ZWR - Das Deutsche Zahnärzteblatt 2020; 129(05): 213-217
DOI: 10.1055/a-1159-6076
Fortbildung
Implantologie
Georg Thieme Verlag KG Stuttgart · New York

Sind keramische Implantate praxisreif?

Jörg Rudolf Strub
Further Information

Publication History

Publication Date:
27 May 2020 (online)

In den letzten Jahren wünschen sich immer mehr teilbezahnte und zahnlose Patientinnen und Patienten eine metallfreie, festsitzende implantatprothetische Versorgung mit keramischen Implantaten. Gründe dafür sind zum einen die gute Biokompatibilität keramischer Werkstoffe, der gesundheitliche Aspekt, kein Metall im Körper zu haben und die verbesserte Ästhetik der per se weißen Keramikimplantate [1]. Titanimplantate sind in der klinischen Realität allerdings immer noch der Goldstandard, denn deren Überlebens- und Erfolgsraten sind über viele Jahre sehr gut [2], [3]. Bis heute sind sehr wenige klinische Studien mit Langzeitergebnissen zu Keramikimplantaten publiziert worden. Aber es sind bereits viele Keramikimplantatsysteme verschiedener Anbieter, vor allem aus Europa, auf dem Markt erhältlich ([Tab. 1]).

