510(k) Report

510(k) · Cleared

Cleared

CEREC Cercon 4D™ Abutment Blocks, CEREC Cercon 4D™ Abutment System

K234018510(k) TraditionalCleared May 7, 2024139-day reviewClass II21 CFR 872.3630

Data to Oct 25, 2026 (FDA decisions) Oct 12, 2026 (recalls) Sep 30, 2026 (MAUDE) refreshed weekly, last Nov 3, 2026

Dentsply Sirona · NHA Abutment, Implant, Dental, Endosseous

Cleared on May 7, 2024 as substantially equivalent to K221402 (Dentsply Sirona, Inc., 2023) after a 139-day review. Its family tree reaches back 14 generations to 1990.

Decided
May 7, 2024
Review
139 days
Class
Class II
Product code
NHA
Recalls
None
Predicates
1

Its longest line of descent runs back 14 generations to K894844 (1990). 126 ancestors in all, the oldest K871863 (1987). No later device cites it as a predicate yet.

Other ancestors, by year cleared 2013: 1 other ancestor2012: 1 other ancestor2005: 4 other ancestors2010: 1 other ancestor2009: 2 other ancestors2008: 3 other ancestors2007: 4 other ancestors2006: 7 other ancestors2003: 4 other ancestors2004: 6 other ancestors2002: 10 other ancestors2001: 5 other ancestors1998: 6 other ancestors1996: 10 other ancestors1994: 10 other ancestors2000: 5 other ancestors1999: 6 other ancestors1997: 4 other ancestors1995: 8 other ancestors1993: 11 other ancestors1989: 1 other ancestor1987: 1 other ancestor1991: 1 other ancestor1990: 1 other ancestorReference device: K111421 · Sirona Dental Cad/Cam System · Sirona Dental Systems GmbH · 2012Reference device: K162888 · Cercon · Dentsply Sirona · 2017Reference device: K200191 · Sirona Dental CAD/CAM System with InLab Software · Dentsply Sirona · 2020Reference device: K193408 · Sirona Dental CAD/CAM System with CEREC Chairside Software · Dentsply Sirona · 2020Reference device: K181520 · Sirona Dental CAD/CAM System · Dentsply Sirona · 2018Reference device: K100152 · Sirona Cad/Cam System · Sirona Dental Systems GmbH · 2010K894844 · Bonefit Implant System Accessories & Instruments · Straumann Institute, Ltd. · 1990K990342 · Synocta Prosthetics · Straumann USA · 1999×2: 2 generations cleared close together, K013798 (2001), K020096 (2002) K033243 · Iti Synocta Meso Abutments · Straumann USA · 2003K052272 · Straumann Computer Aided Restoration Service · Straumann USA · 2006×2: 2 generations cleared close together, K061277 (2007), K072151 (2007) K081005 · P.004 NC Cares Titanium and Ceramic Abutments · Institut Straumann AG · 2008 · recalledK100152 · Sirona Cad/Cam System · Sirona Dental Systems GmbH · 2010K111421 · Sirona Dental Cad/Cam System · Sirona Dental Systems GmbH · 2012K132209 · Ips E.Max Cad Abutment Solutions · Ivoclar Vivadent, AG · 2013K191382 · IPS e.max CAD Abutment Solutions- extra systems · Ivoclar Vivadent, AG · 2019K221402 · CEREC Tessera Abutment Block, CEREC Tessera Abutment System · Dentsply Sirona, Inc. · 20231990200020102020
Other ancestors, by generation 4 generations back: 3 other ancestors5 generations back: 8 other ancestors6 generations back: 11 other ancestors7 generations back: 15 other ancestors8 generations back: 34 other ancestors9 generations back: 22 other ancestors10 generations back: 14 other ancestors11 generations back: 2 other ancestors12 generations back: 2 other ancestors13 generations back: 1 other ancestor K221402 · CEREC Tessera Abutment Block, CEREC Tessera Abutment System · Dentsply Sirona, Inc. · 2023K191382 · IPS e.max CAD Abutment Solutions- extra systems · Ivoclar Vivadent, AG · 2019K132209 · Ips E.Max Cad Abutment Solutions · Ivoclar Vivadent, AG · 2013K111421 · Sirona Dental Cad/Cam System · Sirona Dental Systems GmbH · 2012K100152 · Sirona Cad/Cam System · Sirona Dental Systems GmbH · 2010K081005 · P.004 NC Cares Titanium and Ceramic Abutments · Institut Straumann AG · 2008 · recalledK072151 · P.004 RC Cares Titanium and Ceramic Abutments · Straumann USA · 2007 · recalledK061277 · Straumann Computer Aided Restoration Service (C.a.R.E.S.) Ceramic Coping · Straumann USA · 2007K052272 · Straumann Computer Aided Restoration Service · Straumann USA · 2006K033243 · Iti Synocta Meso Abutments · Straumann USA · 2003K020096 · Esthetic Ease Abutments for the Iti Dental Implant System · Institut Straumann AG · 2002 · recalledK013798 · Prosthetic Accessories to the Iti Dental Implant System · Institut Straumann AG · 2001K990342 · Synocta Prosthetics · Straumann USA · 1999K894844 · Bonefit Implant System Accessories & Instruments · Straumann Institute, Ltd. · 1990−10−50
