title: Existing concepts and a search for evidence: a review on implant occlusion.
abstract: The prevalence of dental implant treatment raises the question: What factors may challenge osseointegration? The dental literature presents two main approaches, which are well-documented: loss of bone around the implant due to infection and a presumed association between implant load and bone loss. This article discusses the effect of load or overload on the bone loss around dental implants. The dental literature is reviewed to assess the scientific evidence related to the effect of occlusal load on osseointegration. Recommendations found in the literature for occlusal schemes for implant-supported prostheses are examined and discussed, and statements regarding implant occlusion are assessed for their validity today, after more than four decades of implants service in prosthetic dentistry.
authors.affiliation: Graduate student, The Center for Graduate Studies in Prosthodontics, Department of Prosthodontics, Hebrew University-Hadassah Faculty of Dental Medicine, Jerusalem, Israel.
authors.forename: Gilad
authors.initials: G
authors.lastname: Ben-Gal
authors.affiliation: Clinical instructor, The Center for Graduate Studies in Prosthodontics, Department of Prosthodontics, Hebrew University-Hadassah Faculty of Dental Medicine, Jerusalem, Israel.
authors.forename: Mordechai
authors.initials: M
authors.lastname: Lipovetsky-Adler
authors.affiliation: Clinical instructor, The Center for Graduate Studies in Prosthodontics, Department of Prosthodontics, Hebrew University-Hadassah Faculty of Dental Medicine, Jerusalem, Israel.
authors.forename: Orith
authors.initials: O
authors.lastname: Haramaty
authors.affiliation: Clinical instructor, The Center for Graduate Studies in Prosthodontics, Department of Prosthodontics, Hebrew University-Hadassah Faculty of Dental Medicine, Jerusalem, Israel.
authors.forename: Eldad
authors.initials: E
authors.lastname: Sharon
authors.affiliation: Professor and Head, The Center for Graduate Studies in Prosthodontics, Department of Prosthodontics, Hebrew University-Hadassah Faculty of Dental Medicine, Jerusalem, Israel.
authors.forename: Ami
authors.initials: A
authors.lastname: Smidt
mesh_terms: D001696:Biomechanical Phenomena; D001732:Bite Force; D015921:Dental Implants; D003766:Dental Occlusion; D019094:Dental Prosthesis, Implant-Supported; D055094:Evidence-Based Dentistry; D006801:Humans; D016348:Osseointegration / Q000502:physiology*; D057873:Peri-Implantitis / Q000209:etiology
chemical_list: D015921:Dental Implants