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Marginal Bone Level ChangeNCT04737421

A Clinical Study on Implants With TiUltra Technology and Associated Prosthetic Components

An observational study of Marginal Bone Level Change, run by Nobel Biocare at 32 sites in 14 countries.

Active, not recruiting

Under way, not looking for participants. Everyone needed has enrolled. The study is still running.

Official record
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Trial summary

This is a multicenter, prospective, non-interventional study in which a total of 1000 subjects in need of a single, multiple or full arch restoration in any region of the mouth (healed or extracted) will be treated in up to 30 study centers. Read more about this study

Who is it for?
Ages 18 to 65 years
Conditions the study is for
Marginal Bone Level Change
What is being tested?
NobelActive TiUltra implant, NobelParallel CC TiUltra implants and NobelReplace CC TiUltra implants
Type of treatment
Medical device
How many people
1,000 participants
Where
32 sitesin 14 countries
Study dates
26 May 2021to 31 May 2029
How long will I take part?
5 Years
Phase
Observational
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 65 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Study population: Subjects will be consecutively included provided they meet all of the inclusion criteria and none of the exclusion criteria.They will be treated with the corresponding implant system assigned to the group. The allocation into a certain group is only driven by the subject's clinical and restorative requirement and standard of care at the enrolling study clinic. Each subject will be followed for 5 years after definitive prosthetic placement. If the subject wishes to withdraw from the clinical study, he/she may do so at any time and for any reason during the clinical study. If provided, the reason for withdrawal should be recorded and documented in the subject's medical record and in the eCRF.

Who may be able to join

  • Subject signed the informed consent
  • Subject is between 18 and 70 years of age
  • Subjects presented with the need of single, multiple or full arch implant rehabilitation in any region of the mouth.
  • Subject with medical and anatomical conditions that are in accordance with the applicable instructions for use (IFU).
  • Subject with sufficient bone volume for implant placement.
  • Subject is compliant with good oral hygiene as judged by the clinician.

Who cannot join

  • Anatomical conditions discovered during surgery preventing the use of intended implant system.
  • Subjects with history of allergy or adverse reactions to any materials used
  • Uncontrolled diabetes (subjects with history of diabetes mismanagement and/or known A1c level above 8%)*
  • Heavy smokers (>10 cigarettes per day)
  • Severe bruxism or dysfunctional tendencies
  • Previous oro-maxillo facial radiotheraphy
Show all 12Show fewer
  • Any ongoing application of interfering medication (steroid therapy, bisphosphonate, etc)
  • Any disorders in the planned implant area such as previous tumors, chronic bone disease or previous radiation.
  • Acute, untreated periodontitis in the planned implantation site or adjacent tissue.
  • Infections in the planned implantation site or adjacent tissue.
  • Documented complete remission of >3 years if history of non-oral cancer.
  • Pregnant or lactating women at the time of implant insertion. *Assessment of A1C level is not required unless it is standard of care at the treating clinic

Trial locations and contacts

32 sites in 14 countries.

32 sites in 14 countries

United States5 sites
  • Northwest Oral and Maxillofacial Surgery

    Arlington Heights, Illinois, 60005

  • Madison Prosthodontics

    Madison, Alabama, 35758

  • New York Center for Orthognathic and Maxillofacial Surgery

    New York, New York, 10022

  • Midwest Dental Implantology

    Saint Charles, Illinois, 60174

  • Periodontal Associates

    Tualatin, Oregon, 97062

Other trials in United States

Switzerland4 sites
  • Dentalspecialist

    Egerkingen, 4622

  • Brunner Praxis für Zahnmedizin

    Lucerne, 6003

  • Centrella Zahnärzte

    Oberrieden, 8942

  • Bodensee-Implantat-Zentrum AG

    Rorschach, 9400

Other trials in Switzerland

Australia3 sites
  • Melbourne Dental School The University of Melbourne

    Melbourne, 3010

  • Dentartisans Pty ltd

    Pyrmont, New South Wales, 2009

  • Bc Prosthodontics

    West Perth, Perth, 6005

Other trials in Australia

France3 sites
  • Cabinet du Dr Noharet

    Lyon, 69002

  • BGLP

    Montpellier, 34090

  • IFCIA

    Paris, 75017

Other trials in France

Netherlands3 sites
  • Staas & Bergmans Zorgvooruwmond B.V.

