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NobelGuide, the planning and surgical concept from Nobel Biocare

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MEDIA RELEASEChicago, Illinois, USA – 23 February, 2006<strong><strong>Nobel</strong>Guide</strong>, <strong>the</strong> <strong>planning</strong> <strong>and</strong> <strong>surgical</strong> <strong>concept</strong> <strong>from</strong> <strong>Nobel</strong><strong>Biocare</strong>, enables dentists to place an implant <strong>and</strong> fully functioningtooth in one patient visit<strong><strong>Nobel</strong>Guide</strong> <strong>from</strong> <strong>Nobel</strong> <strong>Biocare</strong>, <strong>the</strong> world leader in innovative es<strong>the</strong>tic dentalsolutions, makes it possible for dentists to safely place a dental implant <strong>and</strong> fullyfunctioning tooth within one patient visit. <strong><strong>Nobel</strong>Guide</strong> takes advantage of <strong>Nobel</strong><strong>Biocare</strong>’s Procera® <strong>surgical</strong> <strong>planning</strong> software <strong>and</strong> <strong>the</strong> <strong>surgical</strong> technique calledFlapless Surgery, which is comparable to “keyhole surgery”. Heliane Canepa,President <strong>and</strong> CEO for <strong>Nobel</strong> <strong>Biocare</strong> said, “If dentists can do crowns <strong>and</strong> bridges,<strong>the</strong>n with Procera® <strong>and</strong> <strong><strong>Nobel</strong>Guide</strong>, <strong>the</strong>y plan <strong>the</strong> exact placement of a patient’simplants <strong>and</strong> can offer a complete root-to-tooth solution.”Dental professionals positively received <strong>the</strong> <strong><strong>Nobel</strong>Guide</strong> <strong>planning</strong> <strong>and</strong> <strong>surgical</strong> <strong>concept</strong>launched last year at <strong>the</strong> company’s World Conference in Las Vegas. Canepa said,“<strong><strong>Nobel</strong>Guide</strong> is <strong>the</strong> most exciting new <strong>concept</strong> in implantology in <strong>the</strong> past 20 years. Theresponse was overwhelming as dentists realized <strong>the</strong>y can now safely <strong>and</strong> quickly letpatients with lost teeth enjoy a normal life again.”Using <strong>the</strong> <strong><strong>Nobel</strong>Guide</strong> <strong>concept</strong>, dentists plan <strong>the</strong> entire implant treatment, including howmany, which length <strong>and</strong> which angle of insertion using <strong>the</strong> Procera® software. CT computerscanned data or a plaster model of <strong>the</strong> patient’s teeth <strong>and</strong> mouth are used as <strong>the</strong> foundationto map <strong>the</strong> shape <strong>and</strong> location of bone.<strong>Nobel</strong> <strong>Biocare</strong> or a dental laboratory creates a <strong>surgical</strong> template complete with guide holes,based on <strong>the</strong> <strong>planning</strong> data, for use during surgery. Canepa said, “The precision <strong>planning</strong>offered by <strong>the</strong> Procera® software provides dentists with a way to accurately place implants.”<strong><strong>Nobel</strong>Guide</strong>’s <strong>surgical</strong> template offers dentists a less invasive method as an alternative tomajor surgery that requires cutting <strong>and</strong> pulling back <strong>the</strong> soft tissue around <strong>the</strong> patient’sjawbone. Instead, <strong>the</strong> <strong>surgical</strong> template is secured over <strong>the</strong> patient’s soft tissue <strong>and</strong> <strong>the</strong>dentist drills through <strong>the</strong> soft tissue into <strong>the</strong> bone using <strong>the</strong> pre-planned guide holes. “Using<strong><strong>Nobel</strong>Guide</strong>, patients no longer need suffer <strong>from</strong> <strong>the</strong> bruising, pain <strong>and</strong> swelling normallyassociated with dental surgery. In most cases, patients can return to work <strong>the</strong> next day”,said Canepa.The advance <strong>planning</strong> capabilities of <strong><strong>Nobel</strong>Guide</strong> enable dentists to work closely with<strong>the</strong>ir dental laboratory <strong>and</strong> offer patients <strong>the</strong> option of a temporary or a final pros<strong>the</strong>ticsolution fitted at <strong>the</strong> time of implant placement. Canepa said, “The most exciting news about<strong><strong>Nobel</strong>Guide</strong> is that on <strong>the</strong> day of surgery, <strong>the</strong> patient leaves <strong>the</strong> dentist’s office completewith implants <strong>and</strong> fully functioning, beautiful teeth.”Conventional methods for implant placement <strong>and</strong> teeth restoration can take more than 10patient visits. Using <strong><strong>Nobel</strong>Guide</strong>, <strong>the</strong> entire treatment, <strong>from</strong> examination to implantplacement can take as little as 4 patient visits.1 (4)


