Abstract
Introduction: Dental implants are a regular feature in daily clinical practice and there is a need to perform routine evaluation and maintenance of implants and their restorations. Occlusal checks form an important part of the maintenance regimen to preserve the integrity of implants, their restorations, and the health of peri-implant tissues. The risks attributable to occlusal forces mainly affect implant restorations and are elevated in the presence of bruxism. Objective: This study presented the main clinical considerations of occlusions in dental implants. Methods: The PRISMA Platform systematic review rules were followed. The search was conducted from October to November 2024 in the Scopus, PubMed, Science Direct, Scielo, and Google Scholar databases. The quality of the studies was based on the GRADE instrument and the risk of bias was analyzed according to the Cochrane instrument. Results and Conclusion: 102 articles were found, 45 were evaluated in full and 24 were included and developed in the present systematic review study. Considering the Cochrane tool for risk of bias, the overall assessment resulted in 15 studies with a high risk of bias and 22 studies that did not meet GRADE and AMSTAR-2. Most studies did not show homogeneity in their results, with X2=82.2%>50%. It was concluded that occlusion is a factor directly responsible for the success or failure of treatments performed with dental implants. It directly interferes with the distribution and absorption of loads resulting from mandibular movement. Understanding how these loads work requires the clinician to seek multiple knowledge, mechanical and biological so that prosthesis planning is well executed.