1. NobelProcera® restorations for edentulous cases

2. Note Instruction slide Please note,
this production is a guideline for the selection of NobelProcera fixed, fixed-removable solutions.
Take in consideration the different market needs. Depending on the local preferences it might be necessary to adjust the presentation accordingly.

3. Prosthetic options for edentulous cases
Removable
Fixed - Removable
Fixed

4. NobelProcera® fixed and fixed-removable implant solutions
Implant Bridge
Fixed
Fixed removable
Implant Bar Overdenture
Dolder Bar
Montreal Bar
Wrap-around Bar
Hader Bar
Paris Bar
Round Bar
Montreal Bar with metallic lingual
Free Form Milled Bar
Hybrid
NobelProcera Implant Bridge Zirconia
NobelProcera Implant Bridge Titanium

5. NobelProcera® fixed and fixed-removable implant solutions
Availability
NobelProcera solutions are available on implant and Multi-unit Abutment level or a combination of both
Implant Bar Overdentures are also available on Straumann Bone Level and Standard/Standard Plus implant platforms
NobelProcera Services Center provides solutions for Astra, 3i, Zimmer and many more, a NobelProcera Scanner is not required for these offers
For specific details to individual products please refer to the Implant Bar Navigator and IFU`s.

6. Agenda Clinical situation 1 – no tissue resorption
Clinical situation 2 – mild tissue resorption
Clinical situation 3 – moderate tissue resorption
Clinical situation 4 – advanced tissue resorption
Consideration factors
Clinical examples

7. Note Instruction slide
Please note implant bridge can be used for all clinical situations depending on the preferences of the clinician and the patient.

8. Clinical situation 1 No tissue resorption
Replacement required:
Teeth
Available restorations:
Implant Bridge (Zirconia, Titanium)
Hybrid

9. NobelProcera® fixed implant solution Implant Bridge
Features & benefits
Individual design options for optimal support of veneering material and esthetics
Mechanical strength to ensure long-term strength and stability
Screw-retained for access at any time
Veneering with composite and porcelain (Titanium)
Veneering with porcelain (Zirconia)
4 shades of Zirconia available

10. NobelProcera® fixed implant solution Hybrid
Features & benefits
Individual design combines features of Wrap-around Bar and Implant bridge
Ideal solution for limited vertical space
Individual soft tissue support and retentions for acrylic
Acrylic wraps around entire framework
Screw-retained for access at any time

11. Agenda Clinical situation 1 – no tissue resorption
Clinical situation 2 – mild tissue resorption
Clinical situation 3 – moderate tissue resorption
Clinical situation 4 – advanced tissue resorption
Consideration factors
Clinical examples

12. Clinical situation 2 Mild tissue resorption
Replacement required:
Teeth
Minimal hard and soft tissue
Available restorations:
Implant Bridge
Wrap-around Bar
Montreal Bar
Hybrid

13. NobelProcera® fixed implant solution Wrap-around Bar
Features & benefits
Esthetic design
Solution for limited vertical space
Acrylic wraps around entire framework supporting easy adjustment or relinement
Simple implant bar design together with denture teeth offering a cost-effective solution
Screw-retained for access at any time

14. NobelProcera® fixed implant solution Montreal Bar/ Montreal Bar with metallic lingual
Features & benefits
High-polished titanium base supports easy hygiene by the patient and reduces the risk of plaque accumulation
Screw-retained for access at any time
Montreal Bar
Design offers a clean transition line between acrylic and titanium framework
Metal base follows the soft tissue contour
Montreal Bar with metallic lingual
Polished titanium also in lingual aspect
Design allows extraoral soft tissue support (lips and cheeks)
Optimal support with retentions

15. Agenda Clinical situation 1 – no tissue resorption
Clinical situation 2 – mild tissue resorption
Clinical situation 3 – moderate tissue resorption
Clinical situation 4 – advanced tissue resorption
Consideration factors
Clinical examples

16. Clinical situation 3 Moderate tissue resorption
Replacement required:
Teeth
Hard and soft tissue
Available restorations:
Implant Bridge
Free Form Milled Bar
Paris Bar
Montreal Bar
Wrap-around Bar
Hybrid

17. NobelProcera® fixed-removable implant solution Free Form Milled Bar
Features & benefits
Bar form can be individually shaped to the jaw
Design supports vertical height compensation
Various attachments and retention elements are available
Locator® is a registered trademark of Zest Anchors Inc.

