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Journal · 14

Why dental implants fail: is the brand usually the reason?

When an implant fails, people often blame the brand. The evidence usually points elsewhere.

In short
  • Risk factors changed survival from 94.8% to 76.5% in one NobelActive® cohort.1
  • Smoking raised failure risk in All-on-4® treatment concept data.2

Evidence

Independent clinical study

In a university cohort of 207 NobelActive® implants, overall survival was 91.5%; survival was lower in patients with both local and systemic risk factors (76.5%) than in patients without risk factors (94.8%). 1

Small retrospective study; shows that patient factors matter more than the implant name.

Consensus / guideline

The EFP S3 clinical guideline on peri-implant diseases centres prevention on oral hygiene, regular supportive care and managing risk factors such as smoking. 3

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Clinical review pending. Facts on this page are checked against the sources listed below (regulatory records, manufacturer documents, peer-reviewed research). A named clinician will review it before we call it medically reviewed.
Last updated 28 Sep 2026 · How we review

Sources

  1. Independent clinical studySaridakis SK et al. Tapered implant with high primary stability in patients with local and systemic risk factors: 7-year data. Int J Implant Dent 2018 — Int J Implant Dent, 2018. Accessed 28 Sep 2026.
  2. Independent clinical studyMaló P et al. The All-on-4 concept for the edentulous maxilla: longitudinal study with 5–13 years of follow-up. Clin Implant Dent Relat Res 2019 — Clin Implant Dent Relat Res, 2019. Accessed 28 Sep 2026.
  3. Consensus / guidelineHerrera D et al. Prevention and treatment of peri-implant diseases — EFP S3 level clinical practice guideline — J Clin Periodontol, 2023. Accessed 28 Sep 2026.

Educational information only. The choice of implant system depends on your anatomy, restorative plan, bone quality and the clinician's assessment. This website does not recommend a specific implant for you.

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