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Interested in how our products perform in real life? Then have a look at our extensive clinical cases archive, where you can see how our products can change a patient’s life.  

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

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)

Dan Holtzclaw, USA – Ridge augmentation

Situation: No site preservation of the mandibular right second premolar, first molar and second molar after extraction. Bone regeneration prior to implant placement is indicated.

Solution: Piezoelectric ridge splitting procedure followed by bone grafting with creos allo.gain 70/30 mineralized/demineralized bone particulate and then covered with a creos allo.protect barrier membrane. After three months of healing, two NobelSpeedy Replace implants are placed.

View case (PDF, 217 kB)

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. 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. 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

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. Alessandro Pozzi, Italy – All-on-4® treatment concept in the maxilla and the mandible

Situation: Female patient, 62 years old, edentulous maxillary and mandibular jaw.

Solution: All-on-4® treatment concept using NobelReplace Conical Connection implants with guided surgery. Final restoration with NobelProcera Hader Bar in the maxilla and NobelProcera Zirconia Implant Bridge in the mandible.

View case (PDF, 576 kB)

Dr. Lesley A. David, Canada – immediately loaded full-arch rehabilitation using NobelGuide

Situation: 65-year-old male, edentulous in the upper jaw. The dentures were made six years prior.

Solution: In the maxilla, five Brånemark System Mk III Groovy implants and one NobelSpeedy Shorty implant were placed. As a final restoration, a NobelProcera Implant Bridge Titanium with acrylic teeth was chosen.

View case (PDF, 228 kB)

Prof. Alessandro Pozzi, Italy – anterior restoration

Situation: Female patient, 50 years old, two insufficient root canal treatments and severely discolored teeth.

Solution: Placement of two NobelReplace Conical Connection implants at buccal crestal bone level with immediate loading in extraction sockets. Final restoration with two IPS e.max® crowns by NobelProcera cemented on NobelProcera Abutments.

View case (PDF, 788 kB)

Dr. Roberto Villa, Italy – anterior restoration with NobelReplace Conical Connection

Situation: Female patient, 19 years old, loss of central incisor after trauma.

Solution: Placement of NobelReplace Conical Connection implant with immediate loading.

View case (PDF, 1 MB)

Prof. Alessandro Pozzi, Italy – Posterior multiple-unit restoration with NobelReplace Platform Shift

Situation: Female patient, 70 years old, insufficient bridge in the third quadrant, missing pre-molar and molar.

Solution: Placement of three NobelReplace Platform Shift implants. NobelProcera Zirconia Implant Bridge on implant level and two NobelProcera Crowns on natural teeth.

View case (PDF, 338 kB)

Dr. Christopher B. Marchack, USA – Mandibular rehabilitation with implant-supported overdenture

Situation: Female patient, 92 years old, bad fitting prosthesis with decreased stability especially while eating.

Solution: Extraction of the remaining teeth. A conventional denture was advised in the maxilla and a placement of two NobelReplace Tapered implants with Locator Abutments and a new implant-retained overdenture in the mandible.

View case (PDF, 567 kB)

Dr. Baldwin W. Marchack, USA – Posterior single-unit restoration

Situation: Male patient, 60 years old, failed root canal filling and fractured mandibular molar.

Solution: Placement of a NobelReplace Tapered implant. Veneered NobelProcera Zirconia Crown cemented onto Snappy Abutment with resin-reinforced glass-ionomer cement.

View case (PDF, 1 MB)

Dr. Stefan Lundgren, Sweden – Anterior restoration

Situation: Female patient, 24 years old, the woman was wounded by a gunshot during a robbery.

Solution: Segmental anterior maxillary osteotomy with a bone block including 3 implants, made possible by the Custom-made Device Workshop.

View case (PDF, 5 MB)

Dr. Edmond Bedrossian, USA – Fixed implant restoration of the edentulous maxilla

Situation: 73-year-old healthy female, unable to function with her existing maxillary distal extension partial dentures.

Solution: Removal of the existing maxillary teeth. Immediate placement of two NobelSpeedy Groovy and two Brånemark System Zygoma implants, followed by a provisional restoration with Immediate Function. A screw-retained NobelProcera Implant Bridge Titanium framework was chosen as the final restoration.

View case (PDF, 170 kB)

Dr. Giorgio Tabanella, Italy – GBR and simultaneous implant placement

Situation: Missing mandibular first molar, crestal bone resorption.

