DOI QR코드

DOI QR Code

Occlusion for implant-supported fixed dental prostheses in partially edentulous patients: a literature review and current concepts

  • Yuan, Judy Chia-Chun (Department of Restorative Dentistry, University of Illinois at Chicago College of Dentistry) ;
  • Sukotjo, Cortino (Department of Restorative Dentistry, University of Illinois at Chicago College of Dentistry)
  • Received : 2013.03.11
  • Accepted : 2013.03.22
  • Published : 2013.04.30

Abstract

Implant treatment has become the treatment of choice to replace missing teeth in partially edentulous areas. Dental implants present different biological and biomechanical characteristics than natural teeth. Occlusion is considered to be one of the most important factors contributing to implant success. Most literature on implant occlusal concepts is based on expert opinion, anecdotal experiences, in vitro and animal studies, and only limited clinical research. Furthermore, scientific literature regarding implant occlusion, particularly in implant-supported fixed dental prostheses remains controversial. In this study, the current status of implant occlusion was reviewed and discussed. Further randomized clinical research to investigate the correlation between implant occlusion, the implant success rate, and its risk factors is warranted to determine best clinical practices.

Keywords

References

  1. Aglietta M, Siciliano VI, Zwahlen M, Bragger U, Pjetursson BE, Lang NP, et al. A systematic review of the survival and complication rates of implant supported fixed dental prostheses with cantilever extensions after an observation period of at least 5 years. Clin Oral Implants Res 2009;20: 441-51. https://doi.org/10.1111/j.1600-0501.2009.01706.x
  2. Albrektsson T, Donos N; Working Group 1. Implant survival and complications. The Third EAO consensus conference 2012. Clin Oral Implants Res 2012;23 Suppl 6:63-5. https://doi.org/10.1111/j.1600-0501.2012.02557.x
  3. Jung RE, Pjetursson BE, Glauser R, Zembic A, Zwahlen M, Lang NP. A systematic review of the 5-year survival and complication rates of implant-supported single crowns. Clin Oral Implants Res 2008;19:119-30. https://doi.org/10.1111/j.1600-0501.2007.01453.x
  4. Pjetursson BE, Bragger U, Lang NP, Zwahlen M. Comparison of survival and complication rates of tooth-supported fixed dental prostheses (FDPs) and implant-supported FDPs and single crowns (SCs). Clin Oral Implants Res 2007; 18 Suppl 3:97-113. https://doi.org/10.1111/j.1600-0501.2007.01439.x
  5. Goodacre CJ, Bernal G, Rungcharassaeng K, Kan JY. Clinical complications with implants and implant prostheses. J Prosthet Dent 2003;90:121-32. https://doi.org/10.1016/S0022-3913(03)00212-9
  6. Sadowsky SJ. The role of complete denture principles in implant prosthodontics. J Calif Dent Assoc 2003;31:905-9.
  7. Rangert BR, Sullivan RM, Jemt TM. Load factor control for implants in the posterior partially edentulous segment. Int J Oral Maxillofac Implants 1997;12:360-70.
  8. Schulte W. Implants and the periodontium. Int Dent J 1995;45:16-26.
  9. Falcon-Antenucci RM, Pellizzer EP, de Carvalho PS, Goiato MC, Noritomi PY. Influence of cusp inclination on stress distribution in implant-supported prostheses: a three-dimensional finite element analysis. J Prosthodont 2010;19:381-6. https://doi.org/10.1111/j.1532-849X.2010.00582.x
  10. Kaukinen JA, Edge MJ, Lang BR. The influence of occlusal design on simulated masticatory forces transferred to implant-retained prostheses and supporting bone. J Prosthet Dent 1996;76:50-5. https://doi.org/10.1016/S0022-3913(96)90346-7
  11. Weinberg LA. Reduction of implant loading with therapeutic biomechanics. Implant Dent 1998;7:277-85. https://doi.org/10.1097/00008505-199807040-00005
  12. Misch CE. Occlusal considerations for implant supported prostheses. 3rd ed. St. Louis: Mosby; 1993.
  13. Morneburg TR, Proschel PA. In vivo forces on implants influenced by occlusal scheme and food consistency. Int J Prosthodont 2003;16:481-6.
