{"id":673,"date":"2026-05-28T08:09:27","date_gmt":"2026-05-28T08:09:27","guid":{"rendered":"https:\/\/forum-impl.iti.org\/en\/?post_type=article&#038;p=673"},"modified":"2026-06-10T07:59:07","modified_gmt":"2026-06-10T07:59:07","slug":"clinical-aspects-on-implant-therapy-for-patients-with-bruxism-2801","status":"publish","type":"article","link":"https:\/\/forum-impl.iti.org\/en\/article\/clinical-aspects-on-implant-therapy-for-patients-with-bruxism-2801\/","title":{"rendered":"Clinical Aspects on Implant Therapy for Patients with Bruxism"},"content":{"rendered":"","protected":false},"featured_media":0,"template":"","meta":{"_acf_changed":false},"article-type":[5],"forum-tag":[83,81,82,32],"class_list":["post-673","article","type-article","status-publish","hentry","article-type-feature-article","forum-tag-biological-and-biomechanical-complications","forum-tag-biting-force","forum-tag-bruxism","forum-tag-clinical-recommendations"],"acf":{"feature_topic":1447,"authors":[1236],"read_time":"11 min","publication_date":"20221102","doi":"10.3290\/iti.fi.45696","excerpt":"Bruxism is a widespread dental parafunction. The loads exerted on teeth and dental implants in the course of jaw clenching and teeth grinding far exceed the forces that occur during mastication. As a result of these persistent intermittent loads, implant-supported dentures may experience biomechanical and\/or biological failures, such as ceramic chipping or fractures. ","references":"Ahlgren, J., Omnell, K. A., Sonesson, B. &amp; Toremalm, N. G. (1969) Bruxism and hypertrophy of the masseter muscle. A clinical, morphological and functional investigation. <em>Practica oto-rhino-laryngologica (Basel) <\/em><strong>31:<\/strong> 22 - 29.\r\n\r\nAkhter, R., Morita, M., Esaki, M., Nakamura, K. &amp; Kanehira, T. (2011) Development of temporomandibular disorder symptoms: a 3-year cohort study of university students. <em>Journal of Oral Rehabilitation <\/em><strong>38:<\/strong> 395 - 403.\r\n\r\nAsh, M. M. (eds) (2006) Schienentherapie. Evidenzbasierte Diagnostik und Behandlung bei TMD und CMD. 3. Aufl. M\u00fcnchen: Elsevier \u2013 Urban &amp; Fischer.\r\n\r\nAsh, M. M., Jr. &amp; Ramfjord, S. P. (1998) Reflections on the Michigan splint and other intraocclusal devices. <em>Journal of the Michigan Dental Association <\/em><strong>80 (10):<\/strong> 32, 34 - 35, 41 - 46.\r\n\r\nBates, J. F., Stafford, G. D. &amp; Harrison, A. (1975) Masticatory function--a review of the literature. 1. The form of the masticatory cycle. <em>Journal of Oral Rehabilitation <\/em><strong>2:<\/strong> 281 - 301.\r\n\r\nCarlsson, G. E. (1974) Bite force and chewing efficiency. In: Kawamura Y (eds.) Frontiers of Oral Physiology: 1. Physiology of Mastication, Basel: Karger, 265 - 292.\r\n\r\nCarlsson, G. E. &amp; Lindquist, L. W. (1994) Ten-year longitudinal study of masticatory function in edentulous patients treated with fixed complete dentures on osseointegrated implants. <em>International Journal of Prosthodontics <\/em><strong>7:<\/strong> 448 - 453.\r\n\r\nCarra, M. C., Huynh, N., Morton, P., Rompr\u00e9, P. H., Papadakis, A., Remise, C. &amp; Lavigne, G. J. (2011) Prevalence and risk factors of sleep bruxism and wake-time tooth clenching in a 7- to 17-yr-old population. <em>European Journal of Oral Sciences <\/em><strong>119:<\/strong> 386 - 394.