How <strong><strong>Nobel</strong>Guide</strong> Works:1. Patient receives a CT scan or a model of <strong>the</strong>ir mouth is created.2. With a complete view of <strong>the</strong> patient’s bone structure, <strong>the</strong> dentist uses <strong>the</strong> Procera®software system to plan <strong>the</strong> placement of <strong>the</strong> implants, along with length <strong>and</strong> optimalangle.3. A <strong>surgical</strong> template is created by <strong>Nobel</strong> <strong>Biocare</strong> using CT data scans or by <strong>the</strong> dentallaboratory using a plaster model.4. The dental laboratory prepares a temporary or permanent crown or bridge, dependingon <strong>the</strong> dentist <strong>and</strong> patient needs.5. On <strong>the</strong> day of surgery, <strong>the</strong> dentist uses <strong>the</strong> <strong>surgical</strong> template to optimally place <strong>the</strong>implants <strong>and</strong> installs <strong>the</strong> temporary or permanent pros<strong>the</strong>tic restoration.The U.S. Food <strong>and</strong> Drug Administration (FDA) has cleared <strong><strong>Nobel</strong>Guide</strong>.Reference: http://investor.nobelbiocare.com/phoenix.zhtml?c=139018&p=iroldownloadcenter2 (4)


NOBEL BIOCARE HOLDING AGFor fur<strong>the</strong>r information, please contact:Suha Demokan, Head of Investor RelationsGunilla Ekholtz, Investor Relations OfficerTel +41 43 211 53 30, +41 79 430 81 46 Tel +46 31 81 88 36, +46 708 81 88 36e-mail suha.demokan@nobelbiocare.come-mail gunilla.ekholtz@nobelbiocare.comDisclaimer:This release may contain forward-looking statements including, but not limited to, projections of futureperformance of materials <strong>and</strong> products, financial conditions, results of operations <strong>and</strong> cash flows,containing risks <strong>and</strong> uncertainties. These statements are subject to change based on unknown risks<strong>and</strong> o<strong>the</strong>r factors that could cause <strong>the</strong> actual results or performance to differ materially <strong>from</strong> <strong>the</strong>statements made herein.<strong>Nobel</strong> <strong>Biocare</strong> is a medical devices group <strong>and</strong> <strong>the</strong> world leader in innovative es<strong>the</strong>tic dentalsolutions with its br<strong>and</strong>s Brånemark System ® , <strong>Nobel</strong>Speedy, <strong>Nobel</strong>Replace, <strong>Nobel</strong>Perfect ® ,<strong>Nobel</strong>Direct ® , Replace ® Select, (dental implants) <strong>and</strong> Procera ® (individualized dental pros<strong>the</strong>tics).<strong>Nobel</strong> <strong>Biocare</strong> is a one-stop shop for restorative es<strong>the</strong>tic dentistry, offering a wide range of innovativeCrown & Bridge & Implant products, as well as training <strong>and</strong> education <strong>and</strong> clinically documentedtreatment <strong>concept</strong>s. <strong>Nobel</strong> <strong>Biocare</strong> has some 1650 employees <strong>and</strong> recorded revenue of EUR 485million in 2005. The company is domiciled in Zurich, Switzerl<strong>and</strong> with headquarters in Zurich <strong>and</strong> inGo<strong>the</strong>nburg, Sweden. Production takes place at four production sites located in Sweden <strong>and</strong> <strong>the</strong>USA. <strong>Nobel</strong> <strong>Biocare</strong> has direct sales organizations in 33 countries. The shares of <strong>the</strong> parentcompany <strong>Nobel</strong> <strong>Biocare</strong> Holding AG are listed on <strong>the</strong> SWX Swiss Exchange <strong>and</strong> on <strong>the</strong> StockholmStock Exchange, Sweden.www.nobelbiocare.comReferences1van Steenberghe D, Naert I, Andersson M, Brajnovic I, Van Cleynenbreugel J, Suetens P. A customtemplate <strong>and</strong> definite pros<strong>the</strong>sis allowing immediate implant loading in <strong>the</strong> maxilla: A clinical report. Int JOral Maxillofac Implants 2002; 17: 663-670.2Parel SM, Triplett RG. Interactive imaging for implant <strong>planning</strong>, placement, <strong>and</strong> pros<strong>the</strong>sis construction. JOral Maxillofac Surg 2004; 62 (suppl 2): 41-47.3van Steenberghe D, Ericsson I, Van Cleynenbreugel J, Schutyser F, Brajnovic I, Andersson M. Highprecision <strong>planning</strong> for oral implants based on 3-D CT scanning. A new <strong>surgical</strong> technique for immediate<strong>and</strong> delayed loading. Appl Osseointegration Res 2004; 4: 27-31.4Wendelhag I, van Steenberghe D, Blombäck U, Glauser R. Immediate function in edentulous maxillae withflapless surgery including a 3-D CT-scan based treatment <strong>planning</strong> procedure. Clin Oral Implant Res2004; 15: 1xxiii. Abstract.5Marchack CB. An immediately loaded CAD/CAM-guided definitive pros<strong>the</strong>sis: A clinical report. J Prosth Dent2005; 93: 8-12.6Yildirim M, Liebe J, Charrat A, Spiekermann H. Sofortversorgung des zahnlosen Kiefers:”Teeth in an Hour”Implantologie 2004; 12: 341-358.7van Steenberghe D, Glauser R, Blombäck U, Andersson M, Schutyser F, Pettersson A, Wendelhag I. Acomputed tomographic scan-derived customized <strong>surgical</strong> template <strong>and</strong> fixed pros<strong>the</strong>sis for flaplesssurgery <strong>and</strong> immediate loading of implants in fully edentulous maxillae. A prospective multicenter study.Clin Implant Dent Rel Res 2005; 7 (Suppl 1): 111-120.8Hahn J. Single-stage, immediate loading, <strong>and</strong> flapless surgery. J Oral Implantology 2000; 26: 193-198.3 (4)


