Dr. Dean Licnblat: Placement of Zirconia Implant in a site with inadequate bone

Dr Dean Licenblat Social media case

What happens when there is a hole in our plans???

Complications are a reality for better or for worse. For better as they are learning experiences and for worse as we may not achieve what we set out to.

Without adequate lighting & magnification many perforations go unseen & consequently untreated.

This patient was referred for the placement of a zirconia implant in a site with inadequate bone. The patient has numerous allergies especially to metals so was keen on a zirconia solution.

The case was treated as follows:
1️⃣ Reflected a flap to allow access to the bone.
2️⃣ Drilled osteotomy to 1mm short of depth with versah drills according to osseodensification protocol.
3️⃣ 🕳 detected, teased the membrane up with hand instruments & sealed with 8×8 BioXclude from Snoasis.
4️⃣ Utilisation of Novabone putty to lift the sinus membrane ala Novabone Lift off
4️⃣ Insertion of a Zeramex XT RB ceramic fixture.
5️⃣ closure with 4/0 PTFE sutures.

What are your thoughts on small sinus perforation and how do you manage them???

Follow @dr.deanlicenblat to see what’s next, for hints & tips or questions

About the Doctor


Has been in private general practice in Sydney since graduating from the University of Sydney’s Dental program, and has also completed his Bachelor of Science with honours in Microbiology. He also holds a prestigious Master’s Degree from the Goethe University in Frankfurt with a focus on Oral Implantology and Bone Grafting.

As a “Diplomate” member of the International Congress of Oral Implantologists (ICOI), the highest ranking achievable, Dr. Dean Licenblat together with Sydney Dental Aesthetics & Implants is one of a few dental surgeries to be awarded ‘Leading Implant Centres of the World’.

Dr. Licenblat is Treasurer of the ASID (Australian Society of Implant Dentistry) and a senior tutor for the Master’s program in Oral Implantology for Goethe University, Frankfurt. Many of the Australian dentists graduating from the program the past few years have been fortunate to have Dr. Licenblat mentor and guide them.

As a member of numerous dental societies and an unparalleled dedication to continuing education, Dr. Licenblat often attends post-graduate educational programs both locally and abroad. The results of which are integrated into the practice thus offering patients the most technologically advanced and effective long-term treatment modalities.

Sydney Dental Aesthetics and Implants  | Tel: (02) 9233 3301 |  Suite 1202, Level 12,14 Martin Place,
Sydney NSW 2000 Australia


ZERAMEX®XT has a tapered design allowing optimal primary stability. The internal connection has been specifically engineered to maximize the strength of rigid zirconia and eliminate any lateral forces on zirconia.  

The precise fitting components offer variable placement close to bone level for enhanced restorative margin. The heart of the connection is the VICARBO® screw. Comprised of many individual threads of carbon fiber that run vertically, uncut down the length of the screw to durably absorb the tensile forces and give the VICARBO® screw its exceptionally high strength.

Learn more about this Metal-free ceramic dental implant by CLICKING HERE.


Want to know more about Zeramex?
Email us at [email protected] with your contact details and we will get in touch with you!


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Implant Tribune

Spotlight on ZERAMEX®XT for the month of April 2020