Make the right choice for your patients …...Porcelain being applied to facial aspect of...

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Make the right choice for your patients NobelProcera® prosthetic solutions

Transcript of Make the right choice for your patients …...Porcelain being applied to facial aspect of...

Page 1: Make the right choice for your patients …...Porcelain being applied to facial aspect of NobelProcera Implant Bridge. Dr Tristan Staas, Implantologist, the Netherlands Mr Michiel

Make the right choice for your patients NobelProcera® prosthetic solutions

Page 2: Make the right choice for your patients …...Porcelain being applied to facial aspect of NobelProcera Implant Bridge. Dr Tristan Staas, Implantologist, the Netherlands Mr Michiel

Choose total system performance

Designed for continuous clinical success, the preci-sion-fit of NobelProcera components offers results that patients will be proud to recommend.

The importance of a precise fitThe Nobel Biocare components derive strength and high mechanical performance from being designed and devel-oped not as individual products but as parts of a whole system. The interface is designed for a precise fit between abutment, implant and clinical screw.

Precise fit for long-term performanceJoint compression stress (p) depends on a number of variables such as preload (tensile force Fa), cone angle (α) and contact length (l). Small changes in any of these parameters can lead to extreme load and stress conditions, which can cause implants to fracture.

Fa ∗ cos( ρ )∗ cos(     )p=————————— dm ∗π ∗ l ∗ sin(ρ +     )

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Just because it seems to fit, doesn’t mean it works Although not always visible to the naked eye, use of third-party components not designed and tested for the system can result in uncontrolled forces, and may cause individual components or the entire system to fail.

Avoid complications by choosing implant restorations that are designed, tested and proven as a complete system.

Radiographic heatmap images: Nobel Biocare implant with Nobel Biocare abutment (left), Nobel Biocare implant with non-Nobel Biocare abutment (right)

Authentication toolConfirm authenticity of your restorations with our easy-to-use online tool at nobelbiocare.com/authetication

Page 3: Make the right choice for your patients …...Porcelain being applied to facial aspect of NobelProcera Implant Bridge. Dr Tristan Staas, Implantologist, the Netherlands Mr Michiel

“Key words to summarize my visit to the NobelProcera production center: precision,

stability of material, quality control... and a huge general feeling of confidence in

centralized manufacturing.”Luc Rutten, Master Dental Technician, Tessenderlo, Belgium

Get peace of mind with our extensive warranty*We offer a lifetime warranty for implants, including implants not from Nobel Biocare, when a NobelProcera or Nobel Biocare prefabricated restoration is used. In the unlikely event of material breakage or defects, NobelProcera restorations are backed by a comprehensive five-year product warranty.

* For details see warranty program at nobelbiocare.com/warranty.

High-precision production just a click awayAll our CAD/CAM prosthetics are produced at NobelProcera’s state-of-the-art facility. NobelProcera restorations are manufactured under ISO 13485 quality management system and cleared by the FDA where required.

We monitor the output quality for each one. That’s why our products demon-strate high precision of fit1,2, mechanical stability3 and provide years of safe and reliable performance4,5,6.

Page 4: Make the right choice for your patients …...Porcelain being applied to facial aspect of NobelProcera Implant Bridge. Dr Tristan Staas, Implantologist, the Netherlands Mr Michiel

Restorative flexibility and easy handling with angulated screw channel

Access from a new angleSolve the esthetic challenges faced when conventional screw-retained solutions are placed in the anterior, and improve occlusal access in the posterior.

The angulated screw channel (ASC) provides the option to place the screw access hole anywhere between 0° to 25° in a 360° radius. This allows you to tilt the screw channel palatally for optimized esthetics and removes the need to use cemented restorations.

With no need for cementation, the mechanically retained adapter is easy-to-handle and time efficient.

Screw-retained solutions Remove risks associated with excess cement by choosing a 100% cement-free solution.

“For our practice the ASC has been the most important step forward in a while.

