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  • Strong.

  • Strength You Can Rely On

    The new generation of ZERAMEX® ceramic implants is characterized by an extraordinary material strength. Implant and abutment are made of high-density zirconium dioxide blanks and meet the high demands on strength, biomechanical stability and accuracy of fit. ZERAMEX® ceramic implants are also corrosion-resistant and conduct neither electricity nor heat.
  • A) A Strong, Metal-Free Connection

    The carbon fiber-reinforced VICARBO® screw combines with the ZERAMEX® P6 abutments to form a high-strength and form-fitting, tension-free screw-retained ceramic-ceramic connection. The design of the connection was developed with the aim of minimizing bacterial colonization and accumulation.

    1) Fatigue tests according to ISO14801; Endolab Mechanical Engineering GmbH, Seb.-Tiefenthaler-Str. 13, D-83101 Thansau/Rosenheim; May 4, 2015
    Fatigue tests according to ISO14801; Spineserv GmbH & Co. KG, Söflinger Strasse 100, DE-89077 Ulm; April 21, 2015

  • B) High-Performance Carbon Technology VICARBO®

    The new carbon-ceramic technology results in a high connection strength. The centerpiece is the VICARBO® screw made of carbon-fiber reinforced high-tech medical grade PEEK. This material shows excellent isoelastic properties and has clear, obvious strengths: It is metal-free, biocompatible according to ISO 10993 for long-term implants, and nestles in the given contour. This is also reflected in the technical values: modulus of elasticity: 160 GPa; Tensile strength: 2,000 MPa (comparison: Titanium grade 5: Modulus of elasticity: 114 GPa.; Tensile strength: 1,100 MPa.).

    The continuous, parallel carbon fibers accept the tensile forces permanently and give the VICARBO screw its high strength.

    Relative Tensile Strength of VICARBO Screw and Alternative Implantable Materials1

    1)  All values according to manufacturer's instructions

  • Bright.

  • Whiter than Titanium

    The 100-percent metal-free ZERAMEX® ceramic implants resemble the natural tooth root in aesthetics and function. They have high biocompatibility, are completely free of metallic corrosion, and conduct neither electricity nor heat. Titanium implants may release titanium debris and ions, which can cause inflammation in the surrounding soft tissue.5 Furthermore, titanium’s resistance to corrosion may be minimized in the combination with bacteria on its surface.14 The use of ZERAMEX® metal-free ceramic implants minimizes the risk of plaque and inflammation caused by metal corrosion.

  • A) Minimizing risk factors

    Long-term studies demonstrate that peri-implantitis is a risk associated with implant treatments.3 If left untreated, periimplantitis can result in the loss of the implant. The ZERAMEX® P6 implant can help minimize certain risk factors of peri-implantitis:

    Plaque12: Low plaque affinity of ceramic11

    Metallic corrosion 4,14: Ceramic cannot succumb to metallic corrosion

  • B) Natural Esthetics

    Situation after gingival recession.
    Supply with ZERAMEX® (on the left)
    Supply of conventional titanium implant (on the right)

    • No gray edges
    • No shining through of the dark implant core
    • No visible metal edges
    Compared to metal abutments, ceramic abutments show fewer mucosal discolorations and result in better esthetics. This is the conclusion of an article by Cosgarea et al, published in Clin. Oral Implants Res, May 2015; 26 (5): 537-44
  • C) Optimal Blood Flow in the Gingiva

    The study by Norihiro Kajiwara and his team was published in Implant Dentistry, Volume 24, Number 1, 2015. In this study, among other things, the circulation of the soft tissue attached to titanium is compared with the one attached to zirconium dioxide. The study concluded that in the zirconia abutment group there was significantly more blood flow to be noticed compared to the comparison group that received titanium. This suggests that the blood flow in the gum tissue around zirconia is similar to the blood supply in the soft tissue around a natural tooth.

    Soft tissue biological response to zirconia and metal implant abutments compared with natural tooth: microcirculation monitoring as a novel bioindicator.
    Kajiwara N et al., Implant Dent. 2015 Feb;24(1):37-41.

    Biological reaction to alumina, zirconia, titanium and polyethylene particles implanted onto murine calvaria. Warashina Hideki et al., Biomaterials 24 3655-3611, 2003.

  • Right.

