Journal of Prevention and Treatment for Stomatological Diseases ›› 2021, Vol. 29 ›› Issue (11): 782-786.doi: 10.12016/j.issn.2096-1456.2021.11.010

• Review Articles • Previous Articles     Next Articles

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

JIN Zhuohua1,2(),XIE Lili3,LI Yuyang1,2,JIANG Jiayang1,2,OU Yanzhen1,2,MENG Weiyan1()   

  1. 1. Department of Oral Implantology, School and Hospital of Stomatology, Jilin University, Changchun 130021, China
    2. Jilin Provincial Key Laboratory of Tooth Development and Bone Remodeling, Jilin University, Changchun 130021, China
    3. Department of Geriatric Stomatology, School and Hospital of Stomatology, Jilin University, Changchun 130021, China
  • Received:2020-12-02 Revised:2021-01-26 Online:2021-11-20 Published:2021-07-20
  • Contact: Weiyan MENG E-mail:jinzh19@mails.jlu.edu.cn;mengwy@jlu.edu.cn
  • Supported by:
    Natural Science Fund Project of Jilin Provincial Science and Technology Department(20180101121JC);Science and Technology Project of Jilin Provincial Department of Finance(JCSZ2019378-3);Science and Technology Project of Jilin Provincial Department of Finance(JCSZ2020304-15)

Abstract:

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.

Key words: dentition defect, dentition loss, implant denture, peri-implantitis, occlusion, occlusal forces, occlusal overload, masticatory loading, osseointegration

CLC Number: 

