Nobel Biocare™ IMPLANTS

All implants from this manufacturer are made of grade 4 titanium with a TiUnite® surface treatment. The TiUnite®, surface texture is achieved through plasma electrolytic oxidation (anodization) resulting in the transformation of the titanium oxide in to a crystalline state with ceramic like properties.

NobelActive™

Fig. 1

NobelActive™ implants (Fig.1) have a surface treatment from the apex of the implant to the edge of the implant/abutment interface. The slightly tapered body geometry is machined with progressively deeper threads towards the apical and a secondary groove at the edge of the more coronal threads. A faint table (0.25mm) between the actual implant/abutment interface and the outer edge of the implant may be unused to function as a platform switching feature or seating surface of prosthetic components, depending on the type of final restoration. Implants are machined with a internal hexagon functioning as the indexing feature. Four implant body diameters of 3.0, 3.5, 4.3 and 4.9mm in six lengths (8.5, 10, 11.5, 13, 15, 18) are offered in this product group. 3.0mm implants are not produced in lengths of 8.5 and 18mm. Although the implant manufacturers stated length is not the actual length of the implant. Each implant is 0.5mm shorter than advertised.

Fig. 2

The indexing feature dimensions are implant body diameter appurtenant, meaning that the indexing feature (Fig.2) is machined differently in regards to the implant body diameter. 3.0mm diameter implants have a 2.5mm diameter indexing feature while 3.5 diameter implants have a 3mm diameter indexing feature. 4.3 and 4.9 diameter implants share the same indexing feature dimension of 3.4mm. Each indexing feature dimension is color coded for easy identification fuchsia (3.5mm body diameter) or yellow/blue (4.3 and 4.9mm body diameter). Although the color coding is only evident on the product packaging and the implants are packaged without cover screw.

Brånemark System™, NobelSpeedy™

Fig. 3

All of the implants in this product group are machined with a external indexing feature (Fig.3) in four implant/abutment platform diameters of 3.5 (NP, narrow platform), 4.1 (RP, regular platform), 5.0 (WP, wide platform). The indexing feature consists of a external hexagon design of platform diameter specific dimensions, making prosthetic components incompatible from platform diameter to platform diameter. No color coding is evident for platform diameter identification on any of the external hex implants.

Fig. 4

Brånemark System™ MK III TiUnite® implants (Fig.4) are offered in one body geometry, parallel walled with a diminishing thread depth toward the apical of the implant. A 0.7mm machined collar separates the implant/abutment interface from the TiUnite® treated surface area of the implant. Cutting flutes incorporated at the apex of the implant (Fig.5) give this implant design self tapping capabilities. 3.5mm platform implants are produced in four (10, 11.5, 13, 15mm) lengths and one implant body diameter of 3.3mm while 4.1 implant/abutment platform diameter implants are produced in two implant body diameters of 3.75 and 4.0mm

Fig. 5

and three additional lengths of 7, 8.5 and 18mm. 5.1mm platform diameter implants are offered in one body diameter of 5mm and seven lengths.(7, 8.5, 10, 11.5, 13, 15 and 18mm) . Although each implant in this product group is actually 0.5mm shorter than advertised and the advertised length does not include the 0.7mm height of the indexing hex at the top of the implant. No 6mm diameter implant is available within this group. Cover screws are included in this product group.

Fig. 6

Brånemark System™ MK III Groovy implants (Fig.6) are offered in one body geometry, parallel walled with a diminishing thread depth toward the apical of the implant and a secondary groove underneath each thread to enhance initial stability. The implant surface treatment extends from the edge of the implant/abutment junction uniformly to the apex without any machined collar. Cutting flutes incorporated at the apex of the implant (Fig.7) give this implant design self tapping capabilities. 3.5mm platform implants are produced in four (10, 11.5, 13, 15mm) lengths and one implant body diameter of 3.3mm while 4.1 implant/abutment platform diameter implants are produced in two implant body diameters of 3.75 and 4.0mm and three

Fig. 7

additional lengths of 7, 8.5 and 18mm. 5.1mm platform diameter implants are offered in one body diameter of 5mm and seven lengths (7, 8.5, 10, 11.5, 13, 15 and 18mm). Although each implant in this product group is actually 0.5mm shorter than advertised and the advertised length does not include the 0.7mm height of the indexing hex at the top of the implant. No 6mm diameter implant is available within this system. Cover screws are not included in this product group.

