ON THE ISSUE OF COMPLICATIONS OF DENTAL IMPLANTATION
Abstract and keywords
Abstract:
Subject. The subject of this study is postoperative complications of dental implantation, including an analysis of their causes, pathogenetic mechanisms of development, and clinical consequences for the patient. Objectives. The aim of this study is to examine the evolution of the analysis of clinical and technological aspects of postoperative complications of dental implantation, based on a review of modern Russian and international literature and the historical perspective of the problem under consideration. Methodology. A patent information search was performed in the following databases: the Scientific and Medical Library of Krasnoyarsk State Medical University, eLIBRARY, PubMed, Web of Science, and Scopus. Original literature was searched using keywords. Forty-three sources were analyzed (30 Russian and 13 international). Results. This article presents an analytical literature review on the topic under consideration. The causes of mucositis and peri-implantitis are described and systematized from a clinical perspective. Key groups of etiological factors have been identified, including iatrogenic errors, violations of implant installation protocols, inadequate choice of prosthesis design and insufficient hygienic care. Both early and late complications of dental implantation are considered. Conclusions. Based on an analytical review of domestic and international literature, the author presents a systematization of postoperative complications of dental implantation based on a detailed analysis of their causes. It is found that the key etiological factors are iatrogenic errors, violations of implant placement protocols, inadequate prosthesis design, and inadequate hygienic care of the dental implant, necessitating comprehensive preventive measures. The proposed classification can be used to optimize complication prevention protocols and improve the long-term survival of dental implants.

Keywords:
dental implantation, complications of dental implantation, errors in dental prosthetics supported by dental implants, early and late complications, postoperative complications of dental implantation, peri-implantitis
References

1. Azhibekov A.S., Menchisheva Yu.A. Vidy oslozhneniy pri dental'noy implantacii (obzor literatury). Vestnik Kazahskogo nacional'nogo medicinskogo universiteta. 2022;(1):243–249. [Azhibekov A.S., Menchisheva Yu.A. Types of complications during dental implantation (review). Bulletin of the Kazakh National Medical University. 2022;(1):243–249. (In Russ.)]. https://www.elibrary.ru/item.asp?id=48512577

2. Akkuzhin I.M., Amhadova M.A., Hamraev T.K. Planirovanie dental'noy implantacii v usloviyah deficita kostnoy tkani i profilaktika posleoperacionnyh oslozhneniy (obzor literatury). Medicinskiy alfavit. 2020;(23):9-15. [Akkuzhin M.I., Amkhadova M.A., Khamraev T.K. Planning of dental implantation in conditions of bone tissue deficiency and prevention of postoperative complications (literature review). Medical alphabet. 2020;(23):9-15. (In Russ.)]. https://doi.org/10.33667/2078-5631-2020-23-9-15

3. Antonova P.S. Bisfosfonatnyy osteonekroz chelyusti kak otdalennoe oslozhnenie dental'noy implantacii. Mezhdunarodnyy studencheskiy nauchnyy vestnik. 2019;(5-2). [Antonova P.S. Bisphosphonate osteonecrosis of the jaw as a long-term complication of dental implantation. Meždunarodnyj studenčeskij naučnyj vestnik. 2019;(5-2). (In Russ.)]. https://eduherald.ru/ru/article/view?id=1977

4. Bakiev B.A., Zhartybaev R.N., Umarov A.M., Shukparov A.B., Karimov N.A., Emilbekov E.E. Oshibki i oslozhneniya dental'noy implantacii. Vestnik Kyrgyzskoy gosudarstvennoy medicinskoy akademii imeni I.K. Ahunbaeva. 2022;(3):39-48. [Bakiev B.A., Zhartybaev R.N., Umarov A.M., Shukparov A.B., Karimov N.A., Emilbekov E.E. Errors and complications of dental implantation. Vestnik KSMA n.a. I.K. Akhunbaev. 2022;(3):39-48. (In Russ.)]. https://elibrary.ru/item.asp?id=49806534

