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NobelActive: Initial Impressions?
Any thoughts on Nobel Biocare’s recent introduction of NobelActive, a new dental implant design with an innovative thread pattern?
According to Nobel Biocare:
“The one-stage implant features a unique shape and a new thread design with a ’self-drilling’ capability to facilitate drilling protocols in areas of narrower osteotomy. The product is easy to use and provides high initial stability and good outcomes. NobelActive(tm) has been designed for increased soft tissue volume at the head of the implant, resulting in improved esthetics.”
Any comments on this innovation?
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- NobelActive: Initial Impressions?
The Nobel Active implant is a direct copy of the Eeziplant from Osteo-Ti. As such it should work well, albeit at twice the price.
I think it is smilar MIS SEVEN which has an internal connection.
Dose anyone know what type fixture/abutment ?
Internal tri-lobe ?
The design is Alpha Bio from Israel at about 1/4 of the price. Very similar to MIS’s Seven implant which has a surface like SLA at about 1/4 of the price of the new Nobel Active. The only thing you are missing with the Seven is the money spent to convince you of the advantage of a more expensive implant.
This is obviously a new design based on combining all the progressive thread and taper designs that have appeared in the market before, started in 1980s with the Ankylos to the Pitt-Oss-Easy to all those mentioned above.
So what else is new?
WHERE IS THE DOCUMENTATION?
I would not want an implant system without documentation in my mouth. Why would I consider this in my patients?
It is an exact copy of Alpha Bio implant. I am wondering why are they (Nobel) trying to convince everybody that this is a NEW thread pattern.Is this the result of research and innovation?
Nowadays the companies tells you what you have to do.
They provide and everybody will do it!!!
Nobel Active is replacement for the now-banned Nobel Direct. I saw the video of the surgery in which they change the direction of drill and also implant half-way. This seems crazy and impossible and illogical too. One has to wait and see. Maybe it does work.
For anyone who wants to see this surgery, should visit the website of Nobel Biocare and click on the Nobel Show that was held in Las Vegas. The surgery is in one of the Live Sessions. The clinician is Dr. Fromovich from Israel, who with 3 others sold the design to Nobel Biocare. Dr Fromovich is a good surgeon.
If you want to review my 4 page/12 picture “Critical Analysis” of the NobelActive Implant and Nobel’s new Curvy Platform Shifting abutment, go to Implant Direct’s web site and look at the Nobel Biocare secton of the “Compare System” page to open the PDF. If this does not convince you that the Research Spirit on which the Branemark System was based, is dead at Nobel Biocare, nothing will.
fantastic. Every year a new implant from Nobel. Are you talking about research? This is only a marketing policy. Nobel learns the principle with ZARA, H&M, etc etc….
….there is no problem or Nobel users to maintain or accept new products.
They belong to what they think is good….fashion!
Poor patients!
I use Alpha Bio implant some years ago. Fantastic implant. I attended Nobel World Congress. Nobel Active is not a copy but a big development of Alpha Bio concept. Nitzan Bichacho and Ophir Fromovich are honest and big implantologists in the world and never could suport a bad system. You Dr Niznick stop to tell all the other products if they are not yours are bad.I knew you in Marrakesh where we lecture together. I did not like your presentation and I can’t like persons like you. You think you are “GOD”?
I will use Nobel Active and I am sure it will be a big success
Pardon as my english is not phantastic when I say a “good and clever system” I want to say “a bad and stupid system”
and now phantastic english (thank you to my wonderful translator Carmen)
I have been using the alpha bio spiral implant for more than 2 years. As far as I know more than 200000 implants have been placed in the last 4 years. I have tried several implant systems from the big 5 companies, and this one is the best by far. It can do things no other implant can do. Yes, nobelactive originated from this amazing implant with the enhancements they made (their tiunite surface and new prosthetic components) that seem to make the system even better. I attended their meeting in las vegas – the system was presented in 3 different sessions and it was very impressive - I know it really works.
it is a copy of OsteoCare Maxi Z dental implants produced in the UK, I use Maxi Z with great success, ofcourse Nobel version will be triple the price
Dear Mahamed I believe you are a dentist but yours eyes are not well.Maxi Z can be excellent, but the new Nobel Active is completly different.I like to give the best to my patients; price is relative. Good luck to your implant practice.
joao they copied the concept not the design and did u see maxi z in the first place?
