Inside Dentistry Supplement Nobel Biocare - Fall 2010 : Page 2

The Success Formula for Single-Tooth Restorations™ The foundation of successful single-tooth restorations lies in outstanding, versatile products and materials that demonstrate verifi able long-term success. When all the elements for single-tooth restorations are provided by a single dependable source and designed to work together, the dentist and patient can be assured of the best clinical and esthetic result. Proven Implants One key to long-term success is the strength and safety of the implant. High-performance material (cold-worked CP4 titanium), along with a unique surface (TiUnite® Functional Abutments and Connections ) for enhanced osseointegration, ensures primary stability and predictability. The most effective systems are versatile, highly functional, and designed for a variety of treatment and surgical protocols. The ideal abutment mimics natural tooth form and emergence profi le, with superior function and excellent soft-tissue management. Predictable and effective seating is essential, along with ease of use and accurate identifi cation. A wide selection of integrated abutments—temporary, prefabricated, and individualized—facilitates all surgical and restorative situations. Next-Generation Crowns Natural-looking esthetic results, with exceptional strength and functionality, are vital to patient satisfaction. Consistent CAD/CAM precision of fit improves the patient’s experience by eliminating time-consuming adjustments. Purity and homogeneity of materials ensures durability and biocompatibility. A comprehensive portfolio supports all clinical, esthetic, and budgetary needs. 2

