Nobel Biocare implants - quality and reliability

Nobel Biocare implants: expert opinion

Implantation is one of the most popular procedures in dentistry today.
At the same time, there are a large number of implants on the market, which raise many questions among patients and create a serious choice problem. Dental surgeon and clinic physician Dr. Plombir El-Lulu Marouane Fahti tells us what Nobel Biocare and Anthogyr implants are and what their features are.

Question: What causes the presence of different types of implants in dentistry?

Answer: In my opinion, there are not many significant fundamental differences in different implantation systems. In the modern dental market there are a sufficient number of positively proven manufacturers. The production of implants is a delicate and labor-intensive process, which determines both the comfort and service life of prostheses supported by these implants. In my practice, I have used several implant systems. Each of these systems had both advantages and disadvantages. In a modern dental clinic, in my opinion, several implantation systems should be used for an individual approach to each specific case.

Question: Are there significant differences between different types of implants?

Answer: Any implant system does not have any serious fundamental differences from other systems, mainly the difference is in the price category.

Nobel Biocare dental implants are used for almost all types of implant surgeries.

The implants themselves are divided into 2 types: cylindrical and root-shaped. In total, 6 types of implants are produced, all of them have a screw-in method of implantation - the thread of the implant is smoothed closer to its end.

Nobel implants are created mainly for patients suffering from bone deficiency. Root-like structures are suitable for implantation using the classic two-stage method, as well as using the instant method, immediately after tooth extraction. They are still actively used today: implants are perfectly installed, created from the purest titanium and are extremely rarely rejected.

Titanium implants Antozhir are sandblasted with tiny particles of two-phase calcium phosphate. The rough surface reliably stabilizes the implant, its strong connection with the bone, ensures rapid healing and long service life. In terms of cost, implants of this brand belong to the middle price category.

Question: What are the real advantages of Nobel Biocare and Anthogyr over other systems?

Answer: Advantages of Nobel Biocare implants:

1. The surface layer of “TiUnite” ensures engraftment up to 100%: the coating is similar in structure to human bone.

2. Possibility of implantation without bone growth : bone grows around the implant after its installation.

3. Special shape of implants : for quick, painless penetration of the structure into the tissue.

4. Accelerated healing: there are no postoperative sutures, the blood supply to soft tissues is not disrupted.

5. Aesthetic design: implants are suitable for implantation of anterior teeth, and are also used in complex clinical cases.

Advantages of Anthogyr implants:

1. Special implant neck: prevents the formation of pathological pockets along the structure, ensures extreme stability of the implants and creates the effect of a natural tooth.

2. Purity of the material: implants undergo several stages of cleaning and sterilization.

3. BSP treatment of the implant using phospho-calcium apatite: an exceptionally clean surface is created, the biocompatibility of the material is increased and 100% engraftment of the implant is achieved.

Question: How secure are these systems?

Answer: The system complies with all international standards of control and quality. Many years of practical experience show that these systems are safe.

Question: Are there any contraindications for Nobel Biocare and Anthogyr implantation?

Answer: Contraindications to dental implantation include:

- diseases of the blood and hematopoietic organs. For example, a bleeding disorder.

- malignant neoplasms of various organs and systems (cancer, sarcoma).

— immunopathological conditions (surgical interventions necessarily require some time of active and rather intense work of the immune system for normal tissue healing after surgery)

- systemic connective tissue diseases.

- tuberculosis and its complications

— general surgical grounds for refusing any intervention.

— contraindications to anesthesia (for example, intolerance to anesthesia).

- endocarditis and other heart diseases, rheumatic diseases, etc.

- exhaustion of the body (cachexia)

— unsatisfactory oral hygiene (this item is a direct indication for the appointment of removable prosthetics).

There are many contraindications for dental implantation, but only some are those that make treatment impossible. By the way, age is not an absolute contraindication. In most cases, preliminary preparation and treatment of the patient can successfully get rid of many contraindications or reduce their impact.

Question: How is implantation performed using Nobel Biocare and Anthogyr?

Answer:

— Planning of prosthetics.

