Retrieval instrumentation
Procedures manual
Note: In order to improve readability, Nobel Biocare does
not use ™ or ® in the running text. By doing so, however,
Nobel Biocare does not waive any right to the trademark
or registered mark and nothing herein shall be construed
to the contrary.
Disclaimer: Some products may not be regulatory
cleared/released for sale in all markets. Please contact
the local Nobel Biocare sales office for current product
assortment and availability.
3
Contents
Introduction
Product overview
Implant retrieval
Instrument selection guide
Basic procedure
Advanced procedure
Rescue kit 5
6
8
10
Abutment / clinical screw retrieval
Instrument selection guide
Basic procedure
Advanced procedure
Rescue kit 12
13
14
18
Abutment retrieval
Instrument selection guide Abutment Release Pin
Zirconia abutments
Titanium abutments
Rescue kit 20
21
22
24
25
Appendices
Article list / reorder information
Cleaning and sterilization
Customer service worldwide
27
29
31
4
4
Rescue manual / introduction
Product overview
The retrieval instrumentation assortment consists of implant retrieval,
abutment screw retrieval and abutment retrieval instruments for performing
safe, efficient rescue procedures for all Nobel Biocare implants and implantbased restorations.
Implant retrieval
The assortment consists of the Implant Retrieval Instrument
for basic implant retrieval procedures and trephine drills for
more advanced procedures.
Abutment / clinical screw retrieval
The assortment consists of the Abutment Screw Remover for
basic abutment / clinical screw retrieval procedures and reverse drills and abutment retrieval instruments for more advanced procedures.
Abutment retrieval
The assortment consists of a general Abutment Release Pin
and dedicated abutment retrieval instruments for conical connection abutments in zirconia and titanium.
Rescue manual / implant retrieval
5
Implant retrieval instrument selection guide
Implant retrieval
The instrument selection guide below can be used to match the correct Implant Retrieval Instrument, Implant Rescue Collar and Trephine Drill to the implant type. Implant type should be determined via patient records or standard imaging techniques prior to attempting implant retrieval.
Implant Rescue
Collar
Trephine Drill
∅ 3.0 mm
CC 3.0
–
3.2/4.0
∅ 3.5 mm
CC NP
–
3.8/4.6
∅ 4.3 mm
∅ 5.0 mm
CC RP
–
4.4/5.2
5.2/6.2
∅ 5.5 mm
CC WP
–
5.6/6.6
∅ 3.5 mm
∅ 4.3 mm*
Tri-Ch NP
Tri-Ch ∅ 3.5
3.8/4.6
4.4/5.2*
∅ 4.0 mm
∅ 4.3 mm
∅ 5.0 mm*
Tri-Ch RP
Tri-Ch ∅ 4.3
4.4/5.2
∅ 5.0 mm
∅ 6.0 mm*
Tri-Ch WP
–
5.2/6.2
6.2/7.0*
∅ 6.0 mm
Tri-Ch 6.0
–
6.2/7.0
∅ 3.3 mm
Ext Hex NP
–
3.8/4.6
∅ 3.75 mm
∅ 4.0 mm
Ext Hex RP
–
3.8/4.6**
4.4/5.2
∅ 5.0 mm
∅ 6.0 mm
Ext Hex WP
–
5.2/6.2
6.2/7.0
Abutment screw retrieval
Implant Retrieval
Instrument
Conical connection
Abutment retrieval
5.2/6.2*
Tri-channel connection
External hex connection
Note: Refer to page 11 for instrument article numbers.
Appendices
*NobelReplace Platform Shift
** For a diameter 3.75 implant that has lost the flange collar the 3.8/4.6 Trephine Drill may be used, followed by a 5 mm diameter implant if sufficient bone width is available.
6
Rescue manual / implant retrieval
Basic procedure
The Implant Retrieval Instrument may be used to remove an
implant where the implant connection has been damaged
and the ordinary implant driver cannot be used to remove it.
In situations where the implant cannot be removed with
the Implant Retrieval Instrument alone, due to strong osseointegration or other factors, refer to the advanced procedure
on page 8.
Note: The Implant Retrieval Instrument is a single-use instrument for one patient and one surgical treatment only.
General precautions / warnings:
– Do not use the Implant Retrieval Instrument for any purpose
other than the removal of Nobel Biocare implants with
internal conical connection, tri-channel connection or external hex connection.
– It is strongly recommended that the implant retrieval instruments only be used with Nobel Biocare related implant and
surgical instruments as combining components with different dimensions can lead to mechanical and/or instrument
failure or damage the tissue.
