CeraRoot Zirconia/Ceramic (Non-Metal Implants) has 6 sizes and shapes to choose from to place in different areas of the mouth!
The gum usually heals really good around these ceramic implants so many times we need to cut it with laser (laser Gingivectomy) before we cement the zirconia crown once the implant is osseointegrated (healed and hard in the bone).
This is CeraRoot 16. Used in posterior areas. Due to its big size the emergence profile helps preventing food trapping.
Ceramic(zirconia)Implants
Ceramic(zirconia) implants are one of the options to replace missing teeth. When you lose a tooth due to severe infection,severe decay, trauma,etc. You might have some options to replace it. Options are: implants( Titanium/metal or Ceramic/non-metal), removable partial denture,Fixed bridges or you can decide to leave it alone.
At Family Holistic Dentistry we offer Once-Piece Ceramic(CeraRoot) implants.
Ceramic/zirconia implant is a great option to replace a missing tooth since there is one tooth problem, one tooth solution. When you lose a tooth, the brain directs osteoclasts to reabsorb the alveolar bone, since the only function this bone has is to surround and keep a tooth in place. The issue here is that alveolar bone is shared with the adjacent teeth, so when it starts reabsorbing the stability of the neighbor teeth is compromised. If you already lost a tooth, we will take a CBCT ( cone beam computed tomography) and measure the density of the bone to evaluate if you're a good candidate for a ceramic/zirconia implant. In that evaluation, we determine if a biomimetic bone graft(Phase B-tricalcium-phosphate) is needed or only PRF ( plasma rich in fibrine) from your blood. If you have an indication for an extraction, we always evaluate the possibility to do an immediate ceramic/zirconia implant placement at the time of the extraction since this is the best way to preserve bone in conjunction with PRF,ozone therapy,laser,tri-calcium-phosphate bone graft. This is why timely care is beneficial and an advantage over waiting to get treatment.
During the exam Dr. Burke and Dr Jumtina will assess the foundation that will support an implant. This means checking to see if you have enough bone, enough interocclusal clearance for a future crown and if your gums are healthy and free of disease. This is important because an implant needs to be completely surrounded by bone when it is put in so it can heal and become solid for chewing later. If there is not quite enough bone there may be options for bone grafting to create enough bone to anchor the implant. In that case we will plan to use non-human non-animal sources to build up the bone. Then we evaluate the bone density 4 months later.
Advantages of Once-Piece ceramic implants: -Increased strength due to unified structure of implant and abutment -The bone and the gum are more protected from bacteria growth (no abutment interface) - We can control the inclination of the abutment at the time of the placement to have a more functional and esthetic crown in the future. - Technical complexity is minimized by reducing the number of components required, which also means that less treatment time is required. - State -of-the-art computer-aided design/computer-aided manufacturing( a high percentage of the implant crowns are designed and milled in our office in one visit) -No loosening or fracture of the abutment - We can control the final crown margins, the gingival contours and the angulation of the crown preparation with a bur in a quick and easy manner( rather than look for the right abutment and prepare it for the crown). -Better emergence profile -Easier to clean.
It is also important that your mouth is healthy and there is no gum disease such as gingivitis or periodontitis. In these situations, the bacteria that causes disease around natural teeth can also cause disease and bone loss around an implant. Implants are a great replacement choice but like anything in the medical and dental world nothing is full proof. A healthy mouth increases the likelihood your implant will heal and last many years.
The Non-Metal Implant. Gums heal amazing around CeraRoot implants!
Conventional implants are made from titanium. At Family Holistic Dentistry we offer ceramic implants to give patients a metal-free option. https://www.ceraroot.com
https://drcarmenburke.com/service/restorative https://drcarmenburke.com/zirconia-implants
Without an implant or natural tooth your bone does not get the signal that it needs to be there and so disappears and gets thinner and smaller over time. We call this atrophy. How much of it disappears varies in each person but typically the longer there is no natural tooth or implant the less bone there is. Bone grafting and I-PRF and C-PRF often help with this but the more you have of your own bone the sooner you can have an implant and crown and the sooner you can start chewing in that area again. This is why Call for a consult and Dr. Burke and Dr Jumtina will assess your individual needs and discuss with you your choices for replacing those missing teeth.
Survival rate 98,69% ! in 15 years of performance in humans!
We take a CBCT( cone beam computed tomography) after the placement to be sure the implant was placed on the right place!
CeraRoot 21 placed in the upper anterior area. You can see the patient had a fractured tooth with a PFM (porcelain fused to metal) crown with darkness in the gum level. The patient came with pain and the tooth was non-restorable so we extracted it and she chose a ceramic implant to replace it. It healed well and now she is using a temp crown to mold the gum. Please notice the change in the color at the gum level. Our patient is very happy with the healing and the appearance of her front gum!
In this case, the gum was keratinized (pink and strong) so we did not need to raise a flap. This technique is called flapless. We placed the surgical guide to see where we planned to place the implant, removed the piece of gum on the top, drilled and placed a CeraRoot 34! Our patient has been healing very well, painless and strong!
You can see how the gum loves to heal around CeraRoot implants!
We love he fact that CeraRoot is one-piece implant! That allows us to plan the placement of the implant and the crown from the beginning, being sure the crown will follow the alignment of the arch. One-piece resists very well the forces of the bite !
Surgical guide: It is an appliance that is designed in a CBCT to make the drilling where we want to place the implant. As you can see it has a hole that wil hold the drill in the planned place making the placement safer and more accurate.
Once a tooth is non restorable and needs to be extracted, we offer options for replacement for the patient to choose from. One of the options would be an immediate placement, when it is possible, this way we save more bone around it if the implant heals well ! You can see in the photo the bone in the buccal area ( cheek side). A lot of times when an implant is not placed , this bone gets reabsorbed and generates a concavity where food gets trapped. The more bone we can keep the better crown we can place!
Once the implant is osseointegrated, we take digital impressions to design the crown and mill it in our in house lab. We are offering a faster service due to our State of the Art Technology!
When we are placing the implant, we are constantly evaluating the inclination in the mouth to be sure the future crown will align well with the arch and with he opposing tooth. Our main goal is to restore the chewing function of our beloved patients!
