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implants - international magazine of oral implantology No. 4, 2015

industry I benefit from this predictable treatment option that helps to provide an optimised aesthetic and func- tional outcome. This means the templates can now be used for the All-on-4® treatment concept, help- ing the clinician to overcome challenges such as boneresorption,avoidcriticalanatomicalstructures and place implants deeper when treating edentu- lous patients. This is made possible by the sleeve-offset func- tion. It supports bone reduction and the deep place- ment of implants such as NobelParallel Conical Con- nectionwhichareincreasinglyplacedsubcrestally.It also allows for the initial treatment plan to remain unchanged. _A seamless workflow for every case Everycaseisdifferent.ThatiswhyNobelGuideof- fers a choice of treatment workflows—with and without the use of a radiographic guide. Since partially edentulous patients do not need a radiographic guide, the clinician can save time with one less patient visit. They can also take advantage of the in- tegratedtreatmentworkflow. It connects Nobel Biocare's digital treatment planning software, 2G NobelProcera scanner, high-end production, guided implant surgery, Communicator iPad® app and OsseoCare Pro iPad®-operated drill unit to enable the treatment team to communicate, collaborate and perform with ease. Oncetheclinicianhasmarkedthecriticalanatom- icalstructuresusingtheNobelClinicianSoftwarethey collaborate with the lab technician to develop a pre- cisemodelscan.Thecliniciancanthenconfidentlyde- velop a treatment plan thanks to NobelClinician’s SmartFusiontechnology,whichprovidesthepatient’s (CB)CT data together with the intra-oral situation, soft tissue information and diagnostic setup. At this point they can increase patient acceptance by using theCommunicatoriPad®apptoexplainthetreatment plantotheirpatient.Finally,theyhavethefreedomto choosebetweenguidedpilotdrillingandfullyguided implant insertion at any point during the workflow, using a custom-manufactured surgical template. Foredentulouspatientstheworkflowincludesthe radiographicguidewithadouble-scanprotocol.Once theclinicianhasmadeaclinicaldiagnosis,theyfabri- cateandclinicallyvalidatethediagnostictoothsetup, transformingitintoaradiographicguide—theirpros- thetic reference during treatment planning. After making a (CB)CT scan of the patient and the radi- ographic guide, they define the implant position, or- der a custom-manufactured surgical template and proceed with guided drilling and implant insertion. _A clinician’s guide to success From the initial diagnosis to the first guided drill, from partially edentulous to edentulous workflows, NobelGuide supports the clinician from beginning toend.Itisnowonderthattenyearssinceitslaunch NobelGuidehasgonefromstrengthtostrength,im- proving treatment predictability and providing peace of mind to an ever-increasing number of cli- nicians._ Findoutmoreatnobelbiocare.com/nobelguide Fig. 3_In narrow spaces the guided pilot drill helps to ensure precise implant placement, thanks to NobelClinician’s safety margins and a warning system that helps the clinician avoid critical anatomical structures. Fig. 4_The integrated treatment workflow connects NobelClinician, the NobelProcera 2G System, NobelGuide, the Communicator iPad app and OsseoCare Pro to provide the treatment team with a seamless process from diagnosis to restoration. Fig. 5a & b_The NobelClinician Software together with the guided pilot drill helps to avoid complications when treating edentulous patients. The clinician can make use of all available bone and if bone reduction is needed, they can use NobelClinician’s sleeve-offset function. I 39implants4_2015 Fig. 3 Fig. 4 Fig. 5a Fig. 5b

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