  1. Root · 14 generations backK894844 Bonefit Implant System Accessories & InstrumentsStraumann Institute, Ltd. · 1990
  2. 10 generations between
  3. 3 generations backK132209 Ips E.Max Cad Abutment SolutionsIvoclar Vivadent, AG · 2013
  4. 2 generations backK191382 IPS e.max CAD Abutment Solutions- extra systemsIvoclar Vivadent, AG · 2019
  5. 1 generation backK221402 CEREC Tessera Abutment Block, CEREC Tessera Abutment SystemDentsply Sirona, Inc. · 2023
  6. This deviceK234018 CEREC Cercon 4D™ Abutment Blocks, CEREC Cercon 4D™ Abutment SystemDentsply Sirona · 2024
Show all 14 generations
  1. Root · 14 generations backK894844 Bonefit Implant System Accessories & InstrumentsStraumann Institute, Ltd. · 1990
  2. 13 generations backK990342 Synocta ProstheticsStraumann USA · 1999
  3. 12 generations backK013798 Prosthetic Accessories to the Iti Dental Implant SystemInstitut Straumann AG · 2001
  4. 11 generations backK020096 Esthetic Ease Abutments for the Iti Dental Implant SystemInstitut Straumann AG · 2002 · Recalled
  5. 10 generations backK033243 Iti Synocta Meso AbutmentsStraumann USA · 2003
  6. 9 generations backK052272 Straumann Computer Aided Restoration ServiceStraumann USA · 2006
  7. 8 generations backK061277 Straumann Computer Aided Restoration Service (C.a.R.E.S.) Ceramic…Straumann USA · 2007
  8. 7 generations backK072151 P.004 RC Cares Titanium and Ceramic AbutmentsStraumann USA · 2007 · Recalled
  9. 6 generations backK081005 P.004 NC Cares Titanium and Ceramic AbutmentsInstitut Straumann AG · 2008 · Recalled
  10. 5 generations backK100152 Sirona Cad/Cam SystemSirona Dental Systems GmbH · 2010
  11. 4 generations backK111421 Sirona Dental Cad/Cam SystemSirona Dental Systems GmbH · 2012
  12. 3 generations backK132209 Ips E.Max Cad Abutment SolutionsIvoclar Vivadent, AG · 2013
  13. 2 generations backK191382 IPS e.max CAD Abutment Solutions- extra systemsIvoclar Vivadent, AG · 2019
  14. 1 generation backK221402 CEREC Tessera Abutment Block, CEREC Tessera Abutment SystemDentsply Sirona, Inc. · 2023
  15. This deviceK234018 CEREC Cercon 4D™ Abutment Blocks, CEREC Cercon 4D™ Abutment SystemDentsply Sirona · 2024
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−14K894844Bonefit Implant System Accessories & InstrumentsStraumann Institute, Ltd.1990—
−13K990342Synocta ProstheticsStraumann USA1999—
−12K013798Prosthetic Accessories to the Iti Dental Implant SystemInstitut Straumann AG2001—
−11K020096Esthetic Ease Abutments for the Iti Dental Implant SystemInstitut Straumann AG20021
−10K033243Iti Synocta Meso AbutmentsStraumann USA2003—
−9K052272Straumann Computer Aided Restoration ServiceStraumann USA2006—
−8K061277Straumann Computer Aided Restoration Service (C.a.R.E.S.) Ceramic CopingStraumann USA2007—
−7K072151P.004 RC Cares Titanium and Ceramic AbutmentsStraumann USA20071
−6K081005P.004 NC Cares Titanium and Ceramic AbutmentsInstitut Straumann AG20081
−5K100152Sirona Cad/Cam SystemSirona Dental Systems GmbH2010—
−4K111421Sirona Dental Cad/Cam SystemSirona Dental Systems GmbH2012—
−3K132209Ips E.Max Cad Abutment SolutionsIvoclar Vivadent, AG2013—
−2K191382IPS e.max CAD Abutment Solutions- extra systemsIvoclar Vivadent, AG2019—
−1K221402CEREC Tessera Abutment Block, CEREC Tessera Abutment SystemDentsply Sirona, Inc.2023—
0 (this device)K234018CEREC Cercon 4D™ Abutment Blocks, CEREC Cercon 4D™ Abutment SystemDentsply Sirona2024—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
198710
198910
199010
199110
1993110
1994100
199580
1996100
199740
199860
199960
200050
200150
2002100
200340
200460
200540
200670
200740
200830
200920
201010
201210
201310
FIG. 1 — Lineage of K234018, 1990–2024Source: FDA 510(k) summaries, read by 510(k) Report · How lineage is built

