NOBELREPLACE - Nobel Biocare

procedures & products - Powered by Procera ®NOBELREPLACE Straight GroovyNobelGuide perfect planningfor perfect teeth

First from Nobel Biocare.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.Nobel Biocare 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 Nobel Biocare.Nobel Biocare has published disclaimers relating to patient data and purchasing conditions.The latest versions of these disclaimers are available on the NobelGuide area onthe Nobel Biocare Extranet. Please ensure that you understand and accept these disclaimers.Nobel Biocare 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 NobelGuide Concept manualSome products may not be available in all markets. Please contact your local Nobel Biocare officefor current product assortment and availability.Nobel Biocare 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 Teeth Missing ..........................................................................................6Several Teeth Missing. .....................................................................................7All Teeth Missing. ............................................................................................8NOBELREPLACE Straight Groovy. .........................................................................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 theNobel Biocare family.Nobel Biocare is providing dentists with more choices than everbefore. But our goals remain the same:• To ensure that your patients leave the treatment roomsatisfied, comfortable, with beautiful teeth and a renewedquality of life.• To help your practice run more smoothly,efficiently and profitably.The NobelGuide treatment concept from Nobel Biocare providesvarious methods by which to transform pre-planned treatment intoclinical reality.NobelGuide components and methods are available for treatmentplanning carried out in both computer-based and model-based environments.This manual is designed to provide quick access to important informationregarding clinical treatments, procedures and options for theNobelGuide solution based on the NobelReplace Straight Groovyimplant systems.Other related NobelGuide Instruction Material• NobelGuide Concept Manual (incl. CT Scan and Lab procedures)• NobelGuide Concept, Clinical, Laboratory and CT scan ProceduresManuals for the following implants: Brånemark System ® MkIIIGroovy, NobelReplace Tapered Groovy, NobelSpeedy Groovy,NobelSpeedy Replace• NobelGuide manual for NobelDirect ® implants• Integrated Procera ® Software tutorials and help files• NobelGuide Training CD• NobelGuide area on the Nobel Biocare Extranet. This area includesonline training and FAQsImportant! While the NobelGuide 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.com4

quick startConcept OverviewExamination of PatientModel-basedComputer-basedMappingsee NobelGuide Concept ManualRegister Patient in Procera ® Softwaresee NobelGuide Concept ManualManufacture Stone Modelsee NobelGuide Concept ManualPrepare Radiographic Guidesee NobelGuide Concept ManualTransfer mapping to stone modelsee NobelGuide Concept ManualCT Scansee NobelGuide Concept ManualTreatment Planningsee NobelGuide Concept ManualTreatment Planningsee NobelGuide Concept ManualManufacture Surgical Template& Surgical Indexsee NobelGuide Concept ManualManufacture Stone Model& Surgical Indexsee NobelGuide 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 14surgical 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 18surgical 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 25surgical procedureAnchor Surgical TemplateInstallation of Anchor ImplantsInstallation of RemainingImplantsprosthetic option: Teeth-in-an-Hour prosthetic option: temporizationGuided Abutment/Final Bridge ConnectionAbutment ConnectionFinal Procera ® Implant BridgeCementation of Temporary8

NOBELREPLACE Straight GroovyPlatformdiameter• Universal, self-tapping implant that can be used for all treatmentindications in which the available bone volume is appropriate for animplant.Implantdiameter• Two-piece implant with internal tri-channel abutment connection.• Unique, color-coded internal connection with tri-channel designfacilitates easy and secure abutment connection.ImplantlengthPlatformsTo facilitate treatment planning, clinical procedures and componentidentification, NobelReplace implants are organized according to a“platform concept”. The platform marking corresponds to theimplant-abutment interface, and is identified by a color-coding systemon implants, abutments and prosthetic components.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 Lengthsdiameter∅ 3.5 mm ∅ 3.5 mm 10 11.5 13 15 –∅ 4.3 mm ∅ 4.0 mm 10 11.5 13 15 18∅ 5.0 mm ∅ 5.0 mm 10 11.5 13 15 18Note! All data is shown in millimeters.9

important considerations for all indicationsNobelGuide is intended for single, partial and fullyedentulous jaws where the patient:• meets general health requirements for undergoingoral surgery.• is fully healed after any grafting procedures.• has a sufficient amount of jaw bone.• has sufficient mouth opening capability toaccommodate the surgical tooling.Checklist before Surgery• Make sure that you have the correct instruments,components. For computer-based planning, also makesure that you have the correct Operation Specificationand Surgical Template with the correct Treatment IDnumber and order number.• 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 usual mannerfor implant surgery.Instruments and ComponentsProducts you need for implant placement:• NobelReplace Straight Guided Surgery Kit(includes instruments for RP implants)• A Guided Drill Stop Kit is available• Implants:– NobelReplace Straight Groovy• Disposable Drills and Screw Tap• Abutments10

