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

NCT ID: NCT04737421

Last Updated: 2025-05-25

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

ACTIVE_NOT_RECRUITING

Total Enrollment

1000 participants

Study Classification

OBSERVATIONAL

Study Start Date

2021-05-26

Study Completion Date

2029-05-31

Brief Summary

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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

Detailed Description

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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.

Conditions

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Marginal Bone Level Change

Study Design

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Observational Model Type

OTHER

Study Time Perspective

PROSPECTIVE

Study Groups

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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.

NobelActive TiUltra implant

Intervention Type DEVICE

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.

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.

NobelParallel CC TiUltra implants

Intervention Type DEVICE

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.

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.

NobelReplace CC TiUltra implants

Intervention Type DEVICE

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.

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.

Nobel Biocare N1 TiUltra TCC implants

Intervention Type DEVICE

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.

Interventions

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NobelActive TiUltra implant

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.

Intervention Type DEVICE

NobelParallel CC TiUltra implants

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.

Intervention Type DEVICE

NobelReplace CC TiUltra implants

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.

Intervention Type DEVICE

Nobel Biocare N1 TiUltra TCC implants

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.

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* 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.

Exclusion Criteria

* 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
* 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
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Nobel Biocare

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Madison Prosthodontics

Madison, Alabama, United States

Site Status

Northwest Oral and Maxillofacial Surgery

Arlington Heights, Illinois, United States

Site Status

Midwest Dental Implantology

Saint Charles, Illinois, United States

Site Status

New York Center for Orthognathic and Maxillofacial Surgery

New York, New York, United States

Site Status

Periodontal Associates

Tualatin, Oregon, United States

Site Status

Dentartisans Pty ltd

Pyrmont, New South Wales, Australia

Site Status

Bc Prosthodontics

West Perth, Perth, Australia

Site Status

Melbourne Dental School The University of Melbourne

Melbourne, , Australia

Site Status

Akademie für orale Implantologie GmbH & Co

Vienna, , Austria

Site Status

Implantologie und Ästhetische Zahnheilkunde

Vienna, , Austria

Site Status

Herning Implantat Center

Herning, Herning, Denmark

Site Status

Dental Center Helmiäinen

Tampere, , Finland

Site Status

Cabinet du Dr Noharet

Lyon, , France

Site Status

BGLP

Montpellier, , France

Site Status

IFCIA

Paris, , France

Site Status

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

Karlstadt am Main, , Germany

Site Status

Studio Odontoiatrico Specialistico Ban Mancini Fabbri

Cattolica, , Italy

Site Status

UOC di Chirurgia Maxillo-Facciale e Odontoiatria

Verona, , Italy

Site Status

Staas & Bergmans Zorgvooruwmond B.V.

's-Hertogenbosch, , Netherlands

Site Status

ParoBrea- Parodontologie & Implantologie

Breda, , Netherlands

Site Status

Department of Oral and Maxillofacial Surgery University Medical Center Groningen

Groningen, , Netherlands

Site Status

The Oris Dental Harstad

Harstad, , Norway

Site Status

Maló Clinic

Lisbon, , Portugal

Site Status

Clinica Lluch

Barcelona, , Spain

Site Status

Clinica Dental Crooke & Laguna

Málaga, , Spain

Site Status

Altés & Mesquida

Palma de Mallorca, , Spain

Site Status

Folktandvården Västra Götaland, Brånemarkkliniken

Gothenburg, , Sweden

Site Status

Pequrio AB

Malmo, , Sweden

Site Status

Dentalspecialist

Egerkingen, , Switzerland

Site Status

Brunner Praxis für Zahnmedizin

Lucerne, , Switzerland

Site Status

Centrella Zahnärzte

Oberrieden, , Switzerland

Site Status

Bodensee-Implantat-Zentrum AG

Rorschach, , Switzerland

Site Status

Countries

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United States Australia Austria Denmark Finland France Germany Italy Netherlands Norway Portugal Spain Sweden Switzerland

Other Identifiers

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T-192

Identifier Type: -

Identifier Source: org_study_id

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