We like to call it a game-changer.”Dr Simon Kold, Prosthodontist, Herning, Denmark

The angulated screw channel feature is available for NobelProcera ASC Abutment and Implant Crown as well as full-contour Implant Bridge on Nobel Biocare conical connection implants.

Page 5: Make the right choice for your patients …...Porcelain being applied to facial aspect of NobelProcera Implant Bridge. Dr Tristan Staas, Implantologist, the Netherlands Mr Michiel

Easy handlingWork quickly and safely with the pick-up function and secure hold of the unique Omnigrip Screwdriver.

Long-term simplicityEasy maintenance and retrievability with a screw-retained crown.

Page 6: Make the right choice for your patients …...Porcelain being applied to facial aspect of NobelProcera Implant Bridge. Dr Tristan Staas, Implantologist, the Netherlands Mr Michiel

Full contour, full strength, full estheticsProvide patients with strong and esthetic restorations with high-translucency multilayered full-contour zirconia.

99 Full contour means that restorations come in their final shape, with great occlusal detail.

99 High-translucency allows the material to blend in naturally with neighbor-ing teeth.

99Multilayered means color changes in gradual, natural-looking layers that pass right through the material.

Strength and esthetics with multilayered full-contour zirconia solutions

“We are very excited about the introduction of multilayered, high-translucency zirconia.

It will allow us to preserve the strength, but also to improve the esthetics for our

patients and deliver with more simplicity. We are going to expand indications for

full-contour towards the anterior region.”Dr Gerard Chiche, Prosthodontist, Augusta, US

The color runs right through the material so you can avoid esthetic issues when making adjustments.

NobelProcera Implant Bridge supports angulated screw channel which increases restorative flexibility.

Offer great esthetics and strength without changing your daily routine.

NobelProcera Implant Bridge comeswith cement-free adapter for fast handling.

NobelProcera offers high-translucency multilayered full-contour zirconia for crowns, bridges and implant bridges.

Page 7: Make the right choice for your patients …...Porcelain being applied to facial aspect of NobelProcera Implant Bridge. Dr Tristan Staas, Implantologist, the Netherlands Mr Michiel

*coefficient of thermal expansion

Material type Yttria-stabilized tetragonal zirconia polycrystal (Y-TZP)

Flextural strength 1100 Mpa

CTE* (25–500 °C) 9.9 (±0.2) 10-6 /K

Shades AWhite ALight ADark BLight CLight DLight

Material facts – High-translucency multilayered zirconia

Master the art of finalizing multilayered zirconia restorationsVisit nobelbiocare.com/labtips

3 key benefits for dental labs:

99 Skip veneering and save time by finalizing the restoration with staining and glazing.

99 Full-contour zirconia restorations reduce the risk of veneer chipping, which reduces remakes and stress.

99 You can choose to design a cut-back and build natural esthetics by veneering.

High-translucency multilayered zirconia from NobelProcera ready to be finalized.

Page 8: Make the right choice for your patients …...Porcelain being applied to facial aspect of NobelProcera Implant Bridge. Dr Tristan Staas, Implantologist, the Netherlands Mr Michiel

There’s a NobelProcera® solution for all your cases

NobelProcera Crowns and Bridges

99 Crowns and bridges up to five units in multilayered zirconia.

99 Copings and bridge frameworks up to 14 units in zirconia.

99 Copings and bridge frameworks up to six units in Cobalt Chromium.

99 Full-contour and partial cut-back.

99 Cementation on teeth or abutments.

99 Excellent value for money.

NobelProcera Abutments and Implant Crowns

99 Abutments in zirconia or titanium and full-contour zirconia implant crowns.

99 Implant Crown and ASC Abutment come with angulated screw channel.

99 Implant Crown with full-contour and partial cut-back.

99 Choice between screw- and cement-retained design.

NobelProcera Implant Bars

99 Offer solutions that provide stability and comfort for patients.

99 Broad range of fixed and fixed-removable implant bars for a wide variety of clinical situations.

99 Implant bars are available on Nobel Biocare and third-party implants, on Multi-unit Abutments or a combination thereof.

