Implant Brands

Implant brands comparison table

Not brand by brand but category by category: four categories, and for each one its origin, its strengths, its limits and the patient it suits

Brand tables online usually line up individual products side by side and are out of date within six months. We have taken a different cross-section: in practice implant brands fall into four categories, and the decision is made between those categories. Below we set out all four, with what distinguishes them and the patients they suit.

Short answer

In practice implant brands fall into four categories: global systems with decades behind them, the more affordable lines of those same groups, systems made in Turkey, and little-known systems. The difference between the first three is smaller than patients assume; the real gulf is between them and the fourth. Three things decide the choice: the continuity of the system, where you live, and whether you are given your record. The brand name itself comes after these three.

Unit of comparison
Not the brand but four categories
The real difference between categories
Follow-up data and continuity of parts
Required of all of them
CE marking and ÜTS registration
What decides it
The condition of your bone and where you live

Medically reviewed by Bilge Ilgın, Dentist · Implantology

The four categories

The first category: global systems with decades of history. Straumann (Switzerland, 1954), Nobel Biocare (of Swedish origin) and similar systems belong to this group. What sets them apart is that they take up a great deal of space in independent publications with long follow-up, and that a part for an implant fitted ten years ago can still be found today. The cost of that is the price: these systems are positioned at the top end of the market. For patients who live in different countries or move often, they are the most defensible choice, because they are recognised in most parts of the world.

The second category: the more affordable lines of those same groups. The best-known example is Neodent, which originated in Brazil and has been part of Straumann Group since 2012. These lines are made under the same quality management system but are positioned at a more affordable price. One important detail: being brands of the same group does not make them the same product. Their connection geometries and their parts are different and do not fit one another. 'It's the same thing anyway, so I'll take the cheaper one' is not a valid reason; but 'the continuity of the same group at a more affordable price' is.

The third category: Turkish-made systems. Brands manufactured in Turkey belong to this group, and Nucleoss is the one people ask about most. Their concrete advantages are that parts can be obtained quickly and from nearby, and the price. Their limits are twofold: the body of follow-up data in the international literature is thinner than for long-established systems, and their availability outside Turkey can be limited. For a patient who lives in Turkey and will have their follow-up here, neither of these limits comes into play in practice.

The fourth category: systems nobody has heard of, whose registration is not shown. This is where the real risk lies, and it is greater than all the differences between the other three categories put together. If there is no data behind a system, if it is unclear how long it will stay in production and if you are not told in writing which implant was fitted, then every dentist who works in that mouth ten years from now will be working blind. Even replacing a single loose screw can turn into remaking all the bridgework.

There is also a distinction that cuts across the categories: design. Almost all the brands above make conventional two-piece implants, with the body that goes into the bone and the abutment screwed on top of it. One-piece, or monoblock, designs are a separate category and should not be confused with a difference between brands. In a two-piece implant the abutment can be changed later; in a one-piece implant it cannot, but there is also no gap where two pieces join. This is not a ranking of quality but two different engineering choices.

What should stay with you after reading the table is this: the effect on the outcome of choosing between the first three categories is smaller than the effect of putting the same budget into the planning and into the bite adjustment on the day the teeth are fitted. The brand question is legitimate and should be asked; but when it is asked on its own, the things that really decide the outcome never get discussed at all.

Which category suits whom

The matching below is based not on quality but on the patient's circumstances.

The tooth can be saved

  • Patients who move often or live outside Turkey → a long-established global systemA system recognised in every country you go to means the right part can be found in an emergency. This is the situation in which the difference in price most clearly pays for itself.
  • Patients who live in Turkey and will be followed up here → a Turkish-made system or an affordable lineParts arrive quickly and the price is more affordable. The limit on international availability does not come into play in practice for this patient.
  • Narrow or weak bone → a choice of design, not of brandWhat decides things here is the range of diameters, the design of the implant body and, if needed, a different category of implant. The decision comes from the CBCT scan, not from a price list.
  • Patients who already have implants → the same as the existing systemOne system means one inventory of parts. It makes maintenance and any future repairs noticeably simpler, and here the debate about categories takes a back seat.

Saving it is unlikely to hold

  • Systems whose name is not given: for no patient at allIf you are not told in writing which implant was used, the debate about categories loses its point. Asking for this information is normal; not being given it is a warning sign in itself.
  • Systems that are no longer producedSpare parts run out over time. This risk can exist in any category; the question to ask is not the brand's name but whether production is continuing.
  • Changing category only for the difference in priceIn the total for a multi-unit plan, the price per implant is not usually the deciding item. Optimising the smallest item while never discussing the planning costs more in the long run.
  • Putting the brand name in place of a treatment plan'We use this brand' is not a plan. How many implants, in which areas, at what angle and why: until these questions are answered, a brand name does not fill the gap.

How to fill in your own table

Five rows. All of them can be asked about at your examination and the answers can be verified; the result is more specific to you than any table online could give you.

  1. 1

    Row 1: system name and manufacturer

    Brand, product line and manufacturing company. If this row cannot be filled in, there is no point asking about the other four.

  2. 2

    Row 2: how long it has been in production

    Both on the market and at this clinic. The second usually tells you more: a team that has used the same system for years knows both its complications and how to repair it.

  3. 3

    Row 3: how long it takes to get parts

    Screws, abutments and impression components. The answer should be given in days. This row is the information that will be most useful to you in the long run.

