Skip to main content
Top
Published in: International Journal of Implant Dentistry 1/2017

Open Access 01-12-2017 | Case report

Zirconia implants and peek restorations for the replacement of upper molars

Authors: José María Parmigiani-Izquierdo, María Eugenia Cabaña-Muñoz, José Joaquín Merino, Arturo Sánchez-Pérez

Published in: International Journal of Implant Dentistry | Issue 1/2017

Login to get access

Abstract

Background

One of the disadvantages of the zirconia implants is the lack of elasticity, which is increased with the use of ceramic or zirconia crowns. The consequences that could result from this lack of elasticity have led to the search for new materials with improved mechanical properties.

Case presentation

A patient who is a 45-year-old woman, non-smoker and has no medical record of interest with a longitudinal fracture in the palatal root of molar tooth 1.7 and absence of tooth 1.6 was selected in order to receive a zirconia implant with a PEEK-based restoration and a composite coating. The following case report describes and analyses treatment with zirconia implants in molars following a flapless surgical technique. Zirconia implants are an alternative to titanium implants in patients with allergies or who are sensitive to metal alloys. However, one of the disadvantages that they have is their lack of elasticity, which increases with the use of ceramic or zirconia crowns. The consequences that can arise from this lack of elasticity have led to the search for new materials with better mechanical properties to cushion occlusal loads. PEEK-based restoration in implant prosthetics can compensate these occlusal forces, facilitating cushioning while chewing.

