Resumen de Influence of bruxism on survival of porcelain laminate veneers

María Granell Ruiz, Rubén Agustín Panadero, Antonio Fons Font, Juan Luis Román Rodríguez, María Fernanda Solá Ruiz

• Objectives: This study aims to determine whether bruxism and the use of occlusal splints affect the survival of porcelain laminate veneers in patients treated with this technique.

  Material and Methods: Restorations were made in 70 patients, including 30 patients with some type of parafunc - tional habit. A total of 323 veneers were placed, 170 in patients with bruxism activity, and the remaining 153 in patients without it. A clinical examination determined the presence or absence of ceramic failure (cracks, frac - tures and debonding) of the restorations; these incidents were analyzed for association with bruxism and the use of splints.

  Results: Analysis of the ceramic failures showed that of the 13 fractures and 29 debonding that were present in our study, 8 fractures and 22 debonding were related to the presence of bruxism.

  Conclusions: Porcelain laminate veneers are a predictable treatment option that provides excellent results, rec - ognizing a higher risk of failure in patients with bruxism activity. The use of occlusal splints reduces the risk of fractures.