Clinical approach of ceramic dental implants

Ceramic implants establish in modern dental implantology as a supplement to the treatment spectrum with titanium implants. An increasing interest can be observed not only on the part of health-conscious patients, but also in the dental profession due to the biological advantages.
The large number of participants in an extensive survey alone shows the interest in the topic of ceramic implants in dentistry and oral surgery. The possible advantages of the material zirconia dioxide in terms of biocompatibility and low tendency to inflammation were confirmed and are in line with our view. In particular, a significantly lower tendency to periimplantitis seems to be observed in free practice, which should be confirmed by the initialization of corresponding clinical studies. The fear of the past regarding stability could at least be relativized for the newer systems since fractures are not in the foreground in the data on the reasons for loss.
The potential for osseointegration was rated equally for both materials.
In particular, the proportionally most frequently mentioned “early loss” during the healing phase gives cause for further evaluation. Since various factors such as overloading, incorrect loading, surface design, bone degeneration due to overheating can play a role, further differentiation should be made here in order to reduce failures.
All responses indicate a clear tendency towards two-part systems, which allow a broader range of indications and offer more flexibility. Solutions are requested which simplify the application compared to titanium implants.
Author(s)Source
Chen A, Chevalier J, Fischer J et al.ESCI – European Society for Ceramic Implantology, 24.03.2022

german: klinische Anwendung von Keramikimplantaten

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