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Notable FDA decisions, review times and new Class I recalls. See an issue.

Sources: FDA 510(k) database (decision fields), the FDA summary (predicates and indications), FDA recall and enforcement reports, and MAUDE; processed by 510(k) Report. Verify on FDA.gov · Methodology and accuracy.

Planning a device in NHA? A 510(k) Report weighs predicate choices, recall history and review times for a new device like this one.

Top candidate predicates for a new NHA device

  1. #1 K222288 DESS Dental Smart Solutionsscore 30.7 · 19 generations · no Class I recall
  2. #2 Held for the reportin the report
  3. #3 Held for the reportin the report
Get a 510(k) Report

What was it cleared against? (1)

Devices the submitter claimed this one is substantially equivalent to (*), and reference devices cited for a specific test or feature (†), as written in the FDA summary.

TypeNumberDeviceApplicantDecidedRecalls
*K221402CEREC Tessera Abutment Block, CEREC Tessera Abutment System
Summary page 8
…ices: Predicate Device Name 510(k) Company Name CEREC Tessera Abutment Block, CEREC Tessera K221402 Dentsply Sirona Abutment System Reference Device Name 510(k)…
Dentsply Sirona, Inc.2023—
†K111421Sirona Dental Cad/Cam SystemSirona Dental Systems GmbH2012—
†K162888CerconDentsply Sirona2017—
†K200191Sirona Dental CAD/CAM System with InLab SoftwareDentsply Sirona2020—
†K193408Sirona Dental CAD/CAM System with CEREC Chairside SoftwareDentsply Sirona2020—
†K181520Sirona Dental CAD/CAM SystemDentsply Sirona2018—
†K100152Sirona Cad/Cam SystemSirona Dental Systems GmbH2010—

Also cleared against K221402: 1 other device →

What descends from it?

No later submission names this one as a predicate yet.

Has anything in its family been recalled? (0 Class I)

No FDA recall names this device.

No ancestor or descendant has a Class I recall.

What does this lineage say?

  • The line of descent spans 34 years and passes through 7 companies; a new generation was cleared every 1.7 years on median.
  • 17 of the 126 ancestors have a recall of any class.
  • 1 other device also cites its predicate K221402.

How does its category compare?

All NHA devices

NHA Abutment, Implant, Dental, Endosseous: FDA decisions, review times, recalls and adverse event reports over 20 years. 2024, this device’s year, is highlighted.

