Titanium biocompatibility in oral tissues - A systematic review

Background - Over the past decade, dental implants have gained widespread acceptance and adoption as a solution for replacing missing teeth and supporting various types of dental prostheses, including fixed and partially removable ones. Despite their generally high long-term success rates, with 96.1% survival after ten years and 83.8% after 25 years, implant failures remain a possibility. Material and Methods: Major databases such as Medline were explored detailed literature search in resulting in a systematic review pertaining to titanium implants. Results: Six scientific articles dated between 2020 – 2024 pertaining to titanium implants were highlighted. Discussion - Recent years have seen a significant increase in evidence suggesting that inflammation induced by bacterial biofilms around implants can lead to complications affecting both soft and hard tissues, ultimately resulting in implant failure. Conclusion - This inflammatory state is identified as peri-implant mucositis and peri-implantitis, highlighting the importance of vigilant periodontal and prosthetic maintenance in implant care.