Bone Stability and Papilla Self-regeneration Around an Immediately Placed Z-look 3 ceramic Implant: Five Year Follow up

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Posted on 07.14.2016 11:16 PM By Sammy Noumbissi In Implants

The Z-Look 3 implant was one of the original ceramic implants released by Z-systems and it was FDA approved around 2007. This implant which is no longer in production had a smooth non-treated surface and was monoblock. This case was treated in 2010 when a 32 year old patient presented with a maxillary left central incisor that had a history of trauma when the patient was nine years old. The tooth had been subjected to two rounds of root canal therapy over the years and after clinical and radiographic examination the diagnosis of root fracture was made and it was treatment planned to be extracted and replaced with an implant and an immediately fixed temporary prosthesis. The patient requested a metal free solution to replace the tooth and an original smooth surface Z-Look 3 implant was selected. The implant body size was 5mm in diameter and 13mm long and the restorative platform was 6mm in diameter. The implant was immediately placed and temporized. Yearly radiographic and clinical assessment of the implant have been made since its placement in 2010. Both implant and peri-implant tissue continue to be functional and stable with no detectable bone loss. As a matter of fact there is a notable self-improvement of the papilla around the implant, this is a phenomenon that is commonly and predictably seen around zirconia ceramic implants.

PA X ray 2 Years
Implant Placement

Immediate Temp
Permanent Crown Day #1


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7 Comments

Sammy. Your result up to this point is extremely nice, BUT it appears facial remodeling continues. At this point, the implant platform is barely covered by thin soft tissue and at this rate of remodeling I would expect exposure prior to year ten. Although Zirconia is well tolerated by soft tissues, it dosn't stop the inevitable remodeling process. That is why I now favor smaller diameter implant platforms in conjunction with PET when possible. Great case for discussion. Please continue to update us. Best regards. Chuck


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I agree with you Chuck, I keep them small too for the same reasons.


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im glad this case worked out.the one encounter i had with this type of implant and in the same site was a dismal failure. after removal and bone graft and soft tissue graft . a Straumann roxoid implant was placed and the case is a nice success 4 years and counting.


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What type of failure did you have?


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Great Case Sammy


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Thank you Yuri


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Zirconia ceramic implants starts a new era in dental implant. After ceraroot zirconia implant the titanium tradition just changed. It's more save and effective then titanium implant.

Titanium & Zirconia ceramic Implant


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