Surgical protocol for NobelParallel™ CC

Required implants and instruments The following implants and instruments are required for implant placement: Disposable drills for selected implant dimensions and bone density NobelParallel CC implant RP x 13mm Abutments

NobelParallel™ Surgical Kit Color-coded to match implant platform Universal color-coding enables inventory organization and stocking efficiency Colors match implant packaging Drill Protocol provided for reference Autoclavable* * See current cleaning and sterilization guidelines for details: www.nobelbiocare.com/sterilization

NobelParallel™ Surgical Kit – Drilling Protocol is provided on the drill kit Drills within [brackets] denote as optional

NobelParallel™ Surgical Kit – Drilling Protocol is provided on the drill kit Drills within [brackets] denote as optional

NobelParallel™ Surgical Kit – Drilling Protocol is provided on the drill kit Drills within [brackets] denote as optional

Drill sequence Optional Optional Reference line 13mm

Drill sequences for different bone types Soft Bone Type IV Medium Bone Type II & III 2.0mm 2.4/2.8mm [3.2/3.6mm] Reference line NobPrl CC RP 4.3mm Reference line 2.0mm 2.4/2.8mm 3.2/3.6mm *CD 4.3mm NobPrl CC RP 4.3mm [*ST 4.3mm] [optional] [optional] *CD = Cortical Drill *ST = Screw Tap

Drill sequences for different bone types Dense Bone Type I Reference line 2.0mm 2.4/2.8mm 3.2/3.6mm *CD 4.3mm NobPrl CC RP 4.3mm *ST 4.3mm *CD = Cortical Drill *ST = Screw Tap

Drill sequence for NobelParallel™ CC RP x 13mm (medium bone) Twist drill with tip Ø 2mm Direction indicator Maximum speed 2000 rpm

Drill sequence for NobelParallel™ CC RP x 13mm (medium bone) Twist step drill Ø 2.4/2.8mm Depth probe Maximum speed 2000 rpm

Drill sequence for NobelParallel™ CC RP x 13mm (medium bone) Optional Twist step drill Ø 3.2/3.6mm Cortical drill 4.3mm Screw tap 4.3mm Maximum speed 2000 rpm Maximum speed 2000 rpm Low speed 25 rpm

Unpack implant Open the outer package of the implant Empty the inner sterile container with the implant onto the sterile field Remove the plastic cylinder Notes: Each implant is packaged in a double sterile vial The outer package includes two printed peel-off labels with product data, which can be affixed to the patient chart The cap of the outer package is color-coded to identify the implant platform Cover screw is included with implant

Implant placement – using a drill unit Make sure that the Implant Driver is fully seated Low speed 25 rpm Maximum 45Ncm

Implant placement – using a manual torque wrench Make sure that the Implant Driver is fully seated Maximum 45Ncm

Implant placement – using a surgical driver Make sure that the Implant Driver is fully seated

Final implant placement For maximum esthetic results place the implant on the level of the buccal bone or 0.5 – 1 mm below. When placing the implant, align one of the black hex indicators on the implant driver parallel to the buccal wall, which ensures that one of the flat sides of the hexagon is parallel to the buccal side, ensuring preferred prosthetic abutment orientation.

Finalization options There are three options for finalizing the implant surgery One-stage immediate function Provisionalize implant for immediate esthetics and function, using Nobel Biocare temporary or final abutments. One-stage delayed function Use Screwdriver Unigrip to connect a healing abutment to implant. If applicable, suture back the soft tissue. Two-stage delayed function Use Screwdriver Unigrip to connect a cover screw to the implant. Suture tissue flap using desired technique.

BACK-UP

Drill sequence for NobelParallel™ CC RP x 13mm „Cheat sheet“ for hands-on exercise (medium bone) Optional Precision drill 2000 rpm Screw tap RP Ø 4.3mm 25 rpm Depth probe 2000 rpm Twist step drill Ø 3.2/3.6mm 2000 rpm Drill Ø 2mm 2000 rpm Twist step drill Ø 2.4/2.8mm 2000 rpm Cortical drill Ø 4.3mm Reference line