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NobelActive® S TiUltra™, NobelActive® S TiUnite®

NobelActive® S TiUltra™ and NobelActive® S TiUnite® implants are endosseous implants intended to be surgically placed in the upper or lower jaw bone for anchoring or supporting tooth replacements to restore patient esthetics and chewing function.

NobelActive® S TiUltra™ and NobelActive® S TiUnite® implants are indicated for single or multiple unit restorations in splinted or non-splinted applications.

This can be achieved by a 2-stage or 1-stage surgical technique in combination with immediate, early or delayed loading protocols, recognizing sufficient primary stability and appropriate occlusal loading for the selected technique.

NobelReplace® S TiUltra™, NobelReplace® S TiUnite®

NobelReplace® S TiUltra™ and NobelReplace® S TiUnite® implants are endosseous dental implants intended to be surgically placed in the bone of the upper or lower jaw arches to provide support for prosthetic devices, such as an artificial tooth, in order to restore patient esthetics and chewing function.

The NobelReplace® S TiUltra™ and NobelReplace® S TiUnite® implants are indicated for single or multiple unit restorations.

The NobelReplace® S TiUltra™ and NobelReplace® S TiUnite® implants can be used in splinted or non-splinted applications.

The NobelReplace® S TiUltra™ and NobelReplace® S TiUnite® implants may be placed immediately and put into immediate function provided that initial stability requirements detailed in the manual are satisfied.

NobelParallel™ S TiUltra™, NobelParallel™ S TiUnite®

NobelParallel™ S TiUltra™ and NobelParallel™ S TiUnite® implants are endosseous implants intended to be surgically placed in the upper or lower jaw bone for anchoring or supporting replacements to restore patient esthetics and chewing function.

NobelParallel™ S TiUltra™ and NobelParallel™ S TiUnite® implants are indicated for single or multiple restorations in splinted or non-splinted applications.

This can be achieved by 2-stage or 1-stage surgical techniques in combination with immediate, early or delayed loading protocols, recognizing sufficient primary stability and appropriate occlusal loading for the selected technique.

Implants with <7 mm length are for delayed loading only when appropriate stability has been achieved.

The Subject Device, Nobel Biocare S Series Implants, comprises of six Device Lines NobelActive S TiUltra™, NobelParallel™ S TiUltra™, NobelReplace S TiUltra™, NobelActive S TiUnite, NobelParallel™ S TiUnite, NobelReplace S TiUnite.

Nobel Biocare S Series Implants are intended for use as an endosseous dental implant in the maxilla or mandible for anchoring or supporting dental prostheses to restore chewing function. The Subject Device features a consistent diameter at the implant-abutment interface, regardless of the implant size or type. This means that the prosthetic components, such as abutments and restorative elements, have uniform dimensions and connections across all implant sizes within the system. The connection used is the Narrow Platform (NP) conical connection.

The implant bodies of the Subject Devices and Predicate devices are the same. This allows use of the same drills and drilling protocols, rescue procedures and rescue tools. By using the existing Narrow Platform connection, the same prosthetic workflows, prosthetic components, and lab components can be used.

The implants are available in different sizes as listed in Table 1.

The Nobel Biocare S Series Implants are manufactured from commercially pure titanium and incorporate a conical connection (Size Narrow Platform (NP)) with a hex interface in the collar region, which combines with Nobel Biocare's existing prosthetic Abutment portfolio cleared in K071370, K083100, K132746, K233208, K202344, K200040, K132749, K161416, K202452, K240346, K041236, K133731, K061003 and K161435.

Table 2 outlines which single-unit restoration abutments with an NP connection can be used with the subject device.

Table 3 outlines which multi-unit restoration abutments and bridges with an NP connection can be used with the subject devices.

Table 4 outlines the temporary and healing restorations with an NP connection that can be used with the subject devices.

Table 5 lists the corresponding submissions where compatible Class II accessories with an NP connection were previously identified.

The On1™ Base/On1™ Base Xeal must not be used in combination with NobelActive® S, NobelParallel™ S, NobelReplace® S implants.

NobelActive® S, NobelParallel™ S, NobelReplace® S implants in combination with NobelProcera® Angulated Screw Channel Abutment and NobelProcera® FCZ Implant Crown are indicated for maxillary lateral and mandibular central/lateral incisors only.

NobelActive® S, NobelParallel™ S, NobelReplace® S implants may be used in combination with NobelProcera® Angulated Screw Channel Abutment and NobelProcera® FCZ Implant Crown up to a maximum angulation of 20°

NobelActive® S, NobelParallel™ S, NobelReplace® S implants may be used in combination with GoldAdapt Engaging CC NP abutments in straight (0°) configurations only.

