1. Surgical protocol for NobelParallel™ CC

2. 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

3. 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:

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

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

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

7. Drill sequence
Optional
Optional
Reference line
13mm

8. 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

9. 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

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

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

12. 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 rpm
Maximum speed rpm
Low speed rpm

13. 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

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

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

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

17. 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.

18. 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.

19. BACK-UP

20. 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