Dental implantation is rapidly gaining popularity. Every year, about a million patients improve their quality of life and the aesthetics of their smile thanks to implants. There are dozens of brands and models on the service market, and they all compete with each other. Each pin released falls into a certain, albeit unofficial, category and affects the popularity of the brand. Dentists say that the best dental implantation is the one that suits the given clinical case. Why then does one implant cost 15 thousand rubles, and the other 60 thousand?
The price of an implant is influenced by many factors, primarily the manufacturer. Famous brands invest millions of dollars in research, development and search for new technologies. The high quality of their products is guaranteed, because products from well-known brands meet all the key parameters required for implants.
Let's consider what criteria influence the rating of dental implants.
Survival rate
It should be noted that for all well-known brands it is quite high, at least 97%
. However, for premium brands it is higher than 99% (Straumann, Nobel Biocare, Roott, Astra Tech). German, Israeli, Korean implants strive to achieve the same results, but their studies are not as long, this affects long-term prognoses.
The survival rate is a relative concept, because it depends not only on the quality of the pin. The skill of the implantologist and compliance with the recommendations by the patient play a big role. It is not without reason that they say that the best dental implants are those placed by a highly qualified surgeon, although other factors also need to be taken into account.
Rating of dental implants by manufacturers 2022
In Western countries, implants gained popularity several decades ago, while in Russia the procedure for fixing dental systems has aroused interest relatively recently. So, in order to characterize the situation with maximum clarity regarding implants from various manufacturers, we decided to turn to statistics obtained in Western countries. At the same time, when the rating of dental implants was compiled, the key characteristics and advantages of the manufactured systems were taken into account.
Next you will get acquainted with the rating of dental implants by manufacturer:
10. Xive 9. Alpha Bio 8. Dentium 7. Anthogyr 6. Osstem 5. AnyRidge 4. Astra Tech 3. Zimmer 2. Nobel Biocare 1. Straumann
All of the brands described above are considered frequently in demand and are overpriced. But today you can find manufacturers producing dental implants with impeccable performance and at reasonable prices. One of these companies is Dentium. This manufacturer took an honorable 8th position in the ranking of dental implants 2021). In addition, products from the Korean manufacturer Osstem, which have established themselves as high-strength structures at an affordable cost, have gained significant popularity on the Russian market.
Next, we will introduce you to the key “advantages” of the systems that are included in the rating of dental implants by manufacturer. This will give you a more detailed picture regarding the use of different models of implantation systems.
Osseointegration time
In order for a titanium post to perform all the functions of a natural tooth, it must be covered with bone tissue. This phenomenon is called osseointegration. Only after its completion the implant becomes stable and ready for prosthetics. In the classic protocol, implantation is carried out in 2 stages. 10-15 years ago between installation and prosthetics took from 6 to 9 months
. Modern design and coating of implants from leading companies have reduced this time to 2, maximum 3 months. So, which implants are best placed also depends on how long the patient is willing to wait for the completion of the osseointegration process.
Quality control
The company carefully controls the quality of its products. Barcoding has been introduced into production; the entire process of manufacturing products is automated and takes place on the latest high-precision equipment. Quality is monitored by a specially developed computer system Manny (“Manny”). All BTK implants are accompanied by documentation confirming compliance with European quality standards ISO 9001 and ISO 13485. Moreover, you can trace the history of each product from manufacturing to installation. After implantation, the patient is given a special implant passport, which contains all the information about it.
Bone Volume Requirements
After tooth loss, atrophy (loss) of bone tissue begins. This leads to negative consequences, one of which is the impossibility of implantation in the future. The bone is too thin for an implant. In addition, it is not dense enough to provide high primary stability. Of course, leading manufacturers have provided for such clinical cases and produce pins for cortical, zygomatic (where the tissue is denser) implantation or compression pins that compact the bone along the movement of the thread.
Israeli manufacturers have also achieved great success in producing products for installation in bone tissue of different densities. Korea is somewhat behind here. They, for example, have neither pterygoid (pterygoid) nor zygomatic models. If we are talking about severe atrophy, the answer to the question “Israel or Korea?” obvious. But Switzerland or Israel - it depends on other factors. If the bone is dense and there are no complications, then Korean or Israeli implants will perform their functions perfectly.
Peculiarities
Implants are made from grade 4 and 5 titanium. VTK dental implants are processed using the company’s unique technology - Double Acid Etched Surface. The surface with microscopic roughness is quickly overgrown with bone tissue, which contributes to excellent initial stabilization of the implants.
Abutments with connections in the form of an internal or external hexagon with or without a Morse taper allow you to fix any orthopedic structure at an optimal angle - from a single crown to a complete denture. The precision and tightness of the connection prevent even minimal movement of the structure and the spread of bacteria at the interface between the implant and the abutment.
