IOS group was lost. This resulted in survival rates of 97.9% for the test and 100% for the control restorations and an overall survival rate of screw-retained monolithic zirconia restorations on implants of 98.8% after 3 years. There was no statistically significant survival difference between the test and control groups ( P = .362). When evaluated separately, a 100% survival rate for SCs and 97.7% rate for 2-FDPs was reported. One decementation and three occurrences of screw loosening occurred over the 1- to 3-year follow-up. The multiple-implant restorations showed higher (23.3%) complication rates at the restoration level than the SCs (4.9%) after 3 years of function (P = .026 ) . Conclusion: Screw-retained monolithic zirconia restorations on Ti-base abutments show promising survival rates after 3 years of function. Restorative complications of screw-retained monolithic zirconia restorations on Ti-base abutments are more likely to happen in the first year of function and are more common in multiple-implant restorations than solitary crowns. The impression (IOS or conventional) does not seem to influence these results. Int J Prosthodont 2022. doi: 10.11607/ijp.7891