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NobelActive™

NobelActive™ - a new direction for implants

NobelActive™ implants don´t cut through bone like conventional implants, they gently press through it like a corkscrew.

This bone condensing capability delivers high initial stability. The narrow neck is designed to preserve marginal bone and promote long-lasting soft tissue stability.

You’ll never be so confident of accurate placement with such a minimally invasive procedure.

Potentially fewer drilling steps, depending on bone quality

Implant insertion comparison between a traditional implant design and NobelActive™

Bone condensing effect

Unique press-fit connection and extraoral cementation of the final crown

Minimal osteotomy with minor trauma to bone and surrounding tissues

Clinical Film

replacing and restoring a missing tooth using NobelActive™

Performing Treatment Ophir Fromovich; Yuval Jacoby

Clinical Film

replacing non-restorable teeth with NobelActive™ and immediate provisionalization.

Performing Treatment Ophir Fromovich; Yuval Jacoby

Clinical Film

esthetic zone solution using the Procera® Crowns supported with NobelActive™.

Performing Treatment Yuval Jacoby; Galit Talmor

revolutionary design expands treatment options

NobelActive Bone-condensing 2The self-condensing abilities of NobelActive™ deliver advantages in all types of bone and in compromised situations, especially in softer bone. 

The self-drilling ability of NobelActive™ allows it to be inserted into sites prepared to a reduced depth. This is useful where sites are close to vital anatomical structures: the mandibular nerve canal or the maxillary sinus, and nose cavity for instance. This means you can be confident of accurate placement while having a minimally invasive procedure.
 
The unique combination of design features of NobelActive™ is derived from thorough investigation into the bio-mechanical dynamics of hard and soft tissues surrounding dental implants.

This revolutionary implant design has already been in use since 2004 and in thousands of cases. By combining the clinically documented 98% success rate (Scientific Evidence) with the outstanding track record of TiUnite™, NobelActive™ promises to change how implant restorations are performed.

NobelActive™ offers unique advantages

  • potentially fewer drilling protocol steps, depending on bone density and quantity  
  • minimal osteotomy with minor trauma to bone and surrounding tissues  
  • extremely high stability in fresh extraction sites and sites with thin sinus floors
  • ability to change direction during surgery gives full flexibility for optimal placement 
  • a narrow neck designed to preserve marginal bone 
  • grooves on threads and scientifically proven TiUnite™ surface 

NobelActive™ expanded indications

The unique self-drilling and bone-condensing capabilities of NobelActive™ facilitate placement in clinically demanding situations, by offering:

  • excellent stabilization in soft bone – using gradual condensing of bone in all dimensions throughout the entire length of the implant, even with as little as 3 mm of bone at the neck of the implant 
  • adjustment to small changes for parallelism – using the self-drilling capacity it is possible to change direction of the implant during implant placement 
  • immediate placement in the esthetic region, even when buccal bone plate is very thin
  • excellent stabilization in wide sockets - using minimal osteotomy, even with as little bone as 3 mm at the bottom of freshly extracted sockets
NobelActive™ Case
Courtesy of Dr. Ophir Fromovich

NobelActive™ implant design

Take a close look at the extensive details of this new implant design:

Coronal Region
features: 

  • Internal and External configurations 
  • coronally tapered 
  • unique prosthetic connections
  • narrow transmuscosal elements

benefits: 

  • rebounding of cortical bone 
  • designed to minimize bone resorption
  • designed to increase soft tissue volume
  • bone modeling above the coronal region 
  • no micro-gap (NobelActive™ External) 

Core
features:

  • bone expansion like using sequential osteotomes

benefits: 

  • bone expansion like using a sequential osteotome  

Threads
features:

  • variable horizontal thread design 
  • wide pitch
  • double thread

benefits: 

  • bone condensing
  • greater initial stability 
  • quicker and easier insertion  

Apical region
features:

  • sharp and long horizontal threads
  • narrow core
  • apical drilling blades 
  • two long spiral taps

benefits: 

  • self-drilling in most bone types 
  • minimized osteotomy with smaller drill bits
  • controllable direction of insertion

NobelActive™ - rigorously tested for quality, strength and endurance

Fatigue Testing

In 1992, Nobel Biocare developed an internal protocol for evaluating the fatigue strengths of implant and abutment designs and applications. A similar test has since been adopted as the International Standard for endosseous dental implants - ISO 14801.

The test process

This endurance test is designed to establish the maximum force at which the implant/ abutment combinations will survive when subjected to a variety of forces for 5 million cycles. Implants are mounted at an angle of 30º off axis. A cyclic force with a frequency of 14 Hz is applied to an abutment of a standardized length. This establishes the endurance strength for each implant/abutment combination.

