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They also directly affect the body reactions to implanted biomaterials. It is well-known that dental implants success depends on a successful integration with the alveolar bone: \u201cosseointegration\u201d which events comprise early and later responses to the implanted biomaterials. The early events are mainly immune-inflammatory responses to the implant considered by its microenvironment as a foreign body. Later reactions are osteogenic aiming to regulate bone formation and remodeling. All these events are controlled by the cell signaling pathways in an incredible harmonious coordination.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Aim<\/jats:title>\n                <jats:p>The number of pathways having a role in osseointegration is so big to be reviewed in a single article. So the aim of this review was to study only two of the most relevant ones: the inflammatory Nuclear Factor Kappa B (NF-\u03baB) pathway regulating the early osseointegration events and the osteogenic Wnt pathway regulating later events.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>We conducted a literature review using key databases to provide an overview about the NF-\u03baB and Wnt cell signaling pathways and their mutual relationship with dental implants. A simplified narrative approach was conducted to explain these cell signaling pathways, their mode of activation and how they are related to the cellular events of osseointegration.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results and conclusion<\/jats:title>\n                <jats:p>NF-\u03baB and Wnt cell signaling pathways are important cross-talking pathways that are affected by the implant\u2019s material and surface characteristics. The presence of the implant itself in the bone alters the intracellular events of both pathways in the adjacent implant\u2019s cellular microenvironment. Both pathways have a great role in the success or failure of osseointegration. Such knowledge can offer a new hope to treat failed implants and enhance osseointegration in difficult cases. This is consistent with advances in Omics technologies that can change the paradigm of dental implant therapy.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1038\/s41405-024-00211-w","type":"journal-article","created":{"date-parts":[[2024,4,5]],"date-time":"2024-04-05T07:02:16Z","timestamp":1712300536000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":23,"title":["Signaling pathways of dental implants\u2019 osseointegration: a narrative review on two of the most relevant; NF-\u03baB and Wnt pathways"],"prefix":"10.1038","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4023-3653","authenticated-orcid":false,"given":"Samar Mohamed","family":"Emam","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nermine","family":"Moussa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2024,4,5]]},"reference":[{"key":"211_CR1","doi-asserted-by":"publisher","first-page":"77","DOI":"10.1186\/s12918-018-0655-x","volume":"12","author":"MH Kabir","year":"2018","unstructured":"Kabir MH, Patrick R, Ho JW, O\u2019Connor MD. 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