Doctor, what kind of implants do you use?
This is the main question that patients ask me.
For example, if a person breaks an arm or leg, and an orthopedic surgeon must fix the fracture with a variety of plates, screws etc., do we ever ask an orthopedist, “Doctor, what kind of screws do you use?” Of course not, this would never occur to us. It is important to us that the bone knits and the arm or leg functions as before.
On the market today there are hundreds of different companies producing implants. Some have been around for more than 20 or 30 years, some around 10 years, while others are relatively new.
For over 18 years of fixing prosthodontics on implants (since 1998) I have used implants of various companies. Here is a simple example of my own family:
On my father I used the American dental implants made by Zimmer.
On my mother I used the American implants called 3i manufactured by Biomet.
On my brother I used the Israeli implants made by MIS.
On my husband I used the American implants called Biohorizons.
On my uncle I used the European implants Nobel Biocare.
On my aunt I used the American implants ImplantDirect.
At the beginning of my practice in implantology I really wanted to understand the difference between implants. I used only the implants that had been on the market for many years and their adaptation has been reflected in scientific statistics in the world dental literature. All of the above implant types have about the same success rate (i.e., adaptation and survival).
Each company develops its surgical kit for the implant insertion into the bone (mainly drills, wrenches, guides), as well as a prosthetic kit (mainly wrenches, abutments, transfers for making measurments, implant analogs for laboratories, etc.).
These kits have a certain degree of comfort for a dentist. The dentist gets used to some work algorithm and prefers to work with a certain kind of implants and with the company whose pricing policy is acceptable to him.
That is, of the above companies which I have worked with, I cannot say that the quality of a certain implant was higher than another, or vice versa.
However, there are certain nuances that should be taken into account when selecting an implant. There are different systems of fixation between the implant and the abutment. The standard system is a hexagon. This system is used in most implants (Zimmer, Biohorizons, ImplantDirect, MIS, Alpha-Bio and many others). These systems are interchangeable in terms of parts and they are delivered with standard wrenches and work tools.
Such implants as Replace (Nobel Biocare), 3i (Biomet), Straumann and some others have its own unique mounting system, which requires a particular company’s parts and wrenches. This may cause inconvenience to the patient. Since not all dentists work with unique systems, most prefer the standard one.