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International Journal of Implant Dentistry
Published in: International Journal of Implant Dentistry 1/2019

Open Access 01-12-2019 | Bruxism | Review

Occlusal overload with dental implants: a review

Author: Steven J. Sadowsky

Published in: International Journal of Implant Dentistry | Issue 1/2019

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Abstract

Controversy persists as to the role of occlusal overload in peri-implantitis. Animal studies have not revealed the biological threshold for fatigue failure in the peri-implant bone. On the other hand, clinical studies have demonstrated a link between parafunction and implant failure, although variables such as intensity and frequency of loads, as well as bone density, have led to different outcomes. The absence of specific engineering “building codes” for the clinician has relegated prosthetic design planning to intuitive guidelines for all patients. For example, higher crown to implant ratios (2–3:1), implant cantilever prostheses and non-splinted restorative designs have been avoided because of the concern for overload. However, evidence has not supported this general approach. A call for preclinical research to establish specific patient load thresholds is in order to establish a customized treatment plan.
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Metadata
Title
Occlusal overload with dental implants: a review
Author
Steven J. Sadowsky
Publication date
01-12-2019
Publisher
Springer Berlin Heidelberg
Keyword
Bruxism
Published in
International Journal of Implant Dentistry / Issue 1/2019
Electronic ISSN: 2198-4034
DOI
https://doi.org/10.1186/s40729-019-0180-8

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