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Information for the Osseointegration Specialist Issue 1/2014

Nobel Biocare News

NobelConnect®

2 New talent steps forward: The Foundation for Oral Rehabilitation (FOR) commits resources and energy to young leaders.

3 Recent findings: Science matters!

4 Implants and first-class esthetics go hand in hand: Insight into anterior soft tissue management techniques and procedures.

6 One streamlined flow: Integrated and efficient treatment workflow gives clinicians and labs a connection pathway.

9 Esthetics from a new angle: NobelProcera® Angulated Screw Channel (ASC) abutment and Omnigrip™ tooling

10 Introducing creos™ regenerative solutions: Providing bone regeneration options for a wide variety of indications.

In this Issue

fusing detail into clear focus for the patient.

This can lead to enthusiastic “Aha!” responses and more frequent acceptance of the treatment being proposed.

Working with Nobel Biocare, you will be able to reduce the number of visits for each patient while enhanc-ing predictability at the same time.

The workflow now being intro-duced saves time and effort for ev-eryone involved in delivering treat-ment, thus reducing costs, as well.

In short, the workflow presented in this edition’s centerfold encourag-es teamwork across professional frontiers, offers efficiencies at each treatment step, and promotes the cooperative interaction that can help all the dental professionals in-volved to further build their busi-nesses.

Regaining confidence

People who have lost teeth in the front of their mouth find themselves in an especially vulnerable situation. As much as they miss the function of the teeth they’ve lost, most of all they want to regain their smiles, which are invariably an essential part of their social connection to friends, family and the world around them.

The smile you can reproduce with the help of Nobel Biocare products today is made up of natural-looking teeth and healthy soft tissue. Equally important to the patient, regaining his or her smile with an implant-based solution does not require grinding down adjacent healthy teeth.

At the Nobel Biocare Global Sym-posium in New York last June, Pro-fessor Markus Blatz of the Universi-ty of Pennsylvania gave voice to a sound strategy: “The goal remains the same for our surgical and our re-storative interventions: We try to mimic nature as closely as possible.”

Never before has the pathway to this admirable objective been as straightforward to travel as now. <

and experience to help you accom-plish each of the demanding tasks that make up the step-by-step work-flow for multiple-unit partial cases like the one above (as well as for sin-gle-tooth and edentulous situations).

Especially useful in high-visibility anterior cases, innovative “smart fu-sion” technology from Nobel Bio-care merges and aligns medical im-aging from (CB)CT scans with tissue information received from the NobelProcera 2G Scanner.

Following all or even part of the new workflow featured on pages 6–7 in this issue of Nobel Biocare News can lead to more predictable and ef-ficient treatment—which is also eas-ier to explain to patients during the planning and proposal stages.

The visual nature of the digitized treatment plan provided by Nobel-Clinician brings even the most con-

Nobel Biocare offers the products—and equally important, the experience—to help you diagnose, plan, carry out and follow up multiple-unit anterior cases more effectively than ever before.

By Frederic Love

Often the result of traumatic injury, the loss of multiple anterior teeth is as likely to

strike young patients as the elderly. In both situations, challenging ana-tomical conditions must be faced in the vital undertaking of replacing the lost teeth and repairing the bro-ken smile convincingly.

In the anterior zone, soft tissue considerations are often as impor-tant as hard tissue osseointegration, although it must be recognized that the appropriate placement of the implants quite literally represents the foundation upon which pros-thetic success is built in cases like these.

Nobel Biocare offers the products

The Remedy for Lost Front TeethWant to make patients without front teeth happy and confident again? Then give them beautiful new teeth!

“The goal remains the same for our surgical and our restorative interventions: We try to mimic nature as closely as possible.” — Prof. Markus B. Blatz

88045_NB_NEWS_1-2014_final_2014-04-07.indd 1 09.04.14 11:27

Nobel Biocare NewsPublished regularly by

Nobel Biocare Services AG

Vol. 16, No. 1, 2014

Editor-in-chief Frederic Love

Managing Editor Jim Mack

Assistant Editor Michael Stuart

Editorial offices

Nobel Biocare News

Herdevägen 11

702 17 Örebro, Sweden

Telephone: +46 19-330680

Telefax: +46 19-330681

e-mail: [email protected]

web: nobelbiocare.com/newsletter

The contents of contributor’s articles do

not necessarily express the opinions

of Nobel Biocare.

© Nobel Biocare Services AG, 2014.

All rights reserved.

Nobel Biocare News Issue 1/2014

Richard Laube, CEO

Nobel Biocare continues to invest significantly in our R&D efforts and in 2013, we invested a larger amount than that of our closest competitor.These investments are being made with several simple objectives in mind, each for the benefit of you and your patients.

First of all, our investments enable you to treat patients with a superior treatment outcome, providing func-tionality, esthetics and longevity.

They also make it possible for you to treat even the most challenging patients. (Consider the ease with which you can deliver a Nobel- Active 3.0 implant in a very narrow space thanks to treatment planning with NobelClinician.)

Finally, our investments give you the means to treat patients more ef-ficiently—from single-tooth to full-arch restorations—with our imme-diate loading treatment protocols.

When all is said and done, we be-lieve our innovation efforts—which we pursue in order to help you treat more patients for all indications with fewer surgical interventions, fewer patient visits, higher predict-ability and less rework—are far more beneficial to you than buying less expensive implants. We invest and innovate to provide you with a competitive advantage. Let us show you what we can do together. <

From the CEO

2

FOR Instills Podium Power The Foundation for Oral Rehabilitation commits resources and energy to young leaders.

FOR’s young clinicians and mentors assemble for a quick photo during day one of the Presentation Skills Workshop in Feusisberg, Switzerland.

have great content to share, and posi-tions them to have the maximum possible impact with their audiences.”

Members of the group in Feusis-berg represented such diverse places as Spain, Portugal, Italy, France, Den-mark and Germany. The participants earned entry into the workshop by submitting their presentations to a six-person panel of experts via FOR’s website back in December 2013.

The panel, comprised of experts representing Sweden, Spain, Italy,

Singapore and the United States, evaluated each submitted presenta-tion based on the following criteria: title and design of the presentation; appropriate use of content, images and iconography; clinical treatment quality, oral presentation content, skill and mastery of the English lan-guage; and finally enthusiasm for the subject matter presented.

The top 15 were selected to give their seven-minute presentation in person and received customized

feedback for refining skills. “Let’s not forget that these presen-

tation skills workshops not only bring a new generation of lecturers to the podium, but they also serve as a means for knowledge transfer and mentorship,” said Dr. Touati, who also co-chairs FOR’s Emerging Lead-ers Global Council along with Dr. Rompen. “The interactions between the clinicians and mentors facilitate learning, and in the end it is the pa-tient who benefits most from these activities.”