99 Choose from a wide range of attachments.

NobelProcera Implant Bridges

99 Bridges from two to five units in full-contour zirconia.

99 Bridge frameworks from two to 14 units in zirconia.

99 Angulated screw channel solution provides restorative flexibility.

99 Full-contour and partial cut-back.

99 Restore on Nobel Biocare implants, on Multi-unit Abutments or a combination thereof.

Page 9: Make the right choice for your patients …...Porcelain being applied to facial aspect of NobelProcera Implant Bridge. Dr Tristan Staas, Implantologist, the Netherlands Mr Michiel

Treatment of maxilla with NobelProcera® Implant Bridges

Clinical casePatient: Male, 84 years

Occlusal view of final NobelProcera Implant Bridges on the model with the screw access holes angulated in optimized positions.

Buccal view of two final NobelProcera Implant Bridges seated on the model.

Screenshot from NobelDesign. Screw channels are angulated for optimized esthetics and ease of access.

Cement-free laboratory adapters are inserted into NobelProcera Implant Bridge during finalization procedure in dental laboratory.

Porcelain being applied to facial aspect of NobelProcera Implant Bridge.

Dr Tristan Staas, Implantologist, the Netherlands

Mr Michiel Wouters, Dental Technician, the Netherlands

“NobelProcera Implant Bridge, CAD/CAM restoration from

biocompatible material with ASC is an important addition to

our portfolio. Combined with NobelActive we can give our

patients their teeth back fast in an easy, affordable and

predictable way.”Dr Tristan Staas, Implantologist, the Netherlands

“The treatment was beyond my expectations. I’m convinced this

was the best way to solve my problem. I’m very happy with the

esthetic outcome as well. I feel great again.”

Preoperative clinical situation. Postoperative X-ray. Seven NobelActive implants placed and seating of open tray impression copings are being verified.

Screenshot from NobelDesign. Two NobelProcera Implant Bridges being designed with facial partial cutback.

Page 10: Make the right choice for your patients …...Porcelain being applied to facial aspect of NobelProcera Implant Bridge. Dr Tristan Staas, Implantologist, the Netherlands Mr Michiel

Your choice of NobelProcera® implant prosthetics

1. With mechanically retained adapter2. With angulated screw channel 0°– 25°3. With adapter to be bonded to zirconia4. On implant level5. On Multi-unit Abutment level6. Various attachments available

white light medium intense

9. Zirconia

S1 S2 S3 S4 S5 S6 S7 S8

8. Full-contour zirconia

AWhite ALight ADark BLight CLight DLight

7. High-translucent multilayered zirconia

Fixed implant restorations Fixed-removable implant restorations

Platform

NobelProcera Abutments NobelProcera ASC Abutments

NobelProcera Implant Crown,

full-contour

NobelProcera Implant Bridge,

full-contour zirconia

NobelProcera Implant Bridge

framework, multilayered zirconia

NobelProcera Implant Bridge

Framework

Wrap-around Bar,

Montreal Bar, Hybrid Bar

Dolder® Bar,

Hader Bar, Round Bar,

Free Form Milled Bar, Paris Bar

Titanium Zirconia9 Zirconia9 Zirconia8 Multilayered zirconia7 Multilayered zirconia7 Zirconia9 Titanium Titanium

Nobel Biocare implant systems

3.0 9 – – – – – – – –

Internal conical connectionNobelActive®, NobelParallel™ and NobelReplace® Conical Connection

NP, RP 9 9 9 1, 2 9

1, 2 9 1, 2, 4, 5 9

1, 2, 4, 5 9 4, 5 9

4, 5 9 4, 5, 6

WP 9 – 9 1, 2 9

1, 2 9 1, 2, 4, 5 9

1, 2, 4, 5 9 4, 5 9

4, 5 9 4, 5, 6

Internal tri-channel connectionNobelReplace®, Replace Select™, NobelSpeedy® Replace, NobelReplace® Platform Shift

