Osseointegration

• Definition.
• Factors determining education.
• Mechanical and biological stability of the implant.
• The theory of blood clot retraction is the basis for the formation of an osseointegrative connection.
• Remodeling.
• Continuity of the osteoformation process, its significance and understanding.
• Long-term positive prognosis for the functioning of the implant, its dependence on the quality of the bone.
• Mechanisms of osteogenesis: contact;
• distant.

• induction (initiation);
• conduction (matrix);
• genesis (education);
• mineralization (maturation).

Porous NanoTec surface

An important role in the process in which contact occurs between an artificial implant and living tissue is played by the material, as well as the surface of the rod. Alpha Bio specialists have developed titanium with extremely fine grains of the Ti-6AI-4V ELI grade. Its advantages include enormous strength and excellent compatibility with living tissues.

In addition, special processing was carried out, which made it possible to create NanoTec (“Nanotec”) - a special surface structure. As a result, the service life of Alpha Bio implants has increased several times. When viewed through high magnification, you can see a very heterogeneous and uneven relief, which was created by sandblasting using medium-fraction aluminum oxide powder. Finally, the result is complemented by acid etching. This technology increases the surface area in 3 dimensions and improves wettability when in contact with tissues.

Implant surface

• The role of the implant surface in the integration process.
• Evolution of different types of surfaces.
• Modern requirements for the surface of the implant.
• The structure of the surface from the point of view of the theory of retraction of a blood clot, the classical idea of ​​it.
• Micromechanical characteristics of various types of surfaces.
• Mono- and multilacunarity.
• Concept: “BIC” (Bone-Implant Contact).
• Options.
• Clinical significance.
• Detailed comparative characteristics of popular systems: their micromechanical properties;
• physical cleanliness of implant surfaces;
• chemical purity of implant surfaces.

• Strauman (SLA, SLActive);
• Astra Tech (OsseoSpeed);
• Bicon;
• Biohorizont;
• Mis;
• Semados;
• Dio;
• Osstem;
• Xive;
• Oraltronics;
• Implasa;
• ABdental;
• Alfa-Gate (BioActive);
• Adin;
• Cortex;
• Rusimplant;
• Konmet;
• Anthogyr (AnthoFit);
• Nobel Biocare (TiUniute);
• Alpha Bio Tec (NanoTec);
• Ards;
• Implantium;
• Hi-Tec Implants and others.

Main characteristics and features of Israeli designs

Alpha Bio implants were developed by an Israeli company using the latest technologies. They are used for dental implantation, which restores a lost tooth without restrictions. This allows these dental structures to occupy 65% ​​of the global market for artificial teeth.

Implants from the manufacturer Alpha Bio (Alpha Bio tec, Israel) have a number of features that distinguish them from other brands of similar dental structures. The characteristics have a positive effect on the degree of implant survival and its quality.

These include:

• Implants from the manufacturer Alpha Bio (Alpha Bio tec, Israel) have a number of features that distinguish them from other brands of similar dental structures

  The use of high-strength Ti-6AI-4V alloy as a manufacturing material contributes to an absolutely biocompatible design with the human body. This increases the service life of the orthopedic product. This occurs due to the elimination of its rejection and the ability to take root better.

• Porous NanoTec surface. The presence of a porous surface promotes better osseointegration and increases the adhesion area between the surfaces of the implant and bone tissue. This, in turn, guarantees reliable fixation of the implant rod and significantly speeds up the fusion process.
• The shape of the structure, which closely follows the anatomical structure of the tooth root. Most models have a cone-shaped design, but there are a few that are cylindrical in shape. A well-thought-out shape of the implant promotes uniform distribution of the chewing load between the structure and the bone.
• Special thread , eliminating severe trauma to the bone, which facilitates easy installation.
• Reliable connection. The implant design contains a recess with 6 edges inside, and the abutment contains a hexagonal cone. This design ensures a tight connection of the two components and their reliable fixation.
• Availability of individual sterile packaging and special surgical instruments. This configuration guarantees high reliability and quality of implantation of any type of teeth.

Important! Alpha Bio implants are characterized by high biological compatibility, reliability and safety of installation. The duration of the operational period is over 15 – 20 years.

Macromechanical characteristics of implants

• Implant parameters: their clinical significance;
• variety of relationships and properties.

Anatomy of maxillofacial structures

• Blood supply.
• Innervation.
• Maxillary sinuses.
• Mandibular canal.
• Features of the structure.
• Variants of the norm.
• Consequences of dystrophies.
• Mucous membrane.
• Periodontium.
• Periost.
• Cortex.
• Their role in achieving and maintaining implantation results.
• The structure of the jaw bones.
• Quantitative and qualitative characteristics.
• Clinical classifications.
• Cortical and trabecular bones from the point of view of ensuring primary stability of the implant: structure;
• ratio;
• clinical significance;
• their participation in osteogenesis.

