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Clinical Oral Investigations

Published in:

01-05-2022 | Original Article

Occlusal change in posterior implant-supported single crowns and its association with peri-implant bone level: a 5-year prospective study

Authors: Qian Ding, Qiang Luo, Yajing Tian, Lei Zhang, Qiufei Xie, Yongsheng Zhou

Published in: Clinical Oral Investigations | Issue 5/2022

Abstract

Objectives

This study aims to analyze the 5-year occlusal change in posterior implant-supported single crowns and the association between the relative occlusal force (ROF) and peri-implant bone level.

Materials and methods

Partially edentulous patients who had received implant-supported single crowns in the posterior region were included. Occlusal examinations with a computerized occlusion analysis system were conducted at 0.5, 3, 6, 12, 24, 36, 48, and 60 months after delivery of the implant-supported single crown. The ROFs of implant-supported single crowns, mesial adjacent teeth, and control natural teeth were recorded. Intraoral periapical radiographs were taken at each follow-up time to evaluate marginal bone level (MBL). Ordinary least square regression was used to analyze the association between ROF and MBL.

Results

Thirty-seven posterior implant-supported single crowns in 33 participants (23.9 to 70.0 years) were followed up for 0.5 to 60 months [(42.4 ± 26.0) months]. The ROF of implant-supported single crowns increased from 2 weeks to 3 months (P < 0.01) and increased continuously between all two sequential time points from 6 to 36 months, with significant differences (P < 0.05). Then ROFs of implant-supported single crowns were significantly higher than those of control teeth at 48 and 60 months (P < 0.05). Regression analysis showed that ROF was significantly associated with MBL with a coefficient of 0.008 (P < 0.05).

Conclusion

The ROFs of posterior implant-supported single crown have significant change during 5 years’ follow-up. The association between ROF and MBL has limited clinical significance.

Trial registration

Chinese Clinical Trial Registry: ChiCTR-ROC-17012240.

Clinical relevance

The occlusion of implant-supported single crowns should be carefully monitored during follow-up examinations, and occlusal adjustment should be considered to prevent overloading.

Mishra SK, Chowdhary R, Chrcanovic BR, Branemark PI (2016) Osseoperception in dental implants: a systematic review. Journal of Prosthodontics-Implant Esthetic and Reconstructive Dentistry 25:185–195. https://doi.org/10.1111/jopr.12310CrossRef

Song D, Shujaat S, Constantinus P, Orhan K, Jacobs R (2021) Osseoperception following dental implant treatment: a systematic review. J Oral Rehabil. https://doi.org/10.1111/joor.13296CrossRef

Stoichkov B, Kirov D (2018) Analysis of the causes of dental implant fracture: a retrospective clinical study. Quintessence Int 49:279–286. https://doi.org/10.3290/j.qi.a39846CrossRefPubMed

Kim Y, Oh TJ, Misch CE, Wang HL (2005) Occlusal considerations in implant therapy: clinical guidelines with biomechanical rationale. Clin Oral Implants Res 16:26–35. https://doi.org/10.1111/j.1600-0501.2004.01067.xCrossRefPubMed

Sheridan RA, Decker AM, Plonka AB, Wang HL (2016) The role of occlusion in implant therapy: a comprehensive updated review. Implant Dent 25:829–838. https://doi.org/10.1097/ID.0000000000000488CrossRefPubMed

Koyano K, Esaki D (2015) Occlusion on oral implants: current clinical guidelines. J Oral Rehabil 42:153–161. https://doi.org/10.1111/joor.12239CrossRefPubMed

Yuan JC, Sukotjo C (2013) Occlusion for implant-supported fixed dental prostheses in partially edentulous patients: a literature review and current concepts. J Periodontal Implant Sci 43:51–57. https://doi.org/10.5051/jpis.2013.43.2.51CrossRefPubMedPubMedCentral

Klineberg I, Kingston D, Murray G (2007) The bases for using a particular occlusal design in tooth and implant-borne reconstructions and complete dentures. Clin Oral Implants Res 18(Suppl 3):151–167. https://doi.org/10.1111/j.1600-0501.2007.01446.xCrossRefPubMed

Rilo B, Da SJ, Mora MJ, Santana U (2008) Guidelines for occlusion strategy in implant-borne prostheses. A review International Dental Journal 58:139–145. https://doi.org/10.1111/j.1875-595x.2008.tb00189.xCrossRefPubMed

10.