  14. Gunne J, Rangert B, Glantz PO, Svensson A. Functional loads on freestanding and connected implants in three-unit mandibular prostheses opposing complete dentures: an in vivo study. Int J Oral Maxillofac Implants 1997;12:335-41.
  15. Kim Y, Oh TJ, Misch CE, Wang HL. Occlusal considerations in implant therapy: clinical guidelines with biomechanical rationale. Clin Oral Implants Res 2005;16:26-35.
  16. Nedir R, Bischof M, Szmukler-Moncler S, Belser UC, Samson J. Prosthetic complications with dental implants: from an up-to-8-year experience in private practice. Int J Oral Maxillofac Implants 2006;21:919-28.
  17. Romeo E, Lops D, Margutti E, Ghisolfi M, Chiapasco M, Vogel G. Implant-supported fixed cantilever prostheses in partially edentulous arches. A seven-year prospective study. Clin Oral Implants Res 2003;14:303-11. https://doi.org/10.1034/j.1600-0501.2003.120905.x
  18. Romeo E, Tomasi C, Finini I, Casentini P, Lops D. Implant-supported fixed cantilever prosthesis in partially edentulous jaws: a cohort prospective study. Clin Oral Implants Res 2009;20:1278-85. https://doi.org/10.1111/j.1600-0501.2009.01766.x
  19. Yokoyama S, Wakabayashi N, Shiota M, Ohyama T. The influence of implant location and length on stress distribution for three-unit implant-supported posterior cantilever fixed partial dentures. J Prosthet Dent 2004;91:234-40. https://doi.org/10.1016/j.prosdent.2003.12.017
  20. Gross MD. Occlusion in implant dentistry. A review of the literature of prosthetic determinants and current concepts. Aust Dent J 2008;53 Suppl 1:S60-8. https://doi.org/10.1111/j.1834-7819.2008.00043.x
  21. Blanes RJ, Bernard JP, Blanes ZM, Belser UC. A 10-year prospective study of ITI dental implants placed in the posterior region. II: Influence of the crown-to-implant ratio and different prosthetic treatment modalities on crestal bone loss. Clin Oral Implants Res 2007;18:707-14. https://doi.org/10.1111/j.1600-0501.2006.01307.x
  22. Misch CE, Goodacre CJ, Finley JM, Misch CM, Marinbach M, Dabrowsky T, et al. Consensus conference panel report: crown-height space guidelines for implant dentistry-part 1. Implant Dent 2005;14:312-8. https://doi.org/10.1097/01.id.0000188375.76066.23
  23. Nissan J, Ghelfan O, Gross O, Priel I, Gross M, Chaushu G. The effect of crown/implant ratio and crown height space on stress distribution in unsplinted implant supporting restorations. J Oral Maxillofac Surg 2011;69:1934-9. https://doi.org/10.1016/j.joms.2011.01.036
  24. Schneider D, Witt L, Hammerle CH. Influence of the crown-to-implant length ratio on the clinical performance of implants supporting single crown restorations: a cross-sectional retrospective 5-year investigation. Clin Oral Implants Res 2012;23:169-74. https://doi.org/10.1111/j.1600-0501.2011.02230.x
  25. Schulte J, Flores AM, Weed M. Crown-to-implant ratios of single tooth implant-supported restorations. J Prosthet Dent 2007;98:1-5. https://doi.org/10.1016/S0022-3913(07)60031-6
  26. Assuncao WG, Gomes EA, Barao VA, Delben JA, Tabata LF, de Sousa EA. Effect of superstructure materials and misfit on stress distribution in a single implant-supported prosthesis: a finite element analysis. J Craniofac Surg 2010;21: 689-95. https://doi.org/10.1097/SCS.0b013e3181d7f2e5
  27. Cibirka RM, Razzoog ME, Lang BR, Stohler CS. Determining the force absorption quotient for restorative materials used in implant occlusal surfaces. J Prosthet Dent 1992;67: 361-4. https://doi.org/10.1016/0022-3913(92)90247-8
  28. Erneklint C, Odman P, Ortengren U, Rasmusson L. Tolerance test of five different types of crowns on single-tooth implants. Int J Prosthodont 1998;11:233-9.
