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Dental Tribune Asia Pacific Edition No. 10, 2015

Today, the well-researched and provenalternativematerialtometal for dental implants is zirconium dioxide,alsoknownaszirconia.This is also a well-proven fact in medical orthopedics. Zirconia is the crystal phase of zirconium and as such it is not a metal. There are different manufacturingprotocolsforzirconia for dental implantation and they all leadtoavarietyofpolycrystalbioce- ramics, such as zirconia-toughened alumina, hot isostatic-pressed zir- conia and yttria-stabilized zirconia. The common and most important properties of these bioceramics are inertness in the bone and oral environment, structural stability, absence of electrical activity, ex- tremely low plaque retention and superioraesthetics. Is the success rate of metal-free im- plants comparable with that of tita- niumimplants? In the early days, there were chal- lenges. The materials were mono- crystallinewithveryhighlypolished andglassysurfaces,whichmadethe early implants prone to fracture, poor attachment of bone-forming cells and low bone–implant contact. The manufacturing protocols, de- sign, surface modification tech- niques and technologies of zirconia implants have evolved to a point where bone integration is ensured and comparable results are ob- tained. Are ceramic alternatives the future ofdentalimplantology? Every industry projection one sees about implants signals good news for the future. Implants are now and will continue to be widely accepted by patients and the pro- fession. Both groups agree that this is state-of-the-art treatment. How- ever,owingtotechnology,thepublic is much more informed about health issues and therapies. We are in a similar situation today to that of Invisalign braces a few years back, in that consumers are pushing dentists toward metal-free implan- tologyforthemostpart.Infiveyears’ time, I believe that the number of ceramic implants being placed will double. Bio-inert materials are the future of any type of implantable device. I believe bioceramics have taken hold and will be around for a long timebecausetherehasbeenastrong shift toward providing health care with the minimum risk and in- vasiveness over the last few years, as well as in a way that is more in- tegrated, natural and biological. Furthermore, manufacturers have rapidlyevolvedandadaptedthema- terialandimplantdesignstoclinical needs and demands. We now have a wide variety of implant designs, surface microstructures, components andprostheticconnections,making ceramic implants applicable to an extensive range of tooth replace- mentsituations. Dentists may have concerns about the reliability of ceramic implants. How does your organization address this? Even within specialties, there is a need for organized groups because in today’s world research and ap- plication of discoveries are moving at lightning speed compared with 20 years ago. Therefore, once one hasanenvironmentinwhichmuch of the time and energy is spent tracking, learning and sharing in- novative techniques and materi- als, members have a forum where they can obtain the information, training and skills to deliver the best of care to their patients in an evidence-based and organized manner. As a matter of fact, our member- shiphasdoubledinthelasttwoyears and when prospective or new mem- bers are asked why they want to join or joined the academy, the most common response is that they are seeking a forum where they can ob- tain structured information and training. Another frequent reason is that dentistshavehadpatientschallenge or inform them on the use and oc- casionally the existence of ceramic implants. Through technology and theeaseofaccesstoinformation,the public obtains information faster thanwebusyclinicians. The IAOCI will be hosting its Fifth Annual Winter Congress in Montego Bay,Jamaica.Whatcanpeopleexpect fromtheevent? The theme in 2016 will be the last decade in ceramic implantology. We will have 14 speakers from seven different countries who will share their experiences with a variety of ceramic implant systems over the last ten years. One of our guest speakers has over 15 years of docu- mented experience with zirconia implants. We will also have work- shopsondifferentimplantsystems, ceramic regenerative products and revolutionary soft-tissue- and hard- tissue-enhancing protocols proven tooptimizeimplantintegrationand long-termstability. Thank you very much for the inter- view. 23Implant TribuneAsia Pacific Edition | 10/2015 TRENDS&APPLICATIONS The Dental Tribune International C.E. 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