The Success Formula For Single-Tooth Restorations

The foundation of successful single-tooth restorations lies in outstanding, versatile products and materials that demonstrate verifi able long-term success. When all the elements for single-tooth restorations are provided by a single dependable source and designed to work together, the dentist and patient can be assured of the best clinical and esthetic result. Proven Implants One key to long-term success is the strength and safety of the implant. High-performance material (coldworked CP4 titanium), along with a unique surface (TiUnite®) for enhanced osseointegration, ensures primary stability and predictability. The most effective systems are versatile, highly functional, and designed for a variety of treatment and surgical protocols. Functional Abutments and Connections The ideal abutment mimics natural tooth form and emergence profi le, with superior function and excellent softtissue management. Predictable and effective seating is essential, along with ease of use and accurate identifi cation. A wide selection of integrated abutments—temporary, prefabricated, and individualized—facilitates all surgical and restorative situations. Next-Generation Crowns Natural-looking esthetic results, with exceptional strength and functionality, are vital to patient satisfaction. Consistent CAD/CAM precision of fi t improves the patient’s experience by eliminating time-consuming adjustments. Purity and homogeneity of materials ensures durability and biocompatibility. A comprehensive portfolio supports all clinical, esthetic, and budgetary needs. Single-Tooth Restoration on Exceptional strength and esthetics, precision fi t, and biocompatibility—these are the core features of the NobelProcera™ crown. Available in a full range of versatile materials for all locations in the mouth, NobelProcera is the safe and effective choice for the preservation and restoration of natural teeth. After more than 15 years of clinical research and experience, NobelProcera has proven long-term success and effi cacy. These individually designed solutions offer consistently natural-looking esthetics, while the purity and homogeneity of the materials provide exceptional strength, biocompatibility, and stability. NobelProcera’s next-generation, customized solutions for single-tooth restorations enhance clinician effi ciency—and patient gratifi cation. Case Study: Existing Tooth – Anterior Shahriar Parvizpour, DDS Single-Tooth Replacement on an Existing Tooth. Case Study: Alumina A 20-year-old male presented with a trauma to tooth No. 7, which had occurred 3 weeks earlier. A preoperative radiograph revealed a major fracture to tooth No. 7, with no peri-apical pathology or changes to the alveolus. A pulp test was normal, and there appeared to be no periodontal concerns. As the patient had very unique, characterized teeth, he was concerned about the diffi culty of matching a single tooth to the rest of his dentition.. an Existing Tooth Key Take-Aways Backed by more than 15 years of clinical experience and research demonstrating long-term success Individualized CAD/CAM precision fi t and material homogeneity Safe, strong, and biocompatible materials Easy to integrate into practice—tooth preparation and cementation similar to conventional crown-and-bridge techniques Case Study: Existing Tooth – Posterior Scott MacLean, DDS, FADI, FPFA, FACD Treatment Using a Porcelain-Fused-to-Titanium Crown A 41-year-old male presented on emergency with a fractured left maxillary second premolar. He was missing the upper left fi rst molar, where he was planning to receive an implant in the next 6 months. The fractured cusp upper left second premolar had a previous root canal requiring crown coverage (an amalgam was already in place). The patient opted for placement of a porcelain-fused-to-metal crown to support the remaining teeth. CAD design of the titanium alloy coping, which was then fabricated at a Nobel Biocare central manufacturing plant using titanium aluminum vanadium. Research has demonstrated marked improvements in marginal fi t using the milled fabrication process. This image shows the excellent fi t of the titanium on the crown die. The clinician should ensure adequate removal of the tooth structure to provide porcelain plus the coping thickness of 0. 4 mm to 0.5 mm. Close-up view of the fi nal TiPFM crown, cemented with a self-adhesive resin cement. Titanium alloy is expected to offer strong, long-term esthetic performance. Single-Tooth Restoration on The most effective and esthetic single-tooth restoration on a dental implant—NobelProcera solutions incorporate the latest technological advances to address the full spectrum of clinician and patient needs. For the clinician, the NobelProcera implant-supported restorations satisfy the requirements for high quality and versatility. The materials are safe and reliable with proven long-term functionality and outstanding strength. The comprehensive NobelProcera portfolio is easily integrated into a practice—accommodating various treatment processes and conventional preparation techniques, while offering compatibility with other implant brands. From the patient’s perspective, the breadth and versatility of these solutions offers a full range of affordable options—all of which provide excellent esthetic outcomes, natural function, and long-term success. Case Study: Dental Implant – Anterior Robert M. Bentz, DMD, FACP East Norriton, Pennsylvania Immediate Implant Placement and Provisionalization of a Single Anterior Tooth The patient was a 47-year-old building contractor with crowns on both his central maxillary incisors. He experienced a traumatic injury that fractured the left crown at the gum line. As he had no other facial lacerations, he presented for dental treatment immediately after the accident. His medical and dental histories were otherwise unremarkable. The patient chose to have the tooth extracted, followed by immediate implant placement and temporization. A traumatic injury fractured the patient’s crowned left central maxillary incisor at the gum line. A radiograph of the damaged tooth showed that the tooth root was also fractured, with stress cracks traversing down along it. Immediately after extraction of the incisor, a NobelReplace Select Tapered Groovy Implant was placed and tightened to at least 45 Ncm, exhibiting excellent primary stability. NobelProcera zirconia abutment and all-ceramic crown, 1 month after placement. Excellent healing of the soft tissue around the abutment demonstrated the biocompatibility of the zirconia. a Dental Implant Key Take-Aways Nobel Biocare implants, abutments, and crowns provide the ideal complete restoration for a single tooth Aligned products and procedures for best results Best practice (and most popular) solutions for all indications— posterior and anterior, functional and esthetic Accommodates various treatment concepts and processes, including immediate placement, fl apless, and mini-flap Case Study: Dental Implant – Posterior Peter K. Moy, DMD Los Angeles, California Baldwin W. Marchack, DDS, MBA, FAGD, FICD, FACD Pasadena, California NobelReplace, Snappy Abutment, and NobelProcera Crown Zirconia in the Posterior A 60-year-old man presented with a 10-mm pocket on the distal aspect of his left mandibular molar. A nonsmoker, he had no positive medical history relevant to his dental treatment. Clinical examination along with radiographic evaluation confi rmed that the root canal fi lling had failed, and the tooth had fractured. The patient elected for implant treatment, to be delivered in a staged approach, with immediate temporization. Presurgical radiograph. A surgical template was created to guide the placement of a NobelReplace implant. A transmucosal healing abutment was placed immediately. Removal of the healing abutment revealed 2 mm of tissue above the implant with a fl at tissue architecture, which is an ideal indication for the Snappy Abutment. A 1-mm tall Snappy Abutment was seated on the implant, and the screw was engaged to a torque of 35 Ncm. The radiograph confi rmed proper seating. Using an off-the-shelf abutment replica, the laboratory fabricated a defi nitive NobelProcera Crown Zirconia, which was secured with resin-reinforced glass-ionomer cement.

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