Nobel Biocare
description
Transcript of Nobel Biocare
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the finest esthetics, the most
beautiful smile
NOBELESTHETICS
FOR UNSURPASSED
PATIENT
SATISFACTION
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stunning results
time after time
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industry-leadingsolutions foroptimum success
You dont need any specialequipment or knowledgeto benefit from ourporcelain and ceramicproducts. Whether youreworking with teeth orimplants the ceramicesthetic capabilities of theProcera products areunsurpassed anywhere.
tried and trusted allover the world
The success of Procera isproven. Results from 10years of clinical studieshave confirmed that pureceramic provides a superioralternative to traditionalporcelain-fused-to-metalalternatives. In short, metal-free Procera has helpedeliminate black lines.
So its no surprise thatnearly 6 million unitshave already been sold,and the Procera networkof dental laboratoriesnow extends acrossapproximately 60countries worldwide.
A look at the table belowalso confirms the extremestrength of Procera
Bridge Zirconia. Combinethese outstanding qualitiesand youll understand whyProcera is the very bestway to give your patientsa faultless, long-lasting,beautiful metal-free smile time after time.
1200
1000
800
600
0 ProceraBridge
Zirconia
Competingzirconiamilled
BridgeAlumina
MPa
400
200
Procera Bridge ZirconiaFlexural Strength Material Comparison
Source: Data on file
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Through Procera NobelBiocare also provides youwith a complete suite ofsolutions from laminates,crowns and bridges rightthrough to implantprosthetics. So you haveall the practice-buildingpossibilities you need.
With the best ceramicoptions on the market wealso want to help you useProcera to its fullpotential. Our online
Procera network meansyou can keep up to datewith new developmentsin our products, thinkingand applications. Youcan design and plan oncomputer, take trainingand order online, and feelpart of a growing andinformed community.
better business andbigger profits for yourpractice
Procera technologiesoffer unprecedented levels of precision soappointments for remakesbecome a thing of thepast. This reduces patientchair-time, giving you moreopportunity to build yourpatient base and improvingyour profit potential.
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better looking smilesfor all your patients
Esthetic dentistry is an ideawhose day has come. Withthe enormous advances inimplant dentistry, there hasnever been a more excitingtime to be a dentist. Moreand more people now thinkof beautiful fully functioningteeth as their birthright and our industry is at lastin a position to deliver.
Together, modern dentalprofessionals and NobelBiocare the pioneeringworld leader of the field can confidently answerthis demand. We nowhave all the solutions weneed for creating healthyhappy patients.
NobelEsthetics
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of esthetic dentistry fromprofessional and patientstandpoints. Just tapProcera into MedLineand youll see over200 references.
Which is why we are theworld leaders in esthetic,ceramic metal-free dentalrestoration.
making existing teeth
perfect
a scientific approachto perfection
Weve also looked intoareas many miss. Ourcollaborative clinicalstudies record not justthe technology, but thepractice, art and success
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Procera Crowns
Procera Crown 0.4mm for superioresthetics with unsurpassedtranslucency 0.6mm for use in allindications
Procera Crown Zirconia 0.7mm when the extrastrength of zirconia iswanted
Procera Crowns andBridges can be orderedfrom your laboratory withindividualized outer shapeof the framework foroptimal porcelain support
Can be cemented withconventional methods
Procera
Laminates andCrowns
Procera LaminateAlumina 0.25mm
Combines optimalstrength with excellentesthetics
Significantly less laborthan traditionaltechniques
Procera Bridge
Unsurpassed fit
Superior zirconiastrength and esthetics
NobelRondo
An extremely strongporcelain (120Mpa)
Highest esthetic resultsfrom unique layeringtechnique
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Procera also providesesthetics for theStraumann implant systemas well as other implantsystems.
