1. Your logo
NOTE
You can use the slides here to present the following topics to your customers:
the ASC Abutment and Omnigrip tooling
the Integrated treatment workflow
Feel free to add, change or remove any of the slides.
Update the slides with your personal information where directed.
Place your own logo in the top right corner of every slide.
For each slide there is a note which further explains its purpose.
Optimally, this presentation is held at an (evening) seminar. Let us support you with the preparation and implementation of your event: Contact your Nobel Biocare sales representative:
forms.nobelbiocare.com/set-up-your-customer-event/

2. The ASC Abutment and the efficient integrated treatment workflow
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3. NobelProcera® ASC Abutment Efficient integrated treatment workflow
Table of contents
NobelProcera® ASC Abutment
Efficient integrated treatment workflow
Add / remove the slides you want to present to your customers. Then update the table of contents.

4. NobelProcera® ASC Abutment
This is the introduction slide for the ASC Abutment and the Omnigrip tooling.
For your background information: This part of the presentation will start with an overview of currently available CAD/CAM zirconia abutment concepts. It will then go into the advantages and disadvantages of each concept. This will show that the Angulated Screw Channel Abutment solves challenges which previously have prevented screw-retained crowns being applied in certain cases.
The presentation now looks at the additional benefits of the ASC Abutment and Omnigrip tooling before summarizing all benefits for your customers.
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. CAD/CAM zirconia abutment concepts
New
Cement-retained
(abutment + coping)
Screw-retained (abutment for direct veneering)
One piece
With titanium
adapter
Straight screw access channel
Angulated screw access channel
This is the overview of the restorative concepts for CAD/CAM zirconia abutments. Explain here the 3 different concepts:
Cement- vs. screw-retained: No coping needed with screw-retained solution
One-piece vs. two-piece abutment: Metal adapter needed for two-piece solution
Straight screw access channel vs. angulated screw access channel
The following slides will look at these concepts in more depth.
All concepts have their advantages and disadvantages, as well as different indications
Many of the concepts can be combined
Buccal view of abutments
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. CAD/CAM zirconia abutment concepts Cement- vs. screw-retained solution
Cement-retained (abutment + coping)
Screw-retained crown (direct veneering)
Esthetic (cement-retained crown covers screw access hole)
Independent of implant orientation / angulation
Ideal occlusal morphology
Challenges:
Ensuring removal of all cement remnants (especially with subgingival cement line)
Can be difficult to remove
Unknown retention of crown
No risk of leaving residual cement
Easy to maintain – remove and re-tighten
Predictable retention
Cost-effective
Challenges:
Esthetics: Depends on implant orientation / angulation
Occlusal function may be hindered due to position of screw access hole
Required interocclusal (vertical) space needed for tooling
First explain here the benefits of cement-retained abutments over screw-retained crowns.
Then explain the challenges of the cement-retained solution (marked in red).
Now explain the benefits of screw-retained crowns (marked in green). Highlight that the challenges of the cement-retained solution are solved with the benefits of the screw-retained solution.
Finally, explain the challenges of screw-retained crowns (which will be shown on the next slide)
Buccal view of abutments
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.

7. CAD/CAM zirconia abutment concepts Straight vs
CAD/CAM zirconia abutment concepts Straight vs. angulated screw channel solution
Screw-retained (with straight screw channel)
Angled screw access channel
New
No risk of leaving residual cement
Easy to maintain – remove and re-tighten
Predictable retention
Cost-effective
Challenges:
Esthetics: Depends on implant orientation / angulation
Occlusal function may be hindered due to position of screw access hole
Required interocclusal (vertical) space needed for tooling
Restorative flexibility to place the screw access hole to create optimal esthetics and occlusal function
Ideal solution when interocclusal space is limited - ability to easily position screw access hole mesially
Here the same benefits and challenges of screw-retained crowns from the previous slide are taken up again (on the left side). Now we compare it to a solution with an angulated screw access channel. Highlight here that the challenges of the screw-retained solution (marked in red) are solved with the benefits of the angulated screw access channel solution (marked in green).
Buccal view of abutments
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.