Dear Mohamed yes I saw; is completly different; even the concept. But doesn’t matter, go on applying your “excelent implants”; I prefer work with companies offering to me studies, research, esthetic solutions, etc.
Well Nobel biocare don’t offer studies or anything now, just pure commercial work.. remember the problems with there on piece implant recentely?
what’s the significant of groovy implants?? yes they did a lot of research in the past but not now..
by the way your responses to me are arrogant and don’t make sense
Dear Moahmed
I attended their meeting in Las Vegas a month ago and was exposed to a full description of their new Nobel Active. They did not show yet the two-piece system but I have been working with implants form Alpha-Bio, as I mentioned before, so I am sure that Nobel Active’s two piece system will be as good or even better.
It is obvious that your impression is not based on facts. I suggest you give your opinion after studying this amazing system instead of basing it on irrelevant malicious gossip.
We should only comment on the design of the implant, not how good or bad the company that market these.
It is almost a given that these implants will work.
But it is also obvious that the thread design is not original, and they should just give credit to all those from whom the inspirations were drawn instead of making bigger than life claims.
ohhhhhhhh Joao, not so personal, not so personal…..Nobel will not thank you nothing…..
Dr.Niznick is not God, but he is talented and direct….
Nobel Biocare is good company they transform the clients in VIP and sell them cheapper but twice or more the price of other brands … The bone does not recognize the brand of the implant…
It is only a screw, very expensive … it is produced in machines that spits thowsands/hour, but always we decide where we gonna buy…
Dear Colleagues:
This discussion is the test that confirms that marketing works.
You invite some people from every country, you put them all in a big place (MGM arena), then you through away your marketing to them and finally you have hundreds of convinced doctors marketing your products by themselves!
I now that such a big event (Las Vegas World Congress) cost hundreds of thousands, but it just worked the way they wanted! Now they turned something that was old into a “new design”, something that was cheap into “expensive” and then they get the money not only to organize such a big event every two years but to earn an enormous amount of CHF,€,or $ in the mean while.
Money comes from our pocket. Research and papers are supported by implant companies, we all now it.
I will give credit to someone that is trying to sell me an implant at a reasonable price more than doing it to someone that increases the price of the implants without any reason to do it.
At a meeting recently participated in, Dr. Bichacho was giving his lecture on what they are now calling NobelActive. I raised the question to him about how he thought he could insert the implant in dense bone and his answer was that this implant was not for dense bone. Another Nobel supporter lectured on a ceramic implant that Nobel will probably start selling. To him I asked “what problem is it solving”. I then turned to the Gotlander VP of Nobel sitting beside Nobel’s president, and told him I had two words that described Nobel new products… Innovation Diahrea.
What is wrong in my oppinion with the NobelActive is that it cuts soft bone instead of spreading it. The idea of a tapered implant is that it can be inserted into an undersized socket in soft bone and as the implant is turned to place, it expands and compacts the bone increasing initial stability. The NobelActive copy of Alpha Bio’s clone of Oraltrontics implant is the same diameter at the bottom as the top so it will not go into a smaller socket and spread bone. A primary tenant of placing implants in soft bone is not to oversize the socket… so what did Fromovitch do at Las Vegas. He put the implants in at a 45 degree angle to the lingual, and then grabbed the head of the implants and twisted them to the lingual to gain parallelism. But for cementing a temporary 4 unit bridge, the implants would have fallen out before the patient got out of the office. I would like to see him try this with a single tooth preplacement. Apparently the NobelActive is not only for soft bone, it is for multiple splinted implant cases. Next Nobel will be selling an implant for the lower right posterior and a different one for the lower left. And someone will pay for it.