  29. Sevimay M, Usumez A, Eskitascioglu G. The influence of various occlusal materials on stresses transferred to implant-supported prostheses and supporting bone: a three-dimensional finite-element study. J Biomed Mater Res B Appl Biomater 2005;73:140-7.
  30. Skalak R. Biomechanical considerations in osseointegrated prostheses. J Prosthet Dent 1983;49:843-8. https://doi.org/10.1016/0022-3913(83)90361-X
  31. Naert I, Quirynen M, van Steenberghe D, Darius P. A study of 589 consecutive implants supporting complete fixed prostheses. Part II: Prosthetic aspects. J Prosthet Dent 1992;68:949-56. https://doi.org/10.1016/0022-3913(92)90557-Q
  32. Quirynen M, Naert I, van Steenberghe D, Nys L. A study of 589 consecutive implants supporting complete fixed prostheses. Part I: Periodontal aspects. J Prosthet Dent 1992;68:655-63. https://doi.org/10.1016/0022-3913(92)90383-L
  33. Lindquist LW, Carlsson GE, Jemt T. A prospective 15-year follow-up study of mandibular fixed prostheses supported by osseointegrated implants: clinical results and marginal bone loss. Clin Oral Implants Res 1996;7:329-36. https://doi.org/10.1034/j.1600-0501.1996.070405.x
  34. Papaspyridakos P, Lal K. Computer-assisted design/computer-assisted manufacturing zirconia implant fixed complete prostheses: clinical results and technical complications up to 4 years of function. Clin Oral Implants Res 2013;24:659-65. https://doi.org/10.1111/j.1600-0501.2012.02447.x
  35. Johansson A, Omar R, Carlsson GE. Bruxism and prosthetic treatment: a critical review. J Prosthodont Res 2011;55: 127-36. https://doi.org/10.1016/j.jpor.2011.02.004
  36. Manfredini D, Bucci MB, Sabattini VB, Lobbezoo F. Bruxism: overview of current knowledge and suggestions for dental implants planning. Cranio 2011;29:304-12. https://doi.org/10.1179/crn.2011.045
  37. Manfredini D, Poggio CE, Lobbezoo F. Is bruxism a risk factor for dental implants? A systematic review of the literature. Clin Implant Dent Relat Res 2012 Nov 13 [Epub]. http://dx.doi.org/10.1111/cid.12015.
  38. Sarmento HR, Dantas RV, Pereira-Cenci T, Faot F. Elements of implant-supported rehabilitation planning in patients with bruxism. J Craniofac Surg 2012;23:1905-9. https://doi.org/10.1097/SCS.0b013e31826b8267
  39. Lobbezoo F, Brouwers JE, Cune MS, Naeije M. Dental implants in patients with bruxing habits. J Oral Rehabil 2006; 33:152-9. https://doi.org/10.1111/j.1365-2842.2006.01542.x
  40. Lobbezoo F, Van Der Zaag J, Naeije M. Bruxism: its multiple causes and its effects on dental implants: an updated review. J Oral Rehabil 2006;33:293-300. https://doi.org/10.1111/j.1365-2842.2006.01609.x
  41. Malo P, Nobre Md, Lopes A. The rehabilitation of completely edentulous maxillae with different degrees of resorption with four or more immediately loaded implants: a 5-year retrospective study and a new classification. Eur J Oral Implantol 2011;4:227-43.
  42. De Boever AL, Keersmaekers K, Vanmaele G, Kerschbaum T, Theuniers G, De Boever JA. Prosthetic complications in fixed endosseous implant-borne reconstructions after an observations period of at least 40 months. J Oral Rehabil 2006;33:833-9. https://doi.org/10.1111/j.1365-2842.2006.01638.x
  43. Siebers D, Gehrke P, Schliephake H. Delayed function of dental implants: a 1- to 7-year follow-up study of 222 implants. Int J Oral Maxillofac Implants 2010;25:1195-202.
