Reported Reactions

Devices › Implant, endosseous, root-form

Device brand name · Endosseous dental implant

NobelActive Internal RP 4.3x8.5mm: medical device reports filed with FDA

19,770 reports name it, 2019–2026. Manufacturer given most often on reports: Nobel Biocare. Product code DZE.

19,770
device reports naming the brand
0.1% of all MAUDE reports · about 2,895 a year
3,852
reports, 12 months to August 2026
3,442 in the 12 months before
0.8%
classified as malfunction
0.8% across the product code
0%
classified as death, as reported
2 reports · not verified by FDA

FDA's MAUDE database holds 19,770 reports that name the brand "NobelActive Internal RP 4.3x8.5mm" (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.

3,852 reports arrived in the 12 months to August 2026, up 12% from 3,442 in 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 (99.2%) and malfunction (0.8%); 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 (64.7%), loss of osseointegration (25%) and osseointegration problem (6%). 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

05251,050Sep 2021: 190Oct 2021: 196Nov 2021: 239Dec 2021: 2712022Jan 2022: 172Feb 2022: 177Mar 2022: 204Apr 2022: 205May 2022: 196Jun 2022: 215Jul 2022: 175Aug 2022: 247Sep 2022: 193Oct 2022: 235Nov 2022: 242Dec 2022: 2502023Jan 2023: 193Feb 2023: 215Mar 2023: 320Apr 2023: 250May 2023: 272Jun 2023: 291Jul 2023: 243Aug 2023: 225Sep 2023: 221Oct 2023: 303Nov 2023: 285Dec 2023: 2262024Jan 2024: 251Feb 2024: 227Mar 2024: 250Apr 2024: 268May 2024: 249Jun 2024: 245Jul 2024: 223Aug 2024: 197Sep 2024: 245Oct 2024: 277Nov 2024: 250Dec 2024: 3332025Jan 2025: 294Feb 2025: 280Mar 2025: 269Apr 2025: 78May 2025: 0Jun 2025: 12Jul 2025: 1,050Aug 2025: 354Sep 2025: 314Oct 2025: 230Nov 2025: 346Dec 2025: 3702026Jan 2026: 324Feb 2026: 319Mar 2026: 299Apr 2026: 356May 2026: 333Jun 2026: 317Jul 2026: 316Aug 2026: 328

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

01,7993,5972019: 81820192020: 1,53720202021: 2,65620212022: 2,51120222023: 3,04420232024: 3,01520242025: 3,59720252026: 2,5922026

Event type and report source

Event type, as classified on the report

Death0%2
Injury99.2%19,615
Malfunction0.8%153
Other0%0
Not given0%0

Who filed the report

Manufacturer report55.5%10,974
Voluntary report0%0
User facility report0%0
Distributor report44.5%8,796
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 osseointegrate12,78664.7%62.8%
Loss of osseointegration4,95025%22.4%
Osseointegration problem1,1786%7.7%
Fracturea broken bone2961.5%1.6%
Patient device interaction problem840.4%0.3%
Migrationthe device moved from where it was placed590.3%0.1%
Insufficient device problem information460.2%0.2%
Malposition of device380.2%0.1%
Difficult to insertthe device was hard to insert210.1%0.4%
Material deformation200.1%0.1%
Premature separation180.1%0.1%
Activation, positioning or separation problem90%0%
Separation failure80%0.1%
Mechanical problema mechanical problem70%0.1%
Device markings/labelling problema problem with the device markings or label40%0%
Defective devicethe device was defective30%0%
Corrodedthe device corroded20%0%
Manufacturing, packaging or shipping problem20%0%
Material discolored20%0%
Material integrity problema problem with the device material20%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 implant14,31572.4%
Painpain, site not specified1,9429.8%
Numbnessnumbness4992.5%
Abscessa collection of pus1590.8%
Appropriate clinical signs, symptoms and conditions term/code not available1330.7%
Implant pain1240.6%
Fistula940.5%
Inflammationinflammation780.4%
Sinus perforation590.3%
Foreign body in patientpart of a device left in the patient290.1%
Bone fracture(s)270.1%
Osteomyelitis100.1%
Hypersensitivity/allergic reaction90%
Discomfortdiscomfort40%
Paresthesia30%

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

In context

MeasureNobelActive Internal RP 4.3x8.5mmProduct code DZEAll MAUDE reports
Reports19,7703,924,24126,136,888
Share of that pool—0.5%0.1%
Classified as death, per 1,000 reports009
Classified as injury99.2%99.2%36.2%
Classified as malfunction0.8%0.8%62.3%
Filed by the manufacturer55.5%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%
NobelActive Internal RP 4.3x13mm25,5563,7640%
BLT ?4.1mm RC, SLA? 8mm, TiZr, Loxim24,7725,9780%

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 4.3x8.5mm reports

How many FDA reports name NobelActive Internal RP 4.3x8.5mm?

19,770 medical device reports in the openFDA MAUDE release of 28 Sep 2026, covering reports received through August 2026; 3,852 in the latest 12 months.

What kinds of events are reported?

injury (99.2%) and malfunction (0.8%). "Event type" is how the report was classified when filed: death, injury, malfunction or other.

What device problems are coded?

failure to osseointegrate (64.7%), loss of osseointegration (25%), osseointegration problem (6%), fracture (1.5%) and patient device interaction problem (0.4%). These are FDA's device problem codes as entered on the report.

Who files these reports?

manufacturer reports (55.5%) and distributor reports (44.5%). 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 4.3x8.5mm 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.