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Bruxism and dental implants: A systematic review and meta-analysis
Malmö University, Faculty of Odontology (OD).ORCID iD: 0000-0001-6088-3739
Malmö University, Faculty of Odontology (OD).
Malmö University, Faculty of Odontology (OD).
Malmö University, Faculty of Odontology (OD). Malmö University, Biofilms Research Center for Biointerfaces.ORCID iD: 0000-0002-3460-3374
2024 (English)In: Journal of Oral Rehabilitation, E-ISSN 1365-2842, Vol. 51, no 1, p. 202-217Article in journal (Refereed) Published
Abstract [en]

Background: Overload from bruxism may affect survival of dental implants.

Objectives: To evaluate implant failure and marginal bone loss (MBL) in patients presenting with probable bruxism compared to non-bruxers. The study was registered in PROSPERO (CRD42021238397).

Methods: An electronic search September 2022 in PubMed/Medline, Web of Science and Science Direct was combined with a hand search. Two independent reviewers carried out abstract screening, full-text assessment, quality assessment (National Institutes of Health tool) and data extraction. Only studies that provided information on self-report and clinical examination needed for the diagnosis of at least 'probable' bruxism were included. A pairwise random-effect meta-analysis was carried out.

Results: In total 1338 studies were identified, and after screening and full-text assessment 27 studies that presented data on 2105 implants in probable bruxers and 10 264 implants in non-bruxers were included, with 138 and 352 implant failures in respective groups. the meta-analysis showed that implants placed in probable bruxers had a higher risk of failure than in non-bruxers (OR 2.189; 95% CI 1.337, 3.583, p = .002). A meta-regression showed that follow-up time did not affect this OR. Eighteen studies provided general data on MBL but did not report results separated between bruxers and non-bruxers. Therefore, an analysis of MBL was not possible.

Conclusion: The results of the present systematic review show that implants placed in probable bruxers present a significantly higher risk of failure than implants placed in non-bruxers. This should be considered in treatment planning and management of implant patients.

Place, publisher, year, edition, pages
John Wiley & Sons, 2024. Vol. 51, no 1, p. 202-217
Keywords [en]
bruxism, dental implants, meta-analysis, survival, systematic review
National Category
Dentistry
Identifiers
URN: urn:nbn:se:mau:diva-62486DOI: 10.1111/joor.13567ISI: 001048828200001PubMedID: 37589382Scopus ID: 2-s2.0-85168284166OAI: oai:DiVA.org:mau-62486DiVA, id: diva2:1797395
Available from: 2023-09-14 Created: 2023-09-14 Last updated: 2024-01-17Bibliographically approved

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Häggman-Henrikson, BirgittaChrcanovic, Bruno Ramos

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