    's-Hertogenbosch, 5216

  • ParoBrea- Parodontologie & Implantologie

    Breda, 4819

  • Department of Oral and Maxillofacial Surgery University Medical Center Groningen

    Groningen, 9713

Other trials in Netherlands

Spain3 sites
  • Clinica Lluch

    Barcelona, 08006

  • Clinica Dental Crooke & Laguna

    Málaga, 29016

  • Altés & Mesquida

    Palma de Mallorca, 07004

Other trials in Spain

Austria2 sites
  • Akademie für orale Implantologie GmbH & Co

    Vienna, 1090

  • Implantologie und Ästhetische Zahnheilkunde

    Vienna, 1190

Other trials in Austria

Italy2 sites
  • Studio Odontoiatrico Specialistico Ban Mancini Fabbri

    Cattolica, 47841

  • UOC di Chirurgia Maxillo-Facciale e Odontoiatria

    Verona, 37134

Other trials in Italy

Sweden2 sites
  • Folktandvården Västra Götaland, Brånemarkkliniken

    Gothenburg, 413 90

  • Pequrio AB

    Malmö, 217 72

Other trials in Sweden

Denmark1 site
  • Herning Implantat Center

    Herning, Herning, 7400

Other trials in Denmark

Finland1 site
  • Dental Center Helmiäinen

    Tampere, 33200

Other trials in Finland

Germany1 site
  • DrS - Schöne Zähne - Dr. Scherg Praxis für Implantologie & Ästhetik

    Karlstadt am Main, 97753

Other trials in Germany

Norway1 site
  • The Oris Dental Harstad

    Harstad, 9405

Other trials in Norway

Portugal1 site
  • Maló Clinic

    Lisbon, 1600-042

Other trials in Portugal

About this study

Official title: A Prospective, Non-interventional, Clinical Study to Evaluate the Safety, Performance and Clinical Benefits of Implants With TiUltra Technology and Associated Prosthetic Components

This is a multicenter, prospective, non-interventional study in which a total of 1000 subjects in need of a single, multiple or full arch restoration in any region of the mouth (healed or extracted) will be treated in up to 30 study centers. The primary aim of this study is to demonstrate non-inferiority of all NobelBiocare TiUltra implants to historic data from NobelActive TiUnite coated implant in terms of marginal bone level change over 5 years after final prosthetic delivery. Eligible subjects who provide their informed consent for participation will be enrolled into one of four groups, each sized to 250 individuals. They will be treated with the corresponding implant system assigned to the group. The allocation into a certain group is only driven by the subject's clinical and restorative requirement and standard of care at the enrolling study clinic. Each subject will be followed for 5 years after definitive prosthetic placement

Read the detailed description

Primary Objective: The primary endpoint is to evaluate the change in the marginal bone level from definitive prosthetic placement (baseline) to the 5-year follow-up visit.

Secondary Objective:The secondary objectives of this clinical investigation are:

  • To evaluate the change in the marginal bone level from definitive prosthetic placement (baseline) to 1-year and 3-years follow-up visits
  • To demonstrate cumulative implant survival and success rates from definitive prosthetic placement to 5 years follow-up visit
  • To demonstrate cumulative prosthetic survival and success rates to 5 years follow-up visit
  • To evaluate soft tissue outcome (as measured by bleeding index, plaque index and gingival index) to 5 years from definitive prosthetic placement.
  • To evaluate SADE, USADE, ADE and DD from implant insertion until 5 years follow-up visit.