Overall feedback from partici-pants was excellent. As Dr. Arturo Llobell, a presentation participant from Spain noted, “I already had very high expectations for this work-shop beforehand due to the people involved. The workshop fulfilled those expectations, and I feel very fortunate to have taken part.”

The outstanding success of this workshop means that FOR is making plans to sponsor future workshops around the world for aspiring young presenters. The next Presentation Skills Workshop for Emerging Lead-ers will be held in North America in July 2014. Submission details will be posted soon on FOR’s website. <

More to explore:

To learn more please visit:

FOR.org/leaders. To receive

regular updates on upcoming

events and learning activities, “like”

FOR on Facebook:

facebook.com/for.organisation. Dr. Arturo Llobell converses with Emerging Leaders Council member and event judge, Dr. Jose Navarro, at FOR’s Presentation Skills Workshop.

Fifteen dental clinicians participated in FOR’s Emerging Leaders Presen-tation Skills Workshop in Feusisberg, Switzerland, on February 3–5, 2014. Drs. Eric Rompen and Bernard Touati created and led this workshop, the first in a series of FOR activities that will be scheduled throughout the year.

By Carolyn Moncel

This first FOR workshop for emerging leaders introduced participants to state-of-the-art

PowerPoint® and Keynote® tech-niques, as well as in-depth analysis of presentation format, content, speak-ing style and the integration of scien-tific content.

Additionally, participants benefit-ed from expert counsel on such top-ics as digital photography with FOR expert Dr. Egon Euwe from Italy, as well as the hidden mysteries of body language with celebrated presenta-tion expert Tom Mucciolo from the United States.

Maximizing impact“Teaching successfully has many fac-ets, and an often overlooked one is the art of presenting and lecturing,” said Dr. Sreenivas Koka, FOR’s Exec-utive Director. “This workshop takes a group of talented clinicians who


www.nobelbiocare.com/newsletter

http://www.facebook.com/for.organisation

Nobel Biocare NewsIssue 1/2014 3

Recent Findings

Evidence supporting TiUnite® Two recent studies demonstrate the superiority of TiUnite over machined implants at up to 9 years follow-up. (Polizzi G, Gualini F, Friberg B. Int J Prosthodont. 2013 Jul–Aug;26(4):350–8. / Rocci A, Rocci M, Rocci C, Scoccia A, Gargari M, Martignoni M, Gottlow J, Sennerby L. Int J Oral Maxillofac Implants. 2013 May–Jun;28(3):891–5.)

TiUnite outperforms machined implants in terms of survival and mar-

ginal bone remodeling in two recent long-term studies. Polizzi et al.

(2013) retrospectively shows a CSR 96.6% for TiUnite compared to

90.3% for machined implants at 6–9 years and Rocci et al. (2013) dem-

onstrates a CSR of 95.5% for TiUnite versus 85.5% for machined

implants at 9 years. Both were statistically significant. TiUnite also dem-

onstrated an advantage in terms of mean marginal bone remodeling in

both studies, although statistically significant only in the study by

Polizzi. After 9 years, TiUnite continues to outperform machined

implants.

www.ncbi.nlm.nih.gov/pubmed/23837166 [and ... /23748324]

Report on new membraneIn a comparative study, creos xeno.protect monolayer non-cross-linked collagen membrane shows higher tensile strength in vitro and greater vascularization in vivo. (Bozkurt A, Apel C, Sellhaus B, van Neerven S, Wessing B, Hilgers RD, Pallua N. COIR 2013 [epub 28 October] DOI: 10.1111/clr.12284.)

In vitro, the creos xeno.protect (Nobel Biocare / Remaix, Matricel) showed

significantly greater tensile strength in terms of both force at break (N)

and stress at break (N/mm²) and in terms of suture retention when com-

pared to a bi-layer non-cross-linked collagen membrane (Bio-Gide,

Geistlich). An accompanying animal study confirmed slower biodegrada-

tion of creos xeno.protect. Degradation was similar between the two

membranes during the first nine weeks, but a marked difference at 20

weeks showed only a slight decrease in thickness of the creos xeno.pro-

tect membrane compared to 51% loss of thickness of the comparison

membrane. Histomorphometric analyses at 20 weeks showed higher vas-

cularization of the creos xeno.protect membrane with approximately two-

fold increase in the number of blood vessels at week 20.

onlinelibrary.wiley.com/doi/10.1111/clr.12284/abstract

Zirconia strength testing resultsIn vitro performance of Nobel Biocare Replace and Bråne-mark zirconia abutments show strength testing results equal or superior to other zirconia abutments after aging. (Mühlemann S, Truninger TC, Stawarczyk B, Hämmerle CH, Sailer I. Clin Oral Implants Res. 2014 Jan;25(1):74–81.)

In vitro testing shows good performance of Procera zirconia abutments

in terms of fracture load compared to other zirconia abutments. Bend-

ing moments of both Replace Select two-piece internal tri-channel con-

nection and Brånemark System Mk III external connection were similar

to Bone Level one-piece (Straumann) and StandardPlus two-piece inter-

nal connections (Straumann), and furthermore they significantly outper-

formed Osseospeed (AstraTech) one-piece internal connection (P<0.05).

As expected, the control-restored titanium abutment exhibited higher

bending moments as compared with any type of restored zirconia abut-

ments.

www.ncbi.nlm.nih.gov/pubmed/23735182

By James Kim

I am a Korean-American, who was born in Korea and moved to the

United States when I was two years old. When I was quite young, I broke my front two teeth and got crowns to replace them.

Then I started playing basket-ball—which can be a full-contact support at times—and I got my teeth knocked out more than once. Most recently, I lost them five or six years ago, when somebody smashed his elbow into my mouth.

That time, the crown on one of my upper central incisors was actu-ally shattered, and my dentist had to extract the tooth entirely, leaving me with one crown.

To replace the lost tooth, they put in a new crown and a half-bridge with a half-wing attached to the back of one of my adjacent teeth.

After just a few years, it grew quite unsteady and was unsightly, too. I had a black post, and the gums weren’t covering it, so when I went to see clients or spend time with my friends, I found myself not smiling fully or covering my smile with my hand.

The mobility of the bridge led to the loss of my other broken incisor, so an implant-based solution was suggested, and I agreed.

All the difference in the worldWith two new front teeth, I can real-ly enjoy local cuisine wherever I am. I enjoy a lot of things that were diffi-cult to eat before, like chili crab in Singapore, for example. Now with implants, it is a lot easier to bite

“The day after my procedure, I played golf!”

down and eat properly. The worries are gone and I don’t even think about it very much any more.

For patients who are looking to get an implant, I think the biggest thing to remember is: “Don’t be scared of going through with it!” Accept the minor discomfort, and you’ll discover that the whole pro-cess is really not that bad.

