Exploring the Causes and Management of Dental Implant Failures- A Review

  • Teena Selvaraj Postgraduate Student, Department of Periodontics, Meenakshi Ammal Dental College and Hospital, Chennai, Tamil Nadu, India.
  • Jaideep Mahendra Director of Postgraduate Studies, Professor, Department of Periodontics, Meenakshi Ammal Dental College and Hospital, Chennai, Tamil Nadu, India.
  • Muskan Bedi Undergraduate Student, Department of Basic Medical Sciences, Sri Ramachandra Medical College and Research Institute, Chennai, Tamil Nadu, India.
  • Ambalavanan Namasivayam Professor and Head, Department of Department of Periodontics, Meenakshi Ammal Dental College and Hospital, Chennai, Tamil Nadu, India.
Keywords: Failed Implant, Endosseous Dental Implants, Re-implantation, Implant Restorations, Implant Survival

Abstract

Background: Osseointegrated dental implants have been considered the most esthetical and functional alternative to missing teeth. However, the treatment is not always successful resulting in implant loss. The implant loss can be attributed to factors such as biological, microbiological, and biomechanical, but the cause and mechanism of the early implant failure are still obscure. Dental implant failure has led to continuous innovations of various implant systems and to different interceptive treatment modalities. These concerns have also led to the selection of implant designs that best suit the various types of bone. There are a variety of reasons for the failure of endosseous implants. Different reasons for implant failure and their contributing factors have been discussed in the review article.

Materials and Methods: Failure of dental implants has been the subject of a comprehensive electronic literature search from 2003 to 2023 using PubMed and Google Scholar databases with relevant MeSH terms and keywords. The causes and management of dental implant failures were used to identify studies for this review. Selected article references were checked to expand the article search.

Results: The search strategy yielded 65 titles. Twenty articles that met our inclusion criteria were included in the qualitative analysis. The result shows that the most common type of implant failure is caused either by poor treatment planning or poor surgical execution. To optimize the treatment outcome through dental implants, etiology and factors associated with implant failures should be taken into consideration. Such knowledge is needed for developing adequate treatment and prevention strategies.

Conclusion: Identification of the etiology, current condition, and the proper protocol for the various treatment options will reduce the various hitches in implant surgery. Follow-ups and reviews during the osteointegration phase would definitely minimize the post-surgical complications.

References

Zohrabian VM, Sonick M, Hwang D, Abrahams JJ. Dental implants. Semin Ultrasound CT MR. 2015; 36:415–426. doi: https://doi.org/10.1053/j.sult.2015.09.002

Hong DGK, Oh JH. Recent advances in dental implants. Maxillofac Plast Reconstr Surg. 2017 Nov 5; 39(1):33. doi: https://doi.org/10.1186/s40902-017-0132-2

Biological factors contributing to failures of osseointegrated oral implants. (II). Etiopathogenesis. Esposito M, Hirsch JM, Lekholm U, Thomsen P. Eur J Oral Sci. 1998;106:721–764. doi: https://doi.org/10.1046/j.0909-8836..t01-6-.x

Hussein MA, Mohammed AS, Al-Aqeeli N. Wear characteristics of metallic biomaterials: a review. Materials. 2015 May 21;8(5):2749-68. doi: https://doi.org/10.3390/ma8052749

Shamsuddeen, Suhana, and Vino Tito V. Kurien. "Failure in Implants." JIDA: Journal of Indian Dental Association 14.3 (2020). doi: http://dx.doi.org/10.33882/jida.14.25622

Esposito M, Hirsch JM, Lekholm U, Thomsen P. Biological factors contributing to failures of osseointegrated oral implants. II. Etiopathogenesis. Eur J Oral Sci. 1998; 106(3):721-764. doi: https://doi.org/10.1046/j.0909-8836..t01-6-.x

Dr. Resham Maheshwari, Dr. Vikas Punia, Dr. Meenakshi Khandelwal, Dr. Vivek Sharma, Dr. Saransh Malot, Dr. Anand Porwal. Implant failure and management: A review. Int J Appl Dent Sci 2018;4(2):293-298. https://www.oraljournal.com/pdf/2018/vol4issue2/PartE/4-2-58-522.pdf