Fig. 8

Brånemark System™ MK IV TiUnite® implants (Fig.8) are offered in one body geometry, parallel walled with a diminishing thread depth toward the apical of the implant. Cutting flutes incorporated at the apex (Fig.9) of the implant give this implant design self tapping capabilities. 4.1mm platform implants are produced in one implant body diameter of 4.0mm with a 0.4mm collar in seven (7, 8.5, 10, 11.5, 13, 15 and 18mm) lengths. 5.1mm platform

Fig. 9

diameter implants are machined with a 0.2mm collar and a body diameter of 5mm and the same seven lengths as 4.1mm platform implants. Each implant in this product group is actually 0.5mm shorter than advertised and the advertised length does not include the 0.7mm height of the indexing hex at the top of the implant. Cover screws are included in this product group.

Fig. 10

NobelSpeedy™ Groovy (Fig.10) implants are offered in one body geometry, parallel walled with a tapered apex. The thread pattern has a secondary groove underneath the primary thread and the threads are carried all the way to the apex of the implant. Cutting flutes incorporated at the apex of the implant (Fig.11) give this implant design self tapping capabilities. The TiUnite® surface treatment extends from the edge of the implant/abutment interface all the way to the apex of the implant. 3.5mm platform implants are produced in four (10, 11.5, 13, 15mm) lengths and one implant body diameter of 3.35mm while 4.1mm platform implants are produced in one implant body diameter of 4.0mm in seven (7, 8.5, 10,

Fig. 11

11.5, 13, 15 and 18mm) lengths. 5.1mm platform diameter implants are machined in two configurations. Either with a body diameter of 5mm and the same seven lengths as 4.1mm platform implants and a body diameter of 6mm also in seven (7, 8.5, 10, 11.5, 13, 15 and 18mm) lengths. Each implant in this product group is actually 0.5mm shorter than advertised and the advertised length does not include the 0.7mm height of the indexing hex at the top of the implant.Cover screws are not included in this product group.

NobelReplace™, Replace™ Select, NobelSpeedy™ Replace

Fig. 12

All of the implants in this product group are machined with a internal indexing feature in four implant/abutment platform diameters of 3.5, 4.3, 5.0 and 6.0mm. The indexing feature (Fig.12) consists of a tri-lobe design of platform diameter specific dimensions, making prosthetic components incompatible from platform diameter to platform diameter. Each platform diameter is color coded for easy platform diameter identification. 3.5mm platform implants are color coded fuchsia and identified as narrow platform (NP). 4.3mm platform implants are color coded yellow and identified as regular platform (RP). 5.0mm platform implants are color coded blue and identified as wide platform (WP). 6.0mm platform implants are color coded green and without any further identification designation.

Fig. 13

NobelReplace™ implants are offered in two body geometries, parallel (Fig.13, left) and tapered (Fig.13, right). Both geometries surface treated area extends uniformly from the edge of the implant/abutment platform to the apical and a diminishing thread depth towards the apical of the implant. A small secondary groove is fashioned underneath the main V shaped threads to enhance initial stability. The tapered version is machined without cutting flutes (Fig.16) at the apical portion while the parallel version is produced with cutting flutes (Fig.14) . All four platform diameter tapered implants are available in four advertised lengths of 8,

Fig. 14

10, 13 and 16mm. Although each tapered implant is actually 0.6mm longer than advertised. 3.5mm platform parallel wall geometry implants are produced in four (10, 11.5, 13, 15mm) lengths while all other platform diameter implants are offered in one additional length of 18mm. Although each parallel implant is actually 0.6mm longer than advertised. There are no parallel wall 6.0mm platform diameter implants available.

Fig. 15

Replace™ Select implants are offered in two body geometries, parallel (Fig.15, left) and tapered (Fig.15, right). Both geometries have a machined collar of 1.5mm and are surface treated below the collar, extending to the apical. A V shaped thread pattern is common to both body geometries with a diminishing thread depth toward the apical of the implant. The tapered version is machined without cutting flutes (Fig.16) at the apical portion while the parallel version is produced with cutting flutes (Fig.14). All four platform diameter tapered implants are available in four advertised lengths of 8, 10, 13 and 16mm. Although

Fig. 16

each tapered implant is actually 0.6mm longer than advertised. 3.5mm platform parallel wall geometry implants are produced in four (10, 11.5, 13, 15mm) lengths while 4.3 and 5.0mm platform diameter implants are offered in one additional length of 18mm. Although each parallel implant is actually 0.75mm shorter than advertised. There are no parallel wall 6.0mm platform diameter implants available.

Fig. 17

NobelSpeedy™ Replace implants (Fig.17) are offered in one body geometry, slightly tapered with a aggressive taper at the apex. The surface treatment extends from the outer edge of the implant/abutment interface to the apex. A V shaped thread pattern with a consistent thread depth to the apical of the implant and a secondary groove machined underneath each thread is a signature feature of this implant design.

