The International journal of prosthodontics最新文献

{"title":"Monolithic Zirconia Versus Porcelain-Fused-To-Metal Implant- Supported Fixed Dental Prostheses in the Posterior Region: 1- Year Results of a Randomized Controlled Clinical Trial.","authors":"Aspasia Pachiou, Kira Herren, Ronald E Jung, Marc Balmer, Goran I Benic, Alexis Ioannidis","doi":"10.11607/ijp.10021","DOIUrl":"https://doi.org/10.11607/ijp.10021","url":null,"abstract":"<p><strong>Purpose: </strong>To compare the early clinical, biological, and technical outcomes of three-unit implant-supported fixed dental prostheses (iFDPs) fabricated from monolithic zirconia (MonoZR) versus porcelain-fused-to-metal (PFM) in the posterior region.</p><p><strong>Methods: </strong>In this prospective, superiority randomized controlled clinical trial, partially edentulous patients requiring three-unit posterior iFDPs were randomly allocated to receive either MonoZR or PFM restorations. A total of 52 patients were planned for enrollment; however, 55 patients ultimately received iFDPs. The primary outcome was the rate of ceramic fractures, assessed using USPHS criteria. Secondary outcomes included biological complications, marginal bone level changes, peri-implant soft tissue parameters, and prosthetic performance. All outcomes were evaluated descriptively at the 1-year follow-up, with baseline defined as the time of iFDP insertion.</p><p><strong>Results: </strong>At the 1-year follow-up, no implant failures were observed. Ceramic fractures were observed in two PFM restorations (n = 2) and in none of the MonoZR restorations. All fractures were minor and managed by polishing, and no restoration required replacement. Marginal bone loss was limited in both groups and remained within clinically acceptable ranges. Peri-implant soft tissue parameters showed no clinically relevant differences between groups. USPHS evaluations indicated satisfactory early prosthetic performance for both restorative concepts, with all restorations rated as clinically acceptable.</p><p><strong>Conclusion: </strong>At the 1-year follow-up, both the MonoZR and PFM restorative concepts demonstrated favorable clinical and radiographic outcomes. Two ceramic fractures were observed in the PFM group and none in the MonoZR group; however, the limited number of events and descriptive nature of the analysis preclude conclusions regarding between-group differences. Long-term follow-up is required to determine whether these findings are maintained over time.</p>","PeriodicalId":94232,"journal":{"name":"The International journal of prosthodontics","volume":"0 0","pages":"1-22"},"PeriodicalIF":1.8,"publicationDate":"2026-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149198440","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Conventional Versus Minimally Invasive Single-Tooth Preparations for Fixed Restorations: An In Vitro Comparison of Preparation Time, Tooth Structure Removal, and Trueness.","authors":"Marc Balmer, Nicolas Leuenberger, Georg Rautere, Manuela Eugster, Ronald E Jung, Jenni Hjerppe","doi":"10.11607/ijp.9960","DOIUrl":"https://doi.org/10.11607/ijp.9960","url":null,"abstract":"<p><strong>Purpose: </strong>To compare conventional and minimally invasive single-tooth preparations in terms of preparation time, volume of tooth structure removed, and preparation trueness.</p><p><strong>Materials and methods: </strong>Fifteen dentists with at least three years of clinical experience performed four different preparations (conventional crown and minimally invasive overlay on tooth 16; conventional crown and minimally invasive veneer on tooth 11) in randomized order on standardized typodont models (Frasaco). The preparation time was evaluated by video analysis, while tooth volume reduction and preparation trueness were assessed using digital scans and a 3D superimposition with a predefined digital reference model with a specific software (Geomagic Control X, Artec 3D). The data was analyzed using ANOVA and Wilcoxon's test with Bonferroni correction with significance level of 5% (α = 0.05).</p><p><strong>Results: </strong>Minimally invasive preparations resulted in significantly shorter treatment times and lower volume of tooth structure removed compared to conventional preparations (p<0.05, Effect size 0.73). Mean preparation time was on tooth 16: 39.8 min (SD 13.2, 95%CI 32.5-47.1) for conventional crown preparation, 27.0 min (SD 8.1, 95%CI 22.6-31.6) for minimally invasive overlay; on tooth 11: 33.6 min (SD 11.0, 95%CI 27.5-39.7) for conventional crown preparation, and 15.4 min (SD 4.6, 95%CI 12.9-17.9) for minimally invasive veneer. Higher preparation trueness was seen for minimally invasive preparations for incisors compared to conventional preparations (p<0.001, Effect size 0.65).