Askary AS, Meffert RM, Griffin T. Why do dental implants fail? Part I. Implant Dent. 1999; 8(2):173-185. https://pubmed.ncbi.nlm.nih.gov/10635160/

Kochar SP, Reche A, Paul P. The Etiology and Management of Dental Implant Failure: A Review. Cureus. 2022 Oct 19;14(10):e30455. doi: https://doi.org/10.7759/cureus.30455

Heitz-Mayfield LJ, Mombelli A: The therapy of peri-implantitis: a systematic review .Int J Oral Maxillofac Implants. 2014, 29:325-45. doi: https://doi.org/10.11607/jomi.2014suppl.g5.3

Stajčić Z, StojčevStajčić LJ, Kalanović M, Đinić A, Divekar N, Rodić M. Removal of dental implants: review of five different techniques. Int J Oral Maxillofac Surg. 2016 May;45(5):641-8. doi: https://doi.org/10.1016/j.ijom.2015.11.003

Albrektsson T, Zarb G, Worthington P, Eriksson AR. The long- term efficacy of currently used dental implants: a review and proposed criteria of success. Int J Oral Maxillofac Implants. 1986; 1(1):11-25. https://pubmed.ncbi.nlm.nih.gov/3527955/

Gulati M, Govila V, Anand V, Anand B. Implant Maintenance: A Clinical Update. Int Sch Res Notices. 2014 Jul 9; 2014:908534. doi: https://doi.org/10.1155/2014/908534

Heydenrijk K, Meijer HJ, van der Reijden WA, Raghoebar GM, Vissink A, Stegenga B. Microbiota around root-form end osseous implants: A review of the literature. Int J Oral Maxillofac Implants 2002; 17:829-38. https://pubmed.ncbi.nlm.nih.gov/12507243/

Gómez-de Diego, R. Indications and contraindications of dental implants in medically compromised patients: Update. Med. Oral Patol. Oral Cir. Bucal 2014, 19, e483. doi: https://doi.org/10.4317/medoral.19565

Heitz-Mayfield, L.J. Peri-implant diseases: Diagnosis and risk indicators. J. Clin. Periodontol. 2008, 35, 292–304. doi: https://doi.org/10.1111/j.1600-051x.2008.01275.x

Karoussis, I.K.; Kotsovilis, S.; Fourmousis, I. A comprehensive and critical review of dental implant prognosis in periodontally compromised partially edentulous patients. Clin. Oral Implant. Res. 2007, 18, 669–679. doi: https://doi.org/10.1111/j.1600-0501.2007.01406.x

Manzano, G.; Montero, J.; Martín-Vallejo, J.; Del Fabbro, M.; Bravo, M.; Testori, T. Risk factors in early implant failure: A meta-analysis. Implant Dent. 2016, 25, 272–280; doi: https://doi.org/10.1097/id.0000000000000386

De Angelis, F.; Papi, P.; Mencio, F.; Rosella, D.; Di Carlo, S.; Pompa, G. Implant survival and success rates in patients with risk factors: Results from a long-term retrospective study with a 10 to 18 years follow-up. Eur. Rev. Med. Pharmacol. Sci. 2017, 21, 433–437; https://pubmed.ncbi.nlm.nih.gov/28239830/

Yong, L.T.; Moy, P.K. Complications of Computer-Aided-Design/Computer-Aided-Machining-Guided (NobelGuide™) Surgical Implant Placement: An Evaluation of Early Clinical Results. Clin. Implant Dent. Relat. Res. 2008, 10, 123–127. doi: https://doi.org/10.1111/j.1708-8208.2007.00082.x

A retrospective report on three implant devices used to restore posterior partial edentulism: Overall performance and changes in crestal bone levels. Int. J. Periodontics Restor. Dent. 2014, 34, 225–231. doi: https://doi.org/10.11607/prd.1542

Published
2024-02-29
How to Cite
Selvaraj, T., Mahendra, J., Bedi, M., & Namasivayam, A. (2024). Exploring the Causes and Management of Dental Implant Failures- A Review. International Journal Of Drug Research And Dental Science, 6(1), 1-11. https://doi.org/10.36437/ijdrd.2024.6.1.A