New Additions to NobelClinician™ and Replace Implants Aimed at Improving Patient Treatment Workflow

Posted on October 9, 2013


Nobel Biocare announces its latest innovations to the patient treatment workflow featuring new options for diagnostics and treatment planning, as well as surgery, at the Academy of Osseointegration Annual Meeting in Tampa, Florida, 7-9 March.

New updates to the digital diagnostics and treatment planning NobelClinician Software include an enhanced technique that provides a new level of visibility and a new iPad® app to assist with more effective patient communication. To further accommodate all implant needs, the “Replace” implant family now has two new members adding a “partially machined collar” line extension to both NobelReplace Conical Connection and Replace Select Tapered.

The patient is at the forefront of Nobel Biocare’s mission, “Designing for Life,” an ambition to improve every patient’s quality of life with superior products and solutions designed to give functional and natural-looking tooth restorations that aspire to last a lifetime. For each core step of the patient treatment workflow – diagnostics and treatment planning, surgery, prosthetic restoration and post-treatment care – Nobel Biocare provides superior products and solutions to ensure maximum treatment safety, patient comfort and long-term success.

NobelClinician provides precise implant planning options for predictable outcomes and is a very effective visual communication tool. As the first diagnostics and treatment planning software available for both Mac OS® X and Windows®, NobelClinician serves an increasing demand in the dental community as dental professionals frequently also use Apple® devices in their dental practices. The latest version of NobelClinician Software significantly enhances diagnostic capabilities through a new 3D rendering technology called volume rendering. Clinicians can now instantly see below the surface of 3D bone models from (CB)CT patient scans and immediately identify and further inspect internal anatomical structures like tooth roots or previously-planned implants while treatment planning.

Dental professionals can now also use NobelClinician to import 2D images – like existing pre- and postoperative dental x-rays or clinical patient pictures (e.g. patient’s smile, intraoral clinical images, etc.) – and visualize them next to the 3D view. This allows the dental professional to be even closer to the real situation while virtually planning or discussing in an interdisciplinary treatment team and also considering availability of bone and prosthetic needs. All new views and pictures are fully integrated into the clinical report. Treatment scenarios can be shared securely and hassle-free through the NobelConnect collaboration feature to align computers within the practice or with other treating team members at different geographical locations.

The new and innovative NobelClinician Communicator iPad® app gives dental professionals a convenient platform to present and effectively communicate NobelClinician treatment plans to their patients. This revolutionary iPad® app can be used in a comfortable setting to easily display selected clinical pictures, x-rays and the patient’s 2D or 3D images for helping them to understand their treatment plan. The dental professional can use any iPad® with the NobelClinician Communicator app to open their NobelClinician patient presentations by just logging in with a NobelClinician user account. Additionally, the patient can confirm having seen and studied the information on the treatment flow by signing off on the iPad® presentation. The patient’s iPad® presentation is securely stored on the online NobelConnect space ensuring no information will be lost.

The line extension of partially machined collar implants featuring the new NobelReplace Conical Connection PMC and Replace Select Tapered PMC ensures that the original tapered implant system provides total patient treatment flexibility. No matter the patient requirements or clinician preference, NobelReplace and Replace Select represent one system for all clinical needs. The new NobelReplace Conical Connection PMC adds an additional option to the original with a 0.75 mm machined collar. NobelReplace Conical Connection combines the original tapered implant body with a sealed conical connection to offer dental professionals an esthetic solution for all indications. The body of all NobelReplace and Replace Select implants mimics the shape of a natural tooth root and is designed for high initial stability in all loading protocols including Immediate Function.

Replace Select Tapered – the safe, reliable and easy-to-use implant with the internal tri-channel connection – now offers two collar options for different clinical needs and treatment preferences. The original Replace Select Tapered has been available with a 1.5 mm machined collar for tissue-level restorations and the new Replace Select Tapered PMC is available with a 0.75 mm machined collar. The micro-roughness of the machined collar and abutment surface are similar to natural tooth enamel (Ra 0.3–0.5). These harmonious surface conditions promote optimal soft tissue attachment and a seal by the junctional epithelium for healthy and highly esthetic results.

The iPad®-operated OsseoCare Pro drill motor has added some new and innovative features to the latest application update now available in the Apple® App Store. New customizable drilling protocols allow users to create and save their own drilling protocols by changing or adding steps – both for Nobel Biocare and other implant systems. Additionally, OsseoCare Pro users can now use their handpiece of choice as well as switching between different contra-angles and handpiece ratios during surgery. Also, a new note-taking feature allows users to keep a more effective overview of surgery with the ability to add notes before, during and after surgery which can also be included in the reporting feature.

The intuitive user interface of the OsseoCare Pro combined with unique handling features provides clinicians and their patients with high treatment efficiency and security. Available free of charge from the Apple® App Store, the OsseoCare Pro application delivers highly user-friendly operations and opens up numerous avenues in terms of customization options.

Since its launch five years ago, NobelActive has attracted new users at a pace the dental industry has not seen before – recently passing 1,000,000 NobelActive implants placed in patients worldwide. The most recent addition, NobelActive 3.0, provides narrow-fitting implant solutions and is specifically designed for the replacement of single-unit maxillary lateral incisors as well as mandibular lateral and central incisors. A new clinical study with three years of follow-up data confirms the exceptional performance of NobelActive.

The study recently published in the European Journal of Oral Implantology entitled, "Comparison of variablethread tapered implant designs to a standard tapered implant design after immediate loading. A 3-year multicenter randomised controlled trial" aimed to verify whether immediate loading could be applied with NobelActive while achieving the same stable marginal bone levels and soft tissue healing as with the well-documented NobelReplace Tapered implant. After three years, the cumulative survival rate was 96–97%. Marginal bone levels were measured on intraoral radiographs and, after initial bone remodeling, demonstrated stable or improving levels during the second and third year. The mean papilla score increased significantly in all treatment groups.[1]

Visit the Nobel Biocare at AO in booth #301 for more details and to experience the latest innovations in implant-based dentistry.


1. Arnhart C, Kielbassa AM, Martinez-de Fuentes R, Goldstein M, Jackowski J, Lorenzoni M, Maiorana C, Mericske-Stern R, Pozzi A, Rompen E, Sanz M, Strub JR. Comparison of variablethread tapered implant designs to a standard tapered implant design after immediate loading. A 3-year multicenter randomised controlled trial. Eur J Oral Implantol. 2012 5:123-36

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