Friction alone: can a dental crown stay put without cement or screws?
NCT ID NCT04063878
First seen Sep 18, 2026 · Last updated Sep 18, 2026
Summary
Researchers are studying the Acuris conometric concept, a system that seats a single tooth crown on a dental implant using friction instead of cement or screws. The study follows 160 adults aged 18 to 75 who each receive one implant to replace a missing back tooth. Over five years, researchers check whether the original crown stays in place, whether the connection between the abutment and cap holds, and whether the implant and surrounding bone and gums stay healthy.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Acuris conometric abutment and final cap, a cement-free and screw-free system that holds a dental crown on an implant using friction
- What this could lead to
- If the crowns hold up, people who need a single tooth implant could get a restoration that avoids cement and screws, which may mean fewer complications and simpler repairs.
- What could go wrong
- This is a five-year observational follow-up of one implant system, so results may not apply to other implants or to people who need multiple teeth replaced. Crowns can still loosen, fracture, or need replacement over time.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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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
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160 people
The number who actually took part.
- Started
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Jul 2019
- Expected to finish
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Jun 2027
An estimate. End dates often move.
- Lead sponsor
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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
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18 to 75 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide 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: 1. Subject aged between 18-75 years 2. Subject signed and dated the informed consent form 3. In need of an implant replacing a missing tooth in position 17 to 27 or 37 to 47, and each subject can only receive one study implant. 4. Neighbouring tooth to the planned implant must have * a natural root or an implant supported restoration mesially * a natural root or an implant supported restoration distally Exemption: If the planned implant is in the second molar position, an edentulous space is accepted distally. 5. Presence of natural tooth, partial prosthesis and/or implant supported restoration in the opposite jaw in contact with the planned crown 6. Deemed by the investigator as likely to present an initially stable implant situation Exclusion Criteria: 1. Unlikely to be able to comply with study procedures, according to Investigators judgement 2. Subject is not willing to participate in the study or not able to understand the content of the study 3. Involvement in the planning and conduct of the study 4. Severe non-compliance to CIP as judged by the Investigator and/or Dentsply Sirona Implants. 5. Unable or unwilling to return for follow-up visits for a period of five years 6. Simultaneous participation in another clinical study, or former participation in a clinical study during the last 6 months that may interfere with the present study 7. Previous enrolment in the present study 8. Uncontrolled pathological process in the oral cavity 9. Known or suspected current malignancy 10. History of radiation therapy in the head and neck region within 12 months prior to surgery 11. Systemic or local disease or condition that could compromise post-operative healing and/or osseointegration 12. Uncontrolled diabetes mellitus 13. Corticosteroids, iv bisphosphonates or any other medication that could influence post-operative healing and/or osseointegration 14. Current need for major bone grafting and/or augmentation in the planned implant area (minor grafting and soft tissue grafting are allowed) 15. Smoking more than 10 cigarettes per day, present alcohol or drug abuse 16. Known pregnancy at implant installation (Only applicable for sites in United States and Canada)
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Cholakis Dental Group
Winnipeg, Canada
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Clinica Dental Antuña de Alaiz SL
Oviedo, Spain
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Clínica Dental Broseta
Cheste, Spain
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Implant & Prosthodontic Associates
Oklahoma City, Oklahoma, 73142, United States
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Praxis Prof. Dr. Dhom & Kollegen MVZ GmbH
Ludwigshafen, Germany
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Studio Toia
Busto Arsizio, Italy
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Ten Dental
London, United Kingdom
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The Implant Experts LTD
Maidstone, United Kingdom
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University of Illinois College of Dentistry
Chicago, Illinois, 60612, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Can a custom healing cap preserve gum and bone after tooth extraction?
- Dental implant design may affect bone health, new study suggests
- Dental implant study tests new connector to save bone and gums
- New dental crown study aims to stop implants from coming loose
- New drill technique may eliminate need for bone grafts in dental implants