There are hundreds of dental implant manufacturers worldwide. This section covers nine of the systems most likely to be offered to you in Canada, in depth, what each one actually is, what its trademarked terminology means, and what its published evidence does and does not show.
What Is an "Implant System"?
When dentists talk about an implant "brand," they rarely mean a single product. They mean a system: a complete, engineered platform that includes:
- The fixture: the implant itself, in a range of diameters, lengths, thread designs, and surface treatments (see implant materials for how surfaces are engineered).
- The connection: the precisely machined interface (internal hex, conical/Morse taper, or another geometry) where the abutment seats into the fixture.
- The prosthetic components: abutments, screws, temporary cylinders, impression or scanning parts, and denture attachments, all made to fit that specific connection.
- The surgical kit: the matched sequence of drills, guides, drivers, and torque instruments used to prepare the bone and place the fixture to the manufacturer's protocol.
Every part is designed to work with the others to tight manufacturing tolerances. That is why components from different systems are generally not mixed, and why "which system" is a meaningful planning question rather than a marketing detail.
Why System Choice Matters
Three practical considerations make the system decision important for patients:
- Connection geometry: The fixture-abutment connection determines how chewing forces are distributed, how well the interface seals against bacteria, and which restorative options are available. Conical (tapered) connections, internal hexes, and platform-switched designs each have documented mechanical characteristics that suit different sites and restorations.
- Long-term availability of parts: An implant may need a new crown, screw, or attachment 10 or 20 years after placement. Established manufacturers maintain component lines and compatibility over decades, so your implant remains serviceable even if you have moved cities or changed dentists.
- Documentation and research: Well-established systems are supported by published clinical studies, defined surgical protocols, and traceable lot documentation. Your dental office records the exact system, model, and size placed, which becomes part of your permanent dental record.
The Brands, In Depth
Each profile below is written from the manufacturer's own published technical literature. Manufacturer claims are attributed as claims, and where independent evidence is thin we say so.
Straumann
The most-published system in dentistry. Tissue-level heritage, the Roxolid alloy and the SLActive surface.
Nobel Biocare
The company that commercialised osseointegration. Four incompatible connection families to understand.
BioHorizons
Laser-Lok microchannels, engineered to attach gum tissue to the implant collar and preserve bone.
Camlog
German titanium platforms, plus CERALOG, one of very few genuine two-piece ceramic implants.
Neodent
Straumann Group engineering at a value price. The Grand Morse connection and Acqua surface.
MegaGen
Knife-thread geometry designed to grip in soft and compromised bone, plus a one-piece implant for narrow ridges.
Hiossen
Osstem-affiliated. An 11-degree Morse taper and unusually specific published surface claims.
bredent
The SKY implant family, and BioHPP, a polymer used for prosthetics, not for the implant.
Implant Direct
Built to undercut the premium brands on price, with connection compatibility as a selling point.
How a System Is Chosen for Your Case
The right system is chosen case-by-case, based on your bone volume and density, the specific site in the jaw, aesthetic demands, and the restorative plan; a single crown, a bridge, or a full-arch prosthesis each pulls the decision in a different direction. A dentist who works with several systems can match these variables to the platform whose sizes, connection, and components fit the plan, rather than adapting the plan to a single product line.
In practice, system selection follows the 3D imaging and digital planning completed for each case. Many dentists work with more than one system for exactly this reason, and a good treatment discussion includes an explanation of which system is proposed for you and why. Guidance on navigating implant care in Ontario, including how to verify a dentist’s registration, is available at Ontario Implant Access.