References1234567van Steenberghe D, Naert I, Andersson M, Brajnovic I, Van Cleynenbreugel J, Suetens P. A customtemplate <strong>and</strong> definite pros<strong>the</strong>sis allowing immediate implant loading in <strong>the</strong> maxilla: A clinical report. Int JOral Maxillofac Implants 2002; 17: 663-670.Parel SM, Triplett RG. Interactive imaging for implant <strong>planning</strong>, placement, <strong>and</strong> pros<strong>the</strong>sis construction. JOral Maxillofac Surg 2004; 62 (suppl 2): 41-47.van Steenberghe D, Ericsson I, Van Cleynenbreugel J, Schutyser F, Brajnovic I, Andersson M. Highprecision <strong>planning</strong> for oral implants based on 3-D CT scanning. A new <strong>surgical</strong> technique for immediate<strong>and</strong> delayed loading. Appl Osseointegration Res 2004; 4: 27-31.Wendelhag I, van Steenberghe D, Blombäck U, Glauser R. Immediate function in edentulous maxillae withflapless surgery including a 3-D CT-scan based treatment <strong>planning</strong> procedure. Clin Oral Implant Res2004; 15: 1xxiii. Abstract.Marchack CB. An immediately loaded CAD/CAM-guided definitive pros<strong>the</strong>sis: A clinical report. J ProsthDent 2005; 93: 8-12.Yildirim M, Liebe J, Charrat A, Spiekermann H. Sofortversorgung des zahnlosen Kiefers:”Teeth in anHour” Implantologie 2004; 12: 341-358.van Steenberghe D, Glauser R, Blombäck U, Andersson M, Schutyser F, Pettersson A, Wendelhag I. Acomputed tomographic scan-derived customized <strong>surgical</strong> template <strong>and</strong> fixed pros<strong>the</strong>sis for flaplesssurgery <strong>and</strong> immediate loading of implants in fully edentulous maxillae. A prospective multicenter study.Clin Implant Dent Rel Res 2005; 7 (Suppl 1): 111-120.4 (4)

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