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New opportunities ahead

by: Jim Mack

It's time for an efficient solution that's stronger than ever - and 100% cement-free.

A new complete posterior solution

Nobel Biocare is bringing innovation back - to the back of the mouth, that is - by shining a helpful light on challenges like large extraction sockets, limited accessibility, tough-to-remove excess cement, and high occlusal forces.

With molar replacement among the most common indications, our new complete posterior solution is the answer. Challenges are overcome efficiently and predictably using new wide-platform implants and restorative options, all specially designed for molar sites.

Fifty years of experience

Multiple innovations combine to make this solution complete. The new implants and related components are the product of unmatched experience and scientific heritage that stretches back to 1965. Our new posterior solution provides several options, each engineered specifically for the posterior.

A wide range

The first implant option is a new NobelActive platform with a wider diameter implant body (Ø5.5 mm) to better fit the large extraction sites in the molar region and a wider platform for an optimized emergence profile. It's also available in the shorter 7 mm length to avoid critical anatomy such as nerves.

One can also opt for the new NobelParallel Conical Connection which can be used in all bone qualities and a range of indications. It also comes in a Ø5.5 mm version for molar sites.1-6

More to restore

New PEEK (polyetheretherketone) healing and temporary abutments are anatomically shaped with molar contours. And for the final restoration, the screw-retained and cement-free NobelProcera FCZ (full-contour zirconia) Implant Crown is designed for strength and predictability.7-9

Chipping is not a concern, as the full-contour nature of the new implant crown removes the need for veneering. It's also available with an angulated screw channel (ASC) for easy access in the posterior.

References

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. Journal of Periodontology. 2013. [Epub ahead of print]

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 randomised controlled trial. Eur J Oral Implantol. 2012 5:123-36

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Babbush CA, Brokloff J. A Single-Center Retrospective Analysis of 1001 Consecutively Placed NobelActive Implants. Implant Dent. 2012 Feb;21:28-35

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Villa R. Immediate loading of single NobelSpeedyTM Groovy implants placed in first molar post-extraction sockets: a 1-year clinal and radiological prospective study [# P148]. 25th Anniversary Annual Meeting of the Academy of Osseointegration. Orlando, USA; 2010.

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(8):635-44

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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. epub ahead 2012.

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Wilson TG Jr. The positive relationship between excess cement and peri-implant disease: a prospective clinical endoscopic study. J Periodontol. 2009 Sep;80(9):1388-92. doi: 10.1902/jop.2009.090115.

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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 Jul;85(7):e241-50. doi: 10.1902/jop.2014.130632.

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Zhang Y1, Lee JJ, Srikanth R, Lawn BR. Edge chipping and flexural resistance of monolithic ceramics. Dent Mater. 2013 Dec;29(12):1201-8. doi: 10.1016/j.dental.2013.09.004.

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