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Brånemark System® - Nobel Biocare

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procedures & products - Powered by Procera ®Brånemark System ®GroovyShorty<strong>Nobel</strong>Guide perfect planningfor perfect teeth


First from <strong>Nobel</strong> <strong>Biocare</strong>.NOBELPERFECT ® , (NP, RP, WP), NOBELDIRECT ® (NP, RP, WP), Brånemark System ® , NOBELREPLACE andNOBELSPEEDY Implants. A complete assortment with FDA clearance for Immediate Function in all single, partial and fully edentulous restorations in the mandible and maxilla.<strong>Nobel</strong> <strong>Biocare</strong> AB and all production units are certified according to theEnvironmental Management System ISO 14001.The procedures described herein must only be performed using components and instrumentsprovided by <strong>Nobel</strong> <strong>Biocare</strong>.<strong>Nobel</strong> <strong>Biocare</strong> has published disclaimers relating to patient data and purchasing conditions.The latest versions of these disclaimers are available on the <strong>Nobel</strong>Guide area onthe <strong>Nobel</strong> <strong>Biocare</strong> Extranet. Please ensure that you understand and accept these disclaimers.<strong>Nobel</strong> <strong>Biocare</strong> reserves the right to make any necessary alterations to the methods andprocedures stated in this manual.Before reading this document, please make sure you have read and understandthe <strong>Nobel</strong>Guide Concept Manual.Some products may not be available in all markets. Please contact your local <strong>Nobel</strong> <strong>Biocare</strong> officefor current product assortment and availability.<strong>Nobel</strong> <strong>Biocare</strong> is in compliance withISO 13485:1996 and Council Directive 93/42/EECCanadian Medical Devices Regulation0086For USA only: Federal law restricts this device to sale by or on the order of a licensed dentist or physician.All products are subject to change without notice.


table of contentsBeautiful Teeth Now ........................................................................................4Quick StartConcept Overview ..........................................................................................5One Tooth Missing .........................................................................................6Several Teeth Missing. .....................................................................................7All Teeth Missing. ............................................................................................8Brånemark System ® Mk III Groovy ....................................................................9Brånemark System ® Mk III Shorty .....................................................................9Important Considerations for All IndicationsChecklist Before Surgery ...............................................................................10Instruments and Components. ......................................................................10Important Information about Surgical Template ...........................................11Common Drilling Considerations ..................................................................11Implant Mounting ........................................................................................12Inspection Windows. .....................................................................................13Procedure: One Tooth MissingSurgical Procedure ........................................................................................14Prosthetic Procedure Temporization ..............................................................17Procedure: Several Teeth MissingSurgical Procedure ........................................................................................18Prosthetic Procedure Teeth-in-an-Hour ........................................................23Prosthetic Procedure Temporization ..............................................................24Procedure: All Teeth MissingSurgical Procedure ........................................................................................25Prosthetic Procedure Teeth-in-an-Hour ........................................................30Prosthetic Procedure Temporization ..............................................................31AppendicesKits ...............................................................................................................32Product Reference Line .................................................................................34Drill Sequence ..............................................................................................34Other Related Products .................................................................................35Cleaning and Sterilization .............................................................................36Product Catalog. ..............................................................................................37Reference Guide ..............................................................................................403


eautiful teeth now Congratulations! You have made an excellent choice.Welcome to the <strong>Nobel</strong> <strong>Biocare</strong> family.<strong>Nobel</strong> <strong>Biocare</strong> is providing dentists with more choices than everbefore. But our goals remain the same:• To ensure that your patients leave the treatment room satisfied,comfortable, with beautiful teeth and a renewed quality of life.• To help your practice run more smoothly, efficiently andprofitably.The <strong>Nobel</strong>Guide treatment concept from <strong>Nobel</strong> <strong>Biocare</strong> providesvarious methods by which to transform pre-planned treatment intoclinical reality.<strong>Nobel</strong>Guide components and methods are available for treatmentplanning carried out in both computer-based and model-basedenvironments.This manual is designed to provide quick access to important informationregarding clinical treatments, procedures and options for the<strong>Nobel</strong>Guide solution based on the Brånemark System ® Mk IIIGroovy and Brånemark System ® Mk III Shorty implant systems.Other Related <strong>Nobel</strong>Guide Instruction Material• <strong>Nobel</strong>Guide Concept Manual (incl. CT Scan and Lab procedures)• <strong>Nobel</strong>Guide Procedures and Product Catalog manualsfor the following implants: <strong>Nobel</strong>Replace Tapered Groovy,<strong>Nobel</strong>Replace Straight Groovy, <strong>Nobel</strong>Speedy Groovy, <strong>Nobel</strong>-Speedy Replace• <strong>Nobel</strong>Guide manual for <strong>Nobel</strong>Direct ®• Integrated Procera ® Software online tutorials and help files• <strong>Nobel</strong>Guide Training CD• <strong>Nobel</strong>Guide area on <strong>Nobel</strong> <strong>Biocare</strong> Extranet. This area includesonline training and FAQsImportant! While the <strong>Nobel</strong>Guide methods described herein give youthe opportunity to pre-plan and realize patient cases, medical responsibilityfor planning and treatment remains that of the clinician.For abstracts, study references and for more information,please visit our website: www.nobelbiocare.com.4


quick startConcept OverviewExamination of PatientModel-basedComputer-basedMappingsee <strong>Nobel</strong>Guide Concept ManualRegister Patient in Procera ® Softwaresee <strong>Nobel</strong>Guide Concept ManualManufacture Stone Modelsee <strong>Nobel</strong>Guide Concept ManualPrepare Radiographic Guidesee <strong>Nobel</strong>Guide Concept ManualTransfer Mapping to Stone Modelsee <strong>Nobel</strong>Guide Concept ManualCT Scansee <strong>Nobel</strong>Guide Concept ManualTreatment Planningsee <strong>Nobel</strong>Guide Concept ManualTreatment Planningsee <strong>Nobel</strong>Guide Concept ManualManufacture Surgical Template& Surgical Indexsee <strong>Nobel</strong>Guide Concept ManualManufacture Stone Model& Surgical Indexsee <strong>Nobel</strong>Guide Concept ManualManufacture Prosthesis(temporary or final, screw-retained or cemented...)Clinical Procedure5


quick startOne Tooth MissingFor a more detailed description of the surgical and prosthetic procedure relating toOne Tooth Missing, see page 14.surgical procedurePosition Surgical TemplateInstallation of Implantprosthetic option: temporizationAbutment ConnectionCementation of Temporary6


quick startSeveral Teeth MissingFor a more detailed description of the surgical and prosthetic procedure relating toSeveral Teeth Missing, see page 18.surgical procedureAnchor Surgical TemplateInstallation of Implantsprosthetic option: Teeth-in-an-Hour prosthetic option: temporizationGuided Abutment/Final Bridge ConnectionAbutment ConnectionFinal Procera ® Implant BridgeCementation of Temporary7


quick startAll Teeth MissingFor a more detailed description of the surgical and prosthetic procedure relating toAll Teeth Missing, see page 25.surgical procedureAnchor Surgical TemplateInstallation of Anchor ImplantsInstallation of Remaining Implants Implantsprosthetic option: Teeth-in-an-Hour prosthetic option: temporizationGuided Abutment/Final Bridge ConnectionAbutment ConnectionFinal Procera ® Implant BridgeCementation of Temporary8


