1. Immediate implant placement and function in the anterior region (cement-retained) – Hands-on presentation
Disclaimer: Some products may not be regulatory cleared/released for sale in all markets. Please contact the local Nobel Biocare sales office for current product assortment and availability. 

2. Drilling and GBR/GTR training model with indications
Extractable tooth – immediate implant
Socket with buccal defect – GBR +/- immediate implant
Sinus with membrane –
Sinus lift
Thread
Narrow healed site –
3.0 implant placement
Narrow ridge –
GBR
Healed sites –
Regular platform implant placement
Disclaimer: Some products may not be regulatory cleared/released for sale in all markets. Please contact the local Nobel Biocare sales office for current product assortment and availability. 

3. Drilling and GBR/GTR training model with indications
Extractable tooth – immediate implant
Socket with buccal defect – GBR +/- immediate implant
Sinus with membrane –
Sinus lift
Thread
Narrow healed site –
3.0 implant placement
Narrow ridge –
GBR
Healed sites –
Regular platform implant placement
Disclaimer: Some products may not be regulatory cleared/released for sale in all markets. Please contact the local Nobel Biocare sales office for current product assortment and availability. 

4. Materials overview Drilling and GBR/GTR training model
Scalpel handle and 15c blade
Periotome kit
Forceps for upper incisors
Lucas curette
Periodontal probe
Dummy NobelActive® Int RP
Osseocare™ drill motor and hand-piece
NobelActive® Surgery Training Kit
NobelActive® Surgical Driver
Example surgical kit (Hu Friedy® or Aesculap®)
Dummy NobelActive® Int RP 4.3 x 13 mm
Disclaimer: Some products may not be regulatory cleared/released for sale in all markets. Please contact the local Nobel Biocare sales office for current product assortment and availability. 

5. Materials overview Healing abutment (ex: Ø3.6x5 mm)
Demo hands-on bone powder and saline solution
Bone plugger
Prosthetic kit
Handle for Protection Analogs and Protection Analog
Immediate Temporary Abutment and Plastic Coping
Polycarbonate crowns
Composite resin and composite resin spatula
Dental curing light
Tungsten carbide cone bur and rubber polishing bur
Micromotor
Demo hands-on bone powder
Handle for protection analog with protection analog
Disclaimer: Some products may not be regulatory cleared/released for sale in all markets. Please contact the local Nobel Biocare sales office for current product assortment and availability. 

6. Steps Atraumatic tooth extraction
Verification of integrity of buccal bone wall
Removal of granulation tissue
NobelActive® drill protocol
Implant placement
Grafting of buccal gap
Temporary crown fabrication

7. Speaker Slide Speaker Slide
For the purpose of the clinical procedure covered in this presentation, a tooth has been added in position of the left central incisor to simulate a single edentulous space.
However, please note that The Drilling and GBR/GTR training model originally presents an edentulous space in the position of left central incisor and an extractable tooth in the position of the right central incisor.
Speaker Slide
Training model with the left central incisor in place
Original Drilling and GBR/GTR training model

8. 1. Atraumatic tooth extraction
Dissection of supracrestal fibers
Perform careful luxation of tooth with the use of a periotome
With 15c blade and handle, dissect supracrestal fibers circumferentially
Frontal view of model.
The tooth to be extracted is the right central incisor

9. 1. Atraumatic tooth extraction
Tooth extraction with forceps
Perform careful extraction with forceps
Frontal view of model after tooth extraction

10. 2. Verification of integrity of buccal bone wall
Occlusal view
Perform apicocoronal sounding of the buccal bone wall to verify its anatomy

11. 3. Removal of granulation tissue
With the use of a curette, perform thorough removal of all remaining tissue in the socket

12. 4. NobelActive® drill protocol
Continue with Twist Step Drill diameter
Ø 2.4/2.8 mm
Continue with Twist Drill with tip Ø 2 mm
Perform precision drilling on the palatal wall of the socket
Disclaimer: Some products may not be regulatory cleared/released for sale in all markets. Please contact the local Nobel Biocare sales office for current product assortment and availability. 

