Are ceramic implants a viable alternative to titanium implants? A systematic literature review

Clinical Oral Implants Research

Volumn 20, Issue SUPPL. 4, 2009, Pages 32-47

  Andreiotelli, Marina ^b   Wenz, Hans J ^c   Kohal, Ralf Joachim ^a,b  

^a Albert Ludwigs University ^*  (Germany)

^b UNIVERSITY OF FREIBURG   (Germany)

^c UNIVERSITY OF KIEL   (Germany)

Author keywords

Alumina; Oral implants; Systematic review; Zirconia; Zirconium dioxide

Indexed keywords

ALUMINUM OXIDE; TITANIUM; ZIRCONIUM; ZIRCONIUM OXIDE;

ANIMAL; BONE REGENERATION; COMPARATIVE STUDY; DENTAL SURGERY; HUMAN; REVIEW; TOOTH IMPLANTATION; TOOTH PROSTHESIS;

ALUMINUM OXIDE; ANIMALS; DENTAL IMPLANTATION, ENDOSSEOUS; DENTAL IMPLANTS; DENTAL PORCELAIN; DENTAL RESTORATION FAILURE; HUMANS; OSSEOINTEGRATION; TITANIUM; ZIRCONIUM;

EID: 68549122693     PISSN: 09057161     EISSN: 16000501     Source Type: Journal    
DOI: 10.1111/j.1600-0501.2009.01785.x     Document Type: Review