Solution: GBR procedure using creos xenoprotect collagen membrane for augmentation of implant dehiscence after placement of a NobelReplace Conical Connection implant.

Dr. Rubén Davó, Spain – complete solution for severely resorbed maxilla and mandible

Situation: 60-year-old female with severe bone resorption of the upper and lower jaw with complete dentures.

Solution:  Brånemark System Zygoma and NobelReplace Tapered implants were used to rehabilitate the maxilla. For the mandible, the All-on-4® treatment concept was chosen. As a final prosthesis, fixed precision-milled NobelProcera Implant Bridges were chosen for both the maxilla and the mandible.

View case (PDF, 1 MB)

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. 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.

Dr. Fabrice Clipet, France – Augmentation after immediate implant placement

Situation: 7 mm buccal probing and mild root resorption at upper central incisor (tooth #21).  

Solution: Removal of hopeless tooth with immediate placement of NobelActive implant, bone grafting with a mix of autogenous bone and deproteinized bovine bone matrix (DBBM), covered by a creos xenoprotect collagen membrane.

View case (PDF, 179 kB)

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

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. Paulo Maló, Portugal – All-on-4® treatment concept with NobelGuide

Situation: Totally edentulous female patient in her early 50s, rehabilitated with upper and lower removable dentures over 15 years prior.

Solution:  Fixed implant-supported bimaxillary rehabilitation using the All-on-4® treatment concept. The NobelGuide protocol (flapless) is followed in the maxilla and the conventional flap technique with the All-on-4® Guide is followed in the mandible. As a final prosthesis, fixed precision-milled NobelProcera Implant Bridges were chosen for both the maxilla and the mandible.

View case (PDF, 184 kB)

Dr. Andrew Dawood, Dr. Susann Tanner & Prof. Iain Hutchison, UK – Nasal and oral reconstruction

Situation: Edentulous female patient, 86 years old, has undergone a complete rhinectomy.

Solution: Two extraoral bifunctional implants have been used for the nasal epithesis and an oral prosthesis, made possible by the Custom-made Device Workshop.

View case (PDF, 564 kB)

Prof. Dr. Mariano Sanz, Spain – Extraction socket preservation

Situation: Periapical infection and an open fistulous track toward the root of upper central incisor (tooth #21). Presence of a perio-endo lesion and tooth is extracted. Loss of the buccal bone plate so a lateral bone augmentation procedure is indicated.

Solution: Deproteinized bovine bone mineral (DBBM) is used as scaffold and creos xenoprotect as a protective barrier. An implant is placed after six months of uneventful healing.

View case (PDF, 230 kB)

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. Philippe Russe, France – Horizontal ridge augmentation

Situation: Trauma on both upper central incisors in 1994. Teeth were re-implanted and extraction done in November 2012.

Solution: Horizontal ridge augmentation using processed allogenic bone graft and a creos xenoprotect collagen membrane. Placement of two NobelActive implants after six months of healing.

View case (PDF, 725 kB)

Dr. Oscar Gonzalez-Martin, Spain – Extraction socket preservation

Situation: Fractured first maxillary left premolar, tooth extraction indicated.  

Solution: GBR procedure and delayed implant placement.

View case (PDF, 442 kB)

Dr. Andrew Dawood, UK – full-arch maxilla case with guided surgery

Situation: Male patient, 65 years old, edentulous maxilla, with request for a fixed restoration.

Solution: Full-arch restoration with six NobelReplace Conical Connection implants and a NobelProcera Implant Bridge.

View case (PDF, 2 MB)

Dr. Javier Alandez, Spain – Extraction socket preservation

Situation: Fractured first maxillary left premolar, tooth extraction indicated. 

Solution: The defect is filled by using bovine hydroxyapatite. A creos xenoprotect collagen membrane is applied to cover the defect. After three months, reopening of the treated area shows complete regeneration of the initial defect.

View case (PDF, 367 kB)

Dr. Giorgio Tabanella, Italy – Maxillary sinus elevation

Situation: Extraction of hopeless upper first molar, pneumatized maxillary sinus with insufficient bone volume for implant placement.

Solution: Maxillary sinus elevation using creos xenoprotect to cover lateral window.

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. Giorgio Tabanella, Italy – Horizontal augmentation

Situation: Both upper lateral incisors missing, narrow ridge and insufficient bone volume for implant placement. 

