MIS Implants: Pros and Cons?
I was thinking of adding the MIS Implant system to my practice, but before trying MIS Implants I wanted to get some feedback from colleagues. What are the pros and cons of the MIS Implant system? What kind of complications have you come across with this implant system and what do you think are the best characteristics of MIS? Thanks.
21 Comments on MIS Implants: Pros and Cons?
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Kaz
10/14/2014
I currently use the MIS 7 implant system. I have had very good success overall with their implants. One major issue that I was not aware of when I got involved is that they only have hexed open tray impression copings. That is great if you are only restoring one implant but if you are impressing multiple implants at the same time it does not work well. It is really bad if you duralay splint your copings together because there is no way that you will have perfect draw with multiple implants. When I call the center in NY about the issue they talk to me as if I was the man in the moon. I find it hard to believe an international company like this is deficient in a very important part of the restorative process.
Dr LAH
10/14/2014
MIS implants System has open tray impression copings. Instead of Duralay try Instatemp injected directly to the net connecting the impression copings
Dr Nardeep Singh Insan
10/15/2014
for multiple implants, open tray transfer is the most accurate impression technique..To the contrary,,single implant is best impressed with closed tray impression technique..
George L
10/26/2020
Hi Kaz, quick question. I have a new patient that has a Mis implant that has loosened and the crown is wiggling. I have torque wrenches for Zimmer and 3i, will either of those work tightening a Mis screw or do I have to get a new torque wrench? Thanks George
Alejandro Berg
10/14/2014
I believe MIS to be a good second tier company and they produce good implants, the seven is nice. Their surface is ok, clearly not Paltop or Straumann but better than adin, cortex and alpha bio (xps are quite clear in this area). They had this huge problem years ago with the surface treatment but they have bounced back quite well. They do lack heavily in the prosthetic area, but that can be overcome with abutments and parts from other systems like Paltop or a generic like Surcam. Having said that, why in the world an international standard internal hex that is so expensive in terms of price vs quality?
best of luck
Dr. Gerald Rudick
10/14/2014
I have a lot of respect for MIS..........I have been using ADIN DENTAL IMPLANT SYSTEMS and its former original company called Medigma Technologies for almost 25 years.....both MIS and ADIN are Israeli companies, and their manufacturing plants are both based in the north of Israel.
ADIN has many different components that will fit the MIS system, so that you can Duralay all your impression copings together if you are not certain of a perfect draw.
You should be aware that none of the dental implant manufacturers ( to my knowledge) manufacture titanium alloy bar stock...there are very few companies in the world that do this sort of thing, and so the various implant companies design and machine their implants from the same bar stock as all the others.....so your choice of MIS or ADIN is certainly in your favor, and you will get good quality implants and prosthetic parts without spending outrageous sums of money for the brands that are so widely advertised and are charging you for this.
Dr. Gerald Rudick Montreal, Canada
manosteel
10/14/2014
I have used the Mis7 system and found it to be a very good one overall. However for the money and customer service we use the HiTEC line which is also made in Israel and a second line, Implant Direct. Both lines are compatible with a lot of the instrumentation used for the Zimmer and Mis systems. I heard Leonard Linkow say one time: "If they're threaded and you put them in right they'll work" now that's pretty broad but a bit of truth to it!
Rand
10/14/2014
I have placed and restore implants from about ten different companies. I have never had a problem with impressions because their internal hex is compatible with many other companies and I use closed tray impression posts from Implant Direct if needed.
There are two things that I love about MIS 7 implants. Each implant comes with a final sterile drill. That make placement go easier. Additionally, there is great platform switching with their 6 mm wide implants.
The other thing I like about them is that Sirona make Ti-base abutments that go with my Cerec system. I can take a digital impression and design a screw retained implant crown or make an abutment with a matching crown. It avoids the time, effort, expense and possible imperfections from taking impressions and pouring up models. It gives me more control.
I have also used their C1 implant. It is a platformed switched implant with a Morse taper. Drawbacks are that their widest C1 implant is only 5 mm wide. Additional, like other implants of it's design, impressions and seating abutments are more difficult that a regular internal hex implant.
They are a great company and product. I do not think you can go wrong.
geoff
3/3/2015
Rand, do you get your Ti-base abutments directly from Sirona? I heard that the Ti Base kit for Zimmer is compatible with the MIS implants.
RAnd
2/22/2017
I get them from Sirona and Blue Sky Bio, they are both compatible.
Keith Goldstein
10/15/2014
Restoratively speaking there are several sources for internal hex components including solutions similar to cerec ti bases to accommodate the MIS user.
Two to consider are DESS and Implant Part which have these components.
