This is a shortened version of Ms. Jamie Tan’s interview with Dr. Staas about NobelActive implants first published in Dental Asia, February 2020

Tristan StaasDr. Tristan Staas graduated from the University of Utrecht in the Netherlands in 1988. And in 1990, together with his wife Mieke Bergmans, who is also a dentist, they founded Staas and Bergmans Zorgvooruwmond, a practice for general dentistry, and clinic for esthetic dentistry and implantology. In 2018, they moved Staas & Bergmans Expertisevooruwmond, a second office founded in 2012, to a bigger space in ‘s-Hertogenbosch, the capital city of the Dutch province of North Brabant.

Dr. Staas was one of the first clinicians to introduce immediate loading with NobelActive® implants by Nobel Biocare to his practice back in 2007.

“We were the first to believe in the benefits and predictability of a new approach in the Immediate Implant Placement Protocol (IIPP),” said Dr. Tristan Staas. In his view: “Before that, the esthetic outcome from placing an implant in the socket was unpredictable.”

From the drilling protocol to the form and surface, NobelActive is an implant that was designed with immediate loading and primary stability in mind. Experienced clinicians are able to adjust the implant position during placement thanks to the reverse-cutting flutes with drilling blades on the apex. The moderately rough, thickened titanium oxide layer on the implant surface enhances osseointegration, and the back-tapered collar, together with the strong conical connection and built-in platform shifting, help preserve soft tissue and marginal bone, hence helping the implants to maintain stability even after a decade.

NobelActive TiUnite

NobelActive is an implant that was designed with immediate loading and primary stability in mind.

Advantages of NobelActive®

“NobelActive stands out in handling, positioning, and primary stability, with a wide assortment of stock and customised CAD/CAM (NobelProcera) biocompatible components” said Dr. Staas. “For an experienced clinician, the NobelActive implant system is easy to control with minimal preparation needed.”

Since 2006, he has further introduced CBCT (cone beam computed tomography) imaging to his office, and planned all patients’ implants in 3D. Nowadays, his team uses the smart fusion of data with intraoral scanners and digital smile design to streamline their planning.

NobelActive apex

“Clinicians are able to adjust the implant position during placement thanks to the reverse-cutting flutes with drilling blades on the apex.”

Clinical indications of NobelActive®

“When you want a bone-level implant system, particularly in the esthetic zone, NobelActive will be your first choice,” said Dr. Staas. In fact, some of his most memorable cases go as far back as a decade, when he first started using NobelActive. “It’s been 10 years now, and we’re still surprised and impressed by the stability of the esthetics,” he said.

In Dr. Staas’ clinical research, he has also found that the conical connection, in combination with a platform shift and the emergence profile of prosthetic components, are key factors for long-term success. “Implants to me are just a tool to reconstruct function and esthetics,” Dr. Staas thought aloud.

Implant surgery with NobelActive

According to Dr. Staas, it took a long while to convince his team to a new approach with immediate implant placement.

Back in 1990, his focus had been on reconstructive dentistry. Today, his clinics are leading dental practices in the Netherlands, providing care in all areas of dentistry. As he started giving lectures about their protocols and results, and building a website on treatment options with immediate implants, patients and peers began to recognize him.

“We were also one of the first to first to make ourselves available online, 24 hours a day, seven days a week, for questions and advice,” he said.

He acknowledged that it took a lot of time to convince his team, and also their referral dentists, to consider a new way of thinking, as they tend to be trained to work in a specific workflow. He encourages his team by giving them unconditional trust and support. “Empower them, let them make decisions without your interference and accept that they’ll do things in a different way,” he shared. “Allow them to make mistakes too.”

As for the future, he sees his team expanding, with greater ability, skill, and knowledge to cover even the most complex cases. “We will integrate the digital workflow and dental lab more and more into the office,” he said. He also looks forward to the next innovations from Nobel Biocare that will help to treat more patients better.

More to explore

Posted by Chris Kendall