The influence of plaque and/or excessive loading on marginal soft and hard tissue reactions around Brånemark implants: a review of literature and experience.
High implant survival rates are published with more than 15 years of observation time. Failures over time are often caused by ongoing marginal bone loss. Therefore, the need for reliable monitoring of the stability of periimplant attachment and/or bone level is extremely important. Marginal bone loss around osseointegrated implants has often been associated with periimplantitis, but clinical observations cannot prove this relationship. Otherwise, the impact of excessive loading on periimplant bone has been shown in animal studies and has been positively related to implant failure in terms of implant mobility and marginal bone loss. Some clinical observations support this hypothesis.
De Smet
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E
Department of Prosthetic Dentistry, Catholic University of Leuven, Faculty of Medicine, Belgium.
van Steenberghe
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D
Quirynen
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M
Naert
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I
D016301:Alveolar Bone Loss / Q000150:complications* / Q000209:etiology; D003758:Dental Implantation, Endosseous / Q000009:adverse effects; D015921:Dental Implants / Q000009:adverse effects*; D017268:Dental Prosthesis Retention; D019094:Dental Prosthesis, Implant-Supported / Q000009:adverse effects*; D019232:Dental Restoration Failure; D005891:Gingivitis / Q000150:complications; D006801:Humans; D016019:Survival Analysis; D016474:Weight-Bearing
D015921:Dental Implants