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NobelParallel
™
Conical Connection
Procedures manual
Note: In order to improve readability, Nobel Biocare does not use ™ or ® in the running text. By doing so, however,
Nobel Biocare does not waive any right to the trademark or registered mark and nothing herein shall be construed to the contrary.
Disclaimer: Some products may not be regulatory cleared/released for sale in all markets. Please contact the local Nobel Biocare sales office for current product assortment and availability.
NobelParallel™ Conical Connection Manual
3
Contents
Color-coding for accurate component identification
Finalization of implant surgery and temporary restorations
4
NobelParallel™ Conical Connection Manual // Introduction
Quick guide
Flap technique
Twist Drill with Tip
∅ 2 mm
Twist Step Drill
∅ 2.4/2.8 mm
Twist Step Drill
∅ 3.2/3.6 mm
Cortical Drill
∅ 4.3 mm
Flapless technique
Twist Drill with Tip
∅ 2 mm
Note: The illustrations show the drill sequence for NobelParallel
Conical Connection RP 4.3 in medium bone. For other implant diameters and bone densities, see drill protocols on page 13.
Two-stage delayed function
Screw Tap
∅ 4.3 mm
optional Implant placement
One-stage
Immediate Function
One-stage delayed function
NobelParallel™ Conical Connection // Introduction
5
6
NobelParallel™ Conical Connection Manual // Introduction
Color-coding for accurate component identification
The color of the implant vial cap refers to the diameter of the implant.
The color of the sticker on the implant vial cap refers to the implant platform size.
All prosthetic components are color coded accordingly.
Implant platform
Implant diameter
Color coding
NP
3.75
RP
4.3
RP
5.0
WP
5.5
Technical specifications
NobelParallel™ Conical Connection // Introduction
7
∅ 3.5
∅ 5.1
Platform concept
– To facilitate treatment planning, clinical procedures, and component identification, NobelParallel Conical Connection implants are organized according to a “platform concept”.
The platform marking corresponds to the implant-abutment interface.
– For accurate component identification prosthetic components are color-coded as follows: magenta for Narrow
Platform (NP), yellow for Regular Platform (RP), and blue for Wide Platform (WP).
Platform Platform diameter
Implant diameter
Abutment interface
Lengths
∅ 3.5 ∅ 3.75 ∅ 3.0
7 8.5 10
Narrow Platform: Limited interdental space. Not enough alveolar bone for an RP implant.
Caution: Narrow Platform implants are not recommended for use in the posterior region.
11.5
∅ 3.9
∅ 4.3
∅ 5.0
∅ 3.4
∅ 3.4
7
7
8.5
8.5
10
10
11.5
11.5
13
13
13
15 18
15
15
18
18
∅ 5.1
All measurements are in mm.
∅ 5.5 ∅ 4.4
7 8.5 10 11.5 13 15 –
8
NobelParallel™ Conical Connection Manual // Introduction
Implant specifications
C
E
A B
D
G
F
J
I
E
H
NobelParallel™ Conical Connection // Introduction
9
Platform
NP
3.75
3.75×7 mm
3.75×8.5 mm
3.75×10 mm
3.75×11.5 mm
3.75×13 mm
3.75×15 mm
3.75×18 mm
A B C D
Bevel height Rim height Bevel angle Thread pitch
(double thread)
0.1
0.1
0.5
0.5
45°
45°
1.2
1.2
0.1
0.1
0.1
0.1
0.1
0.5
0.5
0.5
0.5
0.5
45°
45°
45°
45°
45°
1.2
1.2
1.2
1.2
1.2
E
Major diameter
1
3.75
3.75
3.75
3.75
3.75
3.75
3.75
RP
4.3
RP
5.0
4.3×7 mm
4.3×8.5 mm
4.3×10 mm
4.3×11.5 mm
4.3×13 mm
4.3×15 mm
4.3×18 mm
5.0×7 mm
5.0×8.5 mm
5.0×10 mm
5.0×11.5 mm
5.0×13 mm
5.0×15 mm
5.0×18 mm
0.2
0.2
0.2
0.2
0.2
0.2
0.2
0.2
0.2
0.2
0.2
0.2
0.2
0.2
0.5
0.5
0.5
0.5
0.5
0.5
0.5
0.6
0.6
0.6
0.6
0.6
0.6
0.6
45°
45°
45°
45°
45°
45°
45°
25°
25°
25°
25°
25°
25°
25°
1.6
1.6
1.6
1.6
1.6
1.6
1.6
1.2
1.2
1.2
1.2
1.2
1.2
1.2
WP
5.5
5.5×7mm
5.5×8.5 mm
5.5×10 mm
5.5×11.5 mm
5.5×13 mm
5.5×15 mm
0.2
0.2
0.2
0.2
0.2
0.2
0.6
0.6
0.6
0.6
0.6
0.6
45°
45°
45°
45°
45°
45°
1.6
1.6
1.6
1.6
1.6
1.6
All measurements in mm. Sectional measurements do not necessarily add up to total length.
5.0
5.0
5.0
5.0
5.0
5.0
5.0
4.3
4.3
4.3
4.3
4.3
4.3
4.3
5.5
5.5
5.5
5.5
5.5
5.5
4.7
4.7
4.7
4.7
4.7
4.7
4.7
4.1
4.1
4.1
4.1
4.1
4.1
4.1
5.3
5.3
5.3
5.3
5.3
5.3
F
Major diameter
2
3.5
3.5
3.5
3.5
3.5
3.5
3.5
11.0
12.5
14.5
17.5
6.5
8.0
9.5
6.5
8.0
9.5
11.0
12.5
14.5
17.5
6.5
8.0
9.5
11.0
12.5
14.5
G
Overall length
6.5
8.0
9.5
11.0
12.5
14.5
17.5
2.7
2.7
2.7
2.7
2.7
2.7
2.7
2.4
2.4
2.4
2.4
2.4
2.4
2.4
3.0
3.0
3.0
3.0
3.0
3.0
H
Tip diameter
2.0
2.0
2.0
2.0
2.0
2.0
2.0
3.4
3.4
3.4
3.4
3.4
3.4
3.4
3.4
3.4
3.4
3.4
3.4
3.4
3.4
4.4
4.4
4.4
4.4
4.4
4.4
I
Abutment interface
3.0
3.0
3.0
3.0
3.0
3.0
3.0
J
Bridge interface
3.5
3.5
3.5
3.5
3.5
3.5
3.5
3.9
3.9
3.9
3.9
3.9
3.9
3.9
3.9
3.9
3.9
3.9
3.9
3.9
3.9
5.1
5.1
5.1
5.1
5.1
5.1
10
NobelParallel™ Conical Connection Manual // Surgical procedure
Important considerations for implant placement
NobelParallel Conical Connection is an endosseus threaded dental implant made from biocompatible commercially pure grade 4 titanium with TiUnite surface.
Indications
NobelParallel Conical Connection implant restorations range from single tooth to fixed-removable full dental arch overdenture applications to restore chewing function. This can be achieved by a one-stage or two-stage surgical technique in combination with immediate, early or delayed loading protocols, recognizing sufficient primary stability and appropriate occlusal loading for the selected technique. Implants allow also for bi-cortical anchorage in cases of reduced bone density to obtain high primary stability.
Contraindications
It is contraindicated placing NobelParallel CC implants in patients:
− who are medically unfit for an oral surgical procedure.
− with inadequate bone volume unless an augmentation procedure can be considered.
− in whom adequate sizes, numbers or desirable positions of implants are not reachable to achive safe support of functional or eventually parafunctional loads.
− allergic or hypersensitive to commercially pure titanium grade 4 or titanium alloy Ti-6Al-4V (titanium, aluminum, vanadium).
