The portfolio of the 100 percent metal-free and reversibly screwable Zeramex XT ceramic implant system is now complete. After the launch of the new competence center Zeramex Digital Solutions, which serves the demand for individual abutments and one piece, monolithic crowns with implant connection, Firrna Dentalpoint is launching further innovations on the market. The portfolio of the Zeramex XT implant system now also includes the anterior teeth in the lower jaw and lateral incisors in the upper jaw Implants with an endosseous diameter of 3.5 mm (Fig. 1a). The new small-base implants (SB) (Fig. 1) are available in lengths of 8, 10 and 12 mm. In addition to the familiar regular and wide-base platforms with endosseous diameters of 4.2 mm for the RB implant and 5.5 mm for the WB implant, the range of Zeramex XT implants is now complete (Figs. 2 to 5).

In addition to the SB implants, the system has also been expanded with new abutments for removable dentures. The Zeramex Docklocs abutments are the first 100 

The authors have been in the business for a long time – and more: They have many years of experience with implant-supported dentures. Both specialists have made ceramic implants their great passion (Fig. 1). Klaus Pettinger is even one of the pioneers in this area. Wolfgang Weisser was able to benefit from his specialist knowledge. Together they plan and discuss the handling and pitfalls of ceramic implants. As a result, the idea arose to describe the procedure of the monolithic abutment step by step in a specialist article.

The patient case The loss of the tooth in region 36 (Fig. 2) had caused the patient some inconvenience: food particles accumulated in this area which the man found very annoying. He came to the practice of Dr. Michael Schneider in Schomdorf with the wish to close this gap. After a detailed diagnosis by the practitioner, it was agreed to insert a cervical implant and to remove all metal restorations from the lower jaw in this treatment phase. The renovation should be done with metal-free reconstructions. The surgical procedure The initial situation shows the opening for displaying the bone – performed with a pilot hole (A) with the Zeradrill Pilot 2.3 mm and then via the EP drill with the Zeradrill W 10 with a 5.5 mm drill in preparation for thread cutting (Fig. 3).