Innovations and Challenges in Dental Implantology

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

Deadline for manuscript submissions: closed (30 October 2025) | Viewed by 6718

Special Issue Editor


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Guest Editor
School of Dentistry, University of Michigan, Ann Arbor, MI 48104, USA
Interests: maxillofacial surgery; advanced implantology; periodontology; peri-implantitis

Special Issue Information

Dear Colleagues,

Advances in dental implantology continue to revolutionize oral rehabilitation, offering patients functional and esthetic solutions to tooth loss. Innovations in implant materials, surgical techniques, and post-operative management have advanced the field, yet challenges persist in ensuring predictable outcomes and long-term success.

This Special Issue, “Innovations and Challenges in Dental Implantology”, seeks to highlight cutting-edge research and practical insights into key aspects of implantology. Topics of interest include advancements in osseointegration, biomaterials, autologous blood-derived products, and enhanced approaches to guided bone regeneration and bone augmentation. Contributions addressing sinus elevation techniques, peri-implantitis prevention and treatment, soft tissue management, and strategies to mitigate implant failures are highly encouraged. Furthermore, we welcome studies focusing on surgical or non-surgical salvage techniques, providing valuable insights into the management of complications in dental implantology.

We invite researchers, clinicians, and scholars to contribute original research, reviews, and other papers that delve into these themes, offering innovative perspectives and addressing current challenges in the field.

Together, let us pave the way for improved patient care and sustained success in dental implantology.

Dr. Devorah Schwartz-Arad
Guest Editor

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Keywords

  • osseointegration
  • biomaterials in implantology
  • guided bone regeneration
  • sinus elevation
  • surgical complications
  • salvage techniques
  • peri-implantitis
  • implant failures
  • systemic influences
  • soft tissue management
  • autologous blood-derived products

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Published Papers (3 papers)