Conclusion

This procedure provides excellent elasticity and resembles natural tooth structure. This clinical case suggests that PEEK restorations can be used in zirconia implants in dentistry.
Literature
1.
go back to reference Brånemark PI, Hansson BO, Adell R, Breine U, Lindström J, Hallén O, et al. Osseointegrated implants in the treatment of the edentulous jaw. Experience from a 10-year period. Scand j plast reconstr surg suppl. 1977;16:1–132.PubMed Brånemark PI, Hansson BO, Adell R, Breine U, Lindström J, Hallén O, et al. Osseointegrated implants in the treatment of the edentulous jaw. Experience from a 10-year period. Scand j plast reconstr surg suppl. 1977;16:1–132.PubMed
2.
go back to reference Parmigiani-Izquierdo JM. TécnicaAtraumática en Implantología. Rev esp odontoestomatológica implant. 11:30–5. Parmigiani-Izquierdo JM. TécnicaAtraumática en Implantología. Rev esp odontoestomatológica implant. 11:30–5.
3.
go back to reference Parmigiani-Izquierdo JM, Sánchez-Pérez A, Cabaña-Muñoz ME. A pilot study of postoperative pain felt after two implant surgery techniques: a randomized blinded prospective clinical study. Int j oral maxillofac implants. 2013;28:1305–10.CrossRefPubMed Parmigiani-Izquierdo JM, Sánchez-Pérez A, Cabaña-Muñoz ME. A pilot study of postoperative pain felt after two implant surgery techniques: a randomized blinded prospective clinical study. Int j oral maxillofac implants. 2013;28:1305–10.CrossRefPubMed
4.
go back to reference Sedarat C, Harmand MF, Naji A, Nowzari H. In vitro kinetic evaluation of titanium alloy biodegradation. J periodontal res. 2001;36:269–74.CrossRefPubMed Sedarat C, Harmand MF, Naji A, Nowzari H. In vitro kinetic evaluation of titanium alloy biodegradation. J periodontal res. 2001;36:269–74.CrossRefPubMed
5.
go back to reference Chaturvedi TP. An overview of the corrosion aspect of dental implants (titanium and its alloys). Indian j dent res off publ indian soc dent res. 2009;20:91–8.CrossRef Chaturvedi TP. An overview of the corrosion aspect of dental implants (titanium and its alloys). Indian j dent res off publ indian soc dent res. 2009;20:91–8.CrossRef
6.
go back to reference Wenz HJ, Bartsch J, Wolfart S, Kern M. Osseointegration and clinical success of zirconia dental implants: a systematic review. Int j prosthodont. 2008;21:27–36.PubMed Wenz HJ, Bartsch J, Wolfart S, Kern M. Osseointegration and clinical success of zirconia dental implants: a systematic review. Int j prosthodont. 2008;21:27–36.PubMed
7.
go back to reference Andreiotelli M, Wenz HJ, Kohal R-J. Are ceramic implants a viable alternative to titanium implants? A systematic literature review. Clin oral implants res. 2009;20 Suppl 4:32–47.CrossRefPubMed Andreiotelli M, Wenz HJ, Kohal R-J. Are ceramic implants a viable alternative to titanium implants? A systematic literature review. Clin oral implants res. 2009;20 Suppl 4:32–47.CrossRefPubMed
8.
go back to reference Stadlinger B, Hennig M, Eckelt U, Kuhlisch E, Mai R. Comparison of zirconia and titanium implants after a short healing period. A pilot study in minipigs. Int j oral maxillofac surg. 2010;39:585–92.CrossRefPubMed Stadlinger B, Hennig M, Eckelt U, Kuhlisch E, Mai R. Comparison of zirconia and titanium implants after a short healing period. A pilot study in minipigs. Int j oral maxillofac surg. 2010;39:585–92.CrossRefPubMed
9.
go back to reference Gahlert M, Burtscher D, Pfundstein G, Grunert I, Kniha H, Roehling S. Dental zirconia implants up to 3 years in function: a retrospective clinical study and evaluation of prosthetic restorations and failures. Int j oral maxillofac implants. 2013;28:896–904.CrossRefPubMed Gahlert M, Burtscher D, Pfundstein G, Grunert I, Kniha H, Roehling S. Dental zirconia implants up to 3 years in function: a retrospective clinical study and evaluation of prosthetic restorations and failures. Int j oral maxillofac implants. 2013;28:896–904.CrossRefPubMed
10.
go back to reference Gahlert M, Kniha H, Weingart D, Schild S, Gellrich N-C, Bormann K-H. A prospective clinical study to evaluate the performance of zirconium dioxide dental implants in single-tooth gaps. Clin oral implants res. 1 de abril de 2015; Gahlert M, Kniha H, Weingart D, Schild S, Gellrich N-C, Bormann K-H. A prospective clinical study to evaluate the performance of zirconium dioxide dental implants in single-tooth gaps. Clin oral implants res. 1 de abril de 2015;
11.
go back to reference Gahlert M, Roehling S, Sprecher CM, Kniha H, Milz S, Bormann K. In vivo performance of zirconia and titanium implants: a histomorphometric study in mini pig maxillae. Clin oral implants res. 2012;23:281–6.CrossRefPubMed Gahlert M, Roehling S, Sprecher CM, Kniha H, Milz S, Bormann K. In vivo performance of zirconia and titanium implants: a histomorphometric study in mini pig maxillae. Clin oral implants res. 2012;23:281–6.CrossRefPubMed
12.