Brånemark System ®Mk III GroovyPlatformdiameter• Universal, self-tapping implant that can be used for all treatmentindications in which the available bone volume is appropriate foran implant.Implantdiameter• Two-piece implant with external hexagonal abutmentconnection.• Parallel design means easy placement and versatility and ensuresthat virtually all cases can be treated.32150Implantlength• Implant apex has three cutting chambers and a smaller diameter tofacilitate installation in small diameter preparations, extending theindications for Immediate Function .PlatformsTo facilitate treatment planning, clinical procedures and componentidentification, Brånemark System ® Mk III implants are organizedaccording to a “platform concept.”The platform marking corresponds to the widest section of the implant.Narrow Platform: Limited inter-dental space. Not enough alveolar bonefor an RP implant.Regular Platform: From single anterior tooth loss to full arch restorativesolutions.Wide Platform: Where additional loading can be expected. Wider diameterimplant/abutment post to build “molar size” crown. In soft boneto create more initial stability.Platform Platform Implant Lengthsdiameterdiameter∅ 3.5 mm ∅ 3.3 mm – 10 11.5 13 15 –∅ 4.1 mm∅ 3.75 mm 8.5 10 11.5 13 15 18∅ 4.0 mm 8.5 10 11.5 13 15 18∅ 5.1 mm ∅ 5.0 mm 8.5 10 11.5 13 15 18Brånemark System ® MK III SHORTY• 7 mm version of Brånemark System ® Mk III Groovy• Available in the following platforms and implant diameters:PlatformPlatform diameter ∅ 4.1 ∅ 5.1 ∅ 5.1Implant diameter ∅ 4.0 ∅ 5.0 ∅ 6.0Note! All data is shown in millimeters.9


important considerations for all indications<strong>Nobel</strong>Guide is intended for single, partial and fully edentulousjaws where the patient:• meets the general requirements for undergoing oral surgery• is fully healed after any dental grafting procedures• has a sufficient amount of jaw bone• has sufficient mouth opening capability to accommodatethe surgical toolingChecklist before Surgery• Make sure that you have the correct instruments and components.For computer-based planning, also make sure thatyou have the correct Operation Specification and SurgicalTemplate with the correct Treatment ID number and ordernumber.• Perform a visual inspection of the patient’s anatomyin relation to the stone model.• If applicable check that the Surgical Index fits the SurgicalTemplate and the patient’s opposing jaw when occluding.• Prepare and anaesthetize the patient in the usualmanner for implant surgery.Instruments and ComponentsProducts you need for implant placement:• Brånemark System ® Guided Surgery Kit(includes instruments for RP implants)• A Guided Drill Stop Kit is available• Implants:– Brånemark System ® Mk III Groovy– Brånemark System ® Mk III Shorty• Disposable Drills and Screw Tap• Abutments10


important considerations for all indicationsImportant information about SurgicalTemplate produced by <strong>Nobel</strong> <strong>Biocare</strong>• The Surgical Template is made of a material that issensitive to moisture and UV light. Store the SurgicalTemplate together with a moisture absorbent in theUV protective plastic bag in which it was delivered.• Always store the model in a dry and dark location.• Never expose the Surgical Template to direct sunlight.• Never remove the moisture absorbent.• Disinfect in chlorhexidine for a maximum of20 minutes. Dry quickly, but without using heat.Caution! The Surgical Template may deform if exposedto liquids (even water) for more than 30 minutes.Common Drilling ConsiderationsCaution! Before all drilling, make sure the drills move freelyand easily through the template sleeves and/or drill guidesdown to the soft tissue.Start drilling with the drill in the template sleeve and/or drillguide. Avoid lateral pressure on drills when drilling. Lateralpressure may damage the drill.The drills are made from surgical stainless steel andcoated with an amorphous diamond coating, which givesthem their black color. The drills are used with externalcooling.• For all drills (Start Drill/Counter Drills and Twist Drills),set the drilling unit on high speed and 2000 rpm.• Use an in-and-out motion and drill in bone for 1–2 seconds.High speed2000 rpm• For screw taps and implant placement, the drilling unitshould be set on low speed, with the torque between20–45 Ncm.Low speedMax 45 NcmNote! Twist Drills and Screw Taps are disposable and should beused for one surgery only. Do not re-sterilize disposable drills.11


important considerations for all indicationsImplant MountingOpen the outer packaging (which is non-sterile) of the implantand empty the inner sterile container with the implant ontothe sterile field.• Remove the plastic cylinder.• Place the titanium cylinder in the implantsleeve holder.• Connect the Guided Implant Mount Brånemark System ®RP to the implant using a Screwdriver Unigrip and thesurgical adapter from the Manual Torque Wrench.• Pick up the mounted implant with the Connectionto handpiece.Drill Stop• Mount a Drill Stop on Twist Drills for a safe and accuratedrilling procedure.• Insert the Guided Twist Drill with drill stop in a mountinghole with a depth corresponding to the depth of theosteotomy.• Use the larger holes for Drills ∅ 3.4 and above.• Tighten using a Screwdriver Unigrip .• The Drill Stop is now mounted at a height where it servesas a hard stop when drilling to the desired depth througha Drill Guide mounted in a Surgical Template.12


important considerations for all indicationsInspection WindowsIn single and partial cases, Inspection Windows are grindedthrough the top of the Surgical Template, allowing inspectionof the underlying dentition, thus confirming the proper seatingof the Surgical Template.• The Inspection Windows should be monitored throughoutthe surgery in order to verify correct seating.Retention PrinciplesIn full and partial cases, the correct position of the SurgicalTemplate is ensured by Anchor Pins. Retention can be furtherenhanced by holding the Surgical Template onto the existingdentition using hand pressure.• In single cases, no Anchor Pins are used. Retention isobtained by pressing the Surgical Template onto existingdenture.• A suture can also be tied around the Surgical Template andthrough an inter-dental opening, thus tying the SurgicalTemplate to the dentition.13


procedure: one tooth missingSurgical ProcedurePosition the Surgical Template• Position the Surgical Template over the teeth. Correct fit ofthe Surgical Template is verified by ensuring that there isno gap between existing dentition and inspection windowat all locations simultaneously.ONE• The inspection windows should be monitoredthroughout the surgical procedure to verify the fit.Site PreparationThe procedure and illustrations below relate to BrånemarkSystem ® Mk III Groovy RP 4.0 × 13 implants and medium bone.See Appendix II for other platforms and drill sequence table.2. 3.1.4.The area shaded in red represents the drill guide.14


Site Preparation (cont.)• Use the (1) Guided Start Drill/Counterbore BrånemarkSystem ® RP directly in the template sleeve and drill to thestop.• Place the (2) Guided Drill Guide RP to ∅ 2 mm in thetemplate sleeve.• Mount a Drill Stop ∅ 2 on the drill for a safe and accuratedrilling procedure.• Thereafter, use the (2) Guided Twist Drill 2 × (10+) 7–18mm and drill to the desired depth under profuseirrigation. Use the drill guide for guidance.ONEThe depth markings on the drills correspond to7, 10, 13, 15 and 18 mm implants and should bemeasured level with the drill guide.Note! (10+) indicates that the drills extend an additional10 mm.• Shift to (3) Guided Drill Guide RP to ∅ 3.2 mm and drill tothe stop with the (3) Guided Twist Drill 3.2 × (10+) 7–18mm and repeat the procedure.• Mount a Drill Stop ∅ 3.2 on the drill for a safe andaccurate drilling procedureOPTIONALA (4) Guided Screw Tap RP ∅ 4.0 7–13 mm may be used insituations where the jaw bone is judged dense or locallydense bone. Tap to the desired depth.• Switch handpiece to reverse mode and back screw tap out.15


procedure: one tooth missingImplant Placement• Insert the mounted implant using the Connection to handpieceuntil the flange of the Implant Mount touches thetop of the sleeve in the Surgical Template.ONE• At this point, the implant is thus properly installed.Avoid further tightening of the implant as it mightaffect the correct position of the Surgical Template.The marks on the Implant Mount indicatethe flat sides on the implant hex.• Release the Implant Mount with a Screwdriver Unigrip .Note! If the Implant Mount is difficult to remove, you may needto gently wiggle it free using an open-ended wrench or tongs.Removal of Soft Tissue and Surgical Template• Use the Guided Soft Tissue Punch RP directlyin the template sleeve to completely remove allsoft tissue.• Remove the Surgical Template.16


Prosthetic Procedure – TemporizationWhen carrying out a Guided Surgery prosthetic procedure, awide range of <strong>Nobel</strong> <strong>Biocare</strong> abutments can be used, such as:• Immediate Temporary Abutment• Procera ® Abutment• Snappy Abutment• Esthetic AbutmentFor the purposes of this indication, we show the Procera ®Abutment.ONEAbutment Connection• Connect the Procera ® Abutment using the ScrewdriverUnigrip and tighten manually.• Verify the correct abutment connection with radiographicimaging.Tightening• For the final tightening, use the Manual Torque WrenchProsthetic and Screwdriver Unigrip Machine. The abutmentscrews should be tightened to 35 Ncm.• If required, occlusal adjustments have to be performed.Cementation of Temporary• Cement the temporary crown.• Follow established prosthetic procedures to make the finalrestoration after a sufficient healing period.17


procedure: several teeth missingSurgical ProcedureAnchoring the Surgical Template• Position the Surgical Template over the ridge using theindex while occluding.SEVERAL• When the Surgical Template is in the correct position, drillthrough the Template Sleeve and soft tissue into the jawboneusing Guided Twist Drill ∅ 1.5 mm × 20 mm tothe stop.Caution! Avoid lateral pressure on drills when drilling. Lateralpressure may cause drill fracture.• Place a Guided Anchor Pin ∅ 1.5 mm in the sleeve tosecure the Surgical Template in position.The Surgical Template has thus been anchored by means ofan Anchor Pin and offers a good initial stability.18


