Courtesy Dr. Sammy Noumbissi DDS,MS | [email protected] | www.iaoci.com
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• Dental implants have revolutionized dentistry and most particularly fixed and removable prosthodontics. Although the success of titanium is undisputable, the widespread use of implants has come with problems ranging from cosmetic concerns to the systemic effects on the recipient. There has been increasing reports and research on the long-term stability of titanium and titanium alloys in the body and in the last twenty years in the oral environment. The breakdown of metals and Titanium alloys have been increasingly scrutinized as studies have repeatedly proven that over time during exposure to the oral environment and/or body fluids, titanium particles are found in peri-implant tissues, lymphatics and even distant organs. In recent years, titanium and titanium alloy implant corrosion has been identified and proven to be the mechanism by which release of metal ions from the implants to peri-implant tissues occurs. Most recently in clinical reports, immunological research have put into question the widely accepted biocompatibility of titanium and titanium alloy implants. As a matter of fact, the search for alternatives started in the seventies with pioneers such as Prof. Sami Sandhaus. The clinical situation presented here is one where metal sensitivity was a concern and although the patient never experienced dental implants in the past, there was concern on his part in having metal alloy implants in his jaws. This is an increasing trend among patients requesting alternative and non-invasive treatment modalities in all areas of health care.