Since crowns, bridges or dentures will later be installed on the implants, it is important to have a prosthetic plan in advance. Often the location of existing teeth determines the position of the implants. Thus, before implantation, a plaster model is usually made, on which the dentist determines the subsequent position of the implants in the jaw.

- Preparation.

You should not plan important activities or meetings for several hours after implantation. In the hours following the procedure, you should rest quietly.

Features of Nobel Biocare implants

The most important factor determining the speed and quality of osseointegration (fusion of the implant with the bone) is the surface characteristics of the dental implant. Budget builders can easily copy the “look” of their top implants from top companies, such as the shape or thread pattern. But it is technologically impossible to take and copy the surface of an implant, so there are very few dental implants with a really very good surface.

Nobel Biocare implants have a very high quality surface called Ti-Unite. Objectively speaking, this is one of the best surfaces on the implant market, along with the SLActive surface for Straumann implants and the OsseoSpeed ​​surface for Astra Tech implants. By the way, another plus: Nobel uses only more expensive pure grade 4 titanium (G4Ti) for production without vanadium or aluminum impurities. Titanium alloys with these impurities are used for the manufacture of low-cost implants, and their disadvantage is that they somewhat slow down the process of osseointegration.

The TiUnite surface has the following properties:

• The TiUnite surface is a thick and moderately rough layer of titanium dioxide. One of its characteristics is the high content of phosphorus, which is applied to the surface during the anodizing process. Anodizing is a complex electrochemical process in which the implant is immersed in an electrolyte and exposed to current. Anodizing leads to an increase in the number of micropores, an increase in the thickness of the oxide layer, and also allows phosphorus to be applied to the surface.
• Anodizing (anodic oxidation) has many advantages. For example, it allows you to create a thicker layer of titanium oxide on the surface of the implant, which improves biocompatibility. In addition, during the technological processing, the surface of the implants receives a negative charge, which gives the surface greater hydrophilic properties. The latter ensures faster absorption of blood plasma proteins on the surface of the implant (for example, fibronectin and thrombin), which leads to a more rapid release of growth factors from platelets and, as a consequence, to the onset of rapid osseointegration.
• A high phosphorus content is also of great importance, since it has a positive effect on the stability of the implant. Primary stability of the implant (immediately after its insertion into the prepared bone bed) is one of the key factors for normal osseointegration. The significance of this factor is great: first, the load on the implant, that is, the prosthesis, is planned. But stability can be not only primary, but also secondary.
• The fact is that immediately after installing the implant, the process of traumatic bone resorption begins around it. Its duration will depend on the bone bed preparation technique, thread design and other characteristics of the implant surface (and can last up to 2-3 weeks). The stability of the implant during this period can be called “secondary stability”, and it will always be worse than the primary one. Thus, a high phosphorus content can reduce the period of injury resorption, improving the secondary stability of the implant.

Important: The Ti-Unite surface allows for faster osseointegration as well as improved implant stability (very important if immediate or early loading is used). Immediate loading means fixation of the artificial crown immediately after surgery, and early loading means fixation of the crown in the first 3-5 weeks after surgery. Such early prostheses always pose certain risks and therefore require a more careful approach to the selection of implants.

Another advantage of the Ti-Unite surface occurs when Nobel implants are installed in an area with insufficient bone volume (i.e. when simultaneous bone grafting is required). The fact is that the effectiveness of filling bone defects in the immediate vicinity of the implant largely depends not only on the quality of the implanted bone material, but also on the characteristics of the surface of the dental implant (which will act as one of the walls of the implant) of the bone defect.

What are the most expensive dental implants?

Implantation using a metal pin is an excellent replacement for standard prosthetics with crowns and bridges. With high-quality installation, discomfort and unpleasant sensations quickly disappear, leaving the result with a perfect smile. Dentists often recommend the most expensive implants, which raises many questions for the client. The offer is not always associated with the desire to receive additional profit. These dentures are of the highest quality and often have a lifetime warranty.

