Guided surgery

Using surgical templates for your full-arch cases?

What benefits the All-on-4® digital workflow can bring into your practice:

Accuracy

Higher accuracy and predictability of implant positions, in comparison with freehand surgery.1

Efficiency

High patient satisfaction attributed to short treatment times.2

Patient experience

Lower swelling and edema with guided flapless surgery compared with freehand surgery.3-5

All-on-4® digital workflow
All-on-4® digital workflow
Data collection

DTX Studio™ Clinic
Acquire, diagnose, process.

– Complete/add whole patient overview.
– Anticipate each clinical situation.
– Foster a collaborative approach with your referrals and your dental lab.

Treatment planning

DTX Studio™ Implant 
Complete freedom to choose your surgical solution.

Flexibility to use NobelGuide® templates designed in DTX Studio™ Implant, or locally print your surgical guides.

Surgical execution

Guided surgery
Place according to plan.

Plan and place dental implants with high accuracy and precision with guided surgery tools from Nobel Biocare.

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Post-surgical impression

Leverage the All-on-4® digital workflow for passive-fit, screw-retained restorations via photogrammetry 

With ICam, freely send your post-surgical scans to your preferred dental lab to finalize the virtual wax-up in exocad software or any open design platform.

Immediate loading

Pro 2 3D printer from SprintRay

– Precision revolution: The most accurate SprintRay printer of all time. 
– OnX Tough 2 resin: Enables delivery of lower-cost, same-day fixed hybrid dentures.

NobelProcera®

NobelProcera®
Truly individualized & esthetic solution for your patient

– 100% cement-free zirconia original options available.
– Angulated screw channel (ASC) function to achieve occlusal function and esthetics.

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See various full-arch digital workflows in action:

  • Case courtesy of Dr. Johri Ankur

    Digital workflow for immediate maxillary restoration: using photogrammetry and 3D printing technology

  • “Case courtesy of Dr. Joe Mehranfar

    Full-arch with immediate loading utilizing photogrammetry from ICam for post surgery fabricated provisional, produced with 3D printing technology

  • Dr. Navneet Arora

    Mandibular full-arch restoration with immediate loading, utilizing dynamic navigated surgery and photogrammetry

“Digital technology has revolutionized the way I do my All-on-4® cases. Photogrammetry combined with intraoral scanning and 3D printing allows me to deliver high-quality esthetic restorations in a predictable and efficient manner for my patients."

Dr. Johri
Dr. Ankur Johri, USA

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References
1. Tahmaseb A, Wismeijer D, Coucke W, Derksen W. Computer technology applications in surgical implant dentistry: a systematic review. Int J Oral Maxillofac Implants 2014;29 Suppl:25-42. Read on Pubmed
2. Meloni SM, De Riu G, Pisano M, Cattina G, Tullio A. Implant treatment software planning and guided flapless surgery with immediate provisional prosthesis delivery in the fully edentulous maxilla. A retrospective analysis of 15 consecutively treated patients. Eur J Oral Implantol 2010;3(3):245-51. Read on PubMed
3. Pozzi A, Tallarico M, et al. Computer-guided versus free-hand placement of immediately loaded dental implants: 1-year post-loading results of a multicentre randomised controlled trial. Eur J Oral Implantol 2014;7(3):229-42. Read on PubMed
4. Nkenke E, Eitner S, et al. Patient-centred outcomes comparing transmucosal implant placement with an open approach in the maxilla: A prospective, non-randomized pilot study. Clin Oral Implants Res 2007;18(2):197-203. Read on PubMed
5. Bertossi D, Gerosa R, et al. NobelGuide influence in the perception of post-operative pain. Minerva Stomatol 2013. Read on PubMed

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