nobel active internal hex implant
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Gerald A. Niznick DMD, MSD 1
NobelActive Internal Hex Implant with Long Lead-in Bevel Nobel Marketing Claims this is the “Implant of the Future”
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NobelActive Internal Hex Implant – Modified Alpha Bio Implant Nobel Marketing Claims this is the “Implant of the Future”
Alpha Bio Israeli Implant with 45Deg.
Bevel and Internal Hex
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Screw-Vent Internal Hex/bevelNiznick Patent 1986
NobelActive is a Conglomeration of Common Features that work individually but not necessarily in combination
Astra 11Deg. Bevel
Osstem’s double Threads over entire length. NobelActive transition of sharp to flat threads not contusive for self-tapping insertion in dense bone
Oraltronics’ Pitt-Easy
Implant with Deep Apical Threads but
threads consistent over entire
length
NobelActive hex too deep to allow for 8mm implant length
45 Deg. Bevel Bevel with proven 20 year history of stability
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1.5mm High External Hex 3.5mm Morse Taper Post
NobelActive External -With External Locking Taper ConnectionNobel Marketing Claims this is the “Implant of the Future”
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NobelActive External - 5mm high tapered post requires parallelism Miter Implant with External Post – Evolved quickly to Internal Socket (Bicon)
Driskell Patent 1985: Tapered Post on Implant
“Locking taper concept – impacting the female taper of the implant head with the male counterpart on the root structure.”
Driskell Patent 1988: Tapered Socket in Implant
Locking Taper Concept “The head member has … a tapered rod
or socket for connection to the root”
“Those who cannot remember the past are condemned to repeat it” QUOTATION: George Santayana (1863–1952), U.S. philosopher,
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NobelDirect Bone Loss
Articles and Regulatory Problems
NobelPerfect $600 Implant Claiming to be
Solution for “Black Hole”
esthetic Problem
Tapered Groovy with diminishing
apical threads and no cutting
groove
NobelActive Niznick 1986 Internal Hex, Pitt-Easy deep apical threads, Osstem double threads, Alpha
Bio Clone
Nobel Biocare’s History of “Innovation” for Innovation Sake Are Nobel’s Exiting Implants the “Implants of the Past?
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A Camel is a Horse Designed by a Committee
NobelActive Internal
NobelActive External
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Research: 1 Poster + 2 “Ongoing” Nobel Company Studies
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NobelActive (TiUnite) and Alpha Bio’s SFB (SLA) Implants BUT Nobel claims 98.3% Alpha Bio study applies to its new implant
ABOVE: Nobel Claims NobelActive success of “98.3% for up to 4 years” BELOW: Alpha Bio’s Catalog Claims same 98.3% success “after more than 5 years” but the surface is SLA (sand blasted with large grit followed by acid etching) like Straumann’s Surface
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Nobel Claims NobelActive Functions like “Corkscrew” Close Evaluation indicates they should have left it in the bottle
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Nobel Biocare’s NobelActive Marketing Claims
1. “bone-condensing – expands indication range and gives even higher initial stability.”
2. “self-drilling”3. “ability to change
direction during surgery”4. “unique press-fit
connection of abutment – 5. -removes risk of excess
cement”6. NobelActive Internal and
External implants don’t cut through bone like
1. Higher than What – Replace? Increased stability achieved by spreading bone whereas deep threads cut bone
2. Self-threading – like any screw in soft bone.
3. Path of implant insertion should be established during surgery, not during implant insertion. That is what guide pins and end-cutting drills are for.
4. Nothing unique about press-fit connection. Miter Implant (1980) had external tapered post – evolved to internal press-fit connection of Bicon
5. If cement is a risk, why does NobelActive Internal have a screw-retained connection?
6. Why does NobelActive have spiral cutting grooves if not to “cut through bone like conventional (self-tapping) implants”?
NobelActive Marketing Claims Questionable Validity of Marketing Claims
conventional implants, they press through it like a corkscrew
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1. It is not a “one-piece implant – requires an abutment.
2. Does not have 2-piece flexibility – Can not use angled heads greater than 12 degrees, ball, screw-receiving or ceramic abutments. Require parallel placement of implants for bridges.