Site Preparation of First ImplantThe procedure and illustrations below relate to BrånemarkSystem ® Mk III Groovy RP 4.0 × 13 mm implants and mediumbone.See Appendix II for other platforms and drill sequence table.2. 3.1.4.The area shaded in red represents the drill guide.SEVERALTo obtain further stability, the Surgical Template is attached toone implant.• Use the (1) Guided Start Drill/Counterbore BrånemarkSystem ® RP directly in the template sleeve and drill to thestop.Ny bildBildnr ????19


procedure: several teeth missingSite Preparation of First Implant (cont.)• Place the (2) Drill Guide RP to ∅ 2 mm in the same templatesleeve.• Mount a Drill Stop ∅ 2 on the drill for a safe and accuratedrilling procedure.• Thereafter, use the (2) Guided Twist Drill 2 × (10+) 7–18mm and drill to the desired depth under profuseirrigation. Use the drill guide for guidance.The depth markings on the drills correspond to7, 10, 13,15 and 18 mm implants and shouldbe measured level with the drill guide.SEVERALNote! (10+) indicates that the drills extend anadditional 10 mm.• Shift to (3) Guided Drill Guide RP to ∅ 3.2 mm and drill tothe stop with the (3) Guided Twist Drill 3 × (10+) 7–18 mm.• Mount a Drill Stop ∅ 3.2 on the drill for a safe andaccurate drilling procedure.OPTIONALA (4) Guided Screw Tap RP ∅ 4.0 7–13 mm may be used insituations where the jaw bone is judged dense or locallydense bone. Tap to the desired depth.• Switch handpiece to reverse mode and back screw tap out.20


Implant Placement• Insert the mounted implant using the Connection to handpieceuntil the flange of the Implant Mount touches thetop of the sleeve in the Surgical Template.• At this point, the implant is thus properly installed. Avoidfurther tightening of the implant as it might affect thecorrect position of the Surgical Template.Note! The marks on the Implant Mount indicate the flat sideson the implant hex.• Release the Implant Mount with a Screwdriver Unigrip .Note! If the Implant Mount is difficult to remove, you may needto gently wiggle it free using an open-end wrench or tongs.SEVERAL21


procedure: several teeth missingAnchoring the Surgical Template• The Surgical Template can now be anchored to theimplant using a Guided Template Abutment BrånemarkSystem ® RP.• Use a Screwdriver Unigrip to tighten manually.SEVERALInstallation of the Remaining Implants• After the Surgical Template has been tightly attached withthe Anchor Pin to the first implant, proceed with the preparationof the remaining implant sites.• Install the remaining implants according to the proceduredescribed previously.• Leave Implant Mount on to keep soft tissue out of the way.Note! No template abutments need to be placed on theseimplants.Removal of the Surgical Template• When all the implants have been properly placed, removethe Implant Mounts and Template Abutments.• Use the Guided Soft Tissue Punch RP directly in thetemplate sleeve to completely remove all soft tissue.• Remove Anchor Pin and Surgical Template.22


Prosthetic Procedure Teeth-in-an-Hour Mounting Guided Abutment Brånemark System ® RP inProcera ® Implant Bridge.• Before the sterile abutments are placed, make sure thebridge is thoroughly disinfected.• Moisten the abutments by quickly dipping them in sterile,saline water.• The Guided Abutments Brånemark System ® RP are placedin the Procera ® Implant Bridge.Note! Following placement of the abutments, do not turn thebridge upside down. This to avoid the abutments falling out!Delivery of Procera ® Implant Bridge• When the abutments have been placed in the bridge, thebridge is positioned onto the implants and screw-retainedusing the Screwdriver Unigrip .• After the bridge has been inserted, use the ScrewdriverUnigrip to tighten to first resistance and ask the patient tobite gently to balance the bite relationship.Tightening• For the final tightening, use the Manual Torque WrenchProsthetic and Screwdriver Unigrip Machine. The abutmentscrews should be tightened to 35 Ncm.SEVERAL• Verify the correct abutment connection with radiographicimaging.• Control occlusion and function after 1 month.Check screw tightening to 35 Ncm.Final sealing of screw access holes.23


procedure: several teeth missingProsthetic Procedure – TemporizationWhen carrying out a Guided Surgery prosthetic procedure,a wide range of <strong>Nobel</strong> <strong>Biocare</strong> abutments can be used, such as:• Guided Abutment• Procera ® Abutment• Snappy Abutment• Esthetic Abutment• Multi-Unit AbutmentFor the purposes of this indication, we show a SnappyAbutment.Abutment Connection• Connect the Snappy Abutments using the ScrewdriverUnigrip and tighten manually.SEVERAL• Verify the correct abutment connection withradiographic imaging.Tightening• For the final tightening, use the Manual Torque WrenchProsthetic and Screwdriver Unigrip Machine. The abutmentscrews should be tightened to 35 Ncm.• If required, occlusal adjustments have to be performed.Cementation of Temporary• Cement the temporary restoration.Follow established prosthetic procedures to makethe final restoration after a sufficient healing period.24


procedure: all teeth missingSurgical ProcedureAnchoring the Surgical Template• Position the Surgical Template over the ridge using theindex while occluding.• When the Surgical Template is in the correct position, drillthrough the Template Sleeve and soft tissue into the jawboneusing Guided Twist Drill ∅ 1.5 mm × 20 mm.Caution! Avoid lateral pressure on drills when drilling. Lateralpressure may cause drill fracture.• Place a Guided Anchor Pin ∅ 1.5 mm in the sleeve tosecure the Surgical Template in position.The SurgicalTemplate has thus been anchored by means of Anchor Pinsand offers a good initial stability.ALL25


procedure: all teeth missingSite Preparation of First ImplantThe procedure and illustrations below relate to BrånemarkSystem ® Mk III Groovy RP 4.0 × 13 mm implants and mediumbone.See Appendix II for other platforms and drill sequence table.2. 3.1.4.The area shaded in red represents the drill guide.ALLTo obtain further stability, the Surgical Template is attached totwo implants.• Choose a template sleeve strategically placed in the middleof each half of the arch to obtain proper distribution of theadditional anchoring points for the first implant.• Use (1) Guided Start Drill/Counterbore Brånemark System® RP directly in the template sleeve and drill tothe stop.26


Site Preparation of First Implant (cont.)• Place the (2) Guided Drill Guide RP to ∅ 2 mm in thesame template sleeve.• Mount a Drill Stop ∅ 2 on the drill for a safe andaccurate drilling procedure.Thereafter, use the (2) Guided Twist Drill 2 × (10+)7–18 mm and drill to the desired depth under profuseirrigation.Use the drill guide for guidance.The depth markings on the drills correspond to7, 10, 13, 15 and 18 mm implants and shouldbe measured level with the drill guide.Note! (10+) indicates that the drills extend anadditional 10 mm.• Shift to (3) Guided Drill Guide RP to ∅ 3.2 mm anddrill to the stop with the (3) Guided Twist Drill3.2 × (10+) 7–18 mm.• Mount a Drill Stop ∅ 3.2 on the drill for a safe andaccurate drilling procedure.OPTIONALA (4) Guided Screw Tap RP ∅ 4.0 7–13 mm may beused in situations where the jawbone is judged denseor locally dense bone. Tap to the desired depth.• Switch handpiece to reverse mode and backscrew tap out.ALL27


procedure: all teeth missingImplant Placement• Insert the mounted implant using the Connection to handpieceuntil the flange of the Implant Mount touches thetop of the sleeve in the Surgical Template.• At this point, the implant is properly installed. Avoid furthertightening of the implant as it might affect the correct positionof the Surgical Template.The marks on the Implant Mount indicatethe flat sides on the implant hex.• Release the Implant Mount with a Screwdriver Unigrip .Note! If the Implant Mount is difficult to remove, you may needto gently wiggle it free using an open-ended wrench or tongs.Anchoring the Surgical Templatewith a Template Abutment• The Surgical Template can now be anchored to the patientvia the implant using a Guided Template AbutmentBrånemark System ® RP. Use a Screwdriver Unigrip to tightenmanually.ALLPreparation and Installation of theSecond Implant and Template Abutment• Install the second implant and template abutment accordingto the procedure described previously.• Choose the template sleeve strategically placed in themiddle of the opposite half of the arch to obtain properdistribution of the additional anchoring points.28


