Which implants are better to install: main selection criteria, rating of leading manufacturers

Every person who is faced with the problem of restoring lost teeth asks the question: “Which implants are best to place?” Unfortunately, it is not possible to get truthful and complete information about existing dental implants in every clinic and not from every dentist. As a result, patients rely on tempting but dubious offers from doctors regarding the installation of a particular implantation system, and often become hostage to low-quality treatment. It is not surprising that in the future many of us are faced with such negative consequences as allergization of the body, loosening of the installed structure, slow rates of engraftment, or complete rejection of the implant.

In this case, the only way out of the situation will be to obtain detailed and reliable information about systems from different manufacturers, study the rating of dental implants and become familiar with the existing prices for them. Only in this case can you count on long-lasting, reliable and high-quality treatment results.

From this article you will learn comprehensive information about which implants are the best. We will tell you not only about the advantages of such systems, but also provide information about the prices set in modern clinics. You will also get acquainted with budget implantation systems available to most residents of our country.

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Content

How to choose the best dental implants? The likelihood of survival is the main factor in the ranking of implants

Options for prosthetics when choosing implants

Healing period for the best implants

Indications for implantation

Rating of dental implants by manufacturer 10. MIS – dental implants from Israel at an affordable price

9. XiVE implants – dental systems from Germany of decent quality

8. AnyRidge – universal implants from South Korea

7. Osstem – implants with decent characteristics from South Korea

6. Zimmer – dental implants from the USA with a unique surface

5. Anthogyr implants – top French quality system

4. Dentium (South Korea) – the best budget implants

3. Astra Tech implants (Sweden/USA) – ideal aesthetics and lifelong service life

2. Nobel Biocare implants – perfection of shape and surface

1. Straumann implants – the best dental implants in the world from Switzerland

Which implants are better: MIS or Nobel Biocare

As an example, let’s analyze the products of two popular companies: the Israeli MIS and the Swiss Nobel Biocare.

1. The first is proud not only of a huge range of implants, but also of full compliance of its products with the requirements of the International Dental Association. In addition, the MIS company spares no expense in testing new systems (which has won the sympathy of most dental clinics), and also cares about its consumers, as evidenced by the low prices for quality products.
2. Nobel Biocare is the most expensive company in the world. She carefully monitors the absence of counterfeits, numbering each implant released. Over the 48 years of its existence, Nobel Biocare has not lost ground and remains a leader in the implantation market, annually receiving an award for the highest rate of implant survival.

How to choose the best dental implants?

The question of why prices for dental implants differ is of concern to most patients. Of course, at first glance, the difference is almost invisible: all such structures have an identical structure in the form of a small pin with a cylindrical or cone-shaped shape. Then what is the reason for the appearance of markups on some products, and the availability of affordable prices for others?

First of all, the inflated cost is due to the popularity of the brand. This allows you to understand which dental implants are the best . If a manufacturer has been on the market for several decades (for example, ]Straumann[/anchor], Astra or Nobel), invests significant funds in scientific research and the production of more advanced dental products, then you have to pay a significant amount extra just for its authority and name.

However, it is not only company recognition that matters: clinical parameters play a key role. Next, we will talk about the main indicators that characterize individual dental implants and help you decide which ones are best to install.

The likelihood of survival is the main factor in the ranking of implants

An important parameter indicating which implants are best placed is the degree of survival. As a rule, it is considered quite high for systems from popular manufacturers (over 97%), and reaches maximum values ​​(100%) for elite brands, as proven by numerous studies. It should be noted that the rating of dental implants according to this criterion is considered conditional, since the final result of treatment is often determined by the professional skills of the doctor and the patient’s compliance with recommendations during the rehabilitation period.

Options for prosthetics when choosing implants

This factor is of great importance, since the functional and aesthetic characteristics of the installed implants are determined by the quality of the installation of the prostheses. Each brand has its own options for prosthetics - an “orthopedic portfolio”. That is, the more solutions for fixing crowns an orthopedist has, the more opportunities open up for the patient to obtain a successful treatment result even in complex clinical cases. This also allows patients to make a choice about which implants are best to place.

