Is Bruxism a Risk Factor for Dental Implants? A Systematic Review of the Literature
Is Bruxism a Risk Factor for Dental Implants? A Systematic Review of the Literature
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DOI：
10.1111/cid.12015
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发表时间：
2014-06-01
影响因子：
3.6
通讯作者：
Lobbezoo, Frank
中科院分区：
文献类型：
--
作者：
Manfredini, Daniele;Poggio, Carlo E.;Lobbezoo, Frank
目的对磨牙症作为牙种植修复并发症的危险因素的文献进行系统回顾。材料和方法在美国国家医学图书馆的Medline数据库中进行系统检索，以识别英文文献中评估磨牙症作用的所有同行评审论文，如用任何其他诊断方法诊断的（即，临床评估、问卷调查、访谈、多导睡眠图和肌电图），作为生物学的风险因素（即，植入物失效、植入物移动性和边缘骨损失）或机械性（即，预制构件或实验室制造的上部结构的并发症或失效）牙科植入物支持的修复的并发症。根据与四个主要问题有关的文章的结构化摘要对所选文章进行了审查，即，P -患者/问题/人群，I -干预，C -比较，O -结局。结果共纳入21篇文献，其中生物学并发症14篇，机械性并发症7篇。一般来说，磨牙症诊断和磨牙症对牙种植体影响研究的文献特异性较低。从生物学角度来看，6篇论文中磨牙症与种植体失败无关，而其余8项研究的结果无法得出结论。至于机械并发症，7项研究中有4项与磨牙症呈正相关。结论磨牙症不可能是种植体周围生物学并发症的危险因素，但有一些建议，它可能是一个机械并发症的危险因素。
Purpose To systematically review the literature on the role of bruxism as a risk factor for the different complications on dental implant-supported rehabilitations. Material and Methods A systematic search in the National Library of Medicine's Medline Database was performed to identify all peer-reviewed papers in the English literature assessing the role of bruxism, as diagnosed with any other diagnostic approach (i.e., clinical assessment, questionnaires, interviews, polysomnography, and electromyography), as a risk factor for biological (i.e., implant failure, implant mobility, and marginal bone loss) or mechanical (i.e., complications or failures of either prefabricated components or laboratory-fabricated suprastructures) complications on dental implant-supported rehabilitations. The selected articles were reviewed according to a structured summary of the articles in relation to four main issues, viz., P - patients/problem/population, I - intervention, C - comparison, and O - outcome. Results A total of 21 papers were included in the review and split into those assessing biological complications (n=14) and those reporting mechanical complications (n=7). In general, the specificity of the literature for bruxism diagnosis and for the study of the bruxism's effects on dental implants was low. From a biological viewpoint, bruxism was not related with implant failures in six papers, while results from the remaining eight studies did not allow drawing conclusions. As for mechanical complications, four of the seven studies yielded a positive relationship with bruxism. Conclusions Bruxism is unlikely to be a risk factor for biological complications around dental implants, while there are some suggestions that it may be a risk factor for mechanical complications.