Decision tree for implant retrieval
No
Is the
implant
fractured or
the implant
connection
is damaged?
Yes
Does the
implant driver
engage?
No
Can the implant
screw channel
be engaged?
Can the osseointegration be
broken?
Yes
Implant driver reverse mode
Yes
Implant Retrieval Instrument
(see basic procurede p. 6)
No
Trephine Drill
(see advanced procedure p.8)
1 Select Implant Retrieval Instrument
Select the appropriate Implant Retrieval Instrument based on
the implant connection, type and size from the instrument
selection guide on page 5.
Rescue manual / implant retrieval
7
Implant retrieval
2 Connect Implant Retrieval Instrument
Connect the Implant Retrieval Instrument to the Manual
Torque Wrench Adapter and Manual Torque Wrench Surgical.
Abutment screw retrieval
3 Secure reverse mode
Make sure that the Manual Torque Wrench Surgical is in
reverse mode by ensuring the arrow is pointing in a counterclockwise direction.
4 Insert the Implant Retrieval Instrument into
the implant.
Place the Implant Retrieval Instrument into the implant.
Abutment retrieval
Note: For removal of NobelReplace NP ∅ 3.5 or RP ∅ 4.3
implants with internal tri-channel connection, where the
connection has collapsed, an Implant Rescue Collar and
Handle may be used for implant removal.
Implant Rescue Collar and Handle
5 Unscrew implant
Unscrew the implant in a counterclockwise direction using
the Manual Torque Wrench Surgical.
Warning: Excessive torque on the Implant Retrieval
Instrument may damage or fracture bone structures.
Note: If the implant cannot be removed without applying
excessive torque, please consider using a Trephine Drill.
Appendices
8
Rescue manual / implant retrieval
Advanced procedure
In situations where an implant cannot be removed with the
Implant Retrieval Instrument, due to strong bone integration
or other factors, trephine drills may be used to remove bone
around the implant in order to remove the damaged implant.
It may not be possible to immediately place an implant after
using a Trephine Drill due to the size of the resulting hole
and/or other factors.
1 Select Trephine Drill
– Select appropriate Trephine Drill based on implant diameter
according to laser-marking.
– The Trephine Drill selected should have an inner diameter
slightly exceeding the outer diameter of the implant.
– If the implant type is known, select the appropriate Trephine
Drill based on the implant connection / prosthetic interface
from the instrument selection guide on page 5.
– If implant type is not known, the implant diameter must first
be determined using standard imaging techniques.
Note: Trephine drill depth markings are in true millimeters.
Warning: To avoid oversized osteotomies, no oversized
Trephine Drill should be used.
2 Place Trephine Drill
– Place the Trephine Drill over the implant after the connected
abutment / prosthetics have been removed. Optionally,
a straight Multi-unit abutment may be used to guide the
Trephine Drill into the proper position.
Note: Trephine Drills are single-use instruments for one
patient and one surgical treatment only. Do not use for any
purpose other than the removal of bone outside an implant.
Caution: Location of vital anatomical structures should be
verified with X-ray images before implant retrieval.
16 mm
13 mm
10 mm
7 mm
0 mm
13 mm
implant
Rescue manual / implant retrieval
9
Implant retrieval
3 Drilling
Start the drilling procedure using low speed and copious
irrigation. When the Trephine Drill has gripped into the bone,
the optional straight Multi-unit Abutment can be removed
and the speed can be increased.
Start speed
60–100 rpm
1200–1500 rpm
Warnings:
–D
o not apply excessive pressure as breakage can occur.
– Instruments can wear out over time. If the cutting function
becomes reduced, replace the Trephine Drill with a new one.
–D
uring the drilling procedure care must be taken to prevent
adjacent vital structures being damaged as a result of the
increased width of the implant being removed.
– It is recommended to use the depth markings on the
Trephine Drills as landmarks in order to ensure that the
drill does not progress deeper than planned. This could
result in damage to vital structures.
Abutment retrieval
Cautions:
–G
enerous cooling is important when using Trephine Drills
to avoid overheating.
–S
teady handling is strongly recommended as a Trephine
Drill may jump sideways abruptly before fully surrounding
the implant.
Abutment screw retrieval
Maximum speed
4 Remove implant
Stop drilling before the full depth of the implant is reached.
Wiggle back and forth to remove implant and Trephine Drill.
Appendices
10
Rescue manual / implant retrieval
Rescue kit
37470 Implant Retrieval Kit
––Includes instruments to remove implants ∅ 3.0, 3.3, 3.5,
3.75, 4.0, 4.3, 5.0, 5.5 and 6.0 mm.