Advantages of expensive implants

An implant or implant is a metal base-rod that replaces a destroyed root. An abutment and a crown imitating a tooth are attached to it. The technique appeared relatively recently, but is already enjoying well-deserved popularity. Thanks to her, many people solved the problem of losing chewing and front molars and forgot about the discomfort when wearing dentures. All clients cite the high cost of the service as the only drawback.

A good pin has a unique structure and a considerable price. A small piece of metal alloy is inserted into the bone under local anesthesia. In a few weeks, it takes root and grows into the jaw, accepted by the body as its own tooth root. To eliminate problems and complications at this stage, dentists recommend the most modern implants. They differ from budget ones not only in cost, but also in a number of advantages:

1. The latest models are made only from bioinert alloys based on zirconium, titanium and tantalum. They do not oxidize or enter into chemical reactions with blood cells, so the risk of rejection is no more than 0.5–1%.
2. The surface of the pin in an expensive prosthesis has a special cross-section that easily fits into the bone and does not damage it. After installation surgery, patients rarely complain of swelling, pain and itching go away much faster.
3. High-quality implants have a rough and porous surface, so they fuse faster with bone and soft tissue and rarely provoke an allergic reaction.
4. Many companies produce microprostheses adapted to a specific problem (correcting a bite, securing a bridge). They have a complex structure, and therefore are characterized by increased cost.
5. The most expensive implants come with a lifetime warranty.
6. Modern types of pins are installed in just a one-time visit to the dentist in one stage, significantly reducing the client’s time for healing the mucous membrane and adapting the entire body.

In budget options, metal alloys and various additives that can cause rejection are still actively used. In this case, the patient has to undergo this expensive procedure again and spend money on buying a new pin.

Nobel Biocare in the history of dentistry

The history of the Nobel company dates back 40 years ago. During the existence of the organization, the clinic’s specialists invented and improved their own prosthetic technology several times. The popularity of innovative methods of combating edentia is due to their high efficiency. The laboratory for the production of orthopedic structures has representative offices in many European countries and several American states. Already today, the production of heavy-duty implants is carried out in Israel, Sweden, Japan and several other European countries.

The company owes its name to a popular scientist who is known not only for his contributions in the field of scientific developments, but also for his active participation in the creation of effective methods for improving the health and saving lives of people.

Types of modern dental implants

Before implantation, the dentist carefully examines the areas where he plans to install the metal rod. If they are too thin or deformed, the risk of fracture is increased; the orthodontist suggests installing expensive implants. Depending on the situation, one of the following systems is recommended:

• Root-shaped : outwardly looks like a long screw, has a similar thread and a small cap for fixing the abutment. This is a universal option, suitable for situations without complications and pathologies.
• Lamellar : attached to and support thinned bone tissue, they differ in length by 0.8–1.2 centimeters.
• Combined : used to eliminate jaw deformation or in severe cases, they combine 2 methods of fastening in the mouth.
• Subperiosteal : new generation implants with complex structure. They are so light and thin that they allow prosthetics to be performed on particularly fragile parts of the jaw without prior surgery to build up bone tissue.

Nobel Biocare implants (Nobel Biocare): product review

Unfortunately, human teeth are a completely short-lived material, and without proper care or for some other reason, the risk of losing them is extremely high.

By the way, even fairly young people can encounter this problem, but fortunately, modern aesthetic dentistry has a way to solve such problems - these are implantation systems.

In this article we will talk about Nobel Biocare products.

Nobel Biocare Implant System

Nobel dental implants are made of titanium using vacuum casting, so they are strong, but lightweight and do not create unnecessary stress on the jaw. The Nobel Biocare system is designed to ensure the fastest possible engraftment, even when it comes to single-stage implantation. Bone cells do not recognize a foreign body due to the porous titanium dioxide surface, so the chance of rejection of such a rod is about 0.7%.

Nobel Biocare cares about its reputation: all stages of production, starting with the purchase of material, undergo strict control and meet certified standards of the American Dental Association (ADA). The company provides a lifetime guarantee for all its implants, and each product receives its own individual number to avoid counterfeiting. Reviews from patients about the quality of Nobel implants allow us to form the most objective opinion.

