Dental implant showdown: ceramic vs. metal for your smile

NCT ID NCT03908177

What the study statuses mean

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Recruitment status, easiest to join first

Recruiting now
This trial is taking on new participants right now.
Not yet recruiting
Registered, but not yet taking participants.
By invitation only
Not open to general applications. Only people the study team invites can take part.
Paused
Paused for now. It may or may not start again.
Ongoing
Running, but no longer taking on new participants.
Completed This study
The trial has finished. Results may not be published yet.
Stopped early
Stopped early, before it reached the end. That can be for many reasons, including safety.
Cancelled
Cancelled before anyone took part.

Expanded access (not trials)

Expanded access
Not a trial. This treatment can be requested outside a study, case by case, for people who qualify.
Expanded access (paused)
Not a trial. The treatment can normally be requested outside a study, but is unavailable right now.
Expanded access (ended)
Not a trial. The treatment could once be requested outside a study, but no longer can.
Approved
The treatment has been approved, so it is available normally rather than through this programme.

When the status isn't known

Details not published
The full record has not been published yet, so there is little to show here.
Status unknown
This status has not been confirmed recently, so it may be out of date.

First seen Jun 27, 2026 · Last updated Jun 27, 2026

Summary

This study compared two types of dental implants for replacing a single missing tooth: one made of zirconia (a ceramic) and one made of titanium (a metal). A total of 121 adults received one of the two implants using a fully digital planning and placement process. The main goal was to see if the zirconia implant was as good as the titanium implant in terms of bone level changes around the implant after one year.

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Study facts

What this study's own registry entry says, in plain language.

Phase

Not a phased trial

Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.

Participants

121 people

The number who actually took part.

Started

Sep 2019

Finished

Apr 2025

Lead sponsor

A company

The lead sponsor is a pharmaceutical, biotech, or medical-device company.

Who can take part

This study's own entry requirements. Only the study team can say for certain whether you qualify.

Ages

18 years and older

Sex

Anyone

Healthy volunteers

Accepted

You do not need to have the condition being studied to take part.

Show the full entry requirements

Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.

Inclusion Criteria: * Patients must have voluntarily signed the Informed Consent Form before any study related procedures are performed, are willing and able to attend scheduled follow-up visits and agree that the pseudonymized data will be collected, analysed, and published. * Patients must be males or females who are a minimum of 18 years of age. * Patients, who are in need of a single tooth replacement with a dental implant in the premolar-to-premolar area in the mandible or maxilla (excluding lower incisors). * Presence of natural teeth on both sides of the study implant position and opposing dentition (single tooth gap). * Patients with healed extraction sockets, which means that at implant surgery: * Soft tissue coverage of the socket is complete; and * Alveolar bone is reconsolidated (around 16 weeks after tooth extraction). Exclusion Criteria: * Patients with inadequate bone volume where major bone augmentation would be required at implant location. * Inadequate anatomic situation that would prevent prosthetic-driven planning based on CBCT. * Presence of implants neighbouring the study implant. * Patients with inadequate oral hygiene (FMPS ≥ 20%). * Patients with local root remnants. * Patients with inadequate wound healing capacity. * Patients with incomplete maxillary and mandibular growth. * Patients with medical contraindications to implant surgery (uncontrolled bleeding disorders, psychoses, prolonged therapy-resistant functional disorders, xerostomia, weakened immune system, illnesses requiring periodic use of steroids or uncontrollable endocrine disorders. * Patients with drug or alcohol abuse. * Patients with allergies or hypersensitivity to zirconium oxide (ZrO2), yttrium oxide (Y2O3), hafnium dioxide (HfO2), aluminium oxide (Al2O3), and titanium (Grade 4). * Patients with medical contraindications to implant surgery (uncontrolled bleeding disorders, psychoses, prolonged therapy-resistant functional disorders, xerostomia, weakened immune system, illnesses requiring periodic use of steroids or uncontrollable endocrine disorders). * Patients with conditions or circumstances, in the opinion of the Investigator, which would prevent completion of study participation or interfere with analysis of study results, such as history of non-compliance or unreliability. * Pregnancy or intention to become pregnant at any point during the study duration. Furthermore, patients with uncontrolled periodontitis and less than 3 mm of keratinized mucosa at the day of surgery will be excluded from the study. Controlled periodontitis is defined as treated periodontitis with two or less pockets that are \< 4 mm in depth or the existence of ≤ 20% bleeding on probing. If the planned implant position is the second premolar, the adjacent molar must be present. Shortened arches with missing molars are not eligible in such a case.

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As listed by the trial registrant

The condition terms exactly as the trial's registrant entered them.

Contacts and locations

Locations

  • Dusseldorf University Hospital, Poliklinik für Zahnärztliche Prothetik

    Düsseldorf, 40225, Germany

  • Implantology Institute

    Lisbon, 1070-064, Portugal

  • The University of Hong Kong, Prince Philip Dental Hospital

    Hong Kong, Hong Kong

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