Dentistry - Guidance on the classification of dental devices and accessories

This document provides an opinion on the application of the classification rules in Regulation (EU) 2017/745 of the European Parliament and of the Council of 5 April 2017 concerning medical devices as they pertain to dental devices and accessories.

Zahnheilkunde - Anleitung zur Klassifizierung von Dentalprodukten und Zubehör

Médecine bucco‐dentaire - Recommandations relatives à la classification des dispositifs dentaires et accessoires

Le présent Rapport technique du CEN fournit des recommandations concernant l’application des règles de classification établies dans le Règlement (UE) 2017/745 du Parlement européen et du Conseil du 5 avril 2017 relatif aux dispositifs médicaux dans la mesure où ces règles s’appliquent aux dispositifs dentaires et à leurs accessoires.

Zobozdravstvo - Napotki za razvrščanje zobozdravstvenih naprav in pripomočkov

General Information

Status
Published
Public Enquiry End Date
17-Jan-2023
Publication Date
13-May-2025
Technical Committee
Current Stage
6060 - National Implementation/Publication (Adopted Project)
Start Date
08-May-2025
Due Date
13-Jul-2025
Completion Date
14-May-2025

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SLOVENSKI STANDARD
01-junij-2025
Nadomešča:
SIST-TP CEN/TR 12401:2009
Zobozdravstvo - Napotki za razvrščanje zobozdravstvenih naprav in pripomočkov
Dentistry - Guidance on the classification of dental devices and accessories
Zahnheilkunde - Anleitung zur Klassifizierung von Dentalprodukten und Zubehör
Médecine bucco‐dentaire - Recommandations relatives à la classification des dispositifs
dentaires et accessoires
Ta slovenski standard je istoveten z: CEN/TR 12401:2025
ICS:
11.060.01 Zobozdravstvo na splošno Dentistry in general
2003-01.Slovenski inštitut za standardizacijo. Razmnoževanje celote ali delov tega standarda ni dovoljeno.

CEN/TR 12401
TECHNICAL REPORT
RAPPORT TECHNIQUE
April 2025
TECHNISCHER REPORT
ICS 11.060.01 Supersedes CEN/TR 12401:2009
English Version
Dentistry - Guidance on the classification of dental devices
and accessories
Médecine bucco-dentaire - Recommandations relatives Zahnheilkunde - Anleitung zur Klassifizierung von
à la classification des dispositifs dentaires et Dentalprodukten und Zubehör
accessoires
This Technical Report was approved by CEN on 21 February 2023. It has been drawn up by the Technical Committee CEN/TC 55.

CEN members are the national standards bodies of Austria, Belgium, Bulgaria, Croatia, Cyprus, Czech Republic, Denmark, Estonia,
Finland, France, Germany, Greece, Hungary, Iceland, Ireland, Italy, Latvia, Lithuania, Luxembourg, Malta, Netherlands, Norway,
Poland, Portugal, Republic of North Macedonia, Romania, Serbia, Slovakia, Slovenia, Spain, Sweden, Switzerland, Türkiye and
United Kingdom.
EUROPEAN COMMITTEE FOR STANDARDIZATION
COMITÉ EUROPÉEN DE NORMALISATION

EUROPÄISCHES KOMITEE FÜR NORMUNG

CEN-CENELEC Management Centre: Rue de la Science 23, B-1040 Brussels
© 2025 CEN All rights of exploitation in any form and by any means reserved Ref. No. CEN/TR 12401:2025 E
worldwide for CEN national Members.

