Video Details
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Ceramic Dental Implants in Everyday Practice
Description:
One-piece Zirconia Oxide implants can overcome the problems we associate with two-piece and one-piece titanium root form implants. It will be shown how this treatment option is no longer “experimental” and that the Zirconia Oxide material used in the CeraRoot implants shows excellent ability to osseointegrate, is phenomenally strong, and provides a soft tissue profile and health around the implants that rivals natural teeth. This presentation will make you rethink your titanium armamentarium. You will see a way to provide your patients with an ideal tooth replacement option. An implant that looks like a tooth, restores like a tooth, and has the periodontal health that rivals that of a tooth without the fear of screw loosening, metal showing, and Peri-implantitis caused by subgingival connections.
Date Added:
4/30/2014
Author(s):
Dan Hagi, DDS, FAGD, FICOI
Educated at the University of Toronto Faculty of Dentistry, Dr. Hagi was one of the youngest graduates to ever receive his doctorate degree. During his years of private practi...
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Online Videos / Surgery / Implant / Ceramic Dental Implants in Everyday Practice
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Questions & Comments
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Carlos Sánchez - (5/1/2014 12:41 PM)
Thanks a lot Dr Dan.
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Maurice Salama - (5/1/2014 8:12 AM)
Dan; If you have article pdfs you can send them to Tyler at DentalXP and he will post them on your Xpert page so members can access them right here on this site. Dr. Salama
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Dan Hagi - (4/30/2014 11:06 PM)
Thank you Carlos. Have a look in the Ceraroot.com site. You will find many references to published data. If you want more email me I will be glad to send you more. Cheers. Dan.
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Carlos Sánchez - (4/30/2014 10:45 PM)
Hello... it was a great presentation... Thanks Dr Dan for showing us the benefit of dental zirconia implants in our practice...
The questions were very interesting... the answers much better...
I think we need more information about the theme... If you could recommend more bibliography, I would appreciate your help...
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Maurice Salama - (4/30/2014 5:26 PM)
Hey Dan. Great answers below. Please continue to comeback and update your responses and review the additional questions as they arise. A very interesting topic. thanks again, Maurice
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Richard Kubiak - (4/30/2014 1:26 PM)
Good Course
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Dan Hagi - (4/30/2014 11:03 AM)
Maurice. There are 2 piece systems on the market. I think that as the materials improve this may be viable however my concern is with the connections. As we bring these components together we loose bulk of material. Same goes for the narrower 2 piece titanium implants. There is some short term data on success of design but the literature has now nearly 10 years of data on the one-piece ceramic implants like CeraRoot. The components come together at tissue level so I expect similar tissue response but the overall strength is compromised.
Yiannis there is 10 year data that should be published in the very near future showing sucess rates very similar to Ti. Peri-implantitis does not seem to be a problem. This could be because of the one-piece design i.e. no subgingival connection or the lower affinity of the zirconia surface to bacterial colonization. The surface can be cleaned to the same extent that titanium can be. One can use acids, antibiolic gels or mechanical methods, though to date I have no experience with that as we have not had these issues. As far as titanium sensitivities we use the MELISA test.
I try to prepare as minimal as possible, small modifications of a margin or angulation do not affect overall survival. Heavy preparation and thinning of the abutment will. Surgical excellence is required to get the implant in the correct positition.
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yiannis vergoullis - (4/30/2014 7:35 AM)
Very nice presentation. Congratulations.
It will be interesting to see how do these implants behave on the long term as far as peri-implantitis is concerned. Usually we see this type of problem 3-6 years later.
What are your thoughts on this subject? and how can this medium rough surface be decontaminated compared to titanium surface?
Second question.
Zirconia implants could be an answer to patients intolerant or allergic to titanium (see references below). Do you use these type of tests as a screening way to decide between titanium and zirconia implants, or do you routinely place only zirconia implants?
Third question
How does prepping the abutment affect the mechanical properties of this implant?
Thank you for the very nice presentation
Yiannis
References
1. Sterner T, Schütze N, Saxler G, Jakob F, Rader CP. [Effects of clinically
relevant alumina ceramic, zirconia ceramic and titanium particles of different
sizes and concentrations on TNF-alpha release in a human macrophage cell line].
Biomed Tech (Berl). 2004 Dec;49(12):340-4
2.Kaufman AM, Alabre CI, Rubash HE, Shanbhag AS. Human macrophage response to
UHMWPE, TiAlV, CoCr, and alumina particles: analysis of multiple cytokines using
protein arrays. J Biomed Mater Res A. 2008 Feb;84(2):464-74
3.Porter JA, von Fraunhofer JA. Success or failure of dental implants? A literature review with treatment considerations. Gen Dent. 2005
Nov-Dec;53(6):423-32
4. Jacobi-Gresser E, Huesker K, Schütt S. Genetic and immunological markers
predict titanium implant failure: a retrospective study. Int J Oral Maxillofac
Surg. 2013 Apr;42(4):537-43.
Algan SM, Purdon M, Horowitz SM. Role of tumor necrosis factor alpha in
particulate-induced bone resorption. J Orthop Res. 1996 Jan;14(1):30-5.
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Maurice Salama - (4/29/2014 5:27 PM)
Nice job my friend. What are your thoughts on a 2 piece Zr Implant over the 1 piece offerings? Thanks Dr. Salama
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