\r\n\r\nCastellanos-Cosano, L., Rodriguez-Perez, A., Spinato, S., Wainwright, M., Machuca-Portillo, G., Serrera-Figallo, M. A. &amp; Torres-Lagares, D. (2019) Descriptive retrospective study analyzing relevant factors related to dental implant failure. <em>Medicina oral, Patologi\u0301a Oral y Cirugi\u0301a Bucal <\/em>\r\n\r\n2\r\n\r\n<strong>4:<\/strong> e726 - e738.\r\n\r\nChrcanovic, B. R., Albrektsson, T. &amp; Wennerberg, A. (2015) Bruxism and Dental Implants: A Meta-Analysis. <em>Implant Dentistry <\/em><strong>24:<\/strong> 505 - 516.\r\n\r\nChrcanovic, B. R., Kisch, J., Albrektsson, T. &amp; Wennerberg, A. (2016) Bruxism and dental implant failures: a multilevel mixed effects parametric survival analysis approach. <em>Journal of Oral Rehabilitation <\/em><strong>43:<\/strong> 813 - 823.\r\n\r\nChrcanovic, B. R., Kisch, J., Albrektsson, T. &amp; Wennerberg, A. (2017a) Bruxism and dental implant treatment complications: a retrospective comparative study of 98 bruxer patients and a matched group. <em>Clinical Oral Implants Research <\/em><strong>28:<\/strong> e1 - e9.\r\n\r\nChrcanovic, B. R., Kisch, J., Albrektsson, T. &amp; Wennerberg, A. (2017b) Analysis of risk factors for cluster behavior of dental implant failures. <em>Clinical Implant Dentistry and Related Research <\/em><strong>19:<\/strong> 632 - 642.\r\n\r\nChrcanovic, B. R., Kisch, J., Albrektsson, T. &amp; Wennerberg, A. (2018) A retrospective study on clinical and radiological outcomes of oral implants in patients followed up for a minimum of 20 years. <em>Clinical Implant Dentistry and Related Reserch <\/em><strong>20:<\/strong> 199 - 207.\r\n\r\nChrcanovic, B. R., Kisch, J. &amp; Larsson, C. (2019) Retrospective clinical evaluation of implant-supported single crowns: Mean follow-up of 15\u00a0years. <em>Clinical Oral Implants Research <\/em><strong>30:<\/strong> 691 - 701.\r\n\r\nChrcanovic, B. R., Kisch, J. &amp; Larsson, C. (2020) Retrospective clinical evaluation of 2- to 6-unit implant-supported fixed partial dentures: Mean follow-up of 9\u2009years. <em>Clinical Implant Dentistry and Related Reserch <\/em><strong>22:<\/strong> 201 - 212.\r\n\r\nDe Hern\u00e1ndez, C. J. &amp; Bodine, R. L. (1969) Mastication strength with implant dentures as compared with soft-tissue-borne dentures. <em>Journal of Prosthetic Dentistry <\/em><strong>22:<\/strong> 479 - 486.\r\n\r\nDo, T. A., Le, H. S., Shen, Y. W., Huang, H. L. &amp; Fuh, L. J. (2020) Risk factors related to late failure of dental implant \u2013 A systematic review of recent studies. <em>International Journal of Environmental Research and Public Health <\/em><strong>17:<\/strong>\r\n\r\nFontijn-Tekamp, F. A., Slagter, A. P., van't Hof, M. A., Geertman, M. E. &amp; Kalk, W. (1998) Bite forces with mandibular implant-retained overdentures. <em>Journal of Dental Research <\/em><strong>77:<\/strong> 1832 - 1839.\r\n\r\nFontijn-Tekamp, F. A., Slagter, A. P., Van Der Bilt, A., Van, T. H. M. A., Witter, D. J., Kalk, W. &amp; Jansen, J. A. (2000) Biting and chewing in overdentures, full dentures, and natural dentitions. <em>Journal of Dental Research <\/em><strong>79:<\/strong> 1519 - 1524.\r\n\r\nFricton, J., Look, J. O., Wright, E., Alencar, F. G., Jr., Chen, H., Lang, M., Ouyang, W. &amp; Velly, A. M. (2010) Systematic review and meta-analysis of randomized controlled trials evaluating intraoral orthopedic appliances for temporomandibular disorders. <em>Journal of Orofacial Pain <\/em><strong>24:<\/strong> 237 -2 54.