X-ray examination

• Options.
• Clinical significance of various types of x-ray diagnostics.
• Study and detailed analysis: targeted radiography: periapical;
• bite;
• diagnostic;
• staged;

Detailed study of the classical surgical protocol

• Premedication: choice;
• indications;
• contraindications.

Elevation of the mucous membrane of the maxillary sinus

• “Open” method: lateral approach. Indications, contraindications.
• Requirements for grafts.
• Selecting an implant.
• Indications for simultaneous installation of dental implants.
• Contraindications.

How much will it cost to restore teeth with Israeli implants?

As noted above, the low price of Alpha BIO implants is perhaps their most important and significant advantage. The cost of installing implants ranges from 20 thousand rubles and more (depending on the clinic). This usually includes diagnostics of the condition of the jaw, anesthesia, the price of the implant itself and the work of the implantologist to install it.

In some cases, you may need to pay additionally for other operations: x-rays, bone tissue augmentation, removal of plaque and tartar from teeth before the procedure, etc.

In addition, the stated price does not include the prosthesis. For example, single crowns made of metal-ceramics will cost 15-20 thousand rubles, and more advanced crowns made of zirconium dioxide cost 25-30 thousand rubles and more. That is, the total amount for restoring one tooth on an Alpha BIO implant will be from 35-50 thousand rubles (implant + crown).

Patient review

“I saved up for implantation for about a year, I didn’t want to suffer with a removable denture at all, at my age it’s still too early... I studied the entire Internet, settled on Alfa bio implants, so as not to overpay for expensive ones, some of them have a astronomical price. It's been 4.5 years now, they're fine, there haven't been any problems during this time. So far I haven’t regretted at all that I decided to save money.”

Evgeniy, 43 years old, Ekaterinburg

If for some reason you don’t want to install Alpha BIO implants, then you always have the opportunity to choose from other brands; fortunately, there are many of them. For example, Israeli MIS, Adin or South Korean Implantium are approximately in the same price category, and in some clinics they can be installed even cheaper.

Russian implants and products from little-known companies will generally be even cheaper, but they often do not meet international quality standards. If you want more expensive ones, use German implants Impro, Ankylos (from 30 thousand) or Swiss Straumann (from 35 thousand).

Alpha BIO implants are a pretty good budget option that you can safely choose if you are not ready to pay several hundred thousand rubles for dental restoration. And finally, let us remind you once again that when implanting teeth, the primary role is played by the attending physician - how the implants will take root and how long they will last depends on his professionalism and experience.

(If you have experience in dental prosthetics using Alpha BIO implants, be sure to leave your review at the bottom of this page, in the comments field).

Practical part (5th day of the seminar)

• A detailed study of the principles of ergonomics in conducting implantological procedures.
• Optimal location of the doctor relative to the patient, taking into account the following factors: implantation area;
• forced position of the patient's body;
• patient's build, etc.

Do Alpha BIO implants have important advantages that distinguish them from other brands?

First, let's look at exactly what technological and design solutions are used in the production of Alpha BIO dental implants, since this is what largely determines the level of product quality.

Use of pure titanium

Pure titanium has been proven to be a metal biocompatible with the human body. And if, for example, a titanium dental implant is installed in the jawbone, then the body really does not perceive this seemingly foreign screw as a foreign body and does not reject it (of course, if the doctor did everything correctly and the patient followed the appropriate recommendations - about We'll talk more about this below).

It is useful to keep in mind that implants made from pure titanium survive better than when titanium alloys are used. Well, in this regard, everything is in order with Alpha BIO implants - they are made from pure titanium without unwanted impurities.

This is interesting

For a long time, the implantology market used the Ti-6Al−4V alloy, which in addition to titanium also contained vanadium and aluminum. This significantly improved the strength of the material and some other technological parameters, but later it was proven that vanadium in such alloys has a toxic effect on living tissue cells, as a result of which the risk of implant rejection increases.

To be fair, it is worth noting that Alpha BIO is not the only company that creates dental implants from pure titanium. Moreover, the vast majority of manufacturers today use pure metal, and not its alloys, so this solution of the Israeli company should not be considered something unique in the world of implantology.

Porous NanoTec surface

The next thing that is usually emphasized in advertising of Alpha BIO implants is their special rough microporous surface.

Is this surface so important in practice and does it significantly affect the implant’s healing?

