ABSTRACT

Background: Bruxism is a Para-functional habit associated with oral manifestations like Clenching or grinding of teeth, hypersensitivity, attrition, occlusal wear, fractures, gingival recessions, fissures and cracks of fixed prosthesis and removable dentures especially made of dental ceramics. Special care has to be taken in bruxism patients to reduce the unnecessary effects of heavy occlusal loading caused by mechanical components of the prosthesis. Aim: The present literature review was carried to apprehend and explore the various clinical challenging aspects associated with prosthetic rehabilitation in bruxism patients. Materials and methods: A structured literature search for articles in the English language in PubMed, MEDLINE, Embase, Google Scholar and Web of Science databases from 1980 to till date was retrieved by using MeSH terms “Bruxism”, “Removable prosthesis”, “Management of Bruxism”,”Prosthetic Complications” “Occlusal Therapy” and “Bruxism and Prosthodontic treatment” . Discussion: Oral manifestations are often associated with rhythmic activity of masticatory muscles resulting in abnormal mandibular movements. For an effective treatment of bruxism, establishment of occlusal harmony along with management of environmental factors is critical.Fractures of removable dentures are rare compared to the fixed prosthesis however bruxism along with other factors like smoking, poor oral hygiene might influence on bone loss in implant supported fixed prosthesis. Conclusion: Though no specific treatment is available at present for management of bruxism, the current modalities focuses on the prevention of tooth wear, reduce Temporomandibular joint discomfort; and improve muscle activity. Hence appropriate strategies and special care treatment modalities have to be followed to ensure successful treatment. Keywords: Bruxism, Non-Functional Grinding, Occlusal load, Occlusal Therapy, Prosthetic management, Tooth Wear
Publication date: 01/07/21

https://ijbpas.com/pdf/2021/July/MS_IJBPAS_2021_5553.pdf

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https://doi.org/10.31032/IJBPAS/2021/10.7.5553