Which country are Implance implants from, and whose brand is it?

Implance is the implant brand of a company called AGS Medikal. The company is listed with an Istanbul address in the records of the US Food and Drug Administration (FDA). As far as the press reports go, it is a family company: the Serçe family first worked as implant distributors and then moved into manufacturing. A December 2011 report by Anadolu Agency states that the company set up an implant factory in Trabzon, and an article published in Sabah in April 2012 states that the factory is in the Beşikdüzü district, that its foundations were laid in April 2011 and that the manufacturing know-how came from South Korea. So on the question of which country it is from, the brand, the owner and the place of manufacture all point to the same country: Turkey.

This differs from the two-layered situation often found with other brands. With Neodent the origin is Brazil and the owner a Swiss group; with MIS the origin is Israel and the owner the American company Dentsply Sirona. Implance has no foreign parent company. Even so, the 'made in Turkey' label should not be read as a statement about quality; origin determines not quality but the geography of parts supply and follow-up. We also have a page that explains this distinction in more detail: Turkish-made or imported implants.

Statements about the company's size that circulate (such as market share, number of export countries or number of employees) mostly come from the company's own promotional material and cannot be verified from an independent source; that is why we do not include them here. The part that can be independently verified is this: in the FDA database, the submission called 'Implance Dental Implant System, Implance Dental Abutment System', with AGS Medikal as applicant, received a 'substantially equivalent' decision on 12 September 2016 under the number K160221. A 510(k) is a route to market in which a product is shown to be equivalent to a similar device already sold in the USA. It says that the product can be sold in the USA; it does not say that it is better or longer-lasting than other brands. The FDA's decision letter also states clearly that this decision does not mean the device complies with other legal requirements. The CE mark in Europe and the ÜTS record in Turkey are documents of the same kind: they show that the minimum requirement has been met; they do not rank products.

The 510(k) summary submitted to the FDA describes the product covered by the record in detail. There are two types of implant. The bone-level implant is mainly in contact with the bone; the tissue-level implant, through the neck at its top, is also in contact with the gum. Bone-level implants range in diameter from 3.3 to 5.5 mm and tissue-level implants from 3.7 to 5.5 mm; the lengths are 8, 10, 12 and 14 mm. The bodies are made of titanium and titanium alloy, and the surface is roughened with a blasting material that can dissolve in the body (RBM). The summary also states that the body is made in 'hybrid' and straight designs. This record describes the product as it was in 2016; the range the company sells today may be wider, so ask separately for the name of the model that will be fitted for you.

This distinction has a practical consequence: knowing 'I have Implance' is not enough for a repair. According to the FDA summary, bone-level implants have an internal hex connection and tissue-level implants an internal octagon connection, and separate top part (abutment) sizes are listed for each; in other words, one does not use the other's top part. Alongside the brand, your implant card should show the type, model, diameter, length and lot number. Years from now, when a screw comes loose or the prosthesis is renewed, these details are the only thing that speeds the work up.

The same document contains two more details that are useful to the reader. First: in the indications accepted for the USA, immediate loading, that is, loading the implant with a prosthesis at the same appointment, is limited to four implants splinted together in the front of the lower jaw. This is the framework of the product's US submission; if 'immediate loading' is being discussed in a conventional implant plan, it is reasonable to ask under what conditions the product to be used is defined for this. Second: the summary states that the implants are sterilised with gamma radiation, that the sterile packaging was tested for a five-year shelf life, and that the weakest implant and top part combination passed the ISO 14801 fatigue test. These are laboratory tests; they do not say how many years it will last in the mouth.

The most honest answer to the question of whether it is any good lies on the publications side. As of October 2026, most of the publications on PubMed that mention Implance are laboratory studies: on the accuracy of torque wrenches, the retention of cemented crowns and temporary cements, and the loosening of abutment screws under load, for example. In one of them the product is described as 'Implance Dental Implant System; AGS Medical, Trabzon, Turkey'. This search did not turn up an independent, long-term clinical survival study that follows how many years Implance implants stay in the mouth. There may be studies that are not on PubMed; this does not make the product bad, but nor does it make the unknown any smaller.