Warnings
Failure to recognize actual lengths of drills relative to radiographic measurements can result in permanent injury to nerves or other vital structures. Drilling beyond the depth intended from lower jaw surgery may potentially result in permanent numbness to the lower lip and chin or lead to a hemorrhage in the floor of the mouth.
Besides the mandatory precautions for any surgery such as asepsis, during drilling in the jaw bone, one must avoid damage the nerves and vessels by referring to anatomical knowledge and preoperative radiographs.
Narrow platform: Limited inter-dental space. Not enough alveolar bone for an RP implant.
Regular platform: From single anterior tooth loss to fullarch restorations.
Wide platform: In molar areas a wider platform might be appropriate to maintain proper emergence profile to support the soft tissue.
Caution
Particular caution should be used when placing narrow platform implants in the posterior region due to risk of prosthetic overload.
Minimal distances
Approximate minimal distances between implants (in mm) for restorative simplicity taking the average size of the final restoration (incisors, canines, premolars and molars) into account.
6.0
3.5
7 7.5
8 4.5
NP 3.75
NP 3.75 RP 4.3
RP 5.0
WP 5.5
Surgical access
NobelParallel™ Conical Connection Manual // Surgical procedure
11
Standard flap procedure
Used when it is necessary:
– to observe the underlying alveolar bone and adjacent anatomical structures.
– to place bone and/or connective tissue grafts.
Flapless procedure
May be used when:
– there is sufficient quantity and quality of alveolar bone and soft tissue.
– it is not necessary to raise a flap to safely direct the drilling procedure in relation to the anatomy.
Caution:
– When using a flapless approach add soft tissue height to drill depth.
– Confirm available bone and significant anatomical landmarks, such as blood vessels, nerves, and concavities. Use conventional diagnostic tools, such as radiographic imaging, probing and palpation and 3D imaging if indicated.
12
NobelParallel™ Conical Connection Manual // Surgical procedure
Drill sequence
15 mm
13 mm
10 mm
7 mm
1 mm
0 mm
Caution: Twist Drills and Twist Step Drills extend up to 1 mm longer than the implant when seated. Allow for this additional length when drilling near vital anatomical structures.
Drills are made of stainless steel with a diamond like carbon
(DLC) coating, which gives them their black color. They are used with external irrigation and are available in three lengths: 7–10, 7–15 and 10–18 mm.
– In dense bone situations, drill with continuous back and forth motion.
– Move the drill up without stopping the handpiece motor.
This allows the irrigation to flush away debris.
– Proceed until the desired depth reference line is reached.
– Screw taps are available for dense bone situations to avoid excessive torque during implant insertion (max. 45 Ncm).
Notes:
– In situations where adjacent natural teeth interfere with the contra-angle head and prevent the drill from reaching the desired depth, a drill extension shaft may be used.
– Stop drilling if there is no irrigation.
– When using a drill extension shaft, it is important to supplement cooling at the tip of the drill with manual irrigation.
– Drills and Screw Taps are delivered sterile and are for single use only. Do not resterilize.
Depth measurement system
All drills and components are marked to prepare the site to the correct depth and obtain a secure and predictable position.
The marks on the Twist Drills and Twist Step Drills indicate actual millimeter lengths and correspond to the top of the implant collar.
Final vertical positioning depends on several clinical parameters such as:
– Esthetics
– Tissue thickness
– Available vertical height
– Flapless procedure: Measure soft tissue thickness with a probe. Add tissue thickness to drilling depth for correct site preparation.
NobelParallel™ Conical Connection Manual // Surgical procedure
13
Drill protocols according to bone quality
During drilling procedures bone quality should be considered.
Recommended drill sequences are based on bone quality to ensure optimal primary stability when applying Immediate
Function. Drills are used to the full drilling depth.
Drill data are stated in mm.
Optional Drills
The drill protocol has been developed to achieve an implant
insertion torque between 35 and 45 Ncm for all bone densities.
This is to ensure sufficient primary stability to enable
Immediate Function where appropriate.
If bone density is inconsistent (varying between medium and soft or medium and dense bone), optional drills can be added to the drill protocol to ensure the torque level does not
exceed 45 Ncm. These optional Twist Step Drills and Screw
Taps are denoted below in parentheses.
Caution: Never exceed an insertion torque of 45 Ncm for the implants. Overtightening may damage or fracture the implant and could cause necrosis of the bone site.
Platform
NP
RP
RP
WP
Implant ∅
3.75
4.3
5.0
5.5
Soft bone
Type IV
2.0
[2.4/2.8]
2.0
2.4/2.8
[3.2/3.6]
2.0
2.4/2.8
3.2/3.6
[3.8/4.2]
2.0
2.4/2.8
3.2/3.6
4.2/4.6
[4.2/5.0]
Medium bone
Type II–III
2.0
2.4/2.8
Cortical Drill 3.75
[Screw Tap 3.75]
2.0
2.4/2.8
3.2/3.6
Cortical Drill 4.3
[Screw Tap 4.3]
2.0
2.4/2.8
3.2/3.6
3.8/4.2
Cortical Drill 5.0
[Screw Tap 5.0]
2.0
2.4/2.8
3.2/3.6
4.2/5.0
Cortical Drill 5.5
[Screw Tap 5.5]
Dense bone
Type I
2.0
2.4/2.8
2.8/3.2
Cortical Drill 3.75
Screw Tap 3.75
2.0
2.4/2.8
3.2/3.6
Cortical Drill 4.3
Screw Tap 4.3
2.0
2.4/2.8
3.2/3.6
3.8/4.2
Cortical Drill 5.0
Screw Tap 5.0
2.0
2.4/2.8
3.2/3.6
4.2/5.0
Cortical Drill 5.5
Screw Tap 5.5
Note: All data are in mm and the drills within square brackets denoted as optional.
Drilling must proceed at high speed (max. 2’000 rpm for
Twist Drills and Twist Step Drills) under constant and profuse irrigation by sterile saline at room temperature.
14
NobelParallel™ Conical Connection Manual // Surgical procedure
Drill protocols / product reference lines
Demonstration of the drill protocol for a
∅ 4.3 × 13 mm implant in soft, medium and dense bone.
Soft bone
13 mm
0 mm
Medium bone
Precision
Drill
[optional]
∅ 2.0
Twist Drill
Direction
Indicator
∅ 2.4/2.8
Twist Step
Drill
Direction
Indicator
∅ 3.2/3.6
Twist Step
Drill
[optional]
Implant
4.3 × 13
Precision
Drill
[optional]
∅ 2.0
Twist Drill
Direction
Indicator
∅ 2.4/2.8
Twist Step
Drill
Direction
Indicator
∅ 3.2/3.6
Twist Step
Drill
∅ 4.3
Cortical Drill
∅ 4.3
Screw Tap
[optional]
Implant
4.3 × 13
13 mm
0 mm
Dense bone
Precision
Drill
[optional]
∅ 2.0
Twist Drill
Direction
Indicator
∅ 2.4/2.8
Twist Step
Drill
Direction
Indicator
∅ 3.2/3.6
Twist Step
Drill
∅ 4.3
Cortical Drill
∅ 4.3
Screw Tap
Implant
4.3 × 13
13 mm
0 mm
Dense bone situations
NobelParallel™ Conical Connection Manual // Surgical procedure
15
Use of a Cortical Drill
In situations with dense bone or a thick cortex, it is mandatory to use the cortical drill to avoid compression.
Note: It is not recommended to use a cortical drill for sinus lift procedures. This is in order to maximize the potential for primary stability.
Courtesy of Dr. Claude Authelain, Strasbourg
Use of a Screw Tap
In situations with dense bone or a thick cortex, it is mandatory to use the screw tap in order to fully seat the implant.