  • R78
[1] Muñoz V, Duque A, Giraldo A, et al. Prevalence of peri-implant disease according to periodontal probing depth and bleeding on probing: a systemati review andmeta-analysis[J]. Int J Oral Maxillofac Implants, 2018, 33(4):e89-e105. doi: 10.11607/jomi.5940.
doi: 10.11607/jomi.5940
[2] Passi D, Singh M, Dutta SR, et al. Newer proposed classification of periimplant defects: a critical update[J]. J Oral Biol Craniofac Res, 2017, 7(1):58-61. doi: 10.1016/j.jobcr.2017.01.002.
doi: 10.1016/j.jobcr.2017.01.002
[3] Dalago HR, Schuldt Filho G, Rodrigues MA, et al. Risk indicators for peri-implantitis. a cross-sectional study with 916 implants[J]. Clin Oral Implants Res, 2017, 28(2):144-150. doi: 10.1111/clr.12772.
[4] Xu Q, Yuan X, Zhang X, et al. Mechanoadaptive responses in the periodontium are coordinated by wnt[J]. J Dent Res, 2019, 98(6):689-697. doi: 10.1177/0022034519839438.
doi: 10.1177/0022034519839438 pmid: 30971171
[5] Flanagan D. Bite force and dental implant treatment: a short review[J]. Med Devices (Auckl), 2017, 10:141-148. doi: 10.2147/mder.S130314.
[6] Karimi Dastgerdi A, Rouhi G, Dehghan MM, et al. Linear momenta transferred to the dental implant - bone and natural tooth -PDL- bone constructs under impact loading: a comparativein-vitro and in-silico study[J]. Front Bioeng Biotechnol, 2020, 8:544. doi: 10.3389/fbioe.2020.00544.
doi: 10.3389/fbioe.2020.00544
[7] Dixon DR, London RM. Restorative design and associated risks for peri-implant diseases[J]. Periodontol 2000, 2019, 81(1):167-178. doi: 10.1111/prd.12290.
doi: 10.1111/prd.v81.1
[8] Kang X, Li Y, Wang Y, et al. Relationships of stresses on alveolar bone and abutment of dental implant from various bite forces by three-dimensional finite element analysis[J]. Biomed Res Int, 2020, 2020:7539628. doi: 10.1155/2020/7539628.
[9] Pellicer-Chover H, Viña-Almunia J, Romero-Millán J, et al. Influence of occlusal loading on peri-implant clinical parameters. a pilot study[J]. Med Oral Patol Oral Cir Bucal, 2014, 19(3):e302-307. doi: 10.4317/medoral.19477.
[10] 宫苹. 牙缺失种植修复并发症与咬合[J]. 中华口腔医学杂志, 2018, 53(12):800-804. doi: 10.3760/cma.j.issn.1002-0098.2018.12.002.
Gong P. Role of occlusion in complications of implant rehabilitation[J]. Zhonghua Kou Qiang Yi Xue Za Zhi, 2018, 53(12):800-804. doi: 10.3760/cma.j.issn.1002-0098.2018.12.002.
[11] Delgado-Ruiz RA, Calvo-Guirado JL, Romanos GE. Effects of occlusal forces on the peri-implant-bone interface stability[J]. Periodontol 2000, 2019, 81(1):179-193. doi: 10.1111/prd.12291.
doi: 10.1111/prd.12291 pmid: 31407438
[12] Chrcanovic BR, Kisch J, Albrektsson T, et al. Factors influencing the fracture of dental implants[J]. Clin Implant Dent Relat Res, 2018, 20(1):58-67. doi: 10.1111/cid.12572.
doi: 10.1111/cid.2018.20.issue-1
[13] Miyata T, Kobayashi Y, Araki H, et al. The influence of controlled occlusal overload on peri-implant tissue. part 4: a histologic study in monkeys[J]. Int J Oral Maxillofac Implants, 2002, 17(3):384-390.
[14] Pellegrini G, Canullo L, Dellavia C. Histological features of peri-implant bone subjected to overload[J]. Ann Anat, 2016, 206:57-63. doi: 10.1016/j.aanat.2015.02.011.
doi: 10.1016/j.aanat.2015.02.011
[15] Tian Y, Li Z, Chen J, et al. Mechano-adaptive responses of alveolar bone to implant hyper-loading in a pre-clinicalin vivo model[J]. Clin Oral Implants Res, 2020, 31(12):1159-1172. doi: 10.1111/clr.13662.
doi: 10.1111/clr.v31.12
[16] Matsuzaki T, Ayukawa Y, Matsushita Y, et al. Effect of post-osseointegration loading magnitude on the dynamics of peri-implant bone: a finite element analysis and in vivo study[J]. J Prosthodont Res, 2019, 63(4):453-459. doi: 10.1016/j.jpor.2018.10.009.
doi: S1883-1958(19)30073-8 pmid: 31350187
[17] Bertolini M, Del Bel Cury A, Pizzoloto L, et al. Does traumatic occlusal forces lead to peri-implant bone loss: a systematic review[J]. Braz Oral Res, 2019, 33(suppl 1):e069. doi: 10.1590/1807-3107bor-2019.vol33.0069.
doi: 10.1590/1807-3107bor-2019.vol33.0069
