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the finest esthetics, the most beautiful smile NOBELESTHETICS FOR UNSURPASSED PATIENT SATISFACTION

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  • the finest esthetics, the most

    beautiful smile

    NOBELESTHETICS

    FOR UNSURPASSED

    PATIENT

    SATISFACTION

  • stunning results

    time after time

  • industry-leadingsolutions foroptimum success

    You dont need any specialequipment or knowledgeto benefit from ourporcelain and ceramicproducts. Whether youreworking with teeth orimplants the ceramicesthetic capabilities of theProcera products areunsurpassed anywhere.

    tried and trusted allover the world

    The success of Procera isproven. Results from 10years of clinical studieshave confirmed that pureceramic provides a superioralternative to traditionalporcelain-fused-to-metalalternatives. In short, metal-free Procera has helpedeliminate black lines.

    So its no surprise thatnearly 6 million unitshave already been sold,and the Procera networkof dental laboratoriesnow extends acrossapproximately 60countries worldwide.

    A look at the table belowalso confirms the extremestrength of Procera

    Bridge Zirconia. Combinethese outstanding qualitiesand youll understand whyProcera is the very bestway to give your patientsa faultless, long-lasting,beautiful metal-free smile time after time.

    1200

    1000

    800

    600

    0 ProceraBridge

    Zirconia

    Competingzirconiamilled

    BridgeAlumina

    MPa

    400

    200

    Procera Bridge ZirconiaFlexural Strength Material Comparison

    Source: Data on file

  • Through Procera NobelBiocare also provides youwith a complete suite ofsolutions from laminates,crowns and bridges rightthrough to implantprosthetics. So you haveall the practice-buildingpossibilities you need.

    With the best ceramicoptions on the market wealso want to help you useProcera to its fullpotential. Our online

    Procera network meansyou can keep up to datewith new developmentsin our products, thinkingand applications. Youcan design and plan oncomputer, take trainingand order online, and feelpart of a growing andinformed community.

    better business andbigger profits for yourpractice

    Procera technologiesoffer unprecedented levels of precision soappointments for remakesbecome a thing of thepast. This reduces patientchair-time, giving you moreopportunity to build yourpatient base and improvingyour profit potential.

  • better looking smilesfor all your patients

    Esthetic dentistry is an ideawhose day has come. Withthe enormous advances inimplant dentistry, there hasnever been a more excitingtime to be a dentist. Moreand more people now thinkof beautiful fully functioningteeth as their birthright and our industry is at lastin a position to deliver.

    Together, modern dentalprofessionals and NobelBiocare the pioneeringworld leader of the field can confidently answerthis demand. We nowhave all the solutions weneed for creating healthyhappy patients.

    NobelEsthetics

  • of esthetic dentistry fromprofessional and patientstandpoints. Just tapProcera into MedLineand youll see over200 references.

    Which is why we are theworld leaders in esthetic,ceramic metal-free dentalrestoration.

    making existing teeth

    perfect

    a scientific approachto perfection

    Weve also looked intoareas many miss. Ourcollaborative clinicalstudies record not justthe technology, but thepractice, art and success

  • Procera Crowns

    Procera Crown 0.4mm for superioresthetics with unsurpassedtranslucency 0.6mm for use in allindications

    Procera Crown Zirconia 0.7mm when the extrastrength of zirconia iswanted

    Procera Crowns andBridges can be orderedfrom your laboratory withindividualized outer shapeof the framework foroptimal porcelain support

    Can be cemented withconventional methods

    Procera

    Laminates andCrowns

    Procera LaminateAlumina 0.25mm

    Combines optimalstrength with excellentesthetics

    Significantly less laborthan traditionaltechniques

    Procera Bridge

    Unsurpassed fit

    Superior zirconiastrength and esthetics

    NobelRondo

    An extremely strongporcelain (120Mpa)

    Highest esthetic resultsfrom unique layeringtechnique

  • Procera also providesesthetics for theStraumann implant systemas well as other implantsystems.

