Please activate JavaScript!
Please install Adobe Flash Player, click here for download
ePaper created 2015-03-18, 11:28:53 | version 1.33.01
industry Implant Tribune U.S. Edition | March 2015D6 Bringing innovation back By Nobel Biocare Staff L arge extraction sockets, limited accessibility, tough-to-remove excess cement and high occlusal forces. These are just some of the challenges a clinician faces when restor- ing a single tooth in the posterior. And, with molar replacement being among the most common indications, these challenges are encountered repeatedly. A solution that addresses all these problems in an efficient and predictable way will make life easier for dental pro- fessionals and patients. That’s precisely why Nobel Biocare is bringing innova- tion back to the posterior region with its new complete posterior solution — an original combination of new wide- platform implants and restorative op- tions, all specially designed for molar sites. An implant like no other Multiple Nobel Biocare innovations com- bine to make this solution complete, but the foundation for treatment success is the implant itself. Here Nobel Biocare of- fers several options, each engineered for the specific demands of the posterior. All are intended to shorten time to teeth for the patient by enabling immediate load- ing whenever possible. One option is NobelActive. Many cli- nicians are already familiar with this award-winning* implant. Its distinctive design and the surgical protocol form a unique combination that can enable Im- mediate Function in cases where it might otherwise not be achieveable.1,2,3 To condense bone gradually, its tapered body features threads that narrow to- wards the apex, while the apex itself fea- tures drilling blades to preserve bone by allowing a smaller osteotomy. These fea- tures are all designed for high primary stability, even in soft bone and extraction sockets. Now, a new variant offers the benefits of the NobelActive family but with di- mensions ideal for the molar region. No- belActive wide platform (WP) possesses a wider diameter implant body (5.5 mm) to better fit the large extraction sites in the molar region and a wider implant plat- form for an optimal emergence profile. NobelActive WP also comes in an option with a shorter body (7 mm) to avoid criti- cal anatomical structures such as nerves. Stability and flexibility in parallel Alternatively, clinicians can opt for No- belParallel Conical Connection (CC). Combining a parallel-walled implant body that is well documented with an advanced internal connection, NobelPar- allel CC offers extraordinary flexibility. It is engineered for use in all bone qualities and for a wide range of indications. The 5.5 mm Wide Platform option is designed for an optimized emergence profile for large molar sites. Nobel introduces a ‘complete posterior solution’ Both experienced clinicians and those early in their implant careers will appreciate NobelParallel CC’s straightforward surgical protocol. It offers flexibility and shortens treat- ment time, benefitting the patient too. Together, the surgical protocol and im- plant design form a unique combina- tion that’s intended to allow Immediate Function in more cases by providing high primary stability. The thread design and tapered apex of NobelParallel CC are de- signed for underpreparation of the surgi- cal site and bicortical anchorage — tech- niques that support immediate loading.4,5 High stability during the initial heal- ing phase is then maintained by Nobel Biocare’s unique TiUnite surface.6 In ad- dition, patented grooves enhance osseo- integration7 for a predictable end result. Connecting strength and flexibility Both new implants benefit from Nobel Biocare’s internal conical connection. This advanced connection’s conical seal and hexagonal interlocking mechanism provide high mechanical strength.8 It of- fers restorative flexibility too, being com- patible with Nobel Biocare’s most innova- tive restorative solutions, including those designed specifically for the posterior. These include the new PEEK Healing and PEEK Temporary Abutments, which are anatomically shaped to match the molar contours. As the PEEK Abutments come ready-shaped for an optimized emergence profile, fewer adjustments are needed. This can simplify treatment and reduce costly chair time. The crown that ‘rules them all’ When it comes to the final restoration, the FCZ (full-contour zirconia) Implant Crown is designed for strength and pre- dictability even under the high occlusal forces of the posterior. There’s no wor- rying about chipping either, as the full- contour nature of the NobelProcera FCZ Implant Crown removes the need for ve- neering. The biocompatibility of the materials used contributes to biological stability in the areas it matters most. Plus, being screw retained, the FCZ Implant Crown is completely cement free, avoiding the risks associated with cement excess en- tirely. Even the titanium adapter is me- chanically retained. The ability to use an angulated screw channel (ASC) allows the screw access hole on the FCZ Implant Crown to be placed anywhere between 0 and 25 de- grees in a 360-degree radius. This means it can be angled towards the front of the mouth for easy access, even in the poste- rior. It also helps avoid placing the access channel on the cusp of a tooth, where it could affect occlusion. The associated Omnigrip Screwdriver further simplifies work on the restoration. Its effective pick- up function and secure grip on the screw help the clinician to work safely and effi- ciently. Natural-looking tooth color is another benefit offered by the FCZ Implant Crown. Whichever of the eight available shades is used, the color is applied throughout the material. This means discoloration isn’t a concern when making adjustments. Cut- backs and staining can also be used to achieve the desired esthetic effect. Several components, one complete solution While each product within Nobel Bio- care’s complete posterior solution stands out on its own, they stand stronger to- gether. Like all Nobel Biocare innovations, they are tested together as one system, as they exist in the patient’s mouth. Combining Nobel Biocare components means all elements are designed to work in synergy for the optimal treatment out- come. Restoring single molars represents a clinical challenge for many reasons, but now, by uniting new and proven innova- tions, Nobel Biocare has the answer. Find out more at nobelbiocare.com/ bringinginnovationback. References are available upon request from the publisher. Fig. 1 Fig. 2a Fig. 2b Fig. 3a Fig. 3b Fig. 1: Multiple innovations combine to create one complete posterior solution. (Photos/ Provided by Nobel Biocare) Figs. 2a, 2b: Both NobelActive (2a) and Nobel- Parallel Conical Connection (2b) are available in wide platform variants that are designed to provide optimized results in the posterior. Figs. 3a, 3b: The advanced internal conical connection provides access to innovative restorative solutions such as the FCZ (full- contour zirconia) Implant Crown. This can incorporate an angulated screw channel (ASC), which allows the screw access hole to be positioned for easier access and better esthetics.