[18] Insua A, Monje A, Wang HL, et al. Basis of bone metabolism around dental implants during osseointegration and peri-implant bone loss[J]. J Biomed Mater Res A, 2017, 105(7):2075-2089. doi: 10.1002/jbm.a.36060.
doi: 10.1002/jbm.a.v105.7
[19] Viña-Almunia J, Pellicer-Chover H, García-Mira B, et al. Influence of occlusal loading on peri-implant inflammatory cytokines in crevicular fluid: a prospective longitudinal study[J]. Int J Implant Dent, 2020, 6(1):71. doi: 10.1186/s40729-020-00262-2.
doi: 10.1186/s40729-020-00262-2
[20] Robati Anaraki M, Torab A, Mounesi Rad T. Comparison of stress in implant-supported monolithic zirconia fixed partial dentures between canine guidance and group function occlusal patterns: a finite element analysis[J]. J Dent Res Dent Clin Dent Prospects, 2019, 13(2):90-97. doi: 10.15171/joddd.2019.014.
doi: 10.15171/joddd.2019.014
[21] Brune A, Stiesch M, Eisenburger M, et al. The effect of different occlusal contact situations on peri-implant bone stress-contact finite element analysis of indirect axial loading[J]. Mater Sci Eng C Mater Biol Appl, 2019, 99:367-373. doi: 10.1016/j.msec.2019.01.104.
doi: 10.1016/j.msec.2019.01.104
[22] Dias de Lima G, Ozkomur A, Villarinho E, et al. Early effect of implant-supported rehabilitation and nocturnal bruxism on maximum occlusal force: across-sectional study[J]. Eur J Prosthodont Restor Dent, 2019, 27(2):84-89. doi: 10.1922/EJPRD_01910Villarinho06.
doi: 10.1922/EJPRD_01910Villarinho06 pmid: 31145559
[23] Hasegawa T. Ultrastructure and biological function of matrix vesicles in bone mineralization[J]. Histochem Cell Biol, 2018, 149(4):289-304. doi: 10.1007/s00418-018-1646-0.
doi: 10.1007/s00418-018-1646-0 pmid: 29411103
[24] Corrigan MA, Johnson GP, Stavenschi E, et al. TRPV4-mediates oscillatory fluid shear mechanotransduction in mesenchymal stem cells in part via the primary cilium[J]. Sci Rep, 2018, 8(1):3824. doi: 10.1038/s41598-018-22174-3.
doi: 10.1038/s41598-018-22174-3 pmid: 29491434
[25] Uda Y, Azab E, Sun N, et al. Osteocyte mechanobiology[J]. Curr Osteoporos Rep, 2017, 15(4):318-325. doi: 10.1007/s11914-017-0373-0.
doi: 10.1007/s11914-017-0373-0
[26] Huang X, Xie M, Xie Y, et al. The roles of osteocytes in alveolar bone destruction in periodontitis[J]. J Transl Med, 2020, 18(1):479. doi: 10.1186/s12967-020-02664-7.
doi: 10.1186/s12967-020-02664-7
[27] Lyons JS, Joca HC, Law RA, et al. Microtubules tune mechanotransduction through NOX2 and TRPV4 to decrease sclerostin abundance in osteocytes[J]. Sci Signal, 2017, 10(506):eaan5748. doi: 10.1126/scisignal.aan5748.
doi: 10.1126/scisignal.aan5748
[28] Pei F, Liu J, Zhang L, et al. The functions of mechanosensitive ion channels in tooth and bone tissues[J]. Cell Signal, 2020, 78:109877. doi: 10.1016/j.cellsig.2020.109877.
doi: 10.1016/j.cellsig.2020.109877
[29] Sadowsky SJ. Occlusal overload with dental implants: a review[J]. Int J Implant Dent, 2019, 5(1):29. doi: 10.1186/s40729-019-0180-8.
doi: 10.1186/s40729-019-0180-8 pmid: 31332553
[30] Chrcanovic BR, Kisch J, Albrektsson T, et al. Bruxism and dental implant treatment complications: a retrospective comparative study of 98 bruxer patients and a matched group[J]. Clin Oral Implants Res, 2017, 28(7):e1-e9. doi: 10.1111/clr.12844.
doi: 10.1111/clr.2017.28.issue-7
[31] Passanezi E, Sant′Ana AC, Damante CA. Occlusal trauma and mucositis or peri-implantitis?[J]. J Am Dent Assoc, 2017, 148(2):106-112. doi: 10.1016/j.adaj.2016.09.009.
doi: S0002-8177(16)30748-6 pmid: 27793325
[32] Merin RL. Repair of peri-implant bone loss after occlusal adjustment: a case report[J]. J Am Dent Assoc, 2014, 145(10):1058-1062. doi: 10.14219/jada.2014.65.
doi: 10.14219/jada.2014.65
[33] Khuder T, Yunus N, Sulaiman E, et al. Association between occlusal force distribution in implant overdenture prostheses and residual ridge resorption[J]. J Oral Rehabil, 2017, 44(5):398-404. doi: 10.1111/joor.12504.
doi: 10.1111/joor.12504 pmid: 28295492
[34] Stevens CJ. Technology to control excessive occlusal contact force: enhancing implant restoration longevity[J]. Dent Today, 2016, 35(1):112-117.
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