Zirconia Implants?

CatamountRob

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Disturbed isn't gonna like this......
 
P

paulg100

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interesting, check the platform size though.. only 4.5mm by the looks of it.

cant imagine being stronger for anything less.
 
Gdentallab

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i've seen another brand Zirconia Dental Implants
i think it's interesting, zirconium oxide is very bio compatible, very dense, inert toward the tissue, which makes it favorable for implants. good to see many companies working on this subject.
i would go for bern, :) switzerland is such a beautiful country .
 
Affinity

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Bern is probably one of the most beautiful cities ive ever been to next to maybe venice.. I will have to post some pics of the bern bears.. And report back any new findings from the show.. Its a dental show, not just lab.
 
Marcusthegladiator CDT

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Yea sure whatever, a zirconia platform.
What would the reason behind its application be?
Seems like wasted calories to me.
 
lcmlabforum

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I looked into the Z-system for a patient that could not accept titanium
and we have an oral surgeon in town who would place it. At that time
it has to be one piece and you have to keep it protected from any forces
while it integrated. There are published research on it, but I suspect
this is still in infancy and mainly marketing to those who have a fear of
metal and want 'natural' solutions. Not sure how 'natural' zirconia is . . .
Anyway, that is probably their current web-site.
ceramic-implants
LCM
 
CoolHandLuke

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zirconium is an element, on the periodic table. gotta be natural right ?

seems-legit.jpg
 
k2 Ceramic Studio

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I looked into the Z-system for a patient that could not accept titanium
and we have an oral surgeon in town who would place it. At that time
it has to be one piece and you have to keep it protected from any forces
while it integrated. There are published research on it, but I suspect
this is still in infancy and mainly marketing to those who have a fear of
metal and want 'natural' solutions. Not sure how 'natural' zirconia is . . .
Anyway, that is probably their current web-site.
ceramic-implants
LCM



Never heard anyone not able to accept Ti before, its a natural element and has way more science behind it than Zr oxide does (implant wise). Love Zr but not a massive fan of using it in the bone, if it fails then you are in big trouble. And I can see problems with trying to reproduce an etched surface! You would probably have to machine a knurled surface so as to increase surface area to aid integration. or mill it in its soft state and then very lightly sand blast the surface? Oh no I should of patented that idea!!!!!!!!!!!!!! Ah well.
 
lcmlabforum

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Most zirconia have to be stabilized by yttrium, etc. Not sure how 'natural' that makes it. On the periodic table, zirconium, the element, not zirconium oxide (aka zirconia) is a transitional metal.
Zirconium - Wikipedia, the free encyclopedia
There is a lot of 'hype' on the web about metals being toxic to your body. There is a difference between elemental metal to compounds. Our body is filled with plenty of metal compound, aka salts, like NaCl and K (potassium) that keeps us alive and functional.
I agree, but in that case, the patient actually was given a Straumann disk of their titanium to be tested, including PMMA, etc. They did not have a disk sample of their Roxolid or Ti-zirconia product at that time. Finally ended up with high noble gold (Au-Cu) RPD instead and happily paid for it.
There is research showing integration of cells to Zirconia implant, again, not as extensively documented unlike conventional titanium or to the passivated oxide layer of various forms of CP (commercially pure) titanium.
LCM
 
disturbed

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There is research showing integration of cells to Zirconia implant, again, not as extensively documented unlike conventional titanium or to the passivated oxide layer of various forms of CP (commercially pure) titanium.
LCM

where is this "research" showing bio integration of Zr???
 
lcmlabforum

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I am not supporting these, just stating that these have been available for a while, and the
following are simple searches from PubMed.

Clin Oral Implants Res. 2012 Apr 4. doi: 10.1111/j.1600-0501.2012.02468.x. [Epub ahead of print]
Peri-implant bone formation and surface characteristics of rough surface zirconia implants manufactured by powder injection molding technique in rabbit tibiae.
Park YS, Cung SH, Shon WJ.
SourceDepartment of Oral Anatomy, Dental Research Institute and School of Dentistry, Seoul National University, Seoul, Korea.

