Implants designs are currently available in a range of lengths, surfaces, body designs, and platform connections. As a consequence, dental implants are superior complexity and high requirements, and as a result, the performance criteria are quite demanding. Through osseointegration, dental implants are designed to achieve primary mechanical stability and develop a strong bone-implant relationship throughout time. The main objective of this study is to review Recent Micro Dental Implant Designs modifications and their effect on osseointegration and to determine the types and important aspects of micro designs of dental implants. A review was performed using the National Library of Medicine, Washington DC (MEDLINE–PubMed) searched for appropriate articles addressing the focused objective to find studies on this topic that included simulated laboratory models, animal studies, and human studies. Articles that were published within the last 22 years; conducted at least in MENA, Europe, or North America regions; indexed on either Wiley Online Library, PUBMED, BiblioMed, or, Google Scholar; were included. Articles written in any language other than English were automatically excluded. Multiple research projects have shown that if the implant surface is changed, osseointegration occurs more quickly and strongly. Surface modifications such as anodizing the implant surface, adding calcium ions, carbon-ion oxygen, strontium-containing hydroxyapatite layer created by micro-arc oxidation, and other additives have been demonstrated to improve osseointegration.
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