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.

Our team of doctors

Maxillofacial surgeon, Implantologist

Bocharov Maxim Viktorovich

Experience: 11 years

Orthopedist, Neuromuscular dentist

Stepanov Andrey Vasilievich

Experience: 22 years

Endodontist, Therapist

Skalet Yana Alexandrovna

Experience: 22 years

Orthopedic dentist

Tsoi Sergey Konstantinovich

Experience: 19 years

Endodontist, Therapist, Orthopedist

Varvyanskaya Anastasia Andreevna

Experience: 6 years

Dentist-orthodontist

Enikeeva Anna Stanislavovna

Experience: 3 years

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Healing period for the best implants

On average, the time for osseointegration of dental implants using the traditional method is close to 6 months. However, today many manufacturers are introducing the latest developments, due to which they can reduce this period to 4-8 weeks.

Some patients consider this point to be the most important when searching for an answer to the question: “Which are the best dental implants?”

Indications for implantation

Most companies offer implantation systems that can be used in one-stage and two-stage techniques. The possibility of implant fixation in case of hepatitis, diabetes mellitus and insufficient bone tissue is already the prerogative of top brands. Not all manufacturers use technologies that allow the installation of dental implants in the presence of serious restrictions. However, if you are wondering which dental implant is better, this is a point you should pay attention to. High-quality systems produced by prestigious companies are usually allowed for fixation if there are contraindications.

US made systems

America stands out in almost all areas, and implantology is no exception. Biohorizon and Bicon products are considered to be US developments. The rest of the American implants were developed by specialists from other countries. Today, the United States owns several of the largest European companies, including the Swedish Astra Tech. This allowed the Americans to take their rightful place in the world market. The systems are also expensive; of course, they are a little more affordable than Swiss ones, but not cheaper than German ones.

Rating of dental implants by manufacturer

The active use of implants in Western countries began several decades ago; in our country, this technique has become popular only recently. That is why, in order to demonstrate as accurately as possible the popularity of implantation systems of different brands, we took statistical data for the countries of Europe and the USA as a basis. At the same time, the characteristic features and advantages of manufactured implants were taken into account.

1. MIS (Israel)
2. Xive (Germany)
3. AnyRidge (South Korea)
4. Osstem (South Korea)
5. Zimmer (USA)
6. Anthogyr (France)
7. Dentium (South Korea)
8. Astra Tech (Sweden/USA)
9. Nobel Biocare (Switzerland/USA)
10. Straumann (Switzerland)

All the manufacturers presented above are popular and have a fairly high cost. However, today you can find companies manufacturing implants with decent characteristics and at reasonable prices. Among such brands, ]Dentium[/anchor] occupies an important place (located in 5th place in the ranking). Also in the domestic market, the products of the Korean company Osstem are in wide demand, offering reliable implants to patients at affordable prices.

Next, you will learn about the advantages of the systems included in the rating above. This will allow you to explore the different types of dental implants and see which ones are best.

MIS – dental implants from Israel at an affordable price

Any dental implants have characteristics that directly affect the quality of engraftment in bone tissue. These include: surface properties, biological compatibility, as well as the nature and shape of the thread. Next we will consider MIS systems in accordance with these parameters:

1. Surface. MIS implants have a standard SLA surface obtained by sandblasting followed by acid etching. Thanks to the use of such a coating, it is possible to increase the degree of engraftment by 25%. Despite the decent quality of this surface, it has average hydrophilic qualities.
2. Biocompatibility. To obtain implants of this type, a popular titanium alloy is used, which contains admixtures of vanadium and aluminum. This increases the strength of the structure, but has a negative impact on osseointegration.

In general, prices for MIS implants are considered the most acceptable among other analogues. So, for fixing one unit you will have to pay only 20 thousand rubles. Together with the installation of a ceramic crown, the amount will be from 50 thousand rubles and above. To fix a metal-ceramic crown, you will need another 15 thousand rubles.

