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Oral Biofilm Formation on Different Materials for Dental Implants
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Occlusion on oral implants: current clinical guidelines.

K Koyano1, D Esaki

  • 1Section of Implant and Rehabilitative Dentistry, Division of Oral Rehabilitation, Faculty of Dental Science, Kyushu University, Fukuoka, Japan.

Journal of Oral Rehabilitation
|October 7, 2014
PubMed
Summary
This summary is machine-generated.

Establishing firm clinical guidelines for dental implant occlusion is challenging due to insufficient evidence. Further research is needed to understand implant occlusion

Keywords:
clinical guidelineclinical trialdental implantsdental occlusiondental prosthesisevidence-based dentistry

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Area of Science:

  • Dentistry
  • Biomaterials Science
  • Biomechanics

Background:

  • Dental implants lack the periodontal ligament, making them susceptible to occlusal overloading compared to natural teeth.
  • Existing guidelines for implant occlusion lack strong supporting evidence.
  • Occlusal overloading can lead to adverse consequences and implant failure.

Purpose of the Study:

  • To review the literature on the influence of dental implant occlusion on treatment complications.
  • To discuss clinical factors contributing to implant overloading.
  • To identify gaps in current knowledge regarding ideal implant occlusion.

Main Methods:

  • A narrative literature review was conducted.
  • Searched terms included 'dental implant', 'dental implantation', 'dental occlusion', and 'dental prosthesis'.
  • Included randomized controlled trials, prospective cohort studies, and case-control studies published up to September 2013 with specific case and follow-up criteria.

Main Results:

  • Over 700 abstracts were reviewed, with over 30 manuscripts included.
  • Factors related to implant prosthesis (e.g., cantilever, crown/implant ratio, premature contact) and implant characteristics (number, diameter, length, angulation) were explored.
  • Insufficient evidence was found to establish definitive clinical guidelines for implant occlusion.

Conclusions:

  • Current evidence is insufficient to establish firm clinical guidelines for dental implant occlusion.
  • Further well-designed randomized controlled trials are required to determine ideal occlusion for implants.
  • Understanding occlusal factors is crucial for preventing implant complications.