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Bruxism: Overview of Current Knowledge and Suggestions for Dental Implants Planning

2011; Taylor & Francis; Volume: 29; Issue: 4 Linguagem: Inglês

10.1179/crn.2011.045

2151-0903

Daniele Manfredini, Marco Bucci, Vincenzo Bucci Sabattini, Frank Lobbezoo,

Dental Implant Techniques and Outcomes

AbstractBruxism is commonly considered a detrimental motor activity, potentially causing overload of the stomatognathic structures and representing a risk factor for dental implant survival. The available literature does not provide evidence-based guidelines for the management of bruxers undergoing implant-retained restorations. The present paper reviewed current concepts on bruxism etiology, diagnosis and management, underlining its effects on dental implants in an attempt to provide clinically useful suggestions based on scientifically sound data. Unfortunately, very little data exists on the subject of a cause-and-effect relationship between bruxism and implant failure, to the point that expert opinions and cautionary approaches are still considered the best available sources for suggesting good practice indicators. By including experimental literature data on the effects of different types of occlusal loading on peri-implant marginal bone loss along with data from studies investigating the intensity of the forces transmitted to the bone itself during tooth-clenching and tooth-grinding activities, the authors were able to compile the suggestions presented here for prosthetic implant rehabilitations in patients with bruxism. Additional informationNotes on contributorsDaniele ManfrediniDr. Daniele Manfredini received his D.D.S. degree from the University of Pisa, Italy in 1999 and a M.Sc. in occlusion and craniomandibular disorders in 2001. He received a Ph.D. in medicine from the University of Amsterdam, the Netherlands in 2011. He has authored more than 70 papers, which have appeared in peerreviewed journals and has edited a comprehensive textbook, “Current Concepts on Temporomandibular Disorders (Quintessence Publishing, 2010). Currently, Dr. Manfredini is visiting professor at the TMD Clinic, Department of Maxillofacial Surgery, and at the School of Dentistry, University of Padova, Italy.Marco Brady BucciDr. Marco Brady Bucci received his M.D. degree from the University of Genova, Italy in 1986 and an M.Sc. in forensic odontology from the University of Florence, Italy in 2007. He has authored and coauthored several papers and book chapters in the field of forensic odontology, with special focus on dental implants and temporomandibular joint disorders. Dr. Bucci also has a private general dentistry practice in La Spezia, Italy.Vincenzo Bucci SabattiniDr. Vincenzo Bucci Sabattini received his M.D. degree from the University of Milan, Italy in 1980. He has focused his research and clinical practice on dental implants, and he is a visiting professor at the Department of Oral Surgery of the University of Pavia, Italy. Dr. Bucci Sabattini is the director of the Centro Diagnostico Chirugico Magentino in Magenta, Italy.Frank LobbezooDr. Frank Lobbezoo received his D.D.S. degree from the University of Utrecht, the Netherlands in 1988 and a Ph.D. from the same university in 1992. He has published extensively on orofacial pain, temporomandibular joint disorders (TMD), dental sleep disorders, and oral physiology. He is frequently invited to speak at international conferences. Dr. Lobbezoo is a full professor at the Department of Oral Function of the Academic Centre for Dentistry Amsterdam (ACTA), the Netherlands. He is also the director of a 3-year post graduate training program in orofacial pain and TMD, and program leader of ACTA’s interdisciplinary research program on loading and tissue regeneration.