Site #3: Patient requests removal of a titanium implant with peri-implant disease and replacement with a metal-free Zeramex XT implant; Case Presentation by Michael Toffler, DDS; New York, NY; September 2019
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Zeramex Ceramic Implants
HIGH PRIMARY STABILITY
The thread design and cylindrical-conical implant shape
achieve high primary stability. The reservoir for bone grafts at the tip of the implant simplifies implant insertion.
The special geometry with the four tips enables high precision and fast and easy insertion and alignment of the abutment. The slightly beveled contact surface of the implant platform is designed to facilitate centering of the prosthetic components.
REDUCED DIAMETER VICARBO SCREW
One screw for two diameters. The XT Vicarbo Screw head diameter is a reduced 2.8mm. Length is 7.4mm and Tightening torque of 25Ncm.
ZERADRILL™ Biocompatible reusable drills with
carbon coating. Precision designed for exacting geometry of the unique tapered shape.
The Bio-PRF system is the first commercially available horizontal centrifuge
specifically-designed for the production of platelet rich fibrin
Bio-PRF is a 100% natural and autologous three-dimensional fibrin scaffold derived from peripheral blood. Following effective
centrifugation, platelets and leukocytes and accumulated within the upper PRF layer. Protocols utilizing using horizontal centrifugation the Bio-PRF system are able to accumulate up to 4 times more platelets and leukocytes when compared to standard fixed-angle centrifuges.
- 100% autologous
- Improves Vascularization
- Excellent soft tissue wound healing
- Growth factors release > 10 days
- Production of a ‘sticky’ matrix for optimal bone graft handling
- No chemical additives
Ceramic Implants are an emerging OPPORTUNITY and NOW is the time
POSTED ON OCTOBER 24, 2019 BY JEN REYES
First published by Implant Tribune | August 16, 2019
It’s time to take a serious look at modern ceramic implants as a profitable health center for your practice. Like the rapidly growing 50 billion dollar organic market, ceramic implants are here to stay. Not only can ceramic implants help us to improve the health and cosmetics of our patients; they serve as practice differentiator, driving profitable and loyal patients. According to studies, the market share of ceramic implants is currently 2-3 percent but is predicted to represent 24 percent by 2022. For practitioners, this means the time is now to incorporate them into your practice and join the quickest growing market opportunity in dental implantology.
Modern ceramic implants have come along way from the monocrystalline alumina implants during the Branemark’s days. Now made of Zirconia Oxide(Zr02), they are no longer one piece, smooth or difficult to place or restore. Leading the evolution and modernization of ceramic implants is ZERAMEX®. ZERAMEX® is a Switzerland based manufacturer of ceramic implants with FDA approval since 2016 and current sales distribution throughout the United States. ZERAMEX®XT is a two piece, screw-retained system that functions surgically and restorative like current titanium implants.
The XT system is tapered in design, has an internal connection and the unique VICARBO® screw creates a seal against bacteria and micromovement.
The current product offer has restorative flexibility with multiple abutment choices and will soon have scan bodies and a complete digital workflow with fully customized prosthetics. Modern ceramic implants now offer the same ease of use as current titanium implants.
Three reasons to consider adding ceramic implants to your armamentarium: Demand for metal-free implants is growing as patients are seeking more natural and biocompatible products; asking their dentists about alternatives to titanium implants. If your practice is close to a whole foods market or other organic market, you likely have patients that would appreciate the choice of a non-metal solution. Your practice could be missing this same patient as they search for a solution fulfilling their dental needs.
Patients have become more educated and demanding. Not only do they want a tooth replacement for functionality, but they are demanding exceptional aesthetics. In thin tissue type and anterior cases, we have all witnessed occasional greying and metal transparency. Ceramic implants are white, often eliminating the need for tissue grafting. Ceramic implants should be presented as a solution for all single tooth cases in the anterior. Patient demand for cosmetic solutions should be a strong consideration in the offerings provided.
Ceramic implants are worthy of consideration due to the inherent aesthetic characteristics of zirconia as well as its friendly biological properties. The fact is soft tissue has documented greater affinity for ceramic implants over titanium implants. Recent research raises valid concerns about the biological properties of titanium, especially with regards to peri-implantitis. Individuals with specific polymorphisms (SNPs) are even at greater risk both from a dental and systemic point of view. At the same time research on zirconia is quite positive and progressing by leaps and bounds. Ceramic implants have documented reduction in plaque and bacterial attraction and are not susceptible to corrosion over time. Soft tissue around a Zirconia implant is similar to that in soft tissue around natural teeth.
As more research becomes available about long term results, ceramic implants will become the preferred choice of many dental implantologists for biological, cosmetic and soft tissue results.
Treatment planning and surgical placement of the FDA approved ceramic dental implant
ZERAMEX® XT by Dr. Alvaro Ordonez.