important considerations for all indicationsImportant information about Surgical Templateproduced by Nobel Biocare• 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 directsunlight.• Never remove the moisture absorbent.• Disinfect in chlorhexidine for a maximum of 20minutes. Dry quickly, but without using heat.Caution! The Surgical Template may deform if exposed toliquids for more than 30 minutes.Common Drilling ConsiderationsCaution! Before all drilling, make sure the drills move freely andeasily through the template sleeves and/or drill guides, downto the soft tissue.Start drilling with the drill in the template sleeve and/ordrill guide. Avoid lateral pressure on drills when drilling.Lateral pressure may damage the drill.The drills are made from surgical stainless steel and arecoated with an amorphous diamond coating, which gives themtheir black color.• Use an in-and-out motion and drill in bone for 1–2 seconds.• For all drills (Start Drill/Counter Drills and Twist Drills) set thedrilling unit on high speed and 2000 rpm.High speed2000 rpm• For screw taps and implant placement the drilling unit shouldbe set on low speed and the torque between 20–45 Ncm.Low speedMax 45 NcmNote! All Drills and Screw Taps are disposable and should be usedfor 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 NobelReplace RP to the implant using a Screwdriver Unigrip and thesurgical adapter from Manual Torque Wrench.• Pick up the mounted implant with the NobelReplace Connection to handpiece.Drill Stop• Mount a Drill Stop on Guided Twist Drills for a safe andaccurate drilling 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 monitored throughoutthe surgical procedure to verify the fit.Site PreparationThe procedure and illustrations below relate to NobelReplace Straight GroovyRP 4 × 13 mm 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/CounterboreNobelReplace RP directly in the template sleeve anddrill to the stop. Soft tissues are completely removed.• 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.ONEThereafter, use the (2) Guided Twist Drill 2 × (10+) 7–18mm and drill to the desired depth under profuse irrigation.Use the drill guide for guidance.The depth markings on the drills correspond to 7, 10, 13,15 and 18 mm implants and should be measured levelwith the drill guide.Note! (10+) indicates that the drills extend an additional10 mm.• Shift to (3) Guided Drill Guide RP to ∅ 3.2 mm anddrill to the stop with the (3) Guided Twist Drill 3.2 ×(10+) 7–18 mm and repeat the procedure.• Mount a Drill Stop ∅ 3.2 on the drill for a safe andaccurate drilling procedure.OPTIONALA (4) Guided Screw Tap RP ∅ 4 7–13 mm may be used in situationswhere the jaw bone is judged dense or locally dense 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 NobelReplace Connection to handpiece until the flange of the ImplantMount touches the top of the sleeve in the SurgicalTemplate .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 .Note! The dots on the Implant Mount indicate theposition of the internal connection tri-channel lobes.• Release the Implant Mount with a ScrewdriverUnigrip .Note! If the Implant Mount is difficult to remove, youmay need to gently wiggle it free using an open-endwrench or tongs.Removal of Soft Tissue and Surgical Template• Use the Guided Soft Tissue Punch RP directlyin the template sleeve and so all soft tissues arecompletely removed.• Remove the Surgical Template.16

Prosthetic Procedure – TemporizationWhen carrying out a Guided Surgery prosthetic procedure, awide range of Nobel Biocare abutments can be used, such as:• Immediate Temporary Abutment• Procera ® Abutment• Snappy Abutment • Esthetic Abutment For the purposes of this indication, we show 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 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 the soft tissue into thejawbone using 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 SurgicalTemplate has thus been anchored by means of Anchor Pinand offers a good initial stability.18

Site Preparation of First ImplantThe procedure and illustrations below relate to NobelReplace Straight Groovy RP 4.0 × 13 mm implants and medium bone.See Appendix II for other platforms and drill sequence table.2. 3.1.4.SEVERALThe area shaded in red represents the drill guide.To obtain further stability, the Surgical Template is attached to oneimplant.• Use the (1) Guided Start Drill/Counterbore NobelReplace RPdirectly in the template sleeve and drill to the stop.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 to 7, 10, 13, 15and 18 mm implants and should be measured level with thedrill guide.Note! (10+) indicates that the drills extend an additional 10 mm.SEVERAL• Shift to (3) Guided Drill Guide RP to ∅ 3.2 mm and drillto the stop with the (3) Guided Twist Drill 3.2 × (10+)7–18 mm.• Mount a Drill Stop ∅ 3.2 on the drill for a safe and accuratedrilling procedure.OPTIONALA (4) Guided Screw Tap RP ∅ 4 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 NobelReplace Connection to handpiece until the flange of the ImplantMount touches the top of the sleeve in the surgicaltemplate.• 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 .Note! The dots on the Implant Mount indicate the position of theinternal connection tri-channel lobes.• 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 AbutmentNobelReplace RP.• Use a Screwdriver Unigrip to tighten manually.SEVERALInstallation of the Remaining Implants• After the Surgical Template has been tightly attached withthe Anchor Pin and to the first implant, proceed with thepreparation of 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 NobelReplace RP in Procera ®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 NobelReplace RP are placed inthe 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 patientto bite gently to balance the bite relationship.SEVERALTightening• 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 holes.23

procedure: several teeth missingProsthetic Procedure – TemporizationWhen carrying out a temporary NobelGuide prosthetic procedure,a wide range of Nobel Biocare abutments can be used,such as:– Guided Abutment– Procera ® Abutment– Snappy Abutment– Esthetic Abutment– Multi-unit AbutmentFor the purposes of this indication, we show SnappyAbutment.SEVERALAbutment Connection• Connect the Snappy Abutments using the ScrewdriverUnigrip and tighten manually.• A radiograph can help to confirm accurate seating of theabutment.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.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 the soft tissue into thejawbone using 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 NobelReplace Straight Groovy RP 4 × 13 mm 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.ALLTo obtain further stability, the Surgical Template is attached to twoimplants.• Choose a template sleeve strategically placed in the middle of eachhalf of the arch to obtain proper distribution of the additionalanchoring points for the first implant.• Use (1) Guided Start Drill/Counterbore NobelReplace RPdirectly in the template sleeve and drill to the stop.26

