Oral Health and Maxillofacial Research

ABSTRACT

Osseointegration is the basis of dental implant success, characterized by the direct structural and functional connection between living bone and implant surfaces. The design of dental implants has evolved to enhance this process, with innovations in surface topography, material composition, and nanoscale modifications playing pivotal roles. Understanding the biological basis of osseointegration, which involves stages like initial healing, bone remodeling, and maturation, is crucial for optimizing implant integration. Factors such as implant surface characteristics, material properties, surgical techniques, and patient health significantly influence the outcome. Despite advancements, challenges remain, particularly in patients with compromised bone quality or systemic conditions that hinder bone healing. Current research gaps include the need for personalized implant designs tailored to individual patient anatomy and the development of bioactive surfaces that can actively promote bone growth and resist infection. This review aims to provide an updated overview of osseointegration and recent innovations in dental implant design, highlighting their clinical implications and proposing directions for future research to address existing challenges.

KEYWORDS

1. Osseointegration
2. Dental implant
3. Bone-implant interface
4. Bone development