It seems that external Morse taper implant is very similar to Impladent Laminoss implant. Any decent occlusal reduction will eliminate the possibility to remove the implant, unless it is tapped off. I estimate the following dimentions for the implant post, hex, abutment. Post - 3.5mm, hex - 1.2 - 1.5mm, space between the the top of the hex and the bottom of the abutment threaded bore - 0.7mm, threaded bore - 1.0mm. Total of about 6.7mm. Not an impalnt for tight interocclusal areas unless you place implant under the bone level. Impladent recommendes placing implants 2mm subcrestally.
Looking at the resources Nobel spends on R&D (refer to last annual report with 3% - industry average is 7-11%) I am not surprised to see what kind of “innovation” they introduce to the market. But they obviously enjoy the largest market share and its us, the people who apply implant therapy, who make them the market leader!
I wonder if anyone could give me reviews about the MIS implant system. WHat is your feedback on bone compression/ expansion screws from MIS?
And so Nobel is launching a new implant called NobelActive. I wonder why? Trying to get ahead of something in the marketplace?
http://www.ncbi.nlm.nih.gov/sites/entrez
Not all surfaces are created equal.
Nobel has now posted the Instruction manuals for the NobelActive Internal and External hex implants. Reminds me of the movie “Dumb and Dumber”. The body of both are the same, with a signficant taper to the inside of the threads while the outside remain straight. They claim this design is self-threading (as is any implant n soft bone) and that it was designed so the direction of the implant could be change while inserting it or after insertion. They show this on their video online ie grabbing the 4-5mm high post of the external hex implant and twisting it so that it is parallel with other implants after it is inserted. This may solve their inherent parallelism problem but has to reduce initial stability. The Tapered Screw-Vent was designed with a gentle taper to both the inside and outside threads, so that the implant could be started into an undersized socket in soft bone and expand the bone for increased stability. Having sharp deep threads at the apex of the NobelActive will allow you to change direction during or after insertion but this has never been a recommended surgical protocol. It is the tail wagging the dog because with a 5mm external hex, they need to get the implants parallel. The direction of the implant should be established through sequential cutting of drills and the use of guide pins or even image guided surgery. Once established in the surgical preparation, you want an implant that will track on the socket that you carefully prepared, not one that could be inserted in any path. There is no good reason to need to change direction of the implant during insertion so it is a disadvantage, not an advantage. Of course they can change direction by tipping the implant before it is all the way seated since only the tips of their sharp threads are in contact with bone. The idea of an external friction fit post comes from the late 1970’s Miter implant and was abandoned in place of the Bicon design with the post being in the abutment giving more latitude for angled heads. Nobel should have made the post an abutment head alrady instead of requiring a friction fit abutment be attached by tapping to what amounts to a 5mm high external hex. Another shortcoming of the design is that in dense bone, the final sizing drill is wider than the neck/platform of the implant, creating a trench around it like the old Straumann basket implants of 25 years ago. This is what happens when Implants are designed by clinicians who do not have an understanding of the history of implant design. If you do not learn from the past you are destined to make the same mistakes all over again. In Nobel’s case, as with the NobelDirect and NobelPerfect, they are motivated by locking in the professional support of the “oppinion leaders” who sold them on this design. Calling the NobelActive the “Implant of the Future” just says that their current products are the implants of the past. I predict the NobelActive, with 2 studies underway, will follow the same path to oblivion as the NobelPerfect and the NobelDirect with TiUnite all the way to the top requiring preparation at time of insertion.
No doubt that the new implant from NobelBiocare really bothers Mr. Niznick.
Apparently he is not only threatened by this one but by all successful implant companies. In recent lectures, he has attacked and defamed all implants made by the three leading companies - NobelBiocare, Biomet-3i and Straumann.
In his words they are all “garbage”.
That makes 70% of the world’s implanting dentists – complete idiots.
It also means that 70% of the implant patients worldwide have flawed implant born restorations. That is if we listen to Mr. Niznick.
Mr. Niznick does not talk as a scientist or a Doctor anymore but as a business man for whom all competitors are enemies, successful ones in particular. Therefore his words, spoken and written, should be treated accordingly.
