Bringing Joy to the People We Serve Nobel Biocare Does It Again, Addressing an Unmet Need with a Life-Changing Innovation
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Nobel Biocare NEWS Information for the Osseointegration Specialist Issue 3/2017 In this Issue 3 A patient’s perspective The All-on-4® treatment concept made a world of difference for Silviana Ribeiro: “Both a reason and the means to smile once more.” 5-7 Trefoil is here! The next full-arch revolution has arrived, backed by science and delivered by a name you can trust. Bringing Joy to the People We Serve Nobel Biocare does it again, addressing an unmet need with a life-changing innovation. According to Brånemark, all the and of itself. Because this titanium bar tanium bar with 1) a simplified restor- 8 Question & Answers First came Brånemark System things that we talked about in that facilitates the production of a defini- ative workflow, 2) a fixed and defini- Speaking with Nobel full-arch prostheses. Then conversation—smiling, speaking and tive acrylic prosthesis, it saves time for tive acrylic prosthesis and 3) fewer Biocare News, Dr. Glen came implant supported eating with confidence—are all social both the clinician and the technician. restorative components. Liddelow addresses one overdentures and zygomatic activities at their core. Today the den- Depending on individual clinical of the key breakthroughs solutions for the maxilla. The patient’s point-of-view of the Trefoil treatment: Procera prosthetic bridges When patients discover that the Tre- efficiency. revolutionized the esthetics of “When you provide a toothless person with a new, foil system may resolve the social this burgeoning field, and the bone-anchored dentition, you are ... first and fore- and physiological issues they have All-on-4® treatment concept most ... restoring the patient’s dignity.” been facing as denture wearers—and was soon to follow, ushering — Professor Per-Ingvar Brånemark can provide a fixed and definitive implant-based therapy into prosthesis in short order—they are the twenty-first century. Each often profoundly impressed.* of these was a groundbreak- tal community agrees. You may be preferences—and contingent upon Nancy Rojo, a patient who was one ing advance in the struggle to able to survive without teeth, but you close collaboration with the lab—Tre- of the first to be treated with Trefoil in tame edentulism. Nobel are not going to be able to live well. foil is such an efficient solution that it Chile—as part of a five-year multi-cen- Biocare is now taking the next can make Immediate Function rou- ter study—puts it this way: “With my step forward. Trefoil redefines efficiency tine, as it makes fixed and definitive old prosthesis I never had peace of A new system for treating the eden- teeth on the day of implant surgery an mind because it moved. With Trefoil, I By Frederic Love tulous mandible is presented on option for more patients. can laugh with my mouth open again!” pages five through eight in this issue For a formerly edentulous woman, n a conversation I had with Pro- of Nobel Biocare News. From the clinician’s perspective being able to laugh whole-heartedly fessor Per-Ingvar Brånemark for It’s called the Trefoil system. Think The Trefoil system manifests innova- again is not a trivial accomplish- ISwedish Television back in 1983, of it not as a replacement for other tion aimed towards greater efficiency ment—and it is certainly what Per- we discussed edentulism as a disabil- solutions from Nobel Biocare, but as at every step, from the design and Ingvar Brånemark meant when he ity. “When you provide a toothless yet another scientifically well-docu- production of components to the de- spoke about restoring dignity. < 9 Professor Jill A. Helms person with a new, bone-anchored mented option for bringing the ben- finitive restoration. Compared to tra- concludes her three-part dentition, you are not just restoring efits of implant-based dentistry to ditional modes of treatment with pro- More to explore! series on how and why his or her smile, or even the ability to new groups of potential patients. visional prosthetics, the Trefoil system * Please turn to pages 5-8 for immediately placed chew and speak without inhibition,” At its most basic level, Trefoil con- requires less chair time and provides more information about the Trefoil implants routinely he said. “No, first and foremost you sists of the first pre-manufactured bar shorter time-to-teeth by combining a system, the science behind it, and succeed. are restoring the patient’s dignity.” with a passive fit. That’s big news in pre-manufactured—yet versatile—ti- how it works in detail. 