One of the laboratory studies is directly useful to the reader. An implant screw is tightened with a force (torque) set by the manufacturer; this is measured by wrenches with a spring or friction mechanism. In a study published in the Journal of Prosthetic Dentistry in 2017, torque devices from Implance, Straumann and three other manufacturers were tested; none of the devices hit its target value exactly, and the average deviation of the Implance wrenches was 8.43 per cent. In a more recent study in 2026, the overall median deviation measured over repeated loading and sterilisation cycles was 11.43 per cent for Implance, 3.33 per cent for Astra Tech and 16.67 per cent for DIO; the authors considered deviation of more than 10 per cent to be outside the acceptable range and recommended that the devices be calibrated regularly. Both studies were carried out in the laboratory with a small number of devices; they call into question not the brand but the maintenance of the instrument.

The brand, though, is the smaller half of the question. Whether an implant will still be in your mouth years from now is decided, in this order, by planning, how firmly it seats in the bone, how the bridge on top spreads the load, smoking and uncontrolled diabetes, and regular maintenance. Two-piece implants, like those in Implance's FDA record, are a sensible choice when there is enough bone volume; the implant used in the protocol of fixed teeth in 72 hours with the Ihde method belongs to a different class: a one-piece corticobasal implant that anchors in the hard outer layer of the jaw.

The points below relate less to the brand name than to domestic production and the conventional two-piece implant design. All of them can be asked about at the consultation, and the answers can be checked.

Six short questions. Each one has a clear answer; not getting an answer is information in itself.

1. 1

   Which Implance type and model, and what size?

   Bone level or tissue level, and which model? The answer should be justified by the width, height and density of your bone; 'we always use this one' is not enough on its own.

2. 2

   Can I see the product's ÜTS record?

   In Turkey, medical devices are registered in the Product Tracking System (ÜTS), and the record can be checked using the product number on the packaging label. This is more concrete than anything you hear about the brand.

3. 3

   What torque will the screw be tightened to, and when was the wrench calibrated?

   Laboratory studies show that the torque wrenches of many brands can drift over time. Asking how often the calibration is checked is the most concrete way of discussing the risk of a screw coming loose.

4. 4

   Will anchorage in the bone be measured on the day of placement?

   How firmly the implant seats in the bone is a measurable value. If immediate loading is being discussed, this measurement needs to be taken and put on record; the decision depends not on the brand but on the anchorage measured on the day and the conditions under which the product is defined for this use.

5. 5

   How long do spare parts take to arrive?

   Screws, top parts, impression components. This is where the most concrete advantage of domestic production shows; it should be possible to give the answer in days.

6. 6

   Will I be given my implant card?

   Brand, line, diameter, length, lot number and the area where it was placed. The FDA also advises patients to ask for the brand and model of the implant used and to keep a record of it. If you are not given a card, asking for one is a normal request; when another dentist takes over the work later, it may be the only information you have.

If these are in place, the brand largely takes second place; if they are not, even the best-known brand will not protect you.

When a domestic brand is involved, the debate drifts to two extremes. Neither of them helps the patient.

In the first year these documents seem to be of no use. In the tenth year, in another city or in another dentist's chair, they are what proves most useful.

1. Get your implant card

   Saying Implance is not enough: it should also show the type and model name, diameter, length, lot number and the area where it was placed. Sticking the labels from the packaging into your patient file and onto your card is common practice.

2. Note the ÜTS number

   The unique number on the label shows beyond doubt which manufacturer the product belongs to and what its record is. Taking a photo of the card and keeping it is enough.

3. Keep the post-treatment X-ray

   It is the only document showing where your bone level was on the day of the procedure. If bone loss is being discussed years later, this image is the point of comparison.

4. Have every repair recorded

   Have every screw replaced, every top part renewed and the torque used noted down. This information, as it builds up, shortens the next procedure.

Domestic systems are generally in a more affordable range. But in a plan with several teeth, the unit price of the implant may not be the item that determines the total. The factors that determine the price are:

The implant type and size chosen

Bone-level and tissue-level implants need different top parts and a different prosthesis plan. Special implants such as zygomatic implants need a separate surgical kit, a longer procedure and experience.

Bridgework and clinical work

The prosthesis material, laboratory work and the top parts used take up a larger share than the implant itself in most plans. This is also where corners should not be cut.

Preparatory procedures

If extractions, a graft or a sinus procedure are needed, these are added as separate items, and in conventional two-piece plans they also extend the timescale.

Future repairs

With a system whose parts are easy to find, a repair stays a small job. A part that cannot be found can turn the same job into renewing the bridgework; this item does not appear on the bill, but it is the most expensive one.