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116. 3 Frialite. Actualités odonto-stomatologiques 41 : 641 648. Exclusion criteria: presentation of an implant system.
117. d'Hoedt, B. Schulte, W. (1987) Möglichkeiten und Langzeitergebnisse bei der Anwendung Tübinger Implantate (Frialit). ZWR Das Deutsche Zahnärzteblatt 96 : 118 121. Exclusion criteria: case series, no protocol for a clinical study.
118. d'Hoedt, B. Schulte, W. (1989) A comparative study of results with various endosseous implant systems. The International Journal of Oral & Maxillofacial Implants 4 : 95 105. Exclusion criteria: no survival/success rate reported.
119. De Wijs, F.L., De Putter, C. Cune, M.S. (1996) Front tooth replacement with Tübingen (Frialit) implants: a radiographical evaluation. Journal of Oral Rehabilitation 23 : 97 100. Exclusion criteria: only radiographical evaluation of the implants.
120. Donath, K. (1986) Ist die Osteointegration der Dentalimplantate abhängig vom Implantatmaterial? ZWR Das Deutsche Zahnärzteblatt 95 : 1146 1148. Exclusion criteria: only human biopsies, no clinical study.
121. Dörre, E. (1980) Aluminiumoxid-Keramik - ein Werkstoff für enossale Implantate. Zahnärztliche Praxis 31 : 343 346. Exclusion criteria: no animal, no clinical study.
122. 3-Keramik-Implantaten mit parodontologischen Kriterien. Deutsche Zahnärztliche Zeitschrift 36 : 500 504. Exclusion criteria: no survival/success rate reported.
123. Ehrl, P.A. (1983a) Klinische Studie über Pfeilstift-Implantate nach Mutschelknauss. ZWR Das Deutsche Zahnärzteblatt 92 : 59 60 63-54. Exclusion criteria: no observation period and patient number reported.
124. 3-Keramik. Österreichische Zeitschrift für Stomatologie 80 : 97 102. Exclusion criteria: no survival/success rate reported.
125. Ehrl, P.A. (1986) Les implants en céramo-alumine aujourd'hui. Le Chirurgien-dentiste de France 56 : 29 36. Exclusion criteria: review, presentation of an implant system.
126. 3-ceramic as material for dental implants: experimental and clinical study for the development of screw- and extension-implants. International Journal of Oral Surgery 10 : 93 98. Exclusion criteria: case series, no protocol for a clinical study.
127. Fartash, B., Eliasson, S. Arvidson, K. (1995) Mandibular single crystal sapphire implants: changes in crestal bone levels over three years. Clinical Oral Implants Research 6 : 181 188. Exclusion criteria: only radiographical evaluation of the implants.
128. Fritzemeier, C.U., Lentrodt, J., Holtje, W. Osborn, J.F. (1981) Bisherige Erfahrungen mit dem Tübinger Sofortimplantat aus Aluminium-Oxydkeramik. Deutsche Zahnärztliche Zeitschrift 36 : 579 584. Exclusion criteria: case series, no protocol for a clinical study.
129. Gahlert, M., Gudehus, T., Eichhorn, S., Steinhauser, E., Kniha, H. Erhardt, W. (2007) Biomechanical and histomorphometric comparison between zirconia implants with varying surface textures and a titanium implant in the maxilla of miniature pigs. Clinical Oral Implants Research 18 : 662 668. Exclusion criteria: no bone-to-implant contact reported.
130. Guglielmotti, M.B., Guerrero, C. Cabrini, R.L. (1997) Chronodynamic evaluation of the stages of osseointegration in zirconium laminar implants. Acta Odontológica Latinoamericana 10 : 11 23. Exclusion criteria: no ceramic implants investigated.
131. Guglielmotti, M.B., Renou, S. Cabrini, R.L. (1999) A histomorphometric study of tissue interface by laminar implant test in rats. The International Journal of Oral & Maxillofacial Implants 14 : 565 570. Exclusion criteria: no ceramic implants investigated.
132. Hashimoto, M., Akagawa, Y., Nikai, H. Tsuru, H. (1988) Single-crystal sapphire endosseous dental implant loaded with functional stress - clinical and histological evaluation of peri-implant tissues. Journal of Oral Rehabilitation 15 : 65 76. Exclusion criteria: no bone-to-implant contact reported.
133. Hobkirk, J.A. (1981) Patterns of cortical bone growth around alumina implants. Journal of Oral Rehabilitation 8 : 143 154. Exclusion criteria: no bone-to-implant contact reported.
134. Kent, J.N., Cook, S.D., Weinstein, A.M. Klawitter, J.J. (1982) A clinical comparison of LTI carbon, alumina, and carbon-coated alumina blade-type implants in baboons. Journal of Biomedical Materials Research 16 : 887 899. Exclusion criteria: no bone-to-implant contact reported.
135. Klawitter, J.J., Weinstein, A.M., Cooke, F.W., Peterson, L.J., Pennel, B.M. McKinney, R.V. Jr. (1977) An evaluation of porous alumina ceramic dental implants. Journal of Dental Research 56 : 768 776. Exclusion criteria: no bone-to-implant contact reported.
