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MosdentISTANBUL 1992
// Implants

The Dental Implant Passport: How to Verify Yours, Step by Step _(title alanına `The Dental Implant Passport: `, titleAccent alanına `How to Verify Yours, Step by Step`; sondaki boşluk kalıp gereği korunur.)_

An implant passport is not a courtesy leaflet. Under EU device law the card is an obligation, its fields are standardised, and it is the one document that makes your implant serviceable and your warranty claimable years later. What the card must contain, how to check each entry before you leave the clinic, and what to do if you were never given one.

Dr Ömer Faruk Şarkbay, PhDWritten by
Published
12 minread
Dr Hakan Kavalmedical review
Three-dimensional view of a lower jaw model with a screw-type dental implant and the crown seated on it
Implants·12 min
// Quick answer

A dental implant passport, called an implant card in EU regulation, is the document that records exactly which device was placed in your jaw: the device name and product line, the lot or serial number, the unique device identifier (UDI) and the manufacturer's details, plus the date of placement and the clinic that placed it. Article 18 of the EU Medical Device Regulation 2017/745 obliges the manufacturer to supply this card with every implantable device and obliges the health institution to hand it to the patient with their identity filled in; the exemption list in the same article covers fillings, braces and tooth crowns but not dental implants. Verifying the passport is a procedure, not a feeling: match the lot number on the card against the sticker from the sterile package, keep the distributor invoice trail, and for some brands run the reference and lot number through the manufacturer's own online verification tool.

// Key takeaways
  • 01The implant card is a legal obligation, not a favour. EU MDR 2017/745 Article 18 requires the manufacturer to supply it and the treating institution to give it to the patient; dental implants are absent from the exemption list that covers fillings, braces and tooth crowns.
  • 02A usable passport carries five things: device name and product line, lot or serial number, UDI, manufacturer details, and the placement record (date, tooth position, clinic). EU guidance standardises the card to credit-card size with SN, LOT and UDI symbols (MDCG 2019-8).
  • 03The lot number is the hinge. Manufacturer guarantee claims are filed with the article number and lot number of the specific device; a passport without a lot number documents a brand, not your implant.
  • 04Verification is checkable at four points: the sealed sterile package before opening, the lot sticker transferred into your record, the authorised-distributor invoice, and, where the manufacturer offers one, an online reference-and-lot check.
  • 05A dentist facing an implant with no records has to identify the system from radiographs before any component work, and case reports describe exactly this situation as a significant challenge even for experienced clinicians (PubMed 22624768). The passport exists to make that problem never happen.

/ What a dental implant passport is, and why "genuine products" is not an answer

`straumann implant passport` is a live Google suggestion in the UK, which tells you two things: patients already know this document exists, and they are trying to find out what to do with it. Clinic pages about implant brands usually answer with a promise, a sentence of the form "we use only genuine implants". A promise cannot be checked. A passport can, field by field, and this page is the checking procedure.

The passport, formally an implant card, is a small document that travels with you and records exactly which device is in your jaw. Not "a Straumann implant" or "a Korean implant", but a specific product line, in a specific diameter and length, from a specific manufacturing batch, placed on a specific date at a named clinic. Every one of those facts has a job. The product line tells a future dentist which prosthetic parts fit. The batch, written as a lot number, ties your implant to the manufacturer's production records. The date and clinic anchor any warranty claim. The Straumann implants in Turkey guide and the other brand pages on this site each cover the document inside their own brand's context; this page covers the procedure itself, because the procedure is the same whichever system is placed.

One distinction is worth fixing before anything else: the passport does not prove the surgery was done well, and it is not a certificate of quality. It is an identity document for a medical device. What it proves is traceability, and traceability is what everything else, service, spare parts, warranty, authenticity checks, hangs from.