</p><p><strong>Conclusions: </strong>Minimally invasive tooth preparations provide clear advantages in terms of clinical efficiency and tooth structure preservation both incisor and molar sites, and trueness for incisor sites.</p>","PeriodicalId":94232,"journal":{"name":"The International journal of prosthodontics","volume":"0 0","pages":"1-32"},"PeriodicalIF":1.8,"publicationDate":"2026-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149198455","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparison of Artificial Intelligence-Generated and Technician- Designed Maxillary Central Incisor Crowns: An In Vitro Study.","authors":"Luis Azevedo, Sangmin Ham, Quang-Huy Nguyen, Duygu Karasan, Gülce Çakmak, Vincent Fehmer, Hyeonjong Lee, Irena Sailer","doi":"10.11607/ijp.9957","DOIUrl":"https://doi.org/10.11607/ijp.9957","url":null,"abstract":"<p><strong>Purpose: </strong>To compare digital designs of maxillary central incisor crowns generated by four artificial intelligence (AI)-based design systems with those created by an experienced dental technician using conventional computer-aided design (CAD) software, with respect to internal surface difference, marginal deviation, incisal and proximal contact characteristics, and design time.</p><p><strong>Materials and methods: </strong>Thirty-two anonymized digital datasets of prepared maxillary central incisors were used. For each prepared tooth, five crowns were generated: one by a master dental technician (MDT) and four using AI-based systems (3shape Automate [AU], Atomica [AT], Dentbird [DT], and Exocad AI Design [EX]). Design time and mesh properties (file size, mesh numbers, and crown volume) were evaluated. Internal surface difference and marginal deviation were assessed using three-dimensional root-mean-square (RMS) deviation analysis. Incisal and proximal contact occurrence and contact characteristics were digitally evaluated. Data were analyzed using repeated-measures ANOVA or the Friedman test, followed by appropriate multiple-comparison procedures (α = 0.05).</p><p><strong>Results: </strong>Significant differences were identified among groups for design time, file size, mesh numbers, crown volume, internal surface difference, marginal deviation, and proximal contact occurrence (P <0.01). AI-based systems required significantly shorter design times than the technician-designed workflow, with AT showing the lowest values and MDT the highest. The DT and MDT groups exhibited the largest mesh numbers, file sizes and crown volumes. The DT group also demonstrated the smallest internal surface difference (71 ±5 μm), whereas the AT group exhibited the greatest marginal deviation (225.64 ±163.1 μm). Incisal contact occurrence varied among the AI systems and was higher in several groups than in the technician-designed crowns (up to 35.71% vs 7.14%). Significant differences were observed in proximal contact occurrence for both mesial and distal surfaces (P <0.01), and the AT group showed the lowest proximal contact occurrence among all groups (3.57% on both mesial and distal). Despite variability among platforms, all systems produced internal surface difference values within clinically accepted thresholds.</p><p><strong>Conclusions: </strong>AI-based crown design systems demonstrated variable performance across evaluated parameters for anterior crowns. While certain systems showed favorable internal surface difference values, others demonstrated more balanced incisal and proximal contact behavior. Hybrid workflows combining AI assistance with conventional CAD controls demonstrated comparatively consistent outcomes across parameters. Nevertheless, AI-generated crown designs still require professional evaluation and potential refinement before clinical use.</p>","PeriodicalId":94232,"journal":{"name":"The International journal of prosthodontics","volume":"0 0","pages":"1-26"},"PeriodicalIF":1.8,"publicationDate":"2026-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149198393","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical Evaluation of Metal-Ceramic and Zirconia Molar Crowns: 15-Year Results from a Practice-Based Cohort Study.","authors":"Sven Rinke, Laura Taetzner, Ralf Bürgers, Andreas Leha, Matthias Roediger","doi":"10.11607/ijp.9909","DOIUrl":"https://doi.org/10.11607/ijp.9909","url":null,"abstract":"<p><strong>Purpose: </strong>This practice-based study evaluated the clinical performance of conventionally luted fully veneered metal-ceramic (MCC) and zirconia molar crowns (ZC).