XiVE implants – dental systems from Germany of decent quality

XiVE implants have an improved surface and microporous structure, which promotes rapid osseointegration and reduces the likelihood of side effects. Another important advantage is the presence of threads with a combined design: the narrow part in the middle provides maximum stabilization after fixation, the wide part at the end facilitates the process of implantation into the bone tissue.

In addition, implantation systems of this brand are made from purified titanium material, without any additives, which has a positive effect on their characteristics.

The versatility of the manufactured XiVE abutments deserves special attention, which allows dental implants of any diameter to be fixed to them.

Each model has its own serial number, which eliminates the possibility of implant counterfeiting. As for the “disadvantages” of such dental systems, they are, first of all, associated with insufficient brand recognition in the domestic market.

8. AnyRidge – universal implants from South Korea

AnyRidge systems have several characteristic features that make them one of the best budget dental implants:

• Unique Xpeed surface. Thanks to the use of calcium ions when creating the coating of AnyRidge implants, it is possible to significantly accelerate the process of osseointegration;
• Increased strength. In the manufacture of systems of this brand, purified titanium material is used, which guarantees impeccable quality, hypoallergenicity and maximum reliability;
• Improved connection to the abutment. Due to the five-degree connection, the possibility of unwinding the fixing screw and loosening of permanent dentures is eliminated;
• Knife Thread available. The cone-shaped design promotes the process of chewing food with uniform load distribution;
• High installation comfort. The process of fixing Eniridge dental implants is carried out using one drill, which minimizes the degree of tissue trauma and reduces the cost of implantation;
• Increased surface. This ensures identical quality of installation of both elongated and shortened implants, and also eliminates the need for osteoplasty (sinus lift);
• Perfect aesthetics. It is distinguished by ideal aesthetic indicators, identical to natural teeth;
• Versatility. Thanks to a wide selection of sizes of orthopedic structures, it is possible to restore teeth even in difficult clinical situations.

Taking into account the above advantages, we can confidently answer the question: “Which dental implants are best to place?” This manufacturer offers patients universal systems with quite decent aesthetic and functional parameters.

7. Osstem – implants with decent characteristics from South Korea

The classic Osstem TS system is the most popular among patients. Important features of these implants include the presence of a triple connection with the adapter and a double thread with the ability to self-tapping.

Currently, the following implant models are manufactured under the above brand:

• TS II SA. A distinctive feature of this system is the presence of an acute apex and the necessary indicators of initial stabilization;
• TS III SA. This line of implants is characterized by versatility - due to the cone-shaped shape and the cutting edge of the helical structure, they can be used even in the most unusual situations;
• TS IV SA. They are distinguished by stronger fixation and maximum stability, which is facilitated by the presence of self-tapping threads;
• TS III CA. The most modern system of this South Korean brand, which has a hydrophilic surface and self-tapping thread, thereby minimizing the healing period.

When the best dental implant manufacturers are considered, Osstem occupies a separate position in this ranking. This is due to the possibility of producing solid structures, which are used in the absence of the required bone tissue dimensions and are suitable for installation as part of an instant procedure.

Read more about Osstem implants »

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

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6. Zimmer – dental implants from the USA with a unique surface

Systems of this brand are included in the rating of the best dental implants, since their production is based on a unique technology that allows obtaining a trabecular surface structure. Due to it, the ability of bone tissue and the structure to mutually “build” into each other is achieved, which has a beneficial effect on the rate of osseointegration.

Also among the distinctive features that allow these designs to be included in the rating of competitive implants:

• Significant area of ​​contact with bone. Provides the possibility of implantation even in the absence of the required bone tissue sizes;
• Possibility of quick fixation of prostheses due to short healing times;
• The use of a material (tantalum) that is fully compatible with the human body;
• A unique connection between the dental implant and the adapter, thanks to which the tightest possible contact of the component parts is achieved and the risk of microbes is eliminated.

