Author: Ranjith Kumar P, Rohit Raghavan, Jishnu S
Dept. of Prosthodontics and Crown & Bridge, Royal Dental College, Palakkad, Kerala, India.
It is believed that dental implants may be more prone to occlusal overloading, which is often regarded as one of the potential causes for peri-implant bone loss and failure of the implant/implant prosthesis. Implant-protective occlusion can be accomplished by increasing the surface area of implants, decreasing the width of the occlusal table, improving the force direction, and reducing the magnification of the force. By doing these things, we can minimize overload on boneimplant interfaces and implant prostheses, to maintain an implant load within the physiological limits of individualized occlusion, and ultimately provide long-term stability of implants and implant prostheses.
Endosseous dental implants have successfully been used during the last few decades as a treatment modality for the replacement of missing teeth in partially or completely edentulous patients. The clinical success and longevity of endosseous implants are largely controlled by the mechanical setting they function in. [1] Implant treatment has a high success rate that has been rated as high as 95 to 99%, despite high success rate with endosseous titanium implants, failures unavoidably occur. Optimal oral hygiene and proper occlusion are considered critical for long-term success of endosseous oral [2] implants. Most of the complications like porcelain fracture, unretained prosthesis, screw loosening, bone loss etc occur due to faulty occlusion.
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