Implant overload and bruxism remain two of the most common – but often underestimated – reasons why dental implants fail. The clinical report by Dr. Stefan Ihde (2008) presents a striking real-world example of how overload, unbalanced occlusion, and long-term bruxing forces can gradually destabilize implants until a full corrective intervention becomes unavoidable. With the report, we are able to understand the uniqueness of Strategic Implants® in handling such challenges.

When Overload Becomes Destructive

The report states that a patient, after skipping follow-ups for years, developed progressive implant mobility. A poorly adjusted upper denture later introduced severe early contacts, causing intense overload on the mandibular implants. Within months, formerly stable implants showed rapid deterioration. These findings remind us that even modern dental implants can fail if subjected to chronic mechanical stress – something bruxism magnifies dramatically.

Strategic Implantology solves this differently. It does not rely on cancellous bone but instead secures implants in strong second and third cortical areas, where biting pressure is naturally better tolerated.

How Strategic Implant Protocols Control Overload

Dr. Ihde’s documentation shows that even after severe overload-induced failure, immediate correction is possible. In the reported case, six failing implants were removed, and three new basal implants were inserted immediately – a complete functional restoration achieved without grafting, waiting, or hospitalisation.

This is where Strategic Implants® excel:

• They anchor into dense cortical bone that resists bending and micro-movements.
• They allow full rehabilitation with fixed teeth in just 48 hours, even after failure.
• They distribute forces efficiently when splinted into a balanced circular bridge.
• They maintain stability even in patients with parafunctional habits like bruxism.

Bruxism: Why It Matters More Than Patients Think

Bruxers generate forces far beyond normal mastication. When these forces act on implants placed in soft bone – or when occlusion is not adjusted regularly – the risk of overload increases dramatically. Continuous monitoring and fine-tuning of the bite can arrest early mobility, but only when patients return for follow-up.

Conclusion

Bruxism and implant overload are not reasons to fear implant treatment – they are reasons to choose the right system. The evidence clearly shows that Strategic Implants®, when placed in cortical bone and supported by disciplined occlusal adjustment, remain uniquely resistant to overload-related failures.