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Nobelactive

Manufactured by Nobel Biocare
Sourced in Sweden, Switzerland

NobelActive is a dental implant system designed for predictable and flexible treatment outcomes. It features a tapered body and cutting blades to facilitate precise implant placement.

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5 protocols using nobelactive

1

Torque Measurement on Dental Implants

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Implant placement was performed 5 to 7 months after SL. A torque wrench was used to measure insertion torque (Ncm) at 30 sites in the CAPC(+) SL group and at eight sites in the CAPC(−) SL group, where the thickness between the alveolar crest and maxillary sinus floor was ≤3 mm before bone augmentation. Implants used in this study were Nobel Active (Nobel Biocare, Zurich, Switzerland) and Straumann Standard Plus (Straumann, Basel, Switzerland) implants.
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2

Flapless Guided Implant Placement Outcomes

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In all 34 implant sites, NobelActive® (Nobel Biocare, Karlskoga, Sweden) dental implants were placed with a flapless surgical technique. The implant placement procedure was performed using the teeth-supported fully guided template for drilling and implant placement in both groups [16 (link)]. For maximum stability, templates were extended bilaterally to the first molar. The implants were loaded 6–8 weeks after placement with a screw-retained supra-construction. After a minimum of 1 year of loading, all 22 participants were examined with a follow-up CBCT for comparison with baseline bone and by intra-oral radiography for comparing the marginal bone level with baseline. The implant survival rate was calculated after a minimum of 1 year of functional loading.
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3

Guided Implant Placement with X-Guide System

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Surgery was performed under local anesthesia using appropriate aseptic and sterile protocols. During the entire procedure, the x-clip was fixed in the exact same location as during CBCT acquisition. Registration, calibration (Figure 3), and system checks were conducted before starting the surgery, as described in the X-Guide® manual. The X-Guide® uses the x-clip as a reference to determine the location of the implant drill as projected during preoperative planning. Osteotomies were prepared at a maximum of 1500 rpm and guided in real time by indicating the desired drilling pathway on the computer screen. An extra calibration process was completed preceding the use of each new drill. Prior to the preparation of the implant placement, no punching of the gingival tissues was performed. NobelParallel® Conical Connection (Nobel Biocare™, Zürich, Switzerland) implants or Nobel Active® (Nobel Biocare™, Zürich, Switzerland) implants were installed. All implants were placed by the same operator (J.L.), who was not involved in data collection and analysis.
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4

Dental Implant Surface Characterization

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Thirty titanium dental implants (3.5 mm in diameter and 10 mm in length) with the following three different surface modifications were used (n = 10/group): the HAnano group (Epikut Plus®; Sistema de Implante Nacional SA, São Paulo, Brazil) included implants with a nano-sized crystalline hydroxyapatite coating; the SLActive group (BLX®; Straumann, Basel, Switzerland) included implants with a hydrophilic sandblasted and acid-etched titanium surface; and the TiUnite group (NobelActive®; Nobel Biocare, Göteborg, Sweden) included implants with a highly crystalline and phosphate-enriched anodized titanium-oxide surface.
High-resolution scanning electron microscopy images obtained with FEI-QUANTA 450 (Thermo Fisher Scientific, Waltham, MA, USA) revealed the surface topography of the implants, one sample per group, at an accelerating voltage of 10 kV; focal width of 3.0; and magnifications of 50×, 3000×, and 15,000×. Energy-dispersive X-ray spectroscopy analysis determined each surface’s chemical composition at an acceleration voltage of 20 kV and focal width of 40 using an EDAX detector equipped with a dual-beam electron microscope (AMETEK Materials Analysis Division, Mahwah, NJ, USA) and the Genesis software program (EDAX, LLC, Mahwah, NJ, USA).
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5

Retrospective Survey of Nobel Guide Implants

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The study was structured as a retrospective survey, including all the implants (40 implants in 15 patients) inserted with a pilot drill template, according to the Nobel Guide™ protocol (Nobel Biocare AB, Göteborg, Sweden), in the period between October 2016 and May 2019, in the Dental and Maxillofacial Clinic, Department of Odontostomatological Surgery, Pediatrics, and Gynecology of the University of Verona.
The study was conducted in accordance with the Helsinki Declaration of 1975, revised in 2013 (ref. [15 (link)]), and the protocol was approved by the Local Ethical Committee (1935CESC).
A total of 15 eligible patients were selected and adequately informed about the retrospective nature of the study; once they signed an informed consent drawn up by members board of University of Verona for using their personal and clinical data, they were enrolled in the study.
The inclusion criteria were: patients with partial edentulism (at least 6 healthy supporting template teeth), implant placement using the pilot drill template, use of a single type of implant (NobelActive®, Nobel Biocare AB, Göteborg, Sweden), surgeries performed by the same expert oral surgeon, and available post-implant CT (acquired for different clinical reasons).
All the authors applied the NobelGuide® protocol according to the surgical indications.
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