Occlusion for Implant-supported Fixed Dental Prostheses in Partially Edentulous Patients: a Literature Review and Current Concepts

Overview

Journal J Periodontal Implant Sci

Specialty Dentistry

Date 2013 May 17

PMID 23678387

Citations 13

Authors

Judy Chia-Chun Yuan

Cortino Sukotjo

Affiliations

Soon will be listed here.

Abstract

Implant treatment has become the treatment of choice to replace missing teeth in partially edentulous areas. Dental implants present different biological and biomechanical characteristics than natural teeth. Occlusion is considered to be one of the most important factors contributing to implant success. Most literature on implant occlusal concepts is based on expert opinion, anecdotal experiences, in vitro and animal studies, and only limited clinical research. Furthermore, scientific literature regarding implant occlusion, particularly in implant-supported fixed dental prostheses remains controversial. In this study, the current status of implant occlusion was reviewed and discussed. Further randomized clinical research to investigate the correlation between implant occlusion, the implant success rate, and its risk factors is warranted to determine best clinical practices.

Citing Articles

Influence of different polymeric materials of implant and attachment on stress distribution in implant-supported overdentures: a three-dimensional finite element study.

Elsayed S, Ahmed Y, El-Anwar M, Elddamony E, Ashraf R BMC Oral Health. 2025; 25(1):166.

PMID: 39885486 PMC: 11783779. DOI: 10.1186/s12903-025-05440-5.

Biomechanical behavior of all-on-4 concept and alternative designs under different occlusal load configurations for completely edentulous mandible: a 3-D finite element analysis.

Senturk A, Akaltan F Odontology. 2024; 112(4):1231-1247.

PMID: 38689144 PMC: 11415410. DOI: 10.1007/s10266-024-00941-1.

[Trueness of different digital design methods for incisal guidance of maxillary anterior implant-supported single crowns].

Li S, Ma W, Wang S, Ding Q, Sun Y, Zhang L Beijing Da Xue Xue Bao Yi Xue Ban. 2024; 56(1):81-87.

PMID: 38318900 PMC: 10845184.

Evaluation of marginal bone level, technical and biological complications between screw-retained and cement-retained all-ceramic implant-supported crowns on zirconia abutment: A systematic review and meta-analysis.

Potdukhe S, Iyer J, Nadgere J J Indian Prosthodont Soc. 2024; 24(1):25-35.

PMID: 38263555 PMC: 10896314. DOI: 10.4103/jips.jips_524_23.

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

Ding Q, Luo Q, Tian Y, Zhang L, Xie Q, Zhou Y Clin Oral Investig. 2022; 26(5):4217-4227.

PMID: 35129663 DOI: 10.1007/s00784-022-04394-0.

References

Heitz-Mayfield L, Schmid B, Weigel C, Gerber S, Bosshardt D, Lang N . Does excessive occlusal load affect osseointegration? An experimental study in the dog. Clin Oral Implants Res. 2004; 15(3):259-68. DOI: 10.1111/j.1600-0501.2004.01019.x. View

Quirynen M, Naert I, van Steenberghe D, Nys L . A study of 589 consecutive implants supporting complete fixed prostheses. Part I: Periodontal aspects. J Prosthet Dent. 1992; 68(4):655-63. DOI: 10.1016/0022-3913(92)90383-l. View

Schwarz M . Mechanical complications of dental implants. Clin Oral Implants Res. 2001; 11 Suppl 1:156-8. DOI: 10.1034/j.1600-0501.2000.011s1156.x. View

Lang N, Zitzmann N . Clinical research in implant dentistry: evaluation of implant-supported restorations, aesthetic and patient-reported outcomes. J Clin Periodontol. 2012; 39 Suppl 12:133-8. DOI: 10.1111/j.1600-051X.2011.01842.x. View

Adell R, Lekholm U, Rockler B, Branemark P . A 15-year study of osseointegrated implants in the treatment of the edentulous jaw. Int J Oral Surg. 1981; 10(6):387-416. DOI: 10.1016/s0300-9785(81)80077-4. View

Luongo G, Oteri G . A noninterventional study documenting use and success of implants with a new chemically modified titanium surface in daily dental practice. J Oral Implantol. 2010; 36(4):305-14. DOI: 10.1563/AAID-JOI-D-09-00069. View

