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Neodent Acqua

Also known as: Acqua, Acqua surface, Acqua hydrophilic surface

Neodent’s hydrophilic implant surface, described by the manufacturer as the next stage of its sandblasted and acid-etched NeoPoros surface.

Key facts

ManufacturerNeodent, part of the Straumann GroupVerified spec[1][2]
Production processNeodent describes Acqua as "the next level of the highly successful S.L.A. type of surface", and states that the hydrophilic surface presents a smaller contact angle with liquids, giving greater accessibility of organic fluids to the surface.Manufacturer-reported[1]
TopographyNeodent reports a macro-topography of 20-40 micrometres and a micro-topography of 2-4 micrometres, and states that scanning electron microscopy showed no difference in roughness between the NeoPoros and Acqua surfaces.Manufacturer-reported[2]
Surface roughnessAn arithmetic mean height of 1.3 micrometres is reported for the NeoPoros surface, which Neodent states shares its topography with Acqua.Manufacturer-reported[2]The figure is given in the source for NeoPoros; Acqua is stated to be topographically identical.
Predecessor systemNeoPoros, Neodent’s sandblasted and acid-etched surface.Manufacturer-reported[1][2]
Manufacturer-described indicationNeodent positions Acqua for challenging situations such as soft bone or immediate protocols, and states that the surface may produce a faster increase in resonance frequency, 2.24 times faster than implants with hydrophobic surfaces.Manufacturer-reported[1][2]Neodent’s brochure attaches an explicit caveat that its hydrophilicity data comes from a pre-clinical animal study not correlated to long-term human outcomes.
Geographic availabilityNeodent lists the Helix, Drive, Titamax, Helix Short and Helix GM Narrow implant designs as featuring the Acqua surface.Manufacturer-reported[1]

Overview

Acqua occupies the same position in Neodent’s range that SLActive does in Straumann’s, which is not a coincidence: Neodent is a Straumann Group brand, and the two surfaces share the underlying idea of adding hydrophilicity to a blasted and etched topography. Neodent is unusually clear that the topography itself does not change - its own electron microscopy comparison found no roughness difference between Acqua and the older NeoPoros surface - so any benefit has to come from wettability rather than texture. The company is also more candid than most about the limits of its evidence, attaching a written caveat to its hydrophilicity data that the underlying work is a pre-clinical animal study. For a patient being quoted a Neodent implant in Turkey or Brazil, where the brand is widely used, the practical distinction is between the two surface options rather than between Neodent and its parent: Acqua and NeoPoros implants share the same body, thread and connection.

Sources

Numbers match the citations beside each claim above.

Primary sources

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