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Occlusal considerations in implant therapy: clinical guidelines with biomechanical rationale
Author(s) -
Kim Yongsik,
Oh TaeJu,
Misch Carl E.,
Wang HomLay
Publication year - 2005
Publication title -
clinical oral implants research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.407
H-Index - 161
eISSN - 1600-0501
pISSN - 0905-7161
DOI - 10.1111/j.1600-0501.2004.01067.x
Subject(s) - implant , occlusion , osseointegration , medicine , dentistry , implant failure , orthodontics , dental occlusion , surgery
Due to lack of the periodontal ligament, osseointegrated implants, unlike natural teeth, react biomechanically in a different fashion to occlusal force. It is therefore believed that dental implants may be more prone to occlusal overloading, which is often regarded as one of the potential causes for peri‐implant bone loss and failure of the implant/implant prosthesis. Overloading factors that may negatively influence on implant longevity include large cantilevers, parafunctions, improper occlusal designs, and premature contacts. Hence, it is important to control implant occlusion within physiologic limit and thus provide optimal implant load to ensure a long‐term implant success. The purposes of this paper are to discuss the importance of implant occlusion for implant longevity and to provide clinical guidelines of optimal implant occlusion and possible solutions managing complications related to implant occlusion. It must be emphasized that currently there is no evidence‐based, implant‐specific concept of occlusion. Future studies in this area are needed to clarify the relationship between occlusion and implant success.