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Not yet recruitingNCT05374993Zero3Updated Sep 25, 2026

A First-in-Human Study of a Novel 3rd Molar Tooth Bud Ablation Procedure

An interventional study of Zero3 System in Molar, Third, sponsored by TriAgenics Inc. Not yet recruiting at 1 site in Panama. Open to participants aged 8 Years to 12 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-09-25.

Sponsored by TriAgenics Inc · Not applicable, Interventional, and Device feasibility

Updated Sep 25, 2026Study completion movedPrimary outcomes revisedGo to Updates ↓
Phase
Not applicable
Study type
Interventional
Enrollment
35
Allocation
Not applicable
Ages
8 Years to 12 Years
Sex
All
01

Study summary

The goal of this single-arm prospective, non-randomized study is to demonstrate microwave ablation and agenesis of 3rd molar tooth buds using the Zero3 System in participants that have 3rd molar tooth bud(s) without the formation of enamel (calcification). The main question it aims to answer is the safety of the ablation procedure. Also effectiveness of 3rd molar tooth bud ablation and resulting agenesis will be assessed.

Read the detailed description

TriAgenics has developed a highly controllable, safe means of suppressing development of third molar tooth buds. Its unique Zero3 micro-ablation handpiece delivers microwave energy that results in spherical zones of ablation. The Zero3 treatment works by gently warming the wisdom tooth bud from the center outwards in a controlled fashion to ablate the tooth bud tissue and prevent it from being able to form a tooth.

The image-guided Zero3 procedure employs a simple puncture of the tooth bud followed by a 25-95 second ablation cycle. Because of the high level of control enabled by the image-guided ablation, the ablation zone matches the size of the tooth bud with no unplanned cell damage outside the bony crypt of the tooth bud. This results in a procedure with a fully enclosed surgical field with virtually no surgical trauma.

Microwave ablation of tooth buds for eligible children will be performed on day 0 and adverse events and progression of tooth bud effects will be monitored over time after the procedure. Participants will return to the dentist at 1, 7, 30, and 90 days post-procedure for assessment of the treatment site. Participants will exit the study at 90 days unless further monitoring is warranted. If further monitoring does occur, it will only be for an additional 90 days.

02

Conditions studied

  • Molar, Third

Keywords

  • microwave ablation
03

In context

Lead sponsor

This is the only study on the registry with TriAgenics Inc as lead sponsor.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
8 Years to 12 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Participant has radiographic evidence of at least one mandibular 3rd molar tooth bud between 4 and 8 mm in largest diameter, which typically presents in children between 8 and 12 years of age, and
  2. Participant is free from any health or behavioral problems that the investigator determines will be inappropriate for inclusion in the Study, and
  3. Participant has normal facial and oral anatomy and is free from any abnormality or condition which may impact the performance of the procedure, and
  4. Participant's parent or legal guardian is willing and able to sign the approved Form ("ICF") and the Participant will agree with the Participant Assent Form and the Participant is willing and able to provide age-appropriate assent and comply with required study procedures and follow-up.

Exclusion criteria

Exclusion Criteria:

  1. Participant where use of local anesthetic is , or
  2. Participant has any behavioral or medical condition which, in the opinion of the Investigator, would prevent adequate performance of the procedure or affect the health and/or safety of the Participant, or
  3. Participants with orthodontics (traditional braces or clear aligners), or
  4. Participant is , has a history of or potential for bone tissue defects, or has any known sensitivities to anesthetic agents, or Exclusion Post Radiological Exam (by Sponsor) from review of the LL8/#17 and LR8/#32 tooth buds
  5. Adjacent 2nd molar has incomplete enamel formation, or
  6. Tooth bud has enamel formation (calcification) visible on radiographs, or
  7. Tooth bud has a diameter of less than 4 mm or greater than 8 mm, or
  8. Tooth bud has less than 3 mm separation from the inferior alveolar nerve canal.
Terms in these criteria, in plain language(4)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

05

Study design

Phase
Not applicable
Primary purpose
Device feasibility
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
35 participants (estimated)

Study arms

  • Experimental
    Zero3 Procedure

    Device: Zero3 System

Interventions

  • DeviceZero3 System

    Induce third molar tooth bud agenesis

06

What researchers measure

Primary outcomes

  1. Incidence of puncture site wound healing

    The site of the puncture of the electrode will be visually evaluated by the treating dentist. Success is defined as greater than 90% healing of the puncture site by 90 days after the procedure by visual evaluation by the investigator.