NP, RP, WP, 6.0 9 9 1

– – 9 4, 5 9

4, 5 9 4, 5 9

4, 5 9 4, 5, 6

External hex connectionBrånemark System® and NobelSpeedy® Groovy

NP, RP, WP 9 9 – – 9 4, 5 9

4, 5 9 4, 5 9

4, 5 9 4, 5, 6

Other implant systems

Straumann® Bone Level NC, RC 9 9 3

– – 9 5 9

5 9 5 9

4, 5 9 4, 5, 6

Straumann® Standard/

Standard Plus4.8, 6.5 9 9

3– – 9

5 9 5 9

5 9 4, 5 9

4, 5, 6

Astra Tech Implant System™

Yellow 9 9 3

– – – – – – –

Aqua, Lilac 9 9 3

– – 9 5 9

5 9 5 9

4, 5 9 4, 5, 6

ST 3.5, 4.0, 4.5/5.0 – – – – 9 5 9

5 9 5 9

4, 5 9 4, 5, 6

Biomet 3i® Certain Internal 3.4, 4.1, 5.0, 6.0 9 – – – – – – 9 4 9

4, 6

Biomet 3i® External Hex 3.4, 4.1, 5.0, 6.0 9 – – – – – – 9 4 9

4, 6

Zimmer® Hex 3.5, 4.5, 5.7 9 – – – – – – 9 4 9

4, 6

Camlog® K-Series 3.3, 3.8, 4.3, 5.0, 6.0 9 – – – 9 5 9

5 9 5 9

4, 5 9 4, 5, 6

Camlog® K-Series PS 3.8, 4.3, 5.0, 6.0 9 – – – – – – – –

Camlog® J-Series 3.8, 4.3, 5.0, 6.0 – – – – 9 5 9

5 9 5 9

4, 5 9 4, 5, 6

Ankylos® 3.5, 4.5, 5.5, 7.0 – – – – 9 5 9

5 9 5 9

4, 5 9 4, 5, 6

Page 11: Make the right choice for your patients …...Porcelain being applied to facial aspect of NobelProcera Implant Bridge. Dr Tristan Staas, Implantologist, the Netherlands Mr Michiel

Fixed implant restorations Fixed-removable implant restorations

Platform

NobelProcera Abutments NobelProcera ASC Abutments

NobelProcera Implant Crown,

full-contour

NobelProcera Implant Bridge,

full-contour zirconia

NobelProcera Implant Bridge

framework, multilayered zirconia

NobelProcera Implant Bridge

Framework

Wrap-around Bar,

Montreal Bar, Hybrid Bar

Dolder® Bar,

Hader Bar, Round Bar,

Free Form Milled Bar, Paris Bar

Titanium Zirconia9 Zirconia9 Zirconia8 Multilayered zirconia7 Multilayered zirconia7 Zirconia9 Titanium Titanium

Nobel Biocare implant systems

3.0 9 – – – – – – – –

Internal conical connectionNobelActive®, NobelParallel™ and NobelReplace® Conical Connection

NP, RP 9 9 9 1, 2 9

1, 2 9 1, 2, 4, 5 9

1, 2, 4, 5 9 4, 5 9

4, 5 9 4, 5, 6

WP 9 – 9 1, 2 9

1, 2 9 1, 2, 4, 5 9

1, 2, 4, 5 9 4, 5 9

4, 5 9 4, 5, 6

Internal tri-channel connectionNobelReplace®, Replace Select™, NobelSpeedy® Replace, NobelReplace® Platform Shift

