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Clinical Study, February 2026: Cultural Differences in Patient Experiences with Immediate Zirconia Implants

12.2.2026 · 4 min



Patient Perspectives on Immediate Zirconia Implant Therapy: Long-Term Multicenter Study




Introduction


Patient satisfaction is increasingly recognized as a critical measure of implant success alongside traditional clinical outcomes. A European multicenter study examined immediate zirconia implant treatments in Spain, Austria, and Germany, highlighting notable cultural differences in patient-reported outcomes (PROMs). These insights help dentists tailor care to diverse patient populations and improve clinical and psychosocial outcomes.



Objectives


  • Assess patient-reported outcome measures (PROMs) before and after immediate zirconia implant therapy
  • Evaluate patient satisfaction across Spain, Austria, and Germany
  • Examine the impact of clinical factors such as implant number, augmentation, and loading time on patient perception



Methodology

A total of 54 patients (272 SDS zirconia implants) from Spain, Austria, and Germany were treated following a standardized surgical protocol. PROMs were collected using a Visual Analog Scale (VAS) before implantation (T0) and after final prosthetic restoration (T1), covering functional, psychological, physical, and social aspects. When indicated, PRF or bone/collagen augmentations were used. The study followed patients over a long-term period, ensuring a comprehensive evaluation of outcomes.



Clinical Relevance

Patient satisfaction significantly increased from 77.9% to 95%. Chewing and speech function, aesthetics, and pain perception improved markedly. All implants demonstrated stable osseointegration throughout the follow-up, with a 100% survival rate. Clinical factors like implant diameter, total implant number, and timing of loading influenced subjective patient experience, emphasizing the value of personalized treatment planning.



Key Cultural Differences

  • Spain: Patients reported higher initial oral health impairment but achieved the largest improvements, reflecting a tendency to report concerns pre-treatment and value the intervention highly.
  • Austria: Lower initial complaints but higher post-treatment physical pain, suggesting careful perioperative pain management is crucial.
  • Germany: Moderate baseline complaints, with more pronounced functional and psychological challenges post-treatment, highlighting the need for targeted communication and support strategies.

These findings underscore the importance of culturally sensitive care and tailored communication in implantology, especially for multinational or multicultural practices.



Conclusion


Immediate zirconia implants provide long-term, functional, and aesthetic results with high patient satisfaction. Recognizing and integrating cultural differences in patient perception allows clinicians to align biological success with meaningful improvements in quality of life. PROMs are essential tools for modern, patient-centered implantology, guiding clinicians toward better-informed, culturally attuned treatment strategies.



References


For more information, visit frag-pip.de
The full study can be requested by email at marketingsds@swissdentalsolutions.com or purchased via PubMed: https://pubmed.ncbi.nlm.nih.gov/40566728/


Co-authors of the study:

Prof. Dr. med. dent. E. Schnurr
Prof. Dr. med. dent. E. Schnurr (Scientific Advisor, SDS)
Provides scientific guidance for SWISS DENTAL SOLUTIONS. She researches the oral microbiome, biofilm infections, and their impact on overall health: from clinical research and data analysis to drug development.

Dr. Mario Parra Msc.
Dr. Mario Parra MSc.
Dr. Mario Parra is a pioneer of the Swiss Biohealth Concept in Spain. He is the first and only Spanish dentist certified in biological dentistry and ceramic implantology, and an official ambassador for excellence in ceramic implants.

Dr. med. dent. Fabian Schick
Dr. med. dent. Fabian Schick
Dr. Fabian Schick is a specialist in biological dentistry and ceramic implants (ISMI/IAOCI). His focus is on metal-free, immunologically compatible dentistry that enhances health while delivering aesthetically excellent long-term results.

Dr. Robert Bauder, MSc. MSc.
Dr. Robert Bauder, MSc. MSc.
Dr. Robert Bauder, MSc. MSc. is a specialist in biological dentistry, aesthetic metal-free full-ceramic restorations, ceramic implants, periodontology, and CAD/CAM immediate restorations.

Dr. Benedikt Langwieder
Dr. Benedikt Langwieder
Dr. Benedikt Langwieder studied dentistry at LMU Munich (2011–2017) and earned his doctorate in 2017. He specializes in ceramic implants and biological dentistry, combining aesthetics, function, and health, and has been practicing in Tübingen since 2023.

Dr. Dominik Nischwitz
Dr. Dominik Nischwitz
Dr. Dominik Nischwitz is co-founder of DNA Health & Aesthetics and a leading expert in biological dentistry and ceramic implants. He serves as Vice President of ISMI, is an international speaker and author, and integrates health, aesthetics, and function for long-term oral and overall wellness.

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