Installation of Remaining Implants• After the Surgical Template has been tightly attached withthe Anchor Pins to the two installed implants, proceed withthe preparation of the remaining implant sites.• Install the remaining implants according to the proceduredescribed previously.• Leave the Implant Mount in place to keep soft tissue outof the way.Note! No Guided Template Abutments need to be placed onthe remaining implants.Removal of Surgical Template• When all the implants have been properly placed, removethe Implant Mount and Template Abutments.• Use the Guided Soft Tissue Punch RP directly in the templatesleeve to completely remove all soft tissue.• Remove the Anchor Pins and the Surgical Template.ALL29


procedure: all teeth missingProsthetic Procedure – Teeth-in-an-Hour Mounting the Guided Abutments into the Bridge• Before the Guided Abutments Brånemark System ® RP areplaced, make sure the bridge is thoroughly disinfected.• Moisten the abutments by quickly dipping them in sterile,saline water.• The abutments are placed in the Procera ® Implant Bridge.Note! Following placement of the abutments be careful to avoidthe abutments from falling out .Delivery of Procera ® Implant Bridge• When the abutments have been placed in the bridge, thebridge is positioned onto the implants and screw-retainedusing the Screwdriver Unigrip .• After the bridge has been inserted, use the ScrewdriverUnigrip to tighten to first resistance and ask the patientto bite gently to balance the bite relationship. Verify correctocclusion.ALLTightening• For the final tightening, use the Manual Torque WrenchProsthetic and Screwdriver Unigrip machine. The abutmentscrews should be tightened to 35 Ncm.• Verify the correct abutment connection with radiographicimaging.• If required, occlusal adjustments have to be performed.Temporarily seal the screw access holes.• Control occlusion and function after 1 month.Check screw tightening to 35 Ncm.Final sealing of screw access hole.30


Prosthetic Procedure – TemporizationWhen carrying out a Guided Surgery prosthetic procedure,a wide range of <strong>Nobel</strong> <strong>Biocare</strong> abutments can be used, such as:• Guided Abutment• Procera ® Abutment• Snappy Abutment• Esthetic Abutment• Multi-Unit AbutmentFor the purposes of this indication, we show a SnappyAbutment.Abutment Connection• Connect the Snappy Abutments using the ScrewdriverUnigrip and tighten manually.• Verify the correct abutment connection with radiographicimaging.Tightening• For the final tightening, use the Manual Torque WrenchProsthetic and Screwdriver Unigrip Machine. The abutmentscrews should be tightened to 35 Ncm.• If required, occlusal adjustments have to be performed.Cementation of Temporary• Cement the temporary restoration.ALLFollow established prosthetic procedures for thefinal restoration after a sufficient healing period.31


appendix I – kitsBrånemark System ® Guided Surgery Kit (art. no. 32306)Includes instruments for RP implantsArticle nr Product Quantity32320 Brånemark System ® Guided Surgery Kit Box 130909 Guided Anchor Pin ∅ 1.5 mm 332110 Brånemark System ® Manual Torque Wrench Surgical 129167 Manual Torque Wrench Adapter Prosthetic 132865 Guided Implant Mount Bmk Syst RP 432804 Guided Template Abutment w Screw Bmk Syst RP 229081 Connection to handpiece 129149 Screwdriver Manual Unigrip 28 mm 129151 Screwdriver Machine Unigrip 20 mm 132797 Guided Drill Guide Kit Box 132813 Handle for Guided Drill Guide 132815 Guided Drill Guide RP to ∅ 2 mm 132818 Guided Drill Guide RP to ∅ 2.8 mm 132820 Guided Drill Guide RP to ∅ 3 mm 132822 Guided Drill Guide RP to ∅ 3.2 mm 132823 Guided Drill Guide RP to ∅ 3.4 mm 129543 Implant sleeve holder 133132 Brånemark System ® Guided Surgery Wall chart 1Note! Additional instruments for NP, WP and 6.0 implants need to be ordered separately.32


appendix I – kitsGuided Drill Stop KitThe Guided Drill Stop Kit is used to store, autoclave andmount the Guided Drill Stops.This kit should only be used with the Guided Twist drills.The Guided Drill Stop Kit contains Drill Stops for Guided TwistDrills with diameters:∅ 2, ∅ 2.8, ∅ 3, ∅ 3.2, ∅ 3.4, ∅ 3.8 and ∅ 4.2 mm33


appendix II – product reference lineBrånemark System ® Mk III Groovy implantMedium bone1 Guided Start Drill/Counterbore Bmk Syst NP2 Guided Twist Drill 2 × (10+) 7–18 mm2 Guided Drill Guide NP to ∅ 2 mm3 Guided Screw Tap NP 10–13 mm (Optional)4 Guided Implant Mount Bmk Syst NP4 Brånemark System ® Mk III Groovy NP 3.3 × 13 mm3.751 Guided Start Drill/Counterbore Bmk Syst RP2 Guided Twist Drill 2 × (10+) 7–18 mm2 Guided Drill Guide RP to ∅ 2 mm3 Guided Twist Drill 3 × (10+) 7–18 mm3 Guided Drill Guide RP to ∅ 3 mm5 Guided Screw Tap RP ∅ 3.75 7–13 mm (Optional)6 Guided Implant Mount Bmk Syst RP6 Brånemark System ® Mk III Groovy RP ∅ 3.75 × 13 mm4.01 Guided Start Drill/Counterbore Bmk Syst RP2 Guided Twist Drill 2 × (10+) 7–18 mm2 Guided Drill Guide RP to ∅ 2 mm3 Guided Twist Drill 3.2 × (10+) 7–18 mm3 Guided Drill Guide RP to ∅ 3.2 mm4 Guided Screw Tap RP ∅ 4 7–13 mm (Optional)5 Guided Implant Mount Bmk Syst RP5 Brånemark System ® Mk III Groovy RP 4 × 13 mm1 Guided Start Drill/Counterbore Bmk Syst WP2 Guided Twist Drill 2 × (10+) 7–18 mm2 Guided Drill Guide 6.0/WP to ∅ 2 mm3 Guided Twist Drill 3 × (10+) 7–18 mm3 Guided Drill Guide 6.0/WP to ∅ 3 mm4 Guided Twist Drill 3.8 × (10+) 7–8 mm4 Guided Drill Guide 6.0/WP to ∅ 3.8 mm5 Guided Screw Tap WP ∅ 5 7–13 mm (Optional)6 Guided Implant Mount Bmk Syst WP6 Brånemark System ® Mk III Groovy WP 5 × 13 mmDrill Sequence (according to bone quality)Implant Diameter Soft Bone Medium Bone Dense Bone∅ 3.3 2.0 2.0 2.0 + 2.8∅ 3.75 2.0 + (2.8) 2.0 + 3.0 2.0 + 3.2∅ 4.0 2.0 + (2.8) 2.0 + 3.2 2.0 + 2.8 + 3.4∅ 5.0 2.0 + 3.0 2.0 + 3.0 + 3.8 2.0 + 3.0 + 3.8 + 4.234All data is shown in mm. Drill within brackets ( ) denotes widening of marginal cortex only.


appendix III – other related productsDrill Guide HandleThe Drill Guides are attached to the Handle for Drill Guidesby inserting the ball of the Drill Guides into the tip of theHandle, as indicated in the adjacent picture. The Drill Guide islocked into place by firmly tightening the upper part of thehandle. Note that the Drill Guide is free to rotate in the socketof the Handle before it is locked into place, this is to ensurethat the Drill Guide and Handle can be positioned in such away so that it does not interfere with other surgical instruments.Note! Ensure to lock the Drill Guide into place outside of themouth of the patient in order to avoid dropping the Drill Guideinto the throat of the patient.Short Guided Twist DrillsThe shorter Guided Twist Drills are used for situations wherethe mouth opening capability and/or anatomical regionmakes the standard drills too long. The short drills can beused to place implants between 7–13 mm in length.The depth markings on the drills correspond to 7, 10, and13 mm implants and should be measured level with the drillguide and Surgical Template.Soft Tissue PlugThe Soft Tissue Plug is used to avoid soft tissue collapse, forexample, during adjustments of the prosthesis.35


