With dental implants, there is a time to use premium and there is a time to not use premium implants.

As a business owner and clinician there is a balancing act between cutting supply costs just for the sake of cutting costs versus ensuring you deliver a clinically predictable long-term result.  Too often clinicians look at implant fixtures as completely interchangeable and then simply go to a lowest cost solution.

Clinicians complain about patients doing this to them and then the clinician does the same thing when it comes to applying “cheap” to things that aren’t exactly the same!

Often times the drive to discount is due to an absolute failure and unwillingness to have a REAL MBA sales process in the practice. I’ve been teaching MBA level sales processes for 17+ years so that practices don’t need to partake in “dumb” discounting. If you are under any type of insurance plan and want to do more “big” cases, it’s impossible to do as many as you would like unless you’ve been through this MBA Level Training.

When To Not Consider Premium Implants

So, when can one comfortably think about using not premium implants? Four things immediately come to mind:

1. Single teeth implants in non-esthetic zone
2. Implants for use in abundant bone
3. Implants for use with bone density of D1 or D2 as per my mentor Carl Misch
4. Patient has a robust immune system (meaning Titanium will be tolerated) as a biological material

Once we leave these conditions, then implant selection becomes more important BECAUSE risk goes up both from an integration and stability standpoint, a health standpoint, and a restorative standpoint.  In other words, one cheap discounted implant does not apply to all situations!

Notice, nowhere on the list do you see the All-on-X Procedure as when one you should be seeking a heavily discounted product.   Yes there are “knock-off” products out there but none of the competing low-cost products have as much science or clinical track record with restorations in place as Nobel’s product to make it worth the RISK to you or your patient.

Other Reasons

For full arch cases in patients who are ultra health conscious or who have immune system issues, then a new discussion beyond titanium needs to enter the presentation room.  Again, this is called higher level doctor thinking and it is literally what you get paid to do!  That higher level thinking is also taught as part of sales in the MBA course.

Beyond the clinical and science side, there are other reasons to not use a “knock-off” for the All-on-X procedure, and, well, that’s not something revealed to anyone who’s not participating in our Full Arch Program.

Our first discussion call to review your implant case goes is free.