Case Study

Titanium Implants Removed — 7 NobelPearl Ceramic Implants

• NobelPearl Ceramic Implants
• Titanium Removal
• Front Teeth

1. 1

   Starting point

   A worn, discoloured dentition — and existing titanium implants the patient wished to replace with metal-free solutions. Before any decision, laboratory testing (a titanium stimulation test and a lymphocyte transformation test covering titanium, vanadium, aluminium and nickel) confirmed a genuine sensitivity to the old metal.

   
2. 2

   The full picture

   The retracted view shows the wear and discolouration across the arches. The tissues around the old implants were also screened with an 11-marker peri-implantitis microbial panel before surgery.

   
3. 3

   Panoramic X-ray — 7 ceramic implants

   The old titanium implants were removed with our biological protocol, the sockets regenerated with bioactive bone graft (Cerasorb) and PRF fibrin membranes. In their place, seven NobelPearl metal-free ceramic implants were placed in carefully staged sessions, each guided by 3D-printed surgical templates.

   
4. 4

   The ceramic result up close

   Gingiva-forming temporaries shaped the gums during healing; the final restorations are screw-retained metal-free zirconia crowns — cement-free and serviceable at any time.

   
5. 5

   The new smile

   A complete, metal-free rehabilitation — biology and aesthetics in harmony.