West China Journal of Stomatology ›› 2025, Vol. 43 ›› Issue (6): 749-754.doi: 10.7518/hxkq.2025.2025232

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Initial exploration of the relationship between homeostatic occlusion and long-term dental implant stability

Chen Jiang1,2(), Wu Ling1,2   

  1. 1.Fujian Provincial Key Laboratory of Stomatology, Fujian Provincial Engineering Technology Research Center for Oral Biomaterials, Fujian Provincial Higher Education Key Laboratory of Stomatology, School of Stomatology/Affiliated Stomatological Hospital, Fujian Medical University, Fuzhou 350001, China
    2.Dept. of Dental Implantology, School of Stomatology/Affiliated Stomatological Hospital, Fujian Medical University, Fuzhou 350001, China
  • Received:2025-06-03 Revised:2025-10-19 Online:2025-12-01 Published:2025-11-27
  • Contact: Chen Jiang E-mail:jiangchen@fjmu.edu.cn
  • Supported by:
    National Natural Science Foundation of China(82371008)

Abstract:

Long-term dental implant stability is governed by the synergistic regulation of multiple factors, with occlusal parameters and marginal bone loss (MBL) progression being of paramount importance. Progressive MBL undermines mechanical retention, predisposing implants to micromotion and jeopardizing their long-term survival. Accumulating evidence has revealed that homeostatic occlusion imbalance, characterized by excessive occlusal loading, aberrant occlusal contacts, and dysfunctional guidance, significantly increases the incidence of peri-implant bone loss, thereby disrupting biomechanical homeostasis. Therefore, this manuscript delineates the mechanistic role of steady-state occlusal imbalance in driving peri-implant MBL and proposes a homeostatic occlusion-based strategy for preventing and controlling such bone loss, aiming to enhance the long-term stability of dental implants.

Key words: homeostatic occlusion, implant, marginal bone loss, occlusal scheme, long-term stability

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