Zirconia Implants in Nashville
Zirconia implants are the metal free tooth replacement option you’ve been searching for. They are a proven alternative to titanium implants; can be used in the rare case of a titanium allergy, for patients who want a more natural look, or for patients who simply want to avoid having metal in their body.
The zirconia implant is restored with a zirconia abutment, carbon fiber screw, and an all ceramic crown – allowing for a completely metal-free tooth replacement. Its naturally white appearance eliminates the gray tint or darkness that can occur in the gums with a titanium implant, creating a more natural look. Zirconia also maintains the same durability and strength as titanium while eliminating some of the risks, like an allergy or leaching of metal ions into the body.
Nashville Restorative Dentistry is a leader in zirconia implants and other metal-free dentistry practices and serves the entire Nashville, TN metro area and beyond, including Brentwood, Franklin, and Cool Springs.
What are zirconia implants made of?
Zirconia is an oxide of the element zirconium, which the body actually sees as a metal-free ceramic called zirconium dioxide. The compound is naturally white, so it’s a natural choice for dental implants. We use ZERAMEX® zirconia implants at Nashville Restorative Dentistry, which feature high biocompatibility and corrosion resistance to ensure long-term stability. They’re also not affected by contact with oral bacteria and have a lower affinity with plaque than titanium implants, so the risk of inflammation around the implant is greatly reduced.
Patients often prefer the white of zirconia because of its bright white look. Most people will never be able to tell the difference between the real teeth and the implant. The dark metal of titanium, however, can sometimes be seen through the gumline, which can unfortunately draw attention to the implant. There have even been scientific studies measuring how well zirconia implants mimic the look of natural teeth1.
Zirconia Implants vs. Titanium Implants
Titanium and titanium alloys have been around for decades and until recently have been the only material choice for dental implants. Zirconia is a newer, more modern alternative. Zirconia has been proven to be a reliable dental implant material as an alternative to titanium while also having several advantages over it, including:
- Avoiding the risk of leaching metal ions into the body
- A more natural look as compared to titanium
- High compatibility with human tissue, leading to low bacterial accumulation, inflammation, and infection rates
- No risk of long term metal corrosion
Additionally, according to a 2019 study2, titanium implants may cause issues in people with autoimmune diseases such as diabetes, Crohn’s disease, and rheumatoid arthritis. If you have any one of these conditions, zirconia implants may be the best choice for you.

We see a lot of people that come to us to talk about zirconia implants because they want to avoid the use of metal in their mouth. So, people that have an actual titanium allergy, which is a very small percentage but does exist, those that just want to be proactive with their healthcare and avoid the potential risk like long-term corrosion of titanium ions entering the body, these create motivations for some patients to consider zirconia dental implants. What are zirconia implants? Zirconia is a oxide of a metal called Zirconium which the body sees as a metal free compound it’s white in color, it’s got great tissue and bone biocompatibility, meaning we don’t see much inflammation or reaction around it, and it provides a stable metal-free substance for us to attach an abutment and crown to replace the missing tooth.



Before & After Zirconia Implants
The best way to understand the benefits of zirconia implants is to see them for yourself. At Nashville Restorative Dentistry, we were one of Nashville’s earliest adopters of zirconia dental implants and have seen fantastic results with them. CLICK HERE to see photos of real patient cases we’ve treated, before and after their procedure.
We are equipped to handle nearly every dental need.
We understand the importance of having a dentist you can trust. And that means not being sent off to a different specialist every time you need a new procedure. At Nashville Restorative Dentistry, we are equipped to handle the majority of your dental needs, from cosmetic to restorative, implants to extractions. When you come to us, you are getting a dental team for life.
FAQs
Are zirconia implants as durable as titanium implants?
Zirconia implants are highly durable and comparable to titanium in many situations. As they are newer, however, we do not have the luxury of decades of retrospective studies as we do with titanium. It is true that there are some risks and/or disadvantages that must be considered when choosing a zirconia implant depending on where the missing tooth is. We are doing our best to stay updated with advancements in zirconia technology. Discuss your specific needs with us to determine if zirconia or titanium is the best option for your implant treatment.
Are zirconia implants a good choice for people with metal allergies?
Yes, zirconia implants are an excellent choice for individuals with metal allergies or sensitivities. Made entirely from ceramic, zirconia is non-metallic and biocompatible, significantly reducing the risk of allergic reactions. If you’ve experienced metal allergies before, let us know, and we’ll discuss alternative options to reduce risk in your treatment plan.
Do zirconia implants look more natural than titanium?
Yes, zirconia implants can offer a more natural appearance, particularly in the front teeth in certain situations. Their white color blends better with the surrounding teeth and gum tissue, eliminating the risk of a darker coloration from metal showing through the gums. Achieving the most natural results depends on both the implant material and our skilled placement and restoration process.
Are zirconia implants suitable for full-mouth restorations?
The usage of zirconia implants for full-mouth restorations may vary depending on your unique oral anatomy and health. While durable and aesthetic, the use of zirconia is less customizable than titanium for complex cases requiring angled components. Asking questions and discussing your goals with us prior to choosing a treatment direction gives us the best opportunity to select the appropriate material and design for long-term success. With proper care, zirconia implants can provide a functional and beautiful solution for multiple missing teeth.
How do zirconia implants compare in healing time?
Zirconia implants offer comparable healing times to titanium implants, typically around 3-4 months for osseointegration. The ceramic material promotes excellent bone integration, reducing the risk of inflammation or complications. Healing success also depends on your oral health, lifestyle, and adherence to aftercare instructions. Regular checkups with your dentist ensure the implant integrates properly and identifies any issues early to maintain a smooth recovery process.
Do zirconia implants require special maintenance?
Zirconia implants require similar maintenance to natural teeth. Effective brushing and managing plaque buildup between teeth with string floss or water flossing are very important. Commitment to routine dental checkups is also necessary. Avoid abrasive toothpaste or habits like teeth grinding, which could damage the implant. We may recommend a nightguard for protection. Following these practices ensures the longevity and health of your zirconia implant.
Are zirconia implants more expensive than titanium?
Yes, zirconia implants are more expensive than titanium alternatives. The cost also reflects the expertise required for placement and restoration. Discussing costs and financing options can help you understand the long-term benefits and make an informed decision.