go back to reference Bormann K-H, Gellrich N-C, Kniha H, Dard M, Wieland M, Gahlert M. Biomechanical evaluation of a microstructured zirconia implant by a removal torque comparison with a standard Ti-SLA implant. Clin oral implants res. 2012;23:1210–6.CrossRefPubMed Bormann K-H, Gellrich N-C, Kniha H, Dard M, Wieland M, Gahlert M. Biomechanical evaluation of a microstructured zirconia implant by a removal torque comparison with a standard Ti-SLA implant. Clin oral implants res. 2012;23:1210–6.CrossRefPubMed
13.
go back to reference Oliva J, Oliva X, Oliva JD. One-year follow-up of first consecutive 100 zirconia dental implants in humans: a comparison of 2 different rough surfaces. Int j oral maxillofac implants. 2007;22:430–5.PubMed Oliva J, Oliva X, Oliva JD. One-year follow-up of first consecutive 100 zirconia dental implants in humans: a comparison of 2 different rough surfaces. Int j oral maxillofac implants. 2007;22:430–5.PubMed
14.
go back to reference Siewert B, Parra M. Eine neue Werkstoffklasse in der Zahnmedizin: PEEK als Gerüstmaterial bei 12-gliedrigen implantatgetragenen Brücken. Z zahnärztl implant. 29:148–59. Siewert B, Parra M. Eine neue Werkstoffklasse in der Zahnmedizin: PEEK als Gerüstmaterial bei 12-gliedrigen implantatgetragenen Brücken. Z zahnärztl implant. 29:148–59.
15.
go back to reference Callís EM. Fundamentos de la estética bucal en el grupo anterior. Quintessence; 2001. 401 p. Callís EM. Fundamentos de la estética bucal en el grupo anterior. Quintessence; 2001. 401 p.
16.
go back to reference Steger E. Sistema CAD/CAM Zirkonzahn. Quintessenza odontotec. 2013;10:70–82. Steger E. Sistema CAD/CAM Zirkonzahn. Quintessenza odontotec. 2013;10:70–82.
17.
go back to reference Berglundh T, Persson L, Klinge B. A systematic review of the incidence of biological and technical complications in implant dentistry reported in prospective longitudinal studies of at least 5 years. J clin periodontol. 2002;29 Suppl 3:197-212-233. Berglundh T, Persson L, Klinge B. A systematic review of the incidence of biological and technical complications in implant dentistry reported in prospective longitudinal studies of at least 5 years. J clin periodontol. 2002;29 Suppl 3:197-212-233.
18.
go back to reference Duyck J, Vandamme K. The effect of loading on peri-implant bone: a critical review of the literature. J oral rehabil. 2014;41(10):783–94.CrossRefPubMed Duyck J, Vandamme K. The effect of loading on peri-implant bone: a critical review of the literature. J oral rehabil. 2014;41(10):783–94.CrossRefPubMed
19.
20.
go back to reference Huiskes R, Weinans H, van Rietbergen B. The relationship between stress shielding and bone resorption around total hip stems and the effects of flexible materials. Clin orthop. 1992;274:124–34. Huiskes R, Weinans H, van Rietbergen B. The relationship between stress shielding and bone resorption around total hip stems and the effects of flexible materials. Clin orthop. 1992;274:124–34.
21.
go back to reference Ponnappan RK, Serhan H, Zarda B, Patel R, Albert T, Vaccaro AR. Biomechanical evaluation and comparison of polyetheretherketone rod system to traditional titanium rod fixation. Spine j off j north am spine soc. 2009;9:263–7.CrossRef Ponnappan RK, Serhan H, Zarda B, Patel R, Albert T, Vaccaro AR. Biomechanical evaluation and comparison of polyetheretherketone rod system to traditional titanium rod fixation. Spine j off j north am spine soc. 2009;9:263–7.CrossRef
22.
go back to reference Schwitalla AD, Spintig T, Kallage I, Müller W-D. Flexural behavior of PEEK materials for dental application. Dent mater off publ acad dent mater. 2015;31:1377–84. Schwitalla AD, Spintig T, Kallage I, Müller W-D. Flexural behavior of PEEK materials for dental application. Dent mater off publ acad dent mater. 2015;31:1377–84.
23.
go back to reference Schwitalla AD, Abou-Emara M, Spintig T, Lackmann J, Müller WD. Finite element analysis of the biomechanical effects of PEEK dental implants on the peri-implant bone. J biomech. 2015;48:1–7.CrossRefPubMed Schwitalla AD, Abou-Emara M, Spintig T, Lackmann J, Müller WD. Finite element analysis of the biomechanical effects of PEEK dental implants on the peri-implant bone. J biomech. 2015;48:1–7.CrossRefPubMed
24.
go back to reference Rosentritt M, Preis V, Behr M, Sereno N, Kolbeck C. Shear bond strength between veneering composite and PEEK after different surface modifications. Clin oral investig. 2015;19:739–44.CrossRefPubMed Rosentritt M, Preis V, Behr M, Sereno N, Kolbeck C. Shear bond strength between veneering composite and PEEK after different surface modifications. Clin oral investig. 2015;19:739–44.CrossRefPubMed
Metadata
Title
Zirconia implants and peek restorations for the replacement of upper molars
Authors
José María Parmigiani-Izquierdo
María Eugenia Cabaña-Muñoz
José Joaquín Merino
Arturo Sánchez-Pérez
Publication date
01-12-2017
Publisher
Springer Berlin Heidelberg
Published in
International Journal of Implant Dentistry / Issue 1/2017
Electronic ISSN: 2198-4034
DOI
https://doi.org/10.1186/s40729-016-0062-2

Other articles of this Issue 1/2017

International Journal of Implant Dentistry 1/2017 Go to the issue