Note: When the depth marking of the screw tap is aligned with the implant length the apical portion is not pretapped to allow direct engagement in the apical portion.
Courtesy of Dr. Claude Authelain, Strasbourg
16
NobelParallel™ Conical Connection Manual // Surgical procedure
Flapless procedure
Choose between the following two options and continue with the drill sequence on page 17, starting with step 3.
Option A
– Drill to the appropriate depth using the Twist Drill with Tip
∅ 2 mm. A drill stop can be used.
Maximum speed 2000 rpm
Note: Measure the soft tissue thickness with a probe. Add this tissue thickness to the drilling depth for correct site preparation. Be aware of anatomical landmarks.
Option B
– To facilitate initial soft tissue penetration and creation of a crestal starting point (also after flap preparation), the Precision Drill can be used before Twist Drill with Tip ∅ 2 mm.
– Drill with the precision drill through soft tissue and into the alveolar crest.
Maximum speed 2000 rpm
∅ 2 mm
10 mm
Flap procedure
The following ilustrations show the drill sequence for
NobelParallel Conical Connection RP 4.3 in medium and dense bone. For other implant diameters and bone densities, see page 13.
1 Raise a flap
When using a flap procedure, make an incision and raise a flap.
2 Drill with Precision Drill
To facilitate creation of a crestal starting point, the Precision
Drill can be used before Twist Drill with Tip
∅ 2.0mm.
Maximum speed 2000 rpm
3 Drill with Twist Drill with Tip
∅ 2 mm
Drill to the appropriate depth using the Twist Drill with Tip
∅
2 mm. A drill stop can be used.
Maximum speed 2000 rpm
4 Check osteotomy direction
Check correct direction using Direction Indicator
∅ 2.0/2.4–2.8 mm.
Notes:
– If applicable, take a radiograph to verify correct direction.
– When placing multiple implants, proceed to the next implant site before continuing to next drill sequence.
5 Drill with Twist Step Drills
– Continue site preparation using Twist Step Drill
∅ 2.4/2.8 mm.
– Check orientation using Direction Indicator ∅ 2.0/2.4-2.8 mm.
– Continue site preparation using Twist Step Drill
∅ 3.2/3.6 mm.
Maximum speed 2000 rpm
NobelParallel™ Conical Connection Manual // Surgical procedure
17
18
NobelParallel™ Conical Connection Manual // Surgical procedure
6 Drill with Cortical Drill
Finalize site preparation using Cortical Drill RP 4.3 mm.
Notes:
– It is mandatory to use a Cortical Drill in medium/dense bone and with thick cortical layers in order to fully seat the implant and release pressure around the implant neck.
– It is not recommended to use a Cortical Drill for sinus lift procedures in order to maximize the potential for primary stability.
Maximum speed 2000rpm
For more information about the use of a Cortical Drill, please refer to page 15.
7 Determine implant length
Use the Depth Probe to verify the desired depth has been achieved (including soft tissue thickness, if applicable).
8 Use of Screw Tap in dense bone
– It is mandatory to use a Screw Tap in dense bone and with thick cortical layers in order to fully seat the implant.
– Place Screw Tap RP 4.3 mm into prepared implant site using low speed to appropriate reference line of implant.
– When the threads engage, allow Screw Tap to feed without pressure to defined depth.
– Switch the handpiece to reverse mode and back the Screw
Tap out.
– Continue with implant installation until desired position achieved using max. 45 Ncm installation torque.
Low speed 25 rpm
For more information about the use of a Screw Tap, please refer to page 15.
NobelParallel™ Conical Connection Manual // Surgical procedure
19
Implant insertion
1 Unpack implant
Each implant is packaged in a double sterile vial system. The outer package has a printed label with product data including diameter and length. Its cap is color-coded to identify the implant diameter. The inner casing is also marked with implant diameter and length.
– Pull the red tab to disengage the plastic shrink-rap film and unscrew the color-coded lid.
– Take out the sterile inner casing and lift off the plastic cap to gain access to implant.
– Record the implant size and LOT number on the patient’s chart with the two peel-off labels from the outer vial.
Note: The Cover Screw is co-packed with the implant.
2 Choose insertion instrument
Depending on the clinical situation and accessibility, there are two different options to insert the implant:
A With a drilling unit and contra-angle
B With Manual Torque Wrench Surgical
Note: It is possible to start the implant insertion manually, using the Manual Torque Wrench.
Caution: Over tightening of implant may lead to damage of the implant, fracture or necrosis of the bone site. If a Surgical
Driver is used to insert the implant, special care needs to be taken to avoid over tightening.
A Drilling unit with contra-angle
B Manual Torque Wrench Surgical
20
NobelParallel™ Conical Connection Manual // Surgical procedure
3 Pick up implant
– Connect the appropriate Implant Driver to the insertion instrument.
– Pick up the implant from the inner casing by applying light pressure on the implant driver and carefully turning the casing counter-clockwise until Implant Driver is fully seated.
Tip: The Implant Drivers have markings to facilitate the insertion of the driver into the implant.
Caution: Make sure that the Implant Driver is fully seated.
A B
4 Insert implant
– Begin inserting the implant into the osteotomy.
– When using a drilling unit, start inserting the implant using low speed.
Low speed 25 rpm Max. torque 45 Ncm
Notes:
– Caution: Never exceed insertion torque of 45 Ncm for the implants. Overtightening an implant may lead to damage of the implant, fracture or necrosis of the bone site. If a Surgical
Driver is used to insert the implant, special care needs to be taken to avoid overtightening.
– Caution: If the implant gets stuck during implant installation or 45 Ncm of insertion torque is achieved before it is fully seated, rotate the implant counterclockwise using drilling device (reverse mode) or Manual Torque Wrench and remove the implant from site. Replace the implant back into the inner casing before proceeding further.
– Use Screw Tap to widen the osteotomy as outlined in step
8 (page 18) of the drill section.
– Pick up and insert the implant again as outlined in steps 3 and 4 above.
A B
NobelParallel™ Conical Connection Manual // Surgical procedure
21
5 Tighten manually
– Connect the Manual Torque Wrench Surgical to the Manual
Torque Wrench Adapter and place the implant to final depth.
– For Immediate Function, the implant should withstand a final insertion torque of at least 35 Ncm. Do not exceed 45 Ncm.
– Remove Implant Driver.
– If the Implant Driver is difficult to remove, slightly rotate it counter-clockwise before disengagaing.
In case of strong resistance
Excessive torque while inserting the implant must be avoided.
It can cause deformation of the implant or connection and may result in excessive compression of the bone.
If strong resistance (max 45 Ncm) is encountered at any point during insertion, remove the implant and place it back into the inner casing. Widen the implant site according to the drill protocol or use Screw Tap matching the diameter of the implant.
Markings for 15, 35 and 45 Ncm.
22
NobelParallel™ Conical Connection Manual // Surgical procedure
6 Final implant placement
– For maximum esthetic results, place the implant on the level of the buccal bone or 0.5 – 1 mm below (A).
– When placing the implant, align one of the black hex indicators on the implant driver parallel to the buccal wall. This ensures that one of the flat sides of the hexagon is parallel to the buccal side (B), ensuring preferred prosthetic abutment orientation.
Notes:
– The implant driver has a 3 mm height indicator to facilitate vertical implant positioning and six black lines correlating to the flat sides of the implant hexagon (C).
A
B
C
Hex indicators
3 mm
{
{
Hex and height indicators on implant driver
Important considerations
NobelParallel™ Conical Connection Manual // Restorative procedure
23
Prosthetic interface
– Restorative flexibility with dual-function prosthetic connection: internal conical connection for abutments and external platform for implant-level bridge restorations.
– Built-in platform shifting improves the soft-tissue interface for natural-looking esthetics.
