The zirconia implant market is growing in size the last years as patients can be restored metal free (titanium free) with a high-end aesthetics outcome (white implant). Zirconia implants are a great solution for these two mentioned reasons, but they still have limitations. The ROX-CERA implant has the flexibility of a titanium implant and the same metal free workflow as the zirconia implant. Recent studies show a high percentage (~15%) of patients can have some kind of sensitivity towards titanium and therefore a metal free workflow can become important in the near future. Dr. med. dent. Mario Kirste is working with the ROX-CERA implant and is glad to share his experience with you.