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Ask UsDental Implants and Bruxism
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Dental Implant Complications, Treatment Planning & Complications, Dental Implant Contraindications
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Dr. Abrams asks us:
I am planning on placing two dental implants to
replace the lower right first and second molars in a patient with a long history of bruxism.
The history bruxism has resulted in a completely
flat occlusal plane, i.e. the curve of Monson is flat. Would a screw-retained or cement -retained superstructure be better?
I am aware that an occlusal nightguard is imperative. Any advice would be appreciated.
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2 Responses to “ Dental Implants and Bruxism ”
I have done a signigicant number of implants on patients with bruxism. Your main concern is fracture of components including abutment screws and even implants. I would suggest you use an implant witha minimum diameter of 4.1 mm–4.8mm, and use cement retained prosthetics.
A wide diameter implant with a deep thread profile would be best. Progressively load the implants PRIOR to definitive restoration to increase mineralization and bone to implant contact. Finally, a plane of occusion that matches his habitual bite.
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