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Bruxism and dental implant treatment complications: a retrospective comparative study of 98 bruxer patients and a matched group
Author(s) -
Chrcanovic Bruno Ramos,
Kisch Jenö,
Albrektsson Tomas,
Wennerberg Ann
Publication year - 2017
Publication title -
clinical oral implants research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.407
H-Index - 161
eISSN - 1600-0501
pISSN - 0905-7161
DOI - 10.1111/clr.12844
Subject(s) - dentistry , medicine , odds ratio , implant , dental implant , implant failure , surgery
Objectives To analyze the complications of dental implant treatment in a group of patients with bruxism in comparison with a matched group of non‐bruxers. Material and methods Patients being diagnosed as bruxers were identified within a group of patients consecutively treated with implant‐supported prostheses at one specialist clinic, based on the most recent listed sign and symptoms of bruxism according to the International Classification of Sleep Disorders. A diagnostic grading system of “possible,” “probable,” and “definite” sleep or awake bruxism was used, according to a recent published international consensus. A case–control matching model was used to match the bruxers with a group of non‐bruxers, based on five variables. Implant‐, prosthetic‐, and patient‐related data were collected, as well as 14 mechanical complications, and compared between groups. Results Ninety‐eight of 2670 patients were identified as bruxers. The odds ratio of implant failure in bruxers in relation to non‐bruxers was 2.71 (95% CI 1.25, 5.88). Considering the same number of patients with the same total number of implants equally distributed between groups, the bruxers group had a higher prevalence of mechanical complications in comparison with the non‐bruxers group. Conclusions This study suggests that bruxism may significantly increase both the implant failure rate and the rate of mechanical and technical complications of implant‐supported restorations. Other risk factors may also have influenced the results.