One of the most significant problems in modern dentistry is marginal bone resorption (MBR) around dental implants. This complication poses a serious obstacle to the long-term success of implantation, directly affecting the stability of the structure and overall treatment outcomes. This review examines the key factors influencing MBR around dental implants through the lens of the immune theory as the dominant pathogenetic mechanism. Systemic diseases (with a focus on diabetes mellitus, arterial hypertension, and hyperlipidemia), iatrogenic factors (bone overheating, microtrauma during implant placement, or the ingress of microparticles/cement), and genetic predisposition (cytokine polymorphisms and innate recognition receptors) are considered as modifiers of the local immune response to the loss of marginal bone around implant. Data on the role of dysbiosis, titanium particles and ions, the TLR2/4–IRAK1–TRAF6 pathways, NOD1/2, and the RANKL/OPG signaling cascade, including the contribution of the NOTCH family, are summarized. Clinical implications for screening, planning, and supportive therapy are presented.
Keywords: marginal bone resorption, dental implant, immune imbalance, peri-implantitis.
For citation
Zhukova K.D., Mizin I.N., Tretyak Ju.V., Gubaidullina A.R., Galyas A.I., Romanenko N.V. Marginal Bone Resorption as a Multifactorial Pathological Process. The Immune Theory of Marginal Bone Resorption Development: Literature Review. Dentistry: Theory and Practice, 2025, vol. 3, no. 2, pp. 28–34. https://doi.org/10.65324/dtp004