Related Experiment Video
Updated: Apr 23, 2026
3D Planning and Printing of Patient Specific Implants for Reconstruction of Bony Defects
Published on: August 4, 2020
Repair of peri-implant bone loss after occlusal adjustment: a case report
1Dr. Merin maintains a private practice in periodontics at 6342 Fallbrook Ave., #101, Woodland Hills, Calif. 91367, e-mail rlmdds@aol.com. Address correspondence to Dr. Merin.
Background:
Peri-implantitis generally is attributed to a bacterial challenge, with occlusion being a modifying factor. The author presents a case of peri-implant marginal bone loss that was treated successfully with only occlusal adjustment.
Case Description:
A 63-year-old female patient with a history of bruxism reported for a yearly periodontal examination 38 months after restoration of an implant in the tooth no. 30 position. A radiograph indicated that this implant had significant peri-implant bone loss. The evaluation showed very heavy occlusion on the implant restoration, and the author performed an occlusal adjustment. A radiograph obtained five months later showed significant repair of the lost alveolar bone.
Conclusions And Practical Implications:
Patients with dental implants require periodic examination and maintenance therapy to prevent peri-implantitis. The examination should include a periodontal, prosthetic, radiographic and occlusal evaluation.
