The digital
revolution is changing the world, and dentistry is no exception. Many technologies
have been introduced in the market allowing the dental team to use new
materials and devices in the production of dental restorations, in order to
make dental profession easier and faster, as well as, improving communication
with patients and their dental team. There are many areas of digital dentistry where a general
practitioner can benefit from, and many more are being researched. Among these, computer aided
design/computer aided manufacturing (CAD/CAM) technologies,
intraoral imaging, guided implant placement, including
design and fabrication of surgical templates, digital radiography, occlusion, temporomandibular
Joint analysis, and photography are only a few examples.

          Today, more than 50 years later the first titanium implant
patient, guided surgery has become increasingly popular due to
improved diagnosis and planning, followed by higher transfer accuracy of the
virtual plan to the patient’s mouth. It allows for a three-dimensional
prosthetically-driven implant
planning with virtual view of the bone, soft tissue, prosthetic set up and
adjacent and/or opposing anatomy. Hence it has undoubtedly been a major
achievement in the last years to provide
optimal three-dimensional implant positioning, as well as, higher patient
satisfaction. Similarly, CAD/CAM technologies have become part of
our daily practice, allowed the dental team to create prosthetic
rehabilitations with an accuracy and precision that were previously difficult
to obtain using well-established protocols.

          Original criteria for assessment of the implant
success included successful osseointegration and survival of the dental
implants. Today, the new goal is to improve the quality and the
safety of oral treatments by focusing care on the real patient needs and
wishes. The primary motivating factor for patients is a big desire
to improve their dental esthetics and function in the least invasive way. Hence, new parameters
have been introduced to assess success in the achieving of lifelike
implant-supported restorations, including but not limited to esthetics and patient’s

          Computer aided design/computer aided manufacturing
technologies, are well as guided implant placement, allow for fully
integration with other digital devices, such as, intraoral scanners, to provide
for accurate and faster patient-centered solutions. Digital impression is one
of the most exciting new area in dentistry for a wide range of procedures in
prosthodontics, restorative dentistry, and orthodontics. Although there is no
doubt about the potential and accuracy of established digital solutions, such
as CAD/CAM restorations and guided surgery, there is still lack of evidence
that recent digital technologies available on the market are superior to
conventional protocols. Truly, the evidence, by itself, does not make the
decision, but it can help support the patient care process. Evidence-based
medicine has always required integration of three key components:
research-based evidence, clinical expertise (i.e., the clinician’s accumulated
experience, knowledge, and clinical skills), and the patient’s values
and preferences. Looked at in this way, research & development and
marketing departments need to work together.

          NobelBiocare has always been a leader in publishing
original researches and developments in the field of dentistry. Today, twelve years
since its launch, NobelGuide guided surgery concept evolved from an ambitious
idea to become a solution many clinicians find indispensable. Take at look at
the past, the digital dentistry revolution started back in
the 1990s when Professor Matts Andersson, who had been influential in producing
the very first CAD/CAM restorations a few years earlier, was contacted by
Professor Daniel van Steenberghe, who just lead a virtual planning development project at
the Catholic University of Leuven, Belgium. This group there had
developed a promising program for dental treatment planning based on digital imaging (computed
tomography, CT). However, they had not found a way to
link the virtual plan to a physical model, yet. They had
contacted the right person, professor Matt Andersson, who immediately saw
a possible way to couple the two together. A special project had begun. Development of
the concept moved quickly after until professor Matts Andersson attended a
surgery on cadavers and saw it matched perfectly with the preoperative planning. The project was a success. From
there, things moved fast. A group that included five pioneers (Matt
Andersson, Daniel van Steenberghe,
Ingvar Ericsson, Andreas Petersson and Izidor Brajnovic) developed a
guided surgery concept destined to be always remembered.

          In 2001, Izidor Brajnovic produced the first flapless
surgical template. Shortly after, the idea of the radiographic and surgical
index was introduced and an early version of NobelGuide was born. NobelGuide was
ready to take centre stage starting from 2002 when the first patient was
successfully treated with the concept, by a minimally
invasive flapless technique and considerable post-operative comfort.

          A year later (2003), in Las Vegas, at the Nobel
Biocare World Conference in Las Vegas, live surgeries
using NobelGuide, performed by Professor Ingvar Ericsson, who was operating in
Stockholm, and Dr. Peter Moy, who was treating his patient in Yorba Linda, were
simultaneously watched by more than 2000 people from around the

          The NobelGuide
revolution didn’t stop there. In the 2005 NobelGuide digitized dental
implantology by introducing the first comprehensive concept for 3D treatment
planning and guided surgery, named NobelGuide, and it’s been
developing ever since. It was a great breakthrough for the profession
and for our patients. The key benefits are the optimized
diagnostic and implant planning, resulting in predictable, and precise
prosthetically oriented treatment,  higher
degree of safety and predictability compared to “freehand” implant placement. There’s the
possibility of flapless or mini-flap surgery, meaning less invasiveness in many
cases and the possibility to treat complex cases and sites that have limited
bone quantity.


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