Mr. Niznick knows that innovative implants like the NobelActive are far superior in many aspects and in many cases are the only ones capable of high initial stability.
In fact he is so sure of it that he offered to buy the company that originated the new design (but they would not sell to him) and now he is promising a new implant along the same lines. It would be called the Proactive.
From what he writes and states I was not aware he is that pro active.
But then it takes a crooked mind to understand a crooked mind and no one is that crooked.
Would you buy a used car from this man, or any other thing for that matter?
No one in their right mind would buy anything from this man, ideas or products. He is too twisted and dishonest.
Would anyone on earth recommend NobelActive implant for insertion in the extraction socket of fractured canine along with BioOss+BioGide grafting and immediate loading (NBC Immediate Temporary Abutment), since a colleague had such a presentation in our local implant study club?!?!?
Immediate placement and minor grafting possibly, but not immediate loading. Although that may work and well in certain instances, why risk complications that can be easily avoided. Do no harm.
Personal attacks on me by employees or paid clinicians of the various companies is nothing new to me and does not deter me from speaking my mind. I have posted a slide show on my web site showing exactly what a bad idea the NobelActive Implant really is.
http://www.implantdirect.com/pdf/ProactiveNobelActivenew.ppt
To dr. Niznick: Generally, I agree with most of your work. But, you are attacking all the colleagues who are not your followers or Spectra System users and they are defending their own interest, knowledge and/or (lack of) exprience. Btw. why do you have different shapes in your system? In my opinion, if not compromised by the surgeon, infection or overload osseointegration works on every dental implant
Dr. Niznick is, in my opinion, right about the following things 1) external Morse taper connection was patented by Driskell, and other “innovations” are not inventions. 2) Self-threading and bone expanding capabilities are likely not better than other systems. 3) Implant direction needs to be controlled at the time of osteotomy preparation.
Dr. Niznick is, in my opinion, wrong when he states that implants have to be parallel to receive the bridge. Nobel will provide the angled abutments. Standard abutments can also be prepared. When Dr. Niznick compares the adaptation of Alpha Bio and Screw Plant implant/abutment interface, he orients Screw Plant implant in a wrong direction, to conceal the junction, since Screw Plant implant is using external conical connection (same as IMTEC Endure implants), the picture has to be taken from the apical end, not from the coronal end. There is one definite advantage to external Morse taper connection nobody can argue with – any implant can receive any abutment. Everything new is a well forgotten past (Russian saying).
Dear friends: this new implant has been in the market for a few years under Alpha Bio trade mark. Not even one of the NobelBiocare users paied attention to it during this time!. Beyond that if people from the company stated that I was using this implant in the past, they kindly asked me not to participate in their meetings or training programs. So what is different now?
I was present during the EAO corporate forum presentation of NobelBiocare. There was a live surgery from Israel performed by Dr Ophir Fromovich. I just can say that I will never bring my mother to him to place an implant or any other dental procedure!!!!
Dr. Niznick may be wrong saying that any one that is not usin his system is not doing things well but we need someone brave enough to possition himself in front of this powerful companies telling them that they cannot say anything that comes out from their marketing departments!
I will never place a NobelActive implant becouse I really don’t think it is offering me any advatage compared to what I am using right now.
Good luck to everybody!
Alexander Weinstein Says:
POSTING BY WEINSTEIN
No doubt that the new implant from NobelBiocare really bothers Mr. Niznick. Apparently he is not only threatened by this one but by all successful implant companies. In recent lectures, he has attacked and defamed all implants made by the three leading companies - NobelBiocare, Biomet-3i and Straumann. In his words they are all “garbage”.
