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Quintessence Publishing: Journals: EJOI

 

European Journal of Oral Implantology

Editor in Chief: Dr. Marco Esposito

Official publication of the British Society of Oral Implantology (BSOI) and the Dutch Society of Oral Implantology (NVOI)

ISSN (print) 1756-2406 • ISSN (online) 1756-2414

Publication:

Supplement 2012
Volume 5 , Issue 0

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Identifying occlusal overload and how to deal with it to avoid marginal bone loss around implants

Fu, Jia-Hui / Hsu, Yung-Ting / Wang, Hom-Lay

Pages: 91 - 103

Background: Occlusal overloading is the primary cause of biomechanical implant complications, which include fracture and/or loosening of the implant fixture and/or prosthetic components. It may also disrupt the intricate bond between the implant surface and bone, leading to peri-implant bone loss and eventual implant failure. Purpose: This paper was aimed at identifying and evaluating clinical and radiographic parameters relevant for diagnosing occlusal overloading of oral implants. It also discusses its management in order to prevent peri-implant marginal bone loss. Materials and methods: An electronic literature search for relevant studies, examining the relationship between occlusal overloading and peri-implant bone loss, was conducted in the PubMed database. Clinical human studies published in English with a minimum of 10 implants were included. Results: Seven articles were identified. Occlusal overloading was found to be positively associated with peri-implant marginal bone loss. Conclusion: Preventing occlusal overloading involves conducting comprehensive examinations, treatment planning, precise surgical and prosthetic treatment executions, and regular maintenance. If occlusal overloading occurs, management of biomechanical implant complications and preventing/ treating peri-implant bone loss involves surgical and prosthetic treatment modalities. They include occlusal treatment, repair and replacement of defective prosthetic components, and surgical treatment of the bony craters. Keywords: biomechanics, bone remodelling, implant complications, implant prosthesis, implants, overload, peri-implantitis

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