AUTHOR=Zheng Hongya , Shang Chenxi , Li Ping , Zhao Wenjie , Niu Yumei , Pan Shuang , Zhang Shuang TITLE=The effects of magnesium-containing coatings on the healing of soft tissues surrounding oral titanium abutments: a narrative review JOURNAL=Frontiers in Dental Medicine VOLUME=Volume 6 - 2025 YEAR=2025 URL=https://www.frontiersin.org/journals/dental-medicine/articles/10.3389/fdmed.2025.1638027 DOI=10.3389/fdmed.2025.1638027 ISSN=2673-4915 ABSTRACT=The inherent limitations of smooth titanium abutments—particularly inadequate soft tissue sealing that predisposes implants to infection and inflammation—underscore the need for surface modifications. This review synthesizes evidence on magnesium-containing coatings as a bioactive solution to enhance peri-implant soft tissue healing. Through 1) modifying the surface properties of the implant abutment to promote better cell adhesion and proliferation; 2) releasing Mg2+ to promote fibroblast migration, collagen synthesis, and angiogenesis; and 3) exerting antimicrobial effects and regulating inflammatory responses, these coatings establish a microenvironment conducive to robust tissue integration. This helps prevent peri-implant infections and inflammation, strengthens soft tissue attachment, and improves the long-term stability of dental implants, providing a new direction for the development of biomedical materials.