Nobel Biocare

Narrow space solutions – NobelActive 3.0

Safe implant placement in areas with limited space

The implant for narrow spaces

NobelActive 3.0 is ideal for areas with limited space, such as missing lateral incisors. It provides the high implant strength that is usually difficult to achieve with small diameter implants. Tests indicate superior fatigue and torque strength compared to other 3.0 mm implants on the market.

Place implants safely in areas with limited space

We designed the NobelActive 3.0 specifically for narrow space situations where you previously wouldn't have been able to place a conventional implant. With NobelActive 3.0, you're able to treat single-unit maxillary lateral incisors as well as mandibular lateral and central incisors.

Get peace of mind – safe clinical solution

Narrow diameter implants (Ø < 3.5 mm) allow you to safely and predictably treat situations where traditional diameter implants would increase the clinical risk. That could, for example, be indications with minimal hard tissue and limited space. The clinical performance of narrow implants has been validated in several studies with follow-up of up to seven years. Results show an overall survival rate of 97.3% after five years, proving that narrow implants present a safe clinical solution.

High fatigue strength

The fatigue strength of NobelActive 3.0 with an Esthetic Abutment has been tested according to ISO Standard 14801:2007, with an achieved strength of 160N. The Brånemark System NP implant, which has been in clinical use with very low complication rates since 1996, has a corresponding strength of 178N. As NobelActive 3.0 has restricted indications compared to the Brånemark System, it will be subjected to lower loads.

In comparison, fractures occurred at much lower load levels with narrow diameter implants from other manufactures.

High torque strength

NobelActive 3.0 is designed to withstand more than twice the recommended maximum insertion torque of 45 Ncm. Tests with a torque above 100 Ncm did not damage either the implant, interface or driver.

Enhanced osseointegration

NobelActive 3.0 features Nobel Biocare’s unique oxidized TiUnite surface with grooves (Groovy). This increases implant stability through faster bone formation and ensures long-term success.

Benefit from the unique design of NobelActive

With NobelActive 3.0 you enjoy all the same benefits as the regular NobelActive implant.

Lifetime warranty

NobelActive 3.0 is covered by a lifetime product warranty.

The NobelDirect 3.0 implant encompasses the osseous component and restorative component in one piece. This design is based on the One-Stage Placement concept and offers a number of possible advantages :

• New indications : NobelDirect 3.0 is the first FDA-cleared implant on the market with a diameter of 3.0 mm. For the first time the mandibular central and lateral incisors or maxillary lateral incisors can be restored with an excellent esthetic outcome.
• Ease-of-use : The NobelDirect 3.0 implant is a threaded one-piece implant with an integrated abutment designed for one-stage surgical procedures and cemented restorations.
• Tissue friendliness : The surgery is performed only once, allowing the soft tissue to adapt to the implant / abutment interface without further manipulation.
• Esthetics : The abutment can be prepared to an optimized adaptation to the gingival margin
• The TiUnite surface on NobelDirect 3.0 : Due to a more rapid formation and greater amount of bone to implant contact during healing, Nobel Biocare's Ti-Unite® surfaced implants result in faster and stronger osseointegration and better maintenance of the initial implant stability than machined titanium implants.

Treatment Planning

Indication for use

The diameter of two-piece implants is limited due to the lesser strength of the hollow implant body and the screwjoint. The one-piece design overcomes this limitation and allows us to offer a special small diameter implant – NobelDirect 3.0. This implant is intended for use in the tight space challenges in the region of the mandibular central and lateral incisors and maxillary lateral incisors with a delayed loading protocol.

When the implant is placed it should be restored with a Healing Cap or temporary crown without occlusal loading during the healing time.

Inclusion / Exclusion criteria

The following criteria are recommended for the use of NobelDirect 3.0

• Good gingival / periodontal / periapical status of adjacent teeth
• Favorable and stable occlusal relationship
• No apical disorder / inflammation at the area of the implant site or adjacent teeth
• Good bone volume and density
• No cantilevered restorations
• Angulation requirements of the restoration not exceeding 10⁰
• High initial implant stability
• Controlled loads
  The treatment plan should identify and reduce potential load factors such as lateral occlusal contacts, unstable dental occlusion and severe bruxism or other pronounced parafunctions.