    Have you ever consideredmaximizing your profitpotential even further byplacing implants yourself?Our NobelDirect implantsolution is as close to crownand bridge as you can get.And the unique flaplesssurgery involved meansyour patient can havebeautiful teeth withImmediate Function inone treatment session.

    placing beautiful teeth on

    implants

  • Abutments are availablefor all Nobel BiocareImplant Systems as wellas implant systems fromStraumann, RegularNeck 4.8 and Wide Neck6.5, 3i 3.75, Lifecore

    Biomedical, Restore 3.75,Zimmer Dental Taper-lock 4.0 and SterngoldImplamed 3.75

    Procera

    Implant Bridge

    Predictable perfect fitfrom one piece ofbiocompatible titanium

    Available on implantlevel and abutment level

    Free design of framework

    Procera

    Abutments

    Customized design(angulation, height,width)

    Available in Zirconiaor Titanium

    Choose cementableProcera all-ceramicCrowns or Bridges forthe ultimate esthetics

    Courtesy of Dr. Iaki Gamborina

  • Based on the latestscanning, CAD/CAM andproduction technology,cores of densely sinteredalumina or zirconia arefabricated with highaccuracy to ensure aperfect fit.

    This materials propertiesresult in top-notchclinical features:

    Extreme strength

    Translucence

    Cementability

    Biocompatibility

    and make it almostimpossible to distinguishthe restoration from anatural tooth.

    Procera, together withthe worlds strongestprosthetic materials andthe extremely strongporcelain material NobelRondo (engineeredspecifically for Procera), alladd up to an unbeatablecombination.

    If you have any questionsor need more informationregarding Procera, pleasevisit our website: www.nobelbiocare.com

    Procera is a uniquesystem from NobelBiocare for the fabricationof esthetic and functionaldental restorations.

    Development of theProcera systemcommenced in 1983and the first patient wastreated in 1985. Since theircommercial introductionin 1994, nearly 6 million Procera restorations havebeen produced andinstalled. In addition,approximately 60countries are representedin the Procera networkand work with Procera.

    Procera offers youthe optimal restorativesystem, including crowns,laminates, abutments andbridges, for all indications.

    The combination ofbeauty and strengthgives you a simple andpredictable clinicalprocedure, excellentesthetic results andimproved long-termperformance.

    Unique 10 year resultsfrom clinical studies reveal that Procera

    provides a superioralternative to the use oftraditional porcelain-fused-to-metal (PFM) restorations.

    Indication-based beauty

    Crowns Bridges Implant Bridges Abutments Laminates

    Procera + Zirconia/Alumina +

    NobelRondo=

    Unbeatable indication-basedprecision, strength, beauty!

  • Clinical case courtesy of Dr. Eric van Dooren, Belgium

    Procera Crown

    Zirconia or alumina

    Excellent strength withbeautiful all-ceramicesthetics

    Biocompatible

    Easy technique,saves chair-time

    10 years of clinicaldocumentation

    3D CADDesign freedomfor the ultimate estheticoutcome and strength

    Nearly 6 million unitsproduced

    New

    Freehand coping designthat provides increasedporcelain-support andeven stronger results forall indications.

    Cementation

    To save chair-time, useconventional crown andbridge cementing insteadof bonding

    Temporary cementationmust never be used

    For more information aboutcementing/bonding,see the relevant section, Procera Clinical Procedure.

    Tooth Preparation

  • Clinical case courtesy of Dr. Vincent Prestipino

    Procera

    Laminate

    Alumina

    Excellent strength withbeautiful all-ceramicesthetics

    Biocompatible

    Easy technique, saveschair-time

    Cementation

    Procera Laminates mustbe bonded. See therelevant section later.

    Tooth Preparation

    Note! The laminate coreis only 0.25mm thick.

  • Clinical case courtesy of Ernst A. Hegenbarth, MDT

    Procera Bridge

    Zirconia

    Proven strength

    Beautiful all-ceramicesthetics

    Biocompatible

    Easy cementabletechnique,saves chair-time

    Defect-free precisionmilled from a solid pieceof zirconia

    Indications

    Especially appropriate asan esthetic solution inthe anterior

    Metal allergies and/oresthetics are indicationsfor posterior placement

    Can also be used inconjunction withimplant treatments

    Two- to four-unit bridges

    Cementation

    To save chair-time,use conventional crownand bridge cementinginstead of bonding.See the relevant sectionfor more details.

    Contraindications

    Cases where the anteriorand/or posteriorcantilevers have a lengthof more than one unit

    Bruxism and/orperiodontal problems

    Tooth Preparation

  • Clinical case courtesy of Robert Nlken, Dr. Med. Dent.