Prosthetics prospects
Completion of osseointegration is not the end of the process. Now you need to put the prosthesis on the artificial root. It can be single (crown), bridge or full jaw. Comfort when chewing, diction, and aesthetics depend on the capabilities of prosthetics. The wider they are, the better for the patient, especially in complex clinical cases. Therefore, dentists say that when choosing an implant, you need to focus not only on the manufacturer, but also on the condition of the patient’s jaw. The question is not whether Korean or German, Swiss or Israeli implants are, but which of them are better suited for a particular case.
Implants Nobel Biocare (USA)
Nobel Biocare has been around for over four decades. Their main office is located in Switzerland. Manufacturing laboratories are located in the USA. Their products are highly effective and come with a lifetime warranty. Products are numbered, which prevents counterfeiting. Other advantages:
- Nobel products have an almost 100% survival rate.
- The shape of the products is anatomical and round, as well as other configurations.
- Nobel is installed even in those patients who have minimal bone volume.
- The special surface accelerates survival even in difficult situations.
- Restoration of masticatory organs for any clinical picture.
- Nobel is installed in the form of single crowns and units of the entire dental system.
Product components are made from materials that do not oxidize. They are perfectly compatible with all tissues of the oral cavity. The company's designs are ultra-strong, they are no different from natural chewing organs.
Indications and contraindications for installation
The price of Korean, Israeli, and even more so Russian and Chinese implants is much lower than that of leading companies from Sweden, Switzerland and Germany. But they also have enough restrictions. In case of hepatitis, HIV, and cancer, the question of which implants to install: Korean or Swiss is not worth it. Because Korean companies include these diseases in the list of contraindications. Manufacturers from Sweden, Switzerland, and Germany offer a line of products that can be used for complex systemic diseases. No matter how hard companies from Israel or Korea try to catch up with them, they have not yet been able to significantly reduce the list of contraindications. However, it decreases every year; competition forces investment in new developments of pins that will suit more patients.
Progress and quality of Bredent implants
These are relatively new dental implants. Our clinics use a range of zirconium dioxide. The Bredent line of implants is suitable for allergy sufferers and people experiencing difficulties with tissue regeneration. The risk of rejection of such implants is almost zero.
The artificial zirconium root has a snow-white hue, is aesthetically pleasing and is suitable for installing a ceramic crown without additional manipulation. Demanded for restoring front teeth. There are models for recreating lost units in narrow spaces between natural teeth, and rulers for weakened bone mass.
Types of implants
Classic dental implants consist of 2 parts: a pin and an abutment, an adapter on which an artificial crown is fixed. But over time, a new generation of pins appeared, where the abutment and the pin represent a single whole (multi-units).
Classification is carried out:
- By type of design
. 2-unit for classic protocols and multi-unit for protocols with immediate load. - According to the installation protocol
. Prosthetics on implants with delayed loading are carried out after engraftment. The immediate loading protocol allows the design to be used immediately. - By installation method
. Single-stage implantation means that the pin is inserted immediately after tooth extraction, into a fresh socket. The transgingival method is used if the tooth was lost some time ago. A puncture is made in the gum, then a pin is screwed into it. The traditional method is to remove a flap of gum, insert an implant, and then apply sutures.
The doctor decides which dental implants are best to choose after a thorough diagnosis. It determines the presence of systemic diseases, periodontal conditions, and bone density. Then he selects pins depending on their purpose. This takes into account the type of connection between the pin and the abutment, the angle of inclination, the coating of the rod, its diameter and length. Product varieties help make this choice more accurate.
Implantation of a chewing tooth on the lower jaw
If you decide to restore a chewing tooth in the lower jaw and place an implant, then most likely the classic two-stage technology will be chosen for the operation. At the first stage of the operation, the doctor will insert an implant and suture the gum in the area of its incision. The prosthetic stage will be carried out after the installed implant has completely fused with the jaw bone tissue.
Classic two-stage implantation requires good condition of the jaw bone tissue: the bone must have certain height and density indicators. If diagnostics reveal a deficiency of bone tissue in the area where implants are placed, bone grafting will be required.
In the lower jaw, when restoring chewing teeth, osteoplasty is performed by transplanting bone blocks - donor or artificial.
The need for bone grafting before implantation will increase the treatment time, since it takes time for bone to regenerate and acquire the required height and density, but in some cases bone grafting can be performed simultaneously with implantation.
IMPORTANT: Do you need bone grafting, what implantation method will be chosen to restore chewing teeth in your case? It is impossible to answer these questions in absentia - you need to undergo an examination and diagnosis in the office of an implantologist. Our premium dentistry clinic in Moscow, Aesthetica, has created all the conditions for diagnosing and planning the implantation of anterior and chewing teeth. Having visited our implantologists, you will be able to learn not only everything about dental implantation, but also see its future result - for this we use modern computer modeling programs!
