Innovative Solutions in Implant Dentistry: Ceramic Implants Uncovered
Dr. Sammy Noumbissi (USA) – A pioneer in ceramic implantology, Dr. Noumbissi is founder and president of the International Academy of Ceramic Implantology. He holds a DDS from Howard University and a Master’s in Implant Surgery from Loma Linda University. He teaches internationally and maintains a private practice in Silver Spring, Maryland.
Ceramic implants have been in clinical use for more than four decades. They had difficult beginnings mostly due to limitations of the original materials used in the early stages of development. Additionally, the early ceramic implant designs were not adapted to ceramics available at the time.
During the last twenty years thanks to improved manufacturing protocols, advanced ceramics such as zirconia have emerged as the material of choice to be used as load bearing ceramics for dental implants and prosthetic components. Therefore, significant strides have been made in terms of their mechanical behavior and optical properties. Advanced formulas of zirconia such as Yttria Stabilized Tetragonal Zirconia (Y-TZP) and Alumina Toughened Zirconia (ATZ) have been developed which have led to zirconia composites being biomechanically stable, bioinert and superiorly biocompatible implant materials.
The understanding and acceptance of ceramic implants remains limited in implant dentistry and interestingly the demand is mostly driven by patients and a few niche practitioners. Nevertheless, we have observed in the last decade an “explosion” in the use of zirconia in dentistry in a broad range of prosthetic configurations. Furthermore, the largest implant manufacturers all have added ceramic implants to their portfolio. Thanks to these improvements, clinicians now enjoy increased flexibility and a wider range of applications for ceramic implants as the one-piece implants are now available in two-piece configurations similar to conventional implants. Therefore, cementable and screw-retained prosthetics have become possible in a broad range of edentulous situations.
This presentation aims to demystify ceramic implants with a range of clinical situations for which case planning and treatment workflow will be presented supported by scientific literature. Also, will be presented the long-term success of ceramic implants in different scenarios and levels of complexity of oral rehabilitation.
Objectives:
The evolution of zirconia as a load-bearing bioceramic.
Case selection and treatment planning.
The biological behavior of zirconia in the oral environment.