    Procera

    Implant Bridge

    Predictable precision-fit< 20m

    Predictability eliminatestry-in steps and reducescostly chair-time

    Precision milled from asolid piece of titanium

    Biocompatible

    Freedom of design forthe ultimate estheticoutcome and patientsatisfaction

    Exceptionally stronglightweight framework:free from distortionsand defects

    Platform Options

    Nobel Biocare implantsystems

    Procera Implant BridgeOctagon (titanium) forStraumann RegularNeck 4.8mm and6.5mm Wide Neckendosseous implants(implant level only)

    Indications

    Full arch or partialrestorations on bothabutment andimplant level

    Patients allergic to alloysmay be an indication

    Prosthetic Options

    Choose any veneeringmaterials (e.g. dentureteeth and acrylic,composite or porcelain),for example: Wrap-around Traditional acrylic Ti-Porcelain Ti-Porcelain andProcera ceramic crowns

    Connection

    Abutment level tightenthe prosthetic screws to15Ncm

    Implant level tightenthe abutment screwsto 35Ncm

  • Clinical case courtesy of Dr. Iaki Gamborena

    Procera

    Abutment

    Zirconia or titanium

    Customized for superioresthetics

    Cost-effective, no needto stock pre-fabricatedabutments

    Easy to make with theProcera 3D CADDesignprogram or by scanninga wax-up

    Biocompatible

    Designed to fit practicallyany angle, taper, finishline, height, width andcross-sectional form. Can also compensate forodd angles and implantalignments

    Platform Options

    Brnemark System

    & Replace Selectimplant systems

    NobelPerfect

    implant system

    Abutments are alsoavailable for implantsystems from 3i 3.75,Lifecore Biomedical,Restore 3.75, Zimmer

    Dental Taper-lock 4.0and SterngoldImplamed 3.75

    Indications

    Single or multipleimplant restorations

    Fully edentulous orpartially edentulous arch

    Preparation

    If minor adjustmentsare necessary, you canadjust the preparationintra-orally using carbideburs or diamonds,together with copiousirrigation

    Connection

    Tighten Procera

    abutment screwsto 35Ncm

    The restoration iscemented over thecustomized abutments following the same basicprotocol as for tooth-supported crowns andfixed, partial dentures

  • Procera

    Instruments

    Procera needs only yourconventional preparationtechniques, a moderatechamfer margin androunded internal lineangles.

    Brasseler USA (incollaboration with NobelBiocare) has developedpreparation kits for usewith Procera restorations,which are available in mostmarkets. The shapes are of standard design andcan also be purchasedseparately from othersuppliers.

    Each of the preparationkits includes the necessarydiamonds for preparation.

    #21331111: Procera

    Preparation kit

    #1523121: Procera

    Laminate kit

    Impression Taking

    Your ability to accuratelycapture an impression iscritical for the correcttransfer of informationto the laboratory.

    Use your preferredimpression materialand method

    Verify that theimpression is free ofvoids, inconsistencies,or tears

    Shade Selection

    It is essential to accuratelydocument the color of theadjacent teeth accordingto the Vita shade guide,as this will provide theoptimum match for theveneering porcelain thatis best suited to Procera

    restorations.

    Thereafter, theNobelRondo procedureis an ideal alternative that offers unlimitedpossibilities for achieving

    customized esthetics,e.g. in terms of the hue,chroma and value of the teeth.

    6 steps of shade selectionwith NobelRondo:

    1. Selection of theNobelRondo

    shade group

    2. Selection of thebasic hue

    3. Variations of colorintensity

    4. Inner structures ofthe tooth

    5. Variations of lightness(value) and contrasts

    6. Texture and shine ofthe tooth surface

    For more information,see the NobelRondo

    Ceramic Concept andProcedures manual.

  • Cementation

    Once you receive yourProcera restorationfrom the laboratory:

    Check the restorationfor damage on the die

    Seat the Procera

    restoration on the tooth

    Check the proximalcontact

    Evaluate fit, occlusion,and esthetics prior toconnection

    The internal Procera

    surface roughness issimilar to that of aporcelain surface afteretching and, thus, provides exceptionalcementation strengthwithout furtherpreparation

    Consider thetranslucency of therestoration andadhesive materialwhen cementing inthe anterior region

    Apply selected materialin the Procera Crownor Procera Bridge. Theuse of too much cementcan make the seating ofthe restoration difficult

    Seat the restorationusing finger pressure

    Once the definitiverestoration is seated,allow the excess cementto set completely

    Gently remove anyexcess cement from themargins

    Note! Procera Laminatemust be bonded. Employdual cure resin cementsusing adhesive bondingtechniques.