\r\n\r\nFrohman, B. S. (1931) The application of psychotherapy to dental problems. <em>Dental Cosmos <\/em><strong>73:<\/strong> 1117 - 1122.\r\n\r\nGeering, A. H. &amp; Lang, N. P. (1978) Die Michigan-Schiene, ein diagnostisches und therapeutisches Hilfsmittel bei Funktionsst\u00f6rungen im Kausystem. I. Herstellung im Artikulator und Eingliederung am Patienten. <em>Schweizer Monatsschrift f\u00fcr Zahnmedizin <\/em><strong>88:<\/strong> 32 - 38.\r\n\r\nGeertman, M. E., Slagter, A. P., van Waas, M. A. &amp; Kalk, W. (1994) Comminution of food with mandibular implant-retained overdentures. <em>Journal of Dental Research <\/em><strong>73:<\/strong> 1858 - 1864.\r\n\r\nHaraldson, T. &amp; Carlsson, G. E. (1977) Bite force and oral function in patients with osseointegrated oral implants. <em>Scandinavian Journal of Dental Research <\/em><strong>85:<\/strong> 200 - 208.\r\n\r\nHaraldson, T. &amp; Carlsson, G. E. (1979) Chewing efficiency in patients with osseointegrated oral implant bridges. <em>Swedish Dental Journal <\/em><strong>3:<\/strong> 183 - 191.\r\n\r\nHaraldson, T. &amp; Zarb, G. (1988) A 10-year follow-up study of the masticatory system after treatment with osseointegrated implant bridges. <em>Scandinavian Journal of Dental Research <\/em><strong>96:<\/strong> 243 - 252.\r\n\r\nHelkimo, E., Carlsson, G. E. &amp; Helkimo, M. (1977) Bite force and state of dentition. <em>Acta Odontologica Scandinavica <\/em><strong>35:<\/strong> 297 - 303.\r\n\r\nKarolyi, M. (1901) Beobachtungen \u00fcber Pyorrhoea alveolaris. <em>\u00d6sterreichisch-Ungarische Vierteljahresschrift f\u00fcr Zahnheilkunde <\/em><strong>17:<\/strong> 279-283.\r\n\r\nKarolyi, M. (1902) Beobachtungen \u00fcber Pyorrhoea alveolaris und Caries dentium. <em>\u00d6sterreichisch-Ungarische Vierteljahresschrift f\u00fcr Zahnheilkunde <\/em><strong>18:<\/strong> 520 - 526.\r\n\r\nKomiyama, O., Lobbezoo, F., De Laat, A., Iida, T., Kitagawa, T., Murakami, H., Kato, T. &amp; Kawara, M. (2012) Clinical management of implant prostheses in patients with bruxism. <em>International Journal of Biomaterials <\/em><strong>2012:<\/strong> 369063.\r\n\r\nKullar, A. S. &amp; Miller, C. S. (2019) Are there contraindications for placing dental implants? <em>Dental Clinics of North America <\/em><strong>63:<\/strong> 345 - 362.\r\n\r\nLindquist, L. W., Carlsson, G. E. &amp; Hedeg\u00e5rd, B. (1986) Changes in bite force and chewing efficiency after denture treatment in edentulous patients with denture adaptation difficulties. <em>Journal of Oral Rehabilitation <\/em><strong>13:<\/strong> 21 - 29.\r\n\r\nLobbezoo, F., Brouwers, J. E., Cune, M. S. &amp; Naeije, M. (2006) Dental implants in patients with bruxing habits. <em>ournal of Oral Rehabilitation <\/em><strong>33:<\/strong> 152 - 159.\r\n\r\nLobbezoo, F., Ahlberg, J., Glaros, A. G., Kato, T., Koyano, K., Lavigne, G. J., de Leeuw, R., Manfredini, D., Svensson, P. &amp; Winocur, E. (2013) Bruxism defined and graded: an international consensus. <em>Journal of Oral Rehabilitation <\/em><strong>40:<\/strong> 2 - 4.\r\n\r\nManfredini, D., Poggio, C. E. &amp; Lobbezoo, F. (2014) Is bruxism a risk factor for dental implants? A systematic review of the literature. <em>Clinical Implant Dentistry and Related Reserch <\/em><strong>16:<\/strong> 460 - 469.\r\n\r\nMarie &amp; Pietkiewicz (1907) La bruxomanie. <em>Revue de Stomatologie <\/em><strong>14:<\/strong> 107 - 116.