8. Increased restorative flexibility with no cement: NobelProcera® ASC Abutment
This slide is now to explain how the concept of an angulated screw channel works. You can either play the whole movie or focus on seconds 26 – 32 while explaining that the screw access hole can be positioned:
At an angle of up to 25° from the axis of the implant
Anywhere within a 360-degree radius
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.

9. NobelProcera® ASC Abutment Additional advantages
For Nobel Biocare conical connections NP and RP
Tight seal and high mechanical strength
High esthetic result with platform shifting
Zirconia abutment with metal adapter
Mechanically retained: no cement needed
Expanding indications: CC Zr abutment now usable in posterior region
Available in all shades (white, light, medium and intense)
New Omnigrip Screwdriver and Screws*
Ease of use: clicks into screw head with unique pick-up function
Reduced risk of screw loosening: full torque (35Ncm) can be applied at any angle (0-25°)
This slide goes into more detail on what comes with the ASC Abutment in addition to the option of angulating the screw channel.
For conical connection implants NP and RP in all shades:
The angulated screw channel option is available for zirconia abutments on narrow platform and regular platform implants with Nobel Biocare’s internal conical connection. This advanced connection is available for Nobel Biocare’s award-winning1 NobelActive family, as well as for NobelReplace Conical Connection and NobelReplace Conical Connection PMC (Partially Machined Collar) implants. It offers a hexagonal internal locking mechanism for a tight seal and high mechanical strength.
The conical connection also allows for platform shifting. This ‘shift’ moves the implant-abutment junction onto the implant platform. This makes room for maximum soft tissue volume to safely come up onto the platform edge. Platform shifting therefore encourages more natural-looking gums for an even better esthetic result. Moving the junction further away from the bone has also been shown to reduce radiographically detectable crestal bone loss.1,2,3
The zirconia abutment comes with a titanium adapter
This adapter is mechanically retained, which means it does not have to be cemented. Thanks to this adapter, and the screw-retained solution, your customers will not have to use cement in the critical area of the soft tissue.
Thanks to the adapter, this zirconia option can also be utilized in the posterior, providing the clinician with an entirely new option for delivering the best possible restoration (Zirconia abutments on Conical Connection were not indicated for posterior use before).
The Zirconia part is available in the shades white, light, medium and intense.
New Omnigrip Screwdriver:
The unique tip of the Omnigrip Screwdriver allows the screw to be tightened and loosened within the angulated channel.
The Omnigrip Screwdriver grips and holds the screw equally tightly at any angle within the available range (from 0° to 25°).
The same accessibility and torque of 35Ncm can be applied as if the channel were straight. It allows easy handling from multiple angles, even in the posterior.
1 Atieh MA, Ibrahim HM, Atieh AH. Platform switching for marginal bone preservation around dental implants: a systematic review and meta-analysis. J Periodontol 2010;81(10):
2 Canullo L, Rasperini G. Preservation of peri-implant soft and hard tissues using platform switching of implants placed in immediate extraction sockets: a proof-of-concept study with 12- to 36-month follow-up. Int J Oral Maxillofac Implants 2007;22(6):
3 López-Marí L, Calvo-Guirado JL, Martín-Castellote B, Comez-Moreno G, López-Marí M. Implant platform switching concept: an updated review. Med Oral Patol Oral Cir Bucal 2009;14(9):e450-4.
* NobelProcera ASC Abutments can only be used with Omnigrip Screws (delivered with every Abutment) and Omnigrip Screwdrivers (need to be purchased separately). Omnigrip screws can only be tightened with the Omnigrip screwdriver.
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.