5. Bekzhanova O.E., Zaithanov A.A., Ibragimova Sh.D. Vospalitel'nye oslozhneniya dental'noy implantacii v otdalennyy period. V: Antonova A.A., red. Aktual'nye problemy detskoy stomatologii i ortodontii: Sbornik nauchnyh statey XI mezhdunarodnoy nauchno-prakticheskoy konferencii po detskoy stomatologii v ramkah IV Dal'nevostochnogo Stomatologicheskogo kongressa; Habarovsk; 15 oktyabrya 2021 goda. Habarovsk: Dal'nevostochnyy gosudarstvennyy medicinskiy universitet; 2021. S. 17-18. [Bekzhanova O.E., Zaitkhanov A.A., Ibragimova Sh.D. Inflammatory complications of dental implantation in the late period. In: Antonova A.A., ed. Current issues in pediatric dentistry and orthodontics: Collection of scientific articles from the XI international scientific and practical conference on pediatric dentistry within the framework of the IV Far Eastern Dental Congress; Khabarovsk; October 15, 2021. Khabarovsk: Far Eastern State Medical University; 2021. Pp. 17-18. (In Russ.)]. https://elibrary.ru/item.asp?id=48267036

6. Blinova A.V., Ryumshin R.A., Rumyancev V.A. Periimplantit – osnovnoe oslozhnenie dental'noy implantacii (obzor literatury). Verhnevolzhskiy medicinskiy zhurnal. 2018;17(1):13-18. [Blinova A.V., Ryumshin R.A., Rumyantsev V.A. Periimplantitis - the basic complication of the dental implantation (literature review). Verkhnevolzhsky Medical Journal. 2018;17(1):13-18. (In Russ.)]. https://elibrary.ru/item.asp?id=35361932

7. Bulgakov V.S., Shakerov I.I., Lukoyanova T.V. Sovremennye predstavleniya o nekotoryh oslozhneniyah dental'noy implantacii. Elektronnyy sbornik nauchnyh trudov "Zdorov'e i obrazovanie v XXI veke". 2006;8(3):127–128. [Bulgakov V.S., Shakerov I.I., Lukoyanova T.V. Modern concepts of some complications of dental implantation. Elektronnyi sbornik nauchnykh trudov "Zdorov'e i obrazovanie v XXI veke". 2006;8(3):127–128. (In Russ.)]. https://elibrary.ru/item.asp?id=23768498

8. Vorozheykin V.Yu., Aleksandrova M.A. Ocenka vliyaniya faktorov riska na razvitie oslozhneniy pri dental'noy implantacii Byulleten' medicinskih internet-konferenciy. 2019;9(7):280. [Vorozheikin V.Yu., Aleksandrova M.A. Assessment of the influence of risk factors on the development of complications during dental implantation. Bulletin of Medical Internet Conferences. 2019;9(7):280. (In Russ.)]. https://cyberleninka.ru/article/n/otsenka-vliyaniya-faktorov-riska-na-razvitie-oslozhneniy-pri-dentalnoy-implantatsii

9. Garaev Z.I., Dzhavadov R.A., Nasirova H.B. Snizhenie riska razvitiya oslozhneniy dental'noy implantacii. Sovremennaya stomatologiya. 2014;(2):74–76. [Garayev Z.I., Dzhavadov R.A., Nasirova H.B. Reducing the risk of complications of dental implantation. Sovremennaya stomatologiya. 2014;(2):74–76. (In Russ.)]. https://elibrary.ru/item.asp?id=22364098

10. Gorobec S.M., Romanenko I.G., Dzhereley A.A., Bobkova S.A., Kryuchkov D.Yu., Gorobec O.V. Faktory riska razvitiya vospalitel'nyh oslozhneniy dental'noy implantacii. Tavricheskiy mediko-biologicheskiy vestnik. 2017;20(2-1):208-214. [Gorobets S.M., Romanenko I.G., Dzhereley A.A., Bobkova C.A., Kryuchkov D.Y., Gorobets O.V. Risk factors inflammatory complication of dental implantation. Tavričeskij mediko-biologičeskij vestnik. 2017;20(2-1):208-214. (In Russ.)]. https://cyberleninka.ru/article/n/faktory-riska-razvitiya-vospalitelnyh-oslozhneniy-dentalnoy-implantatsii