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Research

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15 pages, 1961 KB  
Article
Clinical and Radiographic Outcomes of Sloped-Shoulder Implants in the Posterior Mandible: A Retrospective Study
by Guillem Esteve-Pardo, Javier Amigó-Bardají and Lino Esteve-Colomina
Dent. J. 2025, 13(10), 466; https://doi.org/10.3390/dj13100466 - 11 Oct 2025
Viewed by 328
Abstract
Background/Objectives: This retrospective study aimed to evaluate the survival and marginal bone loss (MBL) of sloped-shoulder implants placed in the posterior mandible, and to explore the influence of both patient- and implant-related factors. Materials and Methods: All patients treated with sloped-shoulder-profile implants (Astra [...] Read more.
Background/Objectives: This retrospective study aimed to evaluate the survival and marginal bone loss (MBL) of sloped-shoulder implants placed in the posterior mandible, and to explore the influence of both patient- and implant-related factors. Materials and Methods: All patients treated with sloped-shoulder-profile implants (Astra Tech Implant System, Dentsply Sirona, Bensheim, Germany) in the posterior mandible between 2012 and 2023 at two private clinics were included. Implant survival was analyzed with Kaplan–Meier estimates. MBL was measured from prosthesis delivery (baseline radiograph) to the most recent available radiograph. Outcomes were compared across thresholds of 0, 0.5, and 1.5 mm, which were considered radiographic success criteria. According to the 2017 World Workshop, peri-implantitis was not diagnosed solely based on MBL. Associations with potential risk factors (periodontitis, bruxism, and smoking) were explored. The study was approved by a local ethics committee (PI 106/2023); informed consent was waived due to the retrospective design and anonymization of data. Results: A total of 43 patients with 48 implants were included, with a mean follow-up of 40.1 months. The cumulative survival rate was 93.7%, with all failures occurring before 24 months. Mean MBL at the mesial and distal aspects was 0.27 mm and 0.39 mm, respectively. In 82.2% of implants, MBL remained ≤0.5 mm at a mean follow-up of 44.2 months. No statistically significant associations were found between risk factors such as periodontitis, bruxism, or smoking and implant outcomes. Conclusions: Sloped-shoulder implants in the posterior mandible showed high survival and stable marginal bone levels over the medium term. Their design may simplify treatment in oblique ridges, potentially reducing the need for GBR procedures. Full article
(This article belongs to the Special Issue Innovations and Challenges in Dental Implantology)
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10 pages, 1379 KB  
Article
Fatigue Behavior of Multi/Unit-Supported Dental Restorations: Implant Platform vs. Prosthetic Platform
by Eduardo Anitua, Mikel Armentia, Ernest Mallat and Beatriz Anitua
Dent. J. 2025, 13(8), 374; https://doi.org/10.3390/dj13080374 - 18 Aug 2025
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Abstract
The increasing popularity of Multi/Unit abutments in dental restorations is attributed to their clinical advantages, yet little is known about their mechanical behavior, particularly in terms of fatigue performance. Background/Objectives: This study aimed to evaluate the mechanical behavior of Multi/Unit abutments with a [...] Read more.
The increasing popularity of Multi/Unit abutments in dental restorations is attributed to their clinical advantages, yet little is known about their mechanical behavior, particularly in terms of fatigue performance. Background/Objectives: This study aimed to evaluate the mechanical behavior of Multi/Unit abutments with a focus on the impact of implant and prosthetic platform diameters on fatigue performance. Methods: Five dental restoration models were analyzed using Finite Element Analysis by incorporating implants of identical length and body diameter but varying implant platform size (3.5 and 4.1 mm) and prosthetic platform size (3.5, 4.1, and 5.5 mm). Mechanical stresses on critical sections of the screws were assessed under cyclic loads. Results: The results revealed that the implant platform diameter had minimal influence on the fatigue performance of the prosthetic screw, while a wider prosthetic platform significantly improved its mechanical behavior by reducing stress and allowing the use of larger screw metrics. These findings emphasize that the prosthetic platform diameter plays a crucial role in protecting the prosthetic screw, which is often the critical component in dental restorations that use Multi/Unit abutments. Conclusions: The study highlights the importance of carefully selecting platform dimensions to optimize the mechanical performance and longevity of dental restorations utilizing Multi/Unit abutments. Full article
(This article belongs to the Special Issue Innovations and Challenges in Dental Implantology)
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Review

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20 pages, 1017 KB  
Review
Biomaterials for Guided Tissue Regeneration and Guided Bone Regeneration: A Review
by Nathália Dantas Duarte, Paula Buzo Frigério, Gloria Estefania Amaya Chica, Roberta Okamoto, Rogério Leone Buchaim, Daniela Vieira Buchaim, Michel Reis Messora and João Paulo Mardegan Issa
Dent. J. 2025, 13(4), 179; https://doi.org/10.3390/dj13040179 - 21 Apr 2025
Cited by 5 | Viewed by 5338
Abstract
This review aims to provide an overview of the types of membranes, bone substitutes, and mucosal substitutes used for GTR and GBR and briefly explores recent innovations for tissue regeneration and their future perspectives. Since this is a narrative review, no systematic search, [...] Read more.
This review aims to provide an overview of the types of membranes, bone substitutes, and mucosal substitutes used for GTR and GBR and briefly explores recent innovations for tissue regeneration and their future perspectives. Since this is a narrative review, no systematic search, meta-analysis, or statistical analysis was conducted. Using biomaterials for GTR and GBR provides a reduction in postoperative morbidity, as it contributes to less invasive clinical procedures, serving as an alternative to autogenous grafts. Moreover, randomized clinical trials (RCTs) and systematic reviews are essential for the evaluation of new biomaterials. These studies provide more robust evidence and help guide clinical practice in the selection of safer and more effective biomaterials, allowing for the personalization of treatment protocols for each patient. Full article
(This article belongs to the Special Issue Innovations and Challenges in Dental Implantology)
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