Conical seal for abutments Shoulder seating for
NobelProcera Implant Bridge
Impression coping seating
Proper seating of the impression coping is essential for a correct impression.
To verify that the impression copings are properly seated, check that the groove on the impression coping sits right at the level of the implant shoulder. Use a perpendicular radiograph if necessary.
24
NobelParallel™ Conical Connection Manual // Restorative procedure
Abutment seating
Correct positioning of the abutment is essential for the prosthetic outcome and long-lasting function. Verify correct vertical abutment seating by using radiographic imaging.
– Position the abutment into the implant head and make sure the hexagonal extension engages properly by gently turning and pushing.
– Make sure the abutment feels secure in place horizontally and vertically.
– Tighten the screw, but not to full torque.
– Take a radiograph to verify proper and full abutment seating:
- No apparent bone interference
- Alignment of long axes of implant and abutment
- No gap in conical interface
– Space at the bottom of the connection should appear parallel and measure less than 1 mm.
– Tighten the abutment screw to final torque. Tightening torque for NP, RP and WP abutments is 35 Ncm.
<1 mm
Final abutment position with space less than 1 mm
2.3 mm
NobelParallel™ Conical Connection Manual // Restorative procedure
25
Finalization of implant surgery and temporary restorations
There are three options for finalizing the implant surgery.
Two-stage delayed function
Use Screwdriver Unigrip to connect the cover screw to the implant. Suture the tissue flap using the desired technique.
One-stage delayed function
Use Screwdriver Unigrip to connect the healing abutment to the implant.
If applicable, suture back the soft tissue.
One-stage Immediate Function
Provisionalize the implant for immediate esthetics and function,
using Nobel Biocare temporary or final abutments.
Note: If the final restoration is an implant-level NobelProcera Implant Bridge or a non-engaging GoldAdapt Abutment, use a Healing Abutment Bridge to prevent tissue overgrowth on the horizontal implant platform.
26
NobelParallel™ Conical Connection Manual // Restorative procedure
Two-stage delayed function
1 Uncover the implant
– Make an incision to expose the Cover Screw or use the
Soft Tissue Punch if there is sufficient amount of attached mucosa.
– Remove the Cover Screw using a Screwdriver Manual Unigrip.
2 Remove bone overgrowth
– In cases of bone growing over the Cover Screw, remove the bone with a rotating instrument and/or a curette. Be careful not to damage the seating for the Screwdriver Manual Unigrip.
– After removing the Cover Screw, remove any bone around the implant platform that will hinder an abutment being fully seated on the implant platform. This is often the case when the implant has been placed below the bone crest. For bone removal, use the Bone Mill Guide and Bone Mill for the corresponding platform.
– The Bone Mill can be handled either manually (with the handle for machine instruments) or with the drilling machine.
One-stage delayed function
1 Connect healing abutment
– Connect a suitable healing abutment to the implant using the Screwdriver Manual Unigrip.
– If a flap is prepared, suture back the soft tissue.
Alternative: If possible, connect the final abutment using corresponding Screwdriver.
One-stage Immediate Function procedures
Temporary single-unit restoration, cement-retained
(chair-side procedure)
The following illustrations show the use of the Immediate
Temporary Abutment. Please see also Instructions For Use for
Immediate Temporary Abutment.
Provisionalization must be done in Immediate Function cases and is also a common option to altering the soft tissue after a healing abutment has been used (soft tissue management).
1 Connect abutment to implant
– Attach the abutment onto the implant and tighten with the
Screwdriver Machine Multi-unit and the Manual Torque
Wrench Prosthetic.
– If the implant rotates while tightening the abutment, re-evaluate primary stability of the implant and consider
a submerged healing.
Caution:
– Tighten abutment screw to max. 35 Ncm.
– Never exceed recommended max. 35 Ncm tightening torque for the abutment screw. Overtightening may lead to a screw fracture.
2 Adjust the abutment
– Connect appropriate abutments and check inter-occlusal space.
– Adjust the height of the abutment post if applicable using copious irrigation.
– Try in plastic coping and check occlusal clearance.
– If abutment post height has been adjusted, perform corresponding adjustment also on the plastic coping.
3 Fabricate and cement temporary crown
– Fabricate a chair side temporary crown with usual methods.
– Cement temporary crown. Remove any excess cement.
– Check occlusion.
Warning: Do not use Plastic Temporary Coping with polyurethane cements. The cement will not cure.
Caution: In a fresh/open wound, avoid getting any cement below the soft tissue or remove it carefully. Consider using a rubber dam or other options to prevent excess cement.
NobelParallel™ Conical Connection Manual // Restorative procedure
27
28
NobelParallel™ Conical Connection Manual // Restorative procedure
Temporary multiple-unit restoration, cement-retained
(chair-side procedure)
The following illustrations show the use of the QuickTemp
Abutment Conical. Please see also Instructions For Use for
QuickTemp Abutment.
Provisionalization must be done in Immediate Function cases and is also a common option to altering the soft tissue after a healing abutment has been used (soft tissue management).
1 Connect abutments to implants
Attach the abutments onto the implants and tighten with the
Screwdriver Unigrip and Manual Torque Wrench Prosthetic.
Caution:
– Tighten abutment screw to max. 35 Ncm.
– Never exceed recommended max. 35 Ncm tightening torque for the abutment screw. Overtightening may lead to a screw fracture.
2 Try-in plastic copings
Try-in the plastic copings; they should securely “snap” onto the abutments.
3 Fabricate a temporary bridge
– Fabricate a temporary bridge using traditional methods with either acrylic or composite.
– If the laboratory has made a pre-fabricated provisional bridge, adjust it and reline it to the abutments.
– Trim and polish the restoration. It is important to have a smooth surface adjacent to the surrounding soft tissue.
4 Cement bridge on to abutments
Cement temporary bridge using temporary cement. Remove any excess cement.
Warning: Do not use polyurethane cement with plastic/ temporary copings. The cement will not cure.
Caution: In a fresh/open wound, avoid getting any cement below the soft tissue or remove it carefully. Consider using rubber dam or other options to prevent excess cement.
Temporary multiple-unit restoration, screw-retained
(chair-side procedure)
The following illustrations show the use of the Temporary Abutment
Non-Engaging (for multiple splinted restorations). For individual implants, use Engaging abutments. Please see also Instructions For Use for Temporary Abutment.
Provisionalization must be done in Immediate Function cases and is also a common option to altering the soft tissue after a healing abutment has been used (soft tissue management).
1 Connect abutments to implants
– Attach the abutments onto the implants, check inter-occlusal space and adjust for height and clearance if necessary.
– Modifications of abutments can be performed with a carborundum disk or carbide bur using copious irrigation. Extra-oral modification of abutment is recommended.
– Fasten the abutments with Guide Pins that extend beyond the occlusal plane with the Screwdriver Manual Unigrip.
Note: Abutment screw is included with the abutment. The Guide Pin shown on image (available in two lengths: 20 mm [standard length] and
30 mm) has to be ordered separately.
2 Make acrylic template
– Fabricate the template from acrylic or composite for chair-side
temporization.
– Make access holes to allow guide pins to protrude.
– If the laboratory has made a prefabricated provisional bridge, make access holes to allow the guide pins to protrude (if not already done) and adjust it to the abutments.
– Fill template with acrylic or composite and seat it over the temporary abutments.
NobelParallel™ Conical Connection Manual // Restorative procedure
29
30
NobelParallel™ Conical Connection Manual // Restorative procedure
3 Adjust temporary restoration
– After seating, loosen the guide pins to remove the restoration.
– Trim and polish the restoration. It is important to have a smooth surface adjacent to the surrounding soft tissue.
4 Connect temporary restoration
– Connect the provisional restoration with the abutment screws.
