Ceramic implants have become firmly established in dental implantology. Patient demand for metal-free solutions is increasing, and the development of new biomaterials, microrough surface techniques and improved treatment protocols have enabled practices to use zirconia dental implants as a reliable treatment alternative to titanium implants. In this case report, the replacement of a mandibular posterior tooth with a zirconium oxide implant is described.
Zeramex XT - reversible screw-retained and 100% metal-free
Zeramex® XT Ceramic Implant System
Zeramex® XT Surgery
The Zeramex XT dental implant belongs to the family of two-piece and 100% metal-free Zeramex ceramic implants. It offers maximum prosthetic flexibility, thanks to reversible screw-in connection and an unlimited range - particularly in the anterior area.
The Zeramex XT ceramic implant offers three different platforms (SB / RB / WB) in lengths of 8, 10, 12 and 14 mm and is particularly suitable for anterior restorations, thanks to its small diameter and digital workflow. The Zeramex XT ceramic implant is placed 1.6 mm supracrestal, but can optionally be placed deeper (up to 0.6 mm supracrestal). The cylindrical-conical design of the implant thread was developed to achieve high primary stability. The reservoir for bone grafts at the implant tip simplifies the placement of the implant.
The Zeramex XT ceramic implant is manufactured from hard zirconium oxide ATZ blanks manufactured by hot isostatic pressing. No thermal process (sintering) or post-processing takes place after the final shaping of the outer and inner geometry of the implant. This ensures that no further changes can occur in the material structure. This manufacturing process is very complex, requires a great deal of experience and expertise and enables a high shaping accuracy and precision in the manufacture of the implant. Do you require any further information regarding the Zeramex XT implant system? Click here for the user instructions:> Download user instructions free of charge
The Zerafil surface is a micro-structured implant surface that enables decisive osseointegration of the dental implants. The success rate for the Zeramex XT implants used with the Zerafil surface is 98%, and bears witness to the decisive osseointegration thanks to an optimum surface structure.The hydrophilic implant surface Zerafil (surface treatment up to a collar height of 0.6 mm) is sandblasted and etched so that osteoblasts can grow directly up to the dental implant and firm adhesion to the implant surface can be achieved4.Clinical application of zirconia implants: Results from comparative studies, Dr Elisabeth Jacobi-Gresser > Download case documentation free of charge
Zeramex® XT Connection
«Bolt-In-Tube» internal connection
The four cross-shaped retentive elements provide an ideal transmission of torque when inserting the implant, allowing the dental implant to be screwed into the bone without stress peaks. This unique internal connection ensures a precise and prosthetically flexible restoration.
Four tips for even more precision
The special geometry with the four tips enables high precision and fast and easy insertion and alignment of the abutment. All abutments are designed with the four tips, including the Zerabase and 'unengaged' Zerabase X abutments for bridge restorations.
The core of the connection is the Vicarbo screw. It works like a bolt, which anchors the abutment in the implant. The extremely hard ceramic is combined with a very stiff, carbon fibre-reinforced high-performance PEEK polymer. Similar to reinforced concrete, the ceramic absorbs the compressive forces, while the Vicarbo screw counteracts tensile forces.
Zeramex® XT Prosthetics
Soft Tissue Management
The ZERAMEX® healing cap, gingiva former and temporary abutment help to achieve the desired shape of the peri-implant soft tissue after the healing phase. The gingiva formers are available in two heights (3 mm/4 mm). The secondary temporary abutment made of PEEK allows individual temporary restoration.
Restoration - standard
The range of metal-free prosthetics is extensive and satisfies the stringent requirements with regard to aesthetics and functionality. The Zeramex XT implant, in combination with its various standard abutments, is ideal for nearly every situation.
The standard abutments are available for all three platforms (SB / RB / WB) with different shoulder heights and angles.
The Zeramex XT implant system is used for the following indications:
Restoration - adhesive base
Monolithic crowns and bridges can be made of various optimised plastics or zirconium oxide. By contrast, classic all-ceramic crowns and bridges are made of layering or pressed ceramic on a zirconium oxide cap.Different Zerabase abutments and a digital workflow make it possible to find the correct abutment in every case for an aesthetically demanding, 100% metal-free restoration.Zerabase X: The CADCAM alternative for laboratory and chairside
Restoration - individual (Zeramex Digital Solutions)
The Zeramex XT ceramic implant offers three different platforms (SB / RB / WB) and is particularly suitable for highly aesthetic anterior restorations, thanks to a digital workflow and individual abutments.Individual patient solutions at the click of a mouseWould you like to offer your patients highly aesthetic anterior restorations, or do you have narrow spatial conditions to deal with?
Processing and ordering – Learn more here
In addition to the production of customised abutments and monolithic crowns with Zeramex XT implant connections, the digital workflow from Zeramex offers you a service for processing your digital data or for the finishing of semi-finished blank restorations.
- Individual ginigva former and abutments
- Individual crowns in zirconium for Zerabase with or without screw holes
- Monolithic crowns and bridges with implant connections (Cutback solution available)
- Stain & glaze
- 3D models
The restorations can be ordered in the various Vita shades and in different translucencies – now also as multilayers
Restoration - Docklocs®
Zeramex Docklocs® is a pre-finished connection system to secure removable restorations based on a snap connection.Zeramex Docklocs® abutments are available in three sizes (2 mm/3 mm/4 mm) and fit to all platforms (SB/RB/WB).
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Media and downloads
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Media and downloads
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Dr. Carl Pogoncheff’s first full arch case using Zeramex implants. The case included eight Zeramex implants on the maxillary arch and one implant for an edentulous area on the mandible.
Immediate Ceramic Implantology featuring ZERAMEX XT Ceramic Dental Implant – Original Instagram post last April 21, 2022