Bruxism Effect on Prosthodontic Management: Clinical Review

Abstract

The aim of this study is to present a global management of bruxism in order to satisfy the requirements of the patient and to minimize the risk of prosthetic failure. The success of prosthetic rehabilitation integrated within the manducatory system depends on several parameters that must be taken into consideration. A 70-year-old patient, in good general health, was consulting the removable partial denture department at the dental clinic of Monastir (Tunisia) for an aesthetic and functional reason. The patient reports a diurnal and especially nocturnal grinding of the teeth which leads to a suspicion of bruxism. The patient seems to be stressed and nervous due to his work which is driving instructor.  Prosthetic management with combined prosthesis was done.  Yet, the clinician has to take into consideration the maintenance sessions, the perfect occlusal adjustment and the patient's compliance after prosthesis insertion and wearing a protective splint. Regular follow-up is important to detect any alarming sign such as loosening or repeated fracture of the abutment screws and fracture of the cosmetic material. Any decision will be based on clinical experience and on the correct diagnosis of the level and type of bruxism.