A comprehensive overview of factors influencing the long-term success and maintenance of dental implants, particularly focusing on complications like peri-implant mucositis and peri-implantitis. It explores the biological principles of osseointegration and the critical role of the peri-implant soft tissue seal as a barrier against infection. Detailed discussions include etiological factors for implant failure, such as surgical trauma, plaque accumulation, and wear particles, alongside various diagnostic methods like radiography. Furthermore, the text examines diverse treatment modalities for implant complications, ranging from mechanical decontamination and laser therapy to surgical approaches like implantoplasty, bone grafting, and techniques for implant removal. The importance of prosthetic design and meticulous patient compliance with supportive maintenance protocols is repeatedly emphasized for ensuring implant longevity.
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