{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,3]],"date-time":"2026-10-03T03:38:30Z","timestamp":1790998710018,"version":"4.1.0"},"reference-count":12,"publisher":"MDPI AG","issue":"12","license":[{"start":{"date-parts":[[2023,6,20]],"date-time":"2023-06-20T00:00:00Z","timestamp":1687219200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Diagnostics"],"abstract":"<jats:p>Despite the widespread use of titanium implants in orthopedic and dental surgeries, concerns have recently emerged regarding potential deformations and fractures after osseointegration. In a recent clinical case, a titanium implant fractured after successful osseointegration. This fracture occurred despite the absence of any significant trauma or excessive external force applied to the area. The fracture was attributed to a combination of factors, including abutment design flaws, material fatigue, and biomechanical stress imposed on the implant during functional loading. This raises concerns about the long-term durability and reliability of titanium implants, particularly in high-stress areas such as the posterior region or weight-bearing bones. An image was made with scanning electron microscopy showing the fracture region near the prosthetic platform and highlighting the knowledge that despite their ductility, titanium implants can fracture.<\/jats:p>","DOI":"10.3390\/diagnostics13122123","type":"journal-article","created":{"date-parts":[[2023,6,21]],"date-time":"2023-06-21T01:35:11Z","timestamp":1687311311000},"page":"2123","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":15,"title":["Failed Dental Implant: When Titanium Fractures"],"prefix":"10.3390","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5412-3546","authenticated-orcid":false,"given":"Jo\u00e3o Paulo Mendes","family":"Tribst","sequence":"first","affiliation":[{"name":"Department of Reconstructive Oral Care, Academic Centre for Dentistry Amsterdam (ACTA), Universiteit van Amsterdam and Vrije Universiteit, 1081 LA Amsterdam, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arie","family":"Werner","sequence":"additional","affiliation":[{"name":"Department of Dental Materials Science, Academic Centre for Dentistry Amsterdam (ACTA), University of Amsterdam and Vrije University Amsterdam, 1081 LA Amsterdam, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erik J.","family":"Blom","sequence":"additional","affiliation":[{"name":"Department of Reconstructive Oral Care, Academic Centre for Dentistry Amsterdam (ACTA), Universiteit van Amsterdam and Vrije Universiteit, 1081 LA Amsterdam, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2023,6,20]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","unstructured":"Nicholson, W. (2020). Titanium Alloys for Dental Implants: A Review. Prosthesis, 2.","DOI":"10.3390\/prosthesis2020011"},{"key":"ref_2","doi-asserted-by":"crossref","unstructured":"Do, T.A., Le, H.S., Shen, Y.W., Huang, H.L., and Fuh, L.J. (2020). Risk Factors Related to Late Failure of Dental Implant-A Systematic Review of Recent Studies. Int. J. Environ. Res. Public Health, 17.","DOI":"10.3390\/ijerph17113931"},{"key":"ref_3","doi-asserted-by":"crossref","unstructured":"Vinhas, A.S., Aroso, C., Salazar, F., L\u00f3pez-Jarana, P., R\u00edos-Santos, J.V., and Herrero-Climent, M. (2020). Review of the Mechanical Behavior of Different Implant-Abutment Connections. Int. J. Environ. Res. Public Health, 17.","DOI":"10.3390\/ijerph17228685"},{"key":"ref_4","doi-asserted-by":"crossref","unstructured":"Lo Giudice, R., Sindoni, A., Tribst, J.P.M., Dal Piva, A.M.d.O., Lo Giudice, G., Bellezza, U., Lo Giudice, G., and Fam\u00e0, F. (2022). 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Diagnostics, 13.","DOI":"10.3390\/diagnostics13091587"},{"key":"ref_10","doi-asserted-by":"crossref","unstructured":"Cristea, I., Agop-Forna, D., Martu, M.-A., Dasc\u0103lu, C., Topoliceanu, C., T\u00f6r\u00f6k, R., T\u00f6r\u00f6k, B., Bardis, D., Bardi, P.M., and Forna, N. (2023). Oral and Periodontal Risk Factors of Prosthetic Success for 3-Unit Natural Tooth-Supported Bridges versus Implant-Supported Fixed Dental Prostheses. Diagnostics, 13.","DOI":"10.3390\/diagnostics13050852"},{"key":"ref_11","first-page":"300","article-title":"Dental Implant Fractures\u2014Aetiology, Treatment and Case Report","volume":"8","author":"Goiato","year":"2014","journal-title":"J. Clin. Diagn. Res."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"267","DOI":"10.3390\/prosthesis3040026","article-title":"Implant Fracture: A Narrative Literature Review","volume":"3","author":"Tallarico","year":"2021","journal-title":"Prosthesis"}],"container-title":["Diagnostics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2075-4418\/13\/12\/2123\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T19:57:12Z","timestamp":1760126232000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2075-4418\/13\/12\/2123"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,6,20]]},"references-count":12,"journal-issue":{"issue":"12","published-online":{"date-parts":[[2023,6]]}},"alternative-id":["diagnostics13122123"],"URL":"https:\/\/doi.org\/10.3390\/diagnostics13122123","relation":{},"ISSN":["2075-4418"],"issn-type":[{"value":"2075-4418","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,6,20]]}}}