Abstract
OBJECTIVE: To evaluate osseointegration in rabbit tibiae and to investigate surface characteristics of novel zirconia implants made by powder injection molding (PIM) technique, using molds with and without roughened inner surfaces.

MATERIAL AND METHODS: A total of 20 rabbits received three types of external hex implants with identical geometry on the tibiae: machined titanium implants, PIM zirconia implants without mold etching, and PIM zirconia implants with mold etching. Surface characteristics of the three types of implant were evaluated. Removal torque tests and histomorphometric analyses were performed.

RESULTS: The roughness of PIM zirconia implants was higher than that of machined titanium implants. The PIM zirconia implants exhibited significantly higher bone-implant contact and removal torque values than the machined titanium implants (P < 0.001). The PIM zirconia implants using roughened mold showed significantly higher removal torque values than PIM zirconia implants without using roughened mold (P < 0.001).

CONCLUSIONS: It is concluded that the osseointegration of PIM zirconia implant is promising and PIM using roughened mold etching technique can produce substantially rough surfaces on zirconia implants.

© 2012 John Wiley & Sons A/S.

PMID:22471790[PubMed - as supplied by publisher] Related citations



2.Int J Oral Maxillofac Implants. 2012 Mar-Apr;27(2):352-8.
Osseointegration of zirconia implants with different surface characteristics: an evaluation in rabbits.
Hoffmann O, Angelov N, Zafiropoulos GG, Andreana S.
SourceDepartment of Periodontics, School of Dentistry, Loma Linda University, Loma Linda, CA, USA. [email protected]

Abstract
PURPOSE: Zirconia ceramics are a viable alternative to titanium for use as dental implants. However, the smooth surface of zirconia means that longer healing periods are needed to accomplish osseointegration compared to roughened titanium surfaces. Surface modifications can be used to increase the roughness of zirconia. The aim of this study was to assess histologically and compare the degree of early bone apposition around zirconia dental implants with sandblasted, sintered, or laser-modified surfaces to that seen around surface-modified titanium implants. Removal torque was also measured and compared.

MATERIALS AND METHODS: Ninety-six implants--24 each of four types (sintered zirconia, laser-modified zirconia, sandblasted zirconia, and acid-etched titanium)--were placed in 48 New Zealand White female rabbits. One implant was inserted in each distal femur. Half of the specimens were harvested at 6 or 12 weeks and processed for light microscopic analysis; the area of bone-to-implant contact was measured morphometrically. The other half were evaluated for removal torque at 6 and 12 weeks.

RESULTS: No statistically significant differences existed in bone apposition between the different surfaces at either time point. Differences in removal torque were significantly different between titanium and sandblasted zirconia and between sintered zirconia and sandblasted zirconia, with the first mentioned demonstrating a higher torque value at 6 weeks. At 12 weeks, the only significant difference in removal torque was between titanium and sandblasted zirconia, with titanium demonstrating the higher value.

CONCLUSION: Comparable rates of bone apposition in the zirconia and titanium implant surfaces at 6 and 12 weeks of healing were observed. Removal torque values were similar for all implants with a roughened surface.

PMID:22442775[PubMed - in process] Related citations


3.Acta Odontol Scand. 2012 Feb 27. [Epub ahead of print]
Effects of micromovement on the changes in stress distribution of partially stabilized zirconia (PS-ZrO(2)) dental implants and bridge during clenching: A three-dimensional finite element analysis.
Choi AH, Matinlinna J, Ben-Nissan B.
SourceDental Materials Science, Faculty of Dentistry, The University of Hong Kong, Hong Kong , PR China.

Abstract
Abstract Objective. This investigation aims to evaluate the changes in stress magnitudes and distributions on Partially Stabilized Zirconia (PS-ZrO(2)) dental implants and bridges and on the mandible caused by fibrous encapsulations during clenching. Materials and methods. Four 3.26 mm diameter PS-ZrO(2) dental implants with lengths of 12 mm were modelled and placed in the second premolar and first molar region on both sides of the mandible model. A rigid zirconia bridge with a thickness of 0.5 mm connects the PS-ZrO(2) dental implants placed in the second premolar and first molar. Four periodontal ligament (PDL) case studies were examined: PDL in the second premolars; PDL in the first molars; PDL in both the second premolars and first molars; and no PDL present. Results. The results reveal the magnitudes and distributions of stresses on the dental implants and connecting bridges were governed by the PDLs. A significant drop in stress levels were recorded when the PDL encapsulates the roots of the dental implants. Of the four PDL case studies, it was found that when the PDLs are present in both the second premolars and first molars the lowest stress magnitudes are generated. The analysis also revealed that, during the healing process after implant insertion and the result of fibrous encapsulation, the dental implant system will experience a varying amount of stress levels. Conclusion. This study was intended to produce more insight into the influence of the PDL on the changes in stress distribution on the dental implant system during clenching.