Contents Page
European foreword . 3
Introduction . 4
1 Scope . 5
2 Normative references . 5
3 Terms and definitions . 5
4 Classification of dental devices and accessories . 5
5 Invasive devices . 5
5.1 Basic overview . 5
5.2 Examples for invasive devices . 8
6 Non-invasive devices . 15
6.1 Basic overview . 15
6.2 Examples for non-invasive devices . 15
7 Instruments . 16
7.1 Basic overview . 16
7.2 Examples for instruments . 17
8 Equipment . 20
8.1 Basic overview . 20
8.2 Example for equipment . 21
Bibliography . 23

European foreword
This document (CEN/TR 12401:2025) has been prepared by Technical Committee CEN/TC 055
“Dentistry”, the secretariat of which is held by DIN.
This document will supersede CEN/TR 12401:2009.
The main changes compared to the previous edition are listed below:
— Updating of the Tables;
— Updating from the Council Directive 93/42/EEC (MDD) to the Regulation (EU) 2017/745 (MDR) and
clarifying the intent of this technical report;
— Clarifying the intent of this technical report in regards to the MDCG 2021-24.
The responsible working group is CEN/TC 55/WG 3 “Classification” (secretariat: DIN), representing the
dental trade and industry, the dental profession and notified bodies.
Attention is drawn to the possibility that some of the elements of this document may be the subject of
patent rights. CEN shall not be held responsible for identifying any or all such patent rights.
Any feedback and questions on this document should be directed to the users’ national standards body.
A complete listing of these bodies can be found on the CEN website.
Introduction
Dental products are marketed for long term, short-term and transient use in the mouth. A large number
of items have been developed to assist in the treatment and prevention of oral diseases and the handling
of dental materials. In contrast to pharmaceuticals (medicinal products), many dental materials are
intended to perform as implanted devices in the oral cavity with a minimum of degradation and release
of substances, i.e. their main action is to replace lost and defective teeth and oral tissue. Some materials
contain elements that may initiate toxic or allergic responses. Other materials have additions of medicinal
substances.
Many dental materials, instruments, equipment and disposables are covered by the Regulation (EU)
2017/745 of the European Parliament and of the Council of 5 April 2017 on medical devices. The
Regulation also provides rules for the classification of medical devices based on risk and intended use. It
is the manufacturer’s responsibility to classify the product according to the rules of the Regulation.
It is important that the classification is acceptable to Notified Bodies (NB) and Competent Authorities
(CA). The Regulation describes procedures for resolving any disputes over classification between
manufacturers, Notified Bodies and Competent Authorities.
The Medical Device Coordination Group (MDCG) has prepared a document, MDCG 2021-24 “Guidance on
classification of medical devices”.
This document is not directly related to MDCG 2021-24 and MDCG has not been part of the drafting
process. This document is providing an opinion on how specific medical devices in dentistry can be
classified. It will, therefore, be of value to manufacturers in making decisions with regard to the likely
classification of particular devices.
1 Scope
This document provides an opinion on the application of the classification rules in Regulation (EU)
2017/745 of the European Parliament and of the Council of 5 April 2017 concerning medical devices as
they pertain to dental devices and accessories.
2 Normative references
The following documents are referred to in the text in such a way that some or all of their content
constitutes requirements of this document. For dated references, only the edition cited applies. For
undated references, the latest edition of the referenced document (including any amendments) applies.
EN ISO 1942, Dentistry - Vocabulary (ISO 1942)
3 Terms and definitions
For the purposes of this document, the terms and definitions given in EN ISO 1942 apply.
ISO and IEC maintain terminology databases for use in standardization at the following addresses:
— IEC Electropedia: available at https://www.electropedia.org/
— ISO Online browsing platform: available at https://www.iso.org/obp
4 Classification of dental devices and accessories
The list of dental devices and accessories given in Tables 1 to 5 is not exhaustive. The classification is
based on the most commonly accepted form and intended use of the devices and accessories listed. If a
manufacturer proposes another intended use, the classification of the product can be reconsidered.
Materials and other prefabricated devices that will be part of a custom-made device are included in this
guidance document. Custom made devices are not. Some materials can be used both for long term and
short-term custom-made devices. The intended purpose claimed by the manufacturer will then be
decisive for the classification. In this document, the implementing rule 3.5 of the Regulation has been
used for the proposed classification, i.e. “the strictest rules.shall apply”.
This list is intended to be considered in conjunction with the Regulation 2017/745 EU [1] and
MDCG 2021-24 “Guidance on classification of medical devices” [2] as prepared by the Medical Device
Coordination Group (MDCG).
Possible classifications of dental devices and accessories are given in Tables 1 to 5.
5 Invasive devices
5.1 Basic overview
Table 1 — Invasive devices used in the oral cavity
Intended use Rule Class
Long term use (more than 30 days)
Plastic materials for direct insertion 8 II A
metals
polymers
cements
Intended use Rule Class
Cavity lining materials 8 II A
Dentine adhesives 8 II A
Pit and fissure sealants 5 II A
Protective film (long term) 5 II A
Pulp capping materials
non medicated 8 II A
medicated 13 III
Endodontic filling materials 8 II A
sealers
points
retrograde root canal filling materials
Luting materials 8 II A
water based cements
eugenol based cements
polymer based cements
Materials for fixed prostheses and inlays 8 II A
metals
ceramics and glass
polymers
Materials for removable prostheses and other intraoral appliances 5 II A
including maxillofacial prostheses
metals
ceramics
polymers
Endostabilizers / Transendodontic implants 8 II B
Prefabricated parts, surgically invasive, transient, short-term or long term 6,7,8 II A
use (e.g. pins, posts, attachments)
Orthodontic materials and devices, intraoral use 5 II A
metals
ceramics
polymers
Dental implants 8 II B
metals
ceramics and glass
polymers
carbon based
calcium based
Orthodontic implants 8 II B
Intended use Rule Class
Dental implants, biologically active coating 8 III
Bone substitutes
non resorbable 8 II B
resorbable 8 III
Materials for guided tissue regeneration