11. Gudar'yan A.A., Shirinkin S.V. Sovremennye podhody v kompleksnom lechenii vospalitel'no-destruktivnyh oslozhneniy dental'noy implantacii. Sciences of Europe. 2019;(36-2)55–63. [Gudaryan A.A., Shirinkin S.V. Modern approaches in treatment of periimplant mucositis and periimplantitis. Sciences of Europe. 2019;(36-2)55–63. (In Russ.)]. https://www.elibrary.ru/item.asp?id=37213195

12. Gulyaeva O.A., Aver'yanov S.V., Yakupov B.A. Profilaktika vospalitel'nyh oslozhneniy pri dental'noy implantacii u pacientov s zabolevaniyami parodonta. Dental Forum. 2021;(2):42-49. [Gulyaeva O.A., Averyanov S.V., Yakupov B.A. Prevention of inflammatory complications after dental implantation in patients with periodontal diseases. Dental Forum. 2021;(2): 42-49. (In Russ.)]. https://www.elibrary.ru/item.asp?id=45650299

13. Deminskaya Yu.V. Oslozhneniya posle dental'noy implantacii: problemy i resheniya. Innovacii. Nauka. Obrazovanie. 2022;(51):1400–1405. [Deminskaya Yu.V. Complications after dental implantation: problems and solutions. Innovations. Science. Education. 2022;(51):1400–1405. (In Russ.)]. https://www.researchgate.net/profile/Ramazon-Bozorov/publication/359024877_Kacenie_kolesa_Nomer5_1_fevral_2022_goda/links/6223136ea39db062db80950c/Kacenie-kolesa-Nomer5-1-fevral-2022-goda.pdf#page=1400

14. Olesova V.N., Mirgazizov M.Z., Ivanov S.Yu., Muraev A.A., Yaremenko A.I., Kretina E.K. i dr. Dental'naya implantaciya: nacional'noe rukovodstvo. Moskva: GEOTAR-Media; 2018. 400 s. (Nacional'nye rukovodstva). [Olesova V.N., Mirgazizov M.Z., Ivanov S.Yu., Muraev A.A., Yaremenko A.I., Kretina E.K. et al. Dental implantation: national guidelines. Moscow: GEOTAR-Media; 2018. 400 p. (National guidelines). (In Russ.)].

15. Eremin O.V., Kobzeva Yu.A., Parfenova S.V., Loginov D.V., Abadzhyan L.V. Patogeneticheskoe obosnovanie riska razvitiya oslozhneniy dental'noy implantacii bol'nyh s komorbidnoy patologiey. Dental Forum. 2021;(4):29. [Eremin O.V., Kobzeva Yu.A., Parfenova S.V., Loginov D.V., Abadzhyan L.V. Pathogenetic substantiation of the risk of developing complications of dental implantation in patients with comorbid pathology. Dental Forum. 2021;(4):29. (In Russ.)]. https://elibrary.ru/item.asp?id=47157355

16. Konnov S.V., Mikailova V.A. Kompleks profilakticheskih meropriyatiy po minimizacii oslozhneniy v posleoperacionnom periode pri provedenii dental'noy implantacii. Byulleten' medicinskih internet-konferenciy. 2017;7(9):1401–1406. [Konnov S.V., Mikailova V.A. A set of preventive measures to minimize complications in the postoperative period during dental implantation. Bulletin of Medical Internet Conferences. 2017;7(9):1401–1406. (In Russ.)]. https://www.elibrary.ru/item.asp?id=30775047

17. Kopylova I.A., Avanesyan R.A. Uroven' podgotovki vrachey-stomatologov po diagnostike i profilaktike oslozhneniy dental'noy implantacii (sociologicheskoe issledovanie). Kubanskiy nauchnyy medicinskiy vestnik. 2014;(2):68-73. [Kopylova I.A., Avanesyan R.A. The level of training of dental surgeons for the diagnosis and prevention of complications of dental implantation (case study). Kuban Scientific Medical Bulletin. 2014;(2):68-73. (In Russ.)]. https://www.elibrary.ru/item.asp?id=21533059

