Does Bruxism Contribute to Dental Implant Failure? A Systematic Review and Meta‐Analysis

Abstract

This meta-analysis was performed to evaluate the relationship between bruxism and dental implant failure. In contrast to nonbruxers, prostheses in bruxers had a higher failure rate. It suggests that bruxism is a contributing factor of causing the occurrence of dental implant technical/biological complications and plays a role in dental implant failure.

Bruxism: An umbrella review of systematic reviews

“…Overall, three SR investigated prevalence rates among different populations, seventeen investigated associated factors, six evaluated effects on stomatognathic structures, two evaluated diagnostic accuracy of bruxism assessment tools, and thirteen assessed interventions' effectiveness . Statistical pooling of data using MA was available in 7 studies . Regarding language of publication, most reviews were published in English, one in German and one in Portuguese .…”

“…Overall, nine SR were judged with low risk, seventeen with moderate risk and fifteen with high risk of bias . Major concerns regarding risk of bias were observed, which included the following: (a) lack of a priori registration of the study protocol; (b) inappropriate range of database/electronic sources searched; (c) no risk of bias assessment; (d) study selection, data collection or bias assessment performed by only one reviewer; (e) no publication bias assessment or sensitivity analysis; (f) high risk of bias in included primary studies.…”

“…Three SR investigated the effects of generically identified bruxism regarding dental implants . Manfredini et al suggested that generic bruxism is unlikely to be a risk factor for biological complications regarding dental implants, whilst it may be a plausible risk factor for mechanical complications.…”

“…Chrcanovic et al, on the other hand, concluded that the effects of generic bruxing habits on the osseointegration and survival of endosteal dental implants are still not well established. Moreover, Zhou et al suggested that generic bruxism is a plausible contributing factor to dental implant technical/biological complications and plays a role in dental implant failure.…”

Explaining the Red Fluorescence Evident on the Surface of Failed Dental Implants

“…Bruxing habits apply excessive occlusal loads to dental implants, which can even result in their failure. 18 After considering all the causative factors, we assume that implant failure in cases where no fluorescence is evident on the implant surface are caused by multiple negative factors. We therefore consider that there are limitations in investigating the reasons for the dental implant failure in cases where no fluorescence is identified using QLF-D.…”