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RCONI
ADENTALI
MPLANTS
I
NTRODUCTI
ON:
I
n 1969,t
etr
agonalzi
rconi
a was f
ir
stused f
or
medi
calpur
posesbecauseofi
tswearr
esi
stanceand
har
dness.Zi
rconi
ais a whi
te powder
ed mat
eri
al
commonl
yused t
o pr
oduce dent
alf
ramewor
ksf
or
dent
alsubst
ruct
ures such as cr
owns,br
idges and
f
il
li
ngs.Zi
rconi
acer
ami
cswi
thpr
oper
ti
eshav
ebeen
i
ntr
oduced as al
ter
nat
ive sour
ce f
oral
umi
na and
t
it
ani
um oxi
det
oov
ercomet
hei
rli
mit
ati
onsi
ndent
al
i
mpl
ant
s.Theywer
efi
rstusedf
ort
hef
abr
icat
ionofcr
ownandi
mpl
ant
s.Zi
rconi
a
hol
dsauni
quepl
aceamongstoxi
decer
ami
csduet
oit
sexcel
l
entmechani
cal
pr
oper
ti
escompar
edt
oot
herdent
alcer
ami
cs.
METHODOLOGY:
The zi
rconi
a used i
n dent
al i
mpl
ant
s r
equi
red some pr
oper
ti
es l
i
ke
bi
ocompat
ibi
l
ity
,wear r
esi
stance,chemi
calst
abi
l
ity and ot
her phy
sicaland
mechani
cal
proper
ti
eswhi
char
eachi
evedbyf
oll
owi
ngpr
ocesses
ADDI
TIONOFYTTRI
A
Cur
rent
lyt
etr
agonalzi
rconi
a pol
ycr
yst
all
i
ne par
ti
cul
arl
y 3 mol
% y
ttr
ia cal
l
ed
st
abi
l
izedzi
rconi
aist
hecer
ami
cofchoi
cef
ordent
ali
mpl
ant
s.Addi
ti
onofy
ttr
ia
i
mpr
ovet
hemechani
cal
andphy
sical
proper
ti
esofzi
rconi
a.
STABI
LIZATI
ON
Theaddi
ti
onofst
abi
l
izi
ngoxi
desi
simpor
tantbecausei
tal
l
owst
hemai
ntenance
oft
het
etr
agonalf
orm atr
oom t
emper
atur
e.Di
ff
erentoxi
dessuchasY20,Cao,Mgo
canbeaddedt
ozi
rconi
atost
abi
l
izei
t,al
l
owi
ngt
het
etr
agonalf
ormt
oexi
statr
oom
t
emper
atur
eaf
tersi
nter
ing
DESI
NGNI
NG:
Zi
rconi
aimpl
ant
sar
emadeusi
ng CAD/
CAM sof
twar
e.Thi
scomput
erai
ded
desi
gn and manuf
act
uri
ng t
echnol
ogi
es gi
ven dent
alt
echni
cians t
he pr
eci
sion
neededt
omakeanexactf
it
ti
ngi
mpl
antt
hatbl
endsper
fect
lywi
thapat
ientnat
ural
t
eet
h.
DENTALMI
LLI
NG
Pr
oductar
emi
l
ledf
rom zi
rconi
abl
ocksal
readysi
nter
edwhi
chmeanst
her
eisno
shr
inkaget
othef
inal
str
uct
ure
SURFACETRETMENTOFZI
RCONI
AIMPLANTS:
Changi
ng t
he sur
face chemi
str
y usi
ng bi
oact
ive coat
ings wi
tht
he di
ff
erent
mat
eri
alsl
i
ke
Cal
cium
Phosphat
es
Bi
sphosphonat
es
Col
l
agen
FUNCTI
ONALREQUI
REMENT
Zi
rconi
ahasbeenusedi
ndent
ali
mpl
ant
sbecauseofi
tsgoodwearr
esi
stance,
bi
ocompat
ibi
l
ity
,good mechani
caland phy
sicalpr
oper
ti
es,hi
gh har
dness and
f
lexur
alst
rengt
h,chemi
calst
abi
l
ity
,poort
her
malconduct
ivi
ty,l
ow af
fi
nit
yto
bact
eri
alpl
aqueandgoodcor
rosi
onr
esi
stance.
Cr
ownsandbr
idges
Fi
l
ler
sindent
alcomposi
te
I
nlay
sandonl
ays
Veneer
s
Endodont
icpostandcor
es
Pedodont
iccr
owns
Or
thodont
icbr
acket
s
I
mpl
ant
s
I
mpl
antabut
ment
s
MERI
TS:
Zi
rconi
aiscompl
etel
yiner
tandcanbegoodchoi
cef
orpeopl
ewi
thknown
met
alal
l
ergi
esorsensi
ti
vi
ty
Zi
rconi
aimpl
antcoul
dbeheal
thi
erf
orgum t
issuebecauset
hismat
eri
alr
etai
n
l
esspl
aqueandcal
cul
ust
hant
it
ani
um
Zi
rconi
aimpl
ant
slastl
ongert
hanpor
cel
ainduet
oit
sdur
abi
l
ityandst
rengt
h
I
tshowsa99%sur
viv
alr
ateaf
terf
ivey
ear
s
Ther
eisnoev
idencef
ormut
ageni
corcar
cinogeni
cef
fect
s
Zi
rconi
aist
hechoi
ceofmanydent
ist
sfori
tsbi
ocompat
ibi
l
ity
Mor
eaest
het
icandi
twi
l
lnev
erbr
eakorchi
p
Theywi
l
lnotst
ainandnoneedf
orr
epl
acement
Zi
rconi
aisv
eryeasyt
ofor
mint
opr
eci
seshapeanddi
mensi
ons
DEMERI
TS:
The bi
ggest dr
awbacks of choosi
ng zi
rconi
a dent
ali
mpl
ant
sisl
ow
t
emper
atur
edegr
adat
ionast
hepr
oductagesl
eadst
othedegr
adat
ionof
phy
sical
andmechani
cal
proper
ti
es
Onepot
ent
ialdi
sadv
ant
ageofazi
rconi
acr
owni
sit
sopaqueappear
ance
whi
chcanmakei
tlookl
esst
hannat
ural
I
nsomeci
rcumst
ancest
hezi
rconi
acoul
dcausewearandt
earonopposi
ng
t
eet
h
Zi
rconi
aimpl
ant
sty
pical
l
ycostmor
ethanot
heri
mpl
ant
s
Onl
yfewerpar
tsar
eav
ail
abl
e
Submi
tt
edby
:
A.
P.Gnanaj
othi
2018301015