</p><p><strong>Material and methods: </strong>Between July 2008 and July 2009, 53 patients were restored with MCCs or ZCs. Forty-four patients (26 female) with 91 restorations (MCC: 41 / ZC: 50, mean observational period: 158 ± 28 months) attended regular clinical follow-ups and were included. Estimated cumulative survival (ECSv), success (ECSc), and veneering ceramic success (VCSc) were calculated (Kaplan-Meier) and analyzed by the crown fabrication technique, abutment vitality, and the position of the restoration (Cox regression model) (p < 0.05).</p><p><strong>Results: </strong>Nineteen absolute failures (MCC: 9, ZC: 10) were recorded (15-year ECSv: MCC: 82%, ZC: 78%). A total of 41 interventions (MCC: 18, ZC: 23) were necessary to maintain the restorations (15-year ECSc: MCC = 68% / ZC = 58%). Non-significant differences in ECSv (p=0.707), ECSc (p=0.375), and VCSc-rates (p=0.596) were determined for the two fabrication techniques. Restorations placed on terminal abutment teeth demonstrated a 3.6-fold increased risk (p=0.003) for complete failure and a 2.3-fold increased risk (p=0.007) for a clinical intervention compared to restorations with two neighboring teeth.</p><p><strong>Conclusion: </strong>In the present study, ZC demonstrated 15-year ECSv, ECSc, and VCSc values comparable to those of MCCs. Irrespective of the fabrication technique, crowns on terminal abutment teeth carry a significantly increased risk of absolute failure and clinical intervention.</p>","PeriodicalId":94232,"journal":{"name":"The International journal of prosthodontics","volume":"0 0","pages":"1-23"},"PeriodicalIF":1.8,"publicationDate":"2026-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149198395","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Short-Term Clinical Performance of Full-Arch Implant-Supported Full-Contour Monolithic Zirconia Prostheses Fabricated Through a Standardized Fully Digital Workflow: A Prospective Single-Arm Case Series.","authors":"Artur Simões, João M Caramês, Ricardo Pinto, Helena Francisco, José M Navarro, Duarte S Marques","doi":"10.11607/ijp.10006","DOIUrl":"https://doi.org/10.11607/ijp.10006","url":null,"abstract":"<p><strong>Purpose: </strong>This prospective single-arm case series evaluated short-term clinical outcomes of implant-supported full-arch full-contour monolithic zirconia (FCZ) prostheses fabricated with a standardized fully digital workflow.</p><p><strong>Materials and methods: </strong>Fifty edentulous arches in 37 patients received screw-retained FCZ prostheses supported by 302 implants. The workflow comprised extraoral photogrammetry, complementary intraoral scanning, dataset merging, passive-fit verification with a milled aluminum bar, and PMMA prototype validation before definitive fabrication. The primary endpoint was prosthesis survival. Secondary outcomes included prosthetic success, implant survival, biological complications requiring intervention, and any unplanned intervention.</p><p><strong>Results: </strong>All 50 prostheses completed at least 12 months of follow-up (mean 449.7 ± 99.6 days; range 366-731). Longer-term exposure was limited: 8 prostheses reached ≥18 months and 2 reached ≥24 months. Implant survival was 100% (302/302) and prosthesis survival was 100% (50/50). No Bravo, Charlie, or Delta complications and no biological complications requiring intervention were recorded. One non-ABCD maintenance event (access-channel unsealing) occurred at day 518 and was managed chairside, yielding conservative prosthetic success of 98.0% (49/50). The unplanned intervention rate was 1.62 events per 100 prosthesis-years (exact Poisson 95% CI: 0.04-9.05).</p><p><strong>Conclusions: </strong>Within the observed minimum 12-month follow-up, FCZ prostheses fabricated through this standardized digital workflow showed favorable short-term implant and prosthesis survival. Because few prostheses contributed follow-up beyond 18 and 24 months, long-term durability and maintenance requirements remain uncertain.</p><p><strong>Clinical relevance: </strong>In this prospective single-arm case series, a fully digital workflow combining extraoral photogrammetry, passive-fit verification with an aluminum bar, PMMA prototype validation, and definitive full-contour monolithic zirconia fabrication was associated with 100% implant and prosthesis survival over the mandatory minimum 12-month follow-up and a conservative prosthetic success rate of 98.0%. These data should be interpreted as short-term feasibility observations, because few prostheses contributed longer-term follow-up beyond 18 and 24 months.