––For NobelActive, NobelParallel CC, NobelReplace Conical
Connection, NobelReplace Platform Shift, NobelReplace
and Replace Select Tapered and Straight, Brånemark
System, NobelSpeedy, and NobelDirect (Groovy, Oval
and Posterior).
37514
37473
37474
37475
37927
37480
37472
37471
37476
37478
37479
37477
37928
37929
37930
37931
37932
Rescue manual / implant retrieval
11
Implant retrieval
Implant Retrieval Kit
37470
(The articles below can also be purchased individually)
Kit includes
Implant Retrieval Instrument Ext Hex and
Tri-Channel NP/RP 22 mm
37471
Implant Retrieval Instrument Ext Hex and
Tri-Channel NP/RP 31mm
37472
Implant Retrieval Instrument CC 3.0 31mm
37473
Implant Retrieval Instrument CC NP and
Ext Hex WP 22 mm
37474
Implant Retrieval Instrument CC RP and
Tri-Channel WP 22 mm
37475
Implant Retrieval Instrument CC WP 22 mm
37927
Implant Retrieval Instrument Tri-Channel 6.0 22 mm
37476
Trephine Drill 3.2/4.0 mm
37477
Trephine Drill 3.8/4.6 mm
37928
Trephine Drill 4.4/5.2 mm
37929
Trephine Drill 5.2/6.2 mm
37930
Trephine Drill 5.6/6.6 mm
37931
Trephine Drill 6.2/7.0 mm
37932
Implant Rescue Collar Tri-Channel ∅ 3.5
37478
Implant Rescue Collar Tri-Channel ∅ 4.3
37479
Handle for Implant Rescue Collar and Drill Guides
37480
Implant Retrieval Wall Chart
37602
Abutment retrieval
37514
Abutment screw retrieval
Implant Retrieval Kit Box
Appendices
12
Rescue manual / abutment screw retrieval
Abutment / clinical screw retrieval
instrument selection guide
The instrument selection guide below can be used to match the correct abutment / clinical
screw retrieval instruments to the implant type. Implant type should be determined via patient
records or standard imaging techniques prior to attempting to retrieve a screw.
Abutment
Screw
Remover
Rescue
Drill Guide
Reverse Drill
Screw
Retrieval
Instrument
Screw Tap
Repair
∅ 3.0 mm
3.0
3.0
3.0
3.0
M1.4
∅ 3.5 mm
NP
NP
NP
NP
M1.6
∅ 4.3 mm
∅ 5.0 mm
RP
RP
RP
RP
M2
∅ 5.5 mm
WP
WP
WP
WP
M2
∅ 3.5 mm
∅ 4.3 mm*
NP
NP
NP
NP
M1.8
∅ 4.0 mm
∅ 4.3 mm
∅ 5.0 mm*
RP
RP
RP
RP
M2
∅ 5.0 mm
∅ 6.0 mm*
WP
WP
WP
WP
M2
∅ 6.0 mm
6.0
6.0
6.0
6.0
M2
∅ 3.3 mm
NP
NP
NP
NP
M1.6
∅ 3.75 mm
∅ 4.0 mm
RP
RP
RP
RP
M2
∅ 5.0 mm
∅ 6.0 mm
WP
WP
WP
WP
M2.5
Conical connection
Tri-channel connection
External hex connection
*NobelReplace Platform Shift
Note: The abutment / clinical screw retrieval instruments are can be also used for the removal of broken abutment / clinical screws in NobelProcera Abutments,
NobelProcera Implant Bridges and Implant Bar Overdentures, on implant level.
Note: Refer to page 19 for instrument article numbers.
Rescue manual / abutment screw retrieval
13
Basic procedure
Implant retrieval
If the head of an abutment screw breaks, the screw fragment
frequently remains as a loose piece of metal within the implant.
This can often be teased out of the threaded portion of the implant using hemostats or pliers.
In situations where the Abutment Screw Remover alone cannot
remove a broken screw, refer to the advanced procedure (reverse drilling) on page 14.
It is strongly recommended that the abutment screw retrieval
instruments are used only with Nobel Biocare related prosthetic components and surgical instruments. Combining
components with different dimensions can lead to mechanical and/or instrument failure or damage the tissue.
Caution: Because of the small size of the prosthetic
components, care must be taken that they are not swallowed
or aspirated by the patient.
Abutment screw retrieval
The Abutment Screw Remover can be used to retrieve a broken
abutment / clinical screw if part of the screw is left inside the
implant screw channel and the fragment can be rotated
(Abutment Screw Remover works for all Nobel Biocare screw
retained restorations, both pre-fabricated and NobelProcera).
