Surgical management of severe bruxism and masseteric hypertrophy in the patient with repeated implant failures: A case report

Dental implants have become a significant aspect of modern prosthodontic treatment. Complications and failures may occasionally occur despite successful dental implantation. In general, the majority of dental implant failures appear to be associated with occlusal trauma overload such as bruxism and clenching. However, the management of occlusal trauma overload due to bruxism has proven clinically challenging. Herein, we report a rare case of severe bruxism and masseteric hypertrophy associated with repeated implant loss. We performed occlusal rehabilitation prior to repeated dental implant placement and demonstrate the successful management of masseteric hypertrophy while avoiding subsequent implant loss. We describe a surgical technique that represents an important alternative in the management of severe bruxism and masseteric hypertrophy.