OWN - Quintessenz Verlags-GmbH CI - Copyright Quintessenz Verlags-GmbH OCI - Copyright Quintessenz Verlags-GmbH TA - Int J Oral Maxillofac Implants JT - The International Journal of Oral & Maxillofacial Implants IS - 1942-4434 (Electronic) IS - 0882-2786 (Print) IP - 4 VI - 37 PST - ppublish DP - 2022 PG - 690-699 LA - en TI - The Prosthetic-Biologic Connection and Its Influence on Peri-implant Health: An Overview of the Current Evidence LID - 10.11607/jomi.9523 [doi] FAU - Saleh, Muhammad Ha AU - Saleh M FAU - Galli, Matthew AU - Galli M FAU - Siqueira, Rafael AU - Siqueira R FAU - Vera, Maria AU - Vera M FAU - Wang, Hom-Lay AU - Wang H FAU - Ravida, Andrea AU - Ravida A CN - OT - dental implants OT - dental prosthesis designs OT - etiology OT - peri-implantitis AB - Prosthetic design is a critical step in implant treatment planning that must synchronize with implant positioning to promote a state of peri-implant health. Improperly designed prostheses may not only hinder patient (or professional) hygiene measures but also impact the ability of clinicians to examine the peri-implant supporting tissues for diagnostic purposes. The purpose of this review was to discuss the current state of the evidence surrounding prosthetic factors associated with peri-implant diseases. Following the chronologic order of implant treatment, key prosthetic variables were discussed in relation to peri-implant disease pathogenesis. Specific concepts including the impact of implant spatial positioning, abutment height, residual cement, and implant splinting were found to be associated with peri-implant disease pathogenesis. Excessive occlusal forces were found to play a role in susceptibility to prosthetic complications with limited evidence to suggest a role in peri-implant disease progression. An intimate prosthetic-biologic connection exists, which must be respected to promote an environment for long-term peri-implant stability and health. AID - 3295701