appendix IV – cleaning and sterilizationDisposable DrillsAll Drills and Screw Taps are disposable and should be usedfor one surgery only. Do not re-sterilize disposable drills.Instruments• Devices must be cleaned and sterilized before intra oral usein accordance with established procedures in the hospital,clinic or office.Principal Cleaning and Sterilization Procedure• Clean and disinfect instruments and kits in a dishwasher.Alternatively: Disinfect, clean by hand and put in an ultrasoniccleaner.• Dry instruments and put them back in the kit. Place insterilization packets.• Sterilize instrument using a steam autoclave (follow themanufacturer’s instructions).Contra-Angle Cleaning• Contra-angle must be carefully cleaned immediately afteroperation.• Clean first in a washer or under running water. Separatehead from shank, and carefully lubricate both parts.Alternatively, clean and lubricate in an automatic, purposebuiltunit.• Place disassembled contra-angle in double peel-open bag orin tray, and sterilize in autoclave.Modified Abutment and Restoration• If indicated, clean and disinfect modified abutments andrestorations from the dental laboratory according to commonlyaccepted procedures for dental laboratory work.Manual Torque Wrench• Clean parts thoroughly. Allow them to dry completely.Sterilize in a steam autoclave at 135°C for minimumhold time of 5 minutes or as recommended in themanufacturer´s instructions.5 min135˚C/276˚F36


product catalog32306 Brånemark System ® Guided Surgery Kit(Includes products for RP platform)32320 Brånemark System ® Guided Surgery Kit Box30909 Guided Anchor Pin ∅ 1.5 mm32110 Brånemark System ® Manual Torque Wrench Surgical29167 Manual Torque Wrench Adapter Prosthetic32865 Guided Implant Mount Bmk Syst RP32804 Guided Template Abutment w Screw Bmk Syst RP29081 Connection to handpiece29149 Screwdriver Manual UniGrip 28 mm29151 Screwdriver Machine UniGrip 20 mm32797 Guided Drill Guide Kit Box32813 Handle for Guided Drill Guide32815 Guided Drill Guide RP to ∅ 2 mm32818 Guided Drill Guide RP to ∅ 2.8 mm32820 Guided Drill Guide RP to ∅ 3 mm32822 Guided Drill Guide RP to ∅ 3.2 mm32823 Guided Drill Guide RP to ∅ 3.4 mm29543 Implant sleeve holder33132 Brånemark System ® Guided Surgery Wall chartImplants32114 Brånemark System ® Mk III Groovy NP 3.3 × 10 mm32115 Brånemark System ® Mk III Groovy NP 3.3 × 11.5 mm32116 Brånemark System ® Mk III Groovy NP 3.3 × 13 mm32117 Brånemark System ® Mk III Groovy NP 3.3 × 15 mm32118 Brånemark System ® Mk III Shorty RP ∅ 3.7532119 Brånemark System ® Mk III Groovy RP 3.75 × 8.5 mm32120 Brånemark System ® Mk III Groovy RP 3.75 × 10 mm32121 Brånemark System ® Mk III Groovy RP 3.75 × 11.5 mm32122 Brånemark System ® Mk III Groovy RP 3.75 × 13 mm32123 Brånemark System ® Mk III Groovy RP 3.75 × 15 mm32124 Brånemark System ® Mk III Groovy RP 3.75 × 18 mm32125 Brånemark System ® Mk III Shorty RP ∅ 432126 Brånemark System ® Mk III Groovy RP 4 × 8.5 mm32127 Brånemark System ® Mk III Groovy RP 4 × 10 mm32128 Brånemark System ® Mk III Groovy RP 4 × 11.5 mm32129 Brånemark System ® Mk III Groovy RP 4 × 13 mm32130 Brånemark System ® Mk III Groovy RP 4 × 15 mm32131 Brånemark System ® Mk III Groovy RP 4 × 18 mm32132 Brånemark System ® Mk III Shorty WP ∅ 532133 Brånemark System ® Mk III Groovy WP 5 × 8.5 mm32134 Brånemark System ® Mk III Groovy WP 5 × 10 mm32135 Brånemark System ® Mk III Groovy WP 5 × 11.5 mm32136 Brånemark System ® Mk III Groovy WP 5 × 13 mm32137 Brånemark System ® Mk III Groovy WP 5 × 15 mm32138 Brånemark System ® Mk III Groovy WP 5 × 18 mm37


product catalogComponents for anchoring the Surgical Templatein the Mouth32802 Guided Template Abutment w Screw Bmk Syst NP32804 Guided Template Abutment w Screw Bmk Syst RP32807 Guided Template Abutment w Screw Bmk Syst WP30909 Guided Anchor Pin ∅ 1.5 mmInstruments and Drills for <strong>Nobel</strong>Guide 32813 Handle for Guided Drill Guide32814 Guided Drill Guide NP to ∅ 2 mm32815 Guided Drill Guide RP to ∅ 2 mm32816 Guided Drill Guide 6.0/WP to ∅ 2 mm32817 Guided Drill Guide NP to ∅ 2.8 mm32818 Guided Drill Guide RP to ∅ 2.8 mm32819 Guided Drill Guide NP to ∅ 3 mm32820 Guided Drill Guide RP to ∅ 3 mm32821 Guided Drill Guide 6.0/WP to ∅ 3 mm32822 Guided Drill Guide RP to ∅ 3.2 mm32823 Guided Drill Guide RP to ∅ 3.4 mm32824 Guided Drill Guide 6.0/WP to ∅ 3.8 mm32825 Guided Drill Guide 6.0/WP to ∅ 4.2 mm32826 Guided Drill Guide 6.0/WP ∅ 6 to ∅ 5 mmInstruments and Drills for Guided Surgery33066 Guided Twist Drill ∅ 1.5 mm × 20 mm32736 Guided Start Drill/Counterbore Bmk Syst NP32738 Guided Start Drill/Counterbore Bmk Syst RP32740 Guided Start Drill/Counterbore Bmk Syst WP ∅ 532746 Guided Twist Drill 2 × (10+) 7–18 mm32747 Guided Twist Drill 2.8 × (10+) 7–18 mm32748 Guided Twist Drill 3 × (10+) 7–18 mm32749 Guided Twist Drill 3.2 × (10+) 7–18 mm32750 Guided Twist Drill 3.4 × (10+) 7–18 mm32751 Guided Twist Drill 3.8 × (10+) 7–18 mm32752 Guided Twist Drill 4.2 × (10+) 7–18 mm33113 Guided Start Drill/Counterbore former Mk III RPShort T-i-a-H Drills33107 Guided Twist Drill 2 × (10+) 7–13 mm33108 Guided Twist Drill 2.8 × (10+) 7–13 mm33109 Guided Twist Drill 3 × (10+) 7–13 mm33115 Guided Twist Drill 3.2 × (10+) 7–13 mm33117 Guided Twist Drill 3.4 × (10+) 7–13 mm33118 Guided Twist Drill 3.8 × (10+) 7–13 mm33119 Guided Twist Drill 4.2 × (10+) 7–13 mm38


product catalogDrill Stop33085 Guided Drill Stop KitKit inlcudes:33086 Guided Drill Stop Kit Box33063 Drill Stop ∅ 233064 Drill Stop ∅ 2.833075 Drill Stop ∅ 333077 Drill Stop ∅ 3.233078 Drill Stop ∅ 3.433080 Drill Stop ∅ 3.833081 Drill Stop ∅ 4.2Screw Taps32855 Guided Screw Tap NP 10–13 mm32857 Guided Screw Tap RP ∅ 3.75 7–13 mm33114 Guided Screw Tap RP ∅ 4 7–13 mm32859 Guided Screw Tap WP ∅ 5 7–13 mmImplant Mount32863 Guided Implant Mount Bmk Syst NP32865 Guided Implant Mount Bmk Syst RP32868 Guided Implant Mount Bmk Syst WPAbutment32905 Guided Abutment Bmk Syst RP32903 Guided Abutment Bmk Syst NP32907 Guided Abutment Bmk Syst WPSoft Tissue Plug33030 Guided Soft Tissue Plug Bmk Syst NP33032 Guided Soft Tissue Plug Bmk Syst RP33034 Guided Soft Tissue Plug Bmk Syst WP32Z200632Z200732Z2008PunchesGuided Soft Tissue Punch NP 5/pkgGuided Soft Tissue Punch RP 5/pkgGuided Soft Tissue Punch 6.0/WP 5/pkg39


