DR. JACQUES IMBEAU D.M.D., NZDREX, FACNEM

  • Doctor of Dental Medicine (Montreal)

  • NZ Dental Registration Examination (Otago)

  • Fellow of the Australasian College of Nutritional & Environmental Medicine (Melbourne)

  • SMART Certified by the International Academy of Oral Medicine & Toxicology (USA)

  • Registered General Dental Practitioner DD-2763 | Registered Natural Medicine Practitioner NM-2447 / NZNMA-0053

 

 

Full Member - International Academy of Ceramic Implantology (IAOCI) | International Team for Implantology (ITI) | International Academy for Oral Medicine and Toxicology (IAOMT) |

Australasian Integrative Medicine Association (AIMA), | Australasian College for Nutritional and Environmental Medicine (ACNEM) |

NZ Natural Medicine Association (NZNMA), | NZ Dental Association (NZDA), | Auckland Dental Association (ADA) | Natural Health Practitioners NZ (NHPNZ). (MORE)

 
 

WHAT IS A DENTAL IMPLANT ?

A dental implant (1) is an artificial tooth root that can be made of either titanium or zirconia. Our Centre does not use titanium.

Once inserted in the jawbone, the surrounding bone grows and firmly attach to the implant. After the corresponding healing period, a structure called an abutment (2) is attached to the implant, if it is a two phase implant*. The actual custom made metal-free crown (3) or bridge is then applied to this structure. Even if all the teeth are missing, implants serve as a support for the crown and bridge, or for removable dentures. In this way, your teeth can be restored functionally and aesthetically. For you as a patient, this means that you can once again bite into food carefree, and that you can smile without worry. Implants in general are a very stable base for your dental prosthetics, and in terms of functionality, they counteract natural bone decline.

In addition, since we only use IDM | ZIRCONIA implants, their natural white color provides ideal conditions for aesthetically outstanding results. We do not use any metal on the zirconia implants so the risks associated with titanium and other metals are completely avoided. CLICK HERE FOR MORE INFORMATION

PROSTHETIC OPTIONS

 

IDM | ZIRCONIA implants are available in two types*. One phase and two phase implants.

A ONE PHASE IMPLANT IS AN IMPLANT IN ONE PIECE: The root and the abutment that will support the crown are in one piece so that the abutment will be visible above the gum during the healing period. The abutment cannot be removed.

ADVANTAGES: Less parts so less expensive. Some designs are anatomically closer in shape to the natural teeth roots that they are meant to replace. No metal mediated inflammatory response or immune effects.
DISADVANTAGES: The abutment is exposed above the gum so requires protection from premature loading by wearing a removable protective guard. The abutment is not removable so therefore 1) cannot be replaced by a different type of abutment 2) cannot be replaced if damaged 3) cannot be removed for periodontal therapy, if necessary. 4) The crown is glued on so not removable just like on a natural tooth.

A TWO PHASE IMPLANT IS IN TWO OR MORE PIECES: The root and the abutment are separate. This allows the root to be placed under the gum so it can heal undisturbed. The abutment is only attached to the root once the bone is firmly attached to that root. This also make it possible to wear a partial denture, if necessary, during the healing period. In addition a two phase implant offer the choice of a fixed or removable abutment.

ADVANTAGES: The most versatile type of implant. The option of a fully removable and replaceable abutment. Various types of abutments can be used and changed as necessary so more future proof. A removable abutment can also offer a choice of a crown that can be either cemented on the removable abutment or can be screwed in with the abutment providing greater retrievability, if required. No metal mediated inflammatory response or immune effects.
DISADVANTAGES: More parts so more expensive. The screwable zirconia abutment with carbon fibre screws is the most versatile but also the most expensive type of abutment.
 
IMPORTANT: ONCE THEY ARE INTEGRATED WITH THE BONE, DENTAL IMPLANTS ARE VERY STABLE BUT ALSO VERY DIFFICULT TO REMOVE. THEY ARE IN FACT MUCH MORE DIFFICULT TO REMOVE THAN A NATURAL TOOTH. IT IS THEREFORE IMPERATIVE THAT YOU CAREFULLY CONSIDER THE CHOICE OF MATERIALS USED FOR THE IMPLANT, ESPECIALLY IF YOU ARE SENSITIVE TO METALS. PLEASE TAKE THE TIME TO READ THE INFORMATION ON OUR OTHER WEB SITE AND HERE TO LEARN MORE ABOUT HEALTH PROBLEMS RELATED TO TITANIUM SENSITIVITY.

 

Why IDM | ZIRCONIA Ceramic Dental Implants ?

Choosing the right implant material is a very important decision. At IDM Implantology Centre

we carefully select non-metallic and highly biocompatible biomaterials.

Zirconia is a highly biocompatible ceramic material that is biologically and aesthetically

superior to the existing titanium alternative. Because your health and your smile are worth it !

NB: Please do not confuse ZIRCONIA with Zirconium or Titanium.