13. Speaker Slide Speaker Slide Enhancement of this section
This section could be enhanced by adding the following module:
NobelActive® drill protocol
Speaker Slide

14. 5. Implant placement Unpacking of implant Packed dummy implant1 2 3 4
Packed dummy implant
Remove clear plastic cover and gray cap
Extract metallic cylinder
4, 5, 6. With the use of the Implant Driver, carefully extract the implant from the cylinder 6 5
Disclaimer: Some products may not be regulatory cleared/released for sale in all markets. Please contact the local Nobel Biocare sales office for current product assortment and availability. 

15. 5. Implant placement
With the use of the Nobel Biocare Surgical Driver, adjust implant position during insertion for optimal prosthetic orientation
Disclaimer: Some products may not be regulatory cleared/released for sale in all markets. Please contact the local Nobel Biocare sales office for current product assortment and availability. 

16. 5. Implant placement Tightening with manual torque wrench
Occlusal view of implant in place. Note the palatal position and the direction of the implant
Tighten to a maximum of 70 Ncm with a manual torque wrench
Disclaimer: Some products may not be regulatory cleared/released for sale in all markets. Please contact the local Nobel Biocare sales office for current product assortment and availability. 

17. Place a Ø3.6mm Healing Abutment with Screwdriver Manual Unigrip™
6. Grafting of buccal gap
Placement of healing abutment
Place a Ø3.6mm Healing Abutment with Screwdriver Manual Unigrip™
Occlusal view with Healing Abutment in place
Disclaimer: Some products may not be regulatory cleared/released for sale in all markets. Please contact the local Nobel Biocare sales office for current product assortment and availability. 

18. 6. Grafting of buccal gap Insertion of biomaterial
With the use of a bone plugger, fill the buccal gap with demo hands-on bone powder (previously hydrated in saline solution) up to the implant platform but not coronal to it
Disclaimer: Some products may not be regulatory cleared/released for sale in all markets. Please contact the local Nobel Biocare sales office for current product assortment and availability. 

19. 7. Temporary crown fabrication
Placement of provisional temporary abutment
View of Immediate Temporary Abutment, plastic coping and screw driver
With use of a Machine Multi-Unit Driver and torque wrench, tighten Immediate Temporary Abutment to 35Ncm
Disclaimer: Some products may not be regulatory cleared/released for sale in all markets. Please contact the local Nobel Biocare sales office for current product assortment and availability. 

20. 7. Temporary crown fabrication
Try-in of acrylic shell
Select a polycarbonate crown and place a small amount of composite resin inside
Place plastic coping onto abutment
Place crown over plastic coping and light cure composite resin

21. 7. Temporary crown fabrication
Try-in of acrylic shell
Plastic coping should come out inside temporary crown. Note the remaining gap around it
Remove temporary crown from Immediate Temporary Abutment
Disclaimer: Some products may not be regulatory cleared/released for sale in all markets. Please contact the local Nobel Biocare sales office for current product assortment and availability. 

22. 7. Temporary crown fabrication
Shaping of emergence profile with composite resin
Fill the gap with composite resin and a spatula, shaping the emergence profile
Light cure composite resin
Disclaimer: Some products may not be regulatory cleared/released for sale in all markets. Please contact the local Nobel Biocare sales office for current product assortment and availability. 

23. 7. Temporary crown fabrication
Surface polishing
Remove excess with hand-piece and tungsten carbide cone bur
Polish surface with rubber polishing bur
View of temporary crown and emergence profile

24. 7. Temporary crown fabrication
Insertion of temporary crown
Add a small quantity of temporary cement inside plastic coping, place over Immediate Temporary Abutment and wait for setting to occur
View of temporary crown in place
Disclaimer: Some products may not be regulatory cleared/released for sale in all markets. Please contact the local Nobel Biocare sales office for current product assortment and availability.