In dentistry, treatment success is often associated with material quality or precision of technique. However, as Professor Alexander von Breuer believes, it is the distribution of occlusal load that largely determines the long-term stability of any restoration. At DentalClinic24, we consider the condition of occlusion and the way chewing forces are distributed as core parameters at the planning stage – because even a technically impeccable restoration may prove unstable if the pressure is misallocated.
Occlusal load is generated when teeth come into contact and force is transmitted throughout the dentoalveolar system. If one area is overloaded, micro-trauma occurs – leading to gradual deterioration through microcracks, abrasion and local fractures. At DentalClinic24, we use digital analysis of contact points and mandibular movement to detect even minor imbalances and adjust our treatment strategy proactively. According to Professor von Breuer – pressure must be assessed not after restoration, but during initial diagnostic planning.
Functional dynamics also play a decisive role: presence of bruxism, nighttime clenching, mandibular asymmetry or occlusal disharmony. At DentalClinic24, we analyse force trajectory and tailor restoration morphology so that pressure is dispersed evenly and harmoniously. This reduces the risk of complications, extends the lifespan of restorations and helps preserve supporting tissue.
Following restoration placement, we always perform occlusal monitoring – in the early adaptation phase, force distribution may shift. At DentalClinic24, we carry out functional adjustments when required to prevent overloading of specific areas. As Professor von Breuer notes, timely correction during the adaptation period can increase the lifespan of a restoration by two to three times.
Occlusal load is particularly critical in implantology, micro-prosthetic rehabilitation and full arch restoration. At Dental Clinic24, we treat a restoration not as an isolated element but as part of a comprehensive biomechanical system – predicting how it will perform under continued functional pressure. This approach allows us to avoid secondary interventions, prevent occlusal changes and reduce the need for early replacement of dental work.
Earlier, we wrote about treatment outcome prediction and how digital modelling helps prevent clinical errors