Elements of implant-supported rehabilitation planning in patients with bruxism.
Identifieur interne : 003316 ( Main/Exploration ); précédent : 003315; suivant : 003317Elements of implant-supported rehabilitation planning in patients with bruxism.
Auteurs : Hugo Ramalho Sarmento [Brésil] ; Raquel Venâncio Fernandes Dantas ; Tatiana Pereira-Cenci ; Fernanda FaotSource :
- The Journal of craniofacial surgery [ 1536-3732 ] ; 2012.
Descripteurs français
- KwdFr :
- MESH :
English descriptors
- KwdEn :
- MESH :
- complications : Bruxism.
- rehabilitation : Bruxism, Jaw, Edentulous.
- Dental Prosthesis Design, Dental Prosthesis, Implant-Supported, Dental Restoration Failure, Dental Stress Analysis, Humans, Patient Care Planning, Risk Factors.
Abstract
The rehabilitation of partial or completely edentulous patients with implant-supported prostheses has been widely used, achieving high success rates. However, many studies consider the presence of bruxism as a contraindication for this treatment modality. The purpose of this study was to revise the literature and identify risk factors in implant-supported rehabilitation planning in subjects with bruxism. Available literature was searched through Medline, with no time limit, including only studies in English. Topics discussed were etiology of bruxism and its implications on dental implants, biomechanical considerations regarding the overload on dental implants, and methods to prevent the occurrence of overloads in implant-supported prostheses. The rehabilitation of bruxers using implant-supported prostheses, using implants with adequate length and diameter, as well as proper positioning seems to be a reliable treatment, with reduced risks of failure. Bruxism control through the use of a nightguard by rigid occlusal stabilization appliance relieved in the region of implants is highly indicated. Although it is clear that implant-supported rehabilitation of patients with bruxism requires adequate planning and follow-up, well-designed randomized controlled trials are needed to provide reliable evidence on the long-term success of this treatment modality.
DOI: 10.1097/SCS.0b013e31826b8267
PubMed: 23172439
Affiliations:
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Le document en format XML
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<term>Bruxism (rehabilitation)</term>
<term>Dental Prosthesis Design</term>
<term>Dental Prosthesis, Implant-Supported</term>
<term>Dental Restoration Failure</term>
<term>Dental Stress Analysis</term>
<term>Humans</term>
<term>Jaw, Edentulous (rehabilitation)</term>
<term>Patient Care Planning</term>
<term>Risk Factors</term>
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<keywords scheme="KwdFr" xml:lang="fr"><term>Analyse du stress dentaire</term>
<term>Bruxisme ()</term>
<term>Bruxisme (rééducation et réadaptation)</term>
<term>Conception de prothèse dentaire</term>
<term>Facteurs de risque</term>
<term>Humains</term>
<term>Mâchoire édentée (rééducation et réadaptation)</term>
<term>Planification des soins du patient</term>
<term>Prothèse dentaire implanto-portée</term>
<term>Échec de restauration dentaire</term>
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<keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Bruxism</term>
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<keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en"><term>Bruxism</term>
<term>Jaw, Edentulous</term>
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<keywords scheme="MESH" qualifier="rééducation et réadaptation" xml:lang="fr"><term>Bruxisme</term>
<term>Mâchoire édentée</term>
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<keywords scheme="MESH" xml:lang="en"><term>Dental Prosthesis Design</term>
<term>Dental Prosthesis, Implant-Supported</term>
<term>Dental Restoration Failure</term>
<term>Dental Stress Analysis</term>
<term>Humans</term>
<term>Patient Care Planning</term>
<term>Risk Factors</term>
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<keywords scheme="MESH" xml:lang="fr"><term>Analyse du stress dentaire</term>
<term>Bruxisme</term>
<term>Conception de prothèse dentaire</term>
<term>Facteurs de risque</term>
<term>Humains</term>
<term>Planification des soins du patient</term>
<term>Prothèse dentaire implanto-portée</term>
<term>Échec de restauration dentaire</term>
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<front><div type="abstract" xml:lang="en">The rehabilitation of partial or completely edentulous patients with implant-supported prostheses has been widely used, achieving high success rates. However, many studies consider the presence of bruxism as a contraindication for this treatment modality. The purpose of this study was to revise the literature and identify risk factors in implant-supported rehabilitation planning in subjects with bruxism. Available literature was searched through Medline, with no time limit, including only studies in English. Topics discussed were etiology of bruxism and its implications on dental implants, biomechanical considerations regarding the overload on dental implants, and methods to prevent the occurrence of overloads in implant-supported prostheses. The rehabilitation of bruxers using implant-supported prostheses, using implants with adequate length and diameter, as well as proper positioning seems to be a reliable treatment, with reduced risks of failure. Bruxism control through the use of a nightguard by rigid occlusal stabilization appliance relieved in the region of implants is highly indicated. Although it is clear that implant-supported rehabilitation of patients with bruxism requires adequate planning and follow-up, well-designed randomized controlled trials are needed to provide reliable evidence on the long-term success of this treatment modality.</div>
</front>
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<name sortKey="Faot, Fernanda" sort="Faot, Fernanda" uniqKey="Faot F" first="Fernanda" last="Faot">Fernanda Faot</name>
<name sortKey="Pereira Cenci, Tatiana" sort="Pereira Cenci, Tatiana" uniqKey="Pereira Cenci T" first="Tatiana" last="Pereira-Cenci">Tatiana Pereira-Cenci</name>
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