18. NobelProcera® fixed-removable implant solution Paris Bar
Features & benefits
Design offers a clean transition line between acrylic and titanium framework
High-polished titanium base supports easy hygiene by the patient and reduces the risk of plaque accumulation
Metal base follows the soft tissue contour
Design supports vertical height compensation
Various attachments and retention elements are available
Locator® is a registered trademark of Zest Anchors Inc.

19. Agenda Clinical situation 1 – no tissue resorption
Clinical situation 2 – mild tissue resorption
Clinical situation 3 – moderate tissue resorption
Clinical situation 4 – advanced tissue resorption
Consideration factors
Clinical examples

20. Clinical situation 4 Advanced tissue resorption
Replacement required:
Teeth
Hard and soft tissue
Available restorations:
Implant Bridge
Dolder Bar
Hader Bar
Round Bar
Free Form Milled Bar
Paris Bar
Hybrid

21. NobelProcera® fixed-removable implant solution Dolder Bar
Features & benefits
4 types available, micro designs ideal for limited vertical and horizontal space
Very good retention due to gold riders
Simple bar design supports easy hygiene by patient

22. NobelProcera® fixed – removable implant solution Round Bar
Features & benefits
Design for cases with limited vertical space
Similar functions to Dolder Bar
Simple bar design supports easy hygiene by patient
Important to seat denture in an even motion
Gold rider or nylon inserts with metal sleeve used
Option to have inserts with different retention strengths

23. NobelProcera® fixed-removable implant solution Hader Bar
Features & benefits
Design similar as Round Bar but more rigid and adjustable to soft tissue if desired
Simple bar design supports easy hygiene by patient
Important to seat denture in an even motion
Nylon inserts with metal sleeve used
Option to have inserts with different retention strengths

24. Agenda Clinical situation 1 – no tissue resorption
Clinical situation 2 – mild tissue resorption
Clinical situation 3 – moderate tissue resorption
Clinical situation 4 – advanced tissue resorption
Consideration factors
Clinical examples

25. Costs/benefit considerations
Costs can vary on patient and clinician preferences
NobelClinician™/ NobelGuide ®
Surgical
Prosthetics
Treatment cost
Brånemark System ® Zygoma
NobelProcera ® Implant Bridge or
NobelProcera ® Implant Bar
Overdenture
Any Nobel Biocare Implant System
- NobelProcera ® Implant Bridge
Any Nobel Biocare Implant System, All-on-4 ® treatment concept
- Acrylic Temporary Bridge
NobelProcera ® Implant Bridge
NobelProcera ® Implant Bar
Overdenture
Any Nobel Biocare Implant System
Overdenture bar construction or
NobelProcera ® Implant Bar
Overdenture
Any Nobel Biocare Implant System
Ball abutmemnts or
Locator ® Abutments and
Prosthesis
Benefit
Locator® is a registered trademark of Zest Anchors Inc.

26. Hygiene requirements (patient)
Patient ability to maintain hygiene
Fixed implant bar or implant bridge
Bar structure with mucosa contact
Bar structure without mucosa contact
Implant-retained denture
Complexity of hygiene

27. Maintenance requirements (clinician)
Time for maintenance
Bar structure without mucosa contact
Bar structure with mucosa contact
Fixed implant bar or implant bridge
Cost

28. Resorption patterns Buccal bone big role one decision
Replacement of teeth
Limited interocclusal space enables to do implant bridges and fixed restorations
For optimal esthetic result the replacement of teeth soft tissue and hard tissue is needed
Buccal bone big role one decision
Limited interocclusal space abele to do implant bridges and fixed restorations
More buccal bone resorption need of flange for esthetic reasons, indicates a fixed removable solution or locators
Replacement of soft and hard tissue

29. Agenda Clinical situation 1 – no tissue resorption
Clinical situation 2 – mild tissue resorption
Clinical situation 3 – moderate tissue resorption
Clinical situation 4 – advanced tissue resorption
Consideration factors
Clinical examples

30. Examples for treatment options
Fixed solution
Fixed solution
Fixed-Removable solution