RESPONSE: I have never said any implant is garbage - I have pointed out the shortcomings of implants from all three of these companies. That is called comparative competitive marketing. People in the audience either agree with me or not but that should not stop me from stating my point of view. For example, I have spoken against acid etched surfaces of of 3i for a decade… surface studies show it is as smooth as the old machined surfaces of Branemark, which I also was critical of and is now obsolete. I am critical of the 3.5mmD NobelReplace implant, made of pure titanium because of its potential for fracture and although I have duplicated the dimensions of this implant in the 3.5mmD RePlant implant, and made it out of alloy for 20% more strength, I also advise dentists to use our RePlus implant which adds 44% to the wall thickness by using a 3.7mmD as its smallest dimension. I spoke against the Straumann one-stage implant for its esthetic limitations - to achieve a lower margin, dentists had to push the implant farther into the bone, putting the smooth surface below the bone, which encourages bone loss. Straumann finally came up with a new two-stage implant, but that one falls short by not being self-tapping, not being tapered and not having micro-threads or grooves near the top. I even point out how Zimmer’s popular Screw-Vent implant that I developed, can be improved by extending the rough surface to the top, eliminating the apical vent and raising the threads.
POSTING: That makes 70% of the world’s implanting dentists – complete idiots. It also means that 70% of the implant patients worldwide have flawed implant born restorations. That is if we listen to Mr. Niznick. Mr. Niznick does not talk as a scientist or a Doctor anymore but as a business man for whom all competitors are enemies, successful ones in particular. Therefore his words, spoken and written, should be treated accordingly.
RESPONSE: AND SO YOU SHOULD JUDGE MY WORDS AS A COMMERCIAL PERSON… but you should also question the words spoken by these major companies’ paid spokesmen advocating their systems. In the end, those doctors who rely on their own good judgement to select the products that give them the best value and clinicala results are being smart, and those who beleive everything they are told just because it is Nobel, Straumann or 3i are not excercising good judgement. My contribution for 25 years has been to speak out against implants and implant features that I believe fall short of what would give the best clinical results. Some of the features that I spoke out against are now obsolete such as smooth surfaces, weak materials, unstable connections, complicated surgical procedures, non-self-tapping implants, expensive products etc. Those who would silence me like Weinstein, have their own agenda in being critical of anyone who questions the systems and business practices of the major implant companies. 70% of the dentists are using implants from these major implant companies because up until now they did not have a credible alternative at a reasonable price to buy a high quality, broad product line, with, in some cases, surgical and prosthetic compatibility to the systems they were trained to use. Implant Direct now offers this and it will change how the major implant companies have to do business to be competitive. Every dentist benefits from competition. Nobel and Straumann are publically traded companies and both Zimmer and 3i are owned by publically traded companies. They have large expensive organizations of salespeople, exectives, oppinion leaders etc, and they are driven by the need to maintain high margins to puff up their stock prices. Implant Direct, selling primarily over the internet and owned by a single person (me), with no investors has the ability to quickly launch competive products like ProActive with deeper threads for those who like this feature, while maintaining the successful features of our other products such as an even taper for bone expansion and the use of the tri-lobe connection with platform switching, so that the Nobel customer does not need to abandon his existing inventory of prosthetic components or re-train his or her referral dentists. I do this while providing substantial savings compared to Nobel’s prices. I would never duplicate something as limiting as the NobelActive External.. that concept was tried in the 1980’s with the Miter implant and abandoned after clinical complications because of the prosthetic limitations. The same thing will happen with NobelActive External because Nobel, in its desparation to launch new products, has not relied on the wisdon and knowledge its many experienced oppinion leaders but instead just bought a design from Alpha Bio, a company that built its business selling poor quality clones of my Screw-Vent system.
i am interestested to read the blogs out there.its qiute simple.The Ankylos implant now has 20 years of data.the system is absolutly unchanged in terms of screw pitch flank and connection.it has all the qualities that mr nitznic esposues.even better the surface is over the top of the implant and subcrestal placement of the 3.5 diameter implant complete with a platform swithch in the presence of a morse taper connection is perfect.Years of university based studies,a morse taper connection with a clapming screw-to produce the no smell implant.A taper with a progressive thread design for excellent primary stabibilty in type 4 bone and a tap for ease of placement in type 1 bone.an economic series of machined abutments in as may angles as you need.also the implant comes with the cover screw included and a shape of emgerence profiles of the connecting parts that wont loose your soft tissue seen with parallel or flared healing and abutmnt profiles.the joint produces zero micromotion under load cycles and to cap it all its as cheap as chips.having used all the major systems watch this space-carlsburg dont do implants but if they did they would look like ankylos-funny they are starting to!
nothing wrong with morse taper.ankylos was designed by an oral surgeon and an engeneer,thus
difficult to solve from prosthetic point.