Recovering, the afternoon of my

procedure, I was actually quite okay! I didn’t need to take any pain medi-cation, and the next day I went out to play golf. <

More to explore

Learn more about implant-based

solutions from the patient’s point-

of-view by visiting us at:

nobelbiocare.com/patientstories

Mr. James Kim had a traumatic injury of his upper central incisors at a young age and faced further injury playing basketball as a young man.

Nobel Biocare Symposia 2014Register now at:nobelbiocare.com/symposia2014




www.onlinelibrary.wiley.com/doi/10.1111/clr.12284/abstract


www.nobelbiocare.com/patientstories

www.nobelbiocare.com/symposia2014


Anterior Implant Esthetics Dr. Bernard Touati provides insight into anterior soft tissue management techniques and procedures.

Past President of the Euro- pean Academy of Esthetic Dentistry, Dr. Bernard Touati is also a member of the American Academies of Restorative Dentistry and Esthetic Dentistry. He prac-tices in Paris, France, and lectures around the world on practical and innovative dental procedures. The following article provides a condensed version of a lecture he held at the Nobel Biocare Global Symposium in New York City last June.

By Dr. Bernard Touati

In the following article, I will do my best to explain the main fac-tors influencing hard and soft tis-

sue remodeling around implants and make suggestions on how to achieve optimal integration in the esthetic

zone. Among other aspects of treat-ment, I will cover diagnostics, treat-ment planning and risk assessment; ideal 3D bone-level implant place-ment, the relevance of good hard tis-sue volume and architecture as well as the importance of thick and stable soft tissue in the trans-mucosal zone.

When we deal with dental im-plants in the anterior region, we are looking for more than osseointegra-tion.

We—doctors and patients alike—are looking for optimal soft tissue in-tegration. We are looking for the per-fect pink score.

In the anterior region, esthetic perfection is not a choice but an obli-gation. Patients want to have their peri-implant soft tissue mimicking the soft tissue around natural teeth.

There are, of course, many differ-ences between teeth and implants. When we produce restorations based on natural teeth, the gingiva is only dealing with the margin of the crown. We locate our margin at the

gingival level or intra-sulcular, but not transmucosally.

When we deal with implants, on the other hand, we need to take into consideration the mucosal barrier, and the mucosal barrier is quite dif-ferent on implants than on teeth for a variety of reasons.

The problem is that when we want to do something transmucosally—for the abutment or at the neck of the implant—we need to have the soft tissue adhering to the prosthetic sur-face of the implant. This is different than working with natural teeth be-cause it involves many biological fac-tors. To achieve harmonious soft tis-sue integration, we obviously have to take into account all the biological, functional and esthetic factors.

And not just in two dimensions! We have to remember that our work will not be evaluated by the 2D pho-tographic images we use to docu-ment the treatment, but in the homes, on the streets and at the workplaces where our patients live their day-to-day lives.

We thus need to achieve 3D inte-gration. We need to have the scallop-ing, the volume, the papillae, the tex-ture, the color and the absence of scars that are characteristic of healthy, natural teeth.

Five major factorsThe main factors that influence tis-sue remodeling around implants can be organized into five categories: anatomically-, surgically-, implant-, patient- and prosthetics-related.

Among the anatomical consider-ations are the tissue biotype, the thickness of the bone plates, the thickness of the soft tissue and the lack of attached gingiva. I can testify from experience that the tissue bio-type and the thickness of the tissue are really decisive to optimal out-comes.

Surgical factors include the im-plant position in three dimensions, the choice of the flap or flapless ap-proach, and the kind of soft tissue augmentation that has been carried out. Other factors include bone des-iccation, countersinking, bone com-pression and—not least of all—the extraction technique used.

Implant design is also important, of course. The design of the neck, the surface properties of the implant and the type of connection can all be de-cisive. Questions that become inter-esting in this context include, “Do we

have platform shifting available?” or, “Can the implant be maneuvered during insertion, when necessary, in order to ensure optimal placement?”

We also need to remember that every patient has a specific set of characteristics that influence remod-eling. Do they smoke? Do they have good healing potential? Immune fac-tors need to be considered, as well as the patient’s willingness and ability to maintain good oral hygiene.

There are also a great number of prosthetic factors that impact re-modeling. The final abutment de-sign, the biomaterial from which they are made, the abutments’ sur-face properties, connection and fit are all important factors that con-tribute to success. Abutment connec-tions—and disconnections—need to be taken into consideration as well as choices concerning immediate pro-visionalization and the submergence profile, emergence profile and the restoration anatomy. We need to be careful about deleterious excess ce-

ment (if we have not chosen screw retention, of course) and must take into account good occlusion to pre-vent excessive load.

Given all these factors—and I have only listed the main ones in the table to the left—I have constructed a roadmap for optimal integration in the esthetic zone.

I’ll guide you through the first half of my roadmap here on the pages of Nobel Biocare News, and if you would like to find out where the final steps can lead you, you’ll find a link with a QR code at the end of this article that will take you to the full roadmap video online.

Diagnose, plan and assessTo plan for a successful anterior so-lution, we need to assess risk factors via 3D visual inspection, probing and employing radiographs. Visually,

Dr. Bernard Touati has developed a roadmap for optimal integration in the esthetic zone. To see it presented in full, richly illustrated with case examples, please view his recent Nobel Biocare Global Symposium lecture via online links at: nobelbiocare.com/newsletter

continued on page 8

Major factors affecting hard and soft tissue remodeling around implants.

Anatomically-related • Tissuebiotype

• Thicknessofboneplates

• Thicknessofsofttissue

• Lackofattachedgingiva

Surgically-related • Implant3Dposition

• Flapelevationorflaplesssurgery

• Softtissueaugmentation

• Bonedesiccation

• Countersinking

• Bonecompression

• Extractiontechnique

Implant-related • Design(macro,micro)

• Surfaceproperties

• Typeofconnection

• Built-inplatformshiftingorequivalent

Patient-related • Hygiene

• Maintenance

• Tobacco

• Healing

Prosthetics-related • Finalabutmentdesign

• Typeofabutmentconnections

• Provisionalabutment:biomaterial,design

• Immediateprovisionalization

• Submergenceprofile

• Emergenceprofile

• Restorationanatomy

• Possibleexcesscementandretention

• Occlusion,excessiveload




Workfl ow for Nobel Biocare products

Cleaning and sterilization

The circled numbers refer to the corresponding section in the Nobel Biocare cleaning and sterilization guidelines: nobelbiocare.com/sterilization

Note: Alternative methods of processing may be equally suitable. In the event of confl icting national cleaning and sterilization requirements, these shall prevail over Nobel Biocare recommendations.

