A dental implant is a surgical element that interacts with the jaw or skull's bone to support and serve as an orthodontic anchor for dental prostheses. The biological process of osseointegration, in which materials like titanium creates a close link with bone, is the foundation of contemporary dental implants. This study aims to assess the knowledge, attitude, and practice level of Zirconia implants on periodontal health among dentists in KSA. More than half of the participants (58.3%) reported that (patients with a history of peri-implantitis, metal allergies, and anterior esthetic zone cases) were the main indications of using zirconia implants. The majority (81.6 %) agreed that corrosion is considered one of the significant drawbacks of the metal. Nearly (9.5%) stated that zirconia has better performance against bacterial challenges. There was a statistically significant difference between the year of experience in dentistry and knowledge when asking participants about their opinion about one of the significant drawbacks of the metal. Corrosion, osteointegration of zirconia and titanium implants are similar, zirconia implant seems to be less susceptive to Peri-implantitis s and if zirconia implant has better esthetics and higher biocompatible compare to titanium. (P-value < .05). The dental practitioners have adequate knowledge regarding the overall properties of Titanium implants and Zirconia implants, (81.6 %) agreed that corrosion is considered one of the significant drawbacks of the metal. Also, (77.4%) and (74.1%) agreed that Zirconia implants can provide a protective effect against inflammation and are less susceptible to peri-implantitis respectively.
