Assessment of Survival Rate of Dental Implants in Patients with Bruxism: A 5-year Retrospective Study

Overview

Journal Contemp Clin Dent

Specialty Dentistry

Date 2018 Oct 9

PMID 30294158

Citations 6

Authors

Rajkiran Chitumalla

K V Halini Kumari

Abhilash Mohapatra

Anuj Singh Parihar

K S Anand

Padmavathi Katragadda

Affiliations

Soon will be listed here.

Abstract

Background: Dental implants are associated with failure such as early or late failure. Systemic conditions such as diabetes, hypertension, and bruxism affect the success rate. The present study was conducted to assess complications in dental implants in bruxism patients.

Materials And Methods: This 5-year retrospective study was conducted on 450 patients (640 dental implants) who received implants during the period and followed up for 5 years from June 2010 to June 2016. Among these patients, 124 had bruxism habit. Dental radiographs or patients' recalled records were evaluated for the presence of complications such as fracture of implant, fracture of ceramic, screw loosening, screw fracture, and decementation of unit.

Results: In 240 males and 210 females, 380 implants and 260 implants were inserted, respectively. The difference was statistically nonsignificant ( = 0.1). A total of 145 screw-type and 130 cemented-type fixations had complications. The difference was statistically nonsignificant ( = 0.5). Complications were seen in single crown (45), partial prostheses (125), and complete prostheses (105). The difference was statistically significant ( = 0.012). The common complication was fracture of ceramic (70) in cemented-type fixation and fracture of ceramic (85) in screw-type fixation. The difference was statistically significant ( = 0.01). Forty-two single crowns showed decementation, 85 partial prostheses had fracture of ceramic/porcelain, and 50 complete prostheses showed fracture of ceramic/porcelain. The failure rate was 42.9%. Survival rate of dental implants in males with bruxism habit was 90% after 1 year, 87% after 2 years, 85% after 3 years, 75% after 4 years, and 72% after 5 years. Survival rate of dental implants in females with bruxism habit was 92% after 1 year, 90% after 2 years, 85% after 3 years, 75% after 4 years, and 70% after 5 years. The difference among genders was statistically nonsignificant ( = 0.21).

Conclusion: Bruxism is a parafunctional habit which affects the survival rate of dental implants. There is requirement to follow certain specific protocols in bruxism patients to prevent the developing complications.

Citing Articles

Occlusion and Biomechanical Risk Factors in Implant-Supported Full-Arch Fixed Dental Prostheses-Narrative Review.

Berzaghi A, Testori T, Scaini R, Bortolini S J Pers Med. 2025; 15(2).

PMID: 39997342 PMC: 11856061. DOI: 10.3390/jpm15020065.

Predictive Factors of Dental Implant Failure: A Retrospective Study Using Decision Tree Regression.

Shahapur S, Patil K, Manhas S, Datta N, Jadhav P, Gupta S Cureus. 2025; 16(12):e75192.

PMID: 39759752 PMC: 11700303. DOI: 10.7759/cureus.75192.

Peri-Implant Bone Loss and Overload: A Systematic Review Focusing on Occlusal Analysis through Digital and Analogic Methods.

Di Fiore A, Montagner M, Sivolella S, Stellini E, Yilmaz B, Brunello G J Clin Med. 2022; 11(16).

PMID: 36013048 PMC: 9409652. DOI: 10.3390/jcm11164812.

Dental Implant Therapeutic Trends Among Dentists in Palestine: A Cross-Sectional Questionnaire Study.

Assaf M Cureus. 2022; 14(4):e24301.

PMID: 35607572 PMC: 9123343. DOI: 10.7759/cureus.24301.

Implant complications in bruxism patients.

Song J J Korean Assoc Oral Maxillofac Surg. 2021; 47(2):149-150.

PMID: 33911049 PMC: 8084741. DOI: 10.5125/jkaoms.2021.47.2.149.

References

Mendonca G, Silveira Mendonca D, Fernandes-Neto A, Neves F . Management of fractured dental implants: a case report. Implant Dent. 2009; 18(1):10-6. DOI: 10.1097/ID.0b013e318192cafe. View

Siebers D, Gehrke P, Schliephake H . Delayed function of dental implants: a 1- to 7-year follow-up study of 222 implants. Int J Oral Maxillofac Implants. 2011; 25(6):1195-202. View

Engel E, Gomez-Roman G . Effect of occlusal wear on bone loss and Periotest value of dental implants. Int J Prosthodont. 2002; 14(5):444-50. View

