Guided Implants - Noble Biocare Solution

CAD/CAM Bioengineering Science and Precision Dentistry

NobelGuides were created through the scientific efforts of biomedical engineers to assist reconstructive dentists in providing the best prediction factor for implant success for practically all types of tooth replacement needs.

The major benefit to the patient is the incredible accuracy of implant placement compared to "freehand" implant placement, which is often suitable for a single implant with adjacent teeth available to aid in the required positioning of the implant.

The freehand or non-guided surgical method however becomes immediately unpredictable when there is extensive bone loss.

The NobelGuide system, was developed in response to the need for the best accuracy possible. Computerized analysis of digitized imagery led to a fabrication method for creating implant drilling guides, thereby virtually removing the concern of inaccurate drilling.

Another benefit is that wider and/or longer implants can be placed with out risking vital structures. When bone conditions permit... depending upon the location of the implant site, using larger sizes of the implant device increases the integrity and long term strength.

Teeth In An Hour^TM

The incredible precision of the computer guided surgery template (NobelGuide) now allows a procedure called "teeth-in-an-hour" TM . The teeth-in-an-hour procedure is exclusively for patients with no teeth. The patient must be able to open his/her mouth a certain amount, be healthy and have a certain amount of bone. When these requirements are met, the patient may select this amazing option.


Based on a CT-scan, the implants are placed virtually on the computer. A drilling guide is designed and emailed to Sweden where it is fabricated. It is then returned to the doctor. A model is made with the exact location of the future implants.

The model is returned by the doctor to Sweden to have a custom titanium framework which is milled on a CAD/CAM machine out of a hockey puck size piece of titanium. The tolerance is within 200 microns! It is then returned back to the dentist. The final teeth are added and surgery is scheduled.

On the day of surgery the template is placed on the patient's jaw structure. The implants are then placed through the guide and on to the titanium framework. The NobelGuide is removed when all implants are placed. The whole process takes about an hour (Thus teeth in an hour).

The strength comes from a unique surface coating on the implant, cross arch stabilization, and abutments with 500 microns of adjustment (critical). This preparation takes 8-10 weeks.

Conventionally, these complex implant placements for a single patient would typically involve multiple surgeries and many prosthetic appointments spanning over a year.

There are many other uses of the NobelGuide. Use of this system consistently assures our patients of utmost precision, predictability and speed of implant procedures.