The Journal of the Korean dental association (대한치과의사협회지)

The Korean Dental Association (대한치과의사협회)
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Natural Tooth Form Zirconia Implant Based on Anatomical Morphology

임상가를 위한 특집 2 - 형태 해부학적 특징을 바탕으로 한 자연치형 지르코니아 임플란트

  • Park, Young-Seok (Department of Oral Anatomy, Seoul National University School of Dentistry and Dental Research Institute) ;
  • Lee, Seung-Pyo (Department of Oral Anatomy, Seoul National University School of Dentistry and Dental Research Institute)
  • 박영석 (서울대학교 치의학대학원 구강해부학교실) ;
  • 이승표 (서울대학교 치의학대학원 구강해부학교실)
  • Received : 2014.07.16
  • Accepted : 2014.08.12
  • Published : 2014.09.01
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Abstract

The restorative treatment using titanium implants has become a standard procedures in everyday clinical practice. However, there are several concerns about the use of titanium as a materials. Above all, the grayish metal color provokes esthetic problems when the soft tissue around the implants is not optimal. Recently, zirconia has been emerging as an alternative to titanium due to its white color and superior physicochemical properties. In this paper, the current findings about zirconia implants was reviewed based on the results from animal and clinical experiments. In addition, the immediate implantation protocols using the natural tooth form zirconia implants was introduced as a novel procedures and future perspectives were discussed.

Keywords

Acknowledgement

Supported by : National Research Foundation of Korea(NRF)

