Pros and cons of different dental implant systems

The result of successful dental implantation depends on the materials and qualifications of the doctor. Often, patients who need a dental implant choose a manufacturer of dental implants.

In our opinion, the patient should pay the greatest attention to the choice of a doctor who will planing and perform a surgery. Ask your doctor which implant system to install. Only a doctor can, based on the individual clinical situation, choose the system that will work the best for you.

It is necessary to follow the recommendations of the doctor during the rehabilitation period and observe the rules of hygiene. But for those patients who want to know a little more, we will look at the characteristics of implant systems that are most in demand among dentists.

  • In the first place for a doctor is the quality of the product. The main criterion is the high engraftment statistics provided by the manufacturer himself. They take statistical data based on warranty cases - when a rejected implant is returned to the manufacturer for replacement to the patient in accordance with the terms of the warranty.
  • The second factor for the doctor is the convenience of the system with which he/she works: a reliable abutment attachment system, a range of sizes and shapes for various clinical cases, a convenient system for inserting the implant into the bone tissue itself.
  • In third place is the cost of the implant. There are clinics that offer budget options, there are clinics that work with the most expensive systems. Most often, they offer an assortment from both price categories.

Our surgeons install implants of any manufacturer, but among our patients, Straumann, implantSwiss, Nobel Biocare and Dentis implant systems are in the greatest demand - precisely because of the price-quality ratio, high engraftment statistics, a lifetime warranty from the manufacturer and a large enough assortment to select the required size and form for each individual clinical case.

Straumann dental implants

Straumann (Switzerland) is a pioneer company in implantology, founded in 1954. Engaged in the development and improvement of implant systems and belongs to the premium class. For the manufacture of implants, the patented Roxolid alloy (85% titanium and 15% zirconium) is used. This technology allows you to get almost 100% hypoallergenic. Due to this, the company provides a lifetime warranty on its implants - a complete replacement of the implant and abutment of the same article in case of failure or loss of the implant.

The Straumann implant system do for almost all clinical cases that are used in surgical dentistry (not counting maxillo facial surgery). The coating and processing of the material get a complete engraftment of the implant in the shortest possible time (upper jaw 2-3 months, lower jaw 1.5-2 months).

Features of Straumann implants
  • They have a surface (SLA, SLA Activ) that promotes faster and better bone union.
  • Manufacturing from material biocompatible with tissues
  • А large assortment. This allows you to choose a product for almost every clinical case.
Advantages of Straumann implants
  • Versatility.
  • Ease of installation
  • Robustness
  • Possibility of use in front and side departments.
  • Short implant survival rate time
  • High percent implant survival rate (to 99%).
  • Lifetime product warranty.
Disadvantages of Straumann implants
  • Presence of contraindications  (metal allergy)
  • Demand for surgery
  • The implant survival rate stage involves compliance with certain rules and limits.
  • Risk of complication.
  • Relatively high cost

I-System dental implants

Swiss companies have been leaders in the field of implant production for many years. For example, the manufacturer Straumann claims that every fifth implant on the planet is produced by them, which is 20%. From the very beginning, I-System began to produce systems for special clinical cases, when the use of titanium implants of the usual length was impossible due to the small amount of bone tissue or the anatomical features of the patient's jaw.

Features of I-System implants
  • Optimal intercostal distance to distribute the load on the bone
  • Flat apex eliminates the risk of nerve damage and sinus membrane perforation during insertion.
  • The special patented surface has a structure that promotes successful osseointegration.
Advantages of I-System implants
  • Internal and external biconical shape - enhances the mechanical stability of the structure.
  • The 1.5° conical connection provides a perfect fit between the implant and the abutment.
  • The slopping shoulder provides space for hard and soft tissues even in cases with limited amount of tissue volume.
  • High percent implant survival rate (to 98%).
  • Robustness
  • Lifetime product warranty
Disadvantages of I-System implants
  • Presence of contraindications
  • Demand for surgery
  • A conditionally complicated protocol due to the fact that the implant is not screwed into the bone, but is driven in.
  • The implant survival rate stage involves compliance with certain rules and limits.
  • Relatively high cost.

Nobel Biocare dental implants

Nobel Biocare (Sweden-Switzerland-USA) is a pioneer in implantology. It was Per-Ingvar who, after researching the interaction between titanium and bone tissue, invented osseointegration, and in 1965 performed the first successful implantation operation. In addition to inventing the dental implant, the company was the first to implement CAD/CAM designs.