On a note

After manufacturing, the very first implants were thoroughly polished - it was believed that the smooth surface facilitated their easy installation and high-quality osseointegration (engraftment into the bone).

However, later, in the 90s of the last century, it was convincingly proven that the surface of the implant should ideally be rough and porous. Cells of growing tissue penetrate into the micropores - they literally grow into the implant. Thus, the implant is securely fixed and becomes almost integral with the bone.

Today, most manufacturers of dental implants use their own method of treating the surface of titanium metal to achieve its microporosity - most often this involves sandblasting using abrasive particles of a given grain size, as well as subsequent acid etching to create even deeper pores. In general, the presence of pores on the implant significantly increases the contact area between the bone and the metal surface - as a result, this actually improves the primary stability of the implant, and also increases the rate of fusion of the implant and bone cells.

For example, Alpha BIO implants have a surface called NanoTec. However, no matter what such a surface is called and no matter how much dental implant manufacturers praise their technology for forming the surface, for the end consumer these are trifles, but what is important, first of all, is the fact that a titanium implant has not a smooth, but rather a rough and porous surface.

Conical design of Alpha BIO implants

Another technological solution that is used in Alpha BIO implants is their conical design. They are made in the form of a cone (some in the form of a cylinder), that is, they accurately repeat the anatomical shape of the root of a living tooth. This allows you to evenly distribute the chewing load from the prosthesis to the bone, as well as increase the load-bearing load on the implant as a whole.

However, this, again, is not a unique invention of the Israeli company (although a corresponding patent was received for a certain shape and thread of Alpha BIO implants) - most modern implants are cone-shaped and resemble the root of a living tooth. After all, this is the most functional and physiological thing - to repeat in prosthetics what was laid down by nature.

This is interesting

In 2006, the Nobel Biocare company (the founder of all dental implantation) tried to launch its new product on the market - an implant called Nobel Active, but in fact it turned out that the shape of this model (namely, a truncated cone with a flat base and a large thread) had already been patented Israeli company Alpha BIO. Therefore, it was decided to acquire this patent, as well as buy out a controlling stake in Alpha BIO.

Threads and range of implants in the catalog

In order for the implant to be conveniently installed in the jaw (without unnecessary effort and injury to the bone tissue), the product must have an appropriate thread. And for an implantologist, it is important that in the catalog of implants of a particular brand, for almost every clinical situation there is a corresponding implant model with the optimal type of thread.

So, to put it simply, in the case of Alpha BIO implants the situation in this regard is quite good. In the case of using, for example, brands in the “economy” category, the doctor cannot always be sure that he will find a suitable implant model in the catalog.

Connection of implant and aba

This connection is considered very reliable and at the same time simple to perform - there is a recess with six edges inside the implant, and on the abutment, accordingly, there is a hexagonal cone. The abutment fits tightly inside the implant, without cracks or microgaps, and is securely fixed.

The photo below shows this type of connection:

On a note

The abutment is, so to speak, the top of the implant, which is the basis for prosthetics. It is located above the gum level and serves to attach a crown or any other prosthesis.

The internal hexagon is an easy-to-make connection, which is why it is quite popular. An important advantage of this platform is that it is universal - and this is a huge plus for an orthopedist. That is, abutments of other systems can be attached to Alpha BIO implants, for example, Israeli MIS, ADIN or Alpha Gates (by the way, Alpha Gates or Alpha Dent implants should not be confused with Alpha BIO - these are completely different brands).

Multifunctional individual packaging

Here, it would seem, is such a small thing - the packaging of the implant. And in practice, it contributes to the convenience of the doctor’s work and reduces the risk of problems for the patient.

After all, in order to avoid complications after the operation to install dental implants, it is very important to maintain sterility. In addition to the obvious points related to cleanliness in the office, sterility of instruments, etc., the cleanliness of the implant itself also plays a crucial role, which largely depends on its packaging. The product travels thousands of kilometers before it falls directly into the hands of your doctor - and it is extremely important that before implantation the implant is clean, free of foreign impurities and, quite simply, dust.

It is also useful to read: Symptoms of dental implant rejection: what are the signs to recognize the problem?

The Alpha BIO company is really proud of its individual packaging: it is a double transparent capsule through which you can see the contents. It contains all the information about the implant - the serial number is transferred to the patient’s card, which is a guarantee of protection against counterfeiting. In addition, the titanium “screw” itself is very easily removed using installation tools - that is, it is transferred immediately to the operating bed.

