Single article

DOI: 10.47026/2413-4864-2025-4-53-62

Nikitina L.I., Dzhuraeva Sh.F., Vorobev M.V., Gushchin V.V.

Risk factors for orthopedic rehabilitation on dental implants: systematic review and analysis of long-term stability forecast

Keywords: dental implantation, risk factors, peri-implantitis, biomechanics, osseointegration, bone grafting, occlusion, orthopedic constructions, long-term results

Despite high rates of long-term survival of dental implants, the success of orthopedic rehabilitation is determined by a complex interaction of biological, biomechanical and iatrogenic factors. The purpose of the systematic review is to perform a critical analysis of current data (for the period 2016-2025) on risk factors affecting long–term outcomes of implant-based treatment. The role of bone quality and volume, soft tissue biotype and general somatic status of the patient (diabetes mellitus, osteoporosis and smoking) were analyzed. Biomechanical aspects are considered in detail, including the influence of cantilever elements, passivity of the frame adaptation and the occlusion scheme on load distribution in the implant-bone-prosthesis system. Special attention is paid to the pathogenesis and risk factors of peri-implant diseases (mucositis and peri-implantitis), as well as modern approaches to bone grafting using osteoplastic materials. The review demonstrates that minimizing the risks and achieving predictable long-term results are possible only upon condition of comprehensive, prosthesis-oriented planning and interdisciplinary interaction at all stages of treatment.

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About authors

Nikitina Louise I.
Candidate of Medical Sciences, Associate Professor, Head of the Department of Propeadeutics of Dental Diseases and New Technologies, Chuvash State University, Russia, Cheboksary (president-clinik@mail.ru; ORCID: https://orcid.org/0000-0003-4893-0314)
Dzhuraeva Sharora F.
Doctor of Medical Sciences, Associate Professor, Professor of the Department of Propaedeutics of Dental Diseases and New Technologies, Chuvash State University, Russia, Cheboksary (dsharora@mail.ru; ORCID: https://orcid.org/0000-0002-0149-5653)
Vorobev Mikhail V.
Doctor of Medical Sciences, Associate Professor, Head of the Department of Dentistry No. 2, Ivanovo State Medical University, Russia, Ivanovo (ivanovovita@mail.ru; ORCID: https://orcid.org/0000-0001-9174-9436)
Gushchin Vasiliy V.
Candidate of Medical Sciences, Acting Head of the Department of Dentistry No. 1, Ivanovo State Medical University, Russia, Ivanovo (guschin3779@gmail.com; ORCID: https://orcid.org/0000-0002-4002-2453)

Article link

Nikitina L.I., Dzhuraeva Sh.F., Vorobev M.V., Gushchin V.V. Risk factors for orthopedic rehabilitation on dental implants: systematic review and analysis of long-term stability forecast [Electronic resource] // Acta medica Eurasica. – 2025. – №4. P. 53-62. – URL: https://acta-medica-eurasica.ru/en/single/2025/4/6/. DOI: 10.47026/2413-4864-2025-4-53-62.