\r\n\r\nMelo, G., Duarte, J., Pauletto, P., Porporatti, A. L., Stuginski-Barbosa, J., Winocur, E., Flores-Mir, C. &amp; De Luca Canto, G. (2019) Bruxism: An umbrella review of systematic reviews. <em>Journal of Oral Rehabilitation <\/em><strong>46:<\/strong> 666 - 690.\r\n\r\nMesko, M. E., Almeida, R. C., Porto, J. A., Koller, C. D., da Rosa, W. L. &amp; Boscato, N. (2014) Should occlusal splints be a routine prescription for diagnosed bruxers undergoing implant therapy? <em>International Journal of Prosthodontics <\/em><strong>27:<\/strong> 201 - 203.\r\n\r\nMichael, C. G., Javid, N. S., Colaizzi, F. A. &amp; Gibbs, C. H. (1990) Biting strength and chewing forces in complete denture wearers. <em>Journal of Prosthetic Dentistry <\/em><strong>63:<\/strong> 549 - 553.\r\n\r\nMichelotti, A., Cioffi, I., Festa, P., Scala, G. &amp; Farella, M. (2010) Oral parafunctions as risk factors for diagnostic TMD subgroups. <em>Journal of Oral Rehabilitation <\/em><strong>37:<\/strong> 157 - 162.\r\n\r\nMundt, T., Mack, F., Schwahn, C., Bernhardt, O., Kocher, T. &amp; Biffar, R. (2008) Association between sociodemographic, behavioral, and medical conditions and signs of temporomandibular disorders across gender: results of the study of health in Pomerania (SHIP-0). <em>International Journal of Prosthodontics <\/em><strong>21:<\/strong> 141 - 148.\r\n\r\nNishigawa, K., Bando, E. &amp; Nakano, M. (2001) Quantitative study of bite force during sleep associated bruxism. <em>Journal of Oral Rehabilitation <\/em><strong>28:<\/strong> 485 - 491.\r\n\r\nRichter, E. J. (1995) In vivo vertical forces on implants. <em>International Journal of Oral &amp; Maxillofacial Implants <\/em><strong>10:<\/strong> 99 - 108.\r\n\r\nRichter, E. J. (1998) In vivo horizontal bending moments on implants. <em>International Journal of Oral &amp; Maxillofacial Implants <\/em><strong>13:<\/strong> 232 - 244.\r\n\r\nRompr\u00e9, P. H., Daigle-Landry, D., Guitard, F., Montplaisir, J. Y. &amp; Lavigne, G. J. (2007) Identification of a sleep bruxism subgroup with a higher risk of pain. <em>Journal of Dental Research <\/em><strong>86:<\/strong> 837 - 842.\r\n\r\nSalvi, G. E. &amp; Br\u00e4gger, U. (2009) Mechanical and technical risks in implant therapy. <em>International Journal of Oral &amp; Maxillofacial Implant <\/em><strong>24 Suppl:<\/strong> 69 - 85.\r\n\r\nSchindler, H. J. &amp; T\u00fcrp, J. C. (2005) 3.5.7. Kauen. In: Hei\u00df HW (eds.) Kompendium Altersmedizin, 1 - 26, Landsberg am Lech: ecomed.\r\n\r\nSheridan, R. A., Decker, A. M., Plonka, A. B. &amp; Wang, H. L. (2016) The Role of Occlusion in Implant Therapy: A Comprehensive Updated Review. <em>Implant Dentistry <\/em><strong>25:<\/strong> 829 - 838.\r\n\r\nSlagter, A. P., Bosman, F., van der Glas, H. W. &amp; van der Bilt, A. (1993) Human jaw-elevator muscle activity and food comminution in the dentate and edentulous state. <em>Archives of Oral Biology <\/em><strong>38:<\/strong> 195 - 205.\r\n\r\nStoichkov, B. &amp; Kirov, D. (2018) Analysis of the causes of dental implant fracture: A retrospective clinical study. <em>Quintessence International <\/em><strong>49:<\/strong> 279 - 286.\r\n\r\nStuginski-Barbosa, J., Porporatti, A. L., Costa, Y. M., Svensson, P. &amp; Conti, P. C. (2017) Agreement of the International Classification of Sleep Disorders Criteria with polysomnography for sleep bruxism diagnosis: A preliminary study. <em>Journal of Prosthetic Dentistry <\/em><strong>117:<\/strong> 61 - 66.