Duyck J, Ronold H, Van Oosterwyck H, Naert I, Vander Sloten J, Ellingsen J . The influence of static and dynamic loading on marginal bone reactions around osseointegrated implants: an animal experimental study. Clin Oral Implants Res. 2001; 12(3):207-18. DOI: 10.1034/j.1600-0501.2001.012003207.x. View

Albrektsson T, Donos N . Implant survival and complications. The Third EAO consensus conference 2012. Clin Oral Implants Res. 2012; 23 Suppl 6:63-5. DOI: 10.1111/j.1600-0501.2012.02557.x. View

Schneider D, Witt L, Hammerle C . Influence of the crown-to-implant length ratio on the clinical performance of implants supporting single crown restorations: a cross-sectional retrospective 5-year investigation. Clin Oral Implants Res. 2011; 23(2):169-174. DOI: 10.1111/j.1600-0501.2011.02230.x. View

10.

Pjetursson B, Bragger U, Lang N, Zwahlen M . Comparison of survival and complication rates of tooth-supported fixed dental prostheses (FDPs) and implant-supported FDPs and single crowns (SCs). Clin Oral Implants Res. 2007; 18 Suppl 3:97-113. DOI: 10.1111/j.1600-0501.2007.01439.x. View

11.

Malo P, Nobre M, Lopes A . The rehabilitation of completely edentulous maxillae with different degrees of resorption with four or more immediately loaded implants: a 5-year retrospective study and a new classification. Eur J Oral Implantol. 2011; 4(3):227-43. View

12.

Eckert S, Meraw S, Weaver A, Lohse C . Early experience with Wide-Platform Mk II implants. Part I: Implant survival. Part II: Evaluation of risk factors involving implant survival. Int J Oral Maxillofac Implants. 2001; 16(2):208-16. View

13.

Falcon-Antenucci R, Pellizzer E, Carvalho P, Coelho Goiato M, Noritomi P . Influence of cusp inclination on stress distribution in implant-supported prostheses. A three-dimensional finite element analysis. J Prosthodont. 2010; 19(5):381-6. DOI: 10.1111/j.1532-849X.2010.00582.x. View

14.

Romeo E, Lops D, Margutti E, Ghisolfi M, Chiapasco M, Vogel G . Implant-supported fixed cantilever prostheses in partially edentulous arches. A seven-year prospective study. Clin Oral Implants Res. 2003; 14(3):303-11. DOI: 10.1034/j.1600-0501.2003.120905.x. View

15.

Cochran D, Jackson J, Bernard J, ten Bruggenkate C, Buser D, Taylor T . A 5-year prospective multicenter study of early loaded titanium implants with a sandblasted and acid-etched surface. Int J Oral Maxillofac Implants. 2011; 26(6):1324-32. View

16.

Dario L . How occlusal forces change in implant patients: a clinical research report. J Am Dent Assoc. 1995; 126(8):1130-3. DOI: 10.14219/jada.archive.1995.0331. View

17.

Erneklint C, Odman P, Ortengren U, Rasmusson L . Tolerance test of five different types of crowns on single-tooth implants. Int J Prosthodont. 1998; 11(3):233-9. View

18.

Papaspyridakos P, Lal K . Computer-assisted design/computer-assisted manufacturing zirconia implant fixed complete prostheses: clinical results and technical complications up to 4 years of function. Clin Oral Implants Res. 2012; 24(6):659-65. DOI: 10.1111/j.1600-0501.2012.02447.x. View

19.

Aglietta M, Siciliano V, Zwahlen M, Bragger U, Pjetursson B, Lang N . A systematic review of the survival and complication rates of implant supported fixed dental prostheses with cantilever extensions after an observation period of at least 5 years. Clin Oral Implants Res. 2009; 20(5):441-51. DOI: 10.1111/j.1600-0501.2009.01706.x. View

20.

De Boever A, Keersmaekers K, Vanmaele G, Kerschbaum T, Theuniers G, De Boever J . Prosthetic complications in fixed endosseous implant-borne reconstructions after an observations period of at least 40 months. J Oral Rehabil. 2006; 33(11):833-9. DOI: 10.1111/j.1365-2842.2006.01638.x. View