Luo Q, Ding Q, Zhang L, Xie Q (2020) Analyzing the occlusion variation of single posterior implant-supported fixed prostheses by using the T-scan system: a prospective 3-year follow-up study. J Prosthet Dent 123:79–84. https://doi.org/10.1016/j.prosdent.2018.12.012CrossRefPubMed

11.

Madani AS, Nakhaei M, Alami M, Haghi HR, Moazzami SM (2017) Post-insertion posterior single-implant occlusion changes at different intervals: a T-scan computerized occlusal analysis. J Contemp Dent Pract 18:927–932. https://doi.org/10.5005/jp-journals-10024-2151CrossRefPubMed

12.

D’Incau E, Couture C, Maureille B (2012) Human tooth wear in the past and the present: tribological mechanisms, scoring systems, dental and skeletal compensations. Arch Oral Biol 57:214–229. https://doi.org/10.1016/j.archoralbio.2011.08.021CrossRefPubMed

13.

Qadeer S, Yang L, Sarinnaphakorn L, Kerstein RB (2016) Comparison of closure occlusal force parameters in post-orthodontic and non-orthodontic subjects using T-Scan(R) III DMD occlusal analysis. Cranio-the Journal of Craniomandibular Practice 34:395–401. https://doi.org/10.1080/08869634.2015.1122277CrossRefPubMed

14.

Graves CV, Harrel SK, Nunn ME et al (2019) The association between occlusal status and the soft and hard tissue conditions around single-unit dental implants. Int J Periodontics Restorative Dent 39:651–656. https://doi.org/10.11607/prd.4184CrossRefPubMed

15.

Koos B, Godt A, Schille C, Goz G (2010) Precision of an instrumentation-based method of analyzing occlusion and its resulting distribution of forces in the dental arch. Journal of Orofacial Orthopedics-Fortschritte Der Kieferorthopadie 71:403–410. https://doi.org/10.1007/s00056-010-1023-7CrossRef

16.

Cerna M, Ferreira R, Zaror C, Navarro P, Sandoval P (2015) Validity and reliability of the T-Scan((R)) III for measuring force under laboratory conditions. J Oral Rehabil 42:544–551. https://doi.org/10.1111/joor.12284CrossRefPubMed

17.

Afrashtehfar KI, Qadeer S (2016) Computerized occlusal analysis as an alternative occlusal indicator. Cranio-the Journal of Craniomandibular Practice 34:52–57. https://doi.org/10.1179/2151090314Y.0000000024CrossRefPubMed

18.

Ayuso-Montero R, Mariano-Hernandez Y, Khoury-Ribas L et al (2020) Reliability and validity of T-scan and 3D intraoral scanning for measuring the occlusal contact area. Journal of Prosthodontics-Implant Esthetic and Reconstructive Dentistry 29:19–25. https://doi.org/10.1111/jopr.13096CrossRef

19.

Bostancioglu SE, Togay A, Tamam E (2021) Comparison of two different digital occlusal analysis methods. Clin Oral Investig. https://doi.org/10.1007/s00784-021-04191-1CrossRefPubMed

20.

Heij DG, Opdebeeck H, van Steenberghe D et al (2006) Facial development, continuous tooth eruption, and mesial drift as compromising factors for implant placement. Int J Oral Maxillofac Implants 21:867–878PubMed

21.

Bondevik O (1998) Changes in occlusion between 23 and 34 years. Angle Orthod 68:75–80. https://doi.org/10.1043/0003-3219(1998)068%3c0075:CIOBAY%3e2.3.CO;2CrossRefPubMed

22.

Craddock HL, Youngson CC, Manogue M, Blance A (2007) Occlusal changes following posterior tooth loss in adults. Part 1: a study of clinical parameters associated with the extent and type of supraeruption in unopposed posterior teeth. Journal of Prosthodontics-Implant Esthetic and Reconstructive Dentistry 16:485–494. https://doi.org/10.1111/j.1532-849X.2007.00212.xCrossRef

23.

Mundhe K, Jain V, Pruthi G, Shah N (2015) Clinical study to evaluate the wear of natural enamel antagonist to zirconia and metal ceramic crowns. J Prosthet Dent 114:358–363. https://doi.org/10.1016/j.prosdent.2015.03.001CrossRefPubMed

24.