/ The law behind the card: what EU regulation actually requires

The implant card stopped being a courtesy in 2021, when the EU Medical Device Regulation 2017/745 became fully applicable. Article 18 places two distinct obligations. The manufacturer of an implantable device must provide, together with the device, information allowing its identification: the device name, serial number, lot number, the UDI, the device model, and the manufacturer's name, address and website, and must provide that identification on an implant card delivered with the device. The health institution must then make this information available to the patient and hand over the implant card bearing the patient's identity.

The exemption list in the third paragraph of the same article is the part worth reading twice, because it is where dental treatments split. Sutures, staples, dental fillings, dental braces, tooth crowns, screws, wedges, plates, wires, pins, clips and connectors are exempted. Dental implants are not on that list. A crown cemented onto your own tooth does not come with a card; a fixture placed in your bone does.

The EU's Medical Device Coordination Group standardised what the card should look like (MDCG 2019-8 v2): credit-card dimensions, the device data pre-printed or applied as stickers, symbols for serial number (SN), lot (LOT) and UDI, and three blank fields for the institution to complete, patient name or ID, the implanting clinic's name and address, and the date of implantation. The guidance names three purposes: letting the patient identify their implanted device and reach information about it, letting patients identify themselves where it matters, for example at security checks, and informing emergency staff. Turkey publishes its own Medical Device Regulation in alignment with the EU text (Official Gazette No. 31499, 2 June 2021), so the same card logic applies to devices placed here.

/ What a real implant passport looks like, field by field

The clearest way to know what to expect is to look at one. Neodent, the Straumann Group's Brazilian brand, publishes its patient implant passport as a public PDF, and its fields map exactly onto what a returning patient will one day need. The identity block records name, address and date of birth. The implant data block records the implant type as a checklist of the brand's product lines (Helix, Drive, Zigoma, Titamax and others), the connection type, the surface, the date of placement and the tooth position in both ADA and FDI numbering. Then comes the field that does the real work: the traceability stamp, the sticker from the implant's package, carrying the reference and lot number. The same structure repeats for the abutment and the restoration coping, each with its own article description and traceability stamp, and the dentist signs the completed page.

Read that list again as a checklist for your own document, whatever the brand. Does it name the product line, not just the manufacturer? Does it give diameter and length? Is there a lot number physically stuck or written in, for the implant and for the abutment? Is the tooth position recorded? Is it signed and dated? The passport also records something people rarely think about at placement: the parts above the fixture. Abutments and copings are replaced far more often than fixtures, and their article numbers are what a dentist orders from. A card that documents only the fixture is half a card, a point that matters again in the aftercare at home guide.

/ The verification procedure, in the order it happens

Verification is not one act at the end; it is four checkpoints in sequence, and each produces something you can keep.

The first checkpoint is the sealed package. An implant arrives in a sterile carrier printed with the product reference (REF) and lot number (LOT). You can ask to see it, or to have it photographed, before it is opened in theatre. This is a reasonable and answerable request, and asking it in advance, in writing, is itself informative.

The second is the transfer of the lot label. The peel-off sticker from the package goes into your clinical record and onto your implant card. This is the moment the card becomes evidence rather than stationery. If your treatment plan involves several implants, each fixture has its own lot entry.

The third is the paper trail below the product: the invoice showing the device came through the manufacturer's authorised distributor. You will probably never look at it again, but its existence is a condition in most manufacturer guarantees, which apply to products sold by an affiliate or official distributor.

The fourth is manufacturer verification, where it exists. Straumann operates an online verification tool that takes the product reference and lot number and confirms whether the component is an original Straumann product; the company positions this confirmation as a precondition of its own guarantee. The tool sits in the professional section of the site, so in practice you ask the clinic to run the check and show you the result. For devices on the US market there is also a public route anyone can use: AccessGUDID, the FDA and National Library of Medicine database, lets you look up any UDI and see the manufacturer's registered device data. Not every brand offers a patient-visible lot check, and where one does not exist, the workable chain is the first three checkpoints plus a written confirmation from the clinic naming the product line and lot.

