Bruxism and All-on-4® Implants: Exploring the Options Available

If you’re considering All-on-4 dental implants, but suffer from bruxism, it’s too soon to give up yet. Here’s how a mouthguard can help you get the treatment you need.

Bruxism, or teeth grinding, is a common condition that affects many Americans, often while they’re asleep. This involuntary habit can seriously deteriorate your natural teeth, and it can pose serious challenges for those considering All-on-4® dental implants.

However, by using a custom-made mouthguard, people with bruxism can get a full arch of implants safely and effectively. In this article, we’ll explore how bruxism affects dental implants, what role a mouthguard can play in this situation, and how it helps protect your new smile.

Understanding Bruxism and Its Consequences

Can You Get All on 4 Dental Implants If You Have Bruxism

A person suffering from bruxism will often grind or clench their teeth without realizing it. It can occur during the day, but it’s often while they’re asleep that patients who grind their teeth suffer the most, as they can’t control it.

Bruxism is a disorder associated with stress, anxiety, or sleep disorders, and individuals can suffer from it several times in their lives, depending on what they’re going through. As a result, patients can suffer from:

  • Wear and Tear: The frequent grinding causes the enamel, the teeth's outer layer of protection, to erode, increasing sensitivity and the chance of cavities.  
  • TMJ Disorders and Jaw Pain: Too much pressure on the jaw joints and muscles can lead to these painful conditions.
  • Breaks and Cracks: The force used when grinding can break or crack teeth, requiring restorative dentistry to fix it.

Still, how does bruxism impact All-on-4® dental implants?

What Are All-on-4® Dental Implants? 

With the groundbreaking All-on-4® dental implant technique, just four implants can support a complete arch of replacement teeth. This procedure is perfect for those who have lost most or all of their teeth and it provides a long-term solution that feels, looks, and functions just like real teeth.

Other benefits of these implants are:

  • Natural Appearance and Function: The implants are made to resemble real teeth in both appearance and feel, looking both aesthetically beautiful and comfortable.  
  • Stability and Durability: All-on-4® implants provide a strong base for prosthetic teeth and, with the right maintenance, can last a lifetime.  
  • Bone Preservation: Implants stimulate the jawbone, preventing the natural bone loss that occurs when teeth are lost.

The Challenge of Bruxism with All-on-4® Implants

For those thinking about All-on-4® implants, bruxism presents a big obstacle. Dental implants are susceptible to the same forces that harm natural teeth. Even though the materials used to make implants are very strong, the constant pressure from grinding can cause issues like:

  • Prosthetic Damage: Under the stress of bruxism, the prosthetic teeth affixed to the implants may deteriorate, chip, or crack.
  • Bone Resorption: While implants help preserve bone, the additional strain caused by grinding may hasten the loss of bone surrounding the implant site, jeopardizing the device's stability.
  • Implant Failure: finally, the excessive force may lead to loosening or even failure of the implants, requiring their replacement.

Because of that, a mouthguard is essential to ensure the success of All-on-4® implants in patients with bruxism.

All on 4 Dental Implants

How a Mouthguard Protects All-on-4® Implants

A mouthguard is a protective device usually worn during sleep that acts as a barrier between the upper and lower teeth. It distributes the forces of grinding across the entire mouth, reducing the risk of damage to individual implants and prosthetic teeth.  

The mouthguard creates a physical barrier that prevents the upper and lower teeth from coming into direct contact, minimizing wear on the prosthetic teeth. Moreover, its cushioning effect can reduce strain on the jaw muscles and joints, alleviating some of the symptoms associated with TMJ disorders.

Nevertheless, the main benefit of mouthguards is that they protect teeth against fractures, cracking, or chipping by absorbing the impact of grinding.

Custom vs. Over-the-Counter Mouthguards

When considering a mouthguard for bruxism, it’s important to choose the right type. While over-the-counter mouthguards are available, they may not provide the same level of protection as a custom-made option.  

Custom mouthguards offer a tailored fit, as they’re designed specifically for your mouth. That way, you can rest assured that they’ll stay in place throughout the night. They can also be designed to provide the optimal level of protection based on the severity of your bruxism and the position of your implants.

Moreover, they’re made from high-quality materials, being more durable and effective in protecting your All-on-4® implants.  

On the other hand, over-the-counter mouthguards offer a generic fit. They’re designed to fit a wide range of mouth sizes, which may result in a loose or uncomfortable fit, and the materials utilized to develop them are less durable.

This would lead to needing to replace them more frequently, which wouldn’t be a problem in a normal case. However, these less durable materials also offer limited protection, which is inadequate for a patient with costly and delicate All-on-4® implants.

In the best course of events, it could simply result in a costly crown replacement. However, if you suffer an implant failure, you may have to undergo another oral surgery, and the viability of All-on-4® implants may be hampered.

Strategies for Handling Bruxism

Investing in a custom mouthguard can lessen the harm that teeth can cause. However, that’s assessing only the symptoms and not the root of the problem. Bruxism is often brought by stress and anxiety, so here are some things you can do to control it:

  • Stress Management: Since bruxism and stress are frequently associated, minimizing grinding can be achieved by learning how to unwind and cope with stress. Methods like yoga, deep breathing exercises, and meditation can be helpful.  
  • Steer Clear of Stimulants Before Bed: Abstain from caffeine and nicotine in the evening as they can heighten the risk of teeth grinding.  
  • Adopt Good Sleep Hygiene: Establishing a regular sleep schedule and creating a calming environment before bed can lessen the likelihood of bruxism and enhance the quality of your sleep.
  • Jaw Exercises: You can lessen the strain that grinding causes by engaging in exercises that strengthen and relax your jaw muscles.  

woman putting on a Mouthguard for All on 4 Dental Implants

Don’t Let Bruxism Keep You From Getting All-on-4® Dental Implants

For individuals with bruxism, the All-on-4® dental implant procedure is still a viable option, but only with the necessary precautions in place. With a custom-made mouthguard, you can protect the implants from the excessive forces of grinding, ensuring the longevity and success of the treatment.

Besides that, regular check-ups and proactive management of bruxism are also key to maintaining your implants and overall oral health. If you’re interested, here at Smoler Smiles, we can help you. Reach out!

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