Solution: GBR procedure using creos xenoprotect collagen membrane for horizontal ridge augmentation.

Dan Holtzclaw, USA – Extraction site preservation

Situation: Significant dehiscence defect of mandibular buccal plate, tooth extraction indicated.

Solution: Extraction of hopeless tooth, followed by bone grafting with creos allo.gain 70/30 mineralized/demineralized bone particulate and then covered with a barrier membrane. After three months of healing, a NobelSpeedy Replace implant is placed.

View case (PDF, 363 kB)

Dr. Marwan Daas, Dr. Karim Dada and M. Jean Marc Etienne, France - anterior restoration

Situation: Ectodermal dysplasia cross-linked with multiple congenitally absent teeth leading to typical occlusal disorders. These agenesia are associated with severe alveolar bone atrophy.

Solution: Placement of six NobelReplace CC NP implants using NobelClinician software and guided surgery. Six NobelProcera ASC Abutments serve as screw-retained restorations.

View case (PDF, 391 kB)

Prof. Dr. Stefan Holst, Germany, Luc and Patrick Rutten, Belgium – posterior restoration

Situation: Failing first mandibular molar. Restricted mouth opening.

Solution: Tooth extraction and placement of NobelReplace CC RP. Placement of NobelProcera ASC Abutment with angled screw access towards the mesial.

View case (PDF, 450 kB)

Dr. Juan Zufia - anterior restoration

Situation: 32-year-old patient. Upper-right central incisor was lost through trauma two years prior. Soft tissue is lacking both horizontally and vertically.

Solution: Placement of NobelReplace CC PMC followed by soft tissue grafting using the Slim Healing Abutment CC NP. Final restoration with NobelProcera ASC Abutment and a zirconia crown.

View case (PDF, 1 MB)

Immediate single-tooth replacement in the posterior

Case courtesy of Dr. Léon Pariente and Dr. Karim Dada, France

Situation: Fractured maxillary first molar, tooth extraction indicated. 

Solution: Immediate implant placement in extraction socket using a NobelParallel Conical Connection implant and NobelGuide pilot drilling template.

View case (PDF, 519 kB)

Anterior single-tooth replacement with Immediate Function

Case courtesy of Dr. Léon Pariente and Dr. Karim Dada, France

Situation: Root fracture of upper lateral incisor, tooth extraction indicated. 

Solution:  Immediate implant placement in extraction socket using a NobelParallel Conical Connection implant and NobelGuide pilot drilling template. Immediate provisionalization on the day of surgery and final restoration using the NobelProcera ASC Abutment. 

View case (PDF, 884 kB)

All-on-4® treatment in the mandible

Case courtesy of Dr. Steffen Buchholz, Germany

Situation: Edentulous mandible with wide alveolar.

Solution: Full-arch reconstruction with immediate provisionalization using the All-on-4® treatment concept. NobelParallel CC RP 4.3 x 13 mm implants with a NobelProcera Implant Bridge as the final restoration. 

View case (PDF, 1 MB)

Dr. Hadi Antoun, France – GBR and simultaneous implant placement

Situation: Extraction of two lower right molars indicated, vertical bone defect at first molar. 

Solution: GBR procedure using creos xenoprotect collagen membrane and simultaneous implant placement with a Brånemark System MK IV implant. Restorative solution using a NobelProcera Titanium Abutment and a screw-retained crown.

View case (PDF, 936 kB)

Replacement of multiple teeth in the posterior

Case courtesy of Dr. Claude Authelain, France

Situation: Partially edentulous in the lower and upper jaw, upper jaw to be treated at a later stage, narrow crest situation. 

Solution:  Endodontic treatment of infected area and placement of two NobelParallel Conical Connection implants. A NobelProcera Implant Bridge Titanium is chosen as the final restorative solution.

View case (PDF, 506 kB)

Immediate implant placement with Immediate Function

Case courtesy of Dr. Claude Authelain, France

Situation: 67-year-old male patient with periodontal disease of the inferior incisors.

Solution: Immediate replacement of four lower incisors using two NobelParallel Conical Connection implants and a provisional bridge.

All-on-4® treatment in the maxilla

Case courtesy of Dr. Paulo Maló, Portugal

Situation: Edentulous maxilla.

Solution: Full-arch reconstruction with immediate provisionalization using the All-on-4® treatment concept. NobelSpeedy Groovy implants.

