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The review aims to clarify how nonphysiological occlusal forces influence stress distribution around implants and contribute to clinical complications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A systematic search was conducted across PubMed, Scopus, Web of Science, and the Cochrane Library for studies published between January 2000 and October 2023. Inclusion criteria encompassed randomized controlled trials (RCTs), cohort studies, case\u2013control studies, experimental investigations, and systematic reviews that investigated the effects of occlusal overload on peri\u2010implant tissues. Of 160 initially identified references, 80 studies met the inclusion criteria and were analyzed for relevant outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Quantitative findings revealed that marginal bone loss associated with occlusal factors ranged from approximately 0.65\u00a0mm to 1.20\u00a0mm. In contrast, traumatic occlusal forces produced bone level changes of 1.0\u00a0mm to 3.0\u00a0mm and were associated with peri\u2010implantitis rates ranging from 20% to 50%. Variations in occlusal scheme design and the presence of parafunctional habits such as bruxism were identified as significant modulators of biomechanical stress and clinical outcomes. The review also identified a synergistic relationship between mechanical overload and bacterial biofilm in accelerating peri\u2010implant tissue breakdown.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Excessive occlusal loading and trauma are critical contributors to marginal bone loss and peri\u2010implantitis. These findings underscore the importance of meticulous occlusal management and individualized treatment planning, particularly in patients with parafunctional habits. Further high\u2010quality studies are needed to establish evidence\u2010based occlusal protocols that mitigate biomechanical risks and enhance long\u2010term implant success.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jopr.14088","type":"journal-article","created":{"date-parts":[[2025,6,26]],"date-time":"2025-06-26T23:04:21Z","timestamp":1750979061000},"page":"784-795","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":20,"title":["Under pressure: Unraveling the impact of occlusal overload on peri\u2010implant health\u2013A systematic review"],"prefix":"10.1111","volume":"34","author":[{"given":"Sean","family":"Mojaver","sequence":"first","affiliation":[{"name":"Department of Periodontics University of Pennsylvania School of Dental Medicine  Philadelphia Pennsylvania 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