– Tighten Abutment Screw using Manual Torque Wrench Prosthetic and Screwdriver Machine Unigrip.
– Fill the screw access holes with suitable material.
Caution:
– Tighten abutment screw to max. 35 Ncm.
– Never exceed recommended max. 35 Ncm tightening torque for the abutment screw. Overtightening may lead to a screw fracture.
NobelParallel™ Conical Connection Manual // Restorative procedure
31
Temporary single-unit restoration, cement-retained
(chair-side procedure)
The following illustrations show the use of the Anatomical
PEEK Temporary Abutment (available for Wide Platform only).
Please see also Instructions For Use for Anatomical PEEK
Healing/ Temporary Abutment.
Indications:
The Anatomical PEEK Temporary Abutments are pre-manufactured, adjustable prosthetic components directly connected to the implant and are intended for temporary use up to 180 days as an aid in prosthetic rehabilitation.
Provisionalization must be done in Immediate Function cases and is also a common option to altering the soft tissue after a healing abutment has been used (soft tissue management).
1 Connect abutment to implant and modify if necessary
– Select appropriate Temporary Abutment and check inter-occlusal space. Height and gingival margin may be adjusted by the use of rotary instrument (e.g. carbide or acrylic bur).
– Cut a small axial "flat" or "groove" into the Temporary Abutment to assure correct position of temporary crown during cementation.
– Attach the abutment onto the implant and tighten with the
Unigrip Screwdriver.
Caution: Tighten abutment screw to max. 15 Ncm.
2 Block the screw access hole
– Place a resilient material of choice (gutta-percha, silicone or temporary filling material) into the screw access hole and fill the remaining channel with composite or another material of choice. This allows for easy access to the abutment screw in the future.
– Apply a separating solution onto the plastic abutment in preparation for fabricating the temporary crown.
3 Fabricate temporary crown
– Try-in the shell crown and modify following conventional procedures.
– Fill the shell crown with acrylic in preparation for doing a reline.
– Remove the excess acrylic and polish modified areas.
4 Cement the temporary crown
Make final adjustments, polish and secure with temporary cement.
Caution: In a fresh/open wound, avoid getting any cement below the soft tissue or remove it carefully. Consider using rubber dam or other options to prevent excess cement.
32
NobelParallel™ Conical Connection Manual // Product information
Flowcharts
Implant
NobelParallel™ Conical Connection NP
Length mm 7 8.5 10 11.5 13 15 18
∅ 3.75 mm 37963 37964 37965 37966 37967 37968 37969
Cover screw included
Drill Drill Stop
Precision Drill
Twist Drill
∅ 2, 7–10 mm
∅ 2, 7–15 mm
∅ 2, 10–18 mm
36118 ∅ 2 mm 33063
∅ 2.8 mm 33064
∅ 3.2 mm 33077
32296
32297
32299
Twist Step Drill
∅ 2.4/2.8, 7–10 mm 32260
∅ 2.4 / 2.8, 7–15 mm 32261
∅ 2.4 / 2.8, 10 –18 mm 32262
∅ 2.8/3.2, 7-10mm
37873
∅ 2.8 / 3.2, 7–15 mm 34638
∅ 2.8 / 3.2, 10 –18 mm 34639
NobelParallel™ Conical Connection RP
Length mm 7
∅ 4.3 mm
37970 37971 37972 37973 37974 37975 37976
Cover screw included
8.5 10 11.5 13 15 18 Precision Drill
Twist Drill
∅ 2, 7–10 mm
∅ 2, 7–15 mm
∅ 2, 10–18 mm
36118
∅ 2 mm 33063
∅ 2.8 mm 33064
∅ 3.6 mm 33084
32296
32297
32299
Twist Step Drill
∅ 2.4/2.8, 7–10 mm 32260
∅ 2.4 / 2.8, 7–15 mm 32261
∅ 2.4 / 2.8, 10 –18 mm 32262
∅ 3.2/3.6, 7–10 mm 32263
∅ 3.2/3.6, 7–15 mm 32264
∅ 3.2/3.6, 10–18 mm 32265
NobelParallel™ Conical Connection Manual // Product information
33
Drill Stop Cortical Drill Screw Tap Implant Driver
∅ 3.75 mm 38000
NP 7–13 mm
NP 7–18 mm
37990
37991
NP 28 mm
NP 37 mm
36718
36719
Healing Abutment
Cover Screw
Healing Abutment
Height mm 3 5 7
∅ 3.6 mm 36639 36640 36867
∅ 5.0 mm
36641 36642 36868
Healing Abutment Bridge*
Height mm 3 5 7
∅ 4.0 mm
36864 36865 36866
Cover Screw
NP 36649
∅ 4.3 mm
38001 RP 4.3 7–13 mm
RP 4.3 7–18 mm
37992
37993
RP 28 mm
RP 37 mm
36720
36721
Healing Abutment
Height mm 3 5 7
∅ 3.6 mm 36643 36644 36872
∅ 5.0 mm
36645 36646 36873
∅ 6.0 mm
36647 36648 36874
Healing Abutment Bridge*
Height mm 3 5 7
∅ 5.0 mm
36869 36870 36871
Cover Screw
RP 36650
* Used for multiple-unit restorations with NobelProcera Implant Bridge and GoldAdapt Non-Engaging.
34
NobelParallel™ Conical Connection Manual // Product information
Implant
NobelParallel™ Conical Connection RP
Length mm 7 8.5 10 11.5 13 15 18
∅ 5.0 mm
37977 37978 37979 37980 37981 37982 37983
Cover screw included
Drill Drill Stop
Precision Drill
Twist Drill
∅ 2, 7–10 mm
∅ 2, 7–15 mm
∅ 2, 10–18 mm
36118 ∅ 2.0 mm 33063
∅ 2.8 mm 33064
∅ 3.6 mm 33084
∅ 4.2 mm 33081
32296
32297
32299
Twist Step Drill
∅ 2.4/2.8, 7–10 mm 32260
∅ 2.4 / 2.8, 7–15 mm 32261
∅ 2.4 / 2.8, 10 –18 mm 32262
∅ 3.2/3.6, 7–10 mm 32263
∅ 3.2/3.6, 7–15 mm 32264
∅ 3.2/3.6, 10–18 mm 32265
∅ 3.8/4.2, 7–10 mm 32275
∅ 3.8/4.2, 7–15 mm 32276
∅ 3.8/4.2, 10–18 mm 32277
NobelParallel™ Conical Connection WP
Length mm 7 8.5 10 11.5 13 15
∅ 5.5 mm
37984 37985 37986 37987 37988 37989
Cover screw included
Precision Drill
Twist Drill
∅ 2, 7–10 mm
∅ 2, 7–15 mm
∅ 2, 10–18 mm
36118 ∅ 2.0 mm 33063
∅ 2.8 mm 33064
∅ 3.6 mm 33084
∅ 4.2 mm 33081
32296
32297
32299
Twist Step Drill
∅ 2.4/2.8, 7–10 mm 32260
∅ 2.4 / 2.8, 7–15 mm 32261
∅ 2.4 / 2.8, 10 –18 mm 32262
∅ 3.2/3.6, 7–10 mm 32263
∅ 3.2/3.6, 7–15 mm 32264
∅ 3.2/3.6, 10–18 mm 32265
∅ 4.2/4.6, 7–10 mm 37874
∅ 4.2/4.6, 7–15 mm 34582
∅ 4.2/4.6, 10–18 mm 34583
∅ 4.2/5.0, 7–10 mm 37875
∅ 4.2/5.0, 7–15 mm 37876
Drill Stop Cortical Drill Screw Tap Implant Driver
∅ 5.0 mm 38002 RP 5.0 7–13 mm
RP 5.0 7–18 mm
37994
37995
RP 28 mm
RP 37 mm
NobelParallel™ Conical Connection Manual // Product information
35
Healing Abutment
Cover Screw
36720
36721
Healing Abutment
Height mm 3 5 7
∅ 3.6 mm
36643 36644 36872
∅ 5.0 mm 36645 36646 36873
∅ 6.0 mm
36647 36648 36874
Healing Abutment Bridge*
Height mm 3 5 7
∅ 5.0 mm 36869 36870 36871
Cover Screw
RP 36650
∅ 5.5 mm 38003 WP 7–10 mm
WP 7–15 mm
37996
37997
WP 28 mm
WP 37 mm
37859
37860
Healing Abutment
Height mm 3 5
∅ 5.0 mm
37813 37814
∅ 6.5 mm
37815 37816
Healing Abutment
Anatomioal PEEK
WP 6 ×7 mm
WP 7
×8 mm
37819
37820
Healing Abutment Bridge*
Height mm 3 5
∅ 6.0 mm 37817 37818
Cover Screw
WP 37812
* Used for multiple-unit restorations with NobelProcera Implant Bridge and GoldAdapt Non-Engaging.