All-on-4® flapless treatment in the maxilla

Case courtesy of Dr. Peter Moy, US

Situation: Edentulous maxilla.

Solution: Full-arch reconstruction with immediate provisionalization using the All-on-4® treatment concept, NobelGuide and NobelSpeedy Groovy implants.

Immediate replacement of two upper molars

Case courtesy of Dr. Tristan Staas, The Netherlands

This case video takes you through every step of the treatment workflow for the immediate replacement of upper left and right molars: patient briefing, implant surgery using NobelActive WP implants, shaping of the emergence profile using PEEK healing abutments, lab preparation of the NobelProcera FCZ Implant Crown, and placement of final restoration.

Single tooth replacement in the posterior

Case courtesy of Dr. Léon Pariente and Dr. Karim Dada, France

Situation: Cracked tooth syndrome on upper-right first molar

Solution: Extraction with delayed implant placement (three months) using NobelActive WP 5.5 x 8.5 mm. As restorative solution a NobelProcera FCZ (full-contour zirconia) Implant Crown with angulated screw channel was chosen.

View case (PDF, 1 MB)

Lower anterior tooth replacement

Case courtesy of Prof. Alessandro Pozzi, Italy

Situation: Male patient, 66 years old. Vertical tooth drift of the four lower incisors, class II dento-skeletal malocclusion, chronic periodontitis, tooth mobility and dental caries.

Solution: NobelParallel Conical Connection 3.75 x 13 mm. NobelGuide pilot drill surgical template in fresh extraction socket. Flapless surgery. Immediate provisionalization. NobelProcera Zirconia Implant Bridge

View case (PDF, 799 kB)

Immediate implant placement in the resorbed maxilla

Case courtesy of Dr. Rubén Davó, Spain

Situation: Severely resorbed maxilla with failing dentition

Solution: Immediately loaded full-arch rehabilitation using NobelZygoma 45° implants.

Dr. Bastian Wessing, Germany – Horizontal and vertical ridge augmentation of a knife-edge ridge

Situation: Missing teeth 46, 47. Late implant placement, bone quality D1, poor bone quantity.

Solution: Horizontal and vertical augmentation by GBR using creos xenoprotect collagen membrane with “tenting screw technique”.

View case (PDF, 811 kB)

Dr. Bastian Wessing, Germany – Gap augmentation during immediate implant placement with immediate restoration

Situation: Hopeless tooth 11 after traumatic accident with discoloring, persistent pain and mobility grad II.

Solution: Immediate implant placement with gap augmentation using creos xenogain (small granules).

View case (PDF, 476 kB)

Dr. Pedro Santos Silva, Portugal – Ridge augmentation and implant placement to enhance esthetic in implant dentistry

Situation: Missing central incisor due to trauma in childhood. Patient is under orthodontic treatment.

Solution: Implant placement (NobelActive 3.5 x 13 mm) with simultaneous bone augmentation using creos xenoprotect and creos xenogain (small granules 0.2 - 1.0 mm).

View case (PDF, 1 MB)

Dr. Ferdinando D'Avenia, Italy – Immediate implant placement in a site with severe buccal dehiscence

Situation: Chronic periodontitis. Tooth # 25 with porcelain fused to metal crown and metal post and core. Vertical root fracture occurred two months earlier. 10 mm “U” shaped buccal dehiscence.

Solution: Immediate implant placement (NobelParallel CC RP 4.3 x 13 mm) in combination with a GBR procedure (using creos xenogain and creos xenoprotect).

View case (PDF, 1 MB)

Dr. med. dent. Annette Felderhoff-Fischer, Germany – Maxillary sinus floor elevation with simultaneous implant placement

Situation: Missing teeth #15 and 16, with inadequate bone height for the implant placement due to maxillary sinus pneumatization.

Solution: Maxillary sinus floor elevation (using creos xenogain and creos xenoprotect) in combination with immediate implant placement (NobelParallel CC Ø 5.0 x 10 mm at 15 and NobelParallel CC Ø 5.0 x 10 mm at 16).

Dr. Sascha Jovanovic, USA – GBR procedure with simultaneous implant placement

Situation: Missing tooth #12 with post extraction bony defect in coronal part of the ridge.

Solution: Delayed implant placement (NobelActive 3.0 x 13 mm) in combination with a GBR procedure (using creos xenogain and creos xenoprotect).