Dr. Tristan Staas is one of the first adopters of NobelActive, having introduced it into his then-small dental practice back in 2007.
According to him, a primary reason for his practice’s growth is his ability to advance immediate loading protocols successfully due to the high primary stability of this implant solution.1-13
Since 2007, the portfolio of this flagship implant has also grown to include NobelActive 3.0 for small spaces, Wide Platform for posterior cases and extraction sockets and in 2019, the new TiUltra surface*. Here, he shares his own NobelActive journey, and the potential he believes it brings to other practices.
The NobelActive design was presented to you just over ten years ago. What was your initial reaction?
Dr. Staas: “I was in the audience at the Las Vegas Nobel Biocare Global Symposium in 2007 when they presented live surgeries with NobelActive. I honestly had my doubts, because it seemed too good to be true. At that time, I never expected to be involved in the pre-launch process or to do something that close to NobelActive. So, when I got home I was delighted to get an invitation to Nobel Biocare in Zurich and have the opportunity to try it out.
When we started to perform treatments, it surprised me. I always say that you can train and show everything, but the first time any surgeon like me actually places a NobelActive implant, they can quickly be addicted. That’s what happened to me.”
You said that you thought it could be too good to be true. What specifically did you think was too good to be true about it?
Dr. Staas: “The control of direction was very surprising, because at that time, I knew no other implants where I was that much in control of the implant. I also remember that, when Nobel Biocare representatives came to our office and gave us all the equipment to implement NobelActive, they brought a surgical driver. The first thing I thought was “no, no, no”, because I did not want to use a surgical driver. But when we tried it out, it changed everything. For the first time in my career, I was able to position the implant in the correct way. I was finally in control.”
For the first time in my career, I was able to position the implant in the correct way. I was finally in control.
Could you speak about your first clinical experience using NobelActive – what was your reaction when performing the treatment and then when you saw the results of the treatment?
Dr. Staas: “I was surprised by the high primary stability. I have to admit that we had to learn to work with it, because it was really different to other systems. But we learnt it fast.
I was also really surprised by how easy it was to get the implant in the required position with primary stability, how it could be trusted for immediate temporary restorations.
Before NobelActive, less than half of our immediate anterior sites were immediately restored with a temporary crown. After we introduced NobelActive, it was almost every single one.”
What were the big changes that came when you started using NobelActive? What solutions did it offer to challenges that had previously come up?
Dr. Staas: “Before I started using NobelActive in 2007, I was not particularly recognized in the Netherlands as an oral surgeon. Our office was small with just three chairs. Even at that time, I believed in immediate implant placement in the anterior zone, but it was very difficult to perform this in a correct way. And when we started using NobelActive, it allowed us to adjust our protocol and go more palatal with our implants.
Together with colleague Dr. Edith Groenendijk, we developed a protocol for anterior sites that quickly became well-known in the Netherlands. People began to refer patients quite often to us, and the practice grew over time from three to 26 chairs. Now, we do a lot of anterior cases as well as other cases, and I think I can say that we have become one of the most important implantology-focused practices in the Netherlands. Without NobelActive, that would never have happened.”
We have become one of the most important implantology-focused practices in the Netherlands. Without NobelActive, that would never have happened.
For practices that have not used NobelActive yet, why would you recommend it to them?
Dr. Staas: “If a dental practice changes to NobelActive, they get to embrace another way of thinking. You get the opportunity to place your implant immediately, even in soft bone and fresh extraction sockets, and you are able to adjust its position. Its unique implant design can be selected from a broad range for different indications.
Furthermore, the weight of clinical evidence behind NobelActive really is like no other. There is a substantial body of evidence11-13 regarding marginal bone level change that shows that NobelActive implants demonstrate low bone remodeling during the healing phase, which is followed by stable or increasing bone levels. Given NobelActive’s proven combination of clinical and esthetic success, your patients will immediately appreciate its introduction to your practice.”
Given your personal success with adopting NobelActive, would you say that it can change other dental practices as well?
Dr. Staas: “Yes, I am absolutely sure that it can, because it gives dentists the ability to replace a lost tooth not only surgically but prosthetically – in a minimally invasive way.”
*Please note: TiUltra is under regulatory review and might not be currently available in your region. Contact your local Sales Representative for more information.
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- Glauser R, Portmann M, Ruhstaller P, et al. Stability measurements of immediately loaded machined and oxidized implants in the posterior maxilla. A comparative clinical study using resonance frequency analysis. Appl Osseointegrat Res 2001; 2:27–29.
- Groenendijk E, Staas T, Graauwmans F, Bronkhorst E, Maal T, Meijer GJ. Immediate implant placement: the fate of the buccal crest. A retrospective cone beam computed tomography study. Int J Oral Maxillofac Surg. 2017;46(12):1600-1606.
- Karl and Irastorza-Landa, Does implant design affect primary stability in extraction sites? Quintessence Int. 2017 Feb ; doi: 10.3290/j.qi.a37690. Read on PubMed
- 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
- McAllister BS, Cherry JE, Kolinsky ML, et al. 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;27(3):611–618.
- Polizzi G, Cantoni T, Pasini E, Tallarico M. Immediate loading of variable-thread expanding tapered-body implants placed into maxillary post-extraction or healed sites using a guided surgery approach: An up-to-five-year retrospective analysis. J Oral Science Rehabilitation 2016;2(3):50–60. Read on PubMed