The Influence of Chemical Elements on Implant Success

Ljupka   Arsovski; Sofija Carcheva-Shalja; Daniela  Veleska-Stefkovska; Kiro  Papakocha

doi:10.3889/oamjms.2025.12016

Authors

Ljupka Arsovski Faculty of Medical Sciences Goce Delchev University, Shtip, North Macedonia https://orcid.org/0009-0003-7005-3837
Sofija Carcheva-Shalja Faculty of Medical Sciences Goce Delchev University
Daniela Veleska-Stefkovska Faculty of Dentistry, Ss. Cyril and Methodius University in Skopje, Skopje, RN Macedonia https://orcid.org/0000-0001-5780-1894
Kiro Papakocha Faculty of Medical Sciences Goce Delchev University, Shtip, North Macedonia https://orcid.org/0009-0003-9882-4576

DOI:

https://doi.org/10.3889/oamjms.2025.12016

Keywords:

elements, implant, microscope, peri-implantitis, surface

Abstract

BACKGROUND: Dental implantology is a field focused on placing dental implants in areas where natural teeth are missing. The dental implant is embedded in the bone to replace the root of the missing tooth, with a prosthetic structure placed on top. This modern method provides functionality and aesthetics while protecting adjacent teeth from shifting and elongating. Today, there are numerous implant systems that offer various dental implants, providing doctors with options but also creating dilemmas regarding implant and system selection. Dentists sometimes encounter peri-implantitis, which can lead to implant rejection.

AIM: This research study aims to assist dental implant manufacturers and guide practitioners in choosing the right implant for successful implants.

METHODS: For this reason, this study examined three groups of dental implants from different manufacturers. The implants were analyzed using an electron microscope and compared. The surfaces of the dental implants were examined to assess how surface contamination affects implant rejection.

RESULTS: In the first and second groups of implants, multiple chemical elements were detected. Unsurprisingly, the rejected implants showed more elements on their surfaces.

CONCLUSION: Contaminants on dental implants are associated with implantation failures and can be a key factor in the development of peri- implantitis, which may lead to implant rejection.

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