non resorbable 8 II B
resorbable 8 III
Osteo-synthesis devices 8 III
Short-term use (max. 30 days)
Protective films (varnish) 5 I
Protective films, medicated 13 III
NOTE 1  Films with a primary function of slow release of medicines are a
medicinal product.
Temporary filling materials 7 II A
Temporary crowns and bridges 7 II A
prefabricated
materials for custom made temporary devices
Short-term relining and tissue conditioning materials
non medicated 5 II A
medicated 13 III
Surgical packs (dressings) 7 II A
Surgical packs, medicated 13 III
Suture material, non absorbable 7 II A
Suture material, absorbable/medicated 13 III
Mandibular advancement devices for antisnoring and sleep apnoea, dental 5 I
Transient use (less than 60 min)
Syringe tips for delivery of dental materials 5 I
Materials for surface preparation (prime) 5 II A
Materials for surface preparation (etch) 5 I
Impression material 5 I
19 II A
Rubber dam and accessories 5 I
Cotton rolls, gaze, etc. 5 I
Wedges 5 I
Waxes 5 I
Intended use Rule Class
Gingival retraction device 5 I
Gingival retraction device, medicated 13 III
NOTE 2  Astringents and haemostatic solutions are medicinal products.
Matrix bands 5 I
Impression trays 5 I
Endodontic absorbent points 6 II A
Polishing paste 5 I
Polishing paste, medicated 13 III
Polishing strips 5 I
Articulating, occlusion and bite registration devices 5 I
Radiographic devices 17 II A
Table 2 — Invasive devices used in the oral cavity
Intended use Rule Class
Long term use (more than 30 days)
Cushions and relining materials 5 II A
Short-term use (max. 30 days)
Trays for gels 5 I
Temporary filling 6 II A
5.2 Examples for invasive devices
Product description Class Rule Comments
Applications syringes/cannulas I Rule 5 Invasive (e.g. for impression materials)
IIa Rule 6 Surgically-invasive (e.g. for cements)
Amalgam IIa Rule 8 Placed in the teeth
Articulation and occlusion I Rule 5
materials
IIa Rule 19 If nanomaterial is present

Bite registration materials I Rule 5
IIa Rule 19 If nanomaterial is present
Drill sleeves, stop sleeves I Rule 5, Products are used for transient use of
X-ray verification of prosthetic
first part of
requirements and for guiding surgical
sentence
instruments. Invasive use in natural
body openings.
Wires, arch wires and tubes, IIa Rule 5, Long-term use
orthodontic
3rd Indent
...

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