| Achieving excellent results with NobeIGuide™ And NobelProcera™ Dr Annette Felderhoff/Dr Andrea schnur, DDSDental X GmbH  & Co. KG, Mun1ch1 Germany
 Treating a patient is teamwork. Several players have to collaborate.
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                            |  | Case diagnostics and treatment planning starting with conventional clinical and
 prosthetic diagnostic procedures, resulting
 in a wax up.
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                            |  | As a result of the diagnostic procedures, clinically evaluated wax-ups are transformed into a radiographic guide for each jaw. Digitization folaows the double scan
 technique.
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                            |  | Through NobelGuide planning NobelSpeedy implants are virtually placed - upper jaw:
 implants on the right, 3 on the left side.
 A need for sinus floor augmentation
 is identified on both sides, lower jaw:
 implants each at both sites. The plan
 is transferred to a ready to use surgical
 template.
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                            |  | Upper left side: minimal invasive access through tissue punch, Guided mplant
 site preparation (surgical template). Bone
 condensation with dedicated tooling
 (osteotomes, internal sinus floor elevation).
 Guided lmplant insemion, healing abutments.
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                            |  | Upper right side: external access for external sinus floor evation. Flap elevation through guided surgery predictable and stable insertion of implants even in the measured bone quality 3 and 4. Cover screws, bone grafting and sealing
 with a resorbable mewbrane, submerged
 healing, tight suturing.
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                            |  | OPG after conventional healig time of 4 months. Second stage surgery upper
 right implants impression taking and
 fabrication of master wodels.
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                            |  | Wax up in the articulator for NobelProcera (Following initial waxup).
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                            |  | All considerations taken during the NobelGuide planning facilitate the design of
 the NobelProcera framework design.
 
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                            |  | Try in of final NobelProcera zirconia framework.
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                            |  | Final veneered single crowns, screw retained in the patient's mouth.
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