Evidence map›Paper›PMID 41068723›Full record

SynthesisBMC oral health2025

Bruxism in implant-supported rehabilitations: a narrative review of clinical complications and management strategies.

Elnaz Shafiee, Amin Nourizadeh

Abstract readSystematic Review
In one paragraph

Synthesis in BMC oral health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

Elnaz ShafieeDepartment of Prosthodontics, Faculty of Dentistry, TaMS.c.,Islamic Azad University, Tabriz, Iran.
Amin NourizadehDepartment of Prosthodontics, Faculty of Dentistry, Tabriz University of Medical Sciences, Tabriz, Iran. Nourizadeh.amin@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBruxism represents a significant risk factor for complications in implant-supported rehabilitations. Unlike natural teeth cushioned by periodontal ligament, the rigid osseointegrated connection transmits excessive bruxing forces directly to the implant-bone interface and prosthetic components.

objectiveThis narrative review synthesizes current knowledge regarding bruxism-related complications in implant-supported rehabilitations and evaluates available management strategies.

methodsA comprehensive narrative review was conducted using PubMed/MEDLINE, Embase, Web of Science, Scopus, Cochrane Library, and Science Direct databases covering publications from January 1990 to December 2024. Studies investigating bruxism's relationship with dental implant outcomes, clinical complications, and management strategies were included.

resultsSystematic reviews demonstrate that bruxing patients have 2.2-4.7 fold increased implant failure risk compared to non-bruxing patients. Finite element analyses reveal that occlusal splints reduce stress concentration by 33-73% depending on load magnitude. Limited evidence exists regarding the association between bruxism and peri-implant bone loss. Technical complications include prosthetic component fractures, screw loosening, and framework failures. Management strategies include occlusal splint therapy, modified prosthetic designs, strategic implant placement, and comprehensive follow-up protocols.

conclusionsWhile bruxism significantly increases the risk of complications in implant-supported rehabilitations, successful outcomes are achievable through comprehensive management approaches. Evidence supports the effectiveness of occlusal splints in stress reduction and splinted prosthetic designs for optimal force distribution. However, the relationship between bruxism and implant complications remains complex, requiring standardized diagnostic criteria and evidence-based treatment protocols.

Indexed as

BruxismDental ImplantsDental Prosthesis, Implant-SupportedDental Restoration FailureHumansRisk FactorsDental ImplantsBiomechanicsBruxismDental implantsImplant failureMechanical complicationsOcclusal splintParafunctional habitsPreventive strategiesStress distribution

Identifiers

PMID41068723
PMCPMC12512445

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.