Pretreatment Considerations

• The crestal gingiva must be of adequate width if the tissue punch is to be used. In addition, the facial gingiva must also be of an adequate thickness and width to enable sufficient vestibular depth.
• In the presence of an inadequate quantity of gingiva, shallow vestibular depth, and/or frenula pulling, a free gingival graft must be placed at least 3 months before placing the NobelDirect 3.0 implants.
• In the presence of a severely resorbed alveolar ridge, bone augmentation may be required.

Radiographic Examinations

Implant templates that are actual size or magnified 130% or 170% are supplied for NobelDirect 3.0 and used in conjunction with radiographic imaging as a guide to selecting the proper implant to be used. These overlays are to be used as guides only. When more accurate measurements are required, radiographic techniques such as tomograms and computerized tomographic (CT) scans should be utilized.

Additional diagnostic radiographic imaging may be indicated to determine the quality and quantity of alveolar bone or to identify anatomical landmarks.

Implant placement with Flap Reflection

A flap approach is recommended if adequate bone has not been confirmed, if direct vision of anatomic landmarks is necessary or if the facial gingival surface needs connective tissue augmentation.

Implant placement immediately after extraction

The healing capacity of an extraction site is excellent and, as long as the initial stability is reached, implant therapy is well suited to extraction sites. In addition to the above criteria, careful removal of any soft tissue and / or infected tissue is required. If periodontitis is the cause of the extraction, healing before implant treatment is often the procedure of choice.

The following steps are recommended for placement at time of extraction :

• Carry out gentle extraction, where possible keeping the labial bone plate intact
• Carefully remove remnants of any soft tissue from the socket
• Select the length of the implant so its apical end extends beyond the extraction socket
• Using the drills and drill guide, align the preparation as it should ideally be, independent of the direction of the tooth root/extraction socket
• Make optimal use of the interproximal walls for stability
• For immediate placement after an extraction, ensure that the gap between the implant and the bone wall is as small as possible
• Ensure that soft tissue closure around the implant is complete, as this is essential. Vestibular incisons may be required

Flapless Implant Placement

Flapless surgery is indicated in situations where adequate bone and attached gingiva are present, as well as sufficient vestibular depth.

Note: Available bone and significant anatomical landmarks such as blood vessels, nerves and concavities have to be confirmed with conventional diagnostic tools such as radiographic imaging, probing and palpation.

NobelReplace Conical Connection – proven stability, high esthetics

The implant system that combines the proven tapered implant body with a tight sealed connection

An esthetic solution for all indications

NobelReplace Conical Connection merges the original tapered implant body with a tight sealed conical connection, offering you and your patients an esthetic solution for all indications. The implant body mimics the shape of a natural tooth root, ensuring high initial stability for all loading protocols, including Immediate Function.

Experience the strong sealed connection

The implant-abutment interface is crucial for a long-lasting functional and esthetic result. The internal conical connection offers a tight seal and high mechanical strength.8 This gives the restoration the stability required for a predictable result.

Deliver a natural-looking esthetic result

Soft tissue volume is key to an esthetic result. The built-in platform-shifting feature provides a small ridge on which soft tissue can develop. This increases soft tissue volume and ensures a natural-looking result.

Achieve high initial stability, even in compromised bone

The original tapered implant, NobelReplace, mimics the shape of a natural tooth root. Designed for high initial stability, it's ideal for Immediate Function in both extraction sockets and healed sites

Simplify the treatment with a straightforward surgical protocol

The surgery kit has a step-by-step drilling protocol and consistently color-coded components. This simplifies site preparation and ensures a predictable outcome.

Choose between two collar options

Depending on your clinical need and treatment preference, you have the choice between NobelReplace Conical Connection with TiUnite on the collar or NobelReplace Conical Connection PMC with 0.75 mm machined collar.

Enhanced osseointegration

NobelReplace Conical Connection features Nobel Biocare’s unique oxidized TiUnite surface with grooves (Groovy). TiUnite maintains high stability during healing through faster bone formation, helping to ensure long-term success

Lifetime warranty

NobelReplace Conical Connection is covered by a lifetime product warranty.

OsseoSet™ 200 SI-915, 115V,Complete drill solution – OsseoSet 200 with a broad range of accessories for implant and prosthetic treatments,Safe treatments – High performance drilling and precise torque control,Superior handling – Separate programs and ergonomic foot control.

Complete Drill Solution optimized for implant treatments and prosthetics. Torque release function enables safe and easy treatments. Designed for 20:1 and contra angled and 1:1 straight handpieces Motor is sterilizable and maintenance free. Unused but without original manufacturer packaging. Enables internal and/or external irrigation.