Warning: Do not use the Abutment Screw Remover for any
purpose other than the retrieval of a broken abutment /
clinical screw.
Decision tree for abutment screw retrieval
Yes
Is the
abutment
fractured at
the screw
head?
Is the stuck
screw fragment
rotatable?
Yes
Abutment screw remover
(see basic procedure p. 13)
1
No
Reverse drilling instruments
(see advanced procedure p. 14)
1 Select Abutment Screw Remover
Select the appropriate Abutment Screw Remover from the
instrument selection guide on page 12. Attach to either a
handpiece or a Handle for Machine Instruments.
1 mm
2
3
Abutment retrieval
No
Hemostat/pliers
2 Remove screw
– To remove the screw shaft from the implant, place the end
of the Abutment Screw Remover onto the fractured screw
and rotate counterclockwise while applying light pressure.
– The teeth on the end of the instrument are designed to grab
the screw and back it out.
Note: For handpiece operation, ensure the drill unit is in
reverse mode, maximum speed 50 rpm.
50 rpm
Appendices
Maximum speed
14
Rescue manual / abutment screw retrieval
Advanced procedure
In situations where an abutment / clinical screw cannot be
removed with the Abutment Screw Remover alone as per
the basic procedure on page 13, the following advanced
procedure with reverse drilling instruments may be used to
retrieve the screw.
It is strongly recommended that the abutment screw retrieval
instruments are used only with Nobel Biocare related
prosthetic components and surgical instruments. Combining
components with different dimensions can lead to mechanical and/or instrument failure or damage the tissue.
Warning: Do not use the instruments for any purpose other
than the retrieval of a broken abutment / clinical screw and
for implant thread cleaning.
Caution: Because of the small size of the prosthetic
components, care must be taken that they are not swallowed
or aspirated by the patient.
1 Select Rescue Drill Guide
Select appropriate Rescue Drill Guide based on the implant
connection / type and size according to laser-marking.
2 Attach Rescue Drill Guide
Attach the Rescue Drill Guide to the handle and then connect
it to the interface of the implant. The Rescue Drill Guide helps
center the Abutment Screw Retrieval Reverse Drill on the
screw. It also provides secure support during drilling.
Rescue manual / abutment screw retrieval
15
Implant retrieval
3 Select Reverse Drill
Select the appropriate Abutment Screw Retrieval Reverse
Drill from the instrument selection guide on page 12.
Connect to the handpiece.
Abutment screw retrieval
Recommended speed
1 mm
A
Abutment retrieval
4 Drill a hole
Drill a hole to a depth of ~1 mm into the fractured screw.
Markings on the drill can be used as a support to define the
depth. Image shows drill markings of 1 mm (A).
If the abutment screw is not broken, but shows a damaged
screw head connection, drill a hole to the depth of the screw
head without using the Rescue Drill Guide and the handle (B).
In situations with broken abutment/clinical screws at thread
level: Drill a hole to a depth of ~1 mm into the fractured
screw. Marking on the drill can be used as a support to define
the depth. Image shows drill markings of 1 mm (F).
2000 rpm
Notes:
– Ensure the drill unit is in reverse mode. Recommended
speed is 2000 rpm.
– The Rescue Drill Guide can be heated by the drill. Always
hold the Rescue Drill Guide with the handle.
– To avoid shavings clogging the guide channel, release the
Rescue Drill Guide and air-blast during the procedure.
B
Warning: The Abutment Screw Retrieval Reverse Drill may
damage the implant's internal threads and make the implant
unusable.
Caution: Generous cooling is important when using the
Abutment Screw Retrieval Reverse Drill to avoid overheating.
Appendices
16
Rescue manual / abutment screw retrieval
5 Loose abutment screw
During the drilling sequence the fractured abutment / clinical
screw might come loose.
6 Connect Abutment Screw Retrieval Instrument
If the fractured screw is still stuck, remove the Rescue Drill
Guide and connect the Abutment Screw Retrieval Instrument
to the Handle for Machine Instruments.
7 Remove abutment / clinical screw
– Place the tip of the Abutment Screw Retrieval Instrument
into the hole in the screw and rotate the handle in a counterclockwise direction (A). Add light pressure until the instrument grips the screw and the screw can be removed.
– If the fractured screw cannot be removed with the Handle
for Machine Instruments, connect the Abutment Screw
Retrieval Instrument to the Manual Torque Wrench Adapter
and Manual Torque Wrench Surgical in order to generate
more torque (B).
– If the Abutment Screw Retrieval Instrument cannot grab the
screw, drill further and try again.
