Advances in dentistry over the past ten years or so have resulted in incredible technological developments. Dental implants have been the treatment of choice to replace missing or lost teeth, and when done under the appropriate surgical procedure, success rates have surpassed 95%. When the notion of osseointegration or fusing titanium with bone has been introduced into the dental community in the early 60s by an orthopedic surgeon called P.I. Branemark, the use of the concept was adapted to dental use; implementing the process, however, into a dental setting was seen as risky and unpredictable.
Success rates now in time rarely approached 55-60%, and lots of clinicians believed that their introduction into a patient’s treatment program could be too early for the predictable success. To increase success rates, alterations in the design of the dental implant surface were introduced without sound, clinical signs to copy the manufacturer’s claims of improved success rates. Through the years of empirical experimentation, a titanium dental implant was designed that seemed similar to that of a natural tooth root.
Some 40 years later, the technology inside the dental implant discipline has eased their colloquial usage among general dentists and specialists. After the market for implant dentistry exploded more than a decade ago, many implant manufacturers chose to change the topographical surface of the implant fixture with unsubstantiated claims of improved success rates to acquire market share over the leading implant companies that currently hold 85-95percent of US dental implant sales.
Unfortunately, there’s an immense amount of badly written research that’s being introduced to the dental literature with false promises of improved achievement rates. In several cases, implant manufacturers have made adjustments to the design of the implant due to improved success rates seen with a rival implant which has the appropriate research with the dental implant industry growing annually, this issue won’t ever cease to exist.
As a possible implant candidate, there are several things you should know about this business Before continuing with treatment:
FACT: Doctors don’t require formal surgical training on people to place dental implants.
In actuality, one implant manufacturer, in particular, holds educational seminars for physicians wanting to place dental implants over the course of one weekend. That’s right, in just two days, doctors receive a surgical training certification which states that they have formal training in surgical implant dentistry and for that reason may place. Unfortunately, the course doesn’t train these physicians on human subjects, instead, on vinyl jawbones.
FACT: The US government doesn’t need FDA approval for a dental implant fixture to be promoted to the professional community.
The US government has a governing body which oversees biomedical devices and their possible implementation to the medical and dental community. If by way of instance, a dental implant fulfills certain criteria required for surgical placement to the human body based on previous submissions by other manufacturers that have examined the device, then the governing body will grant 510K clearance into the implant manufacturer. 510K clearance allows dental implant manufacturers (and other biomedical device manufacturers) to advertise their device without needing previous animal or human testing!
If another biomedical device was previously introduced with similar intent, then the literature to the first product may be used to formalize 510K clearance. The competition for the dental implant market is fierce, and after patents have expired on tested devices are demonstrated to be appropriate for human use, some implant manufacturers will replicate. These implants are called clones and are promoted to dentists in a significantly reduced cost. Most of the time, these implant clones have absolutely NO clinical documentation to substantiate their manufacturer’s claims.
In actuality, these companies utilize literature offered by the implant manufacturer from whom they’re copying!
FACT: Implant makers are introducing new designs to the market with false promises
To stay informed about new implant manufacturers who are having better overall success rates, some businesses will copy a particular part of their competitor’s implant and assert that outcomes are conceptually this is logical, but typically, a combination of design features are responsible for some implant manufacturers’ improved achievement rates. By introducing a concept that has shown to increase success rates in a different implant system (albeit with minimum clinical documentation), implant manufacturers can consequently keep their existing clientele, and for that reason, doctors don’t need to worry about having to buy another implant system.
FACT: Clone companies always falter and lose market share, leading to withdrawal from the market place.
A fantastic number of implant manufacturers who have cloned other systems with adequate clinical documentation have gone bankrupt and because of this, can no longer provide their merchandise to Oftentimes when elements for these implant systems fail, it’s quite difficult or almost impossible to buy replacement parts. This could leave the individual that has had a cloned implant placed in their jaw with the unfortunate position of being unable to have it restored.
FACT: The US FDA does not need dental professionals to inform their patients of the sort of dental implant is put.
There are more than 90 dental implant manufacturers competing for market share in the United States; in these 90 or so implant manufacturers, over 340 different implant designs can be found!!!! Unfortunately, this amount is growing, and at another 10-20 years when implant parts are necessary, it is going to be extremely tough for dentists What can you do to prevent these issues?
First and foremost…
1. Do a little research on the practitioner who’s advocating the implant and if or not she has experience in implant dentistry.
2. Be sure the individual placing the dental implant has surgical expertise from a licensed specialty program or an extensive surgical course with good training.
3. Prior to getting the implant placed, check a general dentist or prosthodontist so that the implant tooth could be properly therapy intended and finally, properly restored.
4. In your initial surgical consultation visit, ask your dentist the sort of dental implant he or she uses. Ask about how much research was completed on that particular sort of implant and it’s survival and success prices.
5. In the end, speak to your physician at length and inquire regarding the sort of implant being put and their reason for advocating that type of augmentation.