eference guideIndex in alphabetical orderDescription Article PageAAbutmentsGuided Abutment Bmk Syst NP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .32903 . . . . . . . . . . . . . . . . . . . . . .39Guided Abutment Bmk Syst RP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .32905 . . . . . . . . . . . . . . . .23, 30, 39Guided Abutment Bmk Syst WP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .32907 . . . . . . . . . . . . . . . . . . . . . .39BBrånemark System ® Guided Surgery Wall chart . . . . . . . . . . . . . . . . . . . . . . . . .33132 . . . . . . . . . . . . . . . . . . .32, 37CConnection to handpiece . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .29081 . . . . . . .12, 16, 21, 28, 32, 37DDrill GuidesGuided Drill Guide NP to ∅ 2 mm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .32814 . . . . . . . . . . . . . . . . . . .34, 38Guided Drill Guide RP to ∅ 2 mm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .32815 . . . . . . .15, 20, 27, 32, 34, 38Guided Drill Guide 6.0/WP to ∅ 2 mm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .32816 . . . . . . . . . . . . . . . . . . .34, 38Guided Drill Guide NP to ∅ 2.8 mm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .32817 . . . . . . . . . . . . . . . . . . .34, 38Guided Drill Guide RP to ∅ 2.8 mm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .32818 . . . . . . . . . . . . . . . .32, 34, 38Guided Drill Guide NP to ∅ 3 mm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .32819 . . . . . . . . . . . . . . . . . . .34, 38Guided Drill Guide RP to ∅ 3 mm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .32820 . . . . . . . . . . . . . . . .32, 34, 38Guided Drill Guide 6.0/WP to ∅ 3 mm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .32821 . . . . . . . . . . . . . . . . . . .34, 38Guided Drill Guide RP to ∅ 3.2 mm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .32822 . . . . . . .15, 20, 27, 32, 34, 38Guided Drill Guide RP to ∅ 3.4 mm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .32823 . . . . . . . . . . . . . . . .32, 34, 38Guided Drill Guide 6.0/WP to ∅ 3.8 mm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .32824 . . . . . . . . . . . . . . . . . . .34, 38Guided Drill Guide 6.0/WP to ∅ 4.2 mm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .32825 . . . . . . . . . . . . . . . . . . .34, 38Guided Drill Guide 6.0/WP ∅ 6 to ∅ 5 mm . . . . . . . . . . . . . . . . . . . . . . . . . . . .32826 . . . . . . . . . . . . . . . . . . .34, 38Drill StopGuided Drill Stop Kit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .33085 . . . . . . . . . . . . . . . .12, 33, 39Guided Drill Stop Kit Box . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .33086 . . . . . . . . . . . . . . . .12, 33, 39Drill Stop ∅ 2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .33063 . . . . . . . . . . . . . . . .12, 33, 39Drill Stop ∅ 2.8 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .33064 . . . . . . . . . . . . . . . .12, 33, 39Drill Stop ∅ 3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .33075 . . . . . . . . . . . . . . . .12, 33, 39Drill Stop ∅ 3.2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .33077 . . . . . . . . . . . . . . . .12, 33, 39Drill Stop ∅ 3.4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .33078 . . . . . . . . . . . . . . . .12, 33, 39Drill Stop ∅ 3.8 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .33080 . . . . . . . . . . . . . . . .12, 33, 39Drill Stop ∅ 4.2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .33081 . . . . . . . . . . . . . . . .12, 33, 39DrillsGuided Twist Drill ∅1.5 mm × 20 mm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .33066 . . . . . . . . . . . . .18, 25, 34, 38Guided Twist Drill 2 × (10+) 7–18 mm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .32746 . . . . . . . . . .15, 20, 27, 34, 38Guided Twist Drill 2.8 × (10+) 7–18 mm . . . . . . . . . . . . . . . . . . . . . . . . . . . . .32747 . . . . . . . . . . . . . . . . . . .34, 38Guided Twist Drill 3 × (10+) 7–18 mm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .32748 . . . . . . . . . . . . . . . . . . .34, 38Guided Twist Drill 3.2 × (10+) 7–18 mm . . . . . . . . . . . . . . . . . . . . . . . . . . . . .32749 . . . . . . . . . .15, 20, 27, 34, 38Guided Twist Drill 3.4 × (10+) 7–18 mm . . . . . . . . . . . . . . . . . . . . . . . . . . . . .32750 . . . . . . . . . . . . . . . . . . .34, 38Guided Twist Drill 3.8 × (10+) 7–18 mm . . . . . . . . . . . . . . . . . . . . . . . . . . . . .32751 . . . . . . . . . . . . . . . . . . .34, 38Guided Twist Drill 4.2 × (10+) 7–18 mm . . . . . . . . . . . . . . . . . . . . . . . . . . . . .32752 . . . . . . . . . . . . . . . . . . .34, 38Guided Twist Drill 2 × (10+) 7–13 mm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .33107 . . . . . . . . . . . . . . . . . . .35, 38Guided Twist Drill 2.8 × (10+) 7–13 mm . . . . . . . . . . . . . . . . . . . . . . . . . . . . .33108 . . . . . . . . . . . . . . . . . . .35, 38Guided Twist Drill 3 × (10+) 7–13 mm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .33109 . . . . . . . . . . . . . . . . . . .35, 38Guided Twist Drill 3.2 × (10+) 7–13 mm . . . . . . . . . . . . . . . . . . . . . . . . . . . . .33115 . . . . . . . . . . . . . . . . . . .35, 38Guided Twist Drill 3.4 × (10+) 7–13 mm . . . . . . . . . . . . . . . . . . . . . . . . . . . . .33117 . . . . . . . . . . . . . . . . . . .35, 38Guided Twist Drill 3.8 × (10+) 7–13 mm . . . . . . . . . . . . . . . . . . . . . . . . . . . . .33118 . . . . . . . . . . . . . . . . . . .35, 38Guided Twist Drill 4.2 × (10+) 7–13 mm . . . . . . . . . . . . . . . . . . . . . . . . . . . . .33119 . . . . . . . . . . . . . . . . . . .35, 38Guided Start Drill/Counterbore Bmk Syst NP . . . . . . . . . . . . . . . . . . . . . . . . . . .32736 . . . . . . . . . . . . . . . . . . .34, 38Guided Start Drill/Counterbore Bmk Syst RP . . . . . . . . . . . . . . . . . . . . . . . . . . .32738 . . . . . . . . . .15, 19, 26, 34, 38Guided Start Drill/Counterbore Bmk Syst WP ∅ 5 . . . . . . . . . . . . . . . . . . . . . . .32740 . . . . . . . . . . . . . . . . . . .34, 38Guided Start Drill/Counterbore former Mk III RP . . . . . . . . . . . . . . . . . . . . . . . .33113 . . . . . . . . . . . . . . . . . . .34, 38GGuided Anchor Pin ∅ 1.5 mm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .30909 . . . . . . . . . . . . .18, 25, 32, 38HHandle for Guided Drill Guide . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .32813 . . . . . . . . . . . . . . . .32, 35, 3840