– Min. 3 pre-vacuum cycles < 60 mbar – Sterilization at 132–135°C / 270–275°F

max. 137°C / 279°F for 4 minutes*– Drying in chamber for 30 minutes

– Min. 3 pre-vacuum cycles < 60 mbar – Sterilization at 132–135°C / 270–275°F

max. 137°C / 279°F for 3 minutes*– Drying in chamber for 10 minutes

– Sterilization at 132–135°C / 270–275°F max. 137°C / 279°F for 3 minutes*

– Drying in chamber for 10 minutes

– Sterilization at 132–135°C / 270–275°F max. 137°C / 279°F for 15 minutes*

– Drying in chamber for 30 minutes

– Control storage conditions – Control shelf life

– Inspect devices visually– Perform functional check

– Assemble devices and kit box– Place kit box into pouch– Label pouch

– Assemble devices and seal them in pouches

– Label pouches

– Remove debris in lukewarm water and soak devices in cleaning solution

– Scrub with soft bristled nylon brush– Flush reusable drills, abutments and tools with

channels / lumen using cleaning solution– Rinse with tap water

– Load devices into thermodisinfector – Run cleaning and disinfection cycle– Run drying cycle– Dry with compressed air or wipes if needed

– Avoid mechanical damage – Minimize time before cleaning– Immerse devices in cleaning solution if needed

– Handle devices with tweezers– Remove gross soil– Dispose devices if needed

– Disassemble devices if applicable– Disassemble kit boxes completely

nobelbiocare.com/sterilization

76301 GB 1308 © Nobel Biocare Services AG, 2013. All rights reserved.

Nobel Biocare, the Nobel Biocare logotype and all other trademarks are, if nothing else is stated or is evident from the context in a certain case, trademarks of Nobel Biocare.

Disclaimer: Some products may not be regulatory cleared/released for sale in all markets. Please contact the local Nobel Biocare sales offi ce for current product assortment and availability.

1

1

2

3

5

8

4a

6a

7a

4b

6b

7b

Point of use

Transport

Preparation and disassembly

Manual cleaning, disinfection and drying

Automated cleaning, disinfection and drying

(incl. pre-cleaning)

Inspection, assembly of devices

Storage

Packaging of single devices

Sterilization”Forced air removal or pre-vacuum method”

”Saturated steam or gravity method”

Sterilization”Forced air removal or pre-vacuum method”

”Saturated steam or gravity method”

Assembly and packaging of kit boxes

*Following the recommendations of the Robert Koch Institute (RKI) and other organizations / authorities, the exposure time can be extended up to 20 minutes.

– Remove debris in lukewarm water and soak devices in cleaning solution

– Scrub with soft bristled nylon brush – Flush reusable drills, abutments and tools

with channels / lumen using cleaning solution

– Soak in ultrasonic bath– Rinse and fl ush with purifi ed or sterile water– Soak in disinfection solution– Flush internal channels / lumen with disinfection solution– Rinse and fl ush with purifi ed or sterile water– Dry with compressed air or wipes

Cleaning and Sterilization GuidelinesGain even more confidence knowing your instruments are safe for your patients and staff.

Nobel Biocare takes training and education seriously. This commitment covers not only advanced techniques and procedures but also the basics, such as instructions for the correct cleaning and sterilization of our instru-ments. Our products, like your staff, should always be ready for the next surgery.

By Thomas Kaup

You can now download one of the most comprehensive clean-

ing and sterilization guidelines in the dental industry.

These standard-setting guidelines demonstrate, step-by-step, how to clean, disinfect, inspect and sterilize Nobel Biocare devices according to validated processes, giving you the confidence that the products you’re using are safe for your patients and staff.

In addition, the guidelines con-tain information on magnetic reso-nance (MR) imaging, allowing radi-ologists to perform safe imaging of patients with dental restorations. In another section of this well-orga-nized handbook, an extensive set of pictures of new, used and worn in-struments helps you determine whether a device has reached the end of its useful service life.

The guidelines are mainly intend-ed for the clinical staff who repro-cess devices every day, but they also offer valuable information to clini-cians and radiologists.

Structure of the guidelinesThe introduction contains an expla-nation of related symbols, terms and definitions, and the information on magnetic resonance (MR) imaging. Next come the cleaning and steril-ization guidelines themselves. Final-ly, the appendix contains the com-parative pictures of new, used and worn instruments that make it easi-er for clinical staff to decide if and when to dispose of a well-used in-strument. <

More to explore

You can download the complete

Cleaning and Sterilization

Guidelines (and the single-page

workflowchart)at:

nobelbiocare.com/sterilization

For more information,

please contact:

[email protected]

Cleaning and sterilization workflow chart: Schematically organized on a single page, this diagram leads you through the procedures for cleaning, disinfecting, inspecting and sterilizing Nobel Biocare devices according to the validated processes presented in the guidelines. It can be downloaded online (see “More to explore” to the left) and makes the perfect complement to the Cleaning and Sterilization Guidelines.


www.nobelbiocare.com/sterilization

[email protected]


Providing the best in dental treatment care is rarely a one-person show. Collaboration is often essential—and shared responsibilities can actually increase efficiency.

By Jim Mack

Nobel Biocare’s integrated and efficient treatment workflow connects the No-

belClinician Software with the No-belProcera 2G System, NobelGuide and OsseoCare Pro, offering a straightforward process from diag-nosis to restoration.* The workflow even brings in dental labs using NobelProcera at the planning stage with new scanning capabilities that provide a full diagnostic view.

Linking each step into an integrat-ed workflow can offer predictable re-sults in less time. From clinical diag-nostics to implant placement, each step is seamlessly linked by the NobelConnect network, giving you the option to select only what you need for treatment success. Guided surgery is an option at any point dur-ing planning with no need for anoth-er patient visit.

Communicate convincinglyThe visual nature of the digitized treatment plan using NobelClinician is very useful when explaining treat-ment proposals to patients.

With the NobelClinician Commu-nicator iPad® app, the treatment can be presented at the planning stage in a way that is quickly understood by patients and treatment partners alike.

Predictable outcomesThe workflow’s integrated approach makes it possible to achieve the func-tional and esthetic outcome you planned while avoiding potential sur-prises. You can also better estimate the full treatment cost in advance.

Imagine being able to access your data or easily and securely share your treatment plan with colleagues and partners anywhere. With NobelCon-nect, your planning information is securely stored and available in the office, at home or while traveling.

With less work and more predict-able treatment, the new integrated workflow offers efficiencies that will help you grow. <

More to explore:

Visit: nobelbiocare.com/workflow

One Streamlined Flow Integrated and efficient treatment workflow gives clinicians and labs the option to connect.

Stay in your comfort zone and connect when you’re ready

Products featured in the workflow

The first step to treatment success: A (CB)CT scan

Create a model surface scan

Implant planning based on the facts

Effectively explain the treatment plan

New unique smart fusion technology combining (CB)CT data with surface data of intra-oral

situation.

New NobelGuide workflow for partially

edentulous cases, using the automated

precision fit technology.

Implant planning based on true clinical

and prosthetic information.

Effective patient communication with the NobelClinician

Communicator iPad® app.

