TiUnite implant surface – proven to perform
Enhanced osseointegration and stable bone levels
The surface for osseointegration
High stability in the critical healing phase
TiUnite maintains implant stability immediately after placement with enhanced osseointegration and anchorage in surrounding bone.5, 6, 7 This is particularly important in regions with soft bone and/or high occlusal loads as well as for immediate loading protocols.
Proven longevity with 10-year clinical data
The first three long-term studies indicate that implants with TiUnite surface maintain marginal bone, both in partially and fully edentulous cases, with cumulative survival rates of 97.1–99.2% after ten and more years – even when placed in fresh extraction wounds and immediately loaded.8, 9, 10, 20
Stable marginal bone levels over the long term
Implants with TiUnite surface demonstrate excellent crestal bone stability over the long term.8, 9, 10, 13 In a study on TiUnite, for example, mid-term change between one and five years is on average 0.0 mm; and long-term change between one and ten years is -0.3 mm (see figure on the left).9
Other key findings
There are several structural similarities between gingiva and peri-implant tissue which provide protection for the underlying soft tissues and alveolar bone.17
The beauty of osseointegration
A remarkable set of pictures display the beauty of osseonintegration as it has never been revealed before. Courtesy of Prof. Dr. Peter Schüpbach.
Download the TiUnite screensaver, to display these amazing microscopic images that are as beautiful as they are breathtaking.
Prof. Bertil Friberg, Brånemark Clinic, Sweden
"The TiUnite surface has improved our results, especially in grafted bone and in bone of low density. It has, without question, significantly reduced our early failure rate as well."
Dr. Thomas Müller-Hotop, Germany
"Ever since the TiUnite surface became available, we have used it for all indications in our dental office. We see major benefits in advanced indications such as immediate implant placement, immediate loading and implant placement in soft bone conditions."
Dr. Javier Alández, Spain
"Recently, we have conducted a retrospective study using Immediate Function. Based on the results of a six-year follow-up, we can conclude that the Immediate Function protocol with TiUnite implants is predictable and we can expect a high success rate."
1 Balshi SF, Wolfinger GJ, Balshi TJ. Analysis of 164 titanium oxide surface implants in completely edentulous arches for fixed prosthesis anchorage using the pterygomaxillary region. Int J Oral Maxillofac Implants. 2005; 20:946-52
2 Olsson M, Stenport V, Jemt T. Incidence of first implant failure. A retro-prospective study on 10 719 implant operations in 8 528 treated patients during a 28-years period of time at one specialist clinic. submitted 2014.
3 Rocci A, Rocci M, Rocci C, Scoccia A, Gargari M, Martignoni M, Gottlow J, Sennerby L. Immediate loading of Brånemark System TiUnite and machined-surface implants in the posterior mandible: a randomized open-ended clinical trial. Int J Oral Maxillofac Implants. 2013 May-Jun;28(3):891-5. doi: 10.11607/jomi.2397
4 Alsaadi G, Quirynen M, van Steenberghe D. The importance of implant surface characteristics in the replacement of failed implants. Int J Oral Maxillofac Implants. 2006; 21:270-74
5 Glauser R, Portmann M, Ruhstaller P, Lundgren AK, Hämmerle CH, Gottlow J. Stability measurements of immediately loaded machined and oxidized implants in the posterior maxilla. A comparative clinical study using resonance frequency analysis. Applied Osseointegration Research 2001; 2:27-9
6 Zechner W, Tangl S, Furst G, Tepper G, Thams U, Mailath G, Watzek G. Osseous healing characteristics of three different implant types. Clin Oral Implants Res 2003; 14:150-7
7 Ivanoff CJ, Widmark G, Johansson C, Wennerberg A. Histologic evaluation of bone response to oxidized and turned titanium micro-implants in human jawbone. Int J Oral Maxillofac Implants 2003; 18:341-8
8 Degidi M, Nardi D, Piattelli A. 10-Year Follow-Up of Immediately Loaded Implants with TiUnite Porous Anodized Surface. Clin Implant Dent Relat Res 2012; 14(6):828-38
9 Östman PO, Hellman M, Sennerby L. Ten years later. Results from a prospective single-centre clinical study on 121 oxidized (TiUnite) Brånemark implants in 46 patients. Clin Implant Dent Relat Res 2012 Dec; 14(6):852-60
10 Glauser R. Eleven-year results of implants with an oxidized surface placed predominantly in soft bone and subjected to immediate occlusal loading. Clin Oral Impl Res 2012; 23 suppl 7;140-1
11 Kolinski ML, Cherry JE, McAllister BS, Parrish KD, Pumphrey DW, Schroering RL. Evaluation of a Variable-Thread Tapered Implant in Extraction Sites With Immediate Temporization: A 3-Year Multi-Center Clinical Study. J Periodontol 2014; 85: 386-394
12 Marzola R, Scotti R, Fazi G, Schincaglia GP. Immediate loading of two implants supporting a ball attachment-retained mandibular overdenture a prospective clinical study. Clin Implant Dent Relat Res 2007; 9:136-43
13 Nickenig H, Wichmann M, Schlegel K, Nkenke E, Eitner S. Radiographic evaluation of marginal bone levels adjacent to parallelscrew cylinder machined-neck implants and rough-surfaced micro-threaded implants using digitized panoramic radiographs. Clin Oral Impl Res 2009; 20:550-4
14 Arnhart C, Kielbassa AM, Martinez-de Fuentes R, Goldstein M, Jackowski J, Lorenzoni M, Maiorana C, Mericske-Stern R, Pozzi A, Rompen E, Sanz M, Strub JR. Comparison of variable-thread tapered implant designs to a standard tapered implant design after immediate loading. A 3-year multicentre randomised controlled trial. Eur J Oral Implantol 2012; 5: 123-136
15 Glauser R. Implants with an Oxidized Surface Placed Predominately in Soft Bone Quality and Subjected to Immediate Occlusal Loading: Results from a 7-Year Clinical Follow-Up. Clin Implant Dent Relat Res 2013; 15: 322-331.
16 Liddelow G and Henry P. The immediately loaded single implant-retained mandibular overdenture: a 36-month prospective study. Int J Prosthodont 2010; 23:13-21
17 Schüpbach P, Glauser R. The defense architecture of the human periimplant mucosa: a histological study. J Prosthet Dent 2007; 97(6 Suppl):15-25
18 Mura P. Immediate Loading of Tapered Implants Placed in Postextraction Sockets: Retrospective Analysis of the 5-Year Clinical Outcome. Clin Implant Dent Relat Res 2012; 14: 565-574
19 Hall J, Lausmaa J. Properties of a new porous oxide surface on titanium implants. Applied Osseointegration Research 2000; 1: 5-8
20 Mozzati M, Gallesio G, Del Fabbro M. Long-term (9-12 years) outcomes of titanium implants with an oxidized surface: a retrospective investigation on 209 implants. J Oral Implantol. 2013 Oct 31. [Epub ahead of print]