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Nobel Biocare Conical Connection

Also known as: Conical Connection, Nobel CC, NobelReplace CC connection

Nobel Biocare’s internal conical implant-abutment connection, used across the NobelActive, NobelParallel CC and NobelReplace CC implant lines.

Key facts

ManufacturerNobel Biocare Services AGVerified spec[1]
Connection categoryListed by Nobel Biocare as "Internal Conical Connection", the largest of the connection families in its implant catalogue.Manufacturer-reported[1]
Geographic availabilityNobel Biocare lists the NobelActive, NobelParallel CC, NobelReplace CC and NobelZygoma 0 degree CC implant families under its internal conical connection.Manufacturer-reported[1]
Platform switchingNobel Biocare states that NobelReplace Conical Connection has "built-in platform shifting designed to increase soft-tissue volume for natural-looking esthetics".Manufacturer-reported[2]
Clinical evidenceA 2012 systematic review and meta-analysis of 10 randomised controlled trials (435 subjects, 993 implants) reported a mean 0.55 mm reduction in marginal bone loss for platform-switched implants compared with conventionally restored implants (95 per cent CI -0.86 to -0.24 mm, p = 0.0006), with no statistically significant difference in implant success. Subgroup analysis suggested less bone loss where the mismatch between implant and abutment diameter was larger.Verified spec[3]The authors themselves urged cautious interpretation because of heterogeneity between the trials and possible publication bias.
Taper angleManufacturer documentation not located(The Nobel Biocare pages we reached describe the connection as conical but do not state a cone angle.)
Anti-rotation featureManufacturer documentation not located(The pages we reached do not specify the indexing feature or the number of seating positions.)

Overview

Nobel Biocare’s Conical Connection is the company’s current mainstream joint, and the naming is the main hazard around it. Nobel Biocare runs several connection families in parallel - external hex on the Branemark System, internal tri-channel on NobelSpeedy and Replace Select Tapered, this conical connection on NobelActive, NobelParallel and NobelReplace CC, and a separate tri-oval conical connection on certain zygomatic implants. Because "NobelReplace" appears in two of those families with different connections behind it, a record that says only "NobelReplace" does not identify which components will fit, and getting that wrong is a practical problem years later when a crown needs remaking. Nobel Biocare builds platform shifting into the design rather than offering it as an option, which is consistent with the broader evidence favouring a horizontal offset at the joint, though the company does not publish the cone angle on the pages we could reach.

Sources

Numbers match the citations beside each claim above.

Primary sources

Clinical evidence

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