Site Preparation of First Implant (cont.)• Place the (2) Guided Drill Guide RP to ∅ 2mmin thesame template 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 profuse irrigation.Use the drill guide for guidance.The depth markings on the drills correspond to 7, 10, 13,15 and 18 mm implants and should be measured level withthe drill guide.Note! (10+) indicates that the drills extend an additional10 mm.• Shift to (3) Guided Drill Guide RP to ∅ 3.2 mm and drillto the stop with the (3) Guided Twist Drill 3.2 × (10+)7–18 mm.• Mount a Drill Stop ∅ 3.2 on the drill for a safe and accuratedrilling procedure.Optional: A (4) Guided Screw Tap RP ∅ 4 7–13 mm may beused in situations where the jaw bone is judged dense orlocally dense bone. Tap to the desired depth.ALL• Switch handpiece to reverse mode and back screw tap out.27

procedure: all teeth missingImplant Placement• Insert the mounted implant using the NobelReplace Connection to handpiece until the flange of the ImplantMount touches the top of the sleeve in the SurgicalTemplate .• 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 dots on the Implant Mount indicate the position of theinternal connection tri-channel lobes.• 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.Anchoring the Surgical Templatewith a Template Abutment• The Surgical Template can now be anchored to the patientvia the implant using a Guided Template AbutmentNobelReplace RP. Use a Screwdriver Unigrip to tightenmanually.ALLPreparation and Installation of the Second Implantand Template Abutment• Repeat this procedure to install the second implant andtemplate abutment according to the procedure describedpreviously.• 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 and to the two installed implants, proceedwith the 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 Mounts and Template Abutments.• Use the Guided Soft Tissue Punch RP directly in the templatesleeve to completely remove all soft tissue.ALL• Remove the Anchor Pins and the Surgical Template.29

procedure: all teeth missingProsthetic Procedure – Teeth-in-an-Hour Mounting the Guided Abutments into the Bridge• Before the Guided Abutment NobelReplace 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 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.ALL• 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 temporary NobelGuide prosthetic procedure,a wide range of Nobel Biocare abutments can be used, such as:– Guided Abutment– Procera ® Abutment– Snappy Abutment – Esthetic Abutment– Multi-unit Abutment For the purposes of this indication, we show Snappy Abutment.Abutment Connection• Connect the Snappy Abutments using the ScrewdriverUnigrip and tighten manually.• A radiograph can help to confirm accurate seating ofthe abutment.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 for thefinal restoration after sufficient healing period.ALL31

appendix I – kitsNobelReplace Straight Guided Surgery Kit (art. no. 32794)(includes instruments for RP implants)Article nr Product Quantity32796 NOBELREPLACE Straight Guided Surgery Kit Box 130909 Guide Anchor Pin ∅ 1.5 mm 329167 Manual Torque Wrench Adapter Prosthetic 132866 Guided Implant Mount NobRpl RP 432805 Guided Template Abutment w Screw NobRpl RP 233065 Connection to handpiece NOBELREPLACE 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 133133 NOBELREPLACE Straight Guided Surgery Wall chart 132Note! Additional instruments for NP, WP and 6.0 implants need to be orderedseparately.

appendix I – kitsGuided Drill Stop KitThe Guided Kit for Drill Stops is used to store, autoclaveand mount the Guided Drill Stops. The Guided Drill Stop kitshould only be used with the Guided Twist Drills.The Guided Drill Stop Kit contains Drill Stops for Guided TwistDrills with diameter:∅ 2, ∅ 2.8, ∅ 3, ∅ 3.2, ∅ 3.4, ∅ 3.8 and ∅ 4.2 mm33

appendix II – product reference lineNOBELREPLACE Straight Groovy 13 mm implantMedium bone1 Guided Start Drill/Counterbore NobRpl NP2 Guided Twist Drill 2x(10+)7-18mm2 Guided Drill Guide NP to Ø2mm3 Guided Twist Drill 2.8x(10+)7-18mm3 Guided Drill Guide NP to Ø2.8mm4 Guided Screw Tap NP 10-13mm (Optional)5 Guided Implant Mount NobRpl NP5 NOBELREPLACE Straight Groovy NP 3.5x13mm1 Guided Start Drill/Counterbore NobRpl RP2 Guided Twist Drill 2x(10+)7-18mm2 Guided Drill Guide RP to Ø2mm3 Guided Twist Drill 3.2x(10+)7-18mm3 Guided Drill Guide RP to Ø3.2mm4 Guided Screw Tap RP Ø4 7-13mm (Optional)5 Guided Implant Mount NobRpl RP5 NOBELREPLACE Straight Groovy RP 4x13mm1 Guided Start Drill/Counterbore NobRpl WP2 Guided Twist Drill 2x(10+)7-18mm2 Guided Drill Guide 6.0/WP to Ø2mm3 Guided Twist Drill 3x(10+)7-18mm3 Guided Drill Guide 6.0/WP to Ø3mm4 Guided Twist Drill 3.8x(10+)7-18mm4 Guided Drill Guide 6.0/WP to Ø3.8mm5 Guided Screw Tap WP Ø5 7-13mm (Optional)6 Guided Implant Mount NobRpl WP6 NOBELREPLACE Straight Groovy WP 5x13mmDrill Sequence (according to bone quality)2.0 2.0 + 2.8 2.0 + 2.82.0 + (2.8) 2.0 + 3.2 2.0 + 2.8 + 3.42.0 + 3.0 2.0 + 3.0 + 3.8 2.0 + 3.0 + 3.8 + 4.2All data is shown in mm. Drill within brackets ( ) denotes widening of marginal cortex only.34