Geoff
10/15/2014
I've used MIS for over 10 years and like the system. Also us Implant Direct and Astra Tech. Used to use Nobel Replace and did a few Zimmer. All about the same except that Astra probably has the best maintenance of bone at the implant/abutment connection (because of their seal I think). But I only use Astra when I have "short bone" and don't want to lose even a little at the crest. Then it's worth the $400/implant cost. Otherwise MIS works as well as all the other systems I've used.
One advantage to MIS is that the 6 mm has the 4.5 mm connection instead of another 5.7 mm connection like Zimmer and Implant Direct. I've never had a 4.5 connection on a 6 mm implant come loose so I think that the 5.7 connection use on the Zimmer and I.D implants may be unneccesary and just requires more parts to fit the 5.7 mm implants. So I can use a 6 mm MIS Seven and still only need one size wide platform healing abutments, abutments, etc.
Joe
10/16/2014
AB Dental implants is another great alternative. Their i5 implant is very similar to MIS Seven, but has more sizes (3 to 8mm), and standard internal hex connection from 3.5mm all the way up to 8mm implants.
Richard Hughes, DDS , FAA
10/17/2014
Fi use to use the MIS7. It's a good implant , but the instrumentation ( implant driver) was an issue. It would not always properly engage the ratchet. Lost a driver down a patient's throat into the right lower bronchus.
I switched to AB DENTAL. I DO USE THE I5 but prefer the I2 for most sites m
rafi rafiee
2/21/2017
Oh my ! How was that resolved? Surgery?
dr gerald rudick
10/17/2014
In my previous comments, I have stressed the fact that the titanium alloy bar stock that all implants are machined from is not manufactured by the implant companies themselves........the fact is they are all using the same metal.
Dentists are being attracted to the more expensive implant companies because they are spending more money on advertising and promotions to entice the dentist.
The Nobel Active implant came into being from Nobel buying the design from Alpha Bio of Israel, where that actual design was originated by Ami Hantman one of the owners of ADIN DENTAL IMPLANTS of Israel ........ADIN is available worldwide at very affordable prices for the implants and prosthetic parts.
If you can control your costs, you can make implantology more available and affordable to your patients.
Larry J. Meyer
10/18/2014
Well said Gerald!!! I am now charging less than I was in 2005 because of companies like Implant Direct, OCOBiomedical, IDSMegagen, and Zest Lodi.
People deserve to get a good service at a reasonable fee.
Adam
11/11/2014
I began placing implants in 2012, my first system was mis c1. My mentor recommended this brand as my entry level system. I have had no problems so far, the support is remarkable even here in sub Saharan Africa. The tool kit is super user friendly and in terms of cost , mis is viable to me the practitioner and affordable to clients. I unreservedly recommend it.
Seth Rosen
1/25/2017
I have placed the Seven implant and am now placing the C1. I love the C1! The Seven was meh. Internal hex, nothing special. Nice packaging with the final drill and all. Was buying analogs and impression copings on ebay. The C1 is a vast improvement. Conical connection at a great price. I place 300-400 implants annually. I picked up 90 C1's, two surgical kits, two electric handpieces, and 90 prosthetic kits for $22K. Sold one electric handpiece for $3500. So whole package cost $18.5K, which comes in at around $150 per complete implant. Surgical kit is average at best. Straight twist drills good for around 50 placements. I love the connection on the driver. Positive hold, no drops. Implant packaging is a bit of a pain, the stickers are inside the outer vial. Every implant comes with cover cap, final drill, and temporary peek abutment. You will need to purchase (or shake the rep down for) healing abutments.
I placed a ton of HiOssen in the past (ETIII and HGII) as well as AstraTech. This implant is better then both. I have assimilated this system along side HiOssen so I now have 3.0 two piece (Biohorizon Lazerlock), 3.3, 3.5,3.75,4.0, 4.2,4.5,4.74,5.0,6.0, 7.0 (Southern), 8.0 (Southern), and 9.0 (Southern).
If you place a lot of implants it will integrate well into your practice...
Steven
4/28/2017
MIS is a good choice. C1 is better than 7 especially for standard or narrow platform. The design of the abutment was poor for 5 .0 or 6.0 . The substructure broke in some cases.
The new series C1 is totally different design. No problem. They are great.
I'm using MIS C1, Straumann, Nobel. They are all good. MIS package include fixture, cover screw, temp abutment and disposable drill. It worthy a try.
Ninja
8/13/2017
A closed tray produces perfect results with the plastic cap stains in the impression in cases of multiple implants. Obviously a good impression material assures accuracy like Impregum. There is only one way to place the impression coping into the profiled plastic cap. With poor impression material there could be distortions when one removes impression tray and the copings are not parallel. The plastic cap should not be reused just like in the case of taking a second impression. MIS Seven is an excellent system.