Research progress on the relationship between occlusal overload and peri-implantitis

口腔疾病防治

卷:29

MENG Weiyan¹  JIN Zhuohua²  OU Yanzhen³  LI Yuyang³  JIANG Jiayang³  XIE Lili⁴ 

[1] Department of Oral Implantology, School and Hospital of Stomatology, Jilin University;

[2] 1. Department of Oral Implantology, School and Hospital of Stomatology, Jilin University 2.Jilin Provincial Key Laboratory of Tooth Development and Bone Remodeling, Jilin University;

[3] 1. Department of Oral Implantology, School and Hospital of Stomatology, Jilin University2.Jilin Provincial Key Laboratory of Tooth Development and Bone Remodeling, Jilin University;

[4] Department of Geriatric Stomatology, School and Hospital of Stomatology, Jilin University;

关键词: dentition defect;    dentition loss;    implant denture;    peri-implantitis;    occlusion;    occlusal forces;    occlusal overload;    masticatory loading;    osseointegration;   

DOI  :  10.12016/j.issn.2096⁃1456.2021.11.010

来源: DOAJ

【 摘 要 】

Implant dentures have become the main method for the treatment of dentition defects or complete edentulism. However, due to the lack of periodontal ligament and periodontal ligament proprioceptors, implant dentures have very limited cushioning and sensing capabilities and are prone to occlusal overload. As a risk factor for peri-implantitis, occlusal overload seriously threatens the stability and success rate of implant dentures. This paper reviews the occlusal overload of implant dentures, the causal relationship between occlusal overload and plaque biofilms in peri-implantitis, the mechanism by which occlusal overload promotes peri-implantitis, and the effect of reasonable clinical occlusal adjustment on healing. This review shows that occlusal overload is closely related to the occurrence of peri-implantitis. Occlusal overload can promote the process of peri-implantitis by increasing the release of inflammatory factors and mechanical transduction mechanisms. The intervention of the patients’ bad bite habits and occlusal adjustment can promote the healing of peri-implantitis. At present, there is no uniform standard ideal experimental model for occlusal overload. The phenomenon and mechanism of bone resorption around the implant caused by overload force still need further observation and research, which will help determine the intensity, direction and timing of occlusal loading to guide clinical occlusal adjustment.

【 授权许可】

Unknown