Maximized treatment safety and

predictability with optimal restorative

outcome.

Collaborate and network effectively with your treatment

partners.

Take a scan of the complete dental arch. Just a standard (CB)CT scan is fine. Clinical pictures can be viewed in NobelClinician.

Obtain treatment acceptance before making further investments.

Take a detailed look at the soft tissue with the NobelProcera 2G System’s precise model scan.

Want to see the prosthetics? There’s also the option to scan the diagnostic tooth setup.

Treatment plan in a truly visual environment with unique smart fusion of (CB)CT and surface scan data.

Visualize the full patient anatomy including the soft tissue outline next to the envisioned prosthetic solution.

Collaborate and communicate with your treatment partners through the NobelClinician Viewer, via the NobelClinician Communicator app or by sending the treatment plan report.

Help your patient understand with 3D images and clinical pictures, all shown via the NobelClinician Communicator iPad® app.

Nobe

lClinician®

NobelG

uide®

NobelConnect

* For partially edentulous patients only.


www.nobelbiocare.com/workflow


Nobe

lPro

cera®

2G System

Experience enhanced precision of fit

More predictable implant placement with NobelGuide

Predictable restorative outcome

Consistent precision of fit

Achieve optimal esthetics and function

High-precision data for optimal fit of

the tooth-supported surgical template,

eliminating the need for a radiographic

guide.

Seamless transfer of your treatment

planning from NobelClinician.

Option for pilot drilling only or fully

guided implant insertion.

Automated for ease of use.

Enjoy an intuitive iPad® user interface.

Direct access to precision-milled individualized

prosthetic portfolio.

Automatically created report

with final machine torque values,

securely saved in NobelConnect.

Place implants precisely with a custom-manufactured surgical template that is unique to your treatment plan.

Benefit from top quality, high accuracy, and prompt delivery every time thanks to our centralized production process.

Choose between guided pilot drilling only or fully guided implant insertion.

Record and document final implant torque values or any surgical information you need with OsseoCare Pro.

Every smile is different. Get the optimal result with individualized prosthetics.

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we can see deformities such as con-cavities. Probing, we can see where the bone is and we can also probe at the level of the adjacent teeth to as-sess the periodontium.

Cone Beam Computed Tomogra-phy (CBCT) is an invaluable 3D tool. When connected to the NobelClini-cian Software, it provides us with an enormous amount of information useful in the decision-making pro-cess. It shows us, for example, wheth-er we have a thin buccal plate or a thick one. And this makes a very big difference. Also the volume and the architecture of the site become clear when viewed with the NobelClini-cian Software.

Assessing the thickness of the soft tissue is also possible via (CB)CT.When the patient wears radiographi-cally transparent lip retractors dur-ing the imaging process, (which keeps the lips apart from the teeth and retracts the tongue), the result-ing (CB)CT image renders the soft tissue in light gray. Then if we want to harvest some soft tissue from the palate, for example, this technique allows us to objectively measure the tissue available.

This technique also lets us know the patient’s biotype, thin or thick. A delicate biotype will ordinarily re-quire connective tissue grafting, but a thick one generally indicates stable tissue that is forgiving of minor mis-takes. When facing thin and moder-ate soft tissue situations, we will need to be more invasive, go through pro-cedures for soft tissue enhancement, grafting procedures, etc.

(Editor’s note: See the cover picture for a glimpse of NobelClinician’s new smart fusion technology merging (CB)CT scans and tissue information from the NobelProcera 2G Scanner.)

Ideal implant placementThe first thing we have to think about is where we are going to place the implant. The ideal 3D position is very critical because even a little de-viation can impact the esthetic out-come.

Using NobelActive, I can make the small adjustments during insertion that ensure optimal 3D placement (which is essential in anterior cases). At the same time, this implant pro-vides excellent initial stability—and in anterior cases we need to reach both initial stability and ideal three-dimensional positioning.

The real problem is the transver-sal. We want to insert our implant

continued from page 4

Anterior Implant Esthetics

more towards the palatal, because if we leave too much inclination, we run the risk of reducing the thick-ness of the buccal plate, which in al-most all cases is already very thin.

The more the implant allows you to play with the position of the im-plant—in order to put it in solid bone—the better suited the implant is to situations like these. With a little extra room between the buccal plate and the implant, you will have space to fill in later with bone augmenta-tion material.

Ensuring ample hard tissue volume and good architectureAt this point, we are dealing with where the bone is, and how to make the most of it. Again, we really do need to keep in mind how thin the buccal plate ordinarily is.

With teeth, we have Sharpey’s fi-bers, we have the blood supply of the periodontium, we have stimulation, and even though we don’t have much, if any, cortical on the buccal, the soft tissue still stays in place. With an implant, on the other hand, we run the risk of fenestration through this thin bone if we position implants in the same orientation as natural incisor roots.

The buccal socket wall is predomi-nantly composed of bundle bone. The lack of stimulation and function in the absence of Sharpey’s fibers may explain the remodeling of this wall while the lingual one has more lamellar bone.

The buccal plate often collapses quickly when we extract a tooth—partly because it is thin, and partly because it is mostly composed of bundle bone. Because an implant does not have a periodontium and therefore lacks vascularisation, we have a ready explanation as to why we have more remodeling on the buccal side as opposed to the lingual side.

In 60 percent of anterior cases, buccal bone plates are less than 0.5 mm thick (and we really need 2 mm to get the job done). If we remem-ber these values, we will understand the entire strategy of slightly angu-lating the implant in the anterior as-pect.

When building a multiple-unit an-terior restoration on natural teeth, we still have soft tissue, and the soft tissue is quite stable. But once anteri-or teeth are extracted, we will almost certainly have to reorient “the root,” inserting the implant palatally.

The good news is that with the (CB)CT—especially when used in conjunction with NobelClinician Software—we can objectively assess that we are in the right position first, making sure that a gap exists be-tween the implant and the buccal plate. This way we can take steps to

thicken the buccal bone plate zone and thus provide a safe situation for the future.

The key factors for good esthetic results at anterior extraction sites are the integrity of the buccal plate and the thickness of the soft tissue.

If those two parameters are prom-ising, we are going to find ourselves on the safe side, and are likely to suc-ceed. Of course, in terms of the 3D architecture of the soft tissue and re-capturing interdental papillae, the health of the periodontium of the ad-joining teeth is important, and prob-ing gives us solid information.

Bone graftingWe can use bone augmentation ma-terials in the jumping gap (i.e. the os-teogenic “jumping distance,” which is the gap between the implant body and the alveolar wall). In cases where we have a big defect, we can carry out guided bone regeneration (Edi-tor’s note: please see pages 10–11 in this

issue). Adding connective tissue on top of this, which we often do, brings greater thickness to the tissue, which provides greater mechanical resis-tance and leads to increased blood supply.