10. NobelProcera® ASC Abutment Addressing daily challenges
Anterior challenge: For many anterior cases the screw access hole of the abutment has to be covered by a cement-retained crown if an esthetic outcome is to be achieved.
This and the next two slides will go into more detail on the daily challenges which the ASC Abutment addresses.
The benefits highlighted at the bottom of the slide explain how the anterior challenge is solved. Please note, that there are other benefits in addition to those that are shown here:
No risk of leaving residual cement
Easy to maintain (easy to remove and re-tighten)
Predictable retention
These benefits are possible because a screw-retained solution can be applied, rather than having to go with a cement-retained solution. These benefits have already been covered on slide 6.
Your benefits with ASC:
Restorative flexibility to place the screw access hole in a position that creates optimal esthetics.
Cement-free: Intelligently designed mechanically retained adapter.
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.

11. NobelProcera® ASC Abutment Addressing daily challenges
Posterior challenges:
Secure handling and access with tooling in the posterior region can be challenging in situations with limited interocclusal distance (vertical space).
Occlusal function may be hindered due to position of screw access hole on screw-retained crowns.
Risk of leaving residual cement.
Your benefits with ASC:
Easy access to restoration with the option to position screw access hole mesially.
Work easily with the pick-up function and securely hold the screw using the Omnigrip Screwdriver.
Optimum occlusal function (screw access hole can be positioned in ideal place for optimal occlusal function).
Cement-free: Intelligently designed mechanically retained adapter.
The benefits highlighted at the bottom of the slide explain how the posterior challenges are solved.
Please note, that there are other benefits in addition to those that are shown here:
No risk of leaving residual cement
Easy to maintain (easy to remove and re-tighten)
Predictable retention
These benefits result because a screw-retained solution can be applied rather than having to go with a cement-retained solution. These benefits have already been covered on slide 6.
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.

12. Anterior case: Position the screw channel on the labial side
Present your anterior case here.
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. Posterior case Better access for cases with limited vertical space
Present your posterior case here.
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.

14. NobelProcera® ASC Abutment Tried and tested
Tried and tested for you
Nobel Biocare was the first to produce industrially milled CAD/CAM abutments. This experience, engineering and production know-how results in precision of fit and unrivaled product quality for reliable product performance.
Each NobelProcera Abutment meets medical device standards and offers you the highest possible safety, predictability and efficacy as confirmed by neutral authorities.
All products have documented evidence, meaning you benefit directly from product quality assurance and traceability.
Medical device directive
ISO standards
Quality system
Strength test
Some clinicians may be sceptical that this new solution is strong enough or may worry that the tooling may wear very quickly. This slide is to give an overview on the thorough testing that NobelProcera products have to go through.
Inspected by notified bodies
Micro gap analysis
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. NobelProcera® ASC Abutment Tried and tested
Strong and predictable
Biomechanical and digital fatigue strength tests of the whole system (abutment, implant and screw).
Consistent precision of fit to reduce the risk of bacteria entry
Micro gap and rotational play analysis.
Safe design — every time — to ensure stability
Safe design with the NobelProcera CAD Software which dynamically ensures the required material thickness.
This slide is to give an overview on the specific testing that was carried out on the ASC Abutment and on the Omnigrip Tooling.
Life time strength and 35Ncm torque to ensure longevity
Torque strength test confirms a 35Ncm torque at every angle. Wear test of the Omnigrip screwdriver confirmed longevity of pick up function.
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. Your benefits with the ASC Abutment and Omnigrip tooling:
Confidently use an esthetic, easy to use, cement free solution to restore your single-implant cases in both anterior and posterior regions:
Benefit from the advantages of screw-retained crowns in more cases:
Avoid the risks of leaving residual cement under the gingival tissues causing potential irritants
Easy to remove / re-tighten if maintenance is required
Offer a cost-efficient alternative to your patients
Secure predictable retention
Gain full restorative flexibility:
Work with the ideal solution when interocclusal (vertical) space is limited
Confidently use esthetic zirconia abutments in the molar region, thanks to the new metal adapter
Ideal esthetics and function:
Position the screw access hole in the most esthetically pleasing way
Achieve ideal occlusal or incisal function by positioning the screw access hole in the optimum place
Work quicker and easier with the never-before-experienced grip of the Omnigrip Screwdriver
Gain peace of mind with a thoroughly tested solution
This slide is to summarize the benefits of the ASC Abutment for your customers.
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. NobelProcera® ASC Abutment Get started now
Omnigrip Screws can only be tightened with the Omnigrip Screwdriver:
Get the Omnigrip Screwdriver now and prescribe the ASC Abutment for your next suitable case:
This is the last slide covering the ASC Abutment. It shows where the associated Omnigrip tooling can be bought.
store.nobelbiocare.com/omnigrip »
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. NobelProcera® ASC Abutment Efficient integrated treatment workflow
Table of contents
NobelProcera® ASC Abutment
Efficient integrated treatment workflow
If (some of) your customers are using NobelClinician, you can use the following slides to present the new integrated treatment workflow to them. Let us know if you would like to have support for presenting this part. Note: the integrated treatment workflow only works with the new NobelProcera 2G System.

