Fracture Surface Analysis of the Fatigue-Failed Titanium Dental Implant

VASYLYEV M.O.$^{1}$, MORDYUK B.M.$^{1}$, VOLOSHKO S.M.$^{2}$, and HURYN P.O.$^{3}$

$^1$G.V. Kurdyumov Institute for Metal Physics of the N.A.S. of Ukraine, 36 Academician Vernadsky Blvd., 03142 Kyiv, Ukraine
$^2$National Technical University of Ukraine ‘Igor Sikorsky Kyiv Polytechnic Institute’, 37 Beresteiskyi Ave., 03056 Kyiv, Ukraine
$^3$P.L. Shupyk National Healthcare University of Ukraine, 9 Dorogozhytska Str., 04112 Kyiv, Ukraine

Received / final version: 27.02.2026 / 03.08.2026 Download PDF logo PDF

Abstract
In recent years, the osseointegrated titanium dental implants have revolutionised the field of dentistry owing to their ability to restore oral function. Thus, they have been widely used for decades with high survival and success rates. Such prosthetic devices demonstrate high long-term success rates. However, mechanical complications similar to fatigue fracture remain the clinically significant cause of late implant failure. It is one of the important biomechanical complications that can present a considerable problem to the patient and the dentist. This article aims to elucidate the microstructural mechanism of fatigue failure of titanium dental implants. The fracture surfaces of two types of failed implant samples made of technically (commercially) pure titanium (c.p. Ti) and the Ti–6Al–4V alloy are studied. The specimens of the first type are tested in laboratory conditions under the action of cyclic loading in accordance with the European normative used for the mechanical tests (UNI EN ISO 14801); the other implant specimens are taken from the patient after their failure. The use of scanning electron microscopy (SEM) on the fracture surface provides information about the failure-initiation site, loading history, environmental effects and surface-material quality of the implant body and abutment. SEM allowed confirmation that fatigue is the main implant-failure mechanism comprising a three-stage pathway well-known for metals, i.e., a stable crack propagation followed by accelerated crack propagation with apparent striations, and a final fast failure by voids’ nucleation, coalescence, and growth. Despite compliance with the requirements for the implant microstructure, stress concentration on the implant constructive peculiarities and corrosion damage, which can be induced by the aggressive oral environment, increases the fatigue-failure risk.

Keywords: dental implants, titanium, Ti–6Al–4V alloy, fatigue failure, cyclic loading, implant fracture.

DOI: https://doi.org/10.15407/ufm.27.03.***

Citation: M.O. Vasylyev, B.M. Mordyuk, S.M. Voloshko, and P.O. Huryn, Fracture Surface Analysis of the Fatigue-Failed Titanium Dental Implants, Progress in Physics of Metals, 27, No. 3: ***–*** (2026)