A
B
Rescue manual / abutment screw retrieval
17
Implant retrieval
Recommended speed
50 rpm
Abutment screw retrieval
8 Clean implant threads
–B
efore a new screw is placed, it is recommended to evaluate the threads inside the implant for damage. This can be
done with a guide pin, a screw from an impression coping,
or a healing abutment. If resistance is encountered, a Screw
Tap Repair may be used to re-establish the thread design.
In this case, select the appropriate Screw Tap Repair from
the instrument selection guide on page 12.
–C
onnect the Screw Tap Repair to the Handle for Machine
Instruments or to the handpiece. Recommended speed is
50 rpm.
–A
fter successful screw removal, a new screw can be
inserted.
Abutment retrieval
Appendices
18
Rescue manual / abutment screw retrieval
Rescue kit
37481 Abutment Screw Retrieval Kit
––Includes instruments to remove abutment / clinical screws.
––For all Nobel Biocare abutment / clinical screws.
37515
37505
37506
37507
37485
29161
37501
37480
37503
37504
37487
37489
37933
37490
37502
37491
37483
37484
37497
37500
37498
37517
37499
37486
37488
37482
Rescue manual / abutment screw retrieval
19
Implant retrieval
Abutment Screw Retrieval Kit
37481
(The articles below can also be purchased individually)
Kit includes
Rescue Drill Guide External Hex NP
37482
Rescue Drill Guide External Hex RP
37483
Rescue Drill Guide External Hex WP
37484
Rescue Drill Guide Conical Connection 3.0
37485
Rescue Drill Guide Conical Connection NP
37486
Rescue Drill Guide Conical Connection RP
37487
Rescue Drill Guide Conical Connection WP
37933
Rescue Drill Guide Tri-Channel NP
37488
Rescue Drill Guide Tri-Channel RP
37489
Rescue Drill Guide Tri-Channel WP
37490
Rescue Drill Guide Tri-Channel 6.0
37491
Screw Tap Repair M1.4
37497
Screw Tap Repair M1.6
37498
Screw Tap Repair M1.8
37499
Screw Tap Repair M2
37517
Screw Tap Repair M2.5
37500
Abutment Screw Retrieval Reverse Drill 3.0/NP
37501
Abutment Screw Retrieval Reverse Drill RP/WP/6.0
37502
Abutment Screw Retrieval Instrument 3.0/NP
37503
Abutment Screw Retrieval Instrument RP/WP/6.0
37504
Abutment Screw Remover 3.0
37505
Abutment Screw Remover NP
37506
Abutment Screw Remover RP/WP/6.0
37507
Handle for Implant Rescue Collar & Drill Guides
37480
Handle for Machine Instruments
29161
Abutment Screw Retrieval Wall Chart
37603
Abutment retrieval
37515
Abutment screw retrieval
Abutment Screw Retrieval Kit Box
Appendices
20
Rescue manual / abutment retrieval
Abutment retrieval
instrument selection guide
The instrument selection guide below can be used to match the correct Abutment Release
Pin, Abutment Retrieval Zirconia Instrument and Abutment Retrieval Titanium Instrument to
the abutment type.
Abutment
Release Pin
Abutment
Retrieval
Zirconia
Abutment
Retrieval
Titanium
∅ 3.0 mm
3.0
–
–
∅ 3.5 mm
NP
NP
NP
∅ 4.3 mm
∅ 5.0 mm
RP
RP
RP
∅ 5.5 mm
WP
WP
WP
Conical connection
Note: Refer to page 26 for instrument article numbers.
Rescue manual / abutment retrieval
21
Abutment Release Pin
Implant retrieval
The Abutment Release Pin may be used to remove intact
abutments if the abutment is stuck in the implant due to the
tight conical seal.
1 Remove abutment / clinical screw
Remove the abutment / clinical screw using the
Unigrip Screwdriver.
Note: Prior to using the Abutment Release Pin, the
abutment / clinical screw needs to be removed.
Abutment screw retrieval
The Abutment Release Pin CC 3.0 can be used to remove intact titanium and gold alloy abutments from NobelActive 3.0
implants. The Abutment Release Pin CC NP and RP/WP can
be used to remove intact zirconia abutments (NobelProcera
zirconia restorations, Procera Esthetic Abutment) from
Nobel Biocare implants with conical connection NP and
RP/WP, respectively.
In cases where the abutment cannot be removed with the
Abutment Release Pin, the Abutment Retrieval Instrument
Zirconia CC and the Abutment Retrieval Instrument Titanium
CC may be used to remove zirconia (including metal adapter)
and titanium abutments, respectively.
Note: The abutment screw must be unthreaded from
both the internal threads of the implant and the abutment.
