{"id":761,"date":"2026-05-28T08:50:49","date_gmt":"2026-05-28T08:50:49","guid":{"rendered":"https:\/\/forum-impl.iti.org\/en\/?post_type=article&p=761"},"modified":"2026-06-11T09:22:46","modified_gmt":"2026-06-11T09:22:46","slug":"implants-and-overloading-fact-and-myth-the-impact-of-excessive-or-adverse-load-on-osseointegrated-dental-implants-1601","status":"publish","type":"article","link":"https:\/\/forum-impl.iti.org\/en\/article\/implants-and-overloading-fact-and-myth-the-impact-of-excessive-or-adverse-load-on-osseointegrated-dental-implants-1601\/","title":{"rendered":"Implants and Overloading \u2013 Fact and Myth. The Impact of Excessive or Adverse Load on Osseointegrated Dental Implants"},"content":{"rendered":"","protected":false},"featured_media":0,"template":"","meta":{"_acf_changed":false},"article-type":[5],"forum-tag":[143,48,142,141],"class_list":["post-761","article","type-article","status-publish","hentry","article-type-feature-article","forum-tag-complications","forum-tag-dental-implants","forum-tag-functional-forces","forum-tag-overload"],"acf":{"feature_topic":1447,"authors":[1138,1142],"read_time":"16 min","publication_date":"20220921","doi":"10.3290\/iti.fi.45658","excerpt":"Every mechanical construction that is intended to bear load or withstand forces can be overloaded when the forces it is being subjected to exceed a certain threshold. Biological and biomechanical systems are no exception to this, so it comes as no surprise that \u201coverloading\u201d has long been suspected as a cause of complications and failures in implant dentistry.","references":"

Apaza Alccayhuaman K. A., Soto-Pe\u00f1aloza D., Nakajima Y., Papageorgiou S. N., Botticelli D. & Lang N. P. (2018) Biological and technical complications of tilted implants in comparison with straight implants supporting fixed dental prostheses. A systematic review and meta-analysis. Clinical Oral Implants Research<\/em> 29 Suppl 18<\/strong>: 295 - 308.<\/p>\r\n

Balshi T. & Wolfinger G. J. (1997) Immediate loading of Branemark implants in edentulous mandibles: a preliminary report. Implant Dentistry<\/em> 6<\/strong>: 83 - 88.<\/p>\r\n

Balshi T., Ekfeldt A., Stenberg T. & Vrielinck L. (1997) Three-year evaluation of Branemark implants connected to angulated abutments. International Journal of Oral & Maxillofacial Implants<\/em> 12<\/strong>: 52 - 58.<\/p>\r\n

Berglundh T., Abrahamsson I. & Lindhe J. (2005) Bone reactions to longstanding functional load at implants: an experimental study in dogs. Journal of Clinical Periodontology<\/em> 32<\/strong>: 925 - 932.<\/p>\r\n

Clelland N. L., Papazoglou E., Carr A. B. & Gilat A. (1995) Comparison of strains transferred to a bone simulant among implant overdenture bars with various levels of misfit. Journal of Prosthodontics<\/em> 4(4)<\/strong>: 243 - 50.<\/p>\r\n

Cort\u00e9s-Bret\u00f3n Brinkmann J., Garc\u00eda-Gil I., Pedregal P., Pel\u00e1ez J., Prados-Frutos J. C. & Su\u00e1rez M- J. (2021) Long-Term Clinical Behavior and Complications of Intentionally Tilted Dental Implants Compared with Straight Implants Supporting Fixed Restorations: A Systematic Review and Meta-Analysis. Biology (Basel)<\/em> 10(6)<\/strong>: 509.<\/p>\r\n

Ekfeldt A., Christiansson U., Eriksson T., Lind\u00e9n U., Lundqvist S., Rundcrantz T., Johansson L. A., Nilner K. & Billstr\u00f6m C. (2001) A retrospective analysis of factors associated with multiple implant failures in maxillae. Clinical Oral Implants Research<\/em> 12<\/strong>: 462 - 467.<\/p>\r\n

Frost H. M. (1994) Wolff's Lay and bone's structural adaptations to mechanical usage: an overview for clinicians. The Angle Orthodontist<\/em> 64<\/strong>: 175 - 188.<\/p>\r\n