The only drawback of the system is the price. Dental implantation by Nobel Biocare, as they say, “costs a pretty penny,” but in the long term, such treatment turns out to be cost-effective. High-quality installation of Nobel Biocare implants is done once and for almost a lifetime, while correcting work done using low-quality materials will be much more expensive.

About the manufacturer

Nobel Biocare is part of the Danaher Corporation. The organization is headquartered in Washington, DC, and has a diverse team of more than 71,000 employees.

The company's core philosophy is to provide dental professionals with the tools and tools they need to restore their patients' quality of life.

The main activity of the company began in 1952 - at this time Per-Ingvar Brånemark made a “revolution” - he discovered a new technology for that time - osseointegration.

Today Nobel Biocare is a world leader in the production of implants. The manufacturer's range of products includes:

• Implant systems;
• CAD/CAM systems and customized orthopedic components.

In addition, the manufacturer provides treatment planning services.

You have the opportunity to see how Nobel implants are made:

Arguments in favor of Nobel Biocare implants

When choosing high-quality imported Nobel Biocare implants, the patient receives a number of significant advantages:

• confidence in long-term use of the denture structure;
• guarantee of painless treatment;
• the ability to completely complete treatment in one session;
• absence of a long and painful recovery period.

Dentists warn patients that by choosing cheap materials for dental prosthetics, the client is not insured against the risk that the crown will be rejected by the body. Cheap prosthetics are always carried out in several stages, while Nobel Biocare crowns are installed in one visit to the dentist’s office. In addition, a patient who has chosen budget treatment must be prepared to spend money on consumables during intermediate visits to the dentist and rehabilitation. If you make simple calculations, you can see that restoring dentition with cheap implants often costs even more than the Nobel Biocare technology.

Features and Benefits

• Use of innovative material . Its name is TiUnite and it is based on titanium. At the same time, its component composition is very similar to the structure of bone tissue: TiUnite compacts it, allows it to grow, and also plays an important role in the healing of the structure.
• Special conical shape . This factor reduces the risk of trauma to adjacent tissues and greatly facilitates the installation of systems in bone tissue.
• The ability to model the work area in three dimensions . This feature also reduces the risk of injury and allows the specialist to more accurately determine the location of the implant.
• Instantly sealed connection between the abutment and the main structure . This feature makes it possible to fix the denture immediately after the implantation work.

Also, the implant systems of this manufacturer, after final installation, provide the ability to fix prostheses made of completely different types of materials on them.

• Patients with insufficient bone tissue volume can use these implant systems without bone augmentation procedures.
• Each implant has its own serial number . This feature eliminates the possibility of product falsification.
• Minimal risk of rejection. The percentage of bone tissue healing after the introduction of Nobel Biocare dental implants is high – from 99.3%. This figure is confirmed not only by numerous studies and clinical trials, but is also based on real reviews from clients and implantologists.
• Large selection of products to suit your requirements. Implant systems vary in length, diameter and attachment methods.
• Long service life. All implants have a lifetime warranty, and abutments - for more than ten years.

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Lifespan of Nobel Biocare implants

The company adheres to high production standards. All products, including implants and prostheses, comply with the international medical device industry standard (ISO 13485). Products are regularly tested by the British Standards Institute and the US Food and Drug Administration. All certificates confirming compliance with standards are available on the company’s website. Nobel Biocare is so confident in its products that it offers a lifetime guarantee on the implant. The company undertakes to replace any structure free of charge in case of failure. The company also provides a 10-year warranty on its Nobel Biocare abutments installed on roots from other manufacturers.

Therefore, if installed correctly by a professional implant surgeon, the implant will serve the patient for a lifetime. Thanks to extensive experience working with dental implants, supported by regular foreign practice, surgeons at the World of Dentistry dental clinic were able to minimize the risk of implant rejection. Thus, implants installed by our specialists take root in 99% of cases.