Have you ever consideredmaximizing your profitpotential even further byplacing implants yourself?Our NobelDirect implantsolution is as close to crownand bridge as you can get.And the unique flaplesssurgery involved meansyour patient can havebeautiful teeth withImmediate Function inone treatment session.
placing beautiful teeth on
implants
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Abutments are availablefor all Nobel BiocareImplant Systems as wellas implant systems fromStraumann, RegularNeck 4.8 and Wide Neck6.5, 3i 3.75, Lifecore
Biomedical, Restore 3.75,Zimmer Dental Taper-lock 4.0 and SterngoldImplamed 3.75
Procera
Implant Bridge
Predictable perfect fitfrom one piece ofbiocompatible titanium
Available on implantlevel and abutment level
Free design of framework
Procera
Abutments
Customized design(angulation, height,width)
Available in Zirconiaor Titanium
Choose cementableProcera all-ceramicCrowns or Bridges forthe ultimate esthetics
Courtesy of Dr. Iaki Gamborina
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Based on the latestscanning, CAD/CAM andproduction technology,cores of densely sinteredalumina or zirconia arefabricated with highaccuracy to ensure aperfect fit.
This materials propertiesresult in top-notchclinical features:
Extreme strength
Translucence
Cementability
Biocompatibility
and make it almostimpossible to distinguishthe restoration from anatural tooth.
Procera, together withthe worlds strongestprosthetic materials andthe extremely strongporcelain material NobelRondo (engineeredspecifically for Procera), alladd up to an unbeatablecombination.
If you have any questionsor need more informationregarding Procera, pleasevisit our website: www.nobelbiocare.com
Procera is a uniquesystem from NobelBiocare for the fabricationof esthetic and functionaldental restorations.
Development of theProcera systemcommenced in 1983and the first patient wastreated in 1985. Since theircommercial introductionin 1994, nearly 6 million Procera restorations havebeen produced andinstalled. In addition,approximately 60countries are representedin the Procera networkand work with Procera.
Procera offers youthe optimal restorativesystem, including crowns,laminates, abutments andbridges, for all indications.
The combination ofbeauty and strengthgives you a simple andpredictable clinicalprocedure, excellentesthetic results andimproved long-termperformance.
Unique 10 year resultsfrom clinical studies reveal that Procera
provides a superioralternative to the use oftraditional porcelain-fused-to-metal (PFM) restorations.
Indication-based beauty
Crowns Bridges Implant Bridges Abutments Laminates
Procera + Zirconia/Alumina +
NobelRondo=
Unbeatable indication-basedprecision, strength, beauty!
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Clinical case courtesy of Dr. Eric van Dooren, Belgium
Procera Crown
Zirconia or alumina
Excellent strength withbeautiful all-ceramicesthetics
Biocompatible
Easy technique,saves chair-time
10 years of clinicaldocumentation
3D CADDesign freedomfor the ultimate estheticoutcome and strength
Nearly 6 million unitsproduced
New
Freehand coping designthat provides increasedporcelain-support andeven stronger results forall indications.
Cementation
To save chair-time, useconventional crown andbridge cementing insteadof bonding
Temporary cementationmust never be used
For more information aboutcementing/bonding,see the relevant section, Procera Clinical Procedure.
Tooth Preparation
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Clinical case courtesy of Dr. Vincent Prestipino
Procera
Laminate
Alumina
Excellent strength withbeautiful all-ceramicesthetics
Biocompatible
Easy technique, saveschair-time
Cementation
Procera Laminates mustbe bonded. See therelevant section later.
Tooth Preparation
Note! The laminate coreis only 0.25mm thick.
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Clinical case courtesy of Ernst A. Hegenbarth, MDT
Procera Bridge
Zirconia
Proven strength
Beautiful all-ceramicesthetics
Biocompatible
Easy cementabletechnique,saves chair-time
Defect-free precisionmilled from a solid pieceof zirconia
Indications
Especially appropriate asan esthetic solution inthe anterior
Metal allergies and/oresthetics are indicationsfor posterior placement
Can also be used inconjunction withimplant treatments
Two- to four-unit bridges
Cementation
To save chair-time,use conventional crownand bridge cementinginstead of bonding.See the relevant sectionfor more details.
Contraindications
Cases where the anteriorand/or posteriorcantilevers have a lengthof more than one unit
Bruxism and/orperiodontal problems
Tooth Preparation
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Clinical case courtesy of Robert Nlken, Dr. Med. Dent.