19. Efficient integrated treatment workflow
This is the introduction slide for the part on the integrated treatment workflow.

20. Efficient integrated treatment workflow*
Predictable results in less time
This slide shows your customers how they benefit when collaborating with you using the integrated treatment workflow tools:
Increased treatment efficiency (time and costs) and flexibility (no need for radiographic guide during CBCT scan)
Getting predictable treatment outcomes (less time and cost for remakes)
Increasing treatment acceptance by patients (improved patient flow, word-of-mouth recommendations)
Ensuring effective collaboration with colleagues and partners (efficient communication)
* For partially edentulous patients only.
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.

21. SmartFusion™ technology
Efficient and predictable treatment outcomes
We capture the critical soft tissue information and the diagnostic tooth setup.
You can efficiently plan your treatment and get predictable treatment results.
This slide is to explain what is new for your customers who are already using NobelClinician. It shows the information your customers can get from you and how your scan information can be used:
We capture the critical soft tissue information as well as the diagnostic tooth setup:
Thanks to the accuracy and flexibility of the NobelProcera 2G System all the critical surface information and the diagnostic tooth setup can be captured precisely
The data can easily and quickly be uploaded to NobelClinician and fused with your (CB)CT scan information
This provides you with the information to plan your treatment and get predictable treatment results
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. Workflow steps One integrated workflow, countless benefits
Clinical diagnostics and patient acceptance
Capturing current and desired situation
Treatment planning and possibility to share plan
Production of surgical template (for guided surgery only)
Freehand or guided (using a pilot drill or fully guided template) implant placement
Prosthetic design and production of prosthesis
Restoration placement
This slide shows the benefit of you providing the surface information and the diagnostic tooth set up: No additional (CB)CT scan with radiographic template is needed (minimizes radiation dose and avoids additional costs)
The following slides explain step by step how the integrated workflow works:
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. 1 Clinical diagnostics and patient acceptance
The first step to treatment success: A (CB)CT scan
Take a scan of the complete dental arch.
View clinical pictures in NobelClinician and diagnose critical anatomical structures.
Obtain patient acceptance before spending more time and resources.
Take a scan of the complete dental arch  A standard (CB)CT scan is sufficient
A selection of helpful views and cross-sections in NobelClinician can be used for accurate and detailed diagnosis
Clinical case courtesy of Dr. Roland Glauser, Switzerland
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.

24. 2 Capturing current and desired situation
We create a model surface scan
Visualize the soft tissue in NobelClinician based on our NobelProcera 2G System model scan.
To visualize the intended (desired) final result, we scan the diagnostic tooth setup.
You can share information from the (CB)CT scan and other information like patient pictures directly through the NobelClinician Viewer or NobelClinician Communicator.
Advantage: We can then use this information to optimally prepare the diagnostic wax-up.
Additionally, we can create a model surface scan and upload it to NobelClinician. To visualize the intended (desired) final result, we can also scan the diagnostic wax-up and upload it to NobelClinician.
Advantage: This enables better implant diagnostics and implant planning. It also reduces prosthetic challenges after implant placement.
Clinical case courtesy of Dr. Roland Glauser, Switzerland
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.

