MECHANICAL COMPLICATIONS OF DENTAL IMPLANTS WITH BRUXER PATIENTS  IN THE POSTERIOR MANDIBULAR AREA

DAVID KHITIRI; MARIAM KHITIRI; VLADIMER MARGVELASHVILI

doi:10.52340/jecm.2025.01.02

MECHANICAL COMPLICATIONS OF DENTAL IMPLANTS WITH BRUXER PATIENTS IN THE POSTERIOR MANDIBULAR AREA

Authors

DAVID KHITIRI Tbilisi State University
MARIAM KHITIRI Tbilisi State University
VLADIMER MARGVELASHVILI Tbilisi State University

DOI:

https://doi.org/10.52340/jecm.2025.01.02

Keywords:

dental implants, bruxer, posterior, mandibular, mechanical complications

Abstract

In patients with bruxism, posterior mandibular teeth in dental arches, specifically molars, are under the influence of excessive vertical and lateral forces. These posterior mandibular teeth (molars, premolars) have important role in occlusion and force distribution during mastication. In bruxers, these teeth experience higher occlusal forces. The posterior portion of the mandible has more alveolar bone density than the same part of the maxilla, but it can still be affected by extra forces. Posterior mandibular region is so close to critical structures such as the inferior alveolar nerve, which requires careful planning during implant placement. Dental implants have multiple complications, that may be divided into two main subgroups: mechanical and biological. During the our own research we studied mechanical complications after dental implantation in bruxer patients in the posterior mandibular region. Bruxism, while associated with an increased risk of mechanical complications, is not a contraindication for dental implant placement. In bruxer patients, careful attention to implant positioning, prosthetic design, and occlusal forces is essential to reduce the risk of complications.

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