In cases where there is no buccal bone post-extraction, we firstly need to recreate a complete socket, which provides a favorable 3D situation for the insertion of an implant and is well within widely-practiced, well-accepted reconstructive protocols.

Establishing thick and stable soft tissueThis brings us to the soft tissue. We need to have it thick and stable, espe-cially in the transmucosal zone. Sta-bility makes for good esthetics.

Post-extraction remodeling is in-evitable. Today there is no magical way to totally counteract the post-ex-traction remodeling—it’s biologi-cal—but we can compensate for it. One way to compensate is to thicken the soft tissue and also to regenerate the bone, when necessary.

A connective tissue pouch can be used, both horizontally and vertical-ly. Mucosal enhancement can be re-

alized through connective tissue graft(s).

Not least of all, we can manipulate the soft tissue via subtle changes in the design of the prosthetics.

First, we want to see some concavi-ty transmucosally at the abutment level (“curvy”) and/or “platform switching” in order to thicken the mucosa, creating a virtual “o-ring” of soft-tissue. On the other hand, proxi-mally the prothetic restorations need to display some convexity in order to gently push the tissue and to keep the interdental papillae.

The vertical position of the im-plant in relation to the mucosa is very important. This makes it possible for us to play with the emergence profile and then shape the marginal mucosa with the emergence bulk. Adding composite material incrementally, we can very successfully guide the mar-ginal mucosa. This careful step-by-step process takes a substantial amount of time, but gives beautiful results.

This covers a little more than half of my roadmap for optimal integra-tion in the esthetic zone. The effects of early or immediate loading, expe-rience of the perfect provisional for soft tissue conditioning, and how best to use zirconia-based concave abutments and screw-retained crowns are all explored online in Part Two. See “More to explore” below. <

More to explore

To see the entire lecture, please

follow the links at the following web

address or use the QR codes below:

nobelbiocare.com/newsletter

Part 1 Part 2

“In the anterior region, esthetic perfection is not a choice but an obligation.” — Dr. Bernard Touati

Obtaining the ideal 3D position of the implant is critical because even a little deviation can impact the esthetic outcome.

“When we deal with dental implants in the anterior region,” says Dr. Bernard Touati, “we are looking for more than osseointegration. We—doctors and patients alike—are looking for optimal soft tissue integration. We are looking for the perfect pink score.”




Meet Nobel Biocare at events around the world.

ODA Annual Spring Meeting

May 8–10

Toronto, Ontario, Canada

CDA Presents

May 15–17

Anaheim, California, USA

Dental Bern

May 22–24

Bern, Switzerland

SEPA Congress

May 22–24

Valladolid, Spain

EAED Annual Meeting

May 29–31

Athens, Greece

ISC Symposium

June 6–8

Los Angeles, California, USA

Nobel Biocare Symposium

June 11–13

Sochi, Russia

IADR General Session

June 25–28

Cape Town, South Africa

ERID Symposium

June 26–28

Barcelona, Spain


June 26–28

Munich, Germany


July 17–20

Los Angeles, California, USA

AAED Annual Meeting

August 5–8

Santa Barbara, California, USA


September 5–7

Tokyo, Japan

AAOMS Annual Meeting

September 8–13

Honolulu, Hawaii, USA

FDI Congress

September 11–14

New Dehli, India

AAP Annual Meeting

September 19–22

San Francisco, California, USA

EACMFS Congress

September 23–26

Prague, Czech Republic

EAO Annual Meeting

September 25–27

Rome, Italy

China Dental Show

September 25–28

Shanghai, China


October 17

Brussels, Belgium

More to explore |

For the most recent updates,

visit: nobelbiocare.com/events

Upcoming Events

“Innovation” is a much misused word. True innovation is about finding new and improved ways to do things. At Nobel Biocare this means developing new products and solutions to help dental professionals treat more patients better.

By Michael Stuart

Innovation is a term that is used a lot, but at Nobel Biocare it’s much

more than just a word—it’s a mis-sion. The company’s strategy of “De-signing for Life” has innovation at its heart.

With the new NobelProcera An-gulated Screw Channel (ASC) abut-ment and unique new Omnigrip tooling, true innovation has been achieved. These products allow cli-nicians to offer screw-retained resto-rations in a practical and esthetic way that would previously have been impossible to obtain in some cases.

Increased restorative flexibility with no cement: It’s as easy as A-S-CWith the NobelProcera ASC abut-ment the screw channel can be placed with an angle of up to 25 de-grees off the axis of the implant, any-where within a 360-degree range. In the anterior esthetic region this makes it possible to use screw-re-tained restorations where a buccal screw access point would previously have ruled them out. When design-ing the ASC abutment in the Nobel-Procera Software the screw access hole can instead be dynamically po-sitioned on the lingual side of the restoration. The patient therefore benefits from an optimally esthetic result without any risk of the issues that can arise with excess cement. Using a screw-retained rather than a cement-retained solution is a general trend in the market. Screw-retained solutions avoid issues associated with excess cement and are easier to handle, especially when it comes to restoration retrieval.

Leading restorations now available for a leading implant connectionIn the posterior region too, the NobelProcera ASC comes into its own. When used on molars or premo-lars, the ability to tilt the screw chan-nel into the most convenient position

Time to Look at Esthetics From a New AngleNobelProcera® Angulated Screw Channel (ASC) abutment and Omnigrip™ tooling

makes it easier for the clinician to place—and access—the restoration.

As a one-piece restoration the NobelProcera ASC abutment re-quires less labor from the dental lab and so is produced more quickly, re-ducing costs. This, together with benefits like improved esthetics and easier maintenance, can increase the likelihood of patient acceptance. Plus, once the patient is in the chair, placing just a single piece makes for a more comfortable experience. The

angulated screw channel option is available for zirconia abutments on narrow platform and regular plat-form implants with Nobel Biocare’s internal conical connection.

Individualized abutments from NobelProcera enable an optimal emergence profile for the ideal soft tissue result. Thanks to a titanium adapter, this zirconia option can also be utilized in the posterior, providing the clinician with an entirely new op-tion for delivering the best possible restoration.

Coming to grips with better handling: Introducing Omnigrip toolingThe benefits of the ASC abutment are only possible thanks to the intro-duction of the associated Omnigrip tooling. Designed in-house by Nobel Biocare’s product development team, it’s more than just a screwdriver; it’s a driver of increased clinical success.

The unique tip of the Omnigrip screwdriver allows the screw to be tightened and loosened within the angulated channel with the same ac-cessibility and torque as if the chan-nel were straight. It allows easy han-dling from multiple angles, even in the posterior.

The pick-up feature of the special tip is an outstanding attribute. The Omnigrip screwdriver grips and holds the screw equally tightly at any angle within the available range. Cli-nicians will not have experienced an instrument like this before: such is

the level of grip. It has to be experi-enced to be believed. This capability offers convenience and, most impor-tantly, safety. The Omnigrip is de-signed to hold the screw firmly when it matters most—when the clinician is working in the patient’s mouth.

