title: Association between dental implants in the posterior region and traumatic occlusion in the adjacent premolars: a long-term follow-up clinical and radiographic analysis.
abstract: OBJECTIVE
  The aim of this retrospective study was to determine the association between dental implants in the posterior region and traumatic occlusion in the adjacent premolars, using data collected during from 2002 to 2015.
  
  
  METHODS
  Traumatic occlusion in the adjacent premolars was assessed by examining clinical parameters (bleeding on probing, probing pocket depth, fremitus, and tooth mobility) and radiographic parameters (loss of supporting bone and widening of the periodontal ligament space) over a mean follow-up of 5 years. Clinical factors (gender, age, implant type, maxillary or mandibular position, opposing teeth, and duration of functional loading) were evaluated statistically in order to characterize the relationship between implants in the posterior region and traumatic occlusion in the adjacent premolars.
  
  
  RESULTS
  The study inclusion criteria were met by 283 patients, who had received 347 implants in the posterior region. The incidence of traumatic occlusion in the adjacent premolars was significantly higher for splinted implants (P=0.004), implants in the maxillary region (P<0.001), and when implants were present in the opposing teeth (P<0.001). The other clinical factors of gender, age, and duration of functional loading were not significantly associated with traumatic occlusion.
  
  
  CONCLUSIONS
  This study found that the risk of traumatic occlusion in the adjacent premolars increased when splinted implants were placed in the maxillary molar region and when the teeth opposing an implant also contained implants.
authors.affiliation: Department of Periodontology, Wonkwang University Daejeon Dental Hospital, Wonkwang University College of Dentistry, Daejeon, Korea .
authors.forename: Jae-Hong
authors.identifier: 0000-0002-2375-0141
authors.initials: JH
authors.lastname: Lee
authors.affiliation: Department of Periodontology, National Health Insurance Service Ilsan Hospital, Goyang, Korea .
authors.forename: Helen Hye-In
authors.identifier: 0000-0003-0125-7134
authors.initials: HH
authors.lastname: Kweon
authors.affiliation: Department of Periodontology, Research Institute for Periodontal Regeneration, Yonsei University College of Dentistry, Seoul, Korea .
authors.forename: Seong-Ho
authors.identifier: 0000-0001-6704-6124
authors.initials: SH
authors.lastname: Choi
authors.affiliation: Department of Periodontology, National Health Insurance Service Ilsan Hospital, Goyang, Korea .
authors.forename: Young-Taek
authors.identifier: 0000-0002-5132-5783
authors.initials: YT
authors.lastname: Kim
keywords: Bicuspid; Dental implants; Single-tooth dental implants; Tooth mobility