If the loose abutment / clinical screw is difficult to remove, use
a small amount of sticky wax on the tip of the Unigrip Screwdriver, which will aid retention of the abutment screw head.
Abutment retrieval
2 Insert Abutment Release Pin
– Select the appropriate Abutment Release Pin from the
instrument selection guide on page 20.
– Insert Abutment Release Pin into the abutment until it
reaches a stop.
3 Wiggle Abutment Release Pin
Loosen the abutment from the implant by gently wiggling
the Abutment Release Pin.
Appendices
22
Rescue manual / abutment retrieval
Zirconia abutments
The Abutment Retrieval Instrument Zirconia for conical
connection abutments may be used to remove both prefabricated or NobelProcera “one piece” Zirconia Abutments
if the abutment is stuck in the implant due to the tight conical
seal, or the NobelProcera ASC Abutment, if the metal adapter
is stuck in the implant due to the tight conical seal.
General precautions / warnings:
– It is strongly recommended that the abutment retrieval
instrument is used only with Nobel Biocare (pre-fabricated
and NobelProcera CAD/CAM) zirconia abutments with
conical connection as combining components with different dimensions can lead to mechanical and/or instrument
failure or damage the tissue.
–D
o not use the retrieval instrument for removal of titanium
abutments.
1 Remove abutment / clinical screw
––For abutments without adapter (A), remove the abutment /
clinical screw using the Unigrip Screwdriver.
––For abutments with metal adapter NobelProcera Angulated
Screw Channel (ASC) (B), remove the abutment / clinical
screw using the Omnigrip Screwdriver. The metal adapter
stays in place.
Note: The abutment screw must be unthreaded from both
the internal threads of the implant and the abutment. If the
loose abutment / clinical screw is difficult to remove, use a
small amount of sticky wax on the tip of the Unigrip Screwdriver, which will aid retention of the abutment screw head.
A
B
I
II
2 Insert engaging pin
––The abutment retrieval instrument consists of two pieces,
engaging pin (I) and activating needle (II).
––Insert the engaging pin into the abutment / metal adapter
of the abutment until it reaches a stop.
Note: The engaging pin has to be pushed in rather firmly
to reach its end stop. There is first an intermediate stop that
has to be passed before the pin is in final position.
Rescue manual / abutment retrieval
23
Implant retrieval
3 Assemble instrument
Assemble the instrument by inserting the activating needle.
Abutment screw retrieval
A
B
A
B
A
B
4 Squeeze instrument
Squeeze the abutment retrieval instrument parts together
using e.g. a hemostat or pliers until the abutment (A) or the
metal adapter (B) is released.
Appendices
6 Remove instrument
Remove the activating needle first and then pull the
engaging pin from the abutment or the metal adapter
by hand.
Abutment retrieval
5 Remove abutment
Remove abutment (A) or metal adapter (B) together with and
the abutment retrieval instrument from the implant together.
24
Rescue manual / abutment retrieval
Titanium abutments
The Abutment Retrieval Instrument Titanium may be used to
remove a titanium abutment if the abutment is stuck in the
implant connection due to the tight conical seal.
General precautions / warnings:
– It is strongly recommended that the abutment retrieval
instrument is only used with Nobel Biocare titanium abutments with conical connection as combining components
with different dimensions can lead to mechanical and/or
instrument failure or damage the tissue.
1 Remove abutment / clinical screw
Remove the abutment / clinical screw using the Unigrip
Screwdriver.
2 Insert Abutment Retrieval Instrument
Insert the Abutment Retrieval Instrument Titanium into
the abutment and screw it into place using the Unigrip
Screwdriver until the tip of the screw touches the bottom
of the hole inside the implant screw channel.
3 Release abutment
Apply torque to the Unigrip Screwdriver to release the
abutment from the implant. You need to turn the screw
clockwise and, as the threads of the screw are designed
counterclockwise, the abutment is lifted.
Note: The abutment screw must be unthreaded from both
the internal threads of the implant and the abutment. Use
of a small amount of sticky wax on the tip of the Unigrip
Screwdriver will aid in retention of the abutment screw head.
–D
o not use the abutment retrieval instrument for any
purpose other than the removal of titanium abutments for
implants with internal conical connection with NP, RP or
WP prosthetic interface.
o not use the retrieval instrument for removal of zirconia
–D
abutments.
Rescue manual / abutment retrieval
25
Rescue kit
Implant retrieval
Abutment screw retrieval
37508 Abutment Retrieval Kit
––Includes instruments to remove abutments.