3. A one-piece implant eliminates “micro gap” but a precise-fitting internal connections maintain marginal integrity anyway. Nobel still sells external hex implants – less stable
1. “One piece implant
2. design with 2-piece flexibility”
3. locking tapered interface .. Eliminates bone level micro gap, micro-movement and the use of abutment screws.”
NobelActive External Claims Claims are not Valid
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Precision Manufacturing of Internal Connection Prevents both Micro-Movements and Micro-Gap
Abutment
ScrewPlant Implant
Screw Precision Fit
Cross-section of Abutment On ScrewPlant Implant
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Compare Fit of ScrewPlant from Implant Direct, and the Screw-Vent Clone from Alpha Bio, the Israeli Implant Company owned by NobelActive Developer
ScrewPlant – External Bevel Connection from Implant Direct
Alpha Bio, Israeli Company owned by Dr Fromovitch, NobelActive Developer
SBM to top
Blast Surface 3mm Short of the top Note Pitted Surface and Gap
Note Micro-threads and Sealed Margin
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Very deep threads apically cuts rather than compresses soft bone - any screw implant will self-tap in soft bone.
NobelActiveNo Taper to OD
of Threads
ScrewPlantGradual Taper for
Bone Expansion
Deep apical threads will not expand narrow ridge or compress soft bone
Soft Bone (Balsa) = 3.91 in/lbs Insertion TorqueHard Bone (Oak) = 6.35 in/lbs Insertion Torque
NobelActive™ ClaimThe product is easy to use and provides high initial stability and good outcomes. The Apical Threads are too aggressive for self-tapping insertion in Dense bone and are designed to cut threads in soft bone rather than expand and compress the bone for increased initial stability. Any Implant will self-tap in soft bone.
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Dense Bone Drill is 4.2mmD but Platform is 3.9mmDNobelActive Leaves Gap around neck of Implant in Dense Bone
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Dense Bone Drill is 4.6mmD but Platform is 3.9mmDNobelActive Leaves Gap around neck of Implant in Dense Bone
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Compare NobelActive External Hex with ScrewDirect One-Piece Implant
The Prosthetic Advantages are Obvious & Cost Savings Significant
NobelActive ExternalRequires Attachment of one
of these four abutments
ScrewDirect $150 incl. Snap Transfer & Cap
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Attach & Remove Long Friction Fit Head to NobelActive
Straight Friction-fit abutment too longHeads of Implant exposed above bone
Tried to remove abutment with Forceps
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Attach Two Short Friction Fit Heads to NobelActive using Mallet
Jack off abutment using Removal Screw Shorter Abutment attached to Implants
Shorter Abutment attached to Distal Implant Tap on Taper Lock Abutments with Mallet
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Need for parallelism is what dictates need to re-direct implantEstablish alignment with paralleling pins and end-cutting drills
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Preferred placement is angled between buccal and lingual platesStraight Post of NobelActive External requires vertical placement
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NobelActive vs RePlus Implant From Implant DirectWhy Change Drills and Platforms, just to change threads?
NobelActive
1. RePlus has Tri-Lobe Connection 2. Both have Platform switching
interface – of questionable value3. RePlus has even taper and even
depth to threads to allow insertion into an undersized socket for bone expansion,
4. NobelActive has no taper to outside threads and extreme taper to inside thread dimension
5. RePlus has Mini-threads whereas NobelActive has horizontal grooves.
6. RePlus major diameter is at top of implant whereas NobelActive 4.3 & 5.0 implants are narrower at top, leaving gap in dense bone
7. RePlus has double lead threads on body for faster insertion.
RePlus Implant
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ProActive with Tri-Lobe Connection and Platform SwitchingProjected Launch Date – January 2008
• Same taper to body as RePlus Implants allow insertion in undersized socket for expansion
• Flat-based deeper threads provide increased surface area for greater stability in soft bone
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ProActive Implant Provided on Fixture-Mount that is Transfer and can be shortened to Final, Platform Switching Abutment
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Get Connected to All-in-one Packaging, Simplified On-line Ordering and Unprecedented Low Prices
www.implantdirect.com
[email protected]. Jerry Niznick, President
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