  • Make the Right Choice

    The success rate, which is between 96.7 and 98.5 percent for the ZERAMEX® implants with SERAFIL™ surface, speaks for the excellent osseointegration thanks to a perfected surface structure.7 The hydrophilic implant surface ZERAFIL™ is processed by sandblasting and etching so that osteoblasts grow directly on the implant, achieving a firm adhesion at the implant surface. The performance is similar to the current gold-standard titanium surfaces (S.L.A.).4 (See figure 2).
  • A) Excellent Osseointegration

    The perfected surface structure of the implant ZERAMEX® was developed in close cooperation with the University of Bern.8

    The ZERAFIL™ surface reached a similar osseointegration as the gold standard SLA Surface on titanium. In particular, the density of the newly formed bone shows comparable values. The osteoblasts grow directly on the implant, a firm attachment to the implant surface is achieved.4

    Sectional images after 8 weeks: similar osseointegration of ZERAFIL™ surface on ceramic (on the left) in comparison with the gold standard SLA Surface on titanium.4
  • B) Precisely Fitting Connection

    A significant development of the ZERAMEX® system is the precise connection created in combination with the VICARBO screw reinforced by carbon fiber. It is designed to minimize the bacteriological accumulation. A proper, permanent positioning of the screw-retained abutments may have a positive impact on the treatment success in the long term. This screw-retained ceramic-ceramic connection is extremely strong, so-to-speak seamless, and yet stress-free.
  • C) Easy Handling

    The ZERAMEX® P6 is based on a design that is one of the scientifically most documented implant systems and is characterized by a low loss rate. In practice, the ZERAMEX® P6 implant proves to be an easily and efficiently processed ceramic implant. It is placed with the comparable surgical protocol as the Straumann® Standard Plus Implant. ZERAMEX® offers its own instrument kit. A special transfer part (pickup) for insertion and a prosthetic key are necessary.
     

    Easy positioning of the abutments

    • The hexagon indexing ensures reliable protection against rotation, and the abutment can be positioned safely and easily.
    • The P6 abutment made of high-strength zirconium dioxide (ZrO2 ATZ HIP) lies precisely on the implant shoulder.

    Secure hold and easy handling

    • Hexagon-indexing for optimal flexibility and secure rotation protection

    Easy access to the implant by working at soft tissue level

    • Easy soft tissue management supported by the implant design
    • Convenient impression taking and abutment placement thanks to the connection at soft tissue level
    • Efficient: Sleek prosthetic portfolio thanks to tissue level implant design
  • 100% Metal-Free Solution for Sustainable Success

    • 100%  metal-free solution: implant, abutment and screw are metal-free
    • Highly natural reconstruction in terms of esthetics, tolerability and longevity
    • In prosthetics and reconstructions, using all ceramic has already been the standard for a long time

1) Peri-implant soft tissue colour around titanium and zirconia abutments: a prospective randomized controlled clinical study. Cosgarea Raluca et al., Clinical Oral Implant Research 26, 2015 / 537–544
http://www.ncbi.nlm.nih.gov/pubmed/24961535

2) Soft tissue biological response to zirconia and metal implant abutments compared with natural tooth: Microcirculation Monitoring as a Novel Bioindicator. Kajiwara Norihiro et al., Implant Dentistry / Volume 24, Number 1 2015.
http://www.ncbi.nlm.nih.gov/pubmed/25290282

3) Biological reaction to alumina, zirconia, titanium and polyethylene particles implanted onto murine calvaria. Warashina Hideki et al., Biomaterials 24 3655-3611, 2003.
http://www.ncbi.nlm.nih.gov/pubmed/12818536

4) Osseointegration of zirconia and titanium implants in the presence of multinucleated giant cells. Chappuis Vivianne et al., CIDRR, 2015 Sept. 17
http://www.ncbi.nlm.nih.gov/pubmed/26377587

5) Effectiveness of implant therapy analyzed in a Swedish population: early and late implant loss. Derks Jan et al., J Dent Res. 2015 Mar; 94(3 Suppl): 44S-51S.
http://www.ncbi.nlm.nih.gov/pubmed/25503901

6) Bacterial adhesion on commercially pure titanium and zirconium oxide disks: an in vivo human study. Scarano A, et al., J Periodontol. 2004 Feb; 75(2):292-6.
http://www.ncbi.nlm.nih.gov/pubmed/15068118

7) Success-rate of two-piece zirconia implants - a retrospective statistical analysis. Jank S, Hochgatterer G, (accepted for publication in Implant Dentistry, Feb 2016)

8) Acid and alkaline etching of sandblasted zirconia implants: a histomorphometric study in miniature pig. Saulacic Nikola et al., Clin Implant Dent Relat Res. 2014 Jun;16(3):313-22.
http://www.ncbi.nlm.nih.gov/pubmed/23574426

 

Straumann® is a registered trademark of Institut Straumann AG, Basel, Switzerland