18. Metelev I.A., Zvigincev M.A., Fokas N.N., Chuchunov A.A. Oslozhneniya dental'noy implantacii (obzor literatury). V: Perspektivy razvitiya nauki v sovremennom mire: sbornik statey po materialam XV mezhdunarodnoy nauchno-prakticheskoy konferencii; Ufa; 07 marta 2019 goda. Ufa: Dendra; 2019. S. 243-249. [Metelev I.A., Zvigintsev M.A., Fokas N.N., Chuchunov A.A. Complications of dental implantation (literature review). In: Prospects for the Development of Science in the Modern World: A Collection of Articles Based on the Proceedings of the XV International Scientific and Practical Conference; Ufa; March 7, 2019. Ufa: Dendra; 2019. Pp. 243-249. (In Russ.)]. https://elibrary.ru/item.asp?id=37221656

19. Nikitin A.A., Polupan P.V., Sipkin A.M., Nikitin D.A. Sravnitel'naya ocenka otdalennyh rezul'tatov primeneniya odnoetapnogo i dvuhetapnogo hirurgicheskih protokolov operacii dental'noy implantacii. Rossiyskiy vestnik dental'noy implantologii. 2017;(2):4–11. [Nikitin A.A., Polupan P.V., Sipkin A.M., Nikitin D.A. Long-term results of using single-stage surgical protocol of dental implantation and one-phase dental implants. Rossijskij vestnik dentalʹnoj implantologii. 2017;(2):4–11. (In Russ.)]. https://elibrary.ru/item.asp?id=53875959

20. Nikolaenko A.N., Postnikov M.A., Borisov A.P., Lysov A.D., Kiyko A.A. Oslozhneniya dental'noy implantacii (obzor literatury). Cathedra-Kafedra. Stomatologicheskoe obrazovanie. 2024;(90):22–26. [Nikolaenko A.N., Postnikov M.A., Borisov A.P., Lysov A.D., Kiyko A.A. Complications of dental implantation (literature review). Cathedra-Kafedra. Dental education. 2024;(90):22–26. (In Russ.)].

21. Lebedenko I.Yu., Arutyunov S.D., Ryahovskiy A.N., red. Ortopedicheskaya stomatologiya: nacional'noe rukovodstvo. V 2 tomah. Tom 1. 2-e izdanie, pererabotannoe i dopolnennoe. Moskva: GEOTAR-Media; 2022. 520 s. (Nacional'nye rukovodstva). [Lebedenko I.Yu., Arutyunov S.D., Ryakhovsky A.N., eds. Orthopedic dentistry: national guidelines. In 2 vol. Vol. 1. 2nd edition, revised and supplemented. Moscow: GEOTAR-Media; 2022. 520 p. (National guidelines). (In Russ.)]. https://www.rosmedlib.ru/book/ISBN9785970463666.html

22. Lebedenko I.Yu., Arutyunov S.D., Ryahovskiy A.N., red. Ortopedicheskaya stomatologiya: nacional'noe rukovodstvo. V 2 tomah. Tom 2. 2-e izdanie, pererabotannoe i dopolnennoe. Moskva: GEOTAR-Media; 2022. 416 s. (Nacional'nye rukovodstva). [Lebedenko I.Yu., Arutyunov S.D., Ryakhovsky A.N., eds. Orthopedic dentistry: national guidelines. In 2 volumes. Volume 2. 2nd edition, revised and supplemented. Moscow: GEOTAR-Media; 2022. 416 p. (National guidelines). (In Russ.)]. https://doi.org/10.33029/9704-6367-3-OD2-2022-1-416

23. Pavlenko A.V., Tokarskiy V.F., Proc' G.B., Pavlenko M.A., Shterenberg A. Optimizaciya hirurgicheskogo protokola planovoy dental'noy implantacii. Suchasna stomatologіya. 2014;(2):92. [Pavlenko A., Tokarskyi V., Prots G., Pavlenko M., Shterenberg A. The surgical protocol optimization the planned dental implantation. Actual Dentistry. 2014;(2):92. (In Russ.)].