/ Why the lot number decides whether your implant is serviceable

Everything above may feel like bureaucracy until year six, when a screw loosens or a crown needs replacing and you are in a different country. At that point the question is not philosophical: which abutment does the local dentist order, at which platform, from which catalogue? With a complete passport this is a ten-minute matter. Without it, the dentist must work out the system from radiographs, and the clinical literature describes managing complications in unidentified implant systems as a significant challenge even for experienced clinicians, with professional and ethical complications layered on top of the technical ones (PubMed 22624768). Some cases end with the sentence every returning patient dreads: we cannot service this here.

The lot number also carries your warranty. This is not an abstraction; it is on the forms. Straumann's guarantee questionnaire requires the article number, lot number and placement date for every product involved in a claim. Neodent's warranty policy requires the patient's record proving the installation date together with evidence of the patient label accompanying the product, and Dentsply Sirona's terms for Ankylos and Astra Tech require a completed complaint record with the product returned. No lot number, no claim, however genuine the device was. The full mechanics of what those warranties do and do not cover, and how they behave across borders, are the subject of the implant warranty portability guide.

There is a third, quieter function. The lot number is what connects you to the manufacturer's post-market system: if a batch is ever subject to a field safety action, the lot number is how affected patients are identified. Traceability is not paperwork for its own sake; it is the recall mechanism of an implanted device.

/ If you were never given a passport

First, the plain fact: a missing card does not mean a fake implant or a bad clinic. The obligation entered EU law in 2021, many implants predate it, and enforcement of the hand-to-patient step is uneven everywhere. But the information exists somewhere, because lot labels are transferred into clinical records at placement in any properly run theatre. So the recovery route is the record, not the card: write to the clinic that placed the implant and request the device details from your file, product line, diameter and length, lot number, placement date, tooth position. Clinics are subject to record-keeping obligations under their national law, and a specific written request usually produces a specific written answer.

If the clinic no longer exists or does not answer, the fallback is radiographic identification by a dentist, which works often but not always, and works at the level of the system rather than the lot (PubMed 22624768). That recovers serviceability; it cannot recover a manufacturer guarantee claim, which is filed by lot.

From our side the position is simple to state because it is already how the hospital works: every implant placed here is issued with a serial-numbered certificate, the lot goes into the record and onto the card, and you should have the document in your hand at discharge, not in an email you have to chase later. If you are comparing clinics, in any country, put this on the list of things you ask before booking, in writing: which product line, will the lot number be recorded on my card, may I see the sealed package. The dental implant treatment page explains the clinical pathway itself, and written questions about documentation go through the contact page; the clinicians answering are named on the clinical team page.

/ What the passport cannot tell you

A page that oversells its subject misleads on it, so the limits belong here. The passport authenticates the device, not the dentistry: it says nothing about whether the implant was placed at the right angle, whether the bone was adequate, or whether the prosthetic plan was sound. Those questions live in imaging and planning, covered in the implant treatment stages guide and, for bone-deficient cases, the bone graft and sinus lift guides.

Nor does the passport predict longevity. Ten-year survival belongs to published cohort data, reported per system in the brand guides, Straumann, Osstem, Neodent, Ankylos, Astra Tech, Nobel Biocare and Medentika, and longevity in your mouth depends more on tissue health and maintenance than on any document, which is why the implant cleaning guide and the peri-implantitis article outrank this page in long-term importance. And the passport is not, by itself, proof against counterfeiting; it is one link in a chain whose other links, and whose realistic limits, are examined in the counterfeit risk guide.

What it is, is the difference between an implant that can be identified, serviced, claimed on and, if ever necessary, recalled, and a piece of titanium of unknown origin in your jaw. That difference costs the clinic a sticker and a signature. Ask for it.

