Reported Reactions

Devices › Implant, endosseous, root-form

Device brand name · Endosseous dental implant

NobelActive Internal RP 4.3x13mm: medical device reports filed with FDA

25,556 reports name it, 2019–2026. Manufacturer given most often on reports: Nobel Biocare. Product code DZE.

25,556
device reports naming the brand
0.1% of all MAUDE reports · about 3,743 a year
3,764
reports, 12 months to August 2026
3,571 in the 12 months before
1.4%
classified as malfunction
0.8% across the product code
0%
classified as death, as reported
0 reports · not verified by FDA

FDA's MAUDE database holds 25,556 reports that name the brand "NobelActive Internal RP 4.3x13mm" (endosseous dental implant), received between September 2019 and August 2026; the manufacturer given most often on reports is Nobel Biocare. Spellings of one product vary from report to report.

3,764 reports arrived in the 12 months to August 2026, close to the 3,571 of the 12 months before. FDA releases MAUDE data monthly; reports can arrive months after an event, so the newest months grow in later releases. The event types recorded are injury (98.6%) and malfunction (1.4%); across all implant, endosseous, root-form reports (product code DZE) death is recorded in 0% and malfunction in 0.8%. Event type is the reporter's classification of the report, not a verified outcome.

The device problems coded most often are failure to osseointegrate (53.3%), loss of osseointegration (31.6%) and osseointegration problem (7.4%). The patient problems coded most often are failure of implant, pain and numbness. FDA states that "MDR data alone cannot be used to establish rates of events, evaluate a change in event rates over time or compare event rates between devices. The number of reports cannot be interpreted or used in isolation to reach conclusions about the existence, severity, or frequency of problems associated with devices." It adds that the reporting system "has limitations, including the potential submission of incomplete, inaccurate, untimely, unverified, or biased data."

Reports by month, five years

0450899Sep 2021: 392Oct 2021: 283Nov 2021: 318Dec 2021: 3212022Jan 2022: 293Feb 2022: 303Mar 2022: 324Apr 2022: 272May 2022: 316Jun 2022: 324Jul 2022: 224Aug 2022: 284Sep 2022: 190Oct 2022: 342Nov 2022: 281Dec 2022: 3462023Jan 2023: 238Feb 2023: 280Mar 2023: 337Apr 2023: 315May 2023: 301Jun 2023: 286Jul 2023: 273Aug 2023: 246Sep 2023: 229Oct 2023: 306Nov 2023: 259Dec 2023: 2792024Jan 2024: 326Feb 2024: 247Mar 2024: 265Apr 2024: 315May 2024: 345Jun 2024: 214Jul 2024: 242Aug 2024: 201Sep 2024: 281Oct 2024: 233Nov 2024: 376Dec 2024: 2972025Jan 2025: 339Feb 2025: 332Mar 2025: 368Apr 2025: 66May 2025: 1Jun 2025: 5Jul 2025: 899Aug 2025: 374Sep 2025: 306Oct 2025: 242Nov 2025: 246Dec 2025: 3942026Jan 2026: 316Feb 2026: 368Mar 2026: 315Apr 2026: 350May 2026: 314Jun 2026: 355Jul 2026: 323Aug 2026: 235

Reports by the month FDA received them. FDA releases MAUDE data monthly; reports can arrive months after an event, so the newest months grow in later releases.

By year received

02,0534,1062019: 1,94120192020: 3,17120202021: 4,10620212022: 3,49920222023: 3,34920232024: 3,34220242025: 3,57220252026: 2,5762026

Event type and report source

Event type, as classified on the report

Death0%0
Injury98.6%25,203
Malfunction1.4%353
Other0%0
Not given0%0

Who filed the report

Manufacturer report61%15,580
Voluntary report0%0
User facility report0%0
Distributor report39%9,976
Not given0%0

Grey bar: all 3,924,241 reports carrying product code DZE. Event type is the filer's classification and is not verified by FDA.

Device problems coded

Device problem (FDA code)ReportsShareShare across product code
Failure to osseointegrate13,62453.3%62.8%
Loss of osseointegration8,08831.6%22.4%
Osseointegration problem1,8807.4%7.7%
Fracturea broken bone8743.4%1.6%
Migrationthe device moved from where it was placed1270.5%0.1%
Insufficient device problem information1220.5%0.2%
Patient device interaction problem1170.5%0.3%
Malposition of device370.1%0.1%
Material deformation340.1%0.1%
Difficult to insertthe device was hard to insert310.1%0.4%
Premature separation310.1%0.1%
Separation failure300.1%0.1%
Device markings/labelling problema problem with the device markings or label150.1%0%
Mechanical problema mechanical problem130.1%0.1%
Activation, positioning or separation problem110%0%
Missing information80%0%
Device damaged by another device60%0%
Difficult to removethe device was hard to remove60%0%
Component incompatible40%0%
Material discolored40%0%

FDA's device problem codes as entered on the report; one report can carry several. Generic codes such as "no apparent adverse event" are left out.

