Product Profiles: Integrated restorative systems from Nobel Biocare

INNOVATIVE POSTERIOR SOLUTIONS FOR SINGLE-UNIT IMPLANTS

FEATURES AND BENEFITS

• The replacement of single-unit molars can be challenging, but clinicians can achieve immediate implant placement and function with NobelActive or NobelParallel Conical Connection wide-platform implants.
• The unique combination of implant design, TiUnite surface and surgical protocol help ensure primary stability and maintain it throughout the healing phase, even in soft bone situations.^1–6
• The wide (5.5 mm) platform provides the solid base clinicians need to create an optimized molar emergence profile for the temporary and final restorations.
• Nobel Biocare’s PEEK healing and temporary abutments are anatomically shaped to match the molar’s contours. Fewer shape adjustments are needed, so operators can achieve the desired emergence profile in less time.
• The screw-retained NobelProcera Implant Crown in full-contour zirconia eliminates risks associated with excess cement,^7,8 as even the adapter is mechanically retained. With an implant crown milled from monolithic zirconia, the risk of chipping is almost entirely eliminated.⁹
• This specially designed implant crown also incorporates Nobel Biocare’s angulated screw channel (ASC), which allows providers to position the screw channel at an angle of up to 25° in any direction.
• While also improving retrievability, the ASC feature makes it possible to reposition the screw access hole in cases where it would otherwise be on the facial or incisal edge, or when occlusal space is limited.
• In a recent study, NobelProcera single-unit restorations with the angulated screw channel were shown to be a reliable, easy-to-use, flexible and retrievable alternative for traditional cement- or screw-retained restorations.¹⁰

BOTTOM LINE

With this complete posterior solution from Nobel Biocare, clinicians can shorten their patients’ time-to-teeth while reducing complexity and risk. Featuring multiple options for every clinical situation, these individual innovations not only stand out on their own, they stand even stronger together.

REFERENCES

1. Kolinski ML, Cherry JE, McAllister BS, Parrish KD, Pumphrey DW, Schroering RL. Evaluation of a variable-thread tapered implant in extraction sites with immediate temporization: A 3-yearmulti-center clinical study. J Periodontol. 2014;85:386–394.
2. Arnhart C, Kielbassa AM, Martinez-de Fuentes R, et al. Comparison of variable-thread tapered implant designs to a standard tapered implant design after immediate loading. A 3-year multicenter randomised controlled trial. Eur J Oral Implantol. 2012;5:123–136.
3. Babbush CA, Brokloff J. A single-center retrospective analysis of 1001 consecutively placed NobelActive Implants. Implant Dent. 2012;21:28–35.
4. Villa R. Immediate loading of single NobelSpeedy™ Groovy implants placed in first molar post-extraction sockets: a 1-year clinal and radiological prospective study [#P148]. 25th Annual Meeting of the Academy of Osseointegration. Orlando, Fla, USA; 2010.
5. Tallarico M, Vaccarella A, Marzi GC, Alviani A, Campana V. A prospective case-control clinical trial comparing 1- and 2-stage Nobel Biocare TiUnite implants: resonance frequency analysis assessed by Osstell Mentor during integration. Quintessence Int. 2011;42:635–644.
6. Agliardi EL, Pozzi A, Stappert CF, Benzi R, Romeo D, Gherlone E. Immediate fixed rehabilitation of the edentulous maxilla: a prospective clinical and radiological study after 3 years of loading. Clin Implant Dent Relat Res. 2014;16:292–302.
7. Wilson TG Jr. The positive relationship between excess cement and peri-implant disease: a prospective clinical endoscopic study. J Periodontol. 2009;80:1388–1392.
8. Slagter KW, den Hartog L, Bakker NA, Vissink A, Meijer HJ, Raghoebar GM. Immediate placement of dental implants in the esthetic zone: a systematic review and pooled analysis. J Periodontol. 2014;85:e241–e250.
9. Zhang Yl, Lee JJ, Srikanth R, Lawn BR. Edge chipping and flexural resistance of monolithic ceramics. Dent Mater. 2013;29:1201–1208.
10. Greer AC, Hoyle PJ, Vere JW, Wragg PF. Mechanical complications associated with angled screw channel restorations. Int J Prosthodont. 2017;30:258–259.

From Decisions in Dentistry. November 2017;3(11):55.