Suneel V, Kotian S, Jujare R, Shetty A, Nidhi S, Grover S . Incidence of Prosthetic Complications associated with Implant-borne Prosthesis in a Sleep Disorder Center. J Contemp Dent Pract. 2017; 18(9):821-825. DOI: 10.5005/jp-journals-10024-2133. View

Lewis M, Klineberg I . Prosthodontic considerations designed to optimize outcomes for single-tooth implants. A review of the literature. Aust Dent J. 2011; 56(2):181-92. DOI: 10.1111/j.1834-7819.2011.01322.x. View

Zupnik J, Kim S, Ravens D, Karimbux N, Guze K . Factors associated with dental implant survival: a 4-year retrospective analysis. J Periodontol. 2011; 82(10):1390-5. DOI: 10.1902/jop.2011.100685. View

Nedir R, Bischof M, Briaux J, Beyer S, Szmukler-Moncler S, Bernard J . A 7-year life table analysis from a prospective study on ITI implants with special emphasis on the use of short implants. Results from a private practice. Clin Oral Implants Res. 2004; 15(2):150-7. DOI: 10.1111/j.1600-0501.2004.00978.x. View

De Angelis F, Papi P, Mencio F, Rosella D, Di Carlo S, Pompa G . Implant survival and success rates in patients with risk factors: results from a long-term retrospective study with a 10 to 18 years follow-up. Eur Rev Med Pharmacol Sci. 2017; 21(3):433-437. View

Albrektsson T, Donos N . Implant survival and complications. The Third EAO consensus conference 2012. Clin Oral Implants Res. 2012; 23 Suppl 6:63-5. DOI: 10.1111/j.1600-0501.2012.02557.x. View

10.

Mangano F, Macchi A, Caprioglio A, Sammons R, Piattelli A, Mangano C . Survival and complication rates of fixed restorations supported by locking-taper implants: a prospective study with 1 to 10 years of follow-up. J Prosthodont. 2014; 23(6):434-44. DOI: 10.1111/jopr.12152. View

11.

van der Zaag J, Lobbezoo F, Wicks D, Visscher C, Hamburger H, Naeije M . Controlled assessment of the efficacy of occlusal stabilization splints on sleep bruxism. J Orofac Pain. 2005; 19(2):151-8. View

12.

Herzberg R, Dolev E, Schwartz-Arad D . Implant marginal bone loss in maxillary sinus grafts. Int J Oral Maxillofac Implants. 2006; 21(1):103-10. View

13.

Paesani D, Lobbezoo F, Gelos C, Guarda-Nardini L, Ahlberg J, Manfredini D . Correlation between self-reported and clinically based diagnoses of bruxism in temporomandibular disorders patients. J Oral Rehabil. 2013; 40(11):803-9. DOI: 10.1111/joor.12101. View

14.

Thymi M, Visscher C, Yoshida-Kohno E, Crielaard W, Wismeijer D, Lobbezoo F . Associations between sleep bruxism and (peri-) implant complications: a prospective cohort study. BDJ Open. 2018; 3:17003. PMC: 5842855. DOI: 10.1038/bdjopen.2017.3. View

15.

Papaspyridakos P, Mokti M, Chen C, Benic G, Gallucci G, Chronopoulos V . Implant and prosthodontic survival rates with implant fixed complete dental prostheses in the edentulous mandible after at least 5 years: a systematic review. Clin Implant Dent Relat Res. 2013; 16(5):705-17. DOI: 10.1111/cid.12036. View

16.

Fischer K, Stenberg T, Hedin M, Sennerby L . Five-year results from a randomized, controlled trial on early and delayed loading of implants supporting full-arch prosthesis in the edentulous maxilla. Clin Oral Implants Res. 2008; 19(5):433-41. DOI: 10.1111/j.1600-0501.2007.01510.x. View

17.

Tosun T, Karabuda C, Cuhadaroglu C . Evaluation of sleep bruxism by polysomnographic analysis in patients with dental implants. Int J Oral Maxillofac Implants. 2003; 18(2):286-92. View

18.

Glauser R, REE A, Lundgren A, Gottlow J, Hammerle C, Scharer P . Immediate occlusal loading of Brånemark implants applied in various jawbone regions: a prospective, 1-year clinical study. Clin Implant Dent Relat Res. 2002; 3(4):204-13. DOI: 10.1111/j.1708-8208.2001.tb00142.x. View

19.

Manfredini D, Poggio C, Lobbezoo F . Is bruxism a risk factor for dental implants? A systematic review of the literature. Clin Implant Dent Relat Res. 2012; 16(3):460-9. DOI: 10.1111/cid.12015. View

20.

Misch C . The effect of bruxism on treatment planning for dental implants. Dent Today. 2002; 21(9):76-81. View