––For Temporary Abutment Engaging, Immediate Temporary
Abutment, Procera Esthetic Abutment, Esthetic Abutment,
Snappy Abutment, Narrow Profile Abutment, GoldAdapt
Engaging, Multi-Unit Abutment, Brånemark System Zygoma
Multi-unit Abutment, NobelProcera Zirconia Abutment,
NobelProcera Titanium Abutment, NobelProcera ASC
Zirconia Abutment, NobelProcera FCZ Implant Crown.
37509
37511
37882
36247
37881
Abutment retrieval
37512
37510
Appendices
26
Rescue manual / abutment retrieval
Abutment Retrieval Kit
37508
(The articles below can also be purchased individually)
Kit includes
Abutment Retrieval Kit Box
37516
Abutment Retrieval Instrument Zirconia CC NP
37512
Abutment Retrieval Instrument Zirconia CC RP/WP
37882
Abutment Retrieval Tool Titanium CC NP
36247
Abutment Retrieval Tool Titanium CC RP/WP
37881
Abutment Release Pin CC 3.0
37509
Abutment Release Pin CC NP
37510
Abutment Release Pin CC RP/WP
37511
Abutment Retrieval Wall Chart
37604
Rescue manual // appendices
27
Article list / reorder information
Implant retrieval
Single-use instruments
Single-use instruments are delivered sterile and are for one
patient and one surgical treatment only.
37477
37928
37929
37930
37931
37932
Abutment Screw Remover
Abutment Screw Remover 3.0
Abutment Screw Remover NP
Abutment Screw Remover RP/WP/6.0
37505
37506
37507
Abutment Screw Retrieval Reverse Drill
Abutment Screw Retrieval Reverse Drill 3.0/NP
Abutment Screw Retrieval Reverse Drill RP/WP/6.0
37501
37502
Abutment Screw Retrieval Instrument
Abutment Screw Retrieval Instrument 3.0/NP
Abutment Screw Retrieval Instrument RP/WP/6.0
37503
37504
Screw Tap Repair
Screw Tap Repair M1.4
Screw Tap Repair M1.6
Screw Tap Repair M1.8
Screw Tap Repair M2
Screw Tap Repair M2.5
37497
37498
37499
37517
37500
Appendices
Trephine Drill
Trephine Drill 3.2/4.0 mm
Trephine Drill 3.8/4.6 mm
Trephine Drill 4.4/5.2 mm
Trephine Drill 5.2/6.2 mm
Trephine Drill 5.6/6.6 mm
Trephine Drill 6.2/7.0 mm
Abutment retrieval
37471
37472
37473
37474
37475
37476
37927
Abutment screw retrieval
Implant Retrieval Instrument
Implant Retrieval Instrument Ext Hex and Tri-Channel NP/RP 22 mm
Implant Retrieval Instrument Ext Hex and Tri-Channel NP/RP 31 mm
Implant Retrieval Instrument CC 3.0 31 mm
Implant Retrieval Instrument CC NP and Ext Hex WP 22 mm
Implant Retrieval Instrument CC RP and Tri-Channel WP 22 mm
Implant Retrieval Instrument Tri-Channel 6.0 22 mm
Implant Retrieval Instrument CC WP 22 mm
28
Rescue manual // appendices
Reusable instruments
Reusable instruments are delivered non-sterile and must
be cleaned and sterilized prior to use. Refer to cleaning and
sterilization guidelines on page 29 for details.
Implant Rescue Collar
Implant Rescue Collar Tri-Channel ∅ 3.537478
Implant Rescue Collar Tri-Channel ∅ 4.337479
Rescue Drill Guide
Rescue Drill Guide External Hex NP
Rescue Drill Guide External Hex RP
Rescue Drill Guide External Hex WP
Rescue Drill Guide Conical Connection 3.0
Rescue Drill Guide Conical Connection NP
Rescue Drill Guide Conical Connection RP
Rescue Drill Guide Conical Connection WP
Rescue Drill Guide Tri-Channel NP
Rescue Drill Guide Tri-Channel RP
Rescue Drill Guide Tri-Channel WP
Rescue Drill Guide Tri-Channel 6.0
37482
37483
37484
37485
37486
37487
37933
37488
37489
37490
37491
Handle for Machine Instruments
Handle for Machine Instruments
Handle for Implant Rescue Collar and Drill Guides
29161
37480
Abutment Release Pin
Abutment Release Pin CC 3.0
Abutment Release Pin CC NP
Abutment Release Pin CC RP/WP
37509
37510
37511
Abutment Retrieval Instrument Zirconia
Abutment Retrieval Instrument Zirconia Conical Connection NP
Abutment Retrieval Instrument Zirconia Conical Connection RP/WP
37512
37882
Abutment Retrieval Instrument Titanium
Abutment Retrieval Instrument Titanium Conical Connection NP
Abutment Retrieval Instrument Titanium Conical Connection RP/WP
36247
37881
Rescue manual // appendices
29
Cleaning and sterilization
Implant retrieval
Sterile components
The devices delivered sterile have a “Sterile” marking on
the label.
