Classical (two-stage) dental implantation with delayed loading

Choosing dentistry for dental restoration is a complex and responsible matter. You should trust your health and the beauty of your smile only to highly qualified professionals, so we have prepared a small rating of the best dental implant clinics in Moscow.

The selection includes medical institutions that meet European quality standards, use modern technologies, have highly qualified doctoral staff and a large number of positive reviews from clients. The result is the following overview.

In which countries are implants produced?

Today everyone is hearing about German, American, Swiss, German, Israeli and Korean dental implants. It is these countries that produce 90% of all products that, in principle, exist in this industry. There are Russian, Belarusian, Ukrainian representatives, but they are in much less demand in our homeland and abroad.

As for the popularity of brands, the lead in sales belongs to the USA - 30% of the total market in the world is owned by Nobel Biocare. In Europe - about 16%, but Straumann is in first place here - about 18%. In Russia, both American and Swiss brands, as well as Israeli models, are actively used. The latter are mainly due to price. Let us further consider the main countries in which the majority of all implantation products are produced for export and import.

American manufacturers

If we consider the rating of dental implants, they will be the undisputed leader, because US companies produce more than half of all artificial roots produced in the world. Here the palm belongs to several corporations:

• Nobel Biocare: The corporation is currently headquartered in Zurich, Switzerland. The company has a rich, long and successful history of development. P-I was founded more than 40 years ago. Branemark, who developed the first implant and performed the first full-fledged implantation. The company develops its own implant models, such as Active, Parallel, Replace, Trefoil, Zygoma, Speedy. She subjects each of them to thorough testing and research. The company is also developing its own dental restoration complexes - all-on-4 and all-on-3. It produces software - NobelGuide, production system - NobelProcera. Implants of this brand are created to be useful to patients even in complex clinical cases,
• BioHorizons: founded in 1994. The most popular models of this brand are Prodigy, characterized by high osseointegration periods. All artificial roots have a lifetime quality guarantee and take root in 99% of all cases. The company also offers its immediate load protocol, TeethXpress.

Also in America there are other, slightly less popular corporations - Bicon and Zimmer. The latter offers people with missing teeth trabecular products made of tantalum, which have a porous structure, quickly take root and eliminate the risk of developing allergies.

Swiss manufacturers

Most clinicians in the world trust the quality of Swiss dental implants, because companies such as Straumann were founded more than 60 years ago. The corporation, which currently has production facilities in the USA as well, offers unique material solutions (we discussed them at the beginning of the article). Titanium can be produced with SLA or SLActive-hydrophilic surface, which significantly reduces the time of their engraftment into the bone.

There is another worthy corporation in Switzerland - Ihde Dental AG, which produces the Biomed brand. It is suitable for patients with the most complex clinical cases: acute bone tissue atrophy, inflammatory diseases of periodontal tissue, smoking and diabetes, osteoporosis. Models of this brand are distinguished by an antibacterial coating and a smooth neck, which helps reduce the risk of peri-implantitis and helps patients easily survive the rehabilitation period, get new teeth in the shortest possible time and the ability to eat - according to implantation protocols with immediate loading of the prosthesis.

The ROOTT models from TRATE AG are also produced under the Swiss flag (although they are a younger copy of Biomed, so there is nothing unique about them), SGS from Dental System, Simpl Swiss from U-impl GmbH. All of these are young companies that do not have clinically proven results in the long term, and therefore are not particularly popular in our country.

German manufacturers

Germany is successfully represented by German dental implants XiVE and Ankylos. Although here it is still more appropriate to call them American-German, because they belong to the united concern Dentsply Sirona. These models have proven themselves to have a high survival rate (97%) and have a wide range of products for different clinical cases. Manufacturers also claim that implants speed up the healing process of bone tissue by 1.5-2 times compared to artificial analogues of roots from other companies.

Other models are also produced in Germany: SHUTZ, Impro from Helmut Knigel, Icx from ADM, Semados from Bego Denti System, Alpha Dent, Trinon Titanium.

Israeli and Korean manufacturers

We must pay tribute to Israeli and Korean dental implants. They are popular all over the world due to their low prices and relatively good quality. Among the Korean ones, Osstem and Implantium are best known and are often used in adapted all-on-4 and all-on-6 protocols (although Nobel Biocare products should be used in the original). There is also AnyRidge from MegaGen Corporation.

Israeli Alpha BIO, MIS, Ards, Adin, Noris Medical, Cortex also have an affordable price and are used mainly for delayed loading and two-stage implantation. All of them today provide a lifetime quality guarantee, but cannot yet confirm it with numerous and many years of research.

“I had implantation done on Osstem on my front teeth. I was very pleased with both the cost and the result. Although initially only quality mattered, I thought that in order to get a beautiful smile, it was necessary to implant expensive rods. But the clinic only had the Korean-made systems I needed, plus they had some good abutments – also of the same brand. And, I completely forgot, I came across an excellent doctor, experienced, who has been performing implants in our country for a very long time. So now I recommend implantation to everyone I know, many know how much you suffer with conventional dentures.”

Marina_66, review from the 32top.ru forum

They claim to be the first manufacturer in Asia and the fifth in the world. In South Korea they occupy 80% of the total market, and are also successfully supplied to Russia. True, experts emphasize that they are not suitable for all clinical cases and are inferior to competitors in the premium segment in terms of the aesthetic component and a smaller research base for quality.

Russian manufacturers

Little is heard about Russian dental implants, but, nevertheless, they exist. The most famous to date produced the NIKO model (now the company is part of the German NDI Medical group) and Iris (an innovative Russian implantation system). It was developed with the participation of German craftsmen and on German equipment. It attracts with its price, which is almost four times lower than European and American models.