\r\n\r\nTsiggos, N., Tortopidis, D., Hatzikyriakos, A. &amp; Menexes, G. (2008) Association between self-reported bruxism activity and occurrence of dental attrition, abfraction, and occlusal pits on natural teeth. <em>Journal of Prosthetic Dentistry <\/em><strong>100:<\/strong> 41 - 46.\r\n\r\nvan Kampen, F. M., van der Bilt, A., Cune, M. S. &amp; Bosman, F. (2002) The influence of various attachment types in mandibular implant-retained overdentures on maximum bite force and EMG. <em>Journal of Dental Research <\/em><strong>81:<\/strong> 170 - 173.\r\n\r\nVrielinck, L., Blok, J. &amp; Politis, C. (2022) Survival of conventional dental implants in the edentulous atrophic maxilla in combination with zygomatic implants: a 20-year retrospective study. <em>International Journal of Implant Dentistry <\/em><strong>8:<\/strong> 27.\r\n\r\nWatt, D. M., MacGregor, A. R., Geddes, M., Cockburn, A. &amp; Boyd, J. L. (1958) A preliminary investigation of the support of partial dentures and its relationship to vertical load. <em>Dental Practice <\/em><strong>9:<\/strong> 2 - 15.\r\n\r\nYadav, K., Nagpal, A., Agarwal, S. K. &amp; Kochhar, A. (2016) Intricate assessment and evaluation of effect of bruxism on long-term survival and failure of dental implants: A comparative study. <em>Journal of Contemporary Dental Practice <\/em><strong>17:<\/strong> 670-674.\r\n\r\nZhou, Y., Gao, J., Luo, L. &amp; Wang, Y. (2016) Does bruxism contribute to dental implant failure? A systematic review and meta-analysis. <em>Clinical Implant Dentistry and Related Reserch <\/em><strong>18:<\/strong> 410 - 420.\r\n\r\nZitzmann, N.U. (2022): Occlusal load \u2012 a factor for implant failure? In: Nikolaos, D., Barter S. &amp; Wismeijer D. (Hrsg.): ITI Treatment Guide Vol 13. Prevention and Management of Peri-Implant Diseases, 174-178, Berlin: Quintessence.","endnote":"OWN - ITI International Team for Implantology\r\n CI - ITI International Team for Implantology\r\n JT - Forum Implantologicum\r\n DP - 2022\r\n LA - en\r\n TI - Clinical Aspects on Implant Therapy for Patients with Bruxism\r\nOWN - ITI International Team for Implantology\r\n AU - T\u00fcrp J.\r\nAID - 10.3290\/iti.fi.45696[doi]\r\n AB - Abstract"},"_links":{"self":[{"href":"https:\/\/forum-impl.iti.org\/en\/wp-json\/wp\/v2\/article\/673","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/forum-impl.iti.org\/en\/wp-json\/wp\/v2\/article"}],"about":[{"href":"https:\/\/forum-impl.iti.org\/en\/wp-json\/wp\/v2\/types\/article"}],"version-history":[{"count":4,"href":"https:\/\/forum-impl.iti.org\/en\/wp-json\/wp\/v2\/article\/673\/revisions"}],"predecessor-version":[{"id":1535,"href":"https:\/\/forum-impl.iti.org\/en\/wp-json\/wp\/v2\/article\/673\/revisions\/1535"}],"acf:post":[{"embeddable":true,"href":"https:\/\/forum-impl.iti.org\/en\/wp-json\/wp\/v2\/forum-author\/1236"},{"embeddable":true,"href":"https:\/\/forum-impl.iti.org\/en\/wp-json\/wp\/v2\/feature-topic\/1447"}],"wp:attachment":[{"href":"https:\/\/forum-impl.iti.org\/en\/wp-json\/wp\/v2\/media?parent=673"}],"wp:term":[{"taxonomy":"article-type","embeddable":true,"href":"https:\/\/forum-impl.iti.org\/en\/wp-json\/wp\/v2\/article-type?post=673"},{"taxonomy":"forum-tag","embeddable":true,"href":"https:\/\/forum-impl.iti.org\/en\/wp-json\/wp\/v2\/forum-tag?post=673"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}