“…11,12,13,14,15 There are limitations in the evidence base, regarding the direct causality of occlusal overload and implant marginal bone loss, but researchers acknowledge an association. 16,17,18,19,20,21 The articles raising an objection to this statement do not present a conflicting view. The review by Naert et al 22 was inconclusive, with Afrashtefar 23 and Bertolini 24 only reporting on animal studies and Afrashtefar indicating bias and heterogeneity.…”