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 PlugUsed to avoid soft tissue collapse, for example, during adjustmentsof 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 oraluse in accordance with established procedures in thehospital, 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 manufacturer’sinstructions).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, cleaned and disinfected modified abutmentsand restorations from the dental laboratory according tocommonly accepted procedures for dental laboratory work.Manual Torque Wrench• Clean the parts thoroughly. Allow them to drycompletely. Sterilize in a steam autoclave at 135°C forminimum hold time of 5 minutes or as recommendedin the manufacturer’s instructions.5 min135˚C/276˚F36

product catalog32794 NOBELREPLACE Straight Guided Surgery KitConnection to handpiece NOBELREPLACE Includes instruments for RP implants32796 NOBELREPLACE Straight Guided Surgery Kit Box30909 Guide Anchor pin ∅1.5mm29167 Manual Torque Wrench Adapter Prosthetic32866 Guided Implant Mount NobRpl RP32805 Guided Template Abutment w Screw NobRpl RP3306529149 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 ∅2mm32818 Guided Drill Guide RP to ∅2.8mm32820 Guided Drill Guide RP to ∅3mm32822 Guided Drill Guide RP to ∅3.2mm32823 Guided Drill Guide RP to ∅3.4mm29543 Implant sleeve holder33133 NOBELREPLACE Straight Guided Surgery Wall chartImplantsNote! Additional Instruments for NP and WP implants need to be ordered separately.32160 NOBELREPLACE Straight Groovy NP 3.5 × 10 mm32161 NOBELREPLACE Straight Groovy NP 3.5 × 11.5 mm32162 NOBELREPLACE Straight Groovy NP 3.5 × 13 mm32163 NOBELREPLACE Straight Groovy NP 3.5 × 15 mm32181 NOBELREPLACE Straight Groovy RP 4 × 10 mm32182 NOBELREPLACE Straight Groovy RP 4 × 11.5 mm32183 NOBELREPLACE Straight Groovy RP 4 × 13 mm32184 NOBELREPLACE Straight Groovy RP 4 × 15 mm32185 NOBELREPLACE Straight Groovy RP 4 × 18 mm32186 NOBELREPLACE Straight Groovy WP 5 × 10 mm32187 NOBELREPLACE Straight Groovy WP 5 × 11.5 mm32188 NOBELREPLACE Straight Groovy WP 5 × 13 mm32189 NOBELREPLACE Straight Groovy WP 5 × 15 mm32190 NOBELREPLACE Straight Groovy WP 5 × 18 mmComponents for anchoring the SurgicalTemplate in the mouth32803 Guided Template Abutment w Screw NobRpl NP32805 Guided Template Abutment w Screw NobRpl RP32808 Guided Template Abutment w Screw NobRpl WP30909 Guided Anchor Pin ∅1.5 mmInstruments and Drills for NobelGuide 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 mm37

product catalog32819 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 mm33066 Guided Twist Drill ∅1.5 mm × 20 mm32737 Guided Start Drill/Counterbore NobRpl NP32739 Guided Start Drill/Counterbore NobRpl RP32741 Guided Start Drill/Counterbore NobRpl WP32746 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 mm33107 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 mmDrill Stop33085 Guided Drill Stop KitIncluded in kit: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 mm33114 Guided Screw Tap RP ∅4 7–13 mm32859 Guided Screw Tap WP ∅5 7–13 mm38

product catalogImplant Mount32864 Guided Implant Mount NobRpl NP32866 Guided Implant Mount NobRpl RP32869 Guided Implant Mount NobRpl WPAbutment32906 Guided Abutment NobRpl RP32904 Guided Abutment NobRpl NP32908 Guided Abutment NobRpl WPSoft Tissue Plug33031 Guided Soft Tissue Plug NobRpl NP33033 Guided Soft Tissue Plug NobRpl RP33035 Guided Soft Tissue Plug NobRpl WPPunches32Z2006 Guided Soft Tissue Punch NP 5/pkg32Z2007 Guided Soft Tissue Punch RP 5/pkg32Z2008 Guided Soft Tissue Punch 6.0/WP 5/pkg39