5. Anthogyr implants – top French quality system

These systems are in 5th place in the presented ranking of implants, which is due to the presence of the following positive qualities:

• Possibility of installation directly after tooth extraction;
• Can be used with various types of orthopedic structures;
• These implants can be used both within the framework of the classical technique and for an instant procedure;
• They have a minimal period of osseointegration, which is facilitated by an improved porous coating;
• They are distinguished by their versatility. The use of such structures is allowed even if the quality of the bone tissue is low or if its size is insufficient;
• Possibility of performing surgical intervention in a shortened time;
• They are famous for their ease of installation, which reduces the likelihood of injury to nearby tissues;
• Can be used with both zirconium and titanium transition elements;
• The Antogir product line includes implants suitable for fixation in a limited area of ​​the defect;
• Help prevent reduction in bone tissue size.

If we talk about the negative features of these systems, they are associated, first of all, with the use of a planar-type transition element. This, in turn, can create a distance between system components and cause the fixing screw to loosen.

Read more about Anthogyr implants »

4. Dentium (South Korea) – the best budget implants

The above-mentioned Korean systems were included in the ranking of dental implants not by chance - in terms of quality and prices, they meet the needs of modern patients and the requirements of experienced specialists. Among the main factors for the company's success are:

• The best budget implants;
• Impeccable quality;
• Versatility. Through the use of these dental systems, it is possible to select the appropriate implant and adapter option for each specific clinical case. In this case, the use of Dentium implants is allowed when implementing the instant technique;
• Easy to install. When fixing such implantation systems, the possibility of the slightest error is eliminated, which is ensured through the use of an improved drill system;
• Providing a guarantee. All Dentium systems have a full warranty. However, if there is a problem with the structure coming off, you can expect a quick and free replacement.

Read more about Dentium implants »

What else does the success of dental implantation depend on?

We have already said that a completely better implant system simply does not exist. This is due to the fact that there are many clinical situations in the oral cavity for which an implant from one or another manufacturer would be preferable. This will depend not only on the model of the implant or the volume of bone at the implantation site, but, which is also very important, on which implantation technique will be used.

• The classic two-stage implantation technique - this technique implies that after installing the implant, the mucous membrane above it is sutured tightly. Thus, osseointegration (engraftment) of the implant occurs under sterile conditions, without the influence of bacteria in the oral fluid and negative physical factors such as smoking. This technique is called a two-stage method because after the end of the implant’s healing period, a minor surgical operation is required - the mucous membrane above the implant is opened, the plug screw is unscrewed and a gum former is installed. Prosthetics with this technique is carried out after 3-6 months, which depends on the density and volume of the bone at the implantation site. This method is the safest for smokers, for various concomitant diseases, and in general for any other group of patients.
• One-stage implantation method - it differs from the previous method in that the gum former is screwed into the implant not after the end of its engraftment period, but at the end of the implantation operation.
  thus, the formation of the gum contour around the implant will occur already during the period of its engraftment. On the one hand, this will save 2 weeks of time required to form the gum contour using a two-stage technique. But on the other hand, the osseointegration zone (the contact zone between the implant and the bone) will no longer be in sterile conditions, i.e. will come into contact with oral fluid. A one-stage implantation method is necessary when early prosthetics on an implant is planned (for example, within 2-6 weeks), but this is possible in rare cases. This method is not suitable for smokers, patients with diabetes, osteoporosis, etc. Read more about this technique at the link above.
• Immediate dental implantation – this method means that a temporary plastic crown will be made and fixed within a few hours after the implantation operation. This method is good, for example, in the absence of 1 front tooth, and it allows you to immediately achieve acceptable aesthetics. Read how immediate implantation is performed in the link above.
• Implantation in the absence of teeth - modern implantation techniques make it possible to obtain a completely permanent bridge prosthesis within 1-3 days after surgery. These techniques include the basal implantation technique, as well as the All-on-4 technique. In some cases, these techniques cannot be used, and then the classic two-stage implantation technique can again come to the rescue, but in this case, the bridge will be installed not 1-3 days after the operation, but approximately 6 months later.

