The Impact of Systemic Conditions on the Durability and Success of Dental Implants

Objective: To critically analyze the literature on the impact of diabetes and autoimmune diseases on the success and durability of dental implants, discussing strategies aimed at improving clinical management for these patients. Background: Systemic conditions such as diabetes mellitus and autoimmune diseases pose significant challenges in implant dentistry, influencing osseointegration and the long-term success of implants. Addressing these challenges is critical to ensuring optimal patient outcomes. Materials and methods: A search was conducted in PubMed, Scielo, and ScienceDirect, focusing on articles published in the last ten years that address the implications of systemic conditions on dental implants. Relevant clinical articles, systematic reviews, and meta-analyses were selected. Results and discussion: Uncontrolled diabetic patients showed a higher risk of complications, but glycemic control and bioactive implant surfaces mitigate these risks. Autoimmune patients face increased infection risks and impaired healing; strategies such as drug dosage adjustments and biomaterials improve outcomes. A multidisciplinary approach is essential to personalize treatment. Conclusion: Systemic conditions require personalized approaches in implant dentistry. Advances in biomaterials and evidence-based practices offer promising prospects, but further studies are needed to consolidate these approaches.