Procera
Implant Bridge
Predictable precision-fit< 20m
Predictability eliminatestry-in steps and reducescostly chair-time
Precision milled from asolid piece of titanium
Biocompatible
Freedom of design forthe ultimate estheticoutcome and patientsatisfaction
Exceptionally stronglightweight framework:free from distortionsand defects
Platform Options
Nobel Biocare implantsystems
Procera Implant BridgeOctagon (titanium) forStraumann RegularNeck 4.8mm and6.5mm Wide Neckendosseous implants(implant level only)
Indications
Full arch or partialrestorations on bothabutment andimplant level
Patients allergic to alloysmay be an indication
Prosthetic Options
Choose any veneeringmaterials (e.g. dentureteeth and acrylic,composite or porcelain),for example: Wrap-around Traditional acrylic Ti-Porcelain Ti-Porcelain andProcera ceramic crowns
Connection
Abutment level tightenthe prosthetic screws to15Ncm
Implant level tightenthe abutment screwsto 35Ncm
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Clinical case courtesy of Dr. Iaki Gamborena
Procera
Abutment
Zirconia or titanium
Customized for superioresthetics
Cost-effective, no needto stock pre-fabricatedabutments
Easy to make with theProcera 3D CADDesignprogram or by scanninga wax-up
Biocompatible
Designed to fit practicallyany angle, taper, finishline, height, width andcross-sectional form. Can also compensate forodd angles and implantalignments
Platform Options
Brnemark System
& Replace Selectimplant systems
NobelPerfect
implant system
Abutments are alsoavailable for implantsystems from 3i 3.75,Lifecore Biomedical,Restore 3.75, Zimmer
Dental Taper-lock 4.0and SterngoldImplamed 3.75
Indications
Single or multipleimplant restorations
Fully edentulous orpartially edentulous arch
Preparation
If minor adjustmentsare necessary, you canadjust the preparationintra-orally using carbideburs or diamonds,together with copiousirrigation
Connection
Tighten Procera
abutment screwsto 35Ncm
The restoration iscemented over thecustomized abutments following the same basicprotocol as for tooth-supported crowns andfixed, partial dentures
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Procera
Instruments
Procera needs only yourconventional preparationtechniques, a moderatechamfer margin androunded internal lineangles.
Brasseler USA (incollaboration with NobelBiocare) has developedpreparation kits for usewith Procera restorations,which are available in mostmarkets. The shapes are of standard design andcan also be purchasedseparately from othersuppliers.
Each of the preparationkits includes the necessarydiamonds for preparation.
#21331111: Procera
Preparation kit
#1523121: Procera
Laminate kit
Impression Taking
Your ability to accuratelycapture an impression iscritical for the correcttransfer of informationto the laboratory.
Use your preferredimpression materialand method
Verify that theimpression is free ofvoids, inconsistencies,or tears
Shade Selection
It is essential to accuratelydocument the color of theadjacent teeth accordingto the Vita shade guide,as this will provide theoptimum match for theveneering porcelain thatis best suited to Procera
restorations.
Thereafter, theNobelRondo procedureis an ideal alternative that offers unlimitedpossibilities for achieving
customized esthetics,e.g. in terms of the hue,chroma and value of the teeth.
6 steps of shade selectionwith NobelRondo:
1. Selection of theNobelRondo
shade group
2. Selection of thebasic hue
3. Variations of colorintensity
4. Inner structures ofthe tooth
5. Variations of lightness(value) and contrasts
6. Texture and shine ofthe tooth surface
For more information,see the NobelRondo
Ceramic Concept andProcedures manual.
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Cementation
Once you receive yourProcera restorationfrom the laboratory:
Check the restorationfor damage on the die
Seat the Procera
restoration on the tooth
Check the proximalcontact
Evaluate fit, occlusion,and esthetics prior toconnection
The internal Procera
surface roughness issimilar to that of aporcelain surface afteretching and, thus, provides exceptionalcementation strengthwithout furtherpreparation
Consider thetranslucency of therestoration andadhesive materialwhen cementing inthe anterior region
Apply selected materialin the Procera Crownor Procera Bridge. Theuse of too much cementcan make the seating ofthe restoration difficult
Seat the restorationusing finger pressure
Once the definitiverestoration is seated,allow the excess cementto set completely
Gently remove anyexcess cement from themargins
Note! Procera Laminatemust be bonded. Employdual cure resin cementsusing adhesive bondingtechniques.