Study design: This is a multicenter, prospective, non-interventional study in which a total of 1000 subjects in need of a single, multiple or full arch restoration in any region of the mouth (healed or extracted) will be treated in up to 30 study centers. The study devices are divided into four groups:

  • Group 1 (G1): NobelActive TiUltra implants (3.0, NP, RP, WP)
  • Group 2 (G2): NobelParallel CC TiUltra implants (NP, RP; WP)
  • Group 3 (G3): NobelReplace CC TiUltra implants (NP, RP)
  • Group 4 (G4): Nobel Biocare N1 TiUltra TCC implants (NP, RP)

Subjects will be consecutively included provided they meet all of the inclusion criteria and none of the exclusion criteria. Eligible subjects who provide their informed consent for participation will be enrolled into one of four groups, each sized to 250 individuals. They will be treated with the corresponding implant system assigned to the group. The allocation into a certain group is only driven by the subject's clinical and restorative requirement and standard of care at the enrolling study clinic. Each subject will be followed for 5 years after definitive prosthetic placement . Possible dropouts and withdrawals, as well as possible serious adverse (device) events, will be carefully monitored during the entire study period

Sequence of treatment: As part of the screening process each subject will undergo a pre-treatment standard of care examination to record demographic characteristics and medical history. The subjects will be informed of the treatment possibilities according to clinic standard of care and about the study. Depending on the clinical indication, clinician preferences and desired esthetic solution the subject will be enrolled into one of the four previously described groups (G1 to G4). Implant surgery-, bone and tissue regenerative- and prosthodontic procedures shall be performed according to IFU and standard of care. Implants may be placed in either healed or extraction sites utilizing one-stage or two-stage surgical protocol with immediate, early or delayed loading to restore single missing tooth, partial or fully edentulous jaws. The treating clinician should decide individually when definitive prosthesis installation is suitable for each subject. Standard of care follow-up visits should be scheduled as close as possible to 1-, 3- and 5- years after definitive prosthetic placement, to ascertain a homogenous data set. Deidentified periapical radiographs from each subject visit shall be uploaded to the study eCRF. All images will be forwarded to the core lab for independent analysis. As part of the screening process each subject will undergo a pre-treatment standard of care examination to record demographic characteristics and medical history. The subjects will be informed of the treatment possibilities according to clinic standard of care and about the study.

Depending on the clinical indication, clinician preferences and desired esthetic solution the subject will be enrolled into one of the four previously described groups (G1 to G4). Implant surgery-, bone and tissue regenerative- and prosthodontic procedures shall be performed according to IFU and standard of care. Implants may be placed in either healed or extraction sites utilizing one-stage or two-stage surgical protocol with immediate, early or delayed loading to restore single missing tooth, partial or fully edentulous jaws. The treating clinician should decide individually when definitive prosthesis installation is suitable for each subject.

Study duration: Once the subject has provided written informed consent and fulfilled all inclusion and none of the exclusion criteria, he/she is considered enrolled. Subject enrolment period is expected to take 7 months from time of initiation at each site. Enrolment in each group will stop once the total group size of 250 subjects has been met. The clinical investigation will continue until each subject has been followed for 5-years after final prosthetic delivery.

Being tested
NobelActive TiUltra implant, NobelParallel CC TiUltra implants, NobelReplace CC TiUltra implants, Nobel Biocare N1 TiUltra TCC implants
Keywords
bone remodelling

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • NobelActive TiUltra implantDevice

    Subjects will be enrolled and treated with one of the above groups as per the their clinical requirement and standard of care of the clinic.

  • NobelParallel CC TiUltra implantsDevice

    Subjects will be enrolled and treated with one of the above groups as per the their clinical requirement and standard of care of the clinic.

  • NobelReplace CC TiUltra implantsDevice

    Subjects will be enrolled and treated with one of the above groups as per the their clinical requirement and standard of care of the clinic.

  • Nobel Biocare N1 TiUltra TCC implantsDevice

    Subjects will be enrolled and treated with one of the above groups as per the their clinical requirement and standard of care of the clinic.