36
NobelParallel™ Conical Connection Manual // Product information
Surgery kits
38004 NobelParallel™ Conical Connection Surgery Kit
38005
37791 28839
36718
36719
38000*
37990*
37991*
32112
29149
29164
38001*
37992*
37993*
36118*
32297**
32261**
34638**
32264**
32276**
34582**
37876**
37859
37860
38003*
37996*
37997*
36720
36721
38002*
37994*
37995*
* Article not included in this kit
** Article not included in this kit and also available in other lengths
NobelParallel™ Conical Connection Surgery Kit 38004
(The articles below can also be purchased individually.)
Kit includes
NobelParallel™ Conical Connection Surgery Kit Box
Implant Driver Conical Connection NP 28 mm
Implant Driver Conical Connection NP 37 mm
Implant Driver Conical Connection RP 28 mm
Implant Driver Conical Connection RP 37 mm
Implant Driver Conical Connection WP 25 mm
Implant Driver Conical Connection WP 37 mm
Screwdriver Manual Unigrip™ 28 mm
Drill Extension Shaft
Direction Indicator
∅2/∅2.4–2.8 mm × 4
Implant/Prosthetic Organizer
NobelReplace® Manual Torque Wrench Surgical
Depth Probe 7–18mm Z-shaped
Implant Sleeve Holder
NobelParallel™ Conical Connection Wall Chart
NobelParallel™ CC Radiographic Template
Note: Drills and Screw Taps are available for separate purchase and are not included in the kit.
38005
36718
36719
36720
36721
37859
37860
29149
29164
32112
29532
28839
37791
29543
38007
37792
Bone Mill Kit Conical Connection
Kit includes
Bone Mill Kit Box Conical Connection
Bone Mill with Guide Conical Connection 3.0
∅4.0
Bone Mill with Guide Conical Connection NP ∅4.4
Bone Mill with Guide Conical Connection NP ∅5.2
Bone Mill with Guide Conical Connection RP ∅5.2
Bone Mill with Guide Conical Connection RP ∅6.2
Bone Mill with Guide Conical Connection WP
∅6.7
37888
37889
37861
37863
37864
37866
37867
37869
NobelParallel™ Conical Connection Manual // Product information
37
38
NobelParallel™ Conical Connection Manual // Product information
Nobel Biocare® Flapless Surgery Kit
(The articles below can also be purchased individually.)
32304
Kit includes
Nobel Biocare® Flapless Surgery Kit Box
Tissue Punch NP
Tissue Punch RP
Tissue Punch WP
Tissue Punch 6.0
Tissue Punch Guide NP
Tissue Punch Guide RP
Tissue Punch Guide WP
Tissue Punch Guide 6.0
Drill Guide NP
Drill Guide RP
Drill Guide WP
Drill Guide 6.0
29633
32673
29634
29635
29636
32674
32317
29628
29629
29630
32672
29631
29632
Prosthetic Kit
(The articles below can also be purchased individually.)
37448
Kit includes
Prosthetic Kit Box
Manual Torque Wrench Prosthetic
Screwdriver Machine Unigrip 20 mm
Screwdriver Machine Unigrip 30 mm
Screwdriver Machine Multi-unit 21 mm
Omnigrip Screwdriver Machine 20 mm
Omnigrip Screwdriver Machine 30 mm
Manual Torque Wrench Prosthetic
37443
29165
29151
29153
29158
37379
37381
29165
Implants
NobelParallel™ Conical Connection NP 3.75 × 7 mm
NobelParallel™ Conical Connection NP 3.75 × 8.5 mm
NobelParallel™ Conical Connection NP 3.75 ×10 mm
NobelParallel™ Conical Connection NP 3.75 ×11.5 mm
NobelParallel™ Conical Connection NP 3.75 ×13 mm
NobelParallel™ Conical Connection NP 3.75 ×15 mm
NobelParallel™ Conical Connection NP 3.75 ×18 mm
NobelParallel™ Conical Connection RP 4.3 × 7 mm
NobelParallel™ Conical Connection RP 4.3 × 8.5 mm
NobelParallel™ Conical Connection RP 4.3 ×10 mm
NobelParallel™ Conical Connection RP 4.3 ×11.5 mm
NobelParallel™ Conical Connection RP 4.3 ×13 mm
NobelParallel™ Conical Connection RP 4.3 ×15 mm
NobelParallel™ Conical Connection RP 4.3 ×18 mm
NobelParallel™ Conical Connection RP 5.0 × 7 mm
NobelParallel™ Conical Connection RP 5.0 × 8.5 mm
NobelParallel™ Conical Connection RP 5.0 ×10 mm
NobelParallel™ Conical Connection RP 5.0 ×11.5 mm
NobelParallel™ Conical Connection RP 5.0 ×13 mm
NobelParallel™ Conical Connection RP 5.0 ×15 mm
NobelParallel™ Conical Connection RP 5.0 ×18 mm
NobelParallel™ Conical Connection WP 5.5 ×7 mm
NobelParallel™ Conical Connection WP 5.5 × 8.5 mm
NobelParallel™ Conical Connection WP 5.5 ×10 mm
NobelParallel™ Conical Connection WP 5.5 ×11.5 mm
NobelParallel™ Conical Connection WP 5.5 ×13 mm
NobelParallel™ Conical Connection WP 5.5 ×15 mm
37977
37978
37979
37980
37981
37982
37983
37984
37985
37986
37987
37988
37989
37963
37964
37965
37966
37967
37968
37969
37970
37971
37972
37973
37974
37975
37976
NobelParallel™ Conical Connection Manual // Product information
39
40
NobelParallel™ Conical Connection Manual // Product information
Surgical components
Drills
Precision Drill
Guide Drill
Twist Drill with Tip 2 × 7–10 mm
Twist Drill with Tip 2 × 7–15 mm
Twist Drill with Tip 2 × 10–18 mm
Twist Step Drill 2.4/2.8 7–10 mm
Twist Step Drill 2.4/2.8 7–15 mm
Twist Step Drill 2.4/2.8 10–18 mm
Twist Step Drill 2.8/3.2 7–10 mm
Twist Step Drill 2.8/3.2 7–15 mm
Twist Step Drill 2.8/3.2 10–18 mm
Twist Step Drill 3.2/3.6 7–10 mm
Twist Step Drill 3.2/3.6 7–15 mm
Twist Step Drill 3.2/3.6 10–18 mm
Twist Step Drill 3.8/4.2 7–10 mm
Twist Step Drill 3.8/4.2 7–15 mm
Twist Step Drill 3.8/4.2 10–18 mm
Twist Step Drill 4.2/4.6 7–10 mm
Twist Step Drill 4.2/4.6 7–15 mm
Twist Step Drill 4.2/4.6 10–18 mm
Twist Step Drill 4.2/5.0 7–10 mm
Twist Step Drill 4.2/5.0 7–15 mm
36118
35426
32296
32297
32299
32265
32275
32276
32277
37874
34582
34583
37875