eference guideIndex in alphabetical orderDescription Article # PageCConnection to handpiece NOBELREPLACE ® . . . . . . . . . .33065 . .12, 16, 21, 28, 32, 37CounterboresGuided Start Drill/Counterbore NobRpl NP . . . . . . . .32737 . . . . . . . . . . . . . . . . .34Guided Start Drill/Counterbore NobRpl RP . . . . . . . .32739 . . . . . . . .15, 19, 26, 34Guided Start Drill/Counterbore NobRpl WP . . . . . . . .32741 . . . . . . . . . . . . . . . . .34DDrill GuideGuided Drill Guide NP to Ø2mm . . . . . . . . . . . . . . .32814 . . . . . . . . . . . . . .34, 38Guided Drill Guide RP to Ø2mm . . . . . . . . . . . . . . . .32815 . .15, 20, 27, 32, 34, 38Guided Drill Guide 6.0/WP to Ø2mm . . . . . . . . . . . .32816 . . . . . . . . . . . . . .34, 38Guided Drill Guide NP to Ø2.8mm . . . . . . . . . . . . . .32817 . . . . . . . . . . . . . .34, 38Guided Drill Guide RP to Ø2.8mm . . . . . . . . . . . . . .32818 . . . . . . . . . . .32, 34, 38Guided Drill Guide NP to Ø3mm . . . . . . . . . . . . . . .32819 . . . . . . . . . . . . . .34, 38Guided Drill Guide RP to Ø3mm . . . . . . . . . . . . . . . .32820 . . . . . . . . . . .32, 34, 38Guided Drill Guide 6.0/WP to Ø3mm . . . . . . . . . . . .32821 . . . . . . . . . . . . . .34, 38Guided Drill Guide RP to Ø3.2mm . . . . . . . . . . . . . .32822 . .15, 20, 27, 32, 34, 38Guided Drill Guide RP to Ø3.4mm . . . . . . . . . . . . . .32823 . . . . . . . . . . .32, 34, 38Guided Drill Guide 6.0/WP to Ø3.8mm . . . . . . . . . . .32824 . . . . . . . . . . . . . .34, 38Guided Drill Guide 6.0/WP to Ø4.2mm . . . . . . . . . . .32825 . . . . . . . . . . . . . .34, 38Guided Drill Guide 6.0/WP Ø6 to Ø5mm . . . . . . . . .32826 . . . . . . . . . . . . . .34, 38Handle for Guided Drill Guide . . . . . . . . . . . . . . . . . .32813 . . . . . . . .32, 34, 35, 38Drill StopDrill Stop Ø2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .33063 . .12, 15, 20, 27, 33, 38Drill Stop Ø2.8 . . . . . . . . . . . . . . . . . . . . . . . . . . . . .33064 . . . . . . . . . . .12, 33, 38Drill Stop Ø3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .33075 . . . . . . . . . . .12, 33, 38Drill Stop Ø3.2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . .33077 . .12, 15, 20, 27, 33, 38Drill Stop Ø3.4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . .33078 . . . . . . . . . . .12, 33, 38Drill Stop Ø3.8 . . . . . . . . . . . . . . . . . . . . . . . . . . . . .33080 . . . . . . . . . . .12, 33, 38Drill Stop Ø4.2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . .33081 . . . . . . . . . . .12, 33, 38DrillsGuided Twist Drill 2.8x(10+)7-13mm . . . . . . . . . . . .33108 . . . . . . . . . . . . . .35, 38Guided Twist Drill 2.8x(10+)7-18mm . . . . . . . . . . . .32747 . . . . . . . . . . . . . .34, 38Guided Twist Drill 2x(10+)7-13mm . . . . . . . . . . . . .33107 . . . . . . . . . . . . . .35, 38Guided Twist Drill 2x(10+)7-18mm . . . . . . . . . . . . .32746 . . . . .15, 20, 27, 34, 38Guided Twist Drill 3.2x(10+)7-13mm . . . . . . . . . . . .33115 . . . . . . . . . . . . . .35, 38Guided Twist Drill 3.2x(10+)7-18mm . . . . . . . . . . . .32749 . . . . .15, 20, 27, 34, 38Guided Twist Drill 3.4x(10+)7-13mm . . . . . . . . . . . .33117 . . . . . . . . . . . . . .35, 38Guided Twist Drill 3.4x(10+)7-18mm . . . . . . . . . . . .32750 . . . . . . . . . . . . . .34, 38Guided Twist Drill 3.8x(10+)7-13mm . . . . . . . . . . . .33118 . . . . . . . . . . . . . .35, 38Guided Twist Drill 3.8x(10+)7-18mm . . . . . . . . . . . .32751 . . . . . . . . . . . . . .34, 38Guided Twist Drill 3x(10+)7-13mm . . . . . . . . . . . . . .33109 . . . . . . . . . . . . . .35, 38Guided Twist Drill 3x(10+)7-18mm . . . . . . . . . . . . . .32748 . . . . . . . . . . . . . .34, 38Guided Twist Drill 4.2x(10+)7-13mm . . . . . . . . . . . .33119 . . . . . . . . . . . . . .35, 38Guided Twist Drill 4.2x(10+)7-18mm . . . . . . . . . . . .32752 . . . . . . . . . . . . . .34, 38Guided Twist Drill Ø1.5mmx20mm . . . . . . . . . . . . . .33066 . . . . . . . . . . .18, 25, 38ImplantsNOBELREPLACE ® Straight Groovy NP 3.5x10mm . . . . . .32160 . . . . . . . . . . . . . . .9, 