 
 
IDM | ZIRCONIA offers a 100% metal-free alternative to metallic titanium implants. The IDM | ZIRCONIA implants are convicing in terms of health and aesthetics, and they help you have a healthy smile for a lifetime.

If a dental prosthesis becomes necessary, many patients have no doubt that they want a metal-free solution. Fortunately such a solution is now available in New Zealand as IDM | ZIRCONIA has a world leading range of highly biocompatible zirconia ceramic implants.

Offering modern leading edge metal-free biocompatible implant solutions, IDM | ZIRCONIA addresses people who are interested in new technologies and innovations. Life it too precious and too much fun to settle for less !

With their naturally white colour IDM | ZIRCONIA implants offer excellent conditions for aesthetically outstanding results. The risks associated with titanium implants are avoided, including:

  • The risk of showing grey edges or dark implant core is avoided.(1)
  • The risk of bacterial adhesion is significantly less.(2)
  • The risk of corrosion and galvanism associated with metals* in the mouth.(3,4)
  • The risk of immune effects such as chronic inflammatory processes and auto-immune diseases.(5,6,7,8,9)

* If other metallic materials such as amalgams (mercury/silver fillings), porcelain fused to metal crowns and bridges, gold alloy crowns, chrome-cobalt removable partial dentures ect... are also present in the mouth, this will greatly increase the galvanism and corrosion.

"Corrosion of titanium dental implants has been associated with implant failure and is considered one of the triggering factors for peri-implantitis*. This corrosion is concerning, because a large amount of metal ions and debris are generated in this process, the accumulation of which may lead to adverse tissue reactions in vivo..... The results demonstrated that all the implants were subjected to very acidic environments, which, in combination with normal implant loading, led to cases of severe implant discoloration, pitting attack, cracking and fretting-crevice corrosion. The results suggest that acidic environments induced by bacterial biofilms and/or inflammatory processes may trigger oxidation of the surface of titanium dental implants. The corrosive process can lead to permanent breakdown of the oxide film, which, besides releasing metal ions and debris in vivo, may also hinder re-integration of the implant surface with surrounding bone." (10)

* Peri-implantitis is a disease of the gums and bone around an implant which is similar to periodontal disease with the difference that teeth do not corrode and release metallic ions into the surrounding tissues.

STRONG BRIGHT RIGHT
The new generation of IDM | Zirconia ceramic implants offers outstanding material strength. With the two phase implant and the option of a screwable abutment it also achieves high connection strength with the new carbon ceramic technology. The key component is the screw made of carbon fibre reinforced high-tech plastic. This material has excellent isoelastic properties and fits close against the existing contour. The continuous, form-fitting carbon fibres absorb the tensile forces durably and give the carbon fibre screw its strength. Therefore you get the full benefit of a non-metallic implant solution including a removable abutment, if so desired.

Until recently a removable abutment was only available with metal implants.

IDM | Zirconia 100-percent metal-free ceramic implants come very close to the natural state of the tooth root in aesthetics and function. They have high biocompatibility, are completely free of metallic corrosion, and conduct neither electricity nor heat since zirconia is a natural insulator. Since zirconia is a ceramic and does not corrode there is no ionic release. On the other hand a metal like titanium can release titanium ions, which become stored in the surrounding soft tissue and can cause inflammation. Titanium can even deposit away from the implant site such as in the lymph nodes. Since oral bacteria can attach more readily to titanium it can also increase corrosion. The use of metal-free IDM | Zirconia ceramic implants precludes these effects.

CLICK HERE FOR A STUDY ON TITANIUM IMPLANT CORROSION

10 - Titanium Corrosion Mechanisms in the Oral Environment: A Retrieval Study Danieli C. Rodrigues 1,*, Pilar Valderrama 2 , Thomas G. Wilson, Jr. 3 , Kelli Palmer 4 , Anie Thomas 1 , Sathyanarayanan Sridhar 1 , Arvind Adapalli 1 , Maria Burbano 1 and Chandur Wadhwani 5 Materials 2013, 6, 5258-5274; doi:10.3390/ma6115258

Various studies demonstrate very good osseointegration and positive long-term results of ceramic implants. The study presented by Oliva shows, for example, successful five-year data; Manzano comes to the conclusion that there is no significant difference in regard to bone-implant contact (BIC) between titanium and ceramic implants. Numerous studies demonstrate excellent success rates with zirconia ceramic implants
 
 

WHAT ARE THE STEPS REQUIRED FOR A ZIRCONIA DENTAL IMPLANT?

 
 

4 STEPS - THREE OR FOUR APPOINTMENTS

THE TREATMENT SEQUENCE IS SLIGHTLY DIFFERENT DEPENDING ON YOUR CHOICE OF TYPE OF IMPLANT(S)

 

 
ADDITIONAL REFERENCES:
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)
http://www.ncbi.nlm.nih.gov/pubmed/26840270

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

 

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INTEGRATIVE CENTRE | DENTAL & NATURAL HEALTH

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QUOTE FROM ALBERT EINSTEIN: " The intuitive mind is a sacred gift and the rational mind is a faithful servant. We have created a society that honors the servant and has forgotten the gift. "