Indications

Implant systems can be used:

Cost of implantation Nobel Biocare

According to the observations of specialized specialists, for many clients the cost of the service plays a decisive role in solving prosthetic issues. Expensive treatment is not always affordable for a patient with an average income. Many dental clients decide in favor of cheap denture structures. This is a fundamentally wrong decision. Cheap implants cannot boast of a decent service life, strength and reliability, as well as survival rate. A standard crown will only last a year for a patient if properly cared for. At the same time, Nobel Biocare products last for decades. In addition, the survival rate of cheap implants is minimal, so restoring the integrity of the dentition using budget consumables turns into a tedious, painful and lengthy procedure for the client.

Contraindications

The manufacturer's implantation systems are equipped with a high degree of applicability for most cases. Contraindications to the use of these products are general and include:

• Individual intolerance to constituent structural elements.
• The patient has an allergic reaction to certain medications that are necessary during the installation of implants.
• Pregnancy.
• Current inflammatory processes or complex diseases of the oral cavity.

In order to prevent possible complications after the implantation of the structure, the specialist must conduct a preliminary examination of the patient in order to assess the condition of the oral cavity, as well as determine the presence or absence of allergic reactions to certain components and medications involved in the process of implantation.

Indications for installation of Nobel Biocare implants

The use of innovative prosthetic technology is advisable in the following cases:

• the absence of one or more front teeth in order to improve the aesthetics of the smile;
• after a short period of time after tooth loss or extraction;
• small volumes of bone tissue, when installing implants of a different shape is not possible.

Swedish-made products for the correction and restoration of dentition are suitable if one, several or even all teeth are missing. The decision to use an innovative method of teeth correction is made by the dentist individually for each patient after a detailed visual examination of the oral cavity, a medical history, and detailed digital diagnostics.

You can make an appointment with your chosen specialist for implantation at the A-Medic clinic by calling the numbers listed on the website or using the feedback form at any convenient time. The Nobel Biocare technology is a new word in modern dentistry, it allows you to solve most aesthetic problems in one session, quickly and effectively restore the integrity of the dentition.

Systems

In the Nobel Biocare product catalog on their official website you can find truly unique implant systems that allow you to solve all the necessary problems efficiently and reliably.

The variety of implants presented allows them to be used on any type of bone tissue. Their differences lie in the length, diameter and types of connection - they can be conical, three-channel or external. Both novice specialists and doctors without experience with these products can implement these designs, since these implants are quite simple to use.

Speedy and Speedy Groovy

The special aggressive shape of the apical part of these systems makes it possible to carry out the implantation operation in a much shorter time compared to standard implants. This is due to the fact that during the procedure there is no need to carry out biocortical fixation and a complete incision of the gum.

This option is perfect for the “All-on-4” technology in case of complete edentia - the patient is fitted with a permanent full jaw prosthesis with fastening in four places.

The Nobel Speedy Groovy external hex connection with a special structured neck allows the structure to be implanted into the difficult-to-reach alveolar ridge of the upper and lower jaws. It can also serve as a support or fixing element.

Active

The uniqueness of this product lies in its rod structure. The thread of the Nobel Active system allows the bone tissue to be compacted during implantation, thereby achieving initial stabilization of the structure. In addition, the system is equipped with a built-in base change function.

Replace, Replace Select and Replace Groovy

The Nobel Replace root implant has a natural design of the rod body, and also has a classic neck and internal connections. Their use is universal and suitable for almost every patient.

In addition, this system is equipped with a uniform surgical implementation protocol, which ensures simple and reliable installation, as well as an easy process of further engraftment.

The Nobel Replace Select system is a modification of the previously introduced Nobel Replace product, so installation and use are carried out in accordance with a single implementation protocol.

But Nobel Replace Select has a significant difference in structure - the system has a smooth polished neck, which prevents further tissue growth.

The universal Nobel Replace Groovy implants are also equipped with a standard protocol, which reduces the necessary manipulation steps during the operation.

The possibility of selection for the required clinical case is achieved due to the variability of the platforms produced - they are presented in narrow, wide and standard versions.

Branemark System

This product can be used for almost any occasion, regardless of the complexity of the situation.

This is achieved due to the variety of connection types presented (three-channel, internal and hexagonal, the latter is intended for hard-to-reach areas of the gums). The components also differ in length - it varies from 7 to 52.5 mm.