136. Klawitter, J.J., Weinstein, A.M., Cooke, F.W., Peterson, L.J., Pennel, B.M. McKinney, R.V. Jr. (1980) An evaluation of porous alumina ceramic dental implants. The Journal of Oral Implantology 9 : 64 82. Exclusion criteria: no bone-to-implant contact reported.
137. Krempien, B., Schulte, W., Kleineikenscheidt, H., Lindner, K., Schareyka, R. Heimke, G. (1978) Lichtoptische und rasterelektronenmikroskopische Untersuchungen an der Grenzfläche von Implantaten aus Aluminiumoxid-Keramik im Unterkieferknochen von Hunden. Deutsche Zahnärztliche Zeitschrift 33 : 332 340. Exclusion criteria: no bone-to-implant contact reported.
138. Marinho, V.C., Celletti, R., Bracchetti, G., Petrone, G., Minkin, C. Piattelli, A. (2003) Sandblasted and acid-etched dental implants: a histologic study in rats. The International Journal of Oral & Maxillofacial Implants 18 : 75 81. Exclusion criteria: report on titanium implants.
139. McKinney, R.V. Jr., Koth, D.L. Steflik, D.E. (1983) The single crystal sapphire endosseous dental implant. II. Two-year results of clinical animal trials. Journal of Oral Implantology 10 : 619 638. Exclusion criteria: no bone-to-implant contact reported.
140. Missika, P. (1987) Les implants en céramique alumineuse Biolox. Actualités odonto-stomatologiques 41 : 657 672. Exclusion criteria: presentation of an implant system.
141. Müller, W., Piesold, J. Glien, W. (1988) Eigenschaften und klinische Anwendung von Kieferimplantaten aus Aluminiumoxidkeramik Bionit. Stomatologie der DDR 38 : 673 678. Exclusion criteria: no survival/success rate reported.
142. Münch, M. (1987) Das Sofort- und Spatimplantat nach Münch aus Biolox. Ein klinischer Erfahrungsbericht nach sechs Jahren. ZWR Das Deutsche Zahnärzteblatt 96 : 456 458 460, 464-456. Exclusion criteria: no observation period and patient number reported.
143. Mutschelknauss, E. Dörre, E. (1977) Extensionsimplantate aus Aluminiumoxid-Keramik (I). Quintessenz 28 : 21 25. Exclusion criteria: presentation of an implant system.
144. 3). Zahnarzt 29 : 87 97. Exclusion criteria: review.
145. Neunhoeffer, H. (1981) Prothetische Versorgung von Implantaten aus Aluminiumoxid-Keramik. Quintessenz 32 : 2049 2053. Exclusion criteria: case series, no protocol for a clinical study.
146. Nordlund, A., Zetterqvist, L. Oden, A. (1989) A comparative experimental investigation in monkeys between three different implant materials. The International Journal of Oral & Maxillofacial Implants 18 : 373 377. Exclusion criteria: no bone-to-implant contact reported.
147. Parr, G.R., Gardner, L.K., Steflik, D.E., Sisk, A.L. Hanes, P.J. (1992) Comparative implant research in dogs: prosthodontic protocol using two-stage ceramic endosseous dental implants. The International Journal of Oral & Maxillofacial Implants 7 : 508 512. Exclusion criteria: no bone-to-implant contact reported.
148. Pedersen, K.N. (1979) Tissue reaction to submerged ceramic tooth root implants. An experimental study in monkeys. Acta Odontologica Scandinavica 37 : 347 352. Exclusion criteria: no bone-to-implant contact reported.
149. Pedersen, K.N. Haanaes, H.R. (1980) Further studies on tissue ingrowth into intrabony porous ceramic implants. International Journal of Oral Surgery 9 : 140 143. Exclusion criteria: no bone-to-implant contact reported.
150. Reichart, P. (1979) Tierexperimentelle Untersuchungen an Aluminiumoxid-Keramik-Implantaten. Zahnärztliche Praxis 30 : 511 514. Exclusion criteria: no bone-to-implant contact reported.
151. Schulte, W. (1981) Das Tübinger Implantat aus Frialit - Fünfjährige Erfahrungen. Deutsche Zahnärztliche Zeitschrift 36 : 544 550. Exclusion criteria: presentation of an implant system.
152. Schulte, W. Heimke, G. (1980) Implants endo-osseux de céramique a base d'oxyde d'alumine (Frialit-type Tübingen). Le Chirurgien-dentiste de France 50 : 41 45. Exclusion criteria: review.
153. Schulte, W., Kleineikenscheidt, H., Lindner, K., Schareyka, R., Heimke, G., Gerlach, C. Hardegg, W. (1978) Tierexperimente zur Frage der Einheilung des Tübinger Sofortimplantates. Deutsche Zahnärztliche Zeitschrift 33 : 326 331. Exclusion criteria: no bone-to-implant contact reported.
154. Schultze-Mosgau, S., Schliephake, H., Radespiel-Tröger, M. Neukam, F.W. (2000) Osseointegration of endodontic endosseous cones: zirconium oxide vs titanium. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics 89 : 91 98. Exclusion criteria: no bone-to-implant contact reported.
155. Schulz, P., Heimke, G., Krempien, B., Kristen, K., Mühleisen, W. Singer, R. (1981) Einzelzahnimplantate aus Aluminiumoxidkeramik im Beagle-Seitenzahnbereich und für Frontzahnlücken des jugendlichen Patienten. Deutsche Zahnärztliche Zeitschrift 36 : 599 606. Exclusion criteria: no bone-to-implant contact reported.