No angulation is allowed for Universal Base Conical Connection Abutments when mated with the NobelActive® S, NobelParallel™ S, NobelReplace® S implants with diameters greater than 3.5mm.

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BIORES Dental Implant System is an endosseous dental implant that is indicated for surgical placement in the upper and lower jaw arches, to provide a root form means for single or multiple-units prosthetic appliance attachment to restore a patient's chewing function. Implants can be placed with a conventional two stage surgical process with an option for transmucosal healing or they can be placed in a single stage surgical process for immediate loading when good primary stability has been achieved and with appropriate occlusal loading.

Implants with a diameter of 3.7 mm are only suitable for anterior tooth restoration.

BIORES Dental Implant System includes Implant, Abutment and Accessories. Abutment and Accessories are only compatible with our company's Implant to restore patients' chewing function.

Implant is made of Titanium Grade 4 material that complies with ASTM F67 and has a sandblasted and acid-etched surface. The implant is supplied sterile and is gamma sterilized. The sterilization is shelf life for 8 years. Implant is classified into Type I Implant and Type II Implant according to different thread designs. Type I Implant feature conical threaded structures, consisting of a top, neck, and body. The top of the implant is machined (0.4mm length), the neck has trapezoidal micro-threads, and the body has large threads in a reverse sawtooth pattern, with rotational cuts at the large thread locations. Type II Implant have a conical threaded design, consisting of a top, and body. The implant body has large threads, and the large thread area has rotational cuts.

Abutment and Accessories include bonding abutment(straight only), healing abutment, central screw, and cover screw, all made from Ti-6Al-4V ELI titanium alloy material compliant with ASTM F136, without any surface treatment. The bonding abutment is provided non-sterile and must be sterilized by the user using steam sterilization prior to use; the healing abutment, central screw, and cover screw are provided sterile, with a sterilization shelf life of 5 years.

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ZENEX Implant System R-System is indicated for use in partially or fully edentulous mandibles and maxillae, in support of single or multiple unit restorations including; cemented retained, screw retained, or overdenture restorations, and final or temporary abutment support for fixed bridgework. It is intended for delayed loading. Wide Fixture System is intended to be used in the molar region.

ZENEX Implant System_R-System is a thread type implant made of pure titanium according to ASTM F 67 and supplied sterile, which will be placed in the alveolar bone in order to support or maintain the prosthetic tooth or denture when a patient's teeth are partially or totally lost.

The fixture's surface is treated with SLA (Sandblasted with Large-grit and Acid-etching).

There are 2 types of fixtures, and the dimensions are as following:

Tolerance of dimension shall be within ± 1% range.

The Abutments are below:

Fixture, Cover Screw, Healing Abutment is provided sterile, and valid for 5 years.
Other abutments are provided non-sterile and sterilized by end users.

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NizPlant Implants are a one-piece implant or two-piece assembly for single-stage surgical procedures intended for surgical implantation in edentulous or partially edentulous mandibles or maxilla for attachment of complete denture prostheses, or for fixed or removable bridgework for multi-unit tooth replacement.

NizPlant Implants can be indicated for immediate function when initial implant stability has been achieved and with appropriate occlusal loading.

Short (<9mmL) Implants: Indicated for multiple-unit restorations of partially or fully edentulous mandibles and maxillae where vertical bone volume is limited.

The NizPlant Implants have a 2.5mmD internal hex within its most coronal portion for the insertion tool placement used in the full seating of the NizPlant Implant in the osteotomy. Implant placement, which is designed to receive multiple abutment variations, expands its restorative options allowing for the implant to be used for:
• Support of attachment-retained overdentures
• Support of screw-retained prostheses

The NizPlant Dental Implant System consists of a root form Endosseous dental implant and various other prosthetic/restorative components (medical devices) to plan, implant, and support restorations for edentulous patients.

NizPlant Implants are a one-piece implant or two-piece assembly for single-stage surgical procedures intended for surgical implantation in edentulous or partially edentulous mandibles or maxilla for attachment of complete denture prostheses, or for fixed or removable bridgework multi-unit tooth replacement.

The top one-third of the NizPlant Implant body has a straight machined neck that is placed in crestal bone. The depth gauge lines at 1mm, 2mm and 2.5mm from the top of the straight machined neck portion of the implant body facilitate the placement level with the crest of the ridge or 1mm above the crest of the ridge. Above the straight neck of the implant body is a dual-function platform which acts as an overdenture or a multi-unit abutment.

The lower two-thirds of the Implant is tapered with double-lead progressively deeper reverse buttress threads for increased bone contact. The two full-length cutting grooves are self-tapping and extend over the tapered portion of the implant's body.