eference guideIndex in alphabetical orderDescription Article PageIImplantsBrånemark System ® Mk III Groovy NP 3.3 × 10 mm . . . . . . . . . . . . . . . . . . . . .32114 . . . . . . . . . . . . . . . . . . . .9, 37Brånemark System ® Mk III Groovy NP 3.3 × 11.5 mm . . . . . . . . . . . . . . . . . . . .32115 . . . . . . . . . . . . . . . . . . . .9, 37Brånemark System ® Mk III Groovy NP 3.3 × 13 mm . . . . . . . . . . . . . . . . . . . . .32116 . . . . . . . . . . . . . . . . .9, 34, 37Brånemark System ® Mk III Groovy NP 3.3 × 15 mm . . . . . . . . . . . . . . . . . . . . .32117 . . . . . . . . . . . . . . . . . . . .9, 37Brånemark System ® Mk III Shorty RP ∅ 3.75 . . . . . . . . . . . . . . . . . . . . . . . . . . .32118 . . . . . . . . . . . . . . . . . . . .9, 37Brånemark System ® Mk III Groovy RP 3.75 × 8.5 mm . . . . . . . . . . . . . . . . . . . .32119 . . . . . . . . . . . . . . . . . . . .9, 37Brånemark System ® Mk III Groovy RP 3.75 × 10 mm . . . . . . . . . . . . . . . . . . . . .32120 . . . . . . . . . . . . . . . . . . . .9, 37Brånemark System ® Mk III Groovy RP 3.75 × 11.5 mm . . . . . . . . . . . . . . . . . . .32121 . . . . . . . . . . . . . . . . . . . .9, 37Brånemark System ® Mk III Groovy RP 3.75 × 13 mm . . . . . . . . . . . . . . . . . . . . .32122 . . . . . . . . . . . . . . . . .9, 34, 37Brånemark System ® Mk III Groovy RP 3.75 × 15 mm . . . . . . . . . . . . . . . . . . . . .32123 . . . . . . . . . . . . . . . . . . . .9, 37Brånemark System ® Mk III Groovy RP 3.75 × 18 mm . . . . . . . . . . . . . . . . . . . . .32124 . . . . . . . . . . . . . . . . . . . .9, 37Brånemark System ® Mk III Shorty RP ∅ 4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .32125 . . . . . . . . . . . . . . . . . . . .9, 37Brånemark System ® Mk III Groovy RP 4 × 8.5 mm . . . . . . . . . . . . . . . . . . . . . . .32126 . . . . . . . . . . . . . . . . . . . .9, 37Brånemark System ® Mk III Groovy RP 4 × 10 mm . . . . . . . . . . . . . . . . . . . . . . .32127 . . . . . . . . . . . . . . . . . . . .9, 37Brånemark System ® Mk III Groovy RP 4 × 11.5 mm . . . . . . . . . . . . . . . . . . . . . .32128 . . . . . . . . . . . . . . . . . . . .9, 37Brånemark System ® Mk III Groovy RP 4 × 13 mm . . . . . . . . . . . . . . . . . . . . . . .32129 . . . . . . . . . . . . . . . . .9, 34, 37Brånemark System ® Mk III Groovy RP 4 × 15 mm . . . . . . . . . . . . . . . . . . . . . . .32130 . . . . . . . . . . . . . . . . . . . .9, 37Brånemark System ® Mk III Groovy RP 4 × 18 mm . . . . . . . . . . . . . . . . . . . . . . .32131 . . . . . . . . . . . . . . . . . . . .9, 37Brånemark System ® Mk III Shorty WP ∅ 5 . . . . . . . . . . . . . . . . . . . . . . . . . . . . .32132 . . . . . . . . . . . . . . . . . . . .9, 37Brånemark System ® Mk III Groovy WP 5 × 8.5 mm . . . . . . . . . . . . . . . . . . . . . .32133 . . . . . . . . . . . . . . . . . . . .9, 37Brånemark System ® Mk III Groovy WP 5 × 10 mm . . . . . . . . . . . . . . . . . . . . . . .32134 . . . . . . . . . . . . . . . . . . . .9, 37Brånemark System ® Mk III Groovy WP 5 × 11.5 mm . . . . . . . . . . . . . . . . . . . . .32135 . . . . . . . . . . . . . . . . . . . .9, 37Brånemark System ® Mk III Groovy WP 5 × 13 mm . . . . . . . . . . . . . . . . . . . . . . .32136 . . . . . . . . . . . . . . . . .9, 34, 37Brånemark System ® Mk III Groovy WP 5 × 15 mm . . . . . . . . . . . . . . . . . . . . . . .32137 . . . . . . . . . . . . . . . . . . . .9, 37Brånemark System ® Mk III Groovy WP 5 × 18 mm . . . . . . . . . . . . . . . . . . . . . . .32138 . . . . . . . . . . . . . . . . . . . .9, 37Implant MountGuided Implant Mount Bmk Syst NP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .32863 . . . . . . . . . . . . . . . .12, 34, 39Guided Implant Mount Bmk Syst RP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .32865 . . . . . . . . . . . . . . . .12, 34, 39Guided Implant Mount Bmk Syst WP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .32868 . . . . . . . . . . . . . . . .12, 34, 39Implant sleeve holder . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .29543 . . . . . . . . . . . . . . . .12, 32, 37KKitsBrånemark System ® Guided Surgery Kit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .32306 . . . . . . . . . . . . . . . .10, 32, 37Brånemark System ® Guided Surgery Kit Box . . . . . . . . . . . . . . . . . . . . . . . . . .32320 . . . . . . . . . . . . . . . .10, 32, 37Guided Drill Guide Kit Box . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .32797 . . . . . . . . . . . . . . . .10, 32, 37MBrånemark System ® Manual Torque Wrench Surgical . . . . . . . . . . . . . . . . . . . .32110 . . . . . . . . . . . . . . . . . . .32, 39Manual Torque Wrench Adapter Prosthetic . . . . . . . . . . . . . . . . . . . . . . . . . . .29167 . . . . . . . . . . . . . . . . . . .32, 37PPunchesGuided Soft Tissue Punch NP 5/pkg . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .32Z2006 . . . . . . . . . . . . . . . . . . . .39Guided Soft Tissue Punch RP 5/pkg . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .32Z2007 . . . . . . . . . . .16, 22, 29, 39Guided Soft Tissue Punch 6.0/WP 5/pkg . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .32Z2008 . . . . . . . . . . . . . . . . . . . .39SScrewdriversScrewdriver Manual UniGrip 28 mm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .29149 . . . . . . . . . . . . . . . .30, 32, 37Screwdriver Machine UniGrip 20 mm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .29151 . . . .17, 23, 24, 30, 31, 32, 37Screw TapsGuided Screw Tap NP 10–13 mm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .32855 . . . . . . . . . . . . . . . . . . . . . .34Guided Screw Tap RP ∅ 3.75 7–13 mm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .32857 . . . . . . . . . . . . . . . . . . . . . .34Guided Screw Tap RP ∅ 4 7–13 mm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .33114 . . . . . . . . . . . . .15, 20, 27, 34Guided Screw Tap WP ∅ 5 7–13 mm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .32859 . . . . . . . . . . . . . . . . . . . . . .34Soft Tissue PlugGuided Soft Tissue Plug Bmk Syst NP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .33030 . . . . . . . . . . . . . . . . . . .35, 39Guided Soft Tissue Plug Bmk Syst RP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .33032 . . . . . . . . . . . . . . . . . . .35, 39Guided Soft Tissue Plug Bmk Syst WP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .33034 . . . . . . . . . . . . . . . . . . .35, 39TTemplate AbutmentGuided Template Abutment w Screw Bmk Syst NP . . . . . . . . . . . . . . . . . . . . . .32802 . . . . . . . . . . . . . . . . . . . . . .38Guided Template Abutment w Screw Bmk Syst RP . . . . . . . . . . . . . . . . . . . . . .32804 . . . . . . . . . . . . .22, 28, 32, 38Guided Template Abutment w Screw Bmk Syst WP . . . . . . . . . . . . . . . . . . . . . .32807 . . . . . . . . . . . . . . . . . . . . . .3841