37NOBELREPLACE ® Straight Groovy NP 3.5x11.5mm . . . .32161 . . . . . . . . . . . . . . .9, 37NOBELREPLACE ® Straight Groovy NP 3.5x13mm . . . . . .32162 . . . . . . . . . . . .9, 34, 37NOBELREPLACE ® Straight Groovy NP 3.5x15mm . . . . . .32163 . . . . . . . . . . . . . . .9, 37NOBELREPLACE ® Straight Groovy RP 4x10mm . . . . . . . .32181 . . . . . . . . . . . . . . .9, 37NOBELREPLACE ® Straight Groovy RP 4x11.5mm . . . . . .32182 . . . . . . . . . . . . . . .9, 37NOBELREPLACE ® Straight Groovy RP 4x13mm . . . . . . . .32183 . . . . . . . . . . . .9, 34, 37NOBELREPLACE ® Straight Groovy RP 4x15mm . . . . . . . .32184 . . . . . . . . . . . . . . .9, 37NOBELREPLACE ® Straight Groovy RP 4x18mm . . . . . . . .32185 . . . . . . . . . . . . . . .9, 37NOBELREPLACE ® Straight Groovy WP 5x10mm . . . . . . .32186 . . . . . . . . . . . . . . .9, 37NOBELREPLACE ® Straight Groovy WP 5x11.5mm . . . . . .32187 . . . . . . . . . . . . . . .9, 37NOBELREPLACE ® Straight Groovy WP 5x13mm . . . . . . .32188 . . . . . . . . . . . .9, 34, 37NOBELREPLACE ® Straight Groovy WP 5x15mm . . . . . . .32189 . . . . . . . . . . . . . . .9, 37NOBELREPLACE ® Straight Groovy WP 5x18mm . . . . . . .32190 . . . . . . . . . . . . . . .9, 37KKitsNOBELREPLACE ® Straight Guided Surgery Kit . . . . . . . .32794 . . . . . . . . . . .10, 32, 37NOBELREPLACE ® Straight Guided Surgery Kit Box . . . . .32796 . . . . . . . . . . .10, 32, 37Guided Drill Guide Kit Box . . . . . . . . . . . . . . . . . . . .32797 . . . . . . . . . . .10, 32, 37Guided Drill Stop Kit . . . . . . . . . . . . . . . . . . . . . . . . .33085 . . . . . . . . . . . . . .33, 38Guided Drill Stop Kit Box . . . . . . . . . . . . . . . . . . . . . .33086 . . . . . . . . . . . . . .33, 38MManual Torque WrenchManual Torque Wrench Adapter Prosthetic . . . . . . . .29167 . . . . . . . . . . . . . .32, 37NSNOBELREPLACE ® Straight Guided Surgery Wall chart . . .33133 . . . . . . . . . . . . . .32, 37ScrewdriverScrewdriver Machine UniGrip 20 mm . . . . . . . . . . . .29151 . . . . .17, 24, 31, 32, 37Screwdriver Manual UniGrip 28 mm . . . . . . . . . . . . .29149 . . . . . . . .17, 31, 32, 37Screw TapsGuided Screw Tap NP 10-13mm . . . . . . . . . . . . . . . .32855 . . . . . . . . . . . . . .34, 38Guided Screw Tap RP Ø4 7-13mm . . . . . . . . . . . . . .33114 . . . . .15, 20, 27, 34, 38Guided Screw Tap WP Ø5 7-13mm . . . . . . . . . . . . . .32859 . . . . . . . . . . . . . .34, 38Soft Tissue PunchGuided Soft Tissue Punch 6.0/WP 5/pkg . . . . . . . .32Z2008 . . . . . . . . . . . . . . . . .39Guided Soft Tissue Punch NP 5/pkg . . . . . . . . . . .32Z2006 . . . . . . . . . . . . . . . . .39Guided Soft Tissue Punch RP 5/pkg . . . . . . . . . . . .32Z2007 . . . . . . . .16, 22, 29, 39GGuided Abutment NobRpl NP . . . . . . . . . . . . . . . . . .32904 . . . . . . . . . . . . . . . . .39Guided Abutment NobRpl RP . . . . . . . . . . . . . . . . . .32906 . . . . . . . . . . .23, 30, 39Guided Abutment NobRpl WP . . . . . . . . . . . . . . . . . .32908 . . . . . . . . . . . . . . . . .39Guided Anchor Pin Ø1.5mm . . . . . . . . . . . . . . . . . . .30909 . . . . . . . .18, 25, 32, 37Guided Implant Mount NobRpl NP . . . . . . . . . . . . . .32864 . . . . . . . . . . .12, 34, 39Guided Implant Mount NobRpl RP . . . . . . . . . . . . . .32866 . . . . . . . .12, 32, 34, 39Guided Implant Mount NobRpl WP . . . . . . . . . . . . . .32869 . . . . . . . . . . .12, 34, 39Guided Soft Tissue Plug NobRpl NP . . . . . . . . . . . . . .33031 . . . . . . . . . . . . . .35, 39Guided Soft Tissue Plug NobRpl RP . . . . . . . . . . . . . .33033 . . . . . . . . . . . . . .35, 39Guided Soft Tissue Plug NobRpl WP . . . . . . . . . . . . .33035 . . . . . . . . . . . . . .35, 39Guided Template Abutment w Screw NobRpl NP . . .32803 . . . . . . . . . . . . . . . . .37Guided Template Abutment w Screw NobRpl RP . . . .32805 . . . . . . . .22, 28, 32, 37Guided Template Abutment w Screw NobRpl WP . . .32808 . . . . . . . . . . . . . . . . .37IImplant sleeve holder . . . . . . . . . . . . . . . . . . . . . .29543 . . . . . . . . . . . . . .32, 3740