</p>","PeriodicalId":94232,"journal":{"name":"The International journal of prosthodontics","volume":"0 0","pages":"1-31"},"PeriodicalIF":1.8,"publicationDate":"2026-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149186883","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical Assessment of Distal vs Mesial Single- Retainer Resin-Bonded Fixed Partial Dentures for Replacement of a Maxillary Lateral Incisor: A Randomized Clinical Trial.","authors":"Mohamed Abdalla Belead, Omaima Salah El Dein El Mahallawi, Gomaa Abdallah Soliman, Abdel Rahman Badran","doi":"10.11607/ijp.9613","DOIUrl":"10.11607/ijp.9613","url":null,"abstract":"<p><strong>Purpose: </strong>To compare 1-year survival rates of zirconia single-retainer resin-bonded fixed partial dentures (RBFPDs) on maxillary canines vs central incisors.</p><p><strong>Materials and methods: </strong>A total of 54 multilayered, ultratranslucent zirconia single-retainer RBFPDs were placed in 50 patients, divided equally into two groups: an intervention group with a distal retainer (D-retainer) on the maxillary canine, and a control group with a mesial retainer (M-retainer) on the maxillary central incisor. Patients were followed up for 1 year. Survival was assessed by debonding, fracture, and abutment mobility using modified USPHS criteria. Patient satisfaction was measured via the visual analog scale (VAS). Fisher exact test was used for comparisons, and survival analysis was performed with the Kaplan-Meier method (significance set at P ≤ .05).</p><p><strong>Results: </strong>The D-retainer group showed an 81% survival rate, with five cases experiencing two debondings. The M-retainer group had an 86% survival rate, with three cases debonding twice. Both groups showed high patient satisfaction and stable abutment mobility.</p><p><strong>Conclusions: </strong>Within the limitations of this study, no difference was found between canine and central incisor abutments. Both designs showed excellent fracture resistance, stable mobility, and high satisfaction. Debonding was the only failure mode.</p>","PeriodicalId":94232,"journal":{"name":"The International journal of prosthodontics","volume":"0 0","pages":"616-624"},"PeriodicalIF":1.8,"publicationDate":"2026-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145992374","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Color Stability of Different CAD/CAM Complete Denture Resins.","authors":"Martina Bonvicini, Carlo Monaco, Claudia Mazzitelli, Tatjana Maravic, Annalisa Mazzoni, Lorenzo Breschi","doi":"10.11607/ijp.9390","DOIUrl":"10.11607/ijp.9390","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate the color stability of resins for complete dentures produced with different technologies after immersion in a coffee solution.</p><p><strong>Materials and methods: </strong>A total of 50 square-shaped specimens were prepared from different resins for complete dentures (n = 10): Probase Hot (PH; Ivoclar), IvoBase CAD (IBC; Ivoclar), Ivotion Dent white (ID, Shade A2; Ivoclar), dima Print Denture Base (DPDB; Kulzer), and dima Print Denture Teeth (DPDT; Shade A2, Kulzer). One side of each specimen was polished according to the manufacturer's instructions (POL), while the other side was left unpolished (UNPOL; T0). The specimens were immersed in a coffee solution at 37°C for 28 days (T28). During the storage period, the staining solution was replaced every 24 hours. The CIELab color differences (ΔEab) between the different time intervals were evaluated using a live-video comparative spot digital colorimeter (SmartVision). Data were collected and statistically analyzed (P < .05).</p><p><strong>Results: </strong>The highest color stability was recorded for IBC UNPOL (∆E = 0.32; P < .05). All specimens scored an acceptable ∆E, except for DPDT UNPOL (∆E = 4.56), which scored significantly lower compared to all the other specimens (P > .05).</p><p><strong>Conclusions: </strong>Milled and 3D-printed resins for complete dentures demonstrated comparable color stability to traditionally fabricated materials. Polishing influenced the color stability only in the 3D-printed white resin, for which the unpolished group reached a clinically unacceptable level of color change after staining.</p>","PeriodicalId":94232,"journal":{"name":"The International journal of prosthodontics","volume":"0 0","pages":"658-664"},"PeriodicalIF":1.8,"publicationDate":"2026-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144692905","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Jaw Tracking System in Digital Dentistry: A Systematic Review.","authors":"Giuseppe Tafuri, Manlio Santilli, Giovanna Murmura, Gianmaria D'Addazio, Tonino Traini, Beatrice Femminella, Sergio Caputi, Bruna Sinjari","doi":"10.11607/ijp.9327","DOIUrl":"10.11607/ijp.9327","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate the accuracy, reliability, and clinical utility of jaw motion tracking (JMT) systems compared to traditional occlusal assessment methods, providing an overview of current evidence supporting their integration in dental practice.