Features of Nobel Biocare implants
  • Patented TiUnite coating that promotes faster implant survival rate into bone tissue.
  • The conical shape of the implant makes the installation process less traumatic.
  • The porous titanium dioxide surface masks the foreign body in front of the bone tissue cells. Thanks to this, according to the manufacturer, the percentage of failure is about 0.7%.
  • Аbutment collar designed to scaffold the gum tissue
  • Anti-counterfeit protection (an unique serial number for each product)
Advantages of Nobel Biocare implants
  • The possibility of prosthetics using the All-on-4 and All-on-6 methods, which significantly saves the patient's money with complete edentulism.
  • High percent implant survival rate ( to 99,3%)
  • The abutment is attached as tightly as possible due to the triangular surface of the implant.
  • Opportunity to have simultaneous implantation
  • GRADE 4 titanium alloy without vanadium and aluminum - this reduces the possibility of allergic reactions to a minimum.
  • Robustness, lifetime product warranty
  • Nobel Biocare implants cover all clinical cases
Disadvantages of Nobel Biocare implants
  • Presence of contraindications
  • Demand for surgery
  • The implant survival rate stage involves compliance with certain rules and limits.
  • Relatively high cost

BioHorizons dental implants

BioHorizons (USA) founded in 1994, but they entered the market with their product three years later, after much research and development. To date the implant systems of this manufacturer are represented in more than 90 countries around the world.

Features of BioHorizons implants
  •  The Laser-Lok surface provides a roughened implant surface, which promotes faster osseointegration. The results of studies of the effectiveness of such a surface.
  • There are angular, universal, aesthetic implants that can cover almost all clinical cases.
  • When connecting the abutment and the implant with a special thread, micro-movement of the fastener is excluded, which ensures reliable fixation of the prosthesis.
Advantages of BioHorizons implants
  • There are implants of different diameters, lengths and shapes.
  • Opportunity to have simultaneous implantation
  • Marking of each product with an individual number that protects of forgery.
  • Possibility of using patients with impaired bone strength.
  • Lifetime product warranty
  • Possibility of use for patients with edentulous.
Disadvantages of BioHorizons implants
  • Titanium alloy GRADE 4 include elements of vanadium and aluminum, which increases the possibility of an allergic reaction.
  • There are no implants for zygomatic implantation
  • No chemical coating that promotes rapid osseointegration (in this price category there are implants with faster ~ 2 times survival rate time).
  • A small aesthetic defect - the golden abutment is slightly translucent through the dental crown.
  • Presence of contraindications
  • The implant survival rate stage involves compliance with certain rules and limits.
  • Relatively high cost

Bicon dental implants

Bicon Dental Implants (USA) - an American company with almost forty years of experience, began its development in 1985. When developing its implant systems, the company immediately set its sights on the manufacture of implants for complex clinical cases, paying attention to products of non-standard shape, length and diameter.

For example, at the time of the founding of the company, an 8 mm implant was considered short, while the standard length was 12-20 mm. At the same time, by creating implants with a length of 5 mm, the manufacturer was able to maintain the simplicity of the design, which had a positive effect on the popularity of the system among oral surgeons.

Features of Bicon implants
  • Abutment-integrated crowns are attached without cement or screws.
  • The design of the implant is made in such a way that its surface does not increase, and as a result, better bone healing due to the correct distribution of vertical occlusal loads on the tissue and an increase in the area for osseointegration.
  • The sloping shoulder of the implant helps to maintain the height of the alveolar bone and gingival papillae to create an esthetic gingival margin.
  • Integra-Ti and HA (hydroxyapatite) coatings promote better osseointegration.
Bicon Dental Implants
Bicon Dental Implants
Features of Bicon implants
  • Abutment-integrated crowns are attached without cement or screws.
  • The design of the implant is made in such a way that its surface does not increase, and as a result, better bone healing due to the correct distribution of vertical occlusal loads on the tissue and an increase in the area for osseointegration.
  • The sloping shoulder of the implant helps to maintain the height of the alveolar bone and gingival papillae to create an esthetic gingival margin.
  • Integra-Ti and HA (hydroxyapatite) coatings promote better osseointegration.
Advantages of Bicon implants
  • Universality of abutments - its interchangeable.
  • Opportunity to have simultaneous implantation
  • Implants are connected to the abutment without of a screw system. This allows for simplified orthopedic protocols.
  • Short implants allow operations in difficult clinical cases (for example, when insufficient bone volume without sinus lifting)
  • The implant-abutment without bacterial seal
  • Ease of installation, robustness, lifetime product warranty.
  • High percent implant survival rate (to 99%).
  • Relatively affordable cost
Disadvantages of Bicon implants
  • A small range of implants does not cover all clinical cases.
  • Presence of contraindications
  • The implant survival rate stage involves compliance with certain rules and limits
  • Risk of complications

Ankylos dental implants

Ankylos (Germany) - the brand belongs to the Dentsply Sirona Global concern and although it is not included in the top three most popular systems, it has advantages: versatility and a wide range of models, which has earned recognition from implant users. In addition to the Ankylos implant systems, the Dentsply holding has two more lines of implants: XiVE and Astra Tech. Ankylos system have been on the market since the 90s.

