Parafunctional habits and their relationship with fractures of composite resin restorations




Bruxism; Nail Biting; Permanent Dental Restoration; Composite resins.


Parafunctional habits are characterized by the repetition of acts that are not related to the normal functions of the stomatognathic system. This research aims to verify the parafunctional habits practiced, perceived and reported by patients and to verify the relationship with the fractures of direct composite resin restorations. Information from 205 patients, seen at the University Dental Clinic of the State University of Londrina, was collected. After data collection, a survey and synthesis of reported parafunctional habits was performed and correlated with the fracture of composite resin restorations. The information and data were tabulated and analyzed using descriptive statistics, COUNTIF function, and the results were expressed in tables. The most frequent parafunctional habits were bruxism, followed by onychophagia, occurring in greater quantity in females. A greater number of fractured restorations were found in patients with parafunctional habits. Among the parafunctional habits verified, it was concluded that bruxism was the most frequent, related mainly to the fracture of class V restorations.


Almutairi, A. F., Albesher, N., Aljohani, M., Alsinanni, M., Turkistani, O., & Salam, M. (2021). Association of oral parafunctional habits with anxiety and the Big-Five Personality Traits in the Saudi adult population. Saudi Dental Journal, 33(2), 90–98.

Alves-rezende, M. C. R., Soares, B. M. S., Silva, J. S., Goiato, M. C., Túrcio, K