A new channel of opportunityTogether, the NobelProcera ASC abutment and the Omnigrip tooling offer clinicians not just new treat-ment possibilities, but opportunities to increase the number of screw-re-tained restorations they place. Being just one piece, the abutment repre-sents an option that is efficient to produce, but with unique features and benefits that increase patient ac-ceptance. Additionally, in overcom-ing barriers to optimal esthetics, pa-tient satisfaction is also likely to improve.

Nobel Biocare innovates to help its customers treat more patients, and to treat them better. These new prod-ucts do just that.

Find out more about how the NobelProcera ASC abutment and the Omnigrip tooling help improve restorative results online at the ad-dress below, or contact your local NobelProcera specialist to experi-ence esthetics from a new angle for yourself. <

More to explore

For a video presentation and

literature references, please go to

nobelbiocare.com/newsletter

A new angle for esthetics: The ASC abutment from NobelProcera allows the screw channel to be set at an angle between 0 and 25 degrees within a full 360-degree range. In the anterior, this makes screw-retained restorations possible where esthetic considerations would previously have ruled them out. In the posterior it offers greater accessibility and retrievability.

The unique pick-up function of the Omnigrip screwdriver must be experienced to be fully appreciated. The extraordinary level of grip improves handling and is designed to reduce the risk of the screw detaching in the patient’s mouth.


www.nobelbiocare.com/events



Introducing creos™ Regenerative SolutionsProviding bone regeneration options for a wide variety of indications

With an estimated half of all dental implant cases requiring a regenerative procedure, dental profes-sionals need guided bone and guided tissue regen-eration products they can trust. Enter Nobel Biocare’s new creos line, an extensive array of regenerative options to cover a wide range of indications.

By Henrik Opelz

The creos portfolio includes both allogenic products, which are

first being launched in the United States, and a xenogenic option, which is being introduced initially in selected European markets, South Africa and Hong Kong.

Perfectly placed protection that enduresThe creos xeno.protect resorbable collagen membrane was the first product-to-market, having im-pressed clinicians during a case se-ries. It is the lone xenogenic product at the moment, but a larger range is coming soon.

The creos xeno.protect mem-brane acts as a strong barrier to un-wanted cells while simultaneously paving the way for the in-growth of osteogenic cells and blood vessel penetration.

It exhibits exceptional strength thanks to its natural collagen struc-tures—no cross-linking agent is used to reinforce the membrane. By ensuring optimum conditions for tissue integration, the new bone and soft tissue are able to develop effectively for a more predictable outcome.

Clinical case series and early feed-back confirm that the handling properties of the membrane are its standout attribute. Easily unfolded and not sticky when moistened, creos xeno.protect can be reposi-tioned without displacing the graft material.

Because it increases less in size when hydrated than competitive products, creos xeno.protect takes out the guesswork when trimming the membrane.

The creos xeno.protect mem-brane also possesses high mechani-cal stability and is tear-resistant, meaning it can easily be tacked or sutured to stay in the desired posi-tion for facilitating new tissue growth.

This feature is great for improving the treatment outcome and for re-ducing the number of membranes inadvertently torn during applica-tion, saving the clinician time and money.

Similarly biocompatible, reliable and pliable is the creos allo.protect allogenic pericardium membrane. Like creos xeno.protect it is de-signed for use in guided bone regen-eration (GBR) and guided tissue re-generation (GTR) procedures.

The creos allo.protect membrane is also quick to place and easy to handle, while offering protection that endures.

Its impressive stability and strength come from the natural pore structure of the pericardium. Clini-cian and patient alike can have every confidence in the protection it gives to the bone graft.

Lots to gainThe creos allograft portfolio extends to bone grafting materials. Every case is different, which is why the new range of creos allo.gain particu-lates is extensive. This broad portfo-lio offers five choices of particulate type that vary in size and volume.

Depending on indication and per-sonal preference, clinicians can choose from corticocancellous, can-cellous, cortical and demineralized cortical bone types, as well as a pre-prepared blend of mineralized and demineralized cortical particulate.

In addition to bone particulates, the creos allo.gain offering includes demineralized bone matrix (dbm) putty. Moldable and with a conve-nient dispenser, creos allo.gain dbm putty can be shaped for precise ad-aptation to contained defects. This opens up a host of different options

Excellent handling properties: Because of its unique mechanical properties, creos xeno.protect is easy for the clinician to reposition and unfold.

for the clinician placing the graft. Thanks to a unique processing

method, the putty is 100% pure al-lograft, and does not contain any additional filler material. Neverthe-less, the presence of natural growth factors is not left to chance. Each donor lot is verified for bone mor-phogenetic proteins (BMPs). The creos allo.gain dbm putty resists hy-dration and maintains the stability

and space needed for a trouble-free healing period, increasing the pre-dictability of the final result.

Safety firstEnsuring the safety and quality of tis-sue grafts is of paramount importance, which is why strict processing proce-dures are in place for all Nobel Bio-care’s new regenerative products. The facility where creos allograft tissue is

Naturally strong: High mechanical stability and resistance to tearing mean creos xeno.protect can be fixed and/or sutured as is required for the best possible treatment outcome.

Strength in numbers: Porcine collagen and porcine elastin fibers mesh to form a dense barrier in the creos xeno.protect membrane. This prevents unwanted cells migrating to the treatment site while offering excellent vascularization.

The creos xeno.protect membrane acts as a strong barrier to unwanted cells while simultaneously paving the way for the in-growth of osteogenic cells and blood vessel penetration.



In Brief

New NobelProcera® Hybrid provides cost-effective restoration for the edentulous

The new NobelProcera Hybrid edentulous restoration brings together the

bestpossibleacrylicandteethsupportwiththetime-efficientworkflowof

a fixed implant bar at an attractive price. This practical titanium restoration

savestimeandmoneybyrelyingonafullCADworkflowwithpowerful

designflexibility.Fingersintheanteriorandretentionelementsinthepos-

terior enhance the durability of the restoration. The added strength can

save the restorative dentist time by reducing the need for chairside repairs.

The Hybrid is a safe, affordable and understandable treatment choice

that is easier for a patient to accept. It is also perfectly suited for the All-

on-4® treatment concept which enables the restoration of a fully edentu-

lous jaw on just four implants.

nobelbiocare.com/nobelprocerabars

Nobel Biocare extends ‘Open Access’ to 3Shape® users with NobelProcera® zirconia copings The classic precision-milled zirconia copings from NobelProcera are now

available to 3Shape users via the new ‘open access’ program launched last

fall by Nobel Biocare beginning with NobelProcera Abutments.

