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Comparison

NobelActive® implant (titanium) vs NobelPearl™ implant (ceramic)

Titanium or metal-free? A comparison of material, sizes and evidence.

What actually differs
  • Material and size range differ most.
  • Evidence for zirconia is growing but smaller.1

FeatureNobelActive® implant
Titanium
NobelPearl™ implant
Ceramic
Material
Material Commercially pure titanium2Alumina-toughened zirconia3
Colour Grey metalWhite
Sizes
Diameters 3.0 – 5.5 mm44.2, 5.5 mm3
Lengths 7 – 18 mm48, 10, 12 mm3
Evidence & record
Evidence base Large5Smaller for zirconia generally6
FDA filer Nobel Biocare2Dentalpoint AG3

Highlighted rows differ. A design difference is not evidence that one implant gives better results for you. No scores and no winner. The choice is a clinical and restorative decision.

Evidence

Systematic review

Systematic reviews comparing zirconia and titanium implants report results that depend on the outcome and follow-up studied; the long-term evidence base for zirconia is smaller. 617

Which one is right for me?

Neither is "better" in general. A design difference is not evidence that one gives better results for you. The surgeon decides based on your bone, the site and the planned teeth.

Would you like a clinician to explain which options fit your situation?

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Clinical review pending. Facts on this page are checked against the sources listed below (regulatory records, manufacturer documents, peer-reviewed research). A named clinician will review it before we call it medically reviewed.
Last updated 28 Sep 2026 · How we review

Sources

  1. Systematic reviewMorena D et al. Zirconia versus titanium implants: systematic review and meta-analysis of RCTs — J Clin Med, 2024. Accessed 28 Sep 2026.
  2. Regulatory recordFDA 510(k) K142260 — NobelActive — U.S. Food and Drug Administration, 2015-05-11. Accessed 28 Sep 2026.
  3. Regulatory recordFDA 510(k) K180184 — Zeramex XT / NobelPearl Dental Implant System (Dentalpoint AG) — U.S. Food and Drug Administration, 2018-11-16. Accessed 28 Sep 2026.
  4. Manufacturer documentationNobel Biocare — CC implants and prosthetics product overview 25.1 (95092) — Nobel Biocare Services AG, 2025. Accessed 28 Sep 2026.
  5. Independent clinical studyArnhart C et al. Variable-thread tapered implant designs vs a standard tapered design after immediate loading: 3-year multicentre RCT. Eur J Oral Implantol 2012 — Eur J Oral Implantol, 2012. Accessed 28 Sep 2026.
  6. Systematic reviewPadhye NM et al. Survival and success of zirconia compared with titanium implants: systematic review and meta-analysis — Clin Oral Investig, 2023. Accessed 28 Sep 2026.
  7. Systematic reviewHaimov E et al. Titanium, titanium-zirconium and zirconia implant outcomes: systematic review and meta-analysis — J Oral Maxillofac Res, 2023. Accessed 28 Sep 2026.

Clinical assessment

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