Although Dr.Niznick’s comments on Nobel Active are partially correct, I do not see what is new in Dr.Niznick’s own ProActive implant as well !
Mini threads idea from ASTRA, shape of normal threads same as shape of threads of Hungarian company PROTETIM dental implants on sale in Hungary and Romania since more than 15 years ago, principle of combination of tapered body and tapered threads shape same as the one applied by several Italian implants from 1990ies and my own implant system SDV 1 introduced back in 1991.
As a Russian colleague wrote it above - all new is well forgotten past.
Implants with threads height of 0.4 up to 1.2 mm work quite well. Certain designs with high threads can be self - tapped even in D1 bone without use of tapping tool, if made of Grade 4 Ti or Ti6Al4V. Colleagues need to learn more about achievements of Italian Implant Dentistry School going back 20 or more years ago.
Implant dentistry today has reached a plateau and is not moving ahead as far as we speak about implant design. What is needed for example is to understand why there is no statistically significant difference of success rates between all different rough surfaces used by different manufacturers and what exactly is going on at the implant - bone interface after implants are inserted and loaded.
Dr.Valeri Stefanov
Pleven
Bulgaria
Warning don’t buy anything from Niznick
Ive used Niznick’s implants and have had horrible results. In my opinion his products should be banned from the market. He should spend more time analyzing his own faulty designs.
I’d like Dr. Pawel to be more specific. What kind of problems did you have? How is the implants design faulty7
NOBEL ACTIVE is a good implant
Nobel Active is a clone of Alpha Bio SFB implant, which is a very good implant. But, because of the inverted cone at the platform of the implant, i would not indicated this implant in immedaite implantation in sinus lifting cases.
Nobel Active is different from the Alpha Bio SFB. There are numerous differences, surface, thread design, connections as well as prosthetics.
most implants look a like from far away, but are different
Why should nobel active be different from sfb,if on nobel website one can see dr.Fromovich performing surgery using nobel active?
Nobel Active pays off its money, but still is an product emerged from a crisis of “innovation diahreea”!
Just heard,nobel bought alpha-bio for around $95
mill.,good investment.
Dr. Pawel Says:
January 17th, 2008 at 9:08 pm
Warning don’t buy anything from Niznick
Ive used Niznick’s implants and have had horrible results. In my opinion his products should be banned from the market. He should spend more time analyzing his own faulty designs.
Niznick Response: We have checked our records and do not find the sale of any implants to any doctor named Pawel. The party that posted this claim also never responded to the doctor that asked him for more details so my guess is that it was a Nobel sales purson. Nobel annouced it just bought Alpha Bio for $95M… Way to go Dr. Fromovich. Nobel will now be able to get rid of the low priced version of its NobelActive implant making Implant Direct’s ReActive implant (changed name from ProActive) even more attractive.
hi
can the specialists here guide me about any experiences with Leone exacone implants,which have morse taper connection with solid abutments…..please give some insights as it has cylinderical bodybut with threads….
NobelActive ( previously named SFB Alfa-Bio) is a great implant for certain clinical situations ( LIKE ANY OTHER IMPLANT that WE USE ). Almost 3 years of experience without problems( along with placement of 3i, BioHorizons and Bicon
implants ).
Very interesting comments form everyone, but I’d really be worried about about Dr. Pawel’s comments about horrible results with ID. I’ve used many systems over the last 18 years including ID and I can say that they all work and they all can fail. If someone is having exceptionally bad results, then my first look would be at the surgeon/ techniques rather than the implant system.
Well, I too was attending the Nobel show at the EAO meeting last september, and I can only agree with P.P. remarks of that incredible live surgery no B-level horror moviemaker could have imagined.