Kaidonis JA (2008) Tooth wear: the view of the anthropologist. Clin Oral Investig 12(Suppl 1):S21–S26. https://doi.org/10.1007/s00784-007-0154-8CrossRefPubMed

25.

Sierpinska T, Kuc J, Golebiewska M (2015) Assessment of masticatory muscle activity and occlusion time in patients with advanced tooth wear. Arch Oral Biol 60:1346–1355. https://doi.org/10.1016/j.archoralbio.2015.06.006CrossRefPubMed

26.

Koletsi D, Iliadi A, Eliades T, Eliades G (2019) In vitro simulation and in vivo assessment of tooth wear: a meta-analysis of in vitro and clinical research. Materials (Basel) 12. https://doi.org/10.3390/ma12213575

27.

Schimmel M, Memedi K, Parga T, Katsoulis J, Muller F (2017) Masticatory performance and maximum bite and lip force depend on the type of prosthesis. Int J Prosthodont 30:565–572. https://doi.org/10.11607/ijp.5289CrossRefPubMed

28.

Giannakopoulos NN, Corteville F, Kappel S et al (2017) Functional adaptation of the masticatory system to implant-supported mandibular overdentures. Clin Oral Implants Res 28:529–534. https://doi.org/10.1111/clr.12830CrossRefPubMed

29.

Lima LA, Bosshardt DD, Chambrone L, Araujo MG, Lang NP (2019) Excessive occlusal load on chemically modified and moderately rough titanium implants restored with cantilever reconstructions. An experimental study in dogs. Clin Oral Implants Res 30:1142–1154. https://doi.org/10.1111/clr.13539CrossRefPubMed

30.

Kozlovsky A, Tal H, Laufer BZ et al (2007) Impact of implant overloading on the peri-implant bone in inflamed and non-inflamed peri-implant mucosa. Clin Oral Implants Res 18:601–610. https://doi.org/10.1111/j.1600-0501.2007.01374.xCrossRefPubMed

31.

Delgado-Ruiz RA, Calvo-Guirado JL (2000) Romanos GE (2019) Effects of occlusal forces on the peri-implant-bone interface stability. Periodontol 81:179–193. https://doi.org/10.1111/prd.12291CrossRef

32.

Naert I, Duyck J, Vandamme K (2012) Occlusal overload and bone/implant loss. Clin Oral Implants Res 23(Suppl 6):95–107. https://doi.org/10.1111/j.1600-0501.2012.02550.xCrossRefPubMed

33.

Tawil G (2008) Peri-implant bone loss caused by occlusal overload: repair of the peri-implant defect following correction of the traumatic occlusion. A case report. Int J Oral Maxillofac Implants 23:153–157PubMed

34.

Schmid E, Morandini M, Roccuzzo A et al (2020) Clinical and radiographic outcomes of implant-supported fixed dental prostheses with cantilever extension. A retrospective cohort study with a follow-up of at least 10 years. Clin Oral Implants Res 31:1243–1252. https://doi.org/10.1111/clr.13672CrossRefPubMed

35.

Schmid E, Roccuzzo A, Morandini M et al (2021) Clinical and radiographic evaluation of implant-supported single-unit crowns with cantilever extension in posterior areas: a retrospective study with a follow-up of at least 10 years. Clin Implant Dent Relat Res 23:189–196. https://doi.org/10.1111/cid.12973CrossRefPubMed

36.

Roccuzzo A, Jensen SS, Worsaae N, Gotfredsen K (2020) Implant-supported 2-unit cantilevers compared with single crowns on adjacent implants: a comparative retrospective case series. J Prosthet Dent 123:717–723. https://doi.org/10.1016/j.prosdent.2019.04.024CrossRefPubMed

37.

Bertolini MM, Del BCA, Pizzoloto L et al (2019) Does traumatic occlusal forces lead to peri-implant bone loss? A systematic review Brazilian Oral Research 33:e69. https://doi.org/10.1590/1807-3107bor-2019.vol33.0069CrossRef

38.

Chang M, Chronopoulos V, Mattheos N (2013) Impact of excessive occlusal load on successfully-osseointegrated dental implants: a literature review. J Investig Clin Dent 4:142–150. https://doi.org/10.1111/jicd.12036CrossRefPubMed

39.