References  
  1. R.M. Sullivan, J. Calif. Dent. Assoc., 745, No. 11: 737 (2001); https://pubmed.ncbi.nlm.nih.gov/11806052
  2. J.H. Lee, V. Frias, K.W. Lee, and R.F. Wright, J. Prosthet. Dent., 94: 377 (2005); https://doi.org/10.1016/j.prosdent.2005.04.018
  3. L. Gaviria, J.P. Salcido, T. Guda, and J.L. Ong, J. Korean Assoc. Oral Maxillofac Surg., 40: 50 (2014); https://doi.org/10.5125/jkaoms.2014.40.2.50
  4. A. Delantoni, D. Nur Sengun, and K. Orhan, Genel Tıp Derg. 35, No. 3: 512 (2025); https://doi.org/10.54005/geneltip.1643015
  5. C.A. Babbush, J.A. Hahn, J.T. Krauser, and J.L. Rosenlicht, Dental Implants: The Art and Science (Elsevier Health Sciences: 2010).
  6. L.O. Massa and J.A. von Fraunhofer, The ADA Practical Guide to Dental Implants (The American Dental Association: 2021).
  7. M. Armentia, M. Abasolo, I. Coria, and J. Albizuri, Metals, 10: 744 (2020); https://doi.org/10.3390/met10060744
  8. B. Ziaie and S.M. Reza Khalili, Prosthesis, 3: 300 (2021); https://doi.org/10.3390/prosthesis3040028
  9. S. Fuda, B.G.D.S. Martins, F.C.D. Castro, A. Heboyan, S.A. Gehrke, J.C.H. Fernandes, A.C.V. Mello-Moura, and G.V.O. Fernandes, Diagnostics, 13: 1587 (2023); https://doi.org/10.3390/diagnostics13091587
  10. G.E. Romanos, Implant Dent., 28, No. 6: 522 (2019); https://doi.org/10.1097/ID.0000000000000940
  11. A. Verma, S.V. Singh, D. Arya, S. Shivakumar, and P. Chand, J. Oral Biology Craniofacial Res., 13: 306 (2023); https://doi.org/10.1016/j.jobcr.2023.02.009
  12. A.S. el Askary, R.M. Meffert, and T. Griffin, Implant Dent., 8, No. 2: 173 (1999); https://pubmed.ncbi.nlm.nih.gov/10635160
  13. P. Atalay, J. Dental. Sci., 7, No. 4: 000349 (2022); https://doi.org/10.23880/oajds-16000349
  14. T.A. Do, H.S. Le, Y.W. Shen, H.L. Huang, and L.J. Fuh, Int. J. Environ. Res. Public Health, 17: 3931 (2020); https://doi.org/10.3390/ijerph17113931
  15. G.R.S. Lopes, J.D.M. Matos, D.A. Queiroz, J.P.M. Tribst, N.C. Ramos, M.G. Rocha, and A.B. Barbos, Materials, 15: 6235 (2022); https://doi.org/10.3390/ma15186235
  16. H.M. Huang, C.M. Tsai, C.C. Chang, C.T. Lin, and S.Y. Lee, Int. J. Oral Maxillofacial Implants, 20, No. 6: 854 (2005); https://pubmed.ncbi.nlm.nih.gov/16392341
  17. Archana Singh, Ankita Singh, R. Vivek, T.P. Chaturvedi, P. Chauhan, and S. Gupta, Case Reports in Dentistry, 2013: 270385 (2013); https://doi.org/10.1155/2013/270385
  18. G.A. Zarb and A. Schmitt, J. Prosthet. Dent., 64: 185 (1990); https://doi.org/10.1016/0022-3913(90)90177-E
  19. M.R. Norton, Clin. Oral Implants Res., 8: 290 (1997); https://doi.org/10.1034/j.1600-0501.1997.080407.x
  20. A. Sánchez-Pérez, M. José Moya-Villaescusa, A. Jornet-García, and S. Gomez, Med. Oral Patol. Oral Cir. Bucal., 15, No. 3: e504 (2010); https://doi.org/10.4317/medoral.15.e504
  21. T.J. Balshi, Int. J. Oral Maxillofacial Implants, 11: 660 (1996); https://pubmed.ncbi.nlm.nih.gov/8908866
  22. N.T. Green, E.E. Machtei, J. Horwitz, and M. Peled, Implant Dent., 11: 137 (2002). https://doi.org/10.1097/00008505-200204000-00014