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Astra Tech implants (Sweden/USA) – ideal aesthetics and lifelong service life

When considering implants from various manufacturers, their quality rating and price, it is impossible to ignore the products of the famous Swiss brand Astra Tech. In the production of such implantation systems, purified titanium is used, which has a beneficial effect on the process of osseointegration.

Special attention should be paid to the improved OsseoSpeed™ coating, which is used to create Astra implants. According to numerous clinical studies, such a surface has the most important advantage of accelerating the process of bone formation. Moreover, such structures are characterized by impeccable initial stabilization and the shortest healing time.

Also, a significant “advantage” that allows you to add the above-described dental systems to the rating of the best dental implants is the use of MicroThread™ microthreads. Due to this innovation, it is possible to optimize the pressure on the cortical region of the bone tissue.

The conical connection between the implant and the adapter is also important, which also contributes to the correct distribution of pressure on the deep layers of bone tissue and eliminates the possibility of loss of bone tissue in the neck area. To understand which implants are the best, it is necessary to take into account the reviews of doctors and patients about each system used. Thus, according to the majority of specialists and visitors to dental clinics, Astra dental implants have perfect aesthetic parameters and improved functional characteristics. In addition, they are suitable for use in the most difficult situations. At the same time, an important advantage of such structures is their long operational period – up to 20 years.

Read more about Astra Tech implants »

2. Nobel Biocare implants – perfection of shape and surface

The success of this manufacturer is based on the use of an improved TiUnite coating, which guarantees impeccable quality and an accelerated osseointegration process. A distinctive feature of such a surface is the presence of moderate roughness and an impressive number of micropores, which promotes the fastest possible engraftment and prevents the likelihood of serious complications for the patient’s body.

When a patient asks the question: “Which implant is better?”, the Nobel system is undoubtedly the winner. This is due to the following positive aspects:

1. If we talk about which implants are better, then it is necessary to take into account such an indicator as primary stability. With Nobel implantation systems, the necessary initial stabilization is possible even in loose bone tissue. This expands the possibilities for using such structures - they can be used both as part of a classical procedure and for a one-stage technique.
2. In addition, the above systems have an aggressive profile at the bottom, which guarantees the ability to self-screw and form threads on bone walls.
3. In order to reduce pressure on bone tissue and form a beautiful gingival contour, the neck of the implant has a reverse-conical structure in the upper part.
4. Due to the conical shape of the NobelReplace and Replace Select Tapered models, it is possible to achieve the required initial stabilization even with immediate cementation of crowns.

Read more about Nobel Biocare implants »

Straumann implants – the best dental implants in the world from Switzerland

As you know, the Strauman implant is considered the best in the world due to the following advantages:

• Impeccable product quality and lifetime service life. It was possible to obtain such positive effects due to 35 years of scientific experience and the active implementation of innovative technologies;
• Solid experience in the field of implant installation. Since the company opened, over 14 million procedures have been performed with Strauman implant systems;
• Possibility of reducing the engraftment period to 1-2 months, which is achieved through improved coating;
• If we consider the best dental implants and their rating, Strauman systems undoubtedly occupy a leading position. This is due to unsurpassed aesthetic indicators, accelerated rates of osseointegration, excellent compatibility with the human body and the ability to withstand increased chewing loads;
• An important factor that allows you to understand which dental implants are the best is the possibility of fixation even in the absence of sufficient bone tissue. This manufacturer offers users dental systems with a minimum diameter, made of the improved Roxolid alloy. This eliminates the possibility of osteoplasty (sinus lift);
• Providing a lifetime warranty on all installed dental implants;
• The use of a unique SLA surface, which significantly accelerates the process of osseointegration. This gives a comprehensive answer to the question: “Which implant survives better?” According to the results of many years of research and development, Straumann implants show a 99% survival rate. In addition, such a coating eliminates the possibility of peri-implantitis.

Based on the above facts, we can confidently say that the best dental implants are Strauman systems, which is confirmed by the rating (1st place in the list) and the presence of unique characteristics.

Read more about Straumann implants »

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