Another representative is the “Conmet” or CONMET model. The company has existed since the late nineties. In 2006, the implants they produce received a quality certificate that complies with ISO standards and are supplied abroad. The range includes conical, cylindrical designs and mini-implants.

Disadvantages of classical dental implantation

In addition to the advantages, classical dental implantation has significant “disadvantages”, which we will discuss below:

• Long period of the procedure. Before fixing an artificial crown, it is necessary to wait for the full healing process, which may take several weeks or months;
• Increasing the frequency of visits to a specialist. A prerequisite for successful treatment in this case is regular visits to the dentist during the entire period of osseointegration. This allows you to monitor all changes in the area of ​​the installed structure and eliminates the likelihood of developing peri-implantitis;
• Insufficient aesthetic indicators during engraftment. A significant “disadvantage” of the procedure is the presence of gaps in the dentition, which the patient has to put up with until osseointegration is completed and the crown is fixed.

How important is the manufacturer of a dental implant and its reputation?

Try to pay close attention to the choice of implant manufacturer. Ultimately, the quality of the products depends on his integrity.

Clinical sites and training centers

The official representative of the company must have its own clinical base and service center in the country where it supplies its models and components. It is also desirable that technical support and training of doctors be provided. Specialists should have the opportunity to gain new knowledge regarding manufactured models, exchange experience with foreign colleagues, and undergo certification.

For example, in order to have the right to use a brand like Biomed in his work, it will not be enough for a doctor to take courses; he will need to visit Europe more than once. After all, the manufacturer insists on going through a multi-stage training system and cares about its reputation. The doctor should not have the right to make mistakes, so he will not receive a certificate until he has honed his skill level so much that the company can trust him.

Good to know! Companies that have earned great trust from patients and doctors in the implantation industry spare no expense in researching and improving their products. They publish materials on their official websites, as, for example, Nobel does . Please note that a company that sells truly high-quality products must have an impressive track record. If it exists for only a few or even ten years, then it is too early to talk about any lifelong operation - there is simply no evidence for this.

Software and proprietary implantation techniques

Among other things, the manufacturer must have computer programs that help specialists approach the planning stage of the implantation procedure more carefully and eliminate any risks and errors. For example, Nobel has software - NobelClinician, NobelGuide, Straumann has Exocad.

Also, some companies, together with the implant models they produce, are developing their own complexes that help patients around the world solve the problem of edentia quickly and at a favorable cost. A striking example of this is again Nobel with all-on-3 or all-on-4 implantation complexes, and its direct competitor Straumann with solutions on 4-6 Pro Arch implants is not far behind.

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It is also important that manufacturing companies provide a full range of materials for implantation - active membranes and bone substitutes, tools for installing implants, different models for certain clinical cases and, of course, abutments for all occasions. Only then will it be possible to use one system to solve certain clinical problems, obtaining the most worthy and durable result.

According to the official website of the company nobelbiocare.com

Author: Vasin Yu. A. (Thank you for your help in writing the article and the information provided)

What criteria should a good implant meet?

• high survival rates: according to research data, today manufacturers in the premium segment can rightfully be proud of this quality - their survival rate in the long term reaches 100%, i.e. There are almost no cases of peri-implantitis or rejection,
• long-term aesthetics: as studies show, over the 5-10 years following implantation, the patient experiences marginal shrinkage, i.e. marginal bone located at the border of contact of the artificial root with the gum. This happens if the manufacturer did not take care of the quality of the design features - the processing of the neck of the metal “root”, the thread on it and the connection of the implant with the abutment,
• Warranties: most of the models presented have a lifetime warranty. But it is important to understand that despite this indicator, everything largely depends on many factors, the main ones being the professionalism of the doctor who performed the work and the responsibility of the patient himself. If you systematically violate oral hygiene and place inadequate loads on the structure, then you should not be surprised if problems arise even after 5 or 10 years after installation.
• availability of certification: ideally, each model should have its own separate serial number registered in the manufacturer’s database. It must be accompanied by an official quality certificate. This measure will help eliminate the risk of buying a fake and protect the patient,
• ease of installation: it is good when the implantation system makes it possible to do without surgery to build up bone tissue in case of atrophy, and the implants can be immediately loaded with a prosthesis. These are used mainly for one-stage implantation protocols. And again, this indicator works if the manufacturer implements software that allows 3D modeling of the treatment process in advance, creating surgical templates that greatly simplify the procedure for installing artificial roots, eliminating the risk of their inaccurate positioning in the bone.

And, of course, for many patients, the price of the implant often plays a decisive role. The attractive price makes you think and analyze the situation. To determine which price segment different implant models belong to, we suggest reading the article to the end.

Temporary crown - will preserve the aesthetics of your smile

The main function of temporary crowns in the case of prosthetics supported by natural teeth is to protect worn-down teeth from bacterial damage, as well as from sudden temperature influences. Manufacturing material: plastic. Plastic crowns have a porous structure and absorb dyes, which as a result affects their color.

In case of implantation, a temporary crown is placed in the visible area of ​​the smile to hide the implant during its osseointegration with the bone. Of course, this type of dental crown will not replace a full-fledged tooth; it cannot chew solid food, but you can hide the defect of a missing tooth.

Disadvantages of classical implantation

• before the implantation of implants after tooth extraction, at least 2-3 months must pass; in some cases, according to indications, the use of ROOTFORM implants is possible simultaneously with the extraction;
• if there is insufficient bone tissue, bone augmentation (bone grafting) is required;
• after bone grafting, implantation is carried out at least 5-6 months later