  23. P. Virdee and K. Bishop, Br. Dent. J., 203: 461 (2007); https://doi.org/10.1038/bdj.2007.948
  24. S. Sanivarapu, S. Moogla, R. Kuntcham, and L. Kolaparthy, J. Indian Soc. Periodontol., 20: 6 (2016); https://doi.org/10.4103/0972-124X.154190
  25. A. Shibli, E. Marcantonio, S. d’Avila, A.C. Guastaldi, and E. Marcantonio, J. Periodontol., 76, No. 7: 1092 (2005); https://doi.org/10.1902/jop.2005.76.7.1092
  26. F.J. Gil, E. Espinar, J.M. Llamas, and P. Sevilla, Clinical Implant Dentistry and Related Research, 16, No. 2: 273 (2014); https://doi.org/10.1111/j.1708-8208.2012.00468.x
  27. C. Fleck and D. Eifler, Int. J. Fatigue, 32: 929 (2010); https://doi.org/10.1016/j.ijfatigue.2009.09.009
  28. P.I. Bånemark, B.O. Hansson, R. Adell, U. Breine, J. Lindström, O. Hallén, and A. Ohman, Scand. J. Plast. Reconstruct. Surg. Suppl., 16: 1 (1977); https://pubmed.ncbi.nlm.nih.gov/356184
  29. P.I. Brånemark, R. Adell, T. Albrektsson, U. Lekholm, S. Lundkvist, and B. Rockier, Biomater., 4: 25 (1983); https://doi.org/10.1016/0142-9612(83)90065-0
  30. J.R. Davis, Handbook of Materials for Medical Devices (ASM International: 2003).
  31. E.A.B. Effah, P.D. Bianco, and P. Ducheyne, J. Biomed. Mater. Res., 73: 80 (1995); https://doi.org/10.1002/jbm.820290111
  32. J.E. Ellingsen, Biomater., 12: 593 (1991); https://doi.org/10.1016/0142-9612(91)90057-H
  33. T. Hanawa, K. Asami, and K. Asaoka, J. Biomed. Mater. Res., 40: 530 (1998); https://doi.org/10.1002/(SICI)1097-4636(19980615)40:4%3C530::AID-JBM3%3E3.0.CO;2-G
  34. M. Geetha, A.K. Singh, R. Asokamani, and A.K. Gogia, Prog. Mater. Sci., 54, No. 3: 397 (2009); https://doi.org/10.1016/j.pmatsci.2008.06.004
  35. I.S. Park, S.Y. Won, T.S. Bae, K.Y. Song, C.W. Park, T.G. Eom, and C.M. Jeong, Met. Mater. Int., 14, No. 2: 133 (2008); https://doi.org/10.3365/met.mat.2008.04.133
  36. C.K. Lee, Evaluation of Test Protocol Variables for Dental Implant Fatigue Research (SoDM Masters Theses, 149) (2007); https://opencommons.uconn.edu/sodm_masters/149
  37. E. Marchetti, S. Ratta, S. Mummolo, S. Tecco, R. Pecci, R. Bedini, and G. Marzo, Implant Dent., 25, No. 5: 613 (2016); https://doi.org/10.1097/ID.0000000000000453
  38. M.A.L. Hernandez-Rodriguez, G.R. Contreras-Hernandez, A. Juarez-Hernandez, B. Beltran-Ramirez, and E. Garcia-Sanchez, Eng. Failure Anal., 57: 236242 (2015); https://doi.org/10.1016/j.engfailanal.2015.07.035
  39. E. Marchetti, S. Ratta, S. Mummolo, S. Tecco, R. Pecci, R. Bedini, and G. Marzo, Implant Dent., 25, No. 5: 613 (2016); https://doi.org/10.1097/ID.0000000000000453
  40. ISO 14801:2016. Dentistry-Implants-Dynamic Loading Test for Endosseous Dental Implants (Geneva: Int. Org. for Standardization: 2016); https://www.iso.org/standard/61997.html
  41. G.H. Do, S.J. Lee, J.M. Kim, and S.M. Kim, J. Appl. Reliability, 17, No. 1: 50 (2017); https://koreascience.kr/article/JAKO201722647667302.pub
  42. C.K. Lee, M. Karl, and J.R. Kelly, Dent. Mater., 25: 1419 (2002); https://doi.org/10.1016/j.dental.2009.07.003