156. Sisk, A.L., Steflik, D.E., Parr, G.R. Hanes, P.J. (1992) A light and electron microscopic comparison of osseointegration of six implant types. The International Journal of Oral and Maxillofacial Surgery 50 : 709 716 discussion 716-707. Exclusion criteria: no bone-to-implant contact reported.
157. Smith, J.R. (1979) Bone dynamics associated with the controlled loading of bioglass-coated aluminum oxide endosteal implants. American Journal of Orthodontics 76 : 618 636. Exclusion criteria: no bone-to-implant contact reported.
158. Sollazzo, V., Pezzetti, F., Scarano, A., Piattelli, A., Bignozzi, C.A., Massari, L., Brunelli, G. Carinci, F. (2008) Zirconium oxide coating improves implant osseointegration in vivo. Dental Materials 24 : 357 361. Exclusion criteria: investigation on titanium implants.
159. Stallard, R.E. (1981) Tissue reaction to non-metallic dental implants. The New York State Dental Journal 47 : 20 23. Exclusion criteria: review.
160. Steflik, D.E., Koth, D.L. McKinney, R.V. Jr. (1984) A clinical and statistical analysis of human clinical trails with the single crystal sapphire endosteal dental implant: two year results. Journal of Oral Implantology 11 : 500 515. Exclusion criteria: reported patient group same as in Koth et. al. (1988) and Steflik et al.(1995).
161. Steflik, D.E., Koth, D.L. McKinney, R.V. Jr. (1987) Human clinical trials with the single crystal sapphire endosteal dental implant: three year results, statistical analysis, and validation of an evaluation protocol. Journal of Oral Implantology 13 : 39 53. Exclusion criteria: reported patient group same as in Koth et. al. (1988) and Steflik et al.(1995).
162. Steflik, D.E., McKinney, R.V. Jr. Koth, D.L. (1983) A statistical analysis of the clinical response to the single-crystal sapphire endosseous dental implant in dog jaws. Journal of Dental Research 62 : 1212 1215. Exclusion criteria: no bone-to-implant contact reported.
163. Strassl, H. (1988) Dreijährige klinische Erfahrung mit dem Implantat aus Aluminiumoxyd nach Münch. Zahnärztliche Praxis 39 : 84 88. Exclusion criteria: no observation period reported.
164. Takahashi, T., Sato, T., Hisanaga, R., Miho, O., Suzuki, Y., Tsunoda, M. Nakagawa, K. (2008) Long-term observation of porous sapphire dental implants. The Bulletin of Tokyo Dental College 49 : 23 27. Exclusion criteria: case series.
165. Takuma, M., Harada, S., Kurokawa, F., Takashima, F., Miyauchi, S. Maruyama, T. (1987) Experimental study on the functional adaptation to aluminum oxide, hydroxyapatite and titanium implants. The Journal of Osaka University Dental School 27 : 111 121. Exclusion criteria: no bone-to-implant contact reported.
166. Vanhakendover, S. (1987) Endosseous screw-implants in aluminium ceramic (crystalline bone screw and Cerasand). Actualités odonto-stomatologiques 41 : 627 640. Exclusion criteria: no patient number reported.
167. Wagner, W., Tetsch, P. Bossler, L. (1981) Bisherige klinische Erfahrungen mit dem Frialit-Implantat Typ Tübingen. Deutsche Zahnärztliche Zeitschrift 36 : 585 590. Exclusion criteria: no observation period reported.
168. Weinstein, A.M., Cook, S.D., Klawitter, J.J., Weinberg, L.A. Zide, M. (1981) An evaluation of ion-textured aluminum oxide dental implants. Journal of Biomedical Materials Research 15 : 749 756. Exclusion criteria: no bone-to-implantcontact reported.
169. Willmann, G., von Chamier, W. Dörre, E. (1990) Schraubenimplantate aus Aluminiumoxid. Zahnärztliche Praxis 41 : 447 448 450-442. Exclusion criteria: presentation of an implant system.
170. Yamagami, A., Kotera, S., Ehara, Y. Nishio, Y. (1988) Porous alumina for free-standing implants. Part I: implant design and in vivo animal studies. The Journal of Prosthetic Dentistry 59 : 689 695. Exclusion criteria: no bone-to-implant contact reported.
171. Yamane, T., Yuasa, Y., Matsuzawa, K. Yamanouchi, H. (1979) Fundamental and clinical studies on endosseous implant of new sapphire (alpha-A1203) material. Journal of Oral Implantology 8 : 232 256. Exclusion criteria: no bone-to-implant contact reported.
172. 3-ceramic dental implants: an experimental study in monkeys. The International Journal of Oral & Maxillofacial Implants 6 : 285 293. Exclusion criteria: no bone-to-implant contact reported.
173. Zetterqvist, L., Anneroth, G., Nordenram, A. Wroblewski, R. (1995) X-ray microanalytical and morphological observations of the interface region between ceramic implant and bone. Clinical Oral Implants Research 6 : 104 113. Exclusion criteria: no bone-to-implant contact reported.