Occlusal Consideration for Mandibular Implant Overdentures

Abstract

Guidelines for the occlusion of mandibular implant-supported overdentures are presented based on best available evidence. Often the cause for late implant failure is due to occlusal overload. Various occlusal schemes have been described in the literature, but none have been determined as being superior over another. More research is required to evaluate the prognosis of various occlusal schemes following treatment. Moreover, the lack of devices for monitoring objectively the degree of force placed on implants makes the topic a clinical challenge where proper tooth selection is important. In this chapter, the records required to set denture teeth and their relation to one another are described. Based on the setting of the articulator and patient situation, the occlusal scheme can be linked to specific treatment protocols. Particularly, the various occlusal schemes that the posterior denture teeth can be arranged are described and are related to several specific patient scenarios.