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How to choose dental implants

​Steps to choose the right dental implant for dental professionals

  1. The patient's bone density from D1 to D4

  2. Dental Implant Fixture Surface Treatment

  3. Dental Implant Fixture Brand

  4. Dental Implant Fixture Type

  5. Dental Implant Fixture Level

  6. Dental Implant Fixture Connection

  7. Dental Implant Fixture Head Shape

  8. Dental Implant Fixture Body Shape

  9. Dental Implant Fixture Body Thread

  10. Dental Implant Fixture Apex Shape

  11. Dental Implant Fixture Diameter

  12. Dental Implant Fixture Length

The patient's bone type-level from 1 to 4


  • D1(Strong): Dense cortical - Oak - Anterior mandible

  • D2(Tight): Porous cortical & coarse trabecular - White pine - Anterior & posterior mandible

  • D3(Mild): Porous cortical and fine trabecular - Balsa wood - Anterior & posterior maxilla

  • D4(Weak): Fine trabecular - Styrofoam - Posterior Maxilla

How to determine the bone density

  • Computed tomography(CT) scan - Recommended

  • Tactile determination during bone drilling

What are the pros/cons depending on bone density?

D1: Highest stability, best surface contact between bone and fixture, possible immediate loading, the highest risk of surgery failure, longest healing time & surgery time, required a high-speed motor

D2: Strong bone & good regeneration, good stability, relatively short time spent on surgery, higher success rate, most of the implant fixtures can be used, fixture removal and replacement is ok

D3: Acceptable bone density to place the implant, relatively easy & fast, bone grafting may be required

D4: Weakest stability, worst surface contact between bone and fixture, bone grafting is required, the highest failure rate of dental implant placement, the wide-body fixture is recommended.

Dental Implant Fixture Surface Treatment(coat/coating)

  • Acid-etched surface treatment

  • Anodized surface treatment

  • Blasted surface treatment

  • Hydroxyapatite(HA)

  • Laser ablation

  • Plasma-sprayed

  • Resorbable Blast Media(RBM)

  • Alumina(Sand) Large-grit Blasting and acid etching(SLA)

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