Practical Occlusal Concepts for Routine Clinical Practice

The question of whether excessive occlusal forces in implant restorations cause crestal bone loss continues to be a topic for debate among dental professionals. What constitutes implant overload? What is the ideal occlusal scheme for implants? How should we confirm the occlusion when we deliver implant restorations? Should the occlusion on removable implant assisted overdentures be different from the occlusion on fixed implant supported complete dentures?  Many restorations for natural teeth and implants are being made by utilizing CAD/CAM systems, with many restorations designed digitally using virtual wax-ups selected from a digital library of teeth that are stretched or condensed to fit your particular patient’s situation. What is the best way to check the occlusion on CAD/CAM implant restorations?

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