    Time frame: 1, 7, 30, and 90 days after the procedure

  2. Incidence of Adverse Events

    Serious adverse events related to the procedure. Reviewed by the Medical Monitor and classify each as serious or not serious.

    Time frame: 1, 7, 30, and 90 days after the procedure.

  3. Pain during and after the procedure

    The participant will be asked to rank the pain using the Faces Pain Scale-Revised after and then at each monitoring visit. Mean pain scale will be determined for all participants.

    Time frame: Before being released on the day of the procedure and then 1, 7, 30, and 90 days after the procedure

Secondary outcomes

  1. Radiographic evidence of treated third molar formation after treatment

    Periodical x-ray images will be taken at intervals after the treatment to document any third molar mineralization tooth structure formation after the treatment. Presence of tooth structure will be assessed by the Sponsor, the investigator, and the Medical Monitor.

    Time frame: 30 and 90 days after the treatment

  2. Diameter of bony crypts after treatment

    The maximum diameter of the boney crypt will be compared on per-op and post-op x-rays. Reduction in diameter of boney crypts will be measured and calibrated using the first molar anterior/posterior size as a reference.

    Time frame: 30 and 90 days after the treatment

07

Study locations

1 site
  • Universidad Interamericana de Panamá
    Panama City, Panamá Province, Panama
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedDate before it movedWhere the date was before it moved

Start is estimated for Sep 2026; primary completion for Jun 2027, 9 months later.

Completion moved once since we started tracking on Sep 25, 2026: Sep 2027 → Jun 2027, on Sep 25, 2026.

Earlier changes are on the record history on ClinicalTrials.gov ↗

How these figures are worked out, and which studies are left out of them.

Registered
May 6, 2022
First posted
May 16, 2022
StartEst.
Sep 1, 2026
Primary completionEst.
Jun 30, 2027
CompletionEst.
Jun 30, 2027was Sep 2027
Last update
Sep 25, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
Study completion
Sep 30, 2027→Jun 30, 2027
Sep 25, 2026
Primary outcomes
1 edited, 2 added
What changed in the outcomes
  • EditedIncidence of puncture site wound healing and adverse eventsTime frame: 90 Days → 1, 7, 30, and 90 days after the procedure
  • AddedIncidence of Adverse EventsTime frame: 1, 7, 30, and 90 days after the procedure.
  • AddedPain during and after the procedureTime frame: Before being released on the day of the procedure and then 1, 7, 30, and 90 days after the procedure
Sep 25, 2026
Secondary outcomes
2 added, 1 removed
What changed in the outcomes
  • AddedRadiographic evidence of treated third molar formation after treatmentTime frame: 30 and 90 days after the treatment
  • AddedDiameter of bony crypts after treatmentTime frame: 30 and 90 days after the treatment
  • RemovedIncidence of 3rd molar tooth bud agenesisTime frame: 90 days
Sep 25, 2026
Show all 1 update
  1. Sep 25, 2026
    Study completion Sep 30, 2027→Jun 30, 2027
    Primary outcomes 1 edited, 2 added
    What changed in the outcomes
    • EditedIncidence of puncture site wound healing and adverse eventsTime frame: 90 Days → 1, 7, 30, and 90 days after the procedure
    • AddedIncidence of Adverse EventsTime frame: 1, 7, 30, and 90 days after the procedure.
    • AddedPain during and after the procedureTime frame: Before being released on the day of the procedure and then 1, 7, 30, and 90 days after the procedure
    Secondary outcomes 2 added, 1 removed
    What changed in the outcomes
    • AddedRadiographic evidence of treated third molar formation after treatmentTime frame: 30 and 90 days after the treatment
    • AddedDiameter of bony crypts after treatmentTime frame: 30 and 90 days after the treatment
    • RemovedIncidence of 3rd molar tooth bud agenesisTime frame: 90 days
    + 1 other change: description

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT05374993
Lead sponsor
TriAgenics Inc
Responsible party
Sponsor
First posted
May 16, 2022
Start date
Sep 1, 2026 (estimated)
Primary completion
Jun 30, 2027 (estimated)
Completion
Jun 30, 2027 (estimated)
Last update
Sep 25, 2026

Study contacts

Dave Watson
Contact
davewatson@triagenics.com
+1 541-527-1810
Thomas Lawson, PhD
Contact
drthomlawson@gmail.com
+1 510-206-1794
Leigh Colby, DDS
study director · TriAgenics Inc

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is not yet recruiting, as verified in Sep 2026. You cannot join it, but the record below documents what was studied.

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