 The purpose of this article was to compare titanium implants and newer zirconia implants. It discussed the material science behind each type of implant as well as the clinical implications of these differences. Titanium implants remain the gold standard due to their proven reliability, but they have been shown to cause some sensitivity in patients. Zirconia implants show promise, but further research is necessary to determine if they will become the preferred choice. Special considerations must be taken into account when using zirconia implants, including the need for specialized training and equipment to reduce the risk of mechanical failure. This article was authored by Riam B. Osman and Michael V. Swain.