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// References
  1. 1.Regulation (EU) 2017/745 on medical devices, Article 18 (implant card obligation and exemption list) and Article 27 (UDI system)
  2. 2.MDCG 2019-8 v2, Guidance document: Implant Card relating to the application of Article 18 Regulation (EU) 2017/745, March 2020 (card purposes, standardised fields, symbols, credit-card format)
  3. 3.Neodent, Implant Passport, patient material 101385 (worked example of passport fields: implant type, connection, surface, tooth position, traceability stamps for implant, abutment and coping)
  4. 4.Straumann Guarantee, official terms and questionnaire, form 152.360 (claims filed by article number, lot number and placement date; guarantee in favour of the treating dentist)
  5. 5.Neodent Products Warranty Policy POL-000107 rev. 8 (claim requires patient record proving installation date and evidence of the patient label)
  6. 6.Dentsply Sirona, Implant systems warranty: Ankylos, Astra Tech Implant System, Xive (complaint record and product return required for claims)
  7. 7.Straumann Online Verification Tool (authenticity check by product reference and lot number)
  8. 8.AccessGUDID, U.S. National Library of Medicine / FDA public UDI database
  9. 9.Türk Standardları Enstitüsü, Tıbbi Cihaz Yönetmeliği announcement (Turkish Medical Device Regulation of 2 June 2021, Official Gazette No. 31499, prepared in full compliance with (EU) 2017/745)
  10. 10.Mattheos N, Janda MS. Exotic encounters with dental implants: managing complications with unidentified systems. Aust Dent J. 2012;57(2):236-242
// Written by
Ömer Faruk Şarkbay
Dentist, PhD Ömer Faruk Şarkbay
Oral & Maxillofacial Surgery
Medically reviewed by: Dr Hakan Kaval

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// Frequently Asked

Frequently asked questions

What is a dental implant passport?+

It is the identity document of your implant: an implant card recording the device name and product line, lot or serial number, unique device identifier (UDI), manufacturer details, plus the placement date, tooth position and implanting clinic. Under Article 18 of EU MDR 2017/745 the manufacturer must supply the card with every implantable device and the treating institution must give it to the patient with their identity on it.

Is a clinic legally required to give me an implant card?+

For devices placed on the EU market, yes: Article 18 of the Medical Device Regulation makes the card mandatory, and dental implants are not in the exemption list that covers fillings, braces and tooth crowns. Turkey's own Medical Device Regulation is published in alignment with the EU text. In practice enforcement varies, which is why asking for the card in writing before treatment is the reliable route.

What should be written on an implant passport?+

Five clusters: the device (brand, product line, diameter, length), the traceability data (lot or serial number, UDI), the manufacturer's details, the placement record (date, tooth position, clinic, clinician signature), and ideally the same data for the abutment and coping, which are the parts most often replaced later. EU guidance standardises the card at credit-card size with SN, LOT and UDI symbols (MDCG 2019-8).

How do I verify that my implant is genuine?+

Four checkpoints: see or photograph the sealed sterile package with its REF and LOT before opening; confirm the lot sticker is transferred to your record and card; ask for the authorised-distributor invoice trail; and where the manufacturer offers one, have the clinic run the reference and lot through its online verification tool. Straumann publishes such a tool and treats the check as a precondition of its guarantee. The wider context sits in the counterfeit risk guide.

I was never given an implant passport. What can I do?+

Request the device details in writing from the clinic that placed the implant; the lot label should be in your clinical record even if no card was issued. If the clinic cannot be reached, a dentist can usually identify the system, though not the lot, from radiographs, which restores serviceability but not a manufacturer warranty claim (PubMed 22624768).

Does the implant passport matter years after treatment?+

More than at any other time. Component-level work, a loose screw, a new crown, an abutment change, requires knowing the exact platform, and warranty claims are filed by article and lot number with the placement date. The card is also how you would be identified if a manufacturing batch were ever subject to a safety action.

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