NobelActive – an implant like no other

The unique implant design for high primary stability and esthetic excellence

Excellent primary stability

NobelActive's implant body and thread design condense bone during insertion, leading to high primary stability even in compromised bone situations.

NobelActive is truly an implant like no other. No matter if you're dealing with soft bone, extraction sockets, or the esthetic region, you can benefit from its high primary stability. This makes NobelActive a suitable choice for demanding indications and protocols, such as immediate implant placement and Immediate Function. 

Why NobelActive?

Atraumatic extraction of maxillary birooted premolar and immediate placement of a NobelActive implant. The high primary stability enabled Immediate Function. Clinical case courtesy of Dr. Paul Weigl, Dr. Pablo Hess and ZA Eleftherios Grizas.

Experience high primary stability even in demanding situations

NobelActive's expanding tapered implant body condenses bone gradually while the apex with drilling blades enables a smaller osteotomy.10 These features help to achieve high primary stability in demanding situations, such as soft bone or extraction sockets. NobelActive enables immediate implant placement and Immediate Function where it might otherwise be challenging.3,6,7,11,12,13

NobelActive's back-tapered coronal shape is designed to optimize bone volume and soft tissue support.

Aim for excellent esthetics

In the end, it's all about the final result. NobelActive's back-tapered coronal design and built-in platform shifting are designed to optimize bone and soft tissue volume for natural-looking esthetics.

Reverse-cutting flutes with drilling blades on the apex enable experienced clinicians to adjust the implant position during placement.

Adjust your implant position during placement

Reverse-cutting flutes with drilling blades on the apex enable experienced clinicians to adjust the implant position during placement for an optimized restorative orientation, particularly in extraction sites.

Magnification (10x) of the interface between abutment and implant. It has a choice of six different abutment positions providing you with the restorative flexibility you need.

Experience a strong conical connection

The internal conical connection with hexagonal interlocking offers high mechanical strength.14 This helps to ensure the necessary stability of the restoration for a predictable result.

NobelActive 3.0 for implant placement in areas with limited space.

Place implants in areas with limited space

NobelActive 3.0 is specifically designed for narrow space situations, such as lower incisors, where conventional implants previously could not be placed.

Discover our solution for narrow spaces

NobelActive WP 5.5 for an optimized emergence profile in the posterior

Achieve a natural molar emergence profile

You can now also benefit from NobelActive's unique design in the posterior region. The new Wide Platform (WP) implant is specifically designed for posterior cases that require a wider base. It helps create a natural-looking emergence profile for the molar crown, and its shorter implant body (7mm) helps to avoid critical anatomical structures. 

Discover the complete posterior solution

Osteoconductive bone formation: Human histology six months after implant placement shows bone anchored in the TiUnite pores (© Schüpbach Ltd, Switzerland).

Enhanced osseointegration

NobelActive features our unique oxidized TiUnite surface. It maintains high stability during healing through fast bone formation and promotes long-term success.

Discover TiUnite

NobelActive is covered by a lifetime product warranty.

Lifetime warranty

NobelActive is covered by a lifetime product warranty.

 

Cases

Dr. Iñaki Gamborena – restoration of lower central incisors

Dr. Iñaki Gamborena – restoration of lower central incisors

Situation: Female patient, 22 years old, good oral hygiene, non-smoker, no parafunctional habits. Extraction of both lower central incisors needed due to extensive root infection and fractured teeth. Highly limited space conditions.

Solution: Placement of two NobelActive 3.0 implants with Immediate Function protocol including a connective tissue graft to increase soft tissue volume. Final restoration with two NobelProcera Zirconia Crowns cemented on NobelProcera Abutments.

View case (PDF, 347 kB)

Dr. Philip Russe – restoration of upper lateral incisor

Dr. Philip Russe – restoration of upper lateral incisor

Situation: Female patient, 21 years old, good oral hygiene. Missing upper lateral incisor.

Solution: Placement of one NobelActive 3.0 implant. Flap procedure without augmentation.

View case (PDF, 240 kB)

Dr. Scott MacLean – restoration of lower lateral incisor

Dr. Scott MacLean – restoration of lower lateral incisor

Situation: Male patient, 19 years old, good oral hygiene. Trauma case.

Solution: Placement of one NobelActive 3.0 implant.

View case (PDF, 212 kB)

Dr. Paul Weigl, Germany – single implant placement

Dr. Paul Weigl, Germany – single implant placement

Situation: Male patient, 49 years old. Due to caries at the subcrestal level the first premolar had to be extracted.

Solution: Immediate placement of a NobelActive implant and immediate provisionalization with a tooth crown and one abutment.

View case (PDF, 1 MB)

Dr. Benjamin Cortasse, France – anterior restoration

Dr. Benjamin Cortasse, France – anterior restoration

Situation: Fractured maxillary right central incisor. Tooth is hopeless and extraction is planned. Insufficient periapical bone.

Solution: Bone and connective tissue grafts. NobelActive implant placement with provisional crown. Use of NobelProcera ASC Abutment for final restoration to avoid screw access hole being located labially.