2 Nobel Biocare NEWS Issue 3/2017 From the President Scan, Plan, and Deliver! New collaborative workflow offers a fully digital provisional restoration on the day of surgery. Hans Geiselhöringer, President The next generation of Nobel Biocare’s integrated treatment As the forerunner in edentulous solu- workflow has been developed tions, Nobel Biocare is continuously to improve collaboration advancing existing proven innovations between treatment partners to further increase predictability and while increasing both efficiency for patients and clinicians. treatment efficiency and A perfect example is the evolution of acceptance. the original All-on-4® treatment con- By Lilibeth Brogna Salas cept. New componentry significantly TempShell wings ensure correct positioning of the TempShell at try-in and are subsequently removed chairside reduces chair time, while the introduc- before placement. tion of updated zygomatic implants evised for partially edentu- and an extended line of NobelSpeedy lous patients, the new collab- tion. The clinician can subsequently implants enable even more patients to Dorative workflow from Nobel diagnose and plan the implant treat- benefit from this life-changing solu- Biocare offers a time-efficient proto- ment based on the underlying anato- tion. Now, the Nobel Biocare portfolio col for providing screw-retained, in- my (hard tissue), the intraoral tissue, can cater even for patients that were dividualized provisionals on the day and the prosthethic information. previously deemed untreatable. of surgery through the fully digital The final treatment plan can then Addressing an unmet patient need design and in-house production of be used to order a surgical template is the driving force behind the launch TempShell temporary restorations. for pilot-drilling or fully guided im- of the Trefoil system—a ground- plant placement. breaking new option for the edentu- Step-by-step In the new collaborative workflow, lous lower jaw. Its IP-protected frame- As with the current integrated work- the clinician is able to share the work with a unique fixation flow, the clinician takes a (CB)CT scan NobelClinician treatment plan via mechanism enables the fixed, defini- in line with his or her usual diagnostic NobelConnect with a partner labora- tive, full-arch restoration of the man- procedures. Additionally, a dental tory that is using the DTX Studio de- dible on the day of surgery. scan of the intraoral situation is ac- sign software.* The lab uses the infor- Using the market as a testing ground quired from an intraoral or desktop mation from the treatment plan to for innovations is not the Nobel Bio- scanner. The STL or PLY(color scan) finalize the TempShell (provisional) care way. Prior to launch, one-year file is then imported into Nobel- design and fabricate it in-house. After- A TempShell is a single or partial provisional, which is fully digitally preliminary results of a global multi- Clinician. wards, it is sent directly to the clinician. designed from a treatment plan and fabricated in-house either by 3D printing center already showed outstanding re- This hard and soft tissue data can Because the TempShell is produced or milling. At the heart of the concept for single unit restorations, a sults for Trefoil patients. then be combined effortlessly using according to the digital treatment Temporary Snap Abutment can be used. Just as our dedication to restoring the SmartFusion function in the plan, the technician can be confident quality of life for edentulous patients software to provide a detailed visual- that it meets the needs of both the cli- ting, screw-retained provisional. leave the dental office with a person- endures, so too does our dedication to ization of the anatomical situation. nician and the patient. This updated workflow is designed alized, screw-retained provisional res- scientific rigor and providing evi- The planning process is made even On the day of surgery, the clinician not only to engender more time-effi- toration on the day of surgery. < dence-based solutions. < more efficient by the introduction of places the implants and the tempo- cient work and closer collaboration * DTX Studio is a digital platform for the SmartSetup feature. This auto- rary abutments, and then makes any between the clinician and the lab, but dental diagnostics and treatment matically creates virtual teeth by ana- needed modifications to the Temp- also to reduce time-to-teeth for pa- consisting of modules connecting the lyzing the patient’s remaining denti- Shell chairside to form a passive-fit- tients, making it possible for them to patient’s treatment workflow from beginning to end. Nobel Biocare NEWS More to explore! For information about Nobel Published regularly by Nobel Biocare Services AG Biocare’s collaborative treatment workflow, please visit: Volume 19, Number 3, 2017 nobelbiocare.com/tempshell. Editor-in-chief Frederic Love Managing Editor Jim Mack Associate Editor Michael Stuart Important notice: The new Nobel Biocare collab- Editorial offices Nobel Biocare News orative workflow was launched Herdevägen 11 in October at the European 702 17 Örebro, Sweden Academy of Osseointegration (EAO) Congress in Madrid, and Telephone: +46 19-330680 is under 510k review by the Telefax: +46 19-330681 e-mail: [email protected] FDA. It is not currently avail- web: nobelbiocare.com/news able in the USA and some other markets around the The contents of contributors’ articles do world.