  44. Zupnik J, Kim SW, Ravens D, Karimbux N, Guze K. Factors associated with dental implant survival: a 4-year retrospective analysis. J Periodontol 2011;82:1390-5. https://doi.org/10.1902/jop.2011.100685
  45. Luongo G, Oteri G. A noninterventional study documenting use and success of implants with a new chemically modified titanium surface in daily dental practice. J Oral Implantol 2010;36:305-14. https://doi.org/10.1563/AAID-JOI-D-09-00069
  46. Eckert SE, Meraw SJ, Weaver AL, Lohse CM. Early experience with Wide-Platform Mk II implants. Part I: Implant survival. Part II: Evaluation of risk factors involving implant survival. Int J Oral Maxillofac Implants 2001;16:208-16.
  47. Ji TJ, Kan JY, Rungcharassaeng K, Roe P, Lozada JL. Immediate loading of maxillary and mandibular implant-supported fixed complete dentures: a 1- to 10-year retrospective study. J Oral Implantol 2012;38 Spec No:469-76. https://doi.org/10.1563/AAID-JOI-D-11-00027
  48. Bragger U, Aeschlimann S, Burgin W, Hammerle CH, Lang NP. Biological and technical complications and failures with fixed partial dentures (FPD) on implants and teeth after four to five years of function. Clin Oral Implants Res 2001;12:26-34. https://doi.org/10.1034/j.1600-0501.2001.012001026.x
  49. Kinsel RP, Lin D. Retrospective analysis of porcelain failures of metal ceramic crowns and fixed partial dentures supported by 729 implants in 152 patients: patient-specific and implant-specific predictors of ceramic failure. J Prosthet Dent 2009;101:388-94. https://doi.org/10.1016/S0022-3913(09)60083-4
  50. Adell R, Eriksson B, Lekholm U, Branemark PI, Jemt T. Long-term follow-up study of osseointegrated implants in the treatment of totally edentulous jaws. Int J Oral Maxillofac Implants 1990;5:347-59.
  51. Rangert B, Jemt T, Jorneus L. Forces and moments on Branemark implants. Int J Oral Maxillofac Implants 1989; 4:241-7.
  52. Taylor TD, Wiens J, Carr A. Evidence-based considerations for removable prosthodontic and dental implant occlusion: a literature review. J Prosthet Dent 2005;94:555-60. https://doi.org/10.1016/j.prosdent.2005.10.012
  53. Lang NP, Zitzmann NU; Working Group 3 of the VIII European Workshop on Periodontology. Clinical research in implant dentistry: evaluation of implant-supported restorations, aesthetic and patient-reported outcomes. J Clin Periodontol 2012;39 Suppl 12:133-8. https://doi.org/10.1111/j.1600-051X.2011.01842.x
  54. Carlsson GE. Dental occlusion: modern concepts and their application in implant prosthodontics. Odontology 2009;97:8-17. https://doi.org/10.1007/s10266-008-0096-x
  55. Taylor TD, Belser U, Mericske-Stern R. Prosthodontic considerations. Clin Oral Implants Res 2000;11 Suppl 1:101-7. https://doi.org/10.1034/j.1600-0501.2000.011S1101.x
  56. Klineberg I, Kingston D, Murray G. The bases for using a particular occlusal design in tooth and implant-borne reconstructions and complete dentures. Clin Oral Implants Res 2007;18 Suppl 3:151-67. https://doi.org/10.1111/j.1600-0501.2007.01446.x
  57. Branemark PI, Hansson BO, Adell R, Breine U, Lindstrom J, Hallen O, et al. Osseointegrated implants in the treatment of the edentulous jaw. Experience from a 10-year period. Scand J Plast Reconstr Surg Suppl 1977;16:1-132.
  58. Sekine H, Komiyama Y, Potta H, Yoshida K. Mobility characteristics and tactile sensitivity of osseointegrated fixture-supporting systems. In: van Steenberghe D, Albrektsson T, Branemark PI, Henry PJ, Holt R, Liden G, editors. Tissue integration in oral and maxillofacial reconstruction. Amsterdam: Excerpta Medica; 1986. p.326-32.