25. 3 Treatment planning and patient communication
Implant planning based on the clinical situation
Visualize the patient’s (CB)CT data together with the intra-oral situation in NobelClinician to plan. the implants in the correct prosthetic position.
Effectively explain the treatment plan to your patients.
Based on the (CB)CT and your information, the customer can then plan the treatment in NobelClinician. To effectively explain the treatment plan to your patients use the NobelClinician Communicator iPad® app to help the patient understand their treatment plan with 3D images and clinical pictures.
Clinical case courtesy of Dr. Roland Glauser, Switzerland
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.

26. 4 Guided or freehand implant placement
Go to surgery well prepared and consult your report for efficient and secure execution
NobelClinician supports surgery planning for freehand surgery, pilot drilling or fully guided drilling and optionally guided implant placement.
Increase efficiency by automatically setting up your OsseoCare Pro surgery, based on your NobelClinician treatment plan. Record all data like torque values or any surgical information with the unique iPad®-operated drill unit OsseoCare Pro and send it back to NobelClinician automatically.
Image (left to right)
Report from NobelClinician
Pilot drill template (only possible with NobelProcera 2G Scanner)
Clinical case showing the pilot drill and freehand implant placement
OsseoCare Pro drill unit
Clinical case courtesy of Dr. Roland Glauser, Switzerland
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.

27. 5 Design of final restoration
Predictable restorative outcome
Achieve predictable results through planning and placing the implants where they can be restored.
Further increase the predictability of your treatment outcome by using prosthetic data from the treatment plan.
As you were involved in the early phase of the treatment planning before decisions are made, you can avoid prosthetic challenges right from the planning phase. This will allow you to produce an optimal restoration as predicted and planned for.
Please mind: transferring the planning information from NobelClinician back to the NobelProcera System in order to produce the final restoration is not (yet) possible.
Clinical case courtesy of Dr. Roland Glauser, Switzerland
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.

28. 6 Restoration placement
Achieve optimal esthetics and function
Choose the most suitable restoration from a comprehensive range of prosthetic solutions.
Give the patient a natural-looking restoration that is designed to last a lifetime.
Clinical case courtesy of Dr. Roland Glauser, Switzerland
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.

29. Efficient integrated treatment workflow
This workflow helps you to treat more patients better
Increased treatment acceptance from patients and improved patient flow by word-of-mouth recommendation.
Ensures effective collaboration of all involved colleagues and treatment partners through effective communication.
Increased treatment efficiency by reducing treatment steps and getting predictable treatment outcomes.
This slide is to summarize the benefits for your customers when collaborating with you through the integrated treatment workflow tools.
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.

30. Thank you very much

31. GMT 35546 GB 1406 © Nobel Biocare Services AG, 2013
GMT GB 1406 © Nobel Biocare Services AG, All rights reserved. Nobel Biocare, the Nobel Biocare logotype and all other trademarks are, if nothing else is stated or is evident from the context in a certain case, trademarks of Nobel Biocare. iPad® is a registered trademark of Apple Inc. 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.

32. Back-up slide Better access for cases with limited vertical space
Vertical space gained
Horizontal space gained
This is a back-up slide to explain the concept of how the ASC Abutment and Omnigrip tooling help in situations with limited interocclusal distance (vertical space).
The red box simulates the mandible. As we can see, the Unigrip screwdriver is in the red area, which means it is not possible to access the screw. The special Omnigrip screws can be tightened at an angle with the Omnigrip screwdriver. This means the screwdriver can be held mesially when tightening the abutment screw. As such, we save space in two ways:
Vertically: Screwdrivers with the same length are shorter when angulated
Horizontally: This allows you to take the head of the screwdriver to where there is more space (as there is more space in between the teeth towards the mesial when the mouth is opened)
Thus, for all cases where there is not enough space to place and access the restoration, the ASC provides the following benefits:
Better access to the restoration
More patient comfort
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.