Zusammenfassung
In der modernen Zahnmedizin bieten sich Keramikimplantate als Pfeiler für implantatgetragene Restaurationen an. Auch Patienten interessieren sich immer häufiger für metallfreie Versorgungen – sowohl bei der prothetischen Restauration („Was kommt auf mein Implantat?“) als auch bei der Wahl des Materials („Woraus besteht mein Implantat?“). Für den Behandler stellt sich daher die Frage: „Kann ich keramische Implantate bedenkenlos anbieten?“
Abstract
In modern dentistry, there is a great interest in metal-free restorations; this also applies to ceramic implants. Many ceramic implant systems are already available on the dental market – some without scientific validation. More preclinical and clinical (long-term) data is urgently needed to prove the safety and reliability of the systems. Particularly for two-part implants and extended indications there are currently no reliable data available. Ceramic implants today consist of various modifications of ZrO2. New zirconia-based dispersion ceramics, metal-free and screw-retained implant-abutment connections as well as more favorable manufacturing processes represent future development trends. The osseointegration of ZrO2 implants and titanium implants is comparable. The optimal roughness and the optimal surface treatment of ceramic implants are still discussed controversially. ZrO2 seems to be “soft tissue friendly”. The survival rate of ZrO2 implants is more than 95% after 12 months.
Schlüsselwörter
Zirkonia - Phasenumwandlung - Osseointegration - Risszähigkeit - zahnfarben - Chipping
Key words
zirconia - phase transformation - osseointegration - fracture toughness - tooth-coloured - chipping