By the way, I’ve been trained in implantology using Hex-hole screw Vent Implants, and >98% of them placed 20 years ago next june are still perfectly working, and I mean from a bone-perio and prosthetic point of view. It was a smart simple system, difficult to handle properly mostly because the various form discrepancies between the “impression coping” and the plastic castable abutment, and for sure it was really a challenge to take perfect implant level impression, not to mention the work to lute the post and to clean the post and remove excess cement. But it was not impossible to use, and with the normal handling capacity of a newcomer from dental school.
The frequent changes in implant connection form, type and size Dr Niznick made in the years 1990-91, not so quickly transferred in Italy, forced me to choose a more “stable” system. I feel anyway that only those who don’t do nothing, don’t take a risk for failure (pardon my english, but I feel that the meaning is clear enough), but they do not provide any support to progress. And osseointegrated dental implant ARE progress.
Take care of your patients, and be honest with yourself, and have the best outcome of your life
Most implant systems on the market has high success rates. It depends on the familiarization of the surgical and prothetic techniques. Whether it is worthwhile paying 2 to 3 times the cost is up to the individual. The feel good factor may be priceless.
“Dr. XYZ on April 17th, 2008 6:37 pm Very interesting comments form everyone, but I’d really be worried about about Dr. Pawel’s comments about horrible results with ID. I’ve used many systems over the last 18 years including ID and I can say that they all work and they all can fail. If someone is having exceptionally bad results, then my first look would be at the surgeon/ techniques rather than the implant system.”
Dr. Niznick’s Comments.
As I stated above, I do not think there is a Dr. Pawel - it is most likely a Nobel Rep. We have no doctor in our records as having ever bought a product. On a salesrep blog, www.cafepharma.com a Nobel rep posted this comment. “thank god that we have enough reps on the street to scare the shit out of docs in using your product with our drills.” I spoke yesterday to a doctor who had placed over a thousand RePlant implants using Nobel Replace drills (we will soon have our own drills for RePlant and Nobel Replace implants), and he claimed to have 100% success to date. Montefiore Hospital has placed over 1200 RePlus implants from Implant Direct (a tri-lobe connection with a Tapered body like the Tapered Screw-Vent and our Spectra-System), with only 3 failures. When you get these kind of results, it demonstrates not only that titanium osseointegrates, but also the design and surface of the implants contribute to success (I will provide the names and phone numbers to these doctors if anyone contacts me directly), As for NobelActive, This implant has serious design flaws including to rapid a taper to the body (one doctor told me two jammed in to the bone before full seating and could not be unscrewed - had to be cut out), a tapered coronal portion (will leave a gap between the implant and the bone at the crest), and two sharp an apical cutting surface (could tear the membrane if it enters the sinus).
hey let’s not get carried away. Does anyone claim to have 100% success ? Does anyone never see an implant break loosen get infected or have the porcelain chip? Implants are titanium screws that are replacing a lost tooth they work period. there is no panacea remember the patient lost his \her tooth likely due to poor oh gum disease or trauma. We are hard working clinicians trying to make living and at the same time help our patients. The implant companies have one primary objective MAKE MONEY. Don’t blame them . Go with a proven system that you would feel comfortable having it placed in yoiur mouth. I’ve used nobel ,corevent ., implamed ,Hitec ,MIS ,Adin , Alpha BIO, they all work . But i will never forgive NIznick for the cemented posts he sold us in the 80’s. So does the new Alpha Active work sure it does but why spend three times as much as the alpha bio implant ?
There is a Dr Pawel…he is located in Ansbach CA. He is not a Nobel sales rep.
sorry for english:)
intresting discussion
i work with implants, maybe for 3 years. started with nobel, then tryed biohorizons, 3i only fo better price. sorry but i came back to nobel again, maybe it is too expensive, but, i never had any problem. about active, one thing, witch i hate in this system- why they still don’t have the same temporal abutment with screw, as they have in groovy??????? only strange thing is the plastic cap for cementation?