Feb 5

Portland Dentist is First to Place a Zimmer Trabecular Metal Dental Implant.

TenderCare Dental offers the latest technology in dental implants from Zimmer Dental Inc., the Trabecular Metal Dental Implant.

On February 1, 2012 TenderCare Dental’s Dr. Justin Marostica was the first dentist in Portland, Oregon to place the latest dental implant from Zimmer Dental Inc: Trabecular Metal Dental Implant.

Dental Implant History

 Attempts to replace missing teeth with implanted materials have been observed in ancient human remains, and documented experimentally and clinically in dental literature since the 19th century.  Over the past 3 decades, dental implant systems have been commercialized in a variety of materials, including tantalum, vitreous carbon, stainless steel, and titanium.  The era of modern implant dentistry, however, is primarily built on orthopedic titanium research subsequently adapted for dental implant application.

In 1940, orthopedic surgeons first experimented with the surgical use of titanium and reported its extreme biocompatibility.  In 1950s, other orthopedic surgeons documented titanium’s superior ability to withstand corrosion and remain relatively inert in the body.  In 1977, orthopedic surgeon Per-Ingavar Branemark and colleagues published results of their monumental 10 year dental implant study.  The Branemark team documented the process and conditions in which ordered, living bone could form a direct structural and functional connection with a load-carrying titanium dental implant. The research team coined the term to describe this phenomenon as “osseointegration”.

Introducing the Zimmer’s Trabecular Metal Dental Implant

It is fabricated by coating a vitreous carbon skeleton with tantalum through a proprietary chemical vapor deposition coating process.  The trabecular metal technology significantly differs from sintered bead surfaces, titanium plasma-sprayed surfaces, titanium fiber mesh and titanium foam in the high degree of its interconnected porosity and the regularity of its pore size and shape.

In contrast to conventional bone-to-implant contact achieved by non-porous surfaces, Trabecular Metal Technology’s geometrical network of interconnected pores is designed for biological ingrowth through the pores.  Trabecular Metal material has been used extensively in orthopedic reconstructions for more than a decade.

Advantages of Trabecular Metal Dental Implants

Mechanical Properties

Trabecular Metal possesses a high strength-to-weight ratio, with mechanical properties capable of withstanding physiologic loading. The compressive strength and elastic modulus of Trabecular Metal are more similar to bone than are other prosthetic load-bearing materials. The material’s low stiffness facilitates physiologic load transfer and helps minimize stress shielding.

The Trabecular Metal struts generate a friction coefficient that is 76% greater than a sintered bead coating, providing increased initial stability.

Exceptional Bone Ingrowth

The bone-like physical and mechanical properties of Trabecular Metal contribute to extensive bone infiltration. A transcortical implant animal study demonstrated that new bone rapidly infiltrated the Trabecular Metal. Only 8 weeks after surgery, bone had grown into and filled the majority of available pore space. Consequently, fixation strength developed more rapidly. At 4 weeks, the bone interface shear strength of Trabecular Metal material was double that of sintered beads

Soft Tissue Attachment

The pore size and high volume porosity of Trabecular Metal supports vascularization and rapid, secure soft tissue ingrowth. Soft tissue adherence and vascularization occurred quickly with extensive tissue ingrowth 4 to 8 weeks after surgery.

Dental Implications

Zimmer Dental Inc. research has proven that Trabecular Metal will allow for greater stability and longevity of the dental implant. Due to the porous nature of the tantalum, the surface area of the Trabecular Metal dental implant is more than three times that of a regular implant. This increased surface area allows for more bone attachment or osseointegration. This means that these dental implants will be able to withstand more force and ultimately last longer.

Traditional dental implants it is ideal to wait, depending on the location the jaw, 4-6 months for healing and osseointegration to occur.  This meant that there would be a great deal of time between dental implant placement and restoration.  Research on the Trabecular Metal dental implant showed 8 weeks after implant surgery, bone had grown into and filled the major of the porous space.  This will allow for Trabecular Metal dental implants to be restored much sooner than traditional dental implants thus reducing the amount of time without a tooth or teeth.

TenderCare Dental is proud to be able to offer its patients the latest in dental technology, not just including dental implants.  We recognized that dentistry is constantly evolving and we need to be able to use the latest advancements to improve our patient’s oral health.

Call TenderCare Dental today for your free dental implant consultation.

Justin Marostica, DMD

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