Long-Term Implant Success: Critical key factors

Dental implants have become the premier option for tooth replacement, restoring optimal aesthetics and function while guaranteeing longevity. However, the mechanical conditions under which dental implants are used have a significant impact on their success and durability. Common complications arise from biomechanical factors such as porcelain chipping, prosthesis retention issues, and implant component failure. Besides, occlusal loading imposes significant stresses on implants and surrounding tissues post-rehabilitation, necessitating careful planning to support functional demands. Clinicians face challenges in determining optimal implant position, angulation, and prosthetic materials, often relying on pragmatic decisions rather than evidence-based approaches. The selection of an occlusal scheme for implant-supported restorations is complex and contentious, with various modifications influencing treatment decisions.

Occlusion is critical in prosthodontic care, determining the success of intraoral restorations. It involves the dynamic relationship between teeth-implant, the neuromuscular system, and the TMJ, which is critical for functional and aesthetic success, especially in implant-supported prostheses. Implant occlusal concepts are based on natural dentition principles; however, modifications are required due to the higher biomechanical risks associated with implants when compared to natural teeth.

Objectives:

1. Minimize Biomechanical Complications of implant prosthetic restoration
2. Management of implant Occlusal Load
3. Enhance Evidence-Based Clinical Decisions for implant restoration and occlusal scheme