37876
32260
32261
32262
37873
34638
34639
32263
32264
Cortical Drills
Cortical Drill NobelParallel™ CC 3.75 mm
Cortical Drill NobelParallel™ CC 4.3 mm
Cortical Drill NobelParallel™ CC 5.0 mm
Cortical Drill NobelParallel™ CC 5.5 mm
Screw Taps
Screw Tap NobelParallel™ CC 3.75 7–13 mm
Screw Tap NobelParallel™ CC 3.75 7–18 mm
Screw Tap NobelParallel™ CC 4.3 7–13 mm
Screw Tap NobelParallel™ CC 4.3 7–18 mm
Screw Tap NobelParallel™ CC 5.0 7–13 mm
Screw Tap NobelParallel™ CC 5.0 7–18 mm
Screw Tap NobelParallel™ CC 5.5 7–10 mm
Screw Tap NobelParallel™ CC 5.5 7–15 mm
Direction Indicator
∅2/∅2.4–2.8 mm
Implant Drivers
Implant Driver CC NP 28 mm
Implant Driver CC NP 37 mm
Implant Driver CC RP 28 mm
Implant Driver CC RP 37 mm
Implant Driver CC WP 28 mm
Implant Driver CC WP 37 mm
38000
38001
38002
38003
37990
37991
37992
37993
37994
37995
37996
37997
32112
36718
36719
36720
36721
37859
37860
78041_NobelParallel Manual 2014_GB.indd 40 2015-03-20 14:35
Bone Mills and Guides
Bone Mill with Guide CC NP
∅4.4 mm
Bone Mill with Guide CC NP
∅5.2 mm
Bone Mill Guide CC NP
Bone Mill with Guide CC RP
∅5.2 mm
Bone Mill with Guide CC RP
∅6.2 mm
Bone Mill Guide CC RP
Bone Mill with Guide CC WP
∅6.7 mm
Bone Mill Guide CC WP
Cover Screws
Cover Screw CC NP
Cover Screw CC RP
Cover Screw CC WP
Manual Torque Wrench
Manual Torque Wrench Surgical
Manual Torque Wrench Adapter Surgical
Manual Torque Wrench Prosthetic
Manual Torque Wrench Adapter Prosthetic
Screwdrivers
Unigrip Screwdriver Machine 20 mm
Unigrip Screwdriver Machine 25 mm
Unigrip Screwdriver Machine 30 mm
Unigrip Screwdriver Machine 35 mm
Unigrip Screwdriver Manual 20 mm
Unigrip Screwdriver Manual 28 mm
Unigrip Screwdriver Manual 36 mm
Omnigrip Screwdriver Machine 20 mm
Omnigrip Screwdriver Machine 30 mm
Surgical Drape Kit 2-pack
29151
29152
29153
29154
29148
29149
29150
37379
37381
12T7400
36649
36650
37812
28839
28840
29165
29167
37863
37864
37865
37866
37867
37868
37869
37870
Drill Extension Shaft
Surgical Driver
Nobel Biocare® Osteotome Kit
29164
32180
32321
Soft Tissue Punches
Soft Tissue Punch
∅ 4.1 mm, 5/pkg
Soft Tissue Punch
∅ 5.2 mm, 5/pkg
Soft Tissue Punch
∅ 6.2 mm, 5/pkg
32Z2000
32Z2002
32Z2004
NobelParallel™ Conical Connection Manual // Product information
41
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NobelParallel™ Conical Connection Manual // Product information
Temporary restorations
For the full assortment of abutments, see the Nobel Biocare product catalog.
Temporary Abutments
Immediate Temporary Abutment CC NP 1.5 mm
Immediate Temporary Abutment CC NP 3.0 mm
Immediate Temporary Abutment CC RP 1.5 mm
Immediate Temporary Abutment CC RP 3.0 mm
36653
36655
36654
36656
Plastic Coping Immediate Temporary Abutment
QuickTemp™ Abutment CC NP 1.5 mm
QuickTemp™ Abutment CC NP 3.0 mm
QuickTemp™ Abutment CC RP 1.5 mm
QuickTemp™ Abutment CC RP 3.0 mm
Plastic Coping QuickTemp™ Abutment Conical
Temporary Abutment Engaging CC NP
Temporary Abutment Engaging CC RP
Temporary Abutment Engaging CC WP 1.5 mm
Temporary Abutment Engaging CC WP 3 mm
Temporary Abutment Non-Engaging CC NP
Temporary Abutment Non-Engaging CC RP
Temporary Abutment Non-Engaging CC WP 1.5 mm
Temporary Abutment Non-Engaging CC WP 3 mm
Temporary Abutment Anatomical PEEK WP 6×7 mm
Temporary Abutment Anatomical PEEK WP 7×8 mm
Slim Temporary Abutment NP 6.5 mm
Slim Temporary Abutment NP 7.5 mm
Slim Temporary Abutment RP 6.5 mm
Slim Temporary Abutment RP 7.5 mm
31656
36659
36657
36660
36658
33404
36663
36664
37823
37824
36661
36662
37825
37826
37821
37822
37671
37672
37673
37674
Healing Abutments
Healing Abutment CC NP
∅ 3.6 × 3 mm
Healing Abutment CC NP
∅ 3.6 × 5 mm
Healing Abutment CC NP
∅ 3.6 × 7 mm
Healing Abutment CC NP
∅ 5 × 3 mm
Healing Abutment CC NP
∅ 5 × 5 mm
Healing Abutment CC NP
∅ 5 × 7 mm
Healing Abutment CC RP
∅ 3.6 × 3 mm
Healing Abutment CC RP
∅ 3.6 × 5 mm
Healing Abutment CC RP
∅ 3.6 × 7 mm
Healing Abutment CC RP
∅ 5 × 3 mm
Healing Abutment CC RP
∅ 5 × 5 mm
Healing Abutment CC RP
∅ 5 × 7 mm
Healing Abutment CC RP
∅ 6 × 3 mm
Healing Abutment CC RP
∅ 6 × 5 mm
Healing Abutment CC RP
∅ 6 × 7 mm
Healing Abutment CC WP
∅ 5 × 3 mm
Healing Abutment CC WP
∅ 5 × 5 mm
Healing Abutment CC WP
∅ 6.5 × 3 mm
Healing Abutment CC WP
∅ 6. 5 × 5 mm
Healing Abutment CC NP Bridge
∅ 4 × 3 mm
Healing Abutment CC NP Bridge
∅ 4 × 5 mm
Healing Abutment CC NP Bridge
∅ 4 × 7 mm
Healing Abutment CC RP Bridge
∅ 5 × 3 mm
Healing Abutment CC RP Bridge
∅ 5 × 5 mm
Healing Abutment CC RP Bridge
∅ 5 × 7 mm
Healing Abutment CC WP Bridge
∅ 6 × 3 mm
Healing Abutment CC WP Bridge
∅ 6 × 5 mm
Healing Abutment Anatomical PEEK WP 6×7 mm
Healing Abutment Anatomical PEEK WP 7×8 mm
Slim Healing Abutment NP 5 mm
Slim Healing Abutment NP 7 mm
Slim Healing Abutment RP 5 mm
Slim Healing Abutment RP 7 mm
36872
36645
36646
36873
36647
36648
36874
37813
36639
36640
36867
36641
36642
36868
36643
36644
37814
37815
37816
36864
36865
36866
36869
36870
36871
37817
37818
37819
37820
37666
37665
37667
37668
NobelParallel™ Conical Connection Manual // Appendices
43
44
NobelParallel™ Conical Connection Manual // Appendices
Manual torque wrench
For the surgeon, the torque required to place implants provides insight into the primary stability of the implant.