Features of Ankylos implants
  • Patented arcuate thread. The research team of the manufacturer notes that this shape is optimal for perequation of load on the bone tissue, regardless of the type of operation.

«Discussion and Conclusion The Ankylos Implant System has features with progressive thread design and a large total surface area for increased mechanical stability which allows for successful replacement of molar teeth with only one implant, as seen in the current study irrespective of loading protocol…»

  • Biocompatible Friadent Plus coating with micro-rough surface for better osseointegration.
  • Patented system for connecting TissueCare Connection. Allows the abutment to be attached inside the implant. This development was invented for maximum preservation of the oral tissues around the implant, for the most aesthetic result of prosthetics.
  • A special installation technique is less traumatic due to an individually designed surgical instrument and instrument cooling system.
Advantages of Ankylos implants
  • Opportunity to have simultaneous implantation with prosthetics. This system is considered one of the best for restoring molars and premolars.
  • Possibility of surgery for adentia with prosthetics (lower jaw, upper jaw).
  • Functional safety and reliability of the design (the possibility of breaking the implant-abutment and abutment-crown during normal using is excluded) of the conical connection
  • High percent implant survival rate (to ~ 98% - https://pubmed.ncbi.nlm.nih.gov/15255397/ )
  • Low bone volume loss even after 20 years.
  • They are made of pure titanium without impurities, which significantly reduces the risk of allergic reactions.
Disadvantages of Ankylos implants
  • There are no different forms (the difference is only in size and diameter).
  • There are no implants for zygomatic implantation
  • The surface is not covered with substances that accelerate the healing of bone tissue.
  • Presence of contraindications, the implant survival rate stage involves compliance with certain rules and limits.
  • Risk of complication and relatively high cost

Konus K3Pro dental implants

Konus K3Pro (Germany) - German implants of the middle class.

Features of K3Pro implants
  • self-tapping implant thread and compression implants
  • hermetic attachment of the implant-abutment due to the conical shape (Morse cone) - this protects against the penetration of microorganisms and micro-movement of the structure.
Advantages of K3Pro implants
  • Ease of installation
  • are installed sub-crestal, which allows to aesthetic result.
  • no special contraindications
  • a wide range of implant sizes
  • made of medical grade titanium
  • Lifetime product warranty
  • High percent implant survival rate (to 97-98%)
  • Robustness
Disadvantages of K3Pro implants
  • resence of contraindications
  • Demand for surgery
  • The implant survival rate stage involves compliance with certain rules and limits.
  • risk of complications
  • Relatively high cost

ImplantSwiss dental implants

ImplantSwiss (Switzerland) is a relatively young brand, but the manufacturer has managed to implement innovative solutions in its designs - a hybrid form of the implant and the presence of switch platforms. The latest technologies are used for manufacturing, and the brand has the necessary quality standard certificates.

Features of ImplantSwiss implants
  • MicroThread free design.
  • SLA surface that promotes rapid bone healing
  • a self-tapping design.
Advantages of ImplantSwiss implants
  • hexagonal interlocking with a cone and the presence of switch platforms to protect the neck area of the bone from bacteria.
  • self-tapping — does not transfer pressure to the bone. Hybrid form - allows to minimize the load on the cortical layer of the bone.
  • Reliable fixation due to hexagonal abutment
  • High percent implant survival rate (to 97-98%), robustness, lifetime product warranty, relatively affordable price.
Disadvantages of ImplantSwiss implants
  • Presence of contraindications, demand for surgery, the implant survival rate stage involves compliance with certain rules and limits, risk of complications.
  • No small implants.

SGS Dental dental implants

SGS Dental System (Switzerland) is a young manufacturer of middle-class implants, the company has existed since 2007 and managed to enter the international level (the product is presented in more than 40 countries around the world). The manufacturing plant is located in Hungary, and the final stage of processing takes place in Germany. This company took into account the existing shortcomings of other older manufacturers, were able to take into account certain imperfections and implement their own innovative solutions, for example, in the field of enhancing the integration of implants in bone tissue due to an active and hydrophilic microporous coating.

SGS Dental

The implant survival rate of this system is up to 98%, but it is too early to judge these material, since the product is quite young and these material may change after 10 years.