eference guideIndex in articlenumber orderArticle # Description Page29149 . . . .Screwdriver Manual UniGrip 28 mm . . . . . . . . . . . . . . . . .17, 31, 32, 3729151 . . . .Screwdriver Machine UniGrip 20 mm . . . . . . . . . . . . .17, 24, 31, 32, 3729167 . . . .Manual Torque Wrench Adapter Prosthetic . . . . . . . . . . . . . . . . . .32, 3729543 . . . .Implant sleeve holder . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .32, 3730909 . . . .Guided Anchor Pin Ø1.5mm . . . . . . . . . . . . . . . . . . . . . . .18, 25, 32, 3732160 . . . .NOBELREPLACE ® Straight Groovy NP 3.5x10mm . . . . . . . . . . . . . . . . . .9, 3732161 . . . .NOBELREPLACE ® Straight Groovy NP 3.5x11.5mm . . . . . . . . . . . . . . . .9, 3732162 . . . .NOBELREPLACE ® Straight Groovy NP 3.5x13mm . . . . . . . . . . . . . . .9, 34, 3732163 . . . .NOBELREPLACE ® Straight Groovy NP 3.5x15mm . . . . . . . . . . . . . . . . . .9, 3732181 . . . .NOBELREPLACE ® Straight Groovy RP 4x10mm . . . . . . . . . . . . . . . . . . . .9, 3732182 . . . .NOBELREPLACE ® Straight Groovy RP 4x11.5mm . . . . . . . . . . . . . . . . . .9, 3732183 . . . .NOBELREPLACE ® Straight Groovy RP 4x13mm . . . . . . . . . . . . . . . . .9, 34, 3732184 . . . .NOBELREPLACE ® Straight Groovy RP 4x15mm . . . . . . . . . . . . . . . . . . . .9, 3732185 . . . .NOBELREPLACE ® Straight Groovy RP 4x18mm . . . . . . . . . . . . . . . . . . . .9, 3732186 . . . .NOBELREPLACE ® Straight Groovy WP 5x10mm . . . . . . . . . . . . . . . . . . .9, 3732187 . . . .NOBELREPLACE ® Straight Groovy WP 5x11.5mm . . . . . . . . . . . . . . . . . .9, 3732188 . . . .NOBELREPLACE ® Straight Groovy WP 5x13mm . . . . . . . . . . . . . . . .9, 34, 3732189 . . . .NOBELREPLACE ® Straight Groovy WP 5x15mm . . . . . . . . . . . . . . . . . . .9, 3732190 . . . .NOBELREPLACE ® Straight Groovy WP 5x18mm . . . . . . . . . . . . . . . . . . .9, 3732737 . . . .Guided Start Drill/Counterbore NobRpl NP . . . . . . . . . . . . . . . . . . . . . .3432739 . . . .Guided Start Drill/Counterbore NobRpl RP . . . . . . . . . . . . .15, 19, 26, 3432741 . . . .Guided Start Drill/Counterbore NobRpl WP . . . . . . . . . . . . . . . . . . . . . .3432746 . . . .Guided Twist Drill 2x(10+)7-18mm . . . . . . . . . . . . . .15, 20, 27, 34, 3832747 . . . .Guided Twist Drill 2.8x(10+)7-18mm . . . . . . . . . . . . . . . . . . . . . .34, 3832748 . . . .Guided Twist Drill 3x(10+)7-18mm . . . . . . . . . . . . . . . . . . . . . . . .34, 3832749 . . . .Guided Twist Drill 3.2x(10+)7-18mm . . . . . . . . . . . . .15, 20, 27, 34, 3832750 . . . .Guided Twist Drill 3.4x(10+)7-18mm . . . . . . . . . . . . . . . . . . . . . .34, 3832751 . . . .Guided Twist Drill 3.8x(10+)7-18mm . . . . . . . . . . . . . . . . . . . . . .34, 3832752 . . . .Guided Twist Drill 4.2x(10+)7-18mm . . . . . . . . . . . . . . . . . . . . . .34, 3832794 . . . .NOBELREPLACE ® Straight Guided Surgery Kit . . . . . . . . . . . . . . .10, 32, 3732796 . . . .NOBELREPLACE ® Straight Guided Surgery Kit Box . . . . . . . . . . . . .10, 32, 3732797 . . . .Guided Drill Guide Kit Box . . . . . . . . . . . . . . . . . . . . . . . . . . .10, 32, 3732803 . . . .Guided Template Abutment w Screw NobRpl NP . . . . . . . . . . . . . . . . .3732805 . . . .Guided Template Abutment w Screw NobRpl RP . . . . . . . .22, 28, 32, 3732808 . . . .Guided Template Abutment w Screw NobRpl WP . . . . . . . . . . . . . . . . .3732813 . . . .Handle for Guided Drill Guide . . . . . . . . . . . . . . . . . . . . . .32, 34, 35, 3832814 . . . .Guided Drill Guide NP to Ø2mm . . . . . . . . . . . . . . . . . . . . . . . . . .34, 3832815 . . . .Guided Drill Guide RP to Ø2mm . . . . . . . . . . . . . .15, 20, 27, 32, 34, 3832816 . . . .Guided Drill Guide 6.0/WP to Ø2mm . . . . . . . . . . . . . . . . . . . . . .34, 3832817 . . . .Guided Drill Guide NP to Ø2.8mm . . . . . . . . . . . . . . . . . . . . . . . . .34, 3832818 . . . .Guided Drill Guide RP to Ø2.8mm . . . . . . . . . . . . . . . . . . . . . .32, 34, 3832819 . . . .Guided Drill Guide NP to Ø3mm . . . . . . . . . . . . . . . . . . . . . . . . . .34, 3832820 . . . .Guided Drill Guide RP to Ø3mm . . . . . . . . . . . . . . . . . . . . . . . .32, 34, 3832821 . . . .Guided Drill Guide 6.0/WP to Ø3mm . . . . . . . . . . . . . . . . . . . . . .34, 