Gotfredsen K., Berglundh T. & Lindhe J. (2001a) Bone reactions adjacent to titanium implants subjected to static load. A study in the dog (I). Clinical Oral Implants Research<\/em> 12<\/strong>: 1 - 8.<\/p>\r\n

Gotfredsen K., Berglundh T. & Lindhe J. (2001b) Bone reactions adjacent to titanium implants with different surface characteristics subjected to static load. A study in the dog (II). Clinical Oral Implants Research<\/em> 12<\/strong>: 196 - 201.<\/p>\r\n

Gotfredsen K., Berglundh T. & Lindhe J. (2001c) Bone reactions adjacent to titanium implants subjected to static load of different duration. A study in the dog (III). Clinical Oral Implants Research<\/em> 12<\/strong>: 552 - 558.<\/p>\r\n

Heitz-Mayfield L., Schmid B., Weigel C., Gerbe S., Bosshardt D. D., J\u00f6nsson J., Lang N. P. & J\u00f6nsson J. (2004) Does excessive occlusal load affect ossointegration? An experimental study in the dog. Clinical Oral Implants Research<\/em> 15<\/strong>: 259 - 268.<\/p>\r\n

Isidor F. (1996) Loss of osseointegration caused by occlusal load of oral implants. A clinical and radiographic study in monkeys. Clinical Oral Implants Research<\/em> 7<\/strong>: 143 - 152.<\/p>\r\n

Isidor F. (1997a) Clinical probing and radiographic assessment in relation to the histologic bone level at oral implants in monkeys. Clinical Oral Implants Research<\/em> 8<\/strong>: 255 - 264.<\/p>\r\n

Isidor F. (1997b) Histological evaluation of peri-implant bone at implants subjected to occlusal overload or plaque accumulation. Clinical Oral Implants Research<\/em> 8<\/strong>: 1 - 9.<\/p>\r\n

J\u00f6rn D., Kohorst P., Besdo S., R\u00fccker M., Stiesch M. & Borchers L. (2014) Influence of lubricant on screw preload and stresses in a finite element model for a dental implant. Journal of Prosthetic Dentistry<\/em> 112(2)<\/strong>: 340 - 348. doi: 10.1016\/j.prosdent.2013.10.016.<\/p>\r\n

Karlsson K., Derks J., H\u00e5kansson J., Wennstr\u00f6m J. L., Molin Thor\u00e9n M., Petzold M. & Berglundh T. (2018) Technical complications following implant-supported restorative therapy performed in Sweden. Clinical Oral Implants Research<\/em> 29(6)<\/strong>: 603 - 611. doi: 10.1111\/clr.13271.<\/p>\r\n

Kim P., Ivanovski S., Latcham N. & Mattheos N. (2014) The impact of cantilevers on biological and technical success outcomes of implant-supported fixed partial dentures. A retrospective cohort study. Clinical Oral Implants Research<\/em> 25(2)<\/strong>: 175 - 184.<\/p>\r\n

Kitamura E., Stegaroiu R., Nomura S. & Miyakawa O. (2004) Biomechanical aspects of marginal bone resorption around osseointegrated implants: considerations based on a three-dimensional finite element analysis. Clinical Oral Implants Research<\/em> 15(4)<\/strong>: 401 \u2013 412.<\/p>\r\n

Koutouzis T. & Wennstr\u00f6m J. L. (2007) Bone level changes at axial- and non-axial-positioned implants supporting fixed partial dentures. A 5-year retrospective longitudinal study. Clinical Oral Implants Research<\/em> 18(5)<\/strong>: 585 - 590.<\/p>\r\n

Kozlovsky A., Tal H., Laufer B. Z., Leshem R., Rohrer M. D., Weinreb M. & Artzi Z. (2007) Impact of implant overloading on the peri-implant bone in inflamed and non-inflamed peri-implant mucosa. Clinical Oral Implants Research<\/em> 18<\/strong>: 601 - 610.<\/p>\r\n

L\u00f6fgren N., Larsson C., Mattheos N. & Janda M. (2017) Influence of misfit on the occurrence of veneering porcelain fractures (chipping) in implant-supported metal-ceramic fixed dental prostheses: an in vitro pilot trial. Clinical Oral Implants Reseach<\/em> 28(11)<\/strong>: 1381 - 1387.<\/p>\r\n

Mattheos N., Janda, M. S., Zampelis A. & Chronopoulos V. (2013) Reversible, Non-Plaque Induced loss of Osseointegration of Successfully Loaded Dental Implants. Clinical Oral Implants Research<\/em> 24(3)<\/strong>: 347 - 354.<\/p>\r\n