  43. L. Lawson, E.Y. Chen, and M. Meshii, Int. J. Fatigue, 21: S15–S34 (1999); https://doi.org/10.1016/S0142-1123(99)00053-5
  44. H. Mughrabi, H.W. Höppel, and M. Kautz, Scripta Mater., 51: 807 (2004); https://doi.org/10.1016/j.scriptamat.2004.05.012
  45. N. Maruyama, Mechanical testing of metallic biomaterials, Metals for Biomedical Devices (Ed. M. Niinomi) (Woodhead Publishing–CRC Press: 2010), Ch. 6, p. 157–177; https://doi.org/10.1533/9781845699246.2.157
  46. S.M. Voloshko, B.M. Mordyuk, M.O. Vasylyev, and A.P. Burmak, Microstructure and fatigue behaviour of AlSi10Mg alloy samples fabricated by selective laser melting, Prog. Phys. Met., 27, No. 1: 130 (2026); https://doi.org/10.15407/ufm.27.01.130
  47. B.N. Mordyuk and G.I. Prokopenko, Mater. Sci. Eng. A, 437: 396 (2006); https://doi.org/10.1016/j.msea.2006.07.119
  48. B.N. Mordyuk, A.I. Dekhtyar, D.G. Savvakin, and N.I. Khripta, J. Mater. Eng. Perform., 31: 5668 (2022); https://doi.org/10.1007/s11665-022-06633-7
  49. F.A. Shah, M. Trobos, P. Thomsen, and A. Palmquist, Mater. Sci. Eng. C, 62: 960 (2016); https://doi.org/10.1016/j.msec.2016. 01.032
  50. A.I. Dekhtyar, B.N. Mordyuk, D.G. Savvakin, V.I. Bondarchuk, I.V. Moiseeva, and N.I. Khripta, Mater. Sci. Eng. A, 641: 348 (2015); https://doi.org/10.1016/j.msea.2015.06.072
  51. B.N. Mordyuk, G.I. Prokopenko, Yu.V. Milman, M.O. Iefimov, and A.V. Sameljuk, Mater. Sci. Eng. A, 563: 138 (2013); http://dx.doi.org/10.1016/j.msea.2012.11.061
  52. H.G. Fan, X.Q. Gan, and Z.O. Zhu, Int. J. Clin. Exp. Med., 10, No. 4: 6369 (2017); www.ijcem.com /ISSN:1940-5901/IJCEM0045638
  53. S.A. Hoyer, C.M. Stanford, S. Buranadham, T. Fridrich, J. Wagner, and D. Gratton, J. Prosthet. Dent., 85: 59 (2001); https://doi.org/10.1067/mpr.2001.115250
  54. K. Shemtov-Yona and D. Rittel, Dent. J., 4, No. 2: 16 (2016); https://doi.org/10.3390/dj4020016
  55. K. Shemtov‐Yona, D. Rittel, E.E. Machtei, and L. Levin, Clinical Implant Dent. Related Res., 16, No. 2: 178 (2012); https://doi.org/10.1111/j.1708-8208.2012.00476.x
  56. K. Shemtov-Yona and D. Rittel, Eng. Failure Anal., 38: 58 (2014); https://doi.org/10.1016/j.engfailanal.2014.01.002
  57. M.G. Manda, P.P. Psyllaki, D.N. Tsipas, and P.T. Koidis, J. Biomed. Mater. Res. Part B: Appl. Biomater., 89B, No. 1: 264 (2009); https://doi.org/10.1002/jbm.b.31211
  58. T. Berglundh, L. Persson, and B. Klinge, J. Clinical Periodontology, 29, No. 3: 197 (2002); https://doi.org/10.1034/j.1600-051X.29.s3.12.x
  59. E. Velasco, A. Flichy-Fernández, M. Punset, A. Jiménez-Guerra, J.M. Manero, and F.J. Gil, Mater., 12, No. 12: 3728 (2019); https://doi.org/10.3390/ma12223728
  60. J.P.M. Tribst, A. Werner, and E.J. Blom, Diagnostics, 13: 2123 (2023); https://doi.org/10.3390/diagnostics13122123
  61. Chat GPT Artificial Intelligence, Fatigue Failure of Titanium Dental Implants: Mechanisms, Contributing Factors, and Clinical Implications (communication on 2026.01.05).