Bulletin of Stomatology and Maxillofacial Surgery
2025; 401–406
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CRUCIAL FACTORS INVOLVED IN IMPLANT FAILURE AND PERI‐IMPLANT PATHOLOGY IN SYSTEMICALLY COMPROMISED PATIENTS

Snigdha Biswas*, J.Ramya Jyothy, Gatha Mohanty, Vansh Jaiswal, Shree Ramya R, Akshata Rao M, Kiran Pagidipalli

Assistant Professor, Department of Periodontology and Implantology, BBD college of dental sciences, Lucknow · Assistant professor, Department of prosthodontics, Govternment dental college & hospital, Hyderabad · Associate Professor, department of Periodontics and Oral Implantology, Institute of Dental Science, Siksha ‘O’ Anusandhan deemed to be University, Bhubaneswar, Odish · 2nd year post graduate ,Department of Periodontology, Narsinhbhai Patel Dental College and Hospital, Visnagar, Gujarat · mailto:[email protected] · Lecturer ,Nitte deemed to be University, AB Shetty Memorial Institute of Dental Sciences,Department of Prosthodontics and Crown and Bridge. Mangaluru,Karnataka, India · Assistant Professor , Department of Computer Science and Engineering Vignan’s foundation for science, technology & Research, Vadlamudi, Guntur

Received: 2025-09-29 · Published: 2025-08-21

© 2025 The Author(s) and the original publisher.

CC BY-NC 4.0 This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
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Original title
CRUCIAL FACTORS INVOLVED IN IMPLANT FAILURE AND PERI‐IMPLANT PATHOLOGY IN SYSTEMICALLY COMPROMISED PATIENTS
Authors
Snigdha Biswas, J.Ramya Jyothy, Gatha Mohanty, Vansh Jaiswal, Shree Ramya R, Akshata Rao M, Kiran Pagidipalli
Source journal
Bulletin of Stomatology and Maxillofacial Surgery
Published
2025-08-21
Licence
Creative Commons Attribution-NonCommercial 4.0 International
Original
https://doi.org/10.58240/1829006x-2025.21.7-401

Abstract

Background: Systemically compromised patients exhibit elevated risks of dental implant failure and peri-implant pathology due to impaired healing and immune responses. Identifying modifiable risk factors is critical for optimizing clinical outcomes. Objective: To determine crucial factors associated with implant failure and peri-implant pathology in systemically compromised patients. Methods: A retrospective cohort study was conducted with 300 systemically compromised patients (512 implants) followed for 3.5 ± 1.2 years. Data included systemic conditions (diabetes, osteoporosis, immunosuppression), implant characteristics, smoking status, oral hygiene indices, and clinical outcomes. Logistic regression identified risk factors. Key Findings: Implant failure occurred in 12.7% of cases. Uncontrolled diabetes (HbA1c >7%) increased failure risk (OR = 3.5, 95% CI: 2.1–5.8, p < 0.001), as did smoking (OR = 2.8, 95% CI: 1.5–5.2, *p* = 0.002) and poor oral hygiene (plaque index >30%; OR = 2.1, 95% CI: 1.2–3.7, p = 0.01). Peri-implantitis affected 18.3% of implants, strongly associated with diabetes (p = 0.003) and smoking (p = 0.005). Conclusion: Uncontrolled diabetes, smoking, and poor oral hygiene are pivotal risk factors. Strict glycemic control, smoking cessation, and enhanced hygiene protocols are essential for implant success in this population.
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