24. Parfenov A.K., Erokina N.L., Rogatina T.V., Parfenova S.V. Analiz oslozhneniy hirurgicheskogo etapa dental'noy implantacii. Dental Forum. 2019;(4);82-83. [Parfenov A.K., Erokina N.L., Rogatina T.V., Parfenova S.V. Analysis of complications of a surgical stage of dental implantation. Dental Forum. 2019;(4);82-83. (In Russ.)]. https://elibrary.ru/item.asp?id=41325823

25. Petrunyak V.I., Beskova Yu.V., Zubareva A.S., Hohrin V.O. Faktory riska vozniknoveniya oslozhneniy na razlichnyh etapah dental'noy implantacii. Universitetskaya medicina Urala. 2021;(2):23–25. [Petrunyak V.I., Beskova Yu.V., Zubareva A.S., Khokhrin V.O. Risk factors for complications at various stages of dental implantation. Universitetskaâ medicina Urala. 2021;(2):23–25. (In Russ.)]. https://elibrary.ru/item.asp?id=46297460

26. Povstyanko Yu.A., Shumakov F.G., Uzunyan N.A. Chastota razvitiya vospalitel'nyh oslozhneniy kak pokazatel' effektivnosti dental'noy implantacii v otdalennye sroki ekspluatacii protezov. V: Sovremennaya stomatologiya: Sbornik nauchnyh trudov, posvyaschennyy 125-letiyu osnovatelya kafedry ortopedicheskoy stomatologii KGMU professora Isaaka Mihaylovicha Oksmana; Kazan'; 03 marta 2017 goda. Kazan': Kazanskiy gosudarstvennyy medicinskiy universitet; 2017. S. 379-384. [Povstyanko Yu.A., Shumakov F.G., Uzunyan N.A. Frequency of inflammatory complications as an indicator of the effectiveness of dental implantation in the long term of prosthesis operation. In: Modern dentistry: Collection of scientific papers dedicated to the 125th anniversary of the founder of the Department of Orthopedic Dentistry of KSMU, Professor Isaac Mikhailovich Oksman; Kazan; March 3, 2017. Kazan: Kazan State Medical University; 2017. Pp. 379-384. (In Russ.)]. https://elibrary.ru/item.asp?id=30020472

27. Popovich Z.A., Sarkisov V.Yu., Safarov B.M. Sovremennye podhody k lecheniyu periimplantita. Medicus. 2025;(12):15–18. [Popovich Z.A., Sarkisov V.Yu., Safarov B.M. Modern approaches to the treatment of peri-implantitis. Medicus. 2025;(12):15–18. (In Russ.)]. http://scimedicus.ru/medicus-no-12-78-december/post/sovremennye-podhody-k-lecheniyu-periimplantita

28. Savchenko O.V., Fleysher G.M., Govorov M.V. Analiz oslozhneniy pri dental'noy implantacii. Dental'naya implantologiya i hirurgiya. 2018;(1):56-61. [Savchenko O.V., Fleicher G.M., Govorov M.V. Analysis of complications in dental implantation. Dentalʹnaâ implantologiâ i hirurgiâ. 2018;(1):56-61. (In Russ.)]. https://www.elibrary.ru/item.asp?id=35405690

29. Semenov E.I., Sennikov O.N. Chastota vtorichnyh oslozhneniy dental'nyh implantaciy, ih ustranenie i profilaktika. Dental'naya implantologiya i hirurgiya. 2017:(4):36–39. [Semenov E.I., Sennikov O.N. Frequency of secondary complications of dental implantations, their elimination and prevention. Dentalʹnaâ implantologiâ i hirurgiâ. 2017:(4):36–39. (In Russ.)]. https://elibrary.ru/item.asp?id=36569282

30. Fazullin F.Z., Galieva E.I., Ryabyh L.A. Snizhenie riska razvitiya oslozhneniy dental'noy implantacii. V: Skripkina G.I., red. Materialy XXIV Mezhdunarodnogo yubileynogo simpoziuma "Innovacionnye tehnologii v stomatologii", posvyaschennogo 60-letiyu stomatologicheskogo fakul'teta Omskogo gosudarstvennogo medicinskogo universiteta: Sbornik statey; Omsk; 24–25 noyabrya 2017 goda. Omsk: KAN; 2017. S. 501-505. [Fazullin F.Z., Galieva E.I., Ryabykh L.A. Reducing the risk of complications of dental implantation. In: Skripkina G.I., ed. Proceedings of the XXIV International Anniversary Symposium "Innovative Technologies in Dentistry" dedicated to the 60th anniversary of the Faculty of Dentistry of Omsk State Medical University: Collection of articles; Omsk; November 24–25, 2017. Omsk: KAN; 2017. Pp. 501–505. (In Russ.)]. https://elibrary.ru/item.asp?id=32365187