  59. Parfitt GJ. Measurement of the physiological mobility of individual teeth in an axial direction. J Dent Res 1960;39: 608-18. https://doi.org/10.1177/00220345600390032201
  60. Hillam DG. Stresses in the periodontal ligament. J Periodontal Res 1973;8:51-6. https://doi.org/10.1111/j.1600-0765.1973.tb00742.x
  61. Wiskott HW, Cugnoni J, Scherrer SS, Ammann P, Botsis J, Belser UC. Bone reactions to controlled loading of endosseous implants: a pilot study. Clin Oral Implants Res 2008; 19:1093-102. https://doi.org/10.1111/j.1600-0501.2008.01548.x
  62. Duyck J, Ronold HJ, Van Oosterwyck H, Naert I, Vander Sloten J, Ellingsen JE. The influence of static and dynamic loading on marginal bone reactions around osseointegrated implants: an animal experimental study. Clin Oral Implants Res 2001;12:207-18. https://doi.org/10.1034/j.1600-0501.2001.012003207.x
  63. Zarb GA, Schmitt A. The longitudinal clinical effectiveness of osseointegrated dental implants: the Toronto Study. Part II: The prosthetic results. J Prosthet Dent 1990;64:53-61. https://doi.org/10.1016/0022-3913(90)90153-4
  64. Wood MR, Vermilyea SG; Committee on Research in Fixed Prosthodontics of the Academy of Fixed Prosthodontics. A review of selected dental literature on evidence-based treatment planning for dental implants: report of the Committee on Research in Fixed Prosthodontics of the Academy of Fixed Prosthodontics. J Prosthet Dent 2004;92:447-62. https://doi.org/10.1016/j.prosdent.2004.08.003
  65. Misch CE. Occlusal considerations for implant supported prostheses. St. Louis; Mosby; 1999.
  66. Adell R, Lekholm U, Rockler B, Branemark PI. A 15-year study of osseointegrated implants in the treatment of the edentulous jaw. Int J Oral Surg 1981;10:387-416. https://doi.org/10.1016/S0300-9785(81)80077-4
  67. Fu JH, Hsu YT, Wang HL. Identifying occlusal overload and how to deal with it to avoid marginal bone loss around implants. Eur J Oral Implantol 2012;5 Suppl:S91-103.
  68. Isidor F. Loss of osseointegration caused by occlusal load of oral implants: a clinical and radiographic study in monkeys. Clin Oral Implants Res 1996;7:143-52. https://doi.org/10.1034/j.1600-0501.1996.070208.x
  69. Miyata T, Kobayashi Y, Araki H, Ohto T, Shin K. The influence of controlled occlusal overload on peri-implant tissue. Part 3: a histologic study in monkeys. Int J Oral Maxillofac Implants 2000;15:425-31.
  70. Quirynen M, Naert I, van Steenberghe D. Fixture design and overload influence marginal bone loss and fixture success in the Brånemark system. Clin Oral Implants Res 1992;3:104-11. https://doi.org/10.1034/j.1600-0501.1992.030302.x
  71. Rangert B, Krogh PH, Langer B, Van Roekel N. Bending overload and implant fracture: a retrospective clinical analysis. Int J Oral Maxillofac Implants 1995;10:326-34.
  72. Rosenberg ES, Torosian JP, Slots J. Microbial differences in 2 clinically distinct types of failures of osseointegrated implants. Clin Oral Implants Res 1991;2:135-44. https://doi.org/10.1034/j.1600-0501.1991.020306.x
  73. Heitz-Mayfield LJ, Schmid B, Weigel C, Gerber S, Bosshardt DD, Jonsson J, et al. Does excessive occlusal load affect osseointegration? An experimental study in the dog. Clin Oral Implants Res 2004;15:259-68. https://doi.org/10.1111/j.1600-0501.2004.01019.x
  74. Isidor F. Histological evaluation of peri-implant bone at implants subjected to occlusal overload or plaque accumulation. Clin Oral Implants Res 1997;8:1-9. https://doi.org/10.1111/j.1600-0501.1997.tb00001.x
  75. Duyck J, Van Oosterwyck H, Vander Sloten J, De Cooman M, Puers R, Naert I. Magnitude and distribution of occlusal forces on oral implants supporting fixed prostheses: an in vivo study. Clin Oral Implants Res 2000;11:465-75. https://doi.org/10.1034/j.1600-0501.2000.011005465.x
  76. Hoshaw SJ, Brunski JB, Cochran GV. Mechanical loading of branemark implants affects interfacial bone modeling and remodeling. Int J Oral Maxillofac Implants 1994;9:345-60.
