Nobel Active Implants: thoughts on failure issues?

I have placed many thousands of Nobel Active implants with <1% late failures and close to zero failures to integrate. Perhaps you should have your Nobel representative visit the next time you are placing that system to make certain that you are using it correctly. Good luck.

I had a failure with Hahn implant, placed with surgical guide. Patient had no sign of infection, pain, redness anything. I sent it back to the company to evaluate with their questionare completely answered, pictures and X-rays of follow up. Conclusion: implant was not defective and failures can happen!

I have never used Nobel Active but the Perio Residency Program that I went to used them for a short while after I left. They stopped due to a higher than normal failure rate. I recently removed a failed All-on Four that was placed on Nobel Active. I have always thought that the thread pitch and degree of taper was too great, especially for cortical mandibular bone, and could lead to necrosis. For this reason I have steered clear of it and stayed true to Zimmer. The failed All-on-Four that I removed last week was in the mandible and could very well have been a result of necrosis. I have also noticed over the past 10-12 years that the Ti-Unite Nobel surface seems to respond very bad to any exposure.

Active is not designed for very dense bone. If you don’t have failed implants there is something wrong with you but placing over 1200active and less than 1% failure is pretty amazing ) over 8years Mandible parallel CC is best Maxillly 6 mandible 4 implants is the way forward I use the Sweden and Marina Prama RF tissue level and shelta Bone level .. very good result in 2 years so far

I would recommend you to check their lot numbers. If they were all from the same lot, you should report to Nobel Biocare. FYI, Nobel Active also has less than 2% failure rate overall.

early failures sorry its you. Possibly a bad lot. if hiossen was so good why switch . I 'd be interested in late failures , Nobel surface and periimplantitis?

The active implant design has changed my practice- for the better. It is a brilliant design for extraction sockets and poor density bone. My immediate placement and load success rates are 98% +, and I'm using them in very compromised situations that I would have never thought possible. I do about 250-300 active cases a year. I have about 5-6 years of experience with it now. It has no business in dense mandibular or maxillary bone. (type 1-2) In these situations, you will over drill or under drill- unless you get very lucky, and your implants may fail. In these sites use a parallel designed implant and tap the site. Additionally, keep the active implant away from the facial - lingual bone plate. It should be placed lingual or palatal with a gap.

I help teach a live patient implant program. We place 1500-1700 Nobel implants a year, 45% Active, 45% Replace and 10% Parallel. Our failure rate is the same for each, around 2-3%. Most of our doctors are new to implant dentistry. We do not place Active in dense bone or thin ridges with minimal width due to the aggressive thread design. We are very impressed with Active implants for immediate load. The internal connection is the same for all three. Each one has advantages and disadvantages so I like a mixed inventory. The Active drill kit can be used for the Parallel system. Try trading a few of your Active implants for Parallel. I think you’ll be impressed.

there is some unpublished awareness of failures of tapered implants in grafted bone. It is my understanding there has been an association of implant failures with the compressive nature of the tapered implants You may want to look at these cases and see if there is a commonality in the site from this perspective- just a thought

From my experience with Nobel Active, I used to get crestal bone loss, and loss of integration. Compare to other companies I use such as MIS, Zimmer, Dentium, I get great result. I don’t care what anyone will say about these implant companies such as Hiossen and Dentium but placing these implants I don’t have to choose the type of bone I am placing them ( soft or hard) they are always 99.9% integrates and maintaining amazing crestal bone. I know some of you will say let’s se how long they will last. I used to say the same thing 7 years ago, and believe me or not these implants still there and showing amazing results. I think Nobel it’s just great advertised company but quality not the best. I would recommend following implant companies: MIS, Zimmer, Dentium, these implant companies very easy to use, and great integration. Why use Nobel, very complicated, so many instruments and confusing system, if you can use more simple system and achieve amazing result. Things should not be complicated.

I think Nobel is a great company for two reasons. 1- great restorative solutions. 2- Great implant variety with all the same connection and platforms (cc). It’s true it is more complicated and there isn’t 1 implant for 1 situation. I too probably place 45 percent active (immediates), 45 replace (prep’d sites), and 10 percent parallels (certain mandibular sites). I think it is likely a better specialist implant system.

For the last 3 years I have used Nobel replace, parallel, speedy, active. I used the Tiunite surface and the TiUltra surface. I place around 1000 implants a year(about 800 were Nobel). All i can say is run from nobel like from the plague. They have serious issues with loss of cortical bone and a higher then average failure rate. Yes, i followed their protocol 100%. Never had these issues with the other implant systems i used (Mis, Straumann, Astra Tech, Bredent, Adin). Sure my lost implant rate with Nobel is around 3% but do you count a implant that lost cortical bone in the healing phase, but did not drop, a sucess or failure? Open healing, thick bone, thin bone, 2 stage approach, immediate load. Makes no difference. TiUltra has a little better results then TiUnite but compared to other systems nobel is not up to par...