References

  1. Steinemann SG. Titanium-the material of choice? Periodontol 2000 1998;17:7-21
  2. Le Guehennec L, Soueidan A, Layrolle P, Amouriq Y. Surface treatments of titanium dental implants for rapid osseointegration. Dent Mater 2007;23:844-854. https://doi.org/10.1016/j.dental.2006.06.025
  3. Sicilia A, Cuesta S, Coma G, Arregui I, Guisasola C, Ruiz E, Maestro A. Titanium allergy in dental implant patients: a clinical study on 1500 consecutive patients. Clin Oral Implants Res. 2008 Aug;19(8):823-835.
  4. Tschernitschek H, Borchers L, Geurtsen W. Nonalloyed titanium as a bioinert metal--a review. Quintessence Int 2005;36:523-530.
  5. Gittens RA, Olivares-Navarrete R, Tannenbaum R, Boyan BD, Schwartz Z. Electrical implications of corrosion for osseointegration of titanium implants. J Dent Res 2011;90:1389-1397. https://doi.org/10.1177/0022034511408428
  6. Weingart DL, Steinemann S, Schilli W, Strub JR, Hellerich U, Assenmacher J, Simpson J. Titanium deposition in regional lymph nodes after insertion of titanium screw implants in maxillofacial region. Int J Oral Maxillofac Surg 1994;23:450-452. https://doi.org/10.1016/S0901-5027(05)80045-1
  7. Brüll F, van Winkelhoff AJ, Cune MS. Zirconia dental implants: a clinical, radiographic, and microbiologic evaluation up to 3 years. Int J Oral Maxillofac Implants 2014;29:914-20. https://doi.org/10.11607/jomi.3293
  8. Ekelund JA, Lindquist LW, Carlsson GE, Jemt T. Implant tretment in the edentulous mandible: A prospective study on Br?nemark System implants over more than 20 years. Int J Prosthodont 2003;16:602-608.
  9. van Brakel R, Noordmans HJ, Frenken J, de Roode R, de Wit GC, Cune MS, The effect of zirconia and titanium implant abutments on light reflection of the supporting soft tissues. Clin Oral Implants Res 2011;22:1172-1178. https://doi.org/10.1111/j.1600-0501.2010.02082.x
  10. Schliephake H, Neukam FW, Urban R. Titanbelastung parenchymatöser Organe nach Insertion von Titanschranubenimplantaten. Erste Ergebnisse. Z Zahnärztl Implnatol 1989;5:180-184.
  11. Bianco PD, Ducheyne P, Cuckler JM. Local accumulation of titanium released from a titanium implant in the absence of wear. J Biomed Mater REs 1996;31:227-234. https://doi.org/10.1002/(SICI)1097-4636(199606)31:2<227::AID-JBM9>3.0.CO;2-P
  12. Reclaru L,Meyer JM. Study of corrosion between a titanium implant and dental alloys. J Dent 1994; 22:159-168. https://doi.org/10.1016/0300-5712(94)90200-3
  13. Toumelin-Chemla F, Rouelle F, Burdairon G. Corrosive properties of fluoride-containing odontologic gels against titanium. J Dent 1996; 24:109-115. https://doi.org/10.1016/0300-5712(95)00033-X
  14. Hedenborg M. Titanium dioxide induced chemiluminescence of human polymorphonuclear leukocytes. Int Arch Occup Environ Health 1988; 61:1-6. https://doi.org/10.1007/BF00381600
  15. Javed F, Al-Hezaimi K, Almas K, Romanos GE. Is titanium sensitivity associated with allergic reactions in patients with dental implants? A systematic review. Clin Implant Dent Relat Res 2013;15:47-52. https://doi.org/10.1111/j.1708-8208.2010.00330.x
  16. Wentz HJ, Bartsch J, Wolfart S, Kern M. Osseointegration and clinical success of zirconia dental implants: a systematic review. Int J Prosthodont 2001;21:27-36.
  17. Ozkurt Z, Kazazoglu E. Zirconia dental implants:a literature review. J Oral Implantol 2011;37:367-376. https://doi.org/10.1563/AAID-JOI-D-09-00079
  18. Andreiotelli M, Wenz HJ, Kohal RJ. Are ceramic implants a viable alternative to titanium implants? A systematic literature review. Clin Oral Implants Res 2009;20(Suppl 4):32-47. https://doi.org/10.1111/j.1600-0501.2009.01785.x
  19. Depprich R, Naujoks C, Ommerborn M, Schwarz F, Kübler NR, Handschel J. Current findings regarding zirconia implants. 2014;16:124-137. https://doi.org/10.1111/j.1708-8208.2012.00454.x
  20. Manzano G, Herrero LR, Montero J. Comparison of clinical performance of zirconia implants and titanium implants in animal models: a systematic review. Int J Oral Maxillofac Implants 2014;29:311-320. https://doi.org/10.11607/jomi.2817
  21. Kohal RJ, Att W, Bachle M, Butz F. Ceramic abutments and ceramic oral implants. An update. Periodontol 2000 2008;47:224-243. https://doi.org/10.1111/j.1600-0757.2007.00243.x
  22. Lee J, Sieweke JH, Rodriguez NA, Schüpbach P, Lindström H, Susin C, Wikesjö UM. Evaluation of nano-technology-modified zirconia oral implants: a study in rabbits. J Clin Periodontol. 2009;36:610-7. https://doi.org/10.1111/j.1600-051X.2009.01423.x
  23. Payer M, Heschl A, Koller M, Arnetzl G, Lorenzoni M, Jakse N. All-ceramic restoration of zirconia two-piece implants-a randomized controlled clinical trial. Clin Oral Implants Res 2014 Feb 6 [Epub ahead of print]
  24. Irish JD. A 5,500 year old artificial human tooth from Egypt: a historical note. Int J Oral Maxillofac Implants. 2004;19:645-7.
  25. Park YS, Jung MH, Shon WJ. Autotransplantion of a displaced mandibular second premolar to its normal position. Am J Orthod Dentofacial Orthop. 2013;143:274-80. https://doi.org/10.1016/j.ajodo.2011.11.025
  26. Park YS, Baek SH, Lee WC, Kum KY, Shon WJ. Autotransplantation with simultaneous sinus floor elevation. J Endod. 2012;38:121-4. https://doi.org/10.1016/j.joen.2011.10.009
  27. Pirker W, Kocher A. Immediate, non-submerged, root-analogue zirconia implants placed into singlerooted extraction sockets: 2-year follow-up of a clinical study. Int J Oral Maxillofac Surg 2009;38:1127-1132. https://doi.org/10.1016/j.ijom.2009.07.008
  28. Park YS, Chung SH, Shon WJ. Peri-implant bone formation and surface characteristics of rough surface zirconia implants manufactured by powder injection molding technique in rabbit tibiae. Clin Oral Implants Res 2013;24:586-91. https://doi.org/10.1111/j.1600-0501.2012.02468.x
  29. Chung SH, Kim HK, Shon WJ, Park YS. Periimplant bone formations around (Ti,Zr)O(2) - coated zirconia implants with different surface roughness. J Clin Periodontol 2013;40:404-11. https://doi.org/10.1111/jcpe.12073
  30. Shon WJ, Chung SH, Kim HK, Han GJ, Cho BH, Park YS. Peri-implant bone formation of nonthermal atmospheric pressure plasma-treated zirconia implants with different surface roughness in rabbit tibiae. Clin Oral Implants Res 2014;25:573-9.