K Number
K123773
Device Name
X-TRA BASE
Manufacturer
Date Cleared
2012-12-21

(14 days)

Product Code
Regulation Number
872.3690
Panel
DE
Reference & Predicate Devices
N/A
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

x-tra base:

  • Base in class I and II cavities .
  • Cavity lining under direct restorative materials in class I and II cavities ●
  • Class III and V restorations .
  • Conservative Class I restorations
  • Small Class IV repairs .
  • Tunnel Preparations .
  • Filling of defects and undercuts in crown, inlay and onlay preparations .
  • Blockouts .
  • Repair of small enamel defects .
  • Covering incisal edge stains .
  • Pit and fissure sealant ●
  • Cementing porcelain veneers, crowns, inlays and onlays ◆
  • Intraoral porcelain repair .
  • Amalgam margin repair .
  • Improving margins of acrylic temporaries
  • Provisional occlusal changes .
  • Refacing acrylic temporaries ●
  • Margin correction/adjustment of composite crowns for indirect laboratory use .
Device Description

Not Found

AI/ML Overview

I am sorry, but the provided text does not contain information about acceptance criteria, device performance, or a study proving the device meets those criteria. The document is a 510(k) clearance letter from the FDA for a dental device called "X-Tra Base." It lists the indications for use of the device and confirms its substantial equivalence to a legally marketed predicate device, but it does not detail any specific performance metrics or the studies used to establish them.

§ 872.3690 Tooth shade resin material.

(a)
Identification. Tooth shade resin material is a device composed of materials such as bisphenol-A glycidyl methacrylate (Bis-GMA) intended to restore carious lesions or structural defects in teeth.(b)
Classification. Class II.