Bruxism and dental implants: A systematic review and meta-analysis.
J Oral Rehabil
; 51(1): 202-217, 2024 Jan.
Article
en En
| MEDLINE
| ID: mdl-37589382
ABSTRACT
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.Palabras clave
Texto completo:
1
Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Bruxismo
/
Implantes Dentales
Tipo de estudio:
Systematic_reviews
Límite:
Humans
Idioma:
En
Revista:
J Oral Rehabil
Año:
2024
Tipo del documento:
Article
País de afiliación:
Suecia