</p><p><strong>Materials and methods: </strong>The review followed PRISMA guidelines (PROSPERO registration no.: CRD42024567619). A comprehensive search was conducted in PubMed, Scopus, Web of Science, and the Cochrane Library (January 2005 to December 2025) using predefined keywords related to JMT systems and digital occlusal analysis. Studies were included if they assessed JMT device performance in clinical, experimental, or in vitro settings, comparing them to conventional mechanical articulators or manual occlusal techniques. The QUADAS-2 tool evaluated study quality, focusing on bias, patient selection, and applicability concerns.</p><p><strong>Results: </strong>A total of 20 studies met inclusion criteria, ranging from single-patient case studies to larger clinical trials. Optical tracking systems demonstrated higher precision and accuracy in recording mandibular movements compared to traditional methods. JMT systems showed potential in reducing chair time and improving prosthetic outcomes. The risk of bias was high, mainly due to small sample sizes and the lack of long-term evaluations.</p><p><strong>Conclusions: </strong>Digital JMT technologies improve occlusal assessment and treatment planning, particularly in prosthodontics and TMJ diagnostics. However, further research is needed to standardize protocols, validate these systems across diverse populations, and ensure clinical applicability. Despite the potential benefits, methodologic inconsistencies highlight the need for more rigorously designed studies.</p>","PeriodicalId":94232,"journal":{"name":"The International journal of prosthodontics","volume":"0 0","pages":"589-596"},"PeriodicalIF":1.8,"publicationDate":"2026-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146133918","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Beyond the Steady Hand: Robotics and the Future Shape of Prosthodontics.","authors":"Irena Sailer","doi":"10.11607/ijp.2026.5e","DOIUrl":"https://doi.org/10.11607/ijp.2026.5e","url":null,"abstract":"","PeriodicalId":94232,"journal":{"name":"The International journal of prosthodontics","volume":"39 5","pages":"587-588"},"PeriodicalIF":1.8,"publicationDate":"2026-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149066875","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Relationship Between Bruxism and Depression: Systematic Literature Review and Meta-analysis.","authors":"Camila Caspary Roithmann, Elisa Zancanaro de Figueiredo, João André Webber, Jéssica Santos Machado, Matheus Loli de Oliveira Fenili Antunes, Giulia Görgen Zeca, Giulliana Fiorioli, Fernanda Mottola de Castro, Márcio Lima Grossi","doi":"10.11607/ijp.9385","DOIUrl":"10.11607/ijp.9385","url":null,"abstract":"<p><strong>Purpose: </strong>To assess the association between depression in individuals with different bruxism classifications (ie, unspecified bruxism, sleep bruxism [SB], and/or awake bruxism [AB]), as well as to assess this association among different depression and bruxism assessment methods, bruxism types, and the changes of this association between 2002 and 2025.</p><p><strong>Materials and methods: </strong>A systematic review search following the PRISMA guidelines was performed in PubMed/MEDLINE, Embase, and Brazilian Dentistry Oral Science. Observational (ie, cross-sectional, case-control, and cohort) studies published since 2002 with a young adult population (18 to 59 years old) and with no restriction regarding diagnostic method for both depression and bruxism were included. Articles selected for systematic review and meta-analysis underwent quality and heterogeneity evaluation.</p><p><strong>Results: </strong>In total, 48 articles were included in the systematic review and 26 in the meta-analysis. Depression levels were found to be higher using standardized mean differences (SMDs) in all types of bruxism assessed in the literature, regardless of the diagnostic method used for bruxism or depression, with the exception of electromyography for the diagnosis of SB, which was nonsignificant. The positive association found in most studies remained positive over time (2002 to 2025), without significant changes. Subjects with bruxism (ie, unspecified, SB, and/or AB) had 2.84 times the odds of having depression than those without bruxism.</p><p><strong>Conclusions: </strong>Assessment of depression and other psychologic conditions should be considered in the multidisciplinary management of both SB and AB. Both SB and AB must be reported and assessed, separately and in combination, in all association studies with depression.</p>","PeriodicalId":94232,"journal":{"name":"The International journal of prosthodontics","volume":"0 0","pages":"685-697"},"PeriodicalIF":1.8,"publicationDate":"2026-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144859985","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}