  77. Bornstein MM, Valderrama P, Jones AA, Wilson TG, Seibl R, Cochran DL. Bone apposition around two different sandblasted and acid-etched titanium implant surfaces: a histomorphometric study in canine mandibles. Clin Oral Implants Res 2008;19:233-41. https://doi.org/10.1111/j.1600-0501.2007.01473.x
  78. Cochran D, Oates T, Morton D, Jones A, Buser D, Peters F. Clinical field trial examining an implant with a sand-blasted, acid-etched surface. J Periodontol 2007;78:974-82. https://doi.org/10.1902/jop.2007.060294
  79. Cochran DL. A comparison of endosseous dental implant surfaces. J Periodontol 1999;70:1523-39. https://doi.org/10.1902/jop.1999.70.12.1523
  80. Cochran DL, Jackson JM, Bernard JP, ten Bruggenkate CM, Buser D, Taylor TD, et al. A 5-year prospective multicenter study of early loaded titanium implants with a sandblasted and acid-etched surface. Int J Oral Maxillofac Implants 2011;26:1324-32.
  81. Salvi GE, Gallini G, Lang NP. Early loading (2 or 6 weeks) of sandblasted and acid-etched (SLA) ITI implants in the posterior mandible. A 1-year randomized controlled clinical trial. Clin Oral Implants Res 2004;15:142-9. https://doi.org/10.1111/j.1600-0501.2004.01014.x
  82. Gotfredsen K, Berglundh T, Lindhe J. Bone reactions adjacent to titanium implants subjected to static load: a study in the dog (I). Clin Oral Implants Res 2001;12:1-8. https://doi.org/10.1034/j.1600-0501.2001.012001001.x
  83. Celletti R, Pameijer CH, Bracchetti G, Donath K, Persichetti G, Visani I. Histologic evaluation of osseointegrated implants restored in nonaxial functional occlusion with preangled abutments. Int J Periodontics Restorative Dent 1995;15:562-73.
  84. Asikainen P, Klemetti E, Vuillemin T, Sutter F, Rainio V, Kotilainen R. Titanium implants and lateral forces. An experimental study with sheep. Clin Oral Implants Res 1997; 8:465-8. https://doi.org/10.1034/j.1600-0501.1997.080604.x
  85. Schwarz MS. Mechanical complications of dental implants. Clin Oral Implants Res 2000;11 Suppl 1:156-8. https://doi.org/10.1034/j.1600-0501.2000.011S1156.x
  86. Dario LJ. How occlusal forces change in implant patients: a clinical research report. J Am Dent Assoc 1995;126:1130-3. https://doi.org/10.14219/jada.archive.1995.0331
  87. Stuart C. Articulation of human teeth. South Pasadena: Scientific press; 1955.
  88. Schuyler C. Considerations of occlusioin in fixed partial dentures. Dent Clin North Am 1959;37:175-85.
  89. D'Amico A. The canine teeth: normal functional relation of the natural teeth of man. J South Calif Dent Assoc 1958; 26:194-241.
  90. Misch CE, Bidez MW. Implant-protected occlusion: a biomechanical rationale. Compendium 1994;15:1330, 1332, 1334.
  91. Stanford CM. Issues and considerations in dental implant occlusion: what do we know, and what do we need to find out? J Calif Dent Assoc 2005;33:329-36.
  92. Rilo B, da Silva JL, Mora MJ, Santana U. Guidelines for occlusion strategy in implant-borne prostheses: a review. Int Dent J 2008;58:139-45. https://doi.org/10.1111/j.1875-595X.2008.tb00189.x
  93. Engelman MJ. Occlusion. Chicago: Quintessence Publishing Co.; 1996.
  94. Shillingburg HT, Hobo S, Whitset LD, Jacobi R, Brackett SE. Fundamentals of fixed prosthodontics. 3rd ed. Chicago: Quintessence Publishing Co.; 1997.
  95. Branemark PI, Zarb G, Albrektsson T. Tissue integrated prosthesis. Chicago: Quintessence Publishing Co.; 1985.
  96. Hobkirk JA, Psarros KJ. The influence of occlusal surface material on peak masticatory forces using osseointegrated implant-supported prostheses. Int J Oral Maxillofac Implants 1992;7:345-52.