Fig. 18

Cutting flutes (Fig.18) incorporated at the apex of the implant give this implant design self tapping capabilities. 3.5mm platform parallel wall geometry implants are produced in four (10, 11.5, 13, 15mm) lengths while 4.3, 5.0 and 6.0 platform diameter implants are offered in one additional length of 18mm. Although each parallel implant is actually 0.75mm shorter than advertised.

Fig. 19

NobelReplace® PS (Platform Shift) implants (Fig.19) are machined with a tapered body geometry NobelReplace® implant body. Three implant body diameters of 4.3, 5.0 and 6.0mm in five lengts of 8, 10, 11.5, 13 and 16mm are offered for this implant group. 4.3mm body diameter implants are machined with a 3.5mm (NP, fuchsia) implant/abutment interface and 5.0mm body diameter implants are ported to a 4.3mm (RP, yellow) implant/abutment interface while 6.0mm body diameter implants are fabricated with a 5.0mm (WP, blue) implant/abutment interface.

Fig. 20

Replace™ Select TC (Tissue Collar) implants (Fig.20) are machined with a parallel body geometry Brånemark System™ MK III TiUnite® implant body and 3mm machined collar. Primarily intended for a one-stage surgical protocoll and overdenture solutions. Two implant body diameters of 3.5 (NP, fuchsia) and 4.3mm (RP, yellow) are produced with the signature tri-lobe Replace™ implant/abutment interface. Both diameters are offered in four lengths of 10, 13, 16 and 18mm. Implants are packaged without cover screw and require the purchase of specialised TC transmucosal healing abutments.

Fig. 21

NobelReplace® CC (Conical Connection) implants (Fig.21) are machined with a tapered body geometry NobelReplace® implant body and an internal hexagonal implant/abutment interface borrowed from the NobelActive™ implant group. Three implant diameters of 3.5, 4.3 and 5.0mm in five lengths of 8, 10, 11.5, 13 and 16mm are produced for this implant group. 3.5mm body diameter implants are machined with 3.5mm (NP, fuchsia) implant/abutment interface while 4.3 and 5.0mm implant body diameter implants are machined with a 4.3mm (RP, yellow) implant/abutment interface. NobelReplace® CC implants require the same drills and drill protocoll as tri-lobe NobelReplace® implants but utilize the tooling and prosthetic components of the NobelActive™ implant group.

NobelDirect™

NobelDirect™ implants are one piece designs, incorporating the implant and abutment in to a single entity. These types of implants are installed and the abutment portion prepped for the restoration intraorally or left unadulterated in case of NobelDirect™ Posterior implants, necessitating abutment level impressions with or without impression copings..

Fig. 22

NobelDirect™ Groovy implants (Fig.22) are machined with the same implant body geometry and thread pattern as NobelReplace™ tapered implants. The abutment portion of the implant is 8mm tall and processed with the TiUnite® surface treatment throughout its entire height. This feature will allow various insertion depths depending on tissue height. NP 3.5mm platform diameter implants are offered in three lengths of 10, 13 and 16mm while 4.3 (RP), 5.0 (WP) and 6.0mm platform are available in one additional length of 8mm.

Fig. 23

NobelDirect™ Oval implants (Fig.23) are machined with the same implant body geometry and thread pattern as NobelReplace™ tapered implants. The abutment portion of the implant is 8mm tall and processed with the TiUnite® surface treatment throughout its entire height. This feature will allow various insertion depths depending on tissue height. NP 3.5mm platform diameter implants are offered in three lengths of 10, 13 and 16mm while 4.3 (RP), 5.0 (WP) and 6.0mm platform are available in one additional length of 8mm. The differentiating feature of NobelDirect™ Oval implants compared to NobelDirect™ Groovy implants is the shape of the abutment portion geometry. NobelDirect™ Oval abutments are produced with two flat sides opposing each other, creating a oval shaped abutment portion.

Fig. 24

NobelDirect™ Posterior implants (Fig.24) are machined with the same implant body geometry and thread pattern as NobelReplace™ tapered implants and the abutment portion of the implant is machined as a 4mm abutment height Snappy™ abutment. Available as RP (4.3mm platform diameter), WP (5.0mm) and 6.0mm in lengths of 8, 10, 13 and 16mm.

Fig. 25

NobelDirect™ 3.0 implants (Fig.25) are in a unique class of their own within the NobelDirect™ product group . A machined surface abutment portion of 5.5mm height is mated to a 3.0mm diameter parallel wall implant portion in lengths of 13 and 15mm. The groovy thread pattern design is carried over from the other NobelDirect™ implants.

All images courtesy of Nobel Biocare™