The NizPlant dental implant body is available in six diameter sizes. This assortment of implants in various diameters and lengths are to be matched with an extensive componentry offering. NizPlant Implants lengths are measured from the apex of the implant to the midpoint of the gold anodized zone, that is to the base of the abutment portion of the NizPlant Implant.

NizPlant Implants have a portion of their coronal surface anodized a gold color. The gold color aids aesthetically as it is the portion that extends transmucosal from bone level, through to the oral cavity by masking of the underlying color of the non-anodized standard titanium grey. Due to its length, the 7mmL and 9mmL implants have one less circumferential groove and are replaced with an additional external thread to increase fixation within the bone.

NizPlant Implants are specifically designed with a combination of 0.5mm and/or the 1mm height circumferential grooves above the blasted implant surface (7mmL - 9mmL implant does not have the additional 0.5mm circumferential score line). These visual demarcations aid the clinician by providing the option for vertical height variability during placement. For restorations where the vertical position of the surrounding bone and/or soft tissue dictate that, part of the implant's anodized portion within the straight machined neck of the NizPlant Implant body may remain supra-crestal after placement (in addition to the 3mm prosthetic option of the dual function platform).

The NizPlant Implants are anodized a gold color with a portion of the Implant going through a surface treatment (blasting) to create a microtextured surface roughness. These implants (and the devices included in the packaging) are sold sterile. The NizPlant Implants are manufactured from titanium alloy (Ti-6Al-4V ELI) complying with standard ASTM F136-13 - Standard Specification for Wrought Titanium-6Aluminum-4Vanadium ELI (Extra Low Interstitial) Alloy for Surgical Implant.

The various devices included in the NizPlant Implant System (such as Endosseous dental implant abutments, cover screws, fixation screw, etc.) and various other prosthetic/restorative components used to plan, implant, and support restorations for fully and partially edentulous patients are offered in compatible platform dimensions to enable a complete dental restoration.

The Cover Screws are available in 5.5mm diameter with a platform diameter of 3.5mm. They are manufactured from titanium alloy (Ti-6Al-4V ELI) complying with standard ASTM F136-13 - Standard Specification for Wrought Titanium-6Aluminum-4Vanadium ELI (Extra Low Interstitial) Alloy for Surgical Implant).

The Titanium Non-Engaging Temporary Abutments are available in 5.0mm diameter with a platform diameter of 5.5mm. This is a straight configuration. They are manufactured from titanium alloy (Ti-6Al-4V ELI) complying with standard ASTM F136-13 - Standard Specification for Wrought Titanium-6Aluminum-4Vanadium ELI (Extra Low Interstitial) Alloy for Surgical Implant) and anodized a gold color.

The Non-Engaging Angled Screw Channel (ASC) Abutments are available in 4.7mm diameter with a platform diameter of 5.0mm and length of 0.5mm. This is a straight configuration. They are manufactured from titanium alloy (Ti-6Al-4V ELI) complying with standard ASTM F136-13 - Standard Specification for Wrought Titanium-6Aluminum-4Vanadium ELI (Extra Low Interstitial) Alloy for Surgical Implant) and anodized a gold color.

The Straight Multi-Unit (MUA) Abutments are available in 3.2mm diameter with a platform diameter of 4.8mm and length of 3.2mm. This is a straight configuration. They are manufactured from titanium alloy (Ti-6Al-4V ELI) complying with standard ASTM F136-13 - Standard Specification for Wrought Titanium-6Aluminum-4Vanadium ELI (Extra Low Interstitial) Alloy for Surgical Implant) and anodized a gold color.

The Fixations Screws are all manufactured from titanium alloy (Ti-6Al-4V ELI) complying with standard ASTM F136-13 - Standard Specification for Wrought Titanium-6Aluminum-4Vanadium ELI (Extra Low Interstitial) Alloy for Surgical Implant).

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The DIMPLO Implant System is intended for use in the maxilla or mandible of partially or fully edentulous patients to support single or multiple-unit restorations, including cemented, screw-retained, or overdenture restorations, as well as terminal or intermediate abutment support for fixed bridgework. It is intended for two-stage surgical procedures and may be used for immediate loading when good primary stability and appropriate occlusal loading conditions are achieved.

• Ø3.3 mm implants are for replacing maxillary lateral incisors and mandibular incisors with delayed loading only.
• Ø5.0 mm and larger implants are intended for delayed loading in the molar region.

All digitally designed custom components (including Ti-Base and Pre-milled Blanks) for use with the DIMPLO Implant System are to be manufactured at a DIMPLO validated milling center.