 
  • Literatur

  • 1 Osman RB, Swain MV. A critical review of dental materials with emphasis on titanium versus zirconia. Materials 2015; 8: 932-958
  • 2 Jung RE, Zembic A, Pietursson BE. et al. Systematic review of the survival rate and incidence of biological, technical, and aesthetic complications of single crowns on implants reported in longitudinal studies with a mean follow-up of 5 years. Clin Oral Implants Res 2012; 23 (Suppl. 06) 2-21
  • 3 Pietursson BE, Thoma D, Jung R. et al. A systematic review of the survival and complication rates of implant- supported fixed dental prostheses (FDPs) after a mean observation period of at least 5 years. Clin Oral Implants Res 2012; 23 (Suppl. 06) 22-38
  • 4 Olmedo D, Tasat DR, Evelson P. et al. Biological response of tissues with macrophagic activity to titanium dioxide. J Biomed Mater Res A 2008; 84: 1087-1093
  • 5 Urban RM, Jacobs JJ, Tomlinson MJ. et al. Dissemination of wear particles to the liver, spleen and abdominal lymph nodes of patients with hip or knee replacement. J Bone Joint Surg Am 2000; 82: 457-476
  • 6 Jacobi-Gresser E, Huesker K, Schütt S. Genetic and immunological markers predict titanium implant failure: a retrospective study. Int J Oral Maxillofac Surg 2015; 42: 537-543
  • 7 Jacobi-Gresser E. Pathogenese der Periimplantitis. Dent Implantol 2018; 22: 298-305
  • 8 Sicilia A, Cuesta S, Coma G. et al. Titanium allergy in dental implant patients: a clinical study on 1500 consecutive patients. Clin Oral Implants Res 2008; 19: 823-835
  • 9 Siddiqi A, Payne AGT, De Silva RK. et al. Titanium allergy: could it affect dental implant integration?. Clin Oral Implant Res 2011; 22: 673-680
  • 10 Kohal R. Was wissen wir über Implantate aus Zirkonoxid?. Implantologie 2014; 22: 9-36
  • 11 Saulacic N, Erdösi R, Bosshard DD. et al. Acid alkaline etching and sandblasting zirconia implants: a histomorphometric study in miniature pigs. Clin Oral Implants Res 2014; 16: 313-322
  • 12 Chappuis V, Cavusoglu Y, Gruber R. et al. Osseointegration of zirconia and titanium implants in the presence of multinucleate giant cells. Clin Implant Dental Relat Res 2016; 18: 686-698
  • 13 Sennerby L, Dasmah A, Larsson B. et al. Bone tissue response to surface-modified zirconia implants: A histomorphometric and removal torque study. Clinical Implant Dent Relat Res 2005; 7: 13-20
  • 14 Bergmann C, Duske K, Nebe JB. et al. Microstructured zirconia surfaces modulate osteogenic marker genes in human primary osteoblasts. J Mater Sci Med 2015; 26: 5350
  • 15 Fischer J, Schott A, Märtin S. Surface microstructuring of zirconia dental implants. Clin Oral Implants Res 2016; 27: 162-166
  • 16 Balmer M, Spies BC, Kohal RJ. et al. Zirconia implants restored with single crowns or fixed dental prosthesis: 5-year results of a prospective cohort investigation. Clin Oral Implants Res 2020; DOI: 10.1111/clr.13581.
  • 17 Kohal RJ, Weng D, Bächle M. et al. Loaded custom-made zirconia and titanium implants show similar osseointegration: An animal experiment. J Periodontol 2004; 75: 1262-1268
  • 18 Balmer M, Spies BC, Kohal RJ. et al. Zirconia implants as abutments for single crowns and fixed dental prostheses-5 years results of a prospective investigation. Clin Oral Implants Res 2018; 29: 290-299
  • 19 Spies BC, Balmer M, Patzelt SB. et al. Clinical and patient-reported outcomes of a zirconia oral implant : Three year results of a prospective cohort investigation. J Dent Res 2015; 94: 1385-1391
  • 20 Scarano A, Piatelli A, Caputi S. et al. Bacterial adhesion on commercially pure titanium and zirconium oxide discs: An in vivo human study. J Periodontol 2004; 75: 292-296
  • 21 Benic GI, Thoma DS, Sanz Martin I. et al. Guided bone regeneration at zirconia and titanium implants: a pilot histological investigation. Clin Oral Implant Res 2017; 28: 1592-1599
  • 22 Jung RE, Sailer I, Hämmerle CHF. et al. In vitro color changes of soft tissues caused by restorative materials. Int J Periodontics Restorative Dent 2007; 27: 251-257
  • 23 Thoma DS, Ioannidis A, Cathomen E. et al. Discoloration of the peri-implant mucosa caused by zirconia and titanium implants. Int J Periodontics Restorative Dent 2016; 36: 39-45
  • 24 Payer M, Heschl A, Koller M. et al. All-ceramic restoration of zirconia two- piece implants- a randomized controlled clinical trial. Clin Oral Implants Res 2015; 26: 371-376
  • 25 Hashim D, Cionca N, Courvoisier DS. et al. A systematic review of the clinical survival of zirconia implants. Clin Oral Investig 2016; 20: 1403-1417
  • 26 Haro Adánez M, Nishihara H, Att W. A systematic review and meta-analysis on the outcome of zirconia implant-restoration complex. J Prosthodont Res 2018; 62: 397-406
  • 27 Pieralli S, Kohal RJ, Jung RE. et al. Clinical outcomes of zirconia dental implants. A systematic review. J Dent Res 2017; 96: 1403-1417
  • 28 Roehling S, Schlegel KA, Woelfler H. et al. Performance and outcome of zirconia dental implants in clinical studies: A meta-analysis. Clinical Oral Implants Res 2018; 29: 135-153
  • 29 Borgonovo AE, Censi R, Vavassori V. et al. Evaluation of the success criteria for zirconia dental implants: a four-year clinical and radiological study. Int J Dent 2013; 2013: 463073 doi:10.1155/2013/463073
  • 30 Grassi FR, Capogreco M, Consonni D. et al. Immediate occlusal loading of one-piece zirconia implants: Five-year radiographic and clinical evaluation. Int J Oral Maxillofac Implants 2015; 30: 671-680
  • 31 Roehling S, Woelfler H, Hicklin S. et al. A retrospective clinical study with regards to survival and success rates of zirconia implants up to and after 7 years of loading. Clin Implant Dent Relat Res 2016; 18: 545-558
  • 32 Lorenz J, Giulini N, Holscher W. et al. Prospective controlled clinical study investigating long-term clinical parameters, patient satisfaction, and microbial contamination of zirconia implants. Clin Implant Dent Relat Res 2019; 21: 263-271
  • 33 Vindasiute E, Puisys A, Maslova N. et al. Clinical factors influencing removal of the cement excess in implant-supported restorations. Clin Implant Dent Relat Res 2013; 17: 771-778
  • 34 Sancho-Puchades M, Cramer D, Özcan M. et al. The influence of the emergence profile on the amount of undetected cement excess after delivery of cement-retained implant reconstruction. Clin Oral Implant Res 2017; 28: 1515-1522
  • 35 Agar JR, Cameron SM, Hughbanks JC. et al. Cement removal from restoration luted to titanium abutments with simulated subgingival margins. J Prostet Dent 1997; 78: 43-47
  • 36 Linkevicius T, Vindasiute E, Puisys A. et al. The influence of the cementation margin position on the amount of undetected cement. A prospective clinical study. Clin Oral Implants Res 2013; 24: 71-76
  • 37 Wilson TG. The positive relationship between excess cement and peri-implant disease: a prospective clinical endoscopic study. J Periodontol 2009; 80: 1388-1392