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Bite Mechanics in Implant Dentistry Matter More Than You Think Especially in patients with bruxism. Natural teeth and implants behave very differently under load: • Natural teeth intrude ~50–100 microns under occlusal compression due to the periodontal ligament • Implants are rigid and show almost no axial intrusion This biomechanical mismatch is where many implant complications begin. 👉 If you take the bite without compression, the implant crown may seem light at delivery 👉 Under function or
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Implants in Bruxers: Management is Diagnosis First, Not Just Occlusion Before placing an implant in a patient with tooth wear, ask: Is this awake bruxism? Or sleep bruxism? These are different entities. • Awake bruxism is often stress-related and associated with psychosocial factors. • Sleep bruxism is centrally mediated and may be associated with sleep arousals and sometimes obstructive sleep apnea. It is not purely a psychological issue. Step 1: Identify the driver. If sleep-related signs exis
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