Mattheos N., Vergoullis I., Janda M. & Miseli A. (2021) The Implant Supracrestal Complex and its significance for long term successful clinical outcomes. International Journal of Prosthodontics<\/em> 34(1)<\/strong>: 88 - 100.<\/p>\r\n

Miyamoto Y., Koretake K., Hirata M., Kubo T. & Akagawa Y. (2008) Influence of Static Overload on the Bony Interface Around Implants In Dogs. International Journal of Prosthodontics <\/em>21<\/strong>: 437 - 444.<\/p>\r\n

Miyata T., Kobayashi Y., Araki H., Ohto T. & Shin K. (1998) The Influence of Controlled Occlusal Overload on Peri-implant Tissue: A Histologic Study in Monkeys. International Journal of Oral & Maxillofacial Implants<\/em> 13<\/strong>: 677 - 683.<\/p>\r\n

Peyron M. A., Blanc O., Lund J. P. & Woda A. (2004) Influence of age on adaptability of human mastication. Journal of Neurophysiology<\/em> 92(2)<\/strong>: 773 - 779.<\/p>\r\n

Peyron M. A., Woda A., Bourdiol P. & Hennequin M. (2017) Age-related changes in mastication.Journal of Oral Rehabilitation<\/em> 44(4)<\/strong>: 299 - 312. doi: 10.1111\/joor.12478. Epub 2017 Jan 30.<\/p>\r\n

Quirynen M., Naert I. & Van Steenberghe D. (1992) Fixture design and overload influence margianl bone loss and fixture success in the Branemark system. Clinical Oral Implants Research<\/em> 3<\/strong>: 104 - 111.<\/p>\r\n

Isidor F. (2006) Influence of forces on peri implant bone. Clinical Oral Implants Research <\/em>17<\/strong>: 8 - 18.<\/p>\r\n

Zitzmann, N. (2015) Complete Loss of Osseointegration and Occlusal Overload. In: ITI Treatment Guide Volume 8: Biological and Hardware Complications in Implant Dentistry, p. 26, Berlin: Quintessence Publishing Group.<\/p>","endnote":"OWN - ITI International Team for Implantology\r\n CI - ITI International Team for Implantology\r\n JT - Forum Implantologicum\r\n DP - 2022\r\n LA - en\r\n TI - Implants and Overloading - Fact and Myth. The Impact of Excessive or Adverse Load on\r\n Osseointegrated Dental Implants\r\nOWN - ITI International Team for Implantology\r\n AU - Mattheos N.\r\n AU - Janda M.\r\nAID - 10.3290\/iti.fi.45658[doi]\r\n AB - Abstract"},"_links":{"self":[{"href":"https:\/\/forum-impl.iti.org\/en\/wp-json\/wp\/v2\/article\/761","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/forum-impl.iti.org\/en\/wp-json\/wp\/v2\/article"}],"about":[{"href":"https:\/\/forum-impl.iti.org\/en\/wp-json\/wp\/v2\/types\/article"}],"version-history":[{"count":4,"href":"https:\/\/forum-impl.iti.org\/en\/wp-json\/wp\/v2\/article\/761\/revisions"}],"predecessor-version":[{"id":1654,"href":"https:\/\/forum-impl.iti.org\/en\/wp-json\/wp\/v2\/article\/761\/revisions\/1654"}],"acf:post":[{"embeddable":true,"href":"https:\/\/forum-impl.iti.org\/en\/wp-json\/wp\/v2\/forum-author\/1142"},{"embeddable":true,"href":"https:\/\/forum-impl.iti.org\/en\/wp-json\/wp\/v2\/forum-author\/1138"},{"embeddable":true,"href":"https:\/\/forum-impl.iti.org\/en\/wp-json\/wp\/v2\/feature-topic\/1447"}],"wp:attachment":[{"href":"https:\/\/forum-impl.iti.org\/en\/wp-json\/wp\/v2\/media?parent=761"}],"wp:term":[{"taxonomy":"article-type","embeddable":true,"href":"https:\/\/forum-impl.iti.org\/en\/wp-json\/wp\/v2\/article-type?post=761"},{"taxonomy":"forum-tag","embeddable":true,"href":"https:\/\/forum-impl.iti.org\/en\/wp-json\/wp\/v2\/forum-tag?post=761"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}