Delayed Placement of ZERAMEX XT Implants•
Posted on May 14 2019
Case Report: Delayed Placement of ZERAMEX XT Implants
Case by: Dr. Gary Adams
Submitted on Facebook last April 14, 2019
This case documents a delayed placement of 2 ZERAMEX XT 5.5x10mm implants followed by immediate fixture level impressions and placement of healing caps. The patient traveled 2.5 hours to my office 4 weeks prior for removal of #19 and #30 with diagnosis of non-restorable and failed root canals. The teeth were extracted and grafted with platelet rich fibrin.
Patient arrived the day of implant surgery and modified osteotomies were performed in the delayed sites with no elevation of flaps. The implants were placed with ease achieving primary stability of 45Ncm. Fixture level impressions were taken the day of surgery and healing caps placed. The patient returned in 3.5 months for delivery of final crowns.
The Zeramex XT implant is made of zirconium dioxide and has the following characteristics:
2 PIECE IMPLANT SYSTEM
SCREW RETAINED COMPONENTS
BONE LEVEL IMPLANT
TAPERING FORM WITH AGGRESSIVE THREADS FOR GOOD PRIMARY STABILITY AND IMMEDIATE PLACEMENT
PLATFORM SWITCH OPTIONS AVAILABLE BECAUSE THE 4.2MM AND THE 5.5MM WIDE IMPLANTS SHARE THE SAME SIZE CONNECTION
The interesting part of this case is the newly FDA approved ZERAMEX XT implant (the XT implant is the same implant as the Nobel Pearl, but the XT simply costs less. The XT Implant is a ceramic implant that places like titanium, and has all the conveniences of titanium. I guess that is why Nobel has finally jumped on the bandwagon. I use these implants in the smile zone, patients with suspected metal allergies, and all thin and translucent tissue types. It works great for singles and 3-5 unit bridges. I do not recommend these for full mouth cases, because custom abutments cannot be made at this time and there are not currently FDA approved multii-abutments or any angle correcting components for ‘All-on-4’ case type corrections. I recommend everyone take a look at these because there is a place for these in every practice. They also give you an opportunity for you to differentiate your practice from others, who are not offering this type of implant, i.e. “tooth colored”, “cosmetic”, and “metal free”. - Gary Adams
About the Author
Dr. Gary Adams is a natural holistic dentist by philosophy. He has been replacing teeth permanently with implants for over 15 years. Many people have lost teeth from decay, root canal failures and TMJ dysfunction – teeth clenching issues. “No one should have to accept tooth loss…my job is to repair and replace teeth but to also prevent future tooth loss by diagnosing and correcting the cause…” How to stop teeth and jaw clenching?
We practice in a clean, metal free, mercury free and fluoride free dental office. We use purified ozone water for all procedures. We have special air systems to filter out toxins including mercury gases, mercury vapors and other harmful gases. Dr Adams is an IAOMT dentist who offers safe mercury amalgam removal technique.
Dr. Adams preselects materials that are metal free, safe and biocompatible. “Every material placed into the mouth has an impact on our system,” says Dr. Adams…”We should select the one with the smallest and safest biological impact possible.”
Maryland Holistic Dentist Location | Burtonsville Maryland Office 2918 Spencerville Road #100 Burtonsville, MD 20866 | Phone: 301.421.1996
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