View case (PDF, 423 kB)

Dr. Igor Ristić – Single implant tooth restoration with TempShell and NobelProcera ASC Abutment

Dr. Igor Ristić – Single implant tooth restoration with TempShell and NobelProcera ASC Abutment

Situation: Female patient, 43 years old, loose frontal incisor.

Solution: Temporary: Temporary Snap Abutment and TempShell. Final: NobelProcera ASC Abutment with e.max Ceram veneering.

View case (PDF, 3 MB)

Dr. Eric Rompen, Belgium – anterior restoration

Dr. Eric Rompen, Belgium – anterior restoration

Situation: Male patient, 20 years old, congenitally missing two upper lateral incisors. Labial profile with concavities and lack of bone volume.

Solution: Placement of two NobelActive NP 3.5 x 13 mm implants with immediate provisionalization. Final restoration with two NobelProcera Crowns Zirconia.

View case (PDF, 579 kB)

Dr. Juan Zufia and Santiago Dalmau – anterior restoration

Dr. Juan Zufia and Santiago Dalmau – anterior restoration

Situation: Agenesis of both lateral superior incisors. Maryland porcelain bridges with continuous decementations. 2-3 mm of bone width in both areas of the ridge. Not enough bone to place implants and sunken areas in the gingiva.

Solution: Removal of the Maryland Bridge. Connective tissue graft and guided bone regeneration performed. Placement of two NobelActive NP implants and two directly veneered NobelProcera ASC Abutments.

View case (PDF, 533 kB)

Dr. Andrew Dawood, UK – full-arch restoration

Dr. Andrew Dawood, UK – full-arch restoration

Situation: Male patient, 48 years old, presented with several painful and highly compromised teeth in both jaws.

Solution: Full maxillary reconstruction with NobelActive implants in combination with a precision-milled fixed NobelProcera Implant Bridge Titanium. In the mandible, replacement of teeth with NobelProcera Crowns Zirconia cemented to individualized NobelProcera Abutments Titanium.

View case (PDF, 872 kB)

Dr. Louwrens C. Swart, South Africa – premolar restoration

Dr. Louwrens C. Swart, South Africa – premolar restoration

Situation: Female patient, 39 years old, asthma history. Loss of interradicular bone.

Solution: Flapless implant placement of one NobelActive implant with immediate loading of extraction site.

View case (PDF, 616 kB)

Dr. Giovanni Polizzi, Italy – immediately loaded full-arch rehabilitation using NobelGuide

Dr. Giovanni Polizzi, Italy – immediately loaded full-arch rehabilitation using NobelGuide

Situation: Male patient with edentulous upper jaw.

Solution: Placement of NobelActive and NobelSpeedy implants immediately after tooth extraction, following the NobelGuide treatment concept with Immediate Function.

Dr. Giovanni Polizzi – restoration of upper lateral incisor

Dr. Giovanni Polizzi – restoration of upper lateral incisor

Situation: Male patient, limited amount of bone. Missing upper lateral incisor due to congenital aplasia.

Solution: Placement of one NobelActive 3.0 implant.

Scientific evidence

NobelActive implants show slight marginal bone remodeling in the healing phase after implant placement, followed by stable or increasing bone levels.

Marginal bone levels

NobelActive implants show slight marginal bone remodeling in the healing phase after implant placement, followed by stable or increasing bone levels.3, 4, 8, 11

JJemt's papilla score index indicates significant overall increase in papilla score (P <0.001; Wilcoxon signed-rank test) from implant placement to the 3-year follow-up, with most of the increase occurring during the first year.

Soft tissue management

Study using NobelActive implants with immediate loading protocol, shows significant overall increase in papilla score (P <0.001; Wilcoxon signed-rank test) from implant placement to the 3-year follow-up.11

Patients treated with NobelActive implants report 34.2% increase in average self-esteem score from pre-treatment to the 3-year follow-up.

Quality of life

Patients treated with NobelActive implants report significant (p <0.001) improvements in self-esteem, function, esthetics, sense and speech from the pre-treatment to the 3-year follow-up.11

High CSR (cumulative survival rate) of 95.7-100% after two and three years under various clinical conditions and using Immediate Function protocols.

Other key findings

  • High primary stability in all bone types, making NobelActive a predictable implant also under demanding conditions such as immediate post-extraction tooth replacements.3, 11
  • High CSR (cumulative survival rate) of 95.7-100% after two and three years under various clinical conditions and using Immediate Function protocols.5, 7, 11 
  • Bone condensing and redirecting capability.10
  • Excellent treatment outcome when used in the full-arch rehabilitation concept All-on-4®.8, 12, 13

How to restore?

Made from high quality biocompatible materials with excellent homogeneity.

Wide choice of prosthetic options

NobelActive supports the comprehensive range of NobelProcera CAD/CAM dental prosthetics as well as Nobel Biocare's full range of prefabricated abutments.

Discover the NobelProcera CAD/CAM system

NobelActive features a dual-function prosthetic connection

Prosthetic flexibility

NobelActive features a dual-function prosthetic connection with internal conical connection for abutment-supported restorations as well as an implant shoulder for unique implant-level NobelProcera Implant Bridges in titanium and zirconia.