Study groups in NCT04737421
Study groupRoleWhat they receive
Group 1 (G1): NobelActive TiUltra implants (3.0, NP, RP, WP)Subjects will be enrolled into Group 1 and treated with NobelActive TiUltra implants, only if it is driven by the subject's clinical and restorative requirement and standard of care at the enrolling study clinic.
Receives: Device: NobelActive TiUltra implant
Group 2 (G2): NobelParallel CC TiUltra implants (NP, RP; WP)Subjects will be enrolled into Group 1 and treated with NobelParallel CC TiUltra implants, only if it is driven by the subject's clinical and restorative requirement and standard of care at the enrolling study clinic.
Receives: Device: NobelParallel CC TiUltra implants
Group 3 (G3): NobelReplace CC TiUltra implants (NP, RP)Subjects will be enrolled into Group 1 and treated with NobelReplace CC TiUltra implants, only if it is driven by the subject's clinical and restorative requirement and standard of care at the enrolling study clinic.
Receives: Device: NobelReplace CC TiUltra implants
Group 4 (G4): Nobel Biocare N1 TiUltra TCC implants (NP, RP)Subjects will be enrolled into Group 1 and treated with Nobel Biocare N1 TiUltra TCC implants , only if it is driven by the subject's clinical and restorative requirement and standard of care at the enrolling study clinic.
Receives: Device: Nobel Biocare N1 TiUltra TCC implants

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Marginal bone level change

    The primary endpoint is to evaluate the change in the marginal bone level from definitive prosthetic placement (baseline) to the 5-year follow-up visit.

    Measured: Definitive prosthetic delivery to 5-years follow-up

Secondary outcomes (7)
  1. Marginal bone level change

    To evaluate the change in the marginal bone level from definitive prosthetic placement (baseline) to 1-year and 3-years follow-up visits

    Measured: Definitive Prosthetic delivery to 1-year, Definitive Prosthetic delivery to 3-years

  2. Cumulative Survival rate/Cumulative success rate

    To demonstrate cumulative implant survival and success rates from definitive prosthetic placement to 5 years follow-up visit

    Measured: Definitive prosthetic delivery to 5-year follow-up

  3. Prsothetic suviival and success rate

    To demonstrate cumulative prosthetic survival and success rates to 5 years follow-up visit

    Measured: Definitive prosthetic delivery to 5-years follow-up

  4. Sost tissue outcome- Bleeding index

    To evaluate soft tissue outcome as measured by bleeding index from definitive prosthetic placement to 5 years follow-up visit

    Measured: Definitive prosthetic delivery to 5-years follow-up

  5. Sost tissue outcome- Plaque index

    To evaluate soft tissue outcome as measured by plaque index from definitive prosthetic placement to 5 years follow-up visit.

    Measured: Definitive prosthetic delivery to 5-years follow-up

  6. Sost tissue outcome- Ginigval index

    To evaluate soft tissue outcome as measured by gingival index from definitive prosthetic placement to 5 years follow-up visit

    Measured: Definitive prosthetic delivery to 5-years follow-up

  7. Adverse event

    To evaluate Serious Adverse Device Effects , Unanticipated Serious Adverse Device Effect , Adverse Device Effects and Device Deficiency from implant insertion until 5 years follow-up visit.

    Measured: Implant insertion to 5-years follow-up

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted3 Feb 2021
  2. Study start26 May 2021
  3. Primary completion31 May 2029 (estimated)
  4. Study completion31 May 2029 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Other
Time perspective
Prospective
Enrolment
1,000 participants (actual)
Target duration
5 Years
IDs, dates and publications
ClinicalTrials.gov ID
NCT04737421
Sponsor's protocol ID
T-192
Status last verified
May 2025
First submitted
28 Jan 2021
Last updated
25 May 2025
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

An observational study of Marginal Bone Level Change, run by Nobel Biocare at 32 sites in 14 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 6 inclusion and 12 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: under way, not looking for participants, as of the sponsor's last update on 25 May 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 32 sites in United States, Switzerland, Australia, France, Netherlands and 9 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Marginal bone level change (time frame: Definitive prosthetic delivery to 5-years follow-up). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 25 May 2025.

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