42Article # Description Page29081 . . . . .Connection to handpiece . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12, 16, 21, 28, 32, 3729149 . . . . .Screwdriver Manual UniGrip 28 mm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .30, 32, 3729151 . . . . .Screwdriver Machine UniGrip 20 mm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .17, 23, 24, 30, 31, 32, 3729167 . . . . .Manual Torque Wrench Adapter Prosthetic . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .32, 3729543 . . . . .Implant sleeve holder . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12, 32, 3730909 . . . . .Guided Anchor Pin ∅ 1.5 mm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .18, 25, 32, 3832110 . . . . .Brånemark System ® Manual Torque Wrench Surgical . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .32, 3732114 . . . . .Brånemark System ® Mk III Groovy NP 3.3 × 10 mm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9, 3732115 . . . . .Brånemark System ® Mk III Groovy NP 3.3 × 11.5 mm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9, 3732116 . . . . .Brånemark System ® Mk III Groovy NP 3.3 × 13 mm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9, 34, 3732117 . . . . .Brånemark System ® Mk III Groovy NP 3.3 × 15 mm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9, 3732118 . . . . .Brånemark System ® Mk III Shorty RP ∅ 3.75 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9, 3732119 . . . . .Brånemark System ® Mk III Groovy RP 3.75 × 8.5 mm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9, 3732120 . . . . .Brånemark System ® Mk III Groovy RP 3.75 × 10 mm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9, 3732121 . . . . .Brånemark System ® Mk III Groovy RP 3.75 × 11.5 mm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9, 3732122 . . . . .Brånemark System ® Mk III Groovy RP 3.75 × 13 mm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9, 34, 3732123 . . . . .Brånemark System ® Mk III Groovy RP 3.75 × 15 mm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9, 3732124 . . . . .Brånemark System ® Mk III Groovy RP 3.75 × 18 mm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9, 3732125 . . . . .Brånemark System ® Mk III Shorty RP ∅ 4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9, 3732126 . . . . .Brånemark System ® Mk III Groovy RP 4 × 8.5 mm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9, 3732127 . . . . .Brånemark System ® Mk III Groovy RP 4 × 10 mm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9, 3732128 . . . . .Brånemark System ® Mk III Groovy RP 4 × 11.5 mm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9, 3732129 . . . . .Brånemark System ® Mk III Groovy RP 4 × 13 mm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9, 34, 3732130 . . . . .Brånemark System ® Mk III Groovy RP 4 × 15 mm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9, 3732131 . . . . .Brånemark System ® Mk III Groovy RP 4 × 18 mm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9, 3732132 . . . . .Brånemark System ® Mk III Shorty WP ∅ 5 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9, 3732133 . . . . .Brånemark System ® Mk III Groovy WP 5 × 8.5 mm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9, 3732134 . . . . .Brånemark System ® Mk III Groovy WP 5 × 10 mm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9, 3732135 . . . . .Brånemark System ® Mk III Groovy WP 5 × 11.5 mm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9, 3732136 . . . . .Brånemark System ® Mk III Groovy WP 5 × 13 mm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9, 34, 3732137 . . . . .Brånemark System ® Mk III Groovy WP 5 × 15 mm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9, 3732138 . . . . .Brånemark System ® Mk III Groovy WP 5 × 18 mm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9, 3732306 . . . . .Brånemark System ® Guided Surgery Kit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10, 32, 3732320 . . . . .Brånemark System ® Guided Surgery Kit Box . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10, 32, 3732736 . . . . .Guided Start Drill/Counterbore Bmk Syst NP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .34, 3832738 . . . . .Guided Start Drill/Counterbore Bmk Syst RP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .15, 19, 26, 34, 3832740 . . . . .Guided Start Drill/Counterbore Bmk Syst WP ∅ 5 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .34, 3832746 . . . . .Guided Twist Drill 2 × (10+) 7–18 mm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .15, 20, 27, 34, 3832747 . . . . .Guided Twist Drill 2.8 × (10+) 7–18 mm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .34, 3832748 . . . . .Guided Twist Drill 3 × (10+) 7–18 mm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .34, 3832749 . . . . .Guided Twist Drill 3.2 × (10+) 7–18 mm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .15, 20, 27, 34, 3832750 . . . . .Guided Twist Drill 3.4 × (10+) 7–18 mm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .34, 3832751 . . . . .Guided Twist Drill 3.8 × (10+) 7–18 mm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .34, 3832752 . . . . .Guided Twist Drill 4.2 × (10+) 7–18 mm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .34, 3832797 . . . . .Guided Drill Guide Kit Box . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10, 32, 3732802 . . . . .Guided Template Abutment w Screw Bmk Syst NP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3832804 . . . . .Guided Template Abutment w Screw Bmk Syst RP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .22, 28, 32, 3832807 . . . . .Guided Template Abutment w Screw Bmk Syst WP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3832813 . . . . .Handle for Guided Drill Guide . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .32, 35, 3832814 . . . . .Guided Drill Guide NP to ∅ 2 mm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .34, 3832815 . . . . .Guided Drill Guide RP to ∅ 2 mm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .15, 20, 27, 32, 34, 3832816 . . . . .Guided Drill Guide 6.0/WP to ∅ 2 mm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .34, 3832817 . . . . .Guided Drill Guide NP to ∅ 2.8 mm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .34, 3832818 . . . . .Guided Drill Guide RP to ∅ 2.8 mm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .32, 34, 3832819 . . . . .Guided Drill Guide NP to ∅ 3 mm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .34, 3832820 . . . . .Guided Drill Guide RP to ∅ 3 mm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .32, 34, 3832821 . . . . .Guided Drill Guide 6.0/WP to ∅ 3 mm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .34, 3832822 . . . . .Guided Drill Guide RP to ∅ 3.2 mm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .15, 20, 27, 32, 34, 3832823 . . . . .Guided Drill Guide RP to ∅ 3.4 mm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .32, 34, 3832824 . . . . .Guided Drill Guide 6.0/WP to ∅ 3.8 mm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .34, 3832825 . . . . .Guided Drill Guide 6.0/WP to ∅ 4.2 mm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .34, 3832826 . . . . .Guided Drill Guide 6.0/WP ∅ 6 to ∅ 5 mm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .34, 3832855 . . . . .Guided Screw Tap NP 10–13 mm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3432857 . . . . .Guided Screw Tap RP ∅ 3.75 7–13 mm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3432859 . . . . .Guided Screw Tap WP ∅ 5 7–13 mm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3432863 . . . . .Guided Implant Mount Bmk Syst NP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12, 34, 3932865 . . . . .Guided Implant Mount Bmk Syst RP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12, 34, 3932868 . . . . .Guided Implant Mount Bmk Syst WP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12, 34, 3932903 . . . . .Guided Abutment Bmk Syst NP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3932905 . . . . .Guided Abutment Bmk Syst RP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .23, 30, 3932907 . . . . .Guided Abutment Bmk Syst WP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3933030 . . . . .Guided Soft Tissue Plug Bmk Syst NP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .35, 3933032 . . . . .Guided Soft Tissue Plug Bmk Syst RP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .35, 3933034 . . . . .Guided Soft Tissue Plug Bmk Syst WP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .35, 3933063 . . . . .Drill Stop ∅ 2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12, 33, 3933064 . . . . .Drill Stop ∅ 2.8 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12, 33, 3933066 . . . . .Guided Twist Drill ∅ 1.5 mm × 20 mm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .18, 25, 34, 3833075 . . . . .Drill Stop ∅ 3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12, 33, 3933077 . . . . .Drill Stop ∅ 3.2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12, 33, 3933078 . . . . .Drill Stop ∅ 3.4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12, 33, 3933080 . . . . .Drill Stop ∅ 3.8 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12, 33, 3933081 . . . . .Drill Stop ∅ 4.2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12, 33, 3933085 . . . . .Guided Drill Stop Kit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12, 33, 3933086 . . . . .Guided Drill Stop Kit Box . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12, 33, 3933107 . . . . .Guided Twist Drill 2 × (10+) 7–13 mm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .35, 3833108 . . . . .Guided Twist Drill 2.8 × (10+) 7–13 mm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .35, 3833109 . . . . .Guided Twist Drill 3 × (10+) 7–13 mm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .35, 3833113 . . . . .Guided Start Drill/Counterbore former Mk III RP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .34, 38Index in article number orderreference guide


eference guideIndex in article number order33114 . . . . .Guided Screw Tap RP ∅ 4 7–13 mm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .15, 20, 27, 3433115 . . . . .Guided Twist Drill 3.2 × (10+) 7–13 mm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .35, 3833117 . . . . .Guided Twist Drill 3.4 × (10+) 7–13 mm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .35, 3833118 . . . . .Guided Twist Drill 3.8 × (10+) 7–13 mm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .35, 3833119 . . . . .Guided Twist Drill 4.2 × (10+) 7–13 mm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .35, 3832Z2006 . . .Guided Soft Tissue Punch NP 5/pkg . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3932Z2007 . . .Guided Soft Tissue Punch RP 5/pkg . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .16, 22, 29, 3932Z2008 . . .Guided Soft Tissue Punch 6.0/WP 5/pkg . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3933132 . . . . .Brånemark System ® Guided Surgery Wall chart . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .32, 3743


our qualifications areyour securityAchievements• Inheritors and developers of the work ofProfessor Brånemark – founder of modernimplantology. World-leaders in the field• Providers of the most comprehensive andflexible crown, bridge and implant solutionsin the world• Creators of unique biocompatible materialTiUnite for optimal osseointegration,Immediate Function and Soft TissueIntegration • Creators of CAD/CAM dentistry• Creators of unique Procera ® System –one seamless procedure from 3D planning tofully guided surgery right through to customizedceramic restoration• FDA cleared for Immediate Function (except 3.0 and Zygoma)• FDA cleared for Teeth-In-An-Hour in 2004www.nobelbiocare.comQuality<strong>Nobel</strong> <strong>Biocare</strong> cares about the enviroment andall production units are certified according to theEnvironmental Management System ISO 14001.• Zero non-conformities in 2004 FDA inspectionof <strong>Nobel</strong> <strong>Biocare</strong> production units inGöteborg, Karlskoga and StockholmResearch• Formal collaboration with over 50 academicinstitutions and 600 independent scientistsaround the world• More clinical studies on immediate or earlyloading than all other competitors combined(Medline Feb 2005)• More prospective clinical studies with at least5-year follow-up than all other competitorscombined (Berglund et al 2002)Support• 165,000 customers trained by 1,985 dentalprofessionals in 37 countries and in 19 languages,during 2004• Own sales organisations with local <strong>Nobel</strong><strong>Biocare</strong> staff in 29 countries• Leading business website in 8 languages, withcomplete online service supplying all productsand at least 500 courses available at all times15713 Lot “GB 0505” Printed in Sweden. © <strong>Nobel</strong> <strong>Biocare</strong> Services AG, 2005.<strong>Nobel</strong> <strong>Biocare</strong>, the <strong>Nobel</strong> <strong>Biocare</strong> logotype and all other trademarks used in this document are, if nothing else is stated or is evident from the context in a certain case, trademarks of the <strong>Nobel</strong> <strong>Biocare</strong> group.

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