Bruxism Research Paper

Bruxism Research Paper-23
Technical complications affect the mechanical integrity of the implant and suprastructure components, and can be defined into major, such as implant fracture or loss of the prosthesis; intermediate, such as abutment fracture, abutment screw loosening or veneer fractures; or minor, such as loss of retention of the prosthesis, loss of screw hole sealing or chipping of veneering material.Reporting implant complications is valuable when assessing success of the implant–suprastructure complex as a whole, because, unlike single outcomes such as marginal bone loss or soft tissue parameters, it provides a more comprehensive picture of the total treatment outcome.Studies that have included bruxism as one of the factors contributing to complications show a large variation in terms of both the technical and the biological outcomes of implant treatments, so that their comparability is compromised.

Technical complications affect the mechanical integrity of the implant and suprastructure components, and can be defined into major, such as implant fracture or loss of the prosthesis; intermediate, such as abutment fracture, abutment screw loosening or veneer fractures; or minor, such as loss of retention of the prosthesis, loss of screw hole sealing or chipping of veneering material.Reporting implant complications is valuable when assessing success of the implant–suprastructure complex as a whole, because, unlike single outcomes such as marginal bone loss or soft tissue parameters, it provides a more comprehensive picture of the total treatment outcome.Studies that have included bruxism as one of the factors contributing to complications show a large variation in terms of both the technical and the biological outcomes of implant treatments, so that their comparability is compromised.

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To contribute to the understanding of the time-dependent associations between SB and complications of dental implant treatments, we aim to perform a prospective cohort study.

Our main aim is to answer the research question: ‘Is sleep bruxism a risk factor for (peri-)implant complications? SB will be monitored by measuring masticatory muscle activity during sleep.

However, this technique is costly and often impractical to perform, leading to the use of less accurate methods for diagnosing SB.

In clinical practice and research settings, this involves self-report instruments, clinical examinations and electromyographic (EMG) recordings of masticatory muscle activity during sleep.

However, as yet, causative relationships between mechanical loading and peri-implant biological complications have not been established, due to a general lack of clinical studies with an appropriate design to assess the effect of excessive loading on dental implants, Animal experimental data suggest that high loading of clinically stable dental implants is associated with marginal bone loss in the case of inadequate plaque removal, while when plaque control is sufficient, this loading might lead to an increase of bone density around the implant.

Investigating the time-dependent associations between mechanical forces (such as those attributed to SB), the composition of microbial communities and host response will enhance our insight into the pathogenesis of peri-implant disease.

The following null hypotheses are formulated: (1) Sleep bruxism is not associated with the occurrence of technical complications.

Outcomes of interest are: suprastructure complications, abutment complications, implant fractures or other technical failures (see ‘Variables’ paragraph for a more comprehensive description of all variables), and (2) SB is not associated with the occurrence of biological complications.

These guidelines include advices on implant and suprastructure characteristics, such as the number, length and diameter of implants, the material of the suprastructure, and the occlusion and articulation patterns.

Expert opinions represent the lowest grade of evidence and cannot, therefore, fulfil modern clinicians’ needs for evidence-based decision-making.

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