1. NobelActive Internal and External Hex Implants Nobel Marketing Claims this is the “Implant of the Future”

2. NobelActive is a Conglomeration of Common Features that work individually but not necessarily in combination
Screw-Vent Internal Hex/bevel Niznick Patent 1986
Astra 11Deg. Bevel
NobelActive hex too deep to allow for 8mm implant length
45 Deg. Bevel Bevel with proven 20 year history of stability
Osstem’s double Threads over entire length. NobelActive transition of sharp to flat threads not conducive for self-tapping insertion in dense bone
Oraltronics’ Pitt-Easy Implant with Deep Apical Threads
Alpha Bio Clone with Conical Connection

3. 1.5mm High External Hex 3.5mm Morse Taper Post
NobelActive External -With External Locking Taper Connection Nobel Marketing Claims this is the “Implant of the Future”
1.5mm High External Hex 3.5mm Morse Taper Post

4. NobelActive External - 5mm high tapered post requires parallelism Miter Implant with External Post – Evolved quickly to Internal Socket (Bicon)
“Those who cannot remember the past are condemned to repeat it” QUOTATION: George Santayana (1863–1952), U.S. philosopher,
Driskell Patent 1985: Tapered Post on Implant “Locking taper concept – impacting the female taper of the implant head with the male counterpart on the root structure.”
Driskell Patent 1988: Tapered Socket in Implant Locking Taper Concept “The head member has … a tapered rod or socket for connection to the root”

5. NobelActive (TiUnite) and Alpha Bio’s SFB (SLA) Implants BUT Nobel claims 98.3% Alpha Bio study applies to its new implant
ABOVE: Nobel Claims NobelActive success of “98.3% for up to 4 years” BELOW: Alpha Bio’s Catalog Claims same 98.3% success “after more than 5 years” but the surface is SLA (sand blasted with large grit followed by acid etching) like Straumann’s Surface

6. Nobel Claims NobelActive Functions like “Corkscrew” Close Evaluation indicates they should have left it in the bottle

7. Nobel Biocare’s NobelActive Marketing Claims
Questionable Validity of Marketing Claims
Higher than What – Replace? Increased stability achieved by spreading bone whereas deep threads cut bone
Self-threading – like any screw in soft bone.
Path of implant insertion should be established during surgery, not during implant insertion. That is what guide pins and end-cutting drills are for.
Nothing unique about press-fit connection. Miter Implant (1980) had external tapered post – evolved to internal press-fit connection of Bicon
If cement is a risk, why does NobelActive Internal have a screw-retained connection?
Why does NobelActive have spiral cutting grooves if not to “cut through bone like conventional (self-tapping) implants”?
“bone-condensing – expands indication range and gives even higher initial stability.”
“self-drilling”
“ability to change direction during surgery”
“unique press-fit connection of abutment –
-removes risk of excess cement”
NobelActive Internal and External implants don’t cut through bone like
conventional implants, they press through it like a corkscrew

8. NobelActive External Claims
Claims are not Valid
“One piece implant
design with 2-piece flexibility”
locking tapered interface .. Eliminates bone level micro gap, micro-movement and the use of abutment screws.”
It is not a “one-piece implant – requires an abutment.
Does not have 2-piece flexibility – Can not use angled heads greater than 12 degrees, ball, screw-receiving or ceramic abutments. Require parallel placement of implants for bridges.
A one-piece implant eliminates “micro gap” but a precise-fitting internal connections maintain marginal integrity anyway. Nobel still sells external hex implants – less stable

9. Dense Bone Drill is 4. 6mmD but Platform is 3
Dense Bone Drill is 4.6mmD but Platform is 3.9mmD NobelActive Leaves Gap around neck of Implant in Dense Bone

10. 4. 3mmD Replace Implant is better choice than 4
4.3mmD Replace Implant is better choice than 4.2mmD NobelActive for insertion into Immediate Extraction Sockets
Narrow Neck of NobelActive Requires Bone and Soft tissue Grafting to fill defect left at crest of ridge
5.0
5.0
3.9
5.0

11. ScrewDirect $150 incl. Snap Transfer & Cap
Compare NobelActive External Hex with ScrewDirect One-Piece Implant The Prosthetic Advantages are Obvious & Cost Savings Significant
ScrewDirect $150 incl. Snap Transfer & Cap
NobelActive External Requires Attachment of one of these four abutments

12. Attach & Remove Long Friction Fit Head to NobelActive
Heads of Implant exposed above bone
Straight Friction-fit abutment too long
Try in straight abutment.. Too long but locks in
Tried to remove abutment with Forceps

13. Attach Two Short Friction Fit Heads to NobelActive using Mallet
Jack off abutment using Removal Screw
Shorter Abutment attached to Implants
Shorter Abutment attached to Distal Implant
Tap on Taper Lock Abutments with Mallet

14. Preferred placement is angled between buccal and lingual plates Straight Post of NobelActive External requires vertical placement

15. Why Change Drills and Platforms, just to change threads?
RePlus
Nobel Active
ReActive
RePlus and ReActive have compatible Tri-Lobe Connection
Both have Platform switching interface – of questionable value
Both have even taper to allow insertion into an undersized socket for bone expansion,
Nobel Active has straight outer threads with very tapered inside thread dimension
RePlus and ReActive have Mini-threads whereas NobelActive has horizontal grooves.
RePlus and ReActive seal opening at crest of ridge whereas NobelActive 4.3 & 5.0 implants are narrower at top, leaving gap
RePlus and ReActive have double lead threads on body for faster insertion.

16. Very deep threads apically cuts rather than compresses soft bone - any screw implant will self-tap in soft bone.
NobelActive No Taper to OD of Threads
ScrewPlant Gradual Taper for Bone Expansion
NobelActive™ Claim
The product is easy to use and provides high initial stability and good outcomes.
The Apical Threads are too aggressive for self-tapping insertion in Dense bone and are designed to cut threads in soft bone rather than expand and compress the bone for increased initial stability. Any Implant will self-tap in soft bone.
Deep apical threads will not expand narrow ridge or compress soft bone
Soft Bone (Balsa) = 3.91 in/lbs Insertion Torque Hard Bone (Oak) = 6.35 in/lbs Insertion Torque

17. ReActive with Tri-Lobe Connection and Platform Switching Projected Launch Date – January 2008
Same taper to body as RePlus Implants allow insertion in undersized socket for expansion
Flat-based deeper threads provide increased surface area for greater stability in soft bone
1.5Deg.
3.0Deg.