Sterile products intended for single use must not be used if
the expiration date (see label) has passed and/or the packaging
is damaged before use or is already open.
Abutment screw retrieval
Non-sterile components
Reusable instruments should be replaced when their efficiency
declines. Worn-out or damaged instruments need to be discarded and replaced with new instruments.
Abutment retrieval
Care and maintenance of reusable instruments and drills are
crucial for successful treatment. Well-maintained instruments
not only safeguard your patients and staff against infection,
but are also essential for the overall treatment outcome.
For additional information on cleaning and sterilization
please consult the Cleaning and sterilization
guidelines for Nobel Biocare products available at
www.nobelbiocare.com/sterilization or request the latest
printed version from a Nobel Biocare representative.
Appendices
30
Rescue manual // appendices
Rescue manual // appendices
31
Customer service worldwide
Implant retrieval
Europe, Middle East and Africa
Russia
Brazil
Austria
Nobel Biocare Russia
Nobel Biocare Brazil
Nobel Biocare Austria
Phone: +7 495 974 77 55
Phone: 0800 16 999 6
Phone: +43 1 892 89 90
South Africa
Canada
Belgium
Nobel Biocare South Africa
Nobel Biocare Canada
Nobel Biocare Belgium
Phone: +27 11 802 0112
Phone: +1 800 939 9394
Phone: +32 2 467 41 70
Spain
Chile
Denmark
Nobel Biocare Spain
Dental Biocare
Nobel Biocare Denmark
Phone: +34 900 850 008
Phone: +56 220 19282
Phone: +45 39 40 48 46
Sweden
Colombia
Finland
Nobel Biocare Sweden
Hospimedics S.A.
Nobel Biocare Finland
Phone: +46 31 81 88 00
Phone: +57 1 640 0608
Phone: +358 20 740 61 00
Switzerland
Mexico
France
Nobel Biocare Switzerland
Nobel Biocare Mexico
Nobel Biocare France
Phone: 0800 211 424
Phone: +52 55 524 974 60
Phone: +33 1 49 20 00 30
United Kingdom
USA
Germany
Nobel Biocare UK
Nobel Biocare USA
Nobel Biocare Germany
Phone: +44 208 756 3300
Phone: +1 800 322 5001
Phone: +49 221 500 850
Hungary
Nobel Biocare Hungary
Phone: +36 1 279 33 79
Australia
Ireland
Nobel Biocare Australia
Nobel Biocare Ireland
Phone: 1800 804 597
Phone: 1800 677 306
China
Italy
Nobel Biocare China
Nobel Biocare Italy
Phone: +86 21 5206 6655
Phone: +39 800 53 93 28
Hong Kong
Lithuania
Nobel Biocare Hong Kong
Nobel Biocare Lithuania
Phone: +852 2845 1266
Phone: +370 5 268 3448
India
Netherlands
Nobel Biocare India
Nobel Biocare Netherlands
Phone: 1800 266 9998
Phone: +31 30 635 49 49
Japan
Norway
Nobel Biocare Japan
Nobel Biocare Norway
Phone: +81 3 6717 6191
Phone: +47 23 24 98 30
New Zealand
Poland
Nobel Biocare New Zealand
Nobel Biocare Poland
Phone: 0800 441 657
Phone: +48 22 549 93 52
Singapore
Portugal
Nobel Biocare Singapore
Nobel Biocare Portugal
Phone: +65 6737 7967
Phone: +351 800 300 100
Distributor markets
Bulgaria, Croatia, Cyprus, Czech
Republic, Greece, Iran, Jordan, Kuwait,
Lebanon, Malta, Romania, Saudi Arabia,
Serbia, Slovenia, Turkey, United Arab
Emirates
Phone: +48 22 549 93 55
Abutment retrieval
Asia Pacific
Abutment screw retrieval
Americas
Taiwan
Nobel Biocare Taiwan
Phone: +886 080 00 779
Appendices
nobelbiocare.com/contact
v 15.1
nobelbiocare.com
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Nobel Biocare, the Nobel Biocare logotype and all other trademarks are, if nothing else is stated or is evident from the context in a certain case, trademarks of Nobel Biocare. Product images are not necessarily to scale.