Dental implants in bruxomaniac patient: considerations from a clinical case

The placement of dental implants is a fundamental aspect of modern restorative dentistry, providing a functional solution for the replacement of missing teeth. However, its success faces challenges, particularly in the presence of conditions such as occlusal overloads induced by bruxism. Bruxism, a multifactorial condition characterized by involuntary abnormal activity involving the grinding or clenching of teeth, brings about various negative effects. Hence, during the planning phase, bruxism should be regarded as a significant risk factor that necessitates careful consideration. this article describes the outcomes achieved through the application of recommended indications for implant placement in patient exhibiting bruxism. A 63-year-old male patient presented with painful symptoms in the right posteroinferior sector. During the anamnesis, the patient reported a habitual teeth-clenching habit. Intraoral examination unveiled wear facets, particularly notable in the first and second lower right molars. Subsequently, a comprehensive approach was undertaken, involving dental extraction, decontamination, and adaptation of dental sockets using tetracycline. This was followed by guided bone regeneration with platelet-rich fibrin, bone grafting, and Sticky bone. Finally, dental implants were placed in a well-distributed manner. The success achieved through the utilization of platelet-rich fibrin and alveolar biomodification as adjuncts demonstrated highly favorable outcomes in the guided bone regeneration process. This, in turn, facilitated the creation of a conducive site for the accurate placement and distribution of implants.