NobelActive™ impressive endurance

In 1992 a baseline of 185 N was established for implant strength, using the original Ø3.75 Brånemark ASTM Grade 1 Titanium implants with standard abutments. By comparison, the improved endurance strengths for NobelActive™ conical implants can be seen in the table below. Zirconia abutments are fatigue tested in just the same way as Titanium.

 

NobelActive™ - implants safety in design

Torque Strength

NobelActive™ implants have been designed to be extremely strong. This is evident when you look at the maximum insertion torque the implants can tolerate, (282 for NobelActive™ internal Ø3.5 and 452 for NobelActive™ internal Ø4.3) which will give you peace of mind when fitting.

Implant Placement Validation Results

During the clinical studies implants were placed using various insertion torque levels up to 100 Ncm. 20% were placed with an insertion torque of 60 Ncm or higher. The study found no correlation between implant complications and insertion torque at these levels. Based on the data, from these tests, 70 Ncm was determined to be the safe maximum torque for placing NobelActive™ implants. As the table below shows, NobelActive™ implants have a huge safety margin for all diameters.

NobelActive™ External connection

NobelActive™ External abutment connection allows extra-oral cementation of final crown to abutment avoiding excess cement under the gingiva.

  • one-piece implant with a unique combination  of design features that enables easier insertion and promises extremely high initial stability
  • one-piece implant design with two-piece flexibility
  • smaller body makes it preferred choice in narrow bone ridges
  • available in 3.5, 4.3, 5.0 mm implant diameters and 10,  11.5, 13, 15 mm lengths 

Unique prosthetic connection

  • abutments are connected by a locking tapered interface which eliminates  the bone-level micro-gap, micro-movements, and the use of an abutment screw
  • external abutment interface (implant pillar) is a consistent 3.1 mm diameter
  • this external configuration of NobelActive™ External takes advantage of all the mechanical and biological benefits of a narrow one-piece implant while maintaining the flexibility of a two-piece system.
  • abutments are friction secured to the implant pillar by tapping with a mallet and removed from the implant using a special driver – the Removal Driver NobelActive™ External.
  • the friction connection allows the use of a screwless abutment and extraoral cementation of the final crown. This eliminates the risk of excess cement contaminating the implant site and soft tissue.

 
Note: extra-oral cementation of multiple connected units should not be performed; standard intra-oral cementation procedures should be followed 
 
Abutments for NobelActive™ External
  • Procera® Abutment Titanium
  • Esthetic Abutment
  • 15° Esthetic Abutment
  • Narrow Profile Abutment

NobelActive™ Internal connection

NobelActive™ Internal conical abutment connection designed to eliminate the micro-gap, allows secure positioning of prosthetic components and includes automatic Platform Shifting™ and a special shoulder for precise fit of bridges at implant level.NobelActive Internal connection

  • two-piece implant with a unique combination of design features enables easier insertion with extremely high initial stability
  • available in:
    – NP 3.5 mm implant diameter and 10, 11.5, 13, 15 mm lengths, with a 3.5 mm platform diameter
    – RP 4.3 and 5.0 mm implant diameters and 10, 11.5, 13, 15 mm lengths, with a 3.9 mm platform diameter

Unique prosthetic connection
  • new internal connection using conical seating and hexagonal interlocking potentially eliminates micro-gap and provides automatic Platform Shifting™
  • multi-unit abutments screw down to create a positive lock with the margin
  • secure repositioning of prosthetic components
  • precise fi t of bridges on implant level

    Abutments for NobelActive™ internal
  • Procera® Esthetic Abutment Zirconia*
  • QuickTemp™ Abutment
  • Immediate Temporary Abutment
  • Procera® Abutment Zirconia & Titanium
  • Snappy Abutment
  • Multi-unit Abutment*


*The Procera® Esthetic Abutment Zirconia and angled Multi-unit abutments are currently under 510(k) review.

 

Inventors

NobelActive™ is the product of a creative collaboration by four world-renowned dental practitioners:

Dr. Benny Karmon, Dr. Yuval Jacoby, Prof. Nitzan Bichacho, Dr. Ophir Fromovich

NobelActive™ Inventors
NobelActive™

NobelActive™

      Practice-building advantages from NobelActive™
  • bone-condensing – expands indication range with high initial stability
  • self-drilling: means potentially fewer drilling steps and a quicker treatment 
  • ability to change direction during surgery: offers full flexibility for optimal placement of the implant
  • unique press-fit connection of abutment – removes risk of excess cement

NobelActive™ implants don´t cut through bone like conventional implants, they gently press through it like a corkscrew.

Download manual for External connection (PDF, 4.48 MB)

Download manual for Internal connection  (PDF, 1.91 MB)

Due to its unique capabilities, Nobel Biocare strongly recommends that you participate in a NobelActive™ training course prior to using the implant. To assist you, one training course for one participant is included with your purchase of a NobelActive™ Surgical Kit.

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