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Bonding
Documented compositebond strength forProcera Crown andLaminate restorationsare with phosphate-bonded monomer-containing composites
After try-in at the clinic,remove proteins byrubbing with 37%phosphoric acid andrinse with water forone minute. After dryblasting, the restorationis dehydrated withalcohol
The tooth is treatedand the bondingmaterial is applied inaccordance with therecommendationsprovided by themanufacturer of thecomposite cement
After seating, therestoration must belight-cured in accordancewith the manufacturersrecommendations.When using Procera
Laminate, self-curing isrecommended in orderto avoid the influenceof the chair-side lampon curing time
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1200
1000
800
600
0Procera
BridgeZirconia
Competingzirconia
milled bridge
Alumina
MPa
400
200
MaterialInformation
For more detailedinformation about Procera
materials, see the CenterFor Excellence anestablished long-termresearch collaborationbetween the Universityof Michigan andNobel Biocare.
Load to Fracture:
Average load to fracture: 1100N (range: 1046-1167N).(All bridges reached 99.8% of the full theoretical density.)
Note! Normal bite power in mouth ranges from 40 to 250N.
Bridge data (average): width of beam (max): 3.05mm, height of beam (max): 3.10mm, coping thickness: 0.6mm.
http://www.nobelbiocare.com/global/en/ScientificReferences/Links/center_for_excellence.htm
Procera Bridge ZirconiaFlexural Strength Material Comparison
Source: Data on file
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Procera Crown
Procera CrownFlexural Strength Material Comparison
MPa
1200
600
400
200
0
1000
800
Procera(zirconia)**
Procera(alumina)*
In-Ceram(Vita zahnfabrik)*
Empress(Ivoclar)*
* Source: WC Wagner, TM Chu. Biaxial
Flexural Strength and Indentation Fracture
Toughness of Three New Dental Core
Ceramics. The Journal of Prosthetic
Dentistry, August 1996.
** Source: Sierraalta M, Odn A, and
Razzoog ME. Material Strength of Zirconia
Produced with Two Methods. [Abstract
#450] J Dent Res 2003.
* Source: Study performed by
University of Michigan.
NobelRondo
Flexural Strength Material Comparison
120
100
80
60
0
MPa
40
20
NobelRondo * Vita VM7 AllCeram*(Degudent)
Cerabien(Noritake)
ISOStandard
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More and more arechoosing Procera
Saves time and money
Strong and beautiful
Chosen aroundthe world
Bernard Touati, DDS, DSO France
The amazing thing about Procera
Alumina is that you can achievesuperior esthetic results and stillprepare and cement it as if itwas a PFM.
Brien R. Lang, DDS, MS USA
The Procera system is avery significant contributionto oral health; Im proud tobe associated with it.
Eric van Dooren, DDS Belgium
The ability to utilize traditionalcementation techniques withProcera Alumina is translated intosimplified clinical procedures, fewerpost-operative complications andsignificantly reduced chair-time.
what customers say
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our qualifications are
your security
www.nobelbiocare.com
Achievements
Inheritors and developers of the work ofProfessor Brnemark founder of modernimplantology. World leaders in the field
Providers of the most comprehensive andflexible crown, bridge and implant solutionsin the world
Creators of unique biocompatible materialTiUnite for optimal osseointegration,Immediate Function and Soft TissueIntegration
Creators of CAD/CAM dentistry
Creators of unique Procera System one seamless procedure from 3D planning tofully guided surgery right through to customizedceramic restoration
FDA cleared for Immediate Function
(except 3.0 and Zygoma)
FDA cleared for Teeth-In-An-Hour in 2004
Quality
Zero non-conformities in 2004 FDA inspectionof Nobel Biocare production units in Gteborg,Karlskoga and Stockholm
Research
Formal collaboration with over 50 academicinstitutions and 600 independent scientistsaround the world
More clinical studies on immediate or earlyloading than all other competitors combined(Medline Feb 2005)
More prospective clinical studies with at least5-year follow-up than all other competitorscombined (Berglund et al 2002)
Support
165,000 customers trained by 1,985 dentalprofessionals in 37 countries and in 19 languages,during 2004
Own sales organizations with local NobelBiocare staff in 29 countries
Leading business website in 8 languages, withcomplete online service supplying all productsand at least 500 courses available at all times
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units are certified according to
Environmental Management
System ISO 14001