2023 ITI Consensus on Ceramic Implants: Navigating Single and Multi-Tooth Indications

The world of dental implantology is in perpetual evolution, and the recent International Team for Implantology (ITI) Proceedings of the Seventh Consensus Conference (2023) testifies to this growth. With a specific focus on ceramic implants, the guidelines explore the efficacy of one-piece ceramic implants and the limited consensus on two-piece variations.

One-Piece Ceramic Implants

The ITI now recognizes the value of one-piece ceramic implants for replacing single and up to three consecutive teeth in specific indications. Several factors contribute to this preference:

  • Simplicity: A one-piece design eliminates the micro-gap between the implant and abutment, potentially reducing bacterial colonization.
  • Aesthetics: With its seamless structure, there’s no risk of a metallic hue showing through, making it a favorite for anterior restorations.
  • Tissue Health: The absence of the micro-gap promotes better soft tissue adherence and health around the implant.

Two-Piece Ceramic Implants: A Divided Opinion

The consensus on two-piece ceramic implants isn’t as unanimous. While they offer versatility, especially in challenging angulations, concerns arise:

  • Micro-Gap Concerns: The inherent design creates a micro-gap, potentially leading to bacterial accumulation and peri-implantitis.
  • Fracture Risks: The two-piece design may be more susceptible to mechanical complications and fractures.
  • Complexity: The two components mean added complexity in both surgical and prosthetic procedures.

Concluding Thoughts

The 2023 ITI consensus offers practitioners a clear roadmap to integrate ceramic implants into daily practice. Embracing the one-piece design for specific indications can streamline treatments, enhance aesthetics, and potentially reduce complications. However, the debate around two-piece ceramic implants underscores the importance of individualized patient assessment and careful case selection. As the science unfolds, practitioners must stay informed and adaptable, ensuring patient safety and satisfaction remain at the forefront.

To explore more about the Proceedings of the Seventh ITI Consensus Meeting, click here.