After integrating, 3Shape users can access the extensive global produc-

tion network of NobelProcera to produce high-quality in-lab designed zirco-

nia copings and industry-leading abutments in zirconia and titanium. Inter-

ested 3Shape users should contact their local Nobel Biocare representative

for availability.

nobelbiocare.com/contact

Nobel Biocare Brånemark Osseointegration Award In 1967, Tomas Albrektsson began work as part of Per-Ingvar Brånemark’s

research team in Gothenburg, Sweden. In the years that followed, he

earned his Ph.D. in anatomy and a Swedish professorship in the subject of

handicap research. He is one of the most quoted scientists in this field.

At the 29th Annual Meeting of the Academy of Osseointegration in Seat-

tle, Washington, this March, Albrektsson was awarded the Nobel Biocare

Osseointegration Award, which consists of a medal and $25,000. Grace-

fully accepting the award as recognition of his groundbreaking scientific

contributions and ongoing research, Professor Albrektsson shared his

thoughts on both the development and future of osseointegration.

nobelbiocare.com/branemark-award

The creos allo.gain demineralized bone matrix (dbm) putty comes in a convenient dispenser and is moldable for smooth adaptation to defects.

The creos allo.protect barrier membrane serves as an effective and reliable barrier to soft tissue ingrowth during the healing phase. It adapts easily to the graft site and is designed to maintain its shape and size when placed.

Ensuring the safety and quality of tissue grafts is of paramount importance, which is why strict processing procedures are in place for all Nobel Biocare’s new regen-erative products.

With five different types of particulate bone graft, the creos allo.gain rangegivesclinicianstheflexibilitytochoosetheoptimumsolutiondepending on patient indication and personal preference.

processed is accredited by the Ameri-can Association of Tissue Banks (AATB), as are the doctors who con-duct thorough screening of donors. In-dividually processing the tissue from each donor in a sterilized environment prevents cross-contamination.

More than a productAt Nobel Biocare the responsibility that comes with being a provider of

allograft products is taken very seri-ously. The new allograft range is only possible thanks to human donors from across the United States. Their generous gift significantly enhances other people’s lives.

Each precious donation therefore demands respect. That’s why Nobel Biocare was extremely careful in se-lecting the right tissue bank for the creos allograft portfolio. The compa-

ny’s chosen partner goes to great lengths to assist the families of do-nors and provide the support that they require.

The introduction of the creos range emphasizes Nobel Biocare’s long-standing commitment to im-proving quality of life through inno-vation.

Like all other Nobel Biocare prod-ucts, these new regenerative solu-tions will make a positive differ-ence—both to the results dental professionals can achieve and to their patients’ quality of life. <

More to explore!

More information about the new

creos range, including images,

practical videos, clinical case

examples and complete references

for the article above are available at:

creos.com


www.nobelbiocare.com/nobelprocerabars

www.nobelbiocare.com/contact

www.nobelbiocare.com/branemark-award

www.creos.com


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Headquarters

Nobel Biocare Services AG P.O. Box 8058 Zürich-Flughafen, Switzerland

Offices: Balsberg, Balz-Zimmermann-Strasse 7 8302 Kloten, Switzerland Phone +41 43 211 42 00 Fax +41 43 211 42 42

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Coming Soon to a Place Near You Nobel Biocare’s 2014 Symposia program gets underway.

Nobel Biocare has organized a series of eight symposia for 2014. They will be held at venues all over the globe.

By Michael Stuart

Last year’s Nobel Biocare Global Symposium in New York was a

great success, with world-class speakers and a compelling program. In 2014, a series of eight local Nobel Biocare Symposia—to be held in as many countries—is expected to bring learning and hands-on train-

ing to over 5,500 participants. Though the content of each event

will be unique, the guiding principle for every event remains the same: helping Nobel Biocare customers treat more patients better.

It all kicked off in Sintra, Portugal, on March 21. Next up is the Russian symposium in June, followed by the symposium in Munich, Germany, and then the event in the United States hosted in Los Angeles. After that come symposia in Japan, Bel-gium, and Italy. The program culmi-nates with the symposium in San Se-bastian, Spain, at the end of October.

In their own languages and with local speakers, attendees will be able to discuss and learn about the topics most prevalent in the regions where they live and work, as well as those that matter on a global scale.

Exciting venuesEach event takes place at a location and venue that will help stimulate ac-tive learning and discussion. Implant-based dentistry is certainly at the top

of the podium at the event in Russia (June 11–13), which is to be held in the host city of this year’s Winter Olym-pic Games, Sochi. And where better for attendees at the Munich event to notch their knowledge up a gear than the BMW World complex?

This year sees the launch of new Nobel Biocare products that can help dental professionals work in new ways—increasing efficiency while improving treatment outcomes.

Delegates at the symposia will have the opportunity to learn more about the new creos regenerative so-lutions range and get hands-on with the remarkable new Angulated

Nobel Biocare Symposia 2014

March 21–22 Nobel Biocare Symposium Portugal in Sintra

June 11–13 Nobel Biocare Symposium Russia in Sochi

June 26–28 Nobel Biocare Symposium Germany-Austria-

Switzerland in Munich

July 17–20 Nobel Biocare Symposium USA in Los Angeles

September 5–7 Nobel Biocare Symposium Japan in Tokyo

October 17 Nobel Biocare Symposium Belgium in Brussels

October 23–25 Nobel Biocare Symposium Italy in Riccione

October 30–November 1 Nobel Biocare Symposium Spain in San Sebastian

Screw Channel (ASC) abutment and accompanying Omnigrip tooling.

The grip of the new Omnigrip screwdriver has to be experienced to be believed, and attendees at many of the events will have the chance to try it for themselves.

Richard Laube, CEO of Nobel Bio-care, is looking forward to greeting customers personally as Nobel Bio-care hosts the world’s leading dental professionals at locations around the globe. “The success of last year’s Global Symposium in New York al-lows us to create an exciting oppor-tunity in smaller settings, with eight regional symposia taking place throughout the year.”

“Same the world over”The CEO continues, “Better esthet-ics, improved function, greater con-fidence—the needs of dental patients are the same the world over, and we

have innovative solutions that can help. It’s important that we give cus-tomers opportunities to engage with our products and forums to discuss their application.

“At the same time, meeting custom-ers around the world gives us fantastic opportunities to obtain valuable feed-back, helping us continue to develop products, solutions and services that enable them to give their patients the best possible treatment.”

Last year’s Nobel Biocare Global Symposium sold out well in advance, and interest in this year’s local events is also high. Those who are interest-ed are advised to register as soon as possible. <

More to explore!

For more information or to register

for any of the Nobel Biocare

Symposia, please visit

nobelbiocare.com/symposia2014

Answers to the questions that interest you most: At Nobel Biocare Symposia, company representatives and renowned osseointegration authorities are available to share their expertise in a wide variety of areas.


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nobel iocare news - brainserver.net · information for the osseointegration specialist issue 1/2014...

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