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Video Details

This video presentation will highlight the utilization of a One-Piece Zirconium Implant placed into a previously grafted anterior site in combination with a connective tissue graft to maximize the esthetic result. The utilization of zirconium instruments and drills from Z Systems will be highlighted as well as the harvest and suturing of autogenous connective tissue. Proper fabrication of a temporary non-loaded transitional appliance will also be described in a step by step manner utilizing an Essix Retainer from Raintree and denture teeth.

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Maurice Salama, DMD Maurice Salama, DMD
Dr. Maurice A. Salama completed his undergraduate studies at the State University of New York at Binghamton in 1985, where he received his BS in Biology. Dr. Salama r...
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Online Videos / Surgery / Implant / Zirconium Implant Placement, Soft Tissue Graft and Transitional Prosthesis in the Esthetic Zone - Part 1 of 2

Questions & Comments
Elkie Noah Lumagui - (10/1/2019 2:07 AM)

Hello Dr. Salama, Do you have the final outcome of this? Regards, Elkie

Maurice Salama - (2/22/2012 3:54 PM)

Mansour; That is a fair question. Zirconium implants do not have the same history that titanium implants have but they are FDA approved and have shown similar success of osseointegration to that of titanium implants. The BIG question is really how the crestal bone will hold up over many years. So far so good.
thanks for the post
Dr. Salama

mansour mirzaie - (2/22/2012 3:30 PM)

hi Dr.salama and thanks a lot for sharing but my question is,how do you evaluate zirconium implants?since we are working since many years with titanium implants and we have seen the response in long therm.thanks again.

Maurice Salama - (5/20/2011 7:47 AM)

Francois & Hayfa'a; Yes, there are many studies on Zirconium implants available in the literature. The Z Systems has One-Piece Implants only but there are other Zirconium Implant Systems available that have a 2-Piece product as well. Zirconium has shown an ability to osseointegrate and is quite friendly to the soft tissue as well. thanks Dr. Salama

François Blackburn - (5/19/2011 8:49 AM)

Excellent presentation Dr. Salama. Do we have study about zirconium implant?

Maurice Salama - (1/26/2011 12:55 PM)

Dr Hayfa'a Bashir; The literature appears to show a similar osseointegration of Zirconium implants as Titanium. Some caveats; the implant is currently available ONLY in One-Piece and requires preparation of the abutment intra-orally and is NOT suggested for immediate loading or temporization. Thank you for your post Dr. Salama

dr. Hayfa'a Bashir - (1/26/2011 7:10 AM)

Hi,Dr.Salama, GREAT!! its nice to use zirconium implant system & Z-instruments instead of Ti -implants for allergic patients. BUT,is the integrity of osseointegration in zirconium implant to bone is similar to that between metal & bone? -Can it used in all bone qualities of jaws? -This system is delivered in (one piece) only??? Thank u,,, Dr. Hayfa'a A. Bashir GBOI-DGZI;batch 2-SUDAN.

dentimp huang - (1/5/2011 10:51 AM)

Thank you , Dr.Salama .Did you ever consider GBR+CTG for this case ?and the Zirconium implants all made in one piece ?

Maurice Salama - (1/5/2011 10:30 AM)

Dentimp; Great question. As we do not know the fate of the buccal plate's resorption after implant placement, in the esthetic zone Zirconium Implants (shown here) and/or abutments are useful to hide any color change. Additionally the CTG graft (shown here) helps to thicken the attached gingiva and also prevent negative changes to the gingival stability and color even if some labial plate resorption takes place.
Dr. S

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