Relationship between bite force, bruxism, and fractures of teeth and dental restorations

Abstract The aim of this long-term follow-up study was to investigate the relationship between bite force, bruxism, and fractures of teeth and veneer porcelain of fixed dental prostheses. Patients previously assessed as probable bruxers (n = 30) and non-bruxers (n = 21), all rehabilitated with denta...

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Main Authors: Bruno Ramos Chrcanovic, Tom Bergengren, Nikola Stanisic, Sahar Sohrabi, Christel Larsson, Peter Svensson, Birgitta Häggman-Henrikson
Format: Article
Language:English
Published: Nature Portfolio 2025-07-01
Series:Scientific Reports
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Online Access:https://doi.org/10.1038/s41598-025-07772-2
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author Bruno Ramos Chrcanovic
Tom Bergengren
Nikola Stanisic
Sahar Sohrabi
Christel Larsson
Peter Svensson
Birgitta Häggman-Henrikson
author_facet Bruno Ramos Chrcanovic
Tom Bergengren
Nikola Stanisic
Sahar Sohrabi
Christel Larsson
Peter Svensson
Birgitta Häggman-Henrikson
author_sort Bruno Ramos Chrcanovic
collection DOAJ
description Abstract The aim of this long-term follow-up study was to investigate the relationship between bite force, bruxism, and fractures of teeth and veneer porcelain of fixed dental prostheses. Patients previously assessed as probable bruxers (n = 30) and non-bruxers (n = 21), all rehabilitated with dental implant-supported restorations, underwent a clinical examination and measurement of maximum bite force. A univariate general linear model was used to compare regression lines showing the relationship between fractures and bite force. Bruxers had significantly higher maximum bite force (p = 0.023) and higher proportion of tooth/veneer porcelain fractures per total number of tooth/prosthetic units (p = 0.045). There was no significant difference in the relationship between frequency of tooth/veneer porcelain fractures and maximum bite force between probable bruxers and non-bruxers (p = 0.054). However, there was a significant difference between probable bruxers and non-bruxers when the percentage of fractures in relation to the total number of units was considered instead of the frequency of fractures (p = 0.035). Higher maximum bite force in probable bruxers was related to higher prevalence of fractures of teeth and veneer porcelain, emphasizing the potential benefits of pre-treatment assessment of bruxism as well as bite force. Easy-to-use reliable clinical methods for bite force measurement should be tested and implemented in dental practice.
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spelling doaj-art-b8c157e0a3d641cf8a478c755bd93bf02025-08-20T03:45:35ZengNature PortfolioScientific Reports2045-23222025-07-011511910.1038/s41598-025-07772-2Relationship between bite force, bruxism, and fractures of teeth and dental restorationsBruno Ramos Chrcanovic0Tom Bergengren1Nikola Stanisic2Sahar Sohrabi3Christel Larsson4Peter Svensson5Birgitta Häggman-Henrikson6Department of Oral and Maxillofacial Surgery and Oral Medicine, Faculty of Odontology, Malmö UniversityDepartment of Prosthodontics, Faculty of Odontology, Malmö UniversityDepartment of Orofacial Pain and Jaw Function, Faculty of Odontology, Malmö UniversityDepartment of Prosthodontics, Faculty of Odontology, Malmö UniversityDepartment of Prosthodontics, Faculty of Odontology, Malmö UniversityDepartment of Orofacial Pain and Jaw Function, Faculty of Odontology, Malmö UniversityDepartment of Orofacial Pain and Jaw Function, Faculty of Odontology, Malmö UniversityAbstract The aim of this long-term follow-up study was to investigate the relationship between bite force, bruxism, and fractures of teeth and veneer porcelain of fixed dental prostheses. Patients previously assessed as probable bruxers (n = 30) and non-bruxers (n = 21), all rehabilitated with dental implant-supported restorations, underwent a clinical examination and measurement of maximum bite force. A univariate general linear model was used to compare regression lines showing the relationship between fractures and bite force. Bruxers had significantly higher maximum bite force (p = 0.023) and higher proportion of tooth/veneer porcelain fractures per total number of tooth/prosthetic units (p = 0.045). There was no significant difference in the relationship between frequency of tooth/veneer porcelain fractures and maximum bite force between probable bruxers and non-bruxers (p = 0.054). However, there was a significant difference between probable bruxers and non-bruxers when the percentage of fractures in relation to the total number of units was considered instead of the frequency of fractures (p = 0.035). Higher maximum bite force in probable bruxers was related to higher prevalence of fractures of teeth and veneer porcelain, emphasizing the potential benefits of pre-treatment assessment of bruxism as well as bite force. Easy-to-use reliable clinical methods for bite force measurement should be tested and implemented in dental practice.https://doi.org/10.1038/s41598-025-07772-2BruxismBite forceTooth fractureVeneer porcelain fracture
spellingShingle Bruno Ramos Chrcanovic
Tom Bergengren
Nikola Stanisic
Sahar Sohrabi
Christel Larsson
Peter Svensson
Birgitta Häggman-Henrikson
Relationship between bite force, bruxism, and fractures of teeth and dental restorations
Scientific Reports
Bruxism
Bite force
Tooth fracture
Veneer porcelain fracture
title Relationship between bite force, bruxism, and fractures of teeth and dental restorations
title_full Relationship between bite force, bruxism, and fractures of teeth and dental restorations
title_fullStr Relationship between bite force, bruxism, and fractures of teeth and dental restorations
title_full_unstemmed Relationship between bite force, bruxism, and fractures of teeth and dental restorations
title_short Relationship between bite force, bruxism, and fractures of teeth and dental restorations
title_sort relationship between bite force bruxism and fractures of teeth and dental restorations
topic Bruxism
Bite force
Tooth fracture
Veneer porcelain fracture
url https://doi.org/10.1038/s41598-025-07772-2
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