PMID:22364339[PubMed - as supplied by publisher]

The following 3 are for Z-system, the last one might be in-house.

Eur J Oral Implantol. 2010 Summer;3(2):111-20.
Immediate occlusal versus non-occlusal loading of single zirconia implants. A multicentre pragmatic randomised clinical trial.
Cannizzaro G, Torchio C, Felice P, Leone M, Esposito M.
Abstract
PURPOSE: To evaluate whether immediate non-occlusal loading of single zirconia implants could reduce early failures when compared to immediate occlusal loading.

MATERIALS AND METHODS: Forty partially edentulous patients who received one single zirconia implant (Z-Systems) at least 10 mm long and 3.25 mm wide inserted with a torque of at least 35 Ncm were randomised to immediate occlusal or non-occlusal loading groups. All patients received provisional acrylic crowns the same day of implant placement. Provisional crowns were replaced after 4 to 5 months by definitive full ceramic crowns. Outcome measures were implant success, any complications and peri-implant marginal bone levels.

RESULTS: One year after loading, no patients had dropped out. Five implants (12.5%) failed early: three occlusally loaded and two non-occlusally loaded. Three complications occurred, all after delivery of the definitive crowns: one crown fractured (occlusal loading),one had to be remade after debridement because of hyperplastic tissues (occlusal loading),and one crown decemented (nonocclusal loading). These differences were not statistically significant. Both groups gradually lost periimplant bone in a highly statistically significant way. One year after loading, patients subjected to non-occlusal loading lost an average of 0.7 mm of peri-implant bone versus 0.9 mm in the occlusal group. This difference in bone loss between groups was not statistically significant. There was an association between immediate post-extractive implants and implant failures (P=0.01). Four of the 10 immediate post-extractive implants (40%) failed versus one out of 30 delayed implants (3%).

CONCLUSIONS: The results of this study do not provide a conclusive answer to whether immediate non-occlusal loading may decrease implant failures. Immediately loaded zirconia implants placed in post-extractive sites had high failure rates.

PMID:20623036[PubMed - indexed for MEDLINE] Related citations
Publication Types, MeSH Terms, SubstancesPublication TypesMulticenter StudyRandomized Controlled TrialMeSH TermsAdolescentAdultAlveolar Bone Loss/etiologyChi-Square DistributionCrowns*Dental Implantation, Endosseous/adverse effectsDental Implantation, Endosseous/methods*Dental Implants, Single-Tooth*Dental PorcelainDental Prosthesis, Implant-Supported*Dental Restoration Failure*Dental Restoration, TemporaryDental Stress AnalysisFemaleHumansMaleMiddle AgedTime FactorsTooth Socket/surgery*Young AdultZirconiumSubstancesDental Porcelainzirconium oxideZirconium


2.Int J Oral Maxillofac Implants. 2010 Jan-Feb;25(1):95-103.
Evaluation of stresses occurring on three different zirconia dental implants: three-dimensional finite element analysis.
Caglar A, Bal BT, Aydin C, Yilmaz H, Ozkan S.
SourceDepartment of Prosthodontics, Baskent University, Ankara, Turkey.

Abstract
PURPOSE: The aim of this study was to evaluate the von Mises, compressive, and tensile stresses occurring on three different zirconia dental implants and surrounding bone with three-dimensional finite element analysis. Materials and

METHODS: Three different zirconia implants (Z-Systems, Ziterion, and White-Sky),10 mm in length and 4 mm in diameter, and anterior maxillary bone were modeled using three-dimensional finite element analyses. Zirconia implants were placed into the maxillary left central incisor region. Loading was applied in horizontal and oblique axes (at angles of 90 and 30 degrees with respect to the implant long axes). Oblique loading was 178 N and horizontal loading was 25.5 N.