NP, RP, WP, 6.0 9 9 1

– – 9 4, 5 9

4, 5 9 4, 5 9

4, 5 9 4, 5, 6

External hex connectionBrånemark System® and NobelSpeedy® Groovy

NP, RP, WP 9 9 – – 9 4, 5 9

4, 5 9 4, 5 9

4, 5 9 4, 5, 6

Other implant systems

Straumann® Bone Level NC, RC 9 9 3

– – 9 5 9

5 9 5 9

4, 5 9 4, 5, 6

Straumann® Standard/

Standard Plus4.8, 6.5 9 9

3– – 9

5 9 5 9

5 9 4, 5 9

4, 5, 6

Astra Tech Implant System™

Yellow 9 9 3

– – – – – – –

Aqua, Lilac 9 9 3

– – 9 5 9

5 9 5 9

4, 5 9 4, 5, 6

ST 3.5, 4.0, 4.5/5.0 – – – – 9 5 9

5 9 5 9

4, 5 9 4, 5, 6

Biomet 3i® Certain Internal 3.4, 4.1, 5.0, 6.0 9 – – – – – – 9 4 9

4, 6

Biomet 3i® External Hex 3.4, 4.1, 5.0, 6.0 9 – – – – – – 9 4 9

4, 6

Zimmer® Hex 3.5, 4.5, 5.7 9 – – – – – – 9 4 9

4, 6

Camlog® K-Series 3.3, 3.8, 4.3, 5.0, 6.0 9 – – – 9 5 9

5 9 5 9

4, 5 9 4, 5, 6

Camlog® K-Series PS 3.8, 4.3, 5.0, 6.0 9 – – – – – – – –

Camlog® J-Series 3.8, 4.3, 5.0, 6.0 – – – – 9 5 9

5 9 5 9

4, 5 9 4, 5, 6

Ankylos® 3.5, 4.5, 5.5, 7.0 – – – – 9 5 9

5 9 5 9

4, 5 9 4, 5, 6

Get implant bars for over 170 implant platforms. See more at nobelbiocare.com/nobelproceraservices

Page 12: Make the right choice for your patients …...Porcelain being applied to facial aspect of NobelProcera Implant Bridge. Dr Tristan Staas, Implantologist, the Netherlands Mr Michiel

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NobelProcera Scan and Design Services – precision-fit prosthetics for everyone Dental labs can use NobelProcera services to outsource the creation of preci-sion-fit abutments and implant bars. Send us your case and our team of skilled CAD designers will do the rest.

Looking for authentic NobelProcera restorations?Find a NobelProcera lab at nobelbiocare.com/findalab

Using an intraoral scanner to take impressions?If you have an iTero®, TRIOS® or 3M™ True Definition intraoral scanner, you can request precision-fit NobelProcera CAD/CAM restorations for your single-unit cases – for an optimized clinical outcome.

References1. Katsoulis J, Mericske-Stern R, Rotkina L, Zbären C, Enkling N, Blatz MB. Precision of fit of implant-supported

screw-retained 10-unit computer-aided-designed and computer-aided-manufactured frameworks made from zirconium dioxide and titanium: an in vitro study. Clin Oral Implants Res. 2014 Feb;25(2):165-74.

2. Martínez-Rus F, Suárez MJ, Rivera B, Pradíes G. Evaluation of the absolute marginal discrepancy of zirconia-based ceramic copings. J Prosthet Dent. 2011 Feb;105(2):108-14.

3. Truninger TC, Stawarczyk B, Leutert CR, et al. Bending moments of zirconia and titanium abutments with internal and external implant-abutment connections after aging and chewing simulation. Clin Oral Implants Res 2012;23(1):12-18.

4. Zembic A, Bosch A, Jung RE, Hammerle CH, Sailer I. Five-year results of a randomized controlled clinical trial comparing zirconia and titanium abutments supporting single-implant crowns in canine and posterior regions. Clin Oral Implants Res 2013;24(4):384-90.

5. Ozer F, Mante FK, Chiche G, et al. A retrospective survey on long-term survival of posterior zirconia and porcelain-fused-to-metal crowns in private practice. Quintessence Int 2014;45(1):31-8.

6. Pozzi A, Tallarico M, Barlattani A. Monolithic lithium disilicate full-contour crowns bonded on CAD/CAM zirconia complete-arch implant bridges with 3 to 5 years of follow-up. J Oral Implantol. 2013 Nov 4.

Open access for 3Shape® labsLabs with 3Shape Dental System™ can access high-precision NobelProcera production at no additional cost.