31. Delgado-Ruiz R.A., Calvo-Guirado J.L., Romanos G.E. Effects of occlusal forces on the peri-implant-bone interface stability. Periodontology 2000. 2019;81(1):179-193. https://doi.org/10.1111/prd.12291

32. Dreyer H., Grischke J., Tiede C., Eberhard J., Schweitzer A., Toikkanen S.E. et al. Epidemiology and risk factors of peri-implantitis: A systematic review. Journal of Periodontal Research. 2018;53(5):657-681. https://doi.org/10.1111/jre.12562

33. Dutta S.R., Passi D., Singh P., Atri M., Mohan S., Sharma A. Risks and complications associated with dental implant failure: Critical update. National Journal of Maxillofacial Surgery. 2020;11(1):14-19. https://doi.org/10.4103/njms.NJMS_75_16

34. Lee C.-T., Huang Y.-W., Zhu L., Weltman R. Prevalences of peri-implantitis and peri-implant mucositis: Systematic review and meta-analysis. Journal of Dentistry. 2017;62:1-12. https://doi.org/10.1016/j.jdent.2017.04.011

35. Mazel A., Belkacemi S., Tavitian P., Stéphan G., Tardivo D., Catherine J.H. et al. Peri-implantitis risk factors: A prospective evaluation. Journal of Investigative and Clinical Dentistry. 2019;10(2):e12398. https://doi.org/10.1111/jicd.12398

36. Monje A., Catena A., Borgnakke W.S. Association between diabetes mellitus/hyperglycemia and peri-implant diseases: Systematic review and meta-analysis. Journal of Clinical Periodontology. 2017;44(6):636-648. https://doi.org/10.1111/jcpe.12724

37. Pesce P., Canullo L., Grusovin M.G., de Bruyn H., Cosyn J., Pera P. Systematic review of some prosthetic risk factors for periimplantitis. The Journal of Prosthetic Dentistry. 2015;114(3):346–350. https://www.sciencedirect.com/science/article/abs/pii/S002239131500181X

38. Renvert S., Quirynen M. Risk indicators for peri-implantitis. A narrative review. Clinical Oral Implants Research. 2015;26(Suppl 11):15-44. https://doi.org/10.1111/clr.12636

39. Rokaya D., Srimaneepong V., Wisitrasameewong W., Humagain M., Thunyakitpisal P. Peri-implantitis update: risk indicators, diagnosis, and treatment. European Journal of Dentistry. 2020;14(4):672-682. https://doi.org/10.1055/s-0040-1715779

40. Salvi G.E., Cosgarea R., Sculean A. Prevalence and mechanisms of peri-implant diseases. Journal of Dental Research. 2017;96(1):31-37. https://doi.org/10.1177/0022034516667484

41. Smeets R., Henningsen A., Jung O., Heiland M., Hammächer C., Stein J.M. Definition, etiology, prevention and treatment of peri-implantitis — a review. Head & Face Medicine. 2014;10:34. https://link.springer.com/article/10.1186/1746-160X-10-34

42. Soulami S., Slot D.E., van der Weijden F. Implant-abutment emergence angle and profile in relation to peri-implantitis: A systematic review. Clinical and Experimental Dental Research. 2022;8(4):795-806. https://onlinelibrary.wiley.com/doi/abs/10.1002/cre2.594

43. Zandim-Barcelos D.L., de Carvalho G.G., Sapata V.M., Villar C.C., Hammerle C., Romito G.A. Implant-based factor as possible risk for peri-implantitis. Brazilian Oral Research. 2019;33(suppl 1). https://doi.org/10.1590/1807-3107bor-2019.vol33.0067


Login or Create
* Forgot password?