Dental News - The next generation: Two-piece, metal-free screwed ZERAMEX XT

Jens Tartsch, DMD

Sun. 15 March 2020

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This case involved a simple placement of an implant in a site with adequate bone in an overall healthy patient. The case is significant in that it was the first case ever worldwide using the ZERAMEX XT Ceramic Implant System.

ZERAMEX XT is a two-piece, screw-retained system that functions surgically and restoratively like current titanium implants.

This case shows a ZERAMEX XT 4.2 x 10 mm implant placed in a healed extraction and grafted site. The implant placement was done four months post-tooth extraction and grafting.

The implant was restored using the VICARBO Carbon Fiber screw and zirconia abutment.

At the one-year follow-up with the patient, the implant shows no peri-implant inflammation. In addition, no movement or bone loss can be observed.

The author requests that you read each photo caption to receive a good understanding of each step of the process.

This case was completed in Zurich, Switzerland, by Dr. Jens Tartsch. He practices in Zurich and is a founding father of the European Society of Ceramic Implants. ESCI is a connection between industry leaders and clinical users of ceramic implants working together to create the designs and technologies for proven future success.

Fig. 1: Diagnostic 3-D treatment planning. Implant dimension and position with SMOP guided-surgery system. (Photo: Jens Tartsch, DMD)

Fig. 2: Four months post extraction. (Photo: Jens Tartsch, DMD)

Fig. 3: Prepared implant bed after thread cutting. (Photo: Jens Tartsch, DMD)

Fig. 4: Insertion with bolt in tube; inserting instrument max torque 25 Ncm. (Photo: Jens Tartsch, DMD)

Fig. 5: Implant in situ; neck area 0.6 mm supracrestal. (Photo: Jens Tartsch, DMD)

Fig. 6: The flat healing cap allows a primary wound closure, guided-surgery system. (Photo: Jens Tartsch, DMD)

Fig. 7: Healing period with healing cap ZERAMEX XT. (Photo: Jens Tartsch, DMD)

Fig. 8: ZERAMEX XT implant ready for impression. (Photo: Jens Tartsch, DMD)

Fig. 9: Precise impression with open tray. (Photo: Jens Tartsch, DMD)

Fig. 10: Individualized abutment on master cast. (Photo: Jens Tartsch, DMD)

Fig. 11: Abutment. (Photo: Jens Tartsch, DMD)

Fig. 12: Crown with composite closure of screw access channel. (Photo: Jens Tartsch, DMD)

Fig. 13: X-ray control after surgery and one year post-loading. (Photo: Jens Tartsch, DMD)

About the author

Dr. med. dent. Jens Tartsch, DMD, was born in 1965, and he received his DDS at the Free University Berlin (examination 1992). He is president and member on the board of directors for the European Society for Ceramic Implantology (ESCI). He is a member of the board of Swiss Society for Anti Aging Medicine and Prevention (SSAAMP). He is an international educator and author for metal-free implantology and immunology in dentistry and, specifically, oral and maxillofacial surgery. He has conducted clinical studies on the immunology of titanium implants, and considers his primary aspects to be: immunology in dentistry, metal-free implantology and dentures, and esthetic dentistry.

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