RESULTS: Under oblique loading, von Mises stresses for all implants were similar, and under horizontal loading conditions, the highest von Mises stress was found at the buccal and palatal neck region of the Ziterion implant (46.57 MPa). In cortical bone, the highest von Mises stresses were observed at the buccal region of the Z-Systems implant under oblique and horizontal loading conditions (26.65 MPa and 10.74 MPa, respectively). The highest compressive stresses were observed at the implant buccal neck region and cortical bone interface of the Z-Systems implant under oblique and horizontal loading conditions. For both loading conditions, the highest tensile stress values were observed at the implant palatal region and cortical bone interface of the Z-Systems implant.

CONCLUSION: The von Mises, compressive, and tensile stresses that occurred in cortical bone were higher than those observed in trabecular bone. Generally, the stresses in the Z-Systems implant were higher than in the other zirconia implants. The differences between the stress values occurring on the zirconia implants may be related to the different body and thread designs of these implants.

PMID:20209191[PubMed - indexed for MEDLINE] Related citations
MeSH Terms, SubstancesMeSH TermsAlveolar Process/physiologyCompressive StrengthComputer SimulationCrownsDental Implants*Dental ModelsDental Porcelain*Dental Stress Analysis*/methodsFinite Element AnalysisMaxillaStress, MechanicalTensile StrengthZirconiumSubstancesDental ImplantsDental Porcelainzirconium oxideZirconium


3.Neuro Endocrinol Lett. 2006 Dec;27 Suppl 1:69-72.
Soft and hard tissue response to zirconium dioxide dental implants--a clinical study in man.
Blaschke C, Volz U.
SourceZ-Systems Australasia, Auckland, New Zealand. [email protected]

Erratum in
Neuro Endocrinol Lett. 2007 Oct;28(5):iii.
Abstract
Titanium dental implants have been used successfully in implantology for more than 40 years. Recent research, however, suggests that titanium might have more side effects than previously believed. Zirconia ceramics have been employed in orthopaedic surgery for approximately 30 years and were recently introduced into dentistry as a metal replacement for crown and bridge work as well as implant abutments. Zirconium dioxide has been shown in both in vitro and in vivo studies to have desirable osseointegrative properties. This clinical study shows that dental implants made from zirconia are a feasible alternative to titanium dental implants. In addition to excellent cosmetic results, zirconia implants allow a degree of osseointegration and soft tissue response that is superior to titanium dental implants.

PMID:16892009[PubMed - indexed for MEDLINE]
 
disturbed

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the study done in 2010...interesting.. very interesting (add accent)

the 12 week studies..lol...

what is osseointegration to you is not necessarily osseointegration to me.. none occlusal loading...oye...teeth often reach for contact when there is none...supererupt.. Tooth eruption a factor for adults .....

and oh yea.. poor bunnies.... one guy says to the next guy...how much torque did your bunny take??...lol

dot dot dot dot dot
 
CoolHandLuke

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that last paragraph was a 2007 publication excerpt tho, disturbed.

other than that the only laughable study in this bunch is the one from turkey; they found that zirconia has some flexibility as an implant under stress from all sides. durr hurr loooool.

i rather like the one study done in china, of all places. conclusions: a dentist that knows how to place implants will generally have a better success rate regardless of type or material of implant.
 
Affinity

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Osseointegration aside.. How well does a metal screw fit a tapped/milled/scintered implant? I would worry about screwing metal into zirconia... At least for long term
 
disturbed

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zirconium screws probably..
 
lcmlabforum

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Like I said, the Z-system is bascially a one piece implant, you need to prep in the
mouth with lots of cooling water, the last time I check.
That 2007 was actually by a manufacturer, so would take with a grain of salt as always.
While I do not propose everyone go out and start sinking these in your next patient,
would not dismiss the articles outright - these are serious researchers who took the
time to get through IRB/animal welfare/what have you to conduct the research
in good faith to get them published.
Just my 2 cents worth.
LCM
 
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