Patient problems coded

Patient problem (FDA code)ReportsShare
Failure of implant20,22179.1%
Painpain, site not specified3,73314.6%
Numbnessnumbness6082.4%
Abscessa collection of pus2400.9%
Implant pain1390.5%
Appropriate clinical signs, symptoms and conditions term/code not available1200.5%
Inflammationinflammation1080.4%
Fistula960.4%
Bone fracture(s)790.3%
Sinus perforation380.1%
Foreign body in patientpart of a device left in the patient350.1%
Osteomyelitis310.1%
Aspiration/inhalation100%
Swelling/ edema60%
Discomfortdiscomfort40%

Patient problem codes are present mainly in reports filed since 2019 and are often blank.

In context

MeasureNobelActive Internal RP 4.3x13mmProduct code DZEAll MAUDE reports
Reports25,5563,924,24126,136,888
Share of that pool—0.7%0.1%
Classified as death, per 1,000 reports009
Classified as injury98.6%99.2%36.2%
Classified as malfunction1.4%0.8%62.3%
Filed by the manufacturer61%77.7%94.9%

Shares are of reports, not of devices in use. FDA states that "MDR data alone cannot be used to establish rates of events, evaluate a change in event rates over time or compare event rates between devices. The number of reports cannot be interpreted or used in isolation to reach conclusions about the existence, severity, or frequency of problems associated with devices." It adds that the reporting system "has limitations, including the potential submission of incomplete, inaccurate, untimely, unverified, or biased data."

Other brands with product code DZE

BrandReportsLatest 12 monthsClassified as death
Biohorizons Dental Implant58,73200%
BioHorizons Inc.57,02025,5360%
NobelActive Internal RP 4.3x10mm49,0989,5280%
BLT ?4.1mm RC, SLA? 10mm, TiZr, Loxim45,6509,6770%
NobelParallel CC RP 4.3x10mm44,2699,3180%
BLT ?4.1mm RC, SLActive? 10mm, TiZr, NTP41,6727,5310%
Unknown Implant39,9671,4540%
NobelReplace CC RP 4.3x10mm35,9468,1660%
NobelReplace CC PMC RP 4.3x10mm34,4478,6900%
NobelActive Internal RP 4.3x11.5mm33,1175,7040%
BLT ?3.3mm NC, SLA? 10mm, TiZr, Loxim28,6485,6950%
BLT ?4.1mm RC, SLA? 10mm, Ti, Loxim26,7248,4810%
BLT ?3.3mm NC, SLActive? 10mm, TiZr, NTP26,5404,6800%
BLT ?4.1mm RC, SLA? 8mm, TiZr, Loxim24,7725,9780%
NobelParallel CC RP 4.3x8.5mm23,8805,1500%

Ordered by report count for navigation only. FDA states that "MDR data alone cannot be used to establish rates of events, evaluate a change in event rates over time or compare event rates between devices. The number of reports cannot be interpreted or used in isolation to reach conclusions about the existence, severity, or frequency of problems associated with devices." It adds that the reporting system "has limitations, including the potential submission of incomplete, inaccurate, untimely, unverified, or biased data." FDA also states that "common products may have a higher number of adverse events due to the higher total number of people using the product."

Questions about NobelActive Internal RP 4.3x13mm reports

How many FDA reports name NobelActive Internal RP 4.3x13mm?

25,556 medical device reports in the openFDA MAUDE release of 28 Sep 2026, covering reports received through August 2026; 3,764 in the latest 12 months.

What kinds of events are reported?

injury (98.6%) and malfunction (1.4%). "Event type" is how the report was classified when filed: death, injury, malfunction or other.

What device problems are coded?

failure to osseointegrate (53.3%), loss of osseointegration (31.6%), osseointegration problem (7.4%), fracture (3.4%) and migration (0.5%). These are FDA's device problem codes as entered on the report.

Who files these reports?

manufacturer reports (61%) and distributor reports (39%). Manufacturers and user facilities are required to report; voluntary reports come from health professionals and the public.

Do these reports show that NobelActive Internal RP 4.3x13mm was at fault?

No. FDA states that "MDR data alone cannot be used to establish rates of events, evaluate a change in event rates over time or compare event rates between devices. The number of reports cannot be interpreted or used in isolation to reach conclusions about the existence, severity, or frequency of problems associated with devices." It adds that the reporting system "has limitations, including the potential submission of incomplete, inaccurate, untimely, unverified, or biased data." FDA adds that "a causal relationship cannot be established between product and reactions listed in a report."

How do I report a problem with a medical device?

Through FDA MedWatch (Form FDA 3500 for health professionals and consumers), or to the manufacturer. See the guide on how to report.

Where this comes from. Counts are built from the openFDA Device Adverse Event (MAUDE) bulk export released 28 Sep 2026, which holds reports FDA received through 31 Aug 2026. Brand, generic and manufacturer names are as written on the reports; product code names come from FDA's device classification. A report counts here when any device it lists carries this brand name after punctuation and capitalisation are normalised. No report narrative, lot number, patient detail or reporter identity is published. See the methodology and sources; FDA's record is authoritative, and corrections are handled within five working days.

Drug data (FAERS) through 30 Jun 2026; device data (MAUDE) through 31 Aug 2026. Not medical advice.