Title: Clinical management of implant prostheses in patients with bruxism
Authors: Komiyama, Osamu ×
Lobbezoo, Frank
De Laat, Antoon
Iida, Takashi
Kitagawa, Tsuyoshi
Murakami, Hiroshi
Kato, Takao
Kawara, Misao #
Issue Date: 2012
Publisher: Hindawi
Series Title: International Journal of Biomaterials vol:2012 pages:369063
Article number: 22701484
Abstract: There is general agreement that excessive stress to the bone-implant interface may result in implant overload and failure. Early failure of the implant due to excessive loading occurs shortly after uncovering the implant. Excess load on a final restoration after successful implant integration can result in physical failure of the implant structure. Many clinicians believe that overload of dental implants is a risk factor for vertical peri-implant bone loss and/or may be detrimental for the suprastructure in implant prostheses. It has been documented that occlusal parafunction, such as, bruxism (tooth grinding and clenching) affects the outcome of implant prostheses, but there is no evidence for a causal relation between the failures and overload of dental implants. In spite of this lack of evidence, often metal restorations are preferred instead of porcelain for patients in whom bruxism is presumed on the basis of tooth wear. The purpose of this paper is to discuss the importance of the occlusal scheme used in implant restorations for implant longevity and to suggest a clinical approach and occlusal materials for implant prostheses in order to prevent complications related to bruxism.
ISSN: 1687-8795
Publication status: published
KU Leuven publication type: IT
Appears in Collections:Department of Oral Health Sciences - miscellaneous
× corresponding author
# (joint) last author

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