  • Bonding

    Documented compositebond strength forProcera Crown andLaminate restorationsare with phosphate-bonded monomer-containing composites

    After try-in at the clinic,remove proteins byrubbing with 37%phosphoric acid andrinse with water forone minute. After dryblasting, the restorationis dehydrated withalcohol

    The tooth is treatedand the bondingmaterial is applied inaccordance with therecommendationsprovided by themanufacturer of thecomposite cement

    After seating, therestoration must belight-cured in accordancewith the manufacturersrecommendations.When using Procera

    Laminate, self-curing isrecommended in orderto avoid the influenceof the chair-side lampon curing time

  • 1200

    1000

    800

    600

    0Procera

    BridgeZirconia

    Competingzirconia

    milled bridge

    Alumina

    MPa

    400

    200

    MaterialInformation

    For more detailedinformation about Procera

    materials, see the CenterFor Excellence anestablished long-termresearch collaborationbetween the Universityof Michigan andNobel Biocare.

    Load to Fracture:

    Average load to fracture: 1100N (range: 1046-1167N).(All bridges reached 99.8% of the full theoretical density.)

    Note! Normal bite power in mouth ranges from 40 to 250N.

    Bridge data (average): width of beam (max): 3.05mm, height of beam (max): 3.10mm, coping thickness: 0.6mm.

    http://www.nobelbiocare.com/global/en/ScientificReferences/Links/center_for_excellence.htm

    Procera Bridge ZirconiaFlexural Strength Material Comparison

    Source: Data on file

  • Procera Crown

    Procera CrownFlexural Strength Material Comparison

    MPa

    1200

    600

    400

    200

    0

    1000

    800

    Procera(zirconia)**

    Procera(alumina)*

    In-Ceram(Vita zahnfabrik)*

    Empress(Ivoclar)*

    * Source: WC Wagner, TM Chu. Biaxial

    Flexural Strength and Indentation Fracture

    Toughness of Three New Dental Core

    Ceramics. The Journal of Prosthetic

    Dentistry, August 1996.

    ** Source: Sierraalta M, Odn A, and

    Razzoog ME. Material Strength of Zirconia

    Produced with Two Methods. [Abstract

    #450] J Dent Res 2003.

    * Source: Study performed by

    University of Michigan.

    NobelRondo

    Flexural Strength Material Comparison

    120

    100

    80

    60

    0

    MPa

    40

    20

    NobelRondo * Vita VM7 AllCeram*(Degudent)

    Cerabien(Noritake)

    ISOStandard

  • More and more arechoosing Procera

    Saves time and money

    Strong and beautiful

    Chosen aroundthe world

    Bernard Touati, DDS, DSO France

    The amazing thing about Procera

    Alumina is that you can achievesuperior esthetic results and stillprepare and cement it as if itwas a PFM.

    Brien R. Lang, DDS, MS USA

    The Procera system is avery significant contributionto oral health; Im proud tobe associated with it.

    Eric van Dooren, DDS Belgium

    The ability to utilize traditionalcementation techniques withProcera Alumina is translated intosimplified clinical procedures, fewerpost-operative complications andsignificantly reduced chair-time.

    what customers say

  • our qualifications are

    your security

    www.nobelbiocare.com

    Achievements

    Inheritors and developers of the work ofProfessor Brnemark founder of modernimplantology. World leaders in the field

    Providers of the most comprehensive andflexible crown, bridge and implant solutionsin the world

    Creators of unique biocompatible materialTiUnite for optimal osseointegration,Immediate Function and Soft TissueIntegration

    Creators of CAD/CAM dentistry

    Creators of unique Procera System one seamless procedure from 3D planning tofully guided surgery right through to customizedceramic restoration

    FDA cleared for Immediate Function

    (except 3.0 and Zygoma)

    FDA cleared for Teeth-In-An-Hour in 2004

    Quality

    Zero non-conformities in 2004 FDA inspectionof Nobel Biocare production units in Gteborg,Karlskoga and Stockholm

    Research

    Formal collaboration with over 50 academicinstitutions and 600 independent scientistsaround the world

    More clinical studies on immediate or earlyloading than all other competitors combined(Medline Feb 2005)

    More prospective clinical studies with at least5-year follow-up than all other competitorscombined (Berglund et al 2002)

    Support

    165,000 customers trained by 1,985 dentalprofessionals in 37 countries and in 19 languages,during 2004

    Own sales organizations with local NobelBiocare staff in 29 countries

    Leading business website in 8 languages, withcomplete online service supplying all productsand at least 500 courses available at all times

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