For restorative procedures, tightening the abutment and prosthetic screws to the recommended torque specifications will more effectively control screw-joint integrity during patient function.
The manual torque wrench is a convenient tool for achieving the desired torque.
Manual Torque Wrench – Surgical
Intended for tightening or adjusting implant position.
– Insert Implant Driver NobelReplace or Conical Connection.
Manual Torque Wrench – Prosthetic
Intended for retaining screws with a tightening torque of
15–35 Ncm. Compatible with all machine screwdrivers.
– Insert the applicable driver.
Use of the Manual Torque Wrench Surgical
– Assemble the torque wrench by inserting the implant driver.
– To tighten an implant, adjust the direction indicator so that the arrow is pointing toward the level arm and rotate clockwise.
– To loosen an implant, adjust the direction indicator so that the arrow is pointing away from the level arm and rotate counterclockwise.
Warning: Using the wrench body instead of the level arm may result in excessive torque being transferred to the screw and/or implant site.
Max
45 Ncm
NobelParallel™ Conical Connection Manual // Appendices
45
Drill stops
Drill Stop Kit
Kit includes
Drill Stop Kit Box
Drill Stop ∅ 2 mm
Drill Stop ∅ 2.8 mm
Drill Stop ∅ 3 mm
Drill Stop ∅ 3.2 mm
Drill Stop
∅ 3.4 mm
Drill Stop
∅ 3.6 mm
Drill Stop
∅ 4.2 mm
32430
33062
33063
33064
33075
33077
33078
33084
33081
The drill stops allow for a safe and accurate surgical procedure by predetermining the drill depth of twist drills and twist step drills. The kit is used to store, autoclave and facilitate the mounting of the drill stops.
1 Mount drill stop
– Slide drill stop onto corresponding drill.
– Place drill in mounting hole corresponding to desired drill depth. Use large holes for drills
∅ 3.4 and above.
∅ 3.4/3.6 mm
∅ 4.2 mm
2 Tighten drill stop
Tighten the screw on the drill stop using the Screwdriver Unigrip.
3 Drill to drill stop
Drill until predetermined drill depth is reached.
46
NobelParallel™ Conical Connection Manual // Appendices
Cleaning and sterilization
Sterile components
The devices delivered sterile have a “Sterile” marking on the label. See current cleaning and sterilization guidelines for details: www.nobelbiocare.com/sterilization.
Note: Implants must never be re-sterilized.
Implants
Implants are delivered sterile, are for single-use only, and must be used prior to the labeled expiration date. Do not use implants if the packaging has been damaged or previously opened.
Twist and Twist Step Drills, Precision Drill and Screw Taps
Twist Drills, Twist Step Drills, Cortical Drills and Screw Taps are delivered sterile and for single use only.
Abutments and plastic copings
Multi-unit Abutment, Snappy Abutment, QuickTemp
Abutment and Immediate Temporary Abutment are delivered sterile. If resterilization is required.
See current cleaning and sterilization guidelines: www.nobelbiocare.com/sterilization.
Notes:
– For resterilization of the straight Multi-unit Abutment,
remove the plastic holder prior to the procedure.
– Sterile plastic copings are for single-use only and should not be re-sterilized.
Non-sterile components
Care and maintenance of reusable instruments are crucial for successful treatment. Well-maintained instruments not only safeguard your patients and staff against infection, but are also essential for the outcome of the total treatment.
See current cleaning and sterilization guidelines for details: www.nobelbiocare.com/sterilization.
Contra-angle
For cleaning and sterilization procedures, see specific instructions from the respective manufacturer.
Abutments and plastic copings
Some abutments made of titanium, gold alloy, and plastic
(PEEK) are delivered non-sterile. For more information refer to the label on the specific abutment. It is recommended to sterilize the abutment prior to placing it in the oral cavity. For sterilization, see current cleaning and sterilization guidelines: www.nobelbiocare.com/sterilization
Notes:
– If modifications have been made to the abutment, clean the abutment prior to sterilization.
– Non-sterile plastic copings should not be re-sterilized, as they are for single use only.
NobelParallel™ Conical Connection Manual // Appendices
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NobelParallel™ Conical Connection Manual // Appendices
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NobelParallel™ Conical Connection Manual // Appendices
Customer service worldwide
NobelParallel™ Conical Connection Manual // Appendices
51
Americas
Brazil
Nobel Biocare Brazil
Phone: 0800 16 999 6
Canada
Nobel Biocare Canada
Phone: +1 800 939 9394
Chile
Dental Biocare
Phone: +56 220 19282
Colombia
Hospimedics S.A.
Phone: +57 1 640 0608
Mexico
Nobel Biocare Mexico
Phone: +52 55 524 974 60
USA
Nobel Biocare USA
Phone: +1 800 322 5001
Asia Pacific
Australia
Nobel Biocare Australia
Phone: 1800 804 597
China
Nobel Biocare China
Phone: +86 21 5206 6655
Hong Kong
Nobel Biocare Hong Kong
Phone: +852 2845 1266
India
Nobel Biocare India
Phone: 1800 266 9998
Japan
Nobel Biocare Japan
Phone: +81 3 6717 6191
New Zealand
Nobel Biocare New Zealand
Phone: 0800 441 657
Singapore
Nobel Biocare Singapore
Phone: +65 6737 7967
Taiwan
Nobel Biocare Taiwan
Phone: +886 080 00 779
Europe, Middle East and Africa
Austria
Nobel Biocare Austria
Phone: +43 1 892 89 90
Belgium
Nobel Biocare Belgium
Phone: +32 2 467 41 70
Denmark
Nobel Biocare Denmark
Phone: +45 39 40 48 46
Finland
Nobel Biocare Finland
Phone: +358 20 740 61 00
France
Nobel Biocare France
Phone: +33 1 49 20 00 30
Germany
Nobel Biocare Germany
Phone: +49 221 500 850
Hungary
Nobel Biocare Hungary
Phone: +36 1 279 33 79
Ireland
Nobel Biocare Ireland
Phone: 1800 677 306
Italy
Nobel Biocare Italy
Phone: +39 800 53 93 28
Lithuania
Nobel Biocare Lithuania
Phone: +370 5 268 3448
Netherlands
Nobel Biocare Netherlands
Phone: +31 30 635 49 49
Norway
Nobel Biocare Norway
Phone: +47 23 24 98 30
Poland
Nobel Biocare Poland
Phone: +48 22 549 93 52
Portugal
Nobel Biocare Portugal
Phone: +351 800 300 100
Russia
Nobel Biocare Russia
Phone: +7 495 974 77 55
South Africa
Nobel Biocare South Africa
Phone: +27 11 802 0112
Spain
Nobel Biocare Spain
Phone: +34 900 850 008
Sweden
Nobel Biocare Sweden
Phone: +46 31 81 88 00
Switzerland
Nobel Biocare Switzerland
Phone: 0800 211 424
United Kingdom
Nobel Biocare UK
Phone: +44 208 756 3300
Distributor markets
Bulgaria, Croatia, Cyprus, Czech
Republic, Greece, Iran, Jordan, Kuwait,
Lebanon, Malta, Romania, Saudi Arabia,
Serbia, Slovenia, Turkey, United Arab
Emirates
Phone: +48 22 549 93 55 v 15.1
nobelbiocare.com/contact
78041_NobelParallel Manual 2014_GB.indd 52 nobelbiocare.com
2015-03-20 14:35
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