3832822 . . . .Guided Drill Guide RP to Ø3.2mm . . . . . . . . . . . . .15, 20, 27, 32, 34, 3832823 . . . .Guided Drill Guide RP to Ø3.4mm . . . . . . . . . . . . . . . . . . . . . .32, 34, 3832824 . . . .Guided Drill Guide 6.0/WP to Ø3.8mm . . . . . . . . . . . . . . . . . . . . .34, 3832825 . . . .Guided Drill Guide 6.0/WP to Ø4.2mm . . . . . . . . . . . . . . . . . . . . .34, 3832826 . . . .Guided Drill Guide 6.0/WP Ø6 to Ø5mm . . . . . . . . . . . . . . . . . . .34, 3832855 . . . .Guided Screw Tap NP 10-13mm . . . . . . . . . . . . . . . . . . . . . . . . . . .34, 3832859 . . . .Guided Screw Tap WP Ø5 7-13mm . . . . . . . . . . . . . . . . . . . . . . . . .34, 3832864 . . . .Guided Implant Mount NobRpl NP . . . . . . . . . . . . . . . . . . . . . .12, 34, 3932866 . . . .Guided Implant Mount NobRpl RP . . . . . . . . . . . . . . . . . . .12, 32, 34, 3932869 . . . .Guided Implant Mount NobRpl WP . . . . . . . . . . . . . . . . . . . . .12, 34, 3932904 . . . .Guided Abutment NobRpl NP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3932906 . . . .Guided Abutment NobRpl RP . . . . . . . . . . . . . . . . . . . . . . . . . .23, 30, 3932908 . . . .Guided Abutment NobRpl WP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3933031 . . . .Guided Soft Tissue Plug NobRpl NP . . . . . . . . . . . . . . . . . . . . . . . .35, 3933033 . . . .Guided Soft Tissue Plug NobRpl RP . . . . . . . . . . . . . . . . . . . . . . . . .35, 3933035 . . . .Guided Soft Tissue Plug NobRpl WP . . . . . . . . . . . . . . . . . . . . . . . .35, 3933063 . . . .Drill Stop Ø2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12, 15, 20, 27, 33, 3833064 . . . .Drill Stop Ø2.8 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12, 33, 3833065 . . . .Connection to handpiece NOBELREPLACE ® . . . . . . . .12, 16, 21, 28, 32, 3733066 . . . .Guided Twist Drill Ø1.5mmx20mm . . . . . . . . . . . . . . . . . . . . .18, 25, 3833075 . . . .Drill Stop Ø3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12, 33, 3833077 . . . .Drill Stop Ø3.2 . . . . . . . . . . . . . . . . . . . . . . . . . . .12, 15, 20, 27, 33, 3833078 . . . .Drill Stop Ø3.4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12, 33, 3833080 . . . .Drill Stop Ø3.8 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12, 33, 3833081 . . . .Drill Stop Ø4.2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12, 33, 3833085 . . . .Guided Drill Stop Kit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .33, 3833086 . . . .Guided Drill Stop Kit Box . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .33, 3833107 . . . .Guided Twist Drill 2x(10+)7-13mm . . . . . . . . . . . . . . . . . . . . . . .35, 3833108 . . . .Guided Twist Drill 2.8x(10+)7-13mm . . . . . . . . . . . . . . . . . . . . . .35, 3833109 . . . .Guided Twist Drill 3x(10+)7-13mm . . . . . . . . . . . . . . . . . . . . . . . .35, 3833114 . . . .Guided Screw Tap RP Ø4 7-13mm . . . . . . . . . . . . . . . .15, 20, 27, 34, 3833115 . . . .Guided Twist Drill 3.2x(10+)7-13mm . . . . . . . . . . . . . . . . . . . . . .35, 3833117 . . . .Guided Twist Drill 3.4x(10+)7-13mm . . . . . . . . . . . . . . . . . . . . . .35, 3833118 . . . .Guided Twist Drill 3.8x(10+)7-13mm . . . . . . . . . . . . . . . . . . . . . .35, 3833119 . . . .Guided Twist Drill 4.2x(10+)7-13mm . . . . . . . . . . . . . . . . . . . . . .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 . . . . . . . . . . . . . . . . . . . . . . . .3933133 . . . .NOBELREPLACE ® Straight Guided Surgery Wall chart . . . . . . . . . . . . .32, 3741

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.comNobel Biocare cares about theenvironment and all productionunits are certified according toEnvironmental ManagementSystem ISO 14001Quality• Zero non-conformities in 2004 FDA inspectionof Nobel Biocare production units in Göteborg,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 organizations with local NobelBiocare staff in 29 countries• Leading business website in 8 languages, withcomplete online service supplying all productsand at least 500 courses available at all times15699 Lot “GB” Printed in Sweden. © Nobel Biocare Services AG, 2005.Nobel Biocare, the Nobel Biocare 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 Nobel Biocare group.