NobelActive features a strong conical connection with hexagonal interlocking

Strong internal conical connection

  • Conical connection with a uniform load distribution
  • Built-in platform shifting designed to maximize soft tissue volume
  • Supports narrow emergence profiles, suitable for the anterior
  • Six abutment positions

Testimonials

Dr. Scott MacLean from Canada explains why he is amazed with the NobelActive implant.

Dr. Scott MacLean, Canada

“I am truly amazed at the ease of the drilling protocol and the control over insertion of the NobelActive implant. The control over desired angulation following final drilling is a valuable benefit for this implant system. The system is easy to learn and leads to predictable outcomes.”

Dr. Manuel Navarro from Spain explains why NobelActive has advantages that no other implant has given us to date.

Dr. José Manuel Navarro, Spain

“A design where biology and engineering meet, which in specific situations has advantages that no other implant has given us to date.”

Dr. Eric Rompen from Belgium explains why NobelActive is his No. 1 dental implant.

Dr. Eric Rompen, Belgium

"An incredibly effective implant that provides excellent stability even in compromised sites. Because of its unique features to preserve the biology of marginal hard and soft tissues, NobelActive has become my number 1 implant in the esthetic area."

Literature

 

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Video: Immediate implants ten years later – A proven...

Dr. Tristan Staas focuses his practice and teaching interests in immediate implant placement and has over a decade of clinical experience with NobelActive. In this video, you will see three NobelActive clinical cases with 10-years’ follow-up.

References

1 Arnhart C, Kielbassa AM, Martinez-de Fuentes R, Goldstein M, Jackowski J, Lorenzoni M, Maiorana C, Mericske-Stern R, Pozzi A, Rompen E, Sanz M, Strub JR. Comparison of variable-thread tapered implant designs to a standard tapered implant design after immediate loading. A 3-year multicenter randomized controlled trial. Eur J Oral Implant. 2012 Summer; 5(2):123-36

Read on PubMed

2 McAllister BS, Cherry JE, Kolinski ML, Parrish KD, Pumphrey DW, Schroering RL. Two-year Evaluation of a Variable-Thread Tapered Implant in Extraction Sites with Immediate Temporization: A Multicenter Clinical Trial. Int J Oral Maxillofac Implants. 2012 May-Jun; 27:611-18

Read on PubMed

3 Cosyn J, De Bruyn H, Cleymaet R. Soft tissue preservation and pink aesthetics around single immediate implant restorations: A 1-year prospective study. Clin Implant Dent Relat Res. 2012 [Epub ahead of print]

Read on PubMed

4 Kielbassa AM, Martinez-de Fuentes R, Goldstein M, Arnhart C, Barlattani A, Jackowski J, Knauf M, Lorenzoni M, Maiorana C, Mericske-Stern R, Rompen E, Sanz M. Randomized controlled trial comparing a variable-thread novel tapered and a standard tapered implant: interim one-year results. J Prosthet Dent. 2009 May; 101:293-305

Read on PubMed

5 Demanet M, Merheb J, Simons W-F, Leroy R, Quirynen M. The outcome of a novel tapered implant in a private practice limited to Periodontology. Le Dentiste 2011 Septembre 16; No 426:22-5

6 Babbush CA, Kutsko GT, Brokloff J. The all-on-four immediate function treatment concept with NobelActive implants: a retrospective study. J Oral Implantol. 2011 Aug;37:431-45

Read on PubMed

7 Aspriello SD, Rasicci P, Ciolino F, Zizzi A, Rubini C, Procaccini M, Piemontese M. Immediate loading of NobelActive implants in postmenopausal osteoporotic women: 2-years follow up study. Clin Oral Implants Res 2011 22:Abstract 222

8 Gultekin BA, Gultekin P, Leblebicioglu B, Basegmez C, Yalcin S. Clinical evaluation of marginal bone loss and stability in two types of submerged dental implants. Int J Oral Maxillofac Implants. 2013;28(3):815-23

Read on PubMed

9 Irinakis T, Wiebe C. Initial torque stability of a new bone condensing dental implant. A cohort study of 140 consecutively placed implants. J Oral Implantol. 2009;35:277-82

Read on PubMed

10 Irinakis T, Wiebe C. Clinical evaluation of the NobelActive implant system; a case series of 107 consecutively placed implants and a review of the implant features. J Oral Implantol. 2009;35:283-88

Read on PubMed

11 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-year multi-center clinical study. J Periodontol. 2014;85(3):386-94

Read on PubMed

12 Galindo DF, Butura CC. Immediately loaded mandibular fixed implant prostheses using the all-on-four protocol: a report of 183 consecutively treated patients with 1 year of function in definitive prostheses. Int J Oral Maxillofac Implants. 2012;27:628-33

Read on PubMed

13 Babbush C, Kutsko G, Brokloff J. The All-on-Four Immediate function treatment concept with NobelActive implants- A retrospective study. J Oral Implantol 2011;37(4):431-45

Read on PubMed

14 Data on file