Doctor's review of Alpha BIO implant systems:

“There have been no changes in the line of this Israeli company for a long time (either nothing reaches the Russian market, or there is no need for improvement), but the packaging has undergone quite significant changes. It is, of course, not the most important thing in implantation, but it is by no means the last thing. It really turned out to be easier to work with - it takes a split second to open the box and install the implant, and the patient himself can see which model fits into his jaw - all without deception.”

From correspondence on a dental forum

Representative office in Russia

From a practical point of view, a very important feature of Alpha BIO implants is their widespread use in dental clinics in Russia - it is difficult to imagine a clinic that does not work with them. Doctors are usually well familiar with this implantological system, which cannot be said about a number of premium brands, which, due to their high cost, have far fewer specialists trained to work with them.

And in general, if we compare, the Alpha BIO company places a significant emphasis on the Russian market and not only brings its products here, but also actively tells doctors (through seminars) and patients (through advertising) about them. Today in Russia, seminars, lectures are held, and special courses are organized to teach how to work with the Alpha BIO dental implant system. Unlike many other companies, such training has a wide geography: seminars can be attended not only in the capital, but also in the regions - from Kaliningrad to Vladivostok.

Implantologist's review:

“I have been working on the alpha bio system (Israel) for about three years, and at the same time I am also working on German implants. Of course, the Germans are more progressive in many aspects, but the price is much higher. I like working with Alfa, I called the dealers today, they delivered it tomorrow. In fact, it is a very simple system, both from the point of view of the work of the surgeon and the orthopedist. And the aesthetics can be achieved very high...”

Alexey, Chelyabinsk

The fact that Alpha BIO implants are widely represented in Russia is, first of all, a big plus for patients. This further increases the already high chances that the implantation will be successful, because even in a difficult clinical situation, the doctor always has the opportunity to consult with colleagues who are almost all well acquainted with Alpha BIO.

Patient review of Alpha BIO implants:

“I don’t regret at all that I chose Israeli alpha bio; half of Moscow works with them. Here such a disaster happened. My treating doctor went abroad, and 1.5 years after the installation I had a problem - the gums next to the implant turned red. I went to a clinic near my house, just for a consultation, and there I saw an implantologist who also works with Alpha Bio. It turned out that there was a slight inflammation there due to the fact that I did not clean out food debris well in the interdental space. It didn’t reach a serious stage, they saved my artificial tooth, but the doctor removed the crown from the implant and also cleaned it underneath, just in case. But initially I wanted to install other, expensive German ones... Where would I then look for a doctor with them... And these implants can be bought in almost any dentistry.”

Oleg, Moscow

Detailed analysis of the ALPHA BIO Tec implant system.

• Implants.
• Features of bed preparation.
• Consumables needed for the operation or surgical day. methodology for calculating their availability;
• ensuring smooth and efficient daily implantation;
• advantages of owning a rational supply of system consumables.

Independent work

• Implantation on phantoms without limiting the number of implants.
• Installation of different sizes of implants in different types of bone.
• Various surgical techniques and their development.
• Various types of surgical drills and features of their use.
• Rational intraoperative positioning of the implant: ensuring the optimal position of the angular superstructures relative to adjacent teeth (implants) or antagonist teeth;
• mastering the skills of working with the Paraguide system.

Advantages of Alpha Bio implants

Alpha Bio Tec is one of the leaders among mid-price products; Thanks to its affordable price and high quality, the company annually increases its presence in the dental implantology market. The company pays great attention to modern research and development; the level of service and customer support is significant for Alpha Bio Tec. Patients can be 100% sure that by choosing Alpha Bio implants, they receive certified products from the official distributor, and the implant surgeon must have completed advanced training courses at the Alpha Bio Tec training center. Without exception, all Alpha Bio implants have a lifetime warranty.

An important feature of the system is that the company develops products in such a way as to simplify their use as much as possible and allow the doctor to concentrate directly on the dental implantation operation, without being distracted by technical work. One of the company’s slogans is Simplantology (simple implantology). However, for the sake of fairness, we should recall another well-known Israeli MIS system, with the slogan (Make it simple), these systems are structurally very similar, and both companies rely on “simple” implantation.

The advantages of implants include:

• The highest quality of implants and surgical instruments, regulated by international quality control standards.
• Durable titanium alloy – Ti-6AI-4V ELI alloy is an ultra-strong and wear-resistant material that is biocompatible with body tissues.
• Possibility of two-stage and one-stage implantation.
• Easy installation thanks to clear surgical protocol and Alpha Bio surgical instruments (one Alpha Bio surgical kit fits multiple Alpha Bio systems).
• The NanoTec™ surface is an SLA surface, used by leading implant manufacturers. The NanoTec™ surface microstructure improves the quality of contact between bone and implant, accelerates osseointegration and the healing process of peri-implant tissues.

