Adel Bouguezzi*, Afef Slim, Amel Fantar, Soumaya Zaalouni, Abdellatif Chokri, Hajer Hentati, Jamil Selmi
University Dental Clinic of Monastir, Medicine and Oral Surgery Department, Oral Health and Orofacial Rehabilitation Laboratory Research (LR12ES11), University of Monastir, Tunisia
*Corresponding author: Adel Bouguezzi, University Dental Clinic, Medicine and Oral Surgery Department, Oral Health and Orofacial Rehabilitation Laboratory Research (LR12ES11), University of Monastir, Tunisia, E-mail: [email protected]
Received Date: January 20, 2025
Publication Date: January 31, 2025
Citation: Bouguezzi A, et al. (2025). The Role of Biological Space in Optimizing Dental Implant Outcomes: Systematic Review. Dental. 7(1):20.
Copyright: Bouguezzi A, et al. © (2025).
ABSTRACT
Objective : This systematic review investigates the significance of biological space in dental implants, emphasizing its role in peri-implant tissue health, bone preservation, and long-term implant success. The review synthesizes evidence on the anatomical, physiological, and clinical aspects of biological space and evaluates strategies for maintaining it during implant placement and restoration. Methods: A comprehensive literature search was conducted using PubMed, Scopus, and Web of Science for studies published between 2000 and 2024. Keywords included "biological space," "biologic width," "dental implants," "peri-implant health," and "bone preservation." Inclusion criteria consisted of human clinical trials, cohort studies, and systematic reviews that addressed the role of biological space in implant success. Data on peri-implant health, bone loss, soft tissue stability, and complications were extracted and analyzed. Results: Thirty-five studies met the inclusion criteria. The evidence highlights that maintaining adequate biological space significantly reduces peri-implant bone loss (mean reduction: 0.8 mm) and improves soft tissue stability. Violations of biological space were associated with a 3.2-fold increased risk of peri-implantitis and mucosal recession. Strategies such as precise surgical placement, soft tissue management, and prosthetic design were consistently linked to improved outcomes. Conclusion: Respecting biological space is critical for ensuring the functional and esthetic success of dental implants. This review underscores the need for standardized protocols to preserve this vital anatomical dimension in clinical practice.
Keywords: Biological Space, Dental Implants, Peri-Implant Health, Bone Preservation, Soft Tissue Stability, Peri-Implantitis, Systematic Review