  4. 4

    Row 4: whether the ÜTS registration can be seen

    Medical devices placed on the market in Turkey must be registered in the Product Tracking System (ÜTS). The registration can be looked up using the unique number on the label.

  5. 5

    Row 5: why this system was judged suitable for me

    The answer should relate to the width, height and density of your bone and the load that is planned. The answer to this row tells you more than the other four put together.

The columns missing from the table that really decide the outcome

None of the four below appears in any brand comparison, and yet they are what decide the result.

01

CBCT scan and planning

Imaging that shows the true volume of the bone, and a plan made on it. This decides where the implant goes and at what angle, and it is the hardest decision to correct later.

02

Surgical experience

A team that has been placing the same system for years. This experience makes more difference than most of the differences between categories, and no table has a column for it.

03

Bite adjustment on the day the teeth are fitted

A bridge that does not spread the load evenly produces loose screws and bone loss within months. The time spent on the bite that day is far more decisive than the difference between brands.

04

Check-up schedule

Inflammation around the implant progresses without pain. Regular check-ups are the only thing that catches it early; no brand does this job for you.

Where brand tables online go wrong

Lists of brands lined up side by side make a few systematic errors.

They skip over changes of ownership

Acquisitions are common in the industry. Two brands lined up as rivals may belong to the same group; and yet parts from two brands in the same group do not fit one another. A table cannot show both of these facts at once.

They confuse country of origin with place of manufacture

Where a brand has its headquarters and where the product is made are not always the same. Production can be moved, and contract manufacturing happens. The definitive information is read not from a table but from the label on the box.

They put success rates side by side

Different studies have different patient groups, follow-up periods and definitions of success. Comparing these figures in the same column is like laying two rulers with different scales on top of each other.

They never list the things that really decide the outcome

Planning, load distribution, smoking, uncontrolled diabetes and regular maintenance: these are the known causes of implant loss. No brand table has columns for them, because they have nothing to do with the brand.

After the decision: what you should have in hand

Whichever category you choose, the following do not change.

  1. Get your implant card

    Brand, product line, manufacturer, diameter, length, serial number and the area where it was placed. This document is part of your health record; asking for it is a normal request.

  2. Keep the X-ray taken after treatment

    The only document that shows where your bone level was on the day of the procedure. Years later, if bone loss is being discussed, this is the point of comparison.

  3. Keep a digital copy

    Have a copy on your phone and in your email. When you move to another city or country, it is the only thing you can take with you.

  4. Put every repair on record

    Every screw replaced, every abutment renewed. Built up over the years, this information makes every later procedure easier.

Message us right away if

  • A screw comes loose or the prosthesis moves. Carrying on chewing with a loose screw can cause the screw to break. Removing a broken screw is a much bigger job than tightening one.
  • Your gums bleed or swell. Inflammation around an implant can be stopped at an early stage. Every month of delay means bone that will not come back.
  • You do not have your system information. Call the clinic that did the treatment and ask for your record. If the clinic has closed, the system can usually be identified from an X-ray, but that takes time.
  • You are moving to a new dentist. Give them your system information and your old X-rays. A dentist who does not know your starting bone level will be slow to notice progressive loss.

How big the price difference between categories is

The difference is real, but its share of the total is smaller than people think. Separating the items puts the decision in its place:

Price per implant
There is a clear difference between categories. In the total for a multi-unit plan, however, this item is not usually the deciding one; the bridgework and labour take up a larger share.
Bridgework and laboratory
The difference between zirconia, metal-ceramic and temporary acrylic covers a wider range than the difference between implant categories.
Preparatory procedures
If a graft, a sinus procedure or extractions are needed, these are separate items, and they come up often in conventional two-piece plans. They lengthen the timescale as well.
Repairs in the future
With a system whose parts are easy to find, a repair stays small. A part that cannot be found turns the same job into remaking the bridgework; this is the most expensive item that never appears on the bill.

Frequently asked questions

Which implant brand is the best?

There is no single answer that applies to everyone. Any system that has been produced for a long time, has published data behind it and whose parts can still be obtained years later is a good choice. Beyond that, the best implant is the one whose dimensions suit your bone and that has been placed correctly.

Are implants from a cheaper category lost sooner?

Not necessarily. A system that is certified, still in production and whose parts can be found is a reasonable choice even if its price is low. The real risk lies not in the price but in the system being an unknown and your record not being given to you.

Are Neodent and Straumann the same company, and the same product?

They are two separate brands in the same group, not the same product. Their connection geometries and their parts are different and do not fit one another. What they share is ownership and a quality management system; their product lines and price positioning are separate.

Can I trust the success rates I see in a table?

You need to be careful. Different studies have different patient groups, follow-up periods and definitions of success, and putting these figures side by side can be misleading. A more reliable question is this: how many years of follow-up data does this system have, and who published that data?

My clinic uses only one brand. Does that mean I have no choice?

Most clinics work with one or two systems, and that is reasonable: a team that has used the same system for years knows it well. What you should ask is why that system was judged suitable for you. If the answer relates to the condition of your bone, there is no problem; if it is 'we always use this one', it is incomplete.

Which category do you use?

Our 72-hour protocol uses a design outside the four categories above: one-piece implants that anchor in the hard outer layer of the bone. This does not mean running conventional systems down; if there is enough bone and time to wait, they are a sound choice too. Which one suits you becomes clear from a CBCT scan.

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