Perspective Article Open Access

Implant Longevity: Current Perspectives, Challenges, and Future Directions in Clinical Implantology

Abstract

Implant longevity is a critical determinant of success in modern clinical implantology, encompassing both dental and orthopedic applications. With increasing reliance on implant-based rehabilitation, understanding the biological, mechanical, and patient-related factors influencing long-term survival has become essential. Although reported implant survival rates exceed 90% over 10–15 years in many studies, long-term complications such as periimplantitis, biomechanical overload, systemic disease interactions, and material degradation continue to challenge clinicians. This perspective article explores the concept of implant longevity through a multidisciplinary lens, focusing on osseointegration stability, prosthetic loading, biomaterial advancements, and patient-specific risk factors. It further evaluates emerging technologies such as surface-modified implants, digital implant planning, and bioactive coatings aimed at enhancing survival outcomes. Finally, the article highlights future directions in predictive analytics and regenerative implantology to improve longterm implant success and durability.

Michael R. Anderson

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