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Duration: 48 minutes, 13 seconds

Author: Dr. Stefan Paul

Restorative Excellence Occlusion on Implant Retained Restorations

In the field of implant dentistry, one crucial aspect that is often overlooked is the occlusion on implant retained restorations. While there is a wealth of literature available on various aspects of implant treatment, the information and guidelines regarding occlusion in this specific context are scarce. As a result, it is essential for dental professionals to have a thorough understanding of this subject and to prioritize occlusal considerations when restoring implant-retained prostheses.

The Importance of Occlusion on Implant Retained Restorations

Occlusion refers to the way the upper and lower teeth come together when the mouth is closed, encompassing the relationship between the teeth, muscles, and temporomandibular joints. In natural dentition, occlusion plays a vital role in maintaining proper function and aesthetics. The same importance should be attributed to implant-supported restorations, as the occlusion can significantly impact the longevity and success of the prostheses.

Occlusal Concepts for Different Edentulous Situations

When it comes to implant-retained restorations, different occlusal concepts are recommended based on the edentulous situation. Edentulous patients differ in terms of the number of remaining teeth, the condition of the remaining teeth, jaw relationship, and bone structure. All these factors influence the selection of an appropriate occlusal scheme for implant-supported restorations.

For completely edentulous patients, where all natural teeth are missing, a neutral occlusal scheme is often recommended. This means that the occlusal contacts are evenly distributed throughout the arch, ensuring equal force distribution during chewing and preventing excessive stress on individual implants.

In partially edentulous patients, where some natural teeth are still present, occlusal considerations become more complex. In these cases, it is essential to maintain the occlusal harmony between natural teeth and implant-supported restorations, which may require a combination of different occlusal schemes.

Occlusal Differences Between Natural Teeth and Implants

Understanding the occlusal requirements of both natural teeth and implants is crucial for achieving successful implant-supported restorations. Natural teeth have a periodontal ligament, which provides shock absorption and allows slight mobility during occlusal forces. On the other hand, implants are rigidly anchored in the bone, lacking the periodontal ligament. This fundamental difference necessitates specific considerations during occlusal planning.

Vertical Dimension and Implant Occlusion

One key aspect to consider when planning occlusion on implant-retained restorations is the vertical dimension. Implants require sufficient free space in the vertical dimension due to their integration and osseointegration within the bone. The occlusal vertical dimension for implant-supported restorations should be carefully determined to avoid load-bearing complications and ensure long-term stability.

When restoring implant-supported prostheses, it is essential to measure and record the vertical dimension accurately. Various techniques, such as intraoral measurements and facial measurements, can be used to establish the appropriate vertical dimension. This consideration ensures that the occlusion is well-balanced and reduces the risk of premature implant failure.


Occlusion on implant-retained restorations is a critical factor that deserves attention during the restorative process. It is essential for dental professionals to be aware of the limited literature available on this topic and to prioritize occlusion to achieve optimal treatment outcomes. By understanding the different occlusal concepts for various edentulous situations, considering the differences between natural teeth and implants, and establishing the appropriate vertical dimension, clinicians can ensure restorative excellence and long-term success of implant-supported prostheses.

Frequently Asked Questions

1. Why is occlusion important in implant treatment?

Occlusion plays a vital role in implant treatment as it impacts the longevity and success of implant-supported restorations. Proper occlusion ensures the even distribution of forces during chewing, preventing excessive stress on individual implants and reducing the risk of complications.

2. How does occlusion differ between natural teeth and implants?

Natural teeth have a periodontal ligament, which provides shock absorption and slight mobility during occlusal forces. In contrast, implants are firmly anchored in the bone and lack this ligament. Therefore, specific considerations must be made to accommodate the differences in occlusal requirements between natural teeth and implants.

3. What occlusal concepts should be considered for different edentulous situations?

The recommended occlusal concepts for different edentulous situations vary. Completely edentulous patients often benefit from a neutral occlusal scheme, whereas partially edentulous patients may require a combination of occlusal schemes to ensure harmony between natural teeth and implant-supported restorations.

4. How can the vertical dimension be determined for implant occlusion?

The vertical dimension for implant occlusion can be determined through various techniques, including intraoral measurements and facial measurements. Accurate measurements are crucial to establish the appropriate vertical dimension and ensure a well-balanced occlusion.

5. Why is restorative excellence important in implant dentistry?

Restorative excellence is vital in implant dentistry to achieve optimal treatment outcomes and long-term success. By prioritizing occlusion and considering all relevant factors, clinicians can ensure the functional and aesthetic integration of implant-supported restorations, leading to improved patient satisfaction and oral health.

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