The DIMPLO Implant System consists of fixtures, abutments, and attachments designed for dental implant procedures.

Fixture: Made of unalloyed titanium (Grade 4, ASTM F67), these dental implants are available in a range of diameters and lengths to accommodate various clinical applications in the maxilla and mandible. The surface is treated with SLA (Sandblasted, Large grit, and Acid-etched) and provided sterile via gamma irradiation. Available in two platform sizes: Mini and Regular.

Abutment: These components aid in prosthetic restorations. This category includes Cover Screws, Healing Abutments, Temporary Abutments, Cemented Abutments, Angled Abutments, Ti-Base, Pre-milled Blanks, Screws, Multi-unit Abutments, Healing Caps, and Cylinders.

Attachments: Includes Locatus Male Cap and Locatus Retention Male. The Locatus Male Cap is made of titanium alloy (Ti-6Al-4V ELI), while the Locatus Retention Male is made of nylon.

Fixtures and cover screws are supplied sterile. All other abutments and attachments are provided non-sterile and must be sterilized by the end user before use.

Ti-Base consists of a two-piece abutment that includes a titanium base at the bottom and a zirconia superstructure (CAD/CAM patient-specific superstructure) at the top, composing the final abutment.

Superstructure and Bonding Materials

• Zirconia material: InCoris Zi (ZrO₂) (K123664, Sirona Dental Systems GmbH)
• Bonding agent: RelyX Unicem 2 Automix (K100756, 3M ESPE)

Design Envelope for Zirconia superstructure

Design Envelope for Pre-milled Blank

Note: Abutment Post Height is defined as the minimum cementable post height for single-unit restoration, measured as the height above the restorative margin.

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GM Helix Implant:
The Neodent Implant System is intended to be surgically placed in the bone of the upper or lower jaw to provide support for prosthetic devices, such as artificial teeth, to restore chewing function. It may be used with single-stage or two-stage procedures, for single or multiple unit restorations, and may be loaded immediately when good primary stability is achieved and with appropriate occlusal loading. The GM Helix Implant System with 3.75 and 4.0 diameter and 18 mm length are indicated for surgical installation in the pterygoid region (upper jaw), for multiple unit restorations, when combined with 45° angulation abutment, in cases of severe jaw resorption, in order to restore patient esthetics and chewing function. Implants in the pterygoid indication should be used in splinted applications that utilize at least two implants.

GM Helix LG Implant:
The Neodent Implant System is intended to be surgically placed in the bone of the upper or lower jaw to provide support for prosthetic devices, such as artificial teeth, to restore chewing function. It may be used with single-stage or two-stage procedures, for single or multiple unit restorations, and may be loaded immediately when good primary stability is achieved and with appropriate occlusal loading. The Neodent GM Helix LG implants can be placed bicortically in cases of reduced bone density. The Neodent GM Helix LG implants are only indicated for multiple unit restorations in splinted applications that utilize at least two implants. The GM Helix LG Implant System is indicated for surgical installation in the pterygoid region (upper jaw), for multiple unit restorations, when combined with 45° angulation abutment, in cases of severe jaw resorption, in order to restore patient esthetics and chewing function.

GM Mini Conical Abutment 45°:
The Mini Conical Abutments 45° and 60° are indicated for use with Zygomatic Implants, in cases of severe jaw resorption, in order to restore patient aesthetics and chewing function. The Mini Conical Abutments 45° are also indicated for use with Pterygoid implants in cases of severe jaw resorption, in order to restore patient esthetics and chewing function. The Mini Conical Abutments may be used with single stage or two-stage procedures, for multiple unit restorations, and may be loaded immediately when good primary stability is achieved and with appropriate occlusal loading.

GM Mini Conical Abutment 45° Slim:
The Mini Conical Abutments 45° and 52° are indicated for surgical procedures in Zygomatic bones, making possible the rehabilitation with screw-retained abutments over the implant, thus restoring the chewing function. The Mini Conical Abutments 45° are also indicated for use with Pterygoid implants in cases of severe jaw resorption, in order to restore patient esthetics and chewing function. The Mini Conical Abutments may be used in one- or two-stage procedures, multiple unit restorations, and immediate loading when there is primary stability and adequate occlusal load. Multiple rehabilitations may be splinted rigidly.

This premarket notification seeks to expand the indications for use of the subject implants and abutments, in order to include anchorage in the pterygoid region. These devices were previously cleared under 510(k) K163194, K190958, K190718 and K232099 for the functional and esthetic oral rehabilitation of the upper or lower jaw in edentulous or partially edentulous patients. The proposed implants and abutments remain with the same design and features already cleared in the original submission.

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