FDA decisions per year · NHA

40in 2025

2007: 382008: 312009: 302010: 192011: 312012: 252013: 222014: 272015: 292016: 382017: 312018: 312019: 282020: 382021: 292022: 332023: 512024: 432025: 402026 (partial year): 23
2007high 51 (2023) · low 19 (2010)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · NHA

147in 2025

2007: 91 days median2008: 90 days median2009: 95 days median2010: 162 days median2011: 130 days median2012: 171 days median2013: 184 days median2014: 160 days median2015: 151 days median2016: 202 days median2017: 188 days median2018: 200 days median2019: 160 days median2020: 153 days median2021: 211 days median2022: 142 days median2023: 147 days median2024: 158 days median2025: 147 days median2026 (partial year): 169 days median
2007high 211 (2021) · low 90 (2008)2026

Receipt to decision; years with fewer than 3 clearances left blank.

Recalls per year · NHA

1in 2025

2007: 12008: 22011: 52012: 12013: 12015: 12016: 362017: 22018: 12020: 72023: 32025: 12026 (partial year): 3
2007high 36 (2016) · low 0 (2009)2026

Class I (0 since 2007) Class II/III not classified

Adverse event reports per year · NHA

838in 2025

2007: 12008: 82009: 302010: 612011: 562012: 52013: 1432014: 1462015: 8582016: 3142017: 5772018: 5912019: 5302020: 4582021: 5462022: 4972023: 6182024: 6352025: 838
2007high 858 (2015) · low 1 (2007)2025

MAUDE reports naming product code NHA, not matched to any one device; reports are not rates.

View these four charts as a table
YearDecisionsMedian 510(k) review, daysRecalls (Class I)MAUDE reports
2007389111
2008319028
20093095030
201019162061
201131130556
20122517115
2013221841143
2014271600146
2015291511858
20163820236314
2017311882577
2018312001591
2019281600530
2020381537458
2021292110546
2022331420497
2023511473618
2024431580635
2025401471838
2026231693—

What is it indicated for?

CEREC Cercon 4D™ Abutment System is intended for use in partially or fully edentulous mandibles and maxillae in support of single cement-retained restorations. The system comprises three parts: - CEREC Cercon 4D™ Abutment Block - TiBase - CAD/CAM system The CEREC Cercon 4D™ ceramic structure cemented to the TiBase is recommended for two-piece hybrid abutments for single tooth restorations and hybrid abutment crowns, used in conjunction with endosseous…

Read the full statement (156 words)

CEREC Cercon 4D™ Abutment System is intended for use in partially or fully edentulous mandibles and maxillae in support of single cement-retained restorations.

The system comprises three parts:

- CEREC Cercon 4D™ Abutment Block

- TiBase

- CAD/CAM system

The CEREC Cercon 4D™ ceramic structure cemented to the TiBase is recommended for two-piece hybrid abutments for single tooth restorations and hybrid abutment crowns, used in conjunction with endosseous dental implants.

Implant Systems:

• Dentsply Sirona: PrimeTaper EV, OmniTaper EV, AstraTech OsseoSpeed TX, Frialit / XiVE, AstraTech Implant EV, Ankylos

• BioHorizons: Internal connection

• Nobel Biocare: Replace, Replace Select, Nobel Active, NobelReplace Conical Connection, Brånemark, NobelSpeedy Groovy

• Straumann: Tissue Level, Bone Level

• Thommen Medical: Element, Contact

• Osstem/Hiossen: Osstem TS, USA: Hiossen ET

• Zimmer/Biomet: External hex, Certain, Tapered Screw-Vent

• MIS: C1 Conical Connection, V3 Conical Connection, SEVEN internal hex, M4 internal hex

• Altatec – Camlog

CAD/CAM Systems:

•Sirona Dental CAD/CAM System

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K234018: CEREC Cercon 4D™ Abutment Blocks, CEREC Cercon 4D™ Abutment System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 4, 2026. https://510kreport.com/device/K234018

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Record history
  • FDA decision record loaded May 2, 2026
  • Summary read Oct 13, 2026 (extraction version 9eaa42aa01ed)
  • Lineage and recalls computed Nov 3, 2026
  • Page last updated Nov 3, 2026