Features of SGS Dental implants
  • All models have the same shape, resembling the root of a tooth.
  • The thread of products of different shapes (low-aggressive, non-aggressive, fine) - this allows you to more carefully select the product for a particular clinical case.
  • There are implants of different sizes (from 3 mm), suitable for all methods of implantation.
  • GRADE 5 titanium alloy containing a small proportion of vanadium and aluminium.
  • All abutments of the manufacturer entire range of implants, which simplifies the doctor’s work. Angled abutments are available from 15 to 45 degrees - this is important when the implant is placed at an angle (for example, in cases of insufficient bone tissue).
Advantages of SGS Dental implants
  • Opportunity to have simultaneous implantation
  • Covers all cases of adentia.
  • Interact with different types of dental crowns, abutments and mucosa cylinder.
  • High percent implant survival rate (up to 97-98%).
Disadvantages of SGS Dental implants
  • Due to the hydrophilic coating the surface is not sufficiently lubricated by blood. It can adversely affect the rate of the osseointegration process. Therefore, not all doctors doing operations with immediate denture using the SGS system.
  • Presence of contraindications (metal allergy)

Dentis dental implants

Dentis (South Korea) is a young manufacturer founded in 2000s. This system is produced by the South Korean company Dentium, founded by the representatives of the United States, and has offices and production facilities in two countries: the United States and South Korea. A feature of this manufacturer is that it produces systems of different price categories; they can be divided into three groups:

Dentium Implantium are economy-class conical implants with an internal hexagon, on which any type of abutment can be installed.

Dentis Super Line are premium implants equipped with double self-tapping threads. This reduces the installation time and also has a high aesthetic level for the installation of teeth in the anterior zone. It can be used for simultaneous implantation.

Dentium Slim Line are mini-implants that are used for fixing and stabilizing removable restorations.

Advantages of Dentis implants
  • The conical shape, which allows us to distribute the load on the bone tissue, thereby preventing the resorption of bone tissue.
  • Double thread - optimal load distribution, allowing to high stability of the structure.
  • Titanium alloy GRADE 4 and GRADE 5.
  • Versatility - compatible with components from other implant systems, lifetime product warranty and high percent implant survival rate (to 97-98%).
  • Relatively affordable price
Disadvantages of Dentis implants
  • The implant survival rate stage involves compliance with certain rules and limits.
  • Risk of complication

Osstem dental implants

Osstem Implant System (South Korea) is a pioneer company among implant manufacturers in the South Korea. It was founded in 1992 and the launch of production began only in 1997. In the mid-2000s the company entered the American market and quickly spread around the world. Today Osstem implants are represented in more than 70 countries around the world.

Osstem импланты

Features of Osstem implants
  • They have different types of coating: SA (analogous to the popular SLA), CA (modern type of hydrophilic surface), HA (improved version of SA) and BA (combination of SA and HA).
  • Implants with a narrow thread are presented for installation when there is not enough space between the teeth.
Advantages of Osstem implants
  • Relatively affordable price
  • Simple surgical protocol and opportunity to have simultaneous implantation
  • Robustness, high percent implant survival rate to 98,8%  (according to Pundang Hospital, Seoul; this data from the official website of the manufacturer.
  • Opportunity to have immediate denture implantation.
Disadvantages of Osstem implants
  • The thread is not suitable for all types of bone tissue.
  • These do not cover many advanced clinical cases.
  • The healing phase of the gums takes longer than other systems.

MIS dental implants

MIS (Israel) - the company was founded in 1995, one of the leaders in the Israeli market. The company's production located in Europe: France and Germany.

Features of MIS implants
  • Robust product design due to the presence of vanadium and aluminum in the composition.
  • Made from grade 23 titanium, coated with SLA, which promotes better bone healing. Double surface treatment: porous coating and acid etch.
Advantages of MIS implants
  • Wide array of allows to install an implant in a bone of different volume and density, there are models made of pure titanium without impurities, which reduces the possibility of allergic reactions.
  • Term of implant survival rate ~2-2,5 month .
  • Relatively affordable price
  • High percent implant survival rate (to 98 %)
Disadvantages of MIS implants
  • Only 5 year warranty on product.
  • Relatively advanced installation method, don’t cover all clinical cases.
  • Increased risk of an allergic reaction (metal allergy)
  • The aesthetic result may be lower than that of premium manufacturers of implants

Resume

We can say that many systems use the same material - titanium alloy. The difference among implants lies in their coverage, shape, size, which are of great importance for each individual clinical case. Almost every manufacturer gives a lifetime warranty on the implant, but none of them gives a guarantee on the work done by the surgeon.

Implant survival rates vary by approximately 4% between different systems.

A properly planned surgical operation, a detailed history taking, the qualifications and experience of the surgeon will be perhaps the most key factor in the successful of implantation.

Maksym Makarenko

Максим Макаренко Specializes in surgery, implantology, periodontics and prosthetics
Novomostytska st., 25B
Kyiv, Ukraine, 04074
Mon - Fri: 09:00 - 19:00
Sat - Sun: 09:00 - 19:00
License
sin. 05.01.2021 № 23/21/М