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TiUnite

Also known as: TiUnite surface, Nobel Biocare TiUnite

Nobel Biocare’s anodised titanium implant surface, introduced around 2000 and described by the manufacturer as moderately rough.

Key facts

ManufacturerNobel Biocare Services AGVerified spec[1]
Production processNobel Biocare refers to TiUnite as an oxidised (anodised) surface, and describes anodisation as increasing the thickness of the implant’s titanium dioxide layer, moderately roughening it and improving osteoconductivity.Manufacturer-reported[2][3]
Surface categoryDescribed by Nobel Biocare as a moderately rough surface.Manufacturer-reported[2]
Surface roughnessManufacturer documentation not located(Nobel Biocare describes TiUnite as moderately rough but the pages we reached do not state an Sa figure for it.)
FoundedNobel Biocare’s 2017 article describes the surface as having launched 17 years earlier, placing its introduction around the year 2000.Manufacturer-reported[2]
Clinical evidenceNobel Biocare cites a meta-analysis of 12,804 TiUnite implants in 4,694 patients reporting projected survival above 99 per cent at one year and 95.1 per cent at ten years (91.5 per cent at patient level), and reports peri-implantitis prevalence as low as 1.36 per cent across the studied patients.Manufacturer-reported[2][3]Figures as presented by the manufacturer. Peri-implantitis prevalence in particular varies enormously with the case definition applied, which is not stated here.
Geographic availabilityNobel Biocare’s current implant catalogue lists TiUnite as one of its two surface options, alongside TiUltra.Manufacturer-reported[1]

Overview

TiUnite is the surface that established anodising as a mainstream alternative to blasting and etching, and it is unusual among implant surfaces in having been in continuous clinical use for around a quarter of a century - a genuinely long record by the standards of this field. Nobel Biocare leans on that record heavily, and the volume of published data is real. Two qualifications belong alongside it. The first is that the survival figures the company quotes come from its own synthesis of studies on its own product, which is not the same thing as an independent comparison against a competitor. The second is that anodised surfaces were, for a period, the subject of a specific concern about susceptibility to peri-implant infection; Nobel Biocare’s published prevalence figure addresses that argument directly, but prevalence numbers in this area are notoriously sensitive to how peri-implantitis is defined, so a single low figure should be read as one contribution to a live debate rather than as its conclusion. TiUnite has not been withdrawn in favour of the newer TiUltra: both appear in the current catalogue.

Sources

Numbers match the citations beside each claim above.

Primary sources

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