AAP (2013) Peri-implant mucositis and peri-implantitis: a current understanding of their diagnoses and clinical implications. J Periodontol 84:436–443. https://doi.org/10.1902/jop.2013.134001CrossRef

40.

French D, Grandin HM, Ofec R (2019) Retrospective cohort study of 4,591 dental implants: analysis of risk indicators for bone loss and prevalence of peri-implant mucositis and peri-implantitis. J Periodontol 90:691–700. https://doi.org/10.1002/JPER.18-0236CrossRefPubMedPubMedCentral

41.

Norton MR, Astrom M (2020) The influence of implant surface on maintenance of marginal bone levels for three premium implant brands: a systematic review and meta-analysis. Int J Oral Maxillofac Implants 35:1099–1111. https://doi.org/10.11607/jomi.8393CrossRefPubMed

42.

Degidi M, Daprile G, Piattelli A (2017) Marginal bone loss around implants with platform-switched Morse-cone connection: a radiographic cross-sectional study. Clin Oral Implants Res 28:1108–1112. https://doi.org/10.1111/clr.12924CrossRefPubMed

43.

Caricasulo R, Malchiodi L, Ghensi P, Fantozzi G, Cucchi A (2018) The influence of implant-abutment connection to peri-implant bone loss: a systematic review and meta-analysis. Clin Implant Dent Relat Res 20:653–664. https://doi.org/10.1111/cid.12620CrossRefPubMed

44.

Agustin-Panadero R, Soriano-Valero S, Labaig-Rueda C, Fernandez-Estevan L, Sola-Ruiz MF (2020) Implant-supported metal-ceramic and resin-modified ceramic crowns: a 5-year prospective clinical study. J Prosthet Dent 124:46–52. https://doi.org/10.1016/j.prosdent.2019.07.002CrossRefPubMed

45.

Turk AG, Ulusoy M, Toksavul S, Guneri P, Koca H (2013) Marginal bone loss of two implant systems with three different superstructure materials: a randomised clinical trial. J Oral Rehabil 40:457–463. https://doi.org/10.1111/joor.12054CrossRefPubMed

46.

Eguia A, Arakistain A, De-la-Pinta I et al (2020) Candida albicans biofilms on different materials for manufacturing implant abutments and prostheses. Med Oral Patol Oral Cir Bucal 25:e13–e20. https://doi.org/10.4317/medoral.23157CrossRefPubMed

47.

Lemos C, Verri FR, Gomes J et al (2019) Ceramic versus metal-ceramic implant-supported prostheses: a systematic review and meta-analysis. J Prosthet Dent 121:879–886. https://doi.org/10.1016/j.prosdent.2018.09.016CrossRefPubMed

48.

Andrukhov O, Behm C, Blufstein A et al (2020) Effect of implant surface material and roughness to the susceptibility of primary gingival fibroblasts to inflammatory stimuli. Dent Mater 36:e194–e205. https://doi.org/10.1016/j.dental.2020.04.003CrossRefPubMed

49.

Schwarz F, Derks J, Monje A, Wang HL (2018) Peri-implantitis. J Periodontol 89(Suppl 1):S267–S290. https://doi.org/10.1002/JPER.16-0350CrossRefPubMed

50.

Suarez-Lopez DAF, Lin GH, Monje A, Galindo-Moreno P, Wang HL (2016) Influence of soft tissue thickness on peri-implant marginal bone loss: a systematic review and meta-analysis. J Periodontol 87:690–699. https://doi.org/10.1902/jop.2016.150571CrossRef

Title: Occlusal change in posterior implant-supported single crowns and its association with peri-implant bone level: a 5-year prospective study
Authors: Qian Ding
Qiang Luo
Yajing Tian
Lei Zhang
Qiufei Xie
Yongsheng Zhou
Publication date: 01-05-2022
Publisher: Springer Berlin Heidelberg
Published in: Clinical Oral Investigations / Issue 5/2022
Print ISSN: 1432-6981
Electronic ISSN: 1436-3771
DOI: https://doi.org/10.1007/s00784-022-04394-0

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Occlusal change in posterior implant-supported single crowns and its association with peri-implant bone level: a 5-year prospective study

Abstract

Objectives

Materials and methods

Results

Conclusion

Trial registration

Clinical relevance

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Objectives

Materials and methods

Results

Conclusion

Trial registration

Clinical relevance

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