Conical Connection

The root-shaped design of Nobel Conical Connection allows this system to be used even when implanted into insufficiently dense bone tissue.

A special internal conical type of connection provides additional strength, as well as the tightness of the connection between the abutment and the structure itself.

Guide

This system, thanks to its special technology, ensures complete safety for the patient during the simultaneous introduction of all three restoration elements - implant, abutment and crown.

Model range of Nobel implants

The uniqueness of Nobel implantation systems lies in the fact that for each clinical case a design has been developed that has original technical characteristics.
Titanium rods differ from each other in shape and thread pitch, bevel angle, and diameter. This makes the concern’s products universal, which allows them to be used for dental prosthetics for patients with any structural features of the jaw. The choice of a specific model is made by an implantologist after conducting a complex of hardware examinations using radiographic and tomographic equipment. Nobel implant lines:

• NobelActive - a large range of diameters and a reverse-conical neck allow them to be installed for prosthetics of anterior and chewing teeth while maintaining the volume of bone and gingival tissue;
• Nobel Parallel CC and Speedy Groovy – suitable for dentures using the “all-on-4” method (more details about the method in the article below) and restoration of the smile area;
• Nobel Zygoma - designed for prosthetics with complete edentia in patients with bone loss in the upper jaw. Implant length – up to 5.25 cm;
• Branemark System – used for any bone density;
• Nobel Replace Conical Connection – has excellent primary stabilization properties and is optimal for immediate loading of prostheses.

Installation steps

• Establishing diagnosis.
• Introduction of the implant.
• Fixing the abutment.
• Installation of a temporary crown. This stage helps determine the shape of the gum. In each specific case, the patient can have a temporary abutment and gum former installed instead of a permanent one.
• Installation of a permanent crown. This stage is only possible after complete healing of the soft tissue and a successful osseointegration process.

Types of products produced by the manufacturer

The Nobel company made sure that the choice of superstructures was wide:

• temporary, including for immediate loading;
• permanent;
• standard;
• individual;
• titanium straight and angular;
• plastic;
• multi units angular and straight;
• spherical.

The abutments are placed after the healing abutment, a temporary element that is designed to form a natural edge of the soft tissue of the gums.

Manufacturer's warranty and service life

The manufacturer provides a lifetime warranty period for implants and required orthopedic additions , even if the components do not take root, the company undertakes to replace the components of the system with similar products that differ in length and diameter.

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But this option is valid only if the case of rejection occurred not through the fault of the specialist who carried out the implementation and not through the fault of the client, and also with the condition that the patient complies with all the necessary requirements for oral care.

Recommendations from specialists for postoperative care

The success of implantation largely depends on oral care after surgery and following certain rules. Doctors advise:

• do not drink or eat for 3 hours after surgery;
• on the first day, apply cold to the cheek on the operated side;
• if necessary, take painkillers;
• do not engage in heavy physical labor and sports, do not visit the sauna, bathhouse, beach, solarium for a month after the operation;
• for at least a week, eat only warm foods with a soft consistency (soups, cereals, yoghurts, meatballs, fish fillets, etc.), do not drink alcohol;
• do not touch the suture area with your tongue;
• Start using a toothbrush only on days 3–5. Before this, you should do oral baths (take water or an antibacterial solution into your mouth, hold for a minute and spit it out);
• take all medications prescribed by your doctor.

The dental network offers installation services for Nobel Biocare implants. Implant surgeons working in our branches are highly qualified and improve their skills in leading clinics in Russia and Europe. The quality of implantation meets international standards. We have a system of family and cumulative discounts, and we provide reporting documents for filing tax deductions.

Branches of our orthodontic center are located in Moscow within walking distance from the metro:

• Art. Alekseevskaya (VDNKh district, etc. Mira), address: st. 3rd Mytishchiskaya house 3, building 2;
• Art. Shelepikha, address: Shelepikhinskaya embankment, address: building 34, building 1.

Dental implantation will help restore self-confidence. We are waiting for you every day without breaks and weekends!