Cited by

  1. Mechanical Complication Rates and Optimal Horizontal Distance of the Most Distally Positioned Implant‐Supported Single Crowns in the Posterior Region: A Study with a Mean Follow‐Up of 3 Ye vol.24, pp.7, 2013, https://doi.org/10.1111/jopr.12306
  2. Assessment of stress distribution around implant fixture with three different crown materials vol.12, pp.4, 2013, https://doi.org/10.1016/j.tdj.2015.08.001
  3. Consecutive Case Series of Healed Single-Molar Sites Immediately Restored with Wide-Diameter Implants: A 1-Year Evaluation vol.2016, pp.None, 2013, https://doi.org/10.1155/2016/5645892
  4. Fracture resistance of monolithic zirconia crowns with different occlusal thicknesses in implant prostheses vol.115, pp.1, 2016, https://doi.org/10.1016/j.prosdent.2015.06.021
  5. “Occlusal consideration for fixed implant prosthesis in mandibular posterior region” vol.8, pp.1, 2013, https://doi.org/10.2186/ajps.8.1
  6. Parameters Associated with Marginal Bone Loss around Implant after Prosthetic Loading vol.27, pp.3, 2016, https://doi.org/10.1590/0103-6440201600874
  7. The prognosis of splinted restoration of the most-distal implants in the posterior region vol.8, pp.6, 2013, https://doi.org/10.4047/jap.2016.8.6.494
  8. Association between dental implants in the posterior region and traumatic occlusion in the adjacent premolars: a long-term follow-up clinical and radiographic analysis vol.46, pp.6, 2016, https://doi.org/10.5051/jpis.2016.46.6.396
  9. COMPARATIVE STRESS ANALYSIS OF LINGUALIZED AND CONVENTIONAL BALANCED OCCLUSION SCHEMES IN A FULL-ARCH FIXED IMPLANT PROSTHESIS USING FINITE ELEMENT ANALYSIS vol.17, pp.4, 2013, https://doi.org/10.1142/s0219519417500749
  10. Prosthetic Consideration in Implant-supported Prosthesis: A Review of Literature vol.7, pp.1, 2013, https://doi.org/10.4103/jispcd.jispcd_149_17
  11. Post-insertion Posterior Single-implant Occlusion Changes at Different Intervals: A T-Scan Computerized Occlusal Analysis vol.18, pp.10, 2013, https://doi.org/10.5005/jp-journals-10024-2151
  12. Possibility and Limitation of Applying Occlusal Adjustment on Implant Prosthesis similar to Natural Teeth vol.22, pp.3, 2018, https://doi.org/10.32542/implantology.20180014
  13. Preliminary Study to Evaluate Marginal Bone Loss in Cases of 2- and 3-Implant-Supported Fixed Partial Prostheses of the Posterior Mandible : vol.30, pp.4, 2013, https://doi.org/10.1097/scs.0000000000004855
  14. Fracture Resistance of Monolithic Zirconia Crowns in Implant Prostheses in Patients with Bruxism vol.12, pp.10, 2013, https://doi.org/10.3390/ma12101623
  15. Treatment of Bisphosphonate-Related Osteonecrosis of the Jaw With Plasma Rich in Growth Factors After Dental Implant Surgery: A Case Report vol.45, pp.4, 2013, https://doi.org/10.1563/aaid-joi-d-18-00254
  16. Effect of different biocompatible implant materials on the mechanical stability of dental implants under excessive oblique load vol.21, pp.6, 2019, https://doi.org/10.1111/cid.12858
  17. Effect of occlusal reduction on postendodontic pain: A systematic review and meta‐analysis of randomised clinical trials vol.46, pp.2, 2013, https://doi.org/10.1111/aej.12380
  18. A fixed reconstruction of fully edentulous patients with immediate function using an apically tapered implant design: a retrospective clinical study vol.6, pp.1, 2020, https://doi.org/10.1186/s40729-020-00271-1
  19. Risk Indicators Affecting the Survival of the Mandibular First Molar Adjacent to an Implant at the Mandibular Second Molar Site: A Retrospective Study vol.10, pp.12, 2013, https://doi.org/10.3390/jcm10122543