  

• Platform switching technology is based on the difference in the diameters of the abutment and implant platforms. The resulting step promotes the growth of bone tissue, and an ideal gingival contour is formed around the joint.
• Excellent primary stabilization due to the special shape of the implants and special thread.
• The use of microthreads in combination with conventional threads increases the area of ​​contact with bone by 20%.
• Implants are used for installation in any type of bone.
• High survival rate - up to 98%.
• A wide range of models allows you to select a solution for any clinical case.
• Availability of materials for bone regeneration.
• Affordable price.

Demonstration operations in the operating unit of the Alfa Bio clinical base

Students, together with their full-time assistants (if desired), are encouraged and provided with the opportunity to install implants for independently recruited patients in the conditions of the Alpha Bio operating clinical base.
Requirements for preliminary preparation of patients and introductory briefing are available from representatives of the organizing company. The price of the course includes free annual support from medical instructors (implantologists and orthopedists), including:

• joint examination and consultation of your patients;
• drawing up well-founded comprehensive treatment plans;
• joint implantation with an instructor (80% of the cost of implantation is paid according to the current price list of the clinic).

At your disposal is not only a fully staffed workplace of an implantologist and a surgical team, but also qualified academic and methodological support. Thus, you are given the opportunity to confidently begin independent and error-free implantation in the shortest possible time.

Price: 250$

For complete information about internships and advanced medical training in Israel, please contact us by phone in Israel: +972-54-72-88-919 or fill out the form below and we will contact you as soon as possible.

And a few more words about the pros and cons of Alpha BIO implants

As follows from the above, the low price of Alpha BIO implants is accompanied by a fairly good level of quality, and, at least in their price category, these Israeli implants look very decent.

Let's now sum it up and summarize what key advantages and disadvantages can be identified from Alpha BIO implants. Let's start with the pros:

• versatility – thanks to a wide range of models, you can choose a design for almost any clinical situation;
• According to statistics, implants have fairly good engraftment due to a set of technological solutions (material, thread, porous surface);
• interchangeability with other Israeli systems;
• good support for this implantation system in Russia;
• Today, a large number of implantologists work with Alpha BIO implants - if problems arise and it is impossible to contact your doctor, you can choose almost any other adequate implantologist;
• low price for implants (from 20,000 rubles for the installation of one implant - by modern standards of dentistry this is considered very inexpensive).

It is also useful to read: Korean Snukon dental implants and their key features

Now let's talk about the disadvantages. The situation here is interesting: according to reviews of some practicing implantologists, the main advantage of the Israeli Alpha BIO system is only one - the low price of implants, but there are more disadvantages. Below are some examples of such reviews.

Feedback from an implantologist:

“...When it comes to budget implantology, the patient, and, in fact, the doctor, is faced with a difficult choice - what to recommend and choose so that it will take root normally and work comfortably. Unfortunately, with inexpensive systems, something goes wrong with the general rhythm. Either the dentures are difficult to install, or you have to dig around during installation. In principle, you can work with Alfa, but the same Germans or Swiss make products that are an order of magnitude higher, and there’s not even a thought that something will go wrong.”

And here is another doctor’s review about Alpha BIO implants:

“...The Alpha bio system implants, unfortunately, are a little behind the times; other manufacturers (even in the same segment) are clearly ahead of them. The line of implants is quite rich, porosity is also a plus, but the choice of abutments let us down, and from the point of view of orthopedics this is the most important point. Often the implant is inexpensive to install, and then the patient has to pay 2-3 times more for the prostheses - there can be no question of budget. Although, of course, Alphas have won their niche for lateral teeth, for example, they are quite good ... "

Thus, among the disadvantages of Israeli Alpha BIO implants, one can note the sometimes arising difficulties with prosthetics due to the lack of a sufficient range of abutments, as well as the lack of new products and the most modern high-tech solutions.

However, all this does not mean that Alpha BIO are bad implants - they can be a really good choice in their price category. And although this is a fairly budget option, nevertheless, with professional installation (and you should choose, first of all, a doctor, not a brand) they can last 20, 30 or even more years.

Implantologist's review:

“The patient, of course, should have a general idea of ​​what brands of implants are on the market today. But the final decision is still made by the doctor, based on the condition of the bone and adjacent teeth and the general well-being of the patient. Personally, I like Alpha for many reasons: biocompatibility, convenience, and ease of working with them. But success depends 90% on the doctor and the brand of implants does not play a significant role - the main thing is that the implantologist has some experience working with them.”