Risk Factors in Implantology

A special issue of Dentistry Journal (ISSN 2304-6767). This special issue belongs to the section "Dental Implantology".

Deadline for manuscript submissions: 31 December 2024 | Viewed by 606

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Guest Editor
1. Oral and Maxillofacial Surgery of the Mediplus Clinic, Haifa-Allee 20, 55128 Mainz, Germany
2. Department of Oral and Maxillofacial Surgery, University Medical Centre, Johannes Gutenberg University Mainz, Augustusplatz 2, 55131 Mainz, Germany
Interests: dental implants; oral and maxillofacial surgery
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Special Issue Information

Dear Colleagues,

Missing teeth can be substituted through many methods, including dental implants. There are several points that define implant success over time. Past studies have described an implant survival rate of approximately 95% after 15 years. However, there are risk factors that are associated with a higher implant loss rate. Risk factors can occur due to general diseases, such as diabetes, or due to their treatment with potentially problematic drugs that interfere with the healing process, such as bisphosphonates, chemotherapies, or immune system depressing drugs. Further risk factors could include local factors such as periodontal disease, mucosal membrane diseases, a potential radiation to the bone, and the quality and quantity of the bone. Other factors that may play a role could be the implants themselves, along with the materials, design, design of the abutment, and artificial dentation. Further factors include the surgeons, their expertise, and their treatment protocols (immediate implant or delayed). This list makes no claim for completeness, so further topics are welcome.

Papers addressing the general topic of risk factors in dental implantology are welcome for this Special Issue. This includes pre-clinical studies, epidemiologic studies, clinical trials, narrative reviews, and systematic reviews, as well as meta-analyses.

Prof. Dr. Christian Walter
Guest Editor

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Keywords

  • dental implantology
  • risk factor
  • implant success
  • implant survival

Published Papers (1 paper)

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18 pages, 707 KiB  
Systematic Review
Clinical Factors on Dental Implant Fractures: A Systematic Review
by Mattia Manfredini, Pier Paolo Poli, Luca Giboli, Mario Beretta, Carlo Maiorana and Matteo Pellegrini
Dent. J. 2024, 12(7), 200; https://doi.org/10.3390/dj12070200 - 28 Jun 2024
Viewed by 460
Abstract
Dental implant fractures pose a significant challenge to long-term treatment success. This systematic review aims to comprehensively examine the clinical factors influencing dental implant fractures (IFs). Furthermore, strategies to choose the right type of implant and prevent this complication are addressed. A systematic [...] Read more.
Dental implant fractures pose a significant challenge to long-term treatment success. This systematic review aims to comprehensively examine the clinical factors influencing dental implant fractures (IFs). Furthermore, strategies to choose the right type of implant and prevent this complication are addressed. A systematic search was conducted across PubMed, Scopus, and Web of Science databases. Eligible studies included retrospective case–control, prospective cohort studies, and clinical trials. The initial search yielded 361 articles, of which 312 were excluded being these reviews, case reports, irrelevant, or written in languages other than English. This left 49 articles, with only 6 meeting the eligibility criteria for an in-depth review. These studies, all retrospective case–control, examine implant characteristics, patient demographics, surgical and prosthetic variables, biomechanical and functional factors, clinical and procedural variables, complications and maintenance issues. The risk of bias was assessed as low using the ROBINS-I tool. Key findings suggest a correlation between implant diameter and structural resistance, with wider implants demonstrating reduced fracture risk. Additionally, posterior regions, especially molars and premolars, exhibit higher susceptibility to IFs due to increased masticatory forces. Implant design and material may considerably influence fracture risk, with conical implants and screw-retained prostheses showing higher vulnerability. Biomechanical overload, particularly in patients with bruxism, emerges as a primary contributing factor to IFs. Prosthesis type significantly influences fracture incidence, with cantilever prostheses posing a higher risk due to increased stress. Peri-implant bone loss is strongly associated with IFs, emphasizing the need for meticulous preoperative assessments and individualized management strategies. Future research should prioritize larger and heterogeneous populations with long-term follow-up and standardized methodologies to enhance the generalizability and comparability of findings. Randomized controlled trials and biomechanical studies under controlled conditions are also essential to elucidate the complex interactions contributing to IFs and developing effective prevention strategies. Additionally, integrating patient-reported outcomes may offer a comprehensive understanding of the impact of IFs on quality of life. Full article
(This article belongs to the Special Issue Risk Factors in Implantology)
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