{Reference Type}: Journal Article {Title}: Masseter muscle cross-sectional area and late implant failure: A case-control study. {Author}: Takashima M;Arai Y;Matsuzaki N;Yamazaki Y;Nishiyama H;Nohno K; {Journal}: Clin Implant Dent Relat Res {Volume}: 25 {Issue}: 2 {Year}: Apr 2023 {Factor}: 4.259 {DOI}: 10.1111/cid.13189 {Abstract}: BACKGROUND: Occlusal overload is considered to be one of the causes of late implant failure. However, it is unclear whether the magnitude of the patient's occlusal force is a risk factor for late implant failure.
OBJECTIVE: This case-control study aimed to clarify the association between the cross-sectional area (CSA) of the masseter muscle and late implant failure.
METHODS: This case-control study was limited to implant-supported fixed prostheses. We compared cases with at least one late implant failure (n = 25 patients) to controls (n = 82 patients) without implant failure. Patients were matched by age, sex, year of surgery, jaw and tooth type, and bone graft. Log-rank and Cox proportional hazard regression analyses were used to identify possible risk factors for late implant failure.
RESULTS: The incidence of late implant failure was significantly associated with masseter muscle CSA ≥504.5 mm2 (hazard ratio: 4.43; 95% CI: 1.82-10.79; p < 0.01).
CONCLUSIONS: Higher masseter muscle CSA increases the risk of late implant failure.