Clinical Case by Dr. Sammy Noumbissi DDS,MS

Dental implants have revolutionized dentistry and most  particularly fixed and removable prosthodontics. Although  the success of titanium is undisputable, the widespread use  of implants has come with problems ranging from cosmetic  concerns to the systemic effects on the recipient. There has been  increasing reports and research on the long-term stability of  titanium and titanium alloys in the body and in the last twenty  years in the oral environment.

The breakdown of metals  and Titanium alloys have been increasingly scrutinized as  studies have repeatedly proven that over time during exposure  to the oral environment and/or body fluids, titanium  particles are found in peri-implant tissues, lymphatics and  even distant organs. In recent years, titanium and titanium alloy implant corrosion has been identified and proven to  be the mechanism by which release of metal ions from the  implants to peri-implant tissues occurs. Most recently in clinical reports, immunological research have put into question the widely accepted biocompatibility of titanium and titanium alloy implants. As a matter of fact, the search for alternatives started in the seventies with pioneers such as Prof. Sami Sandhaus.

The clinical situation presented here is one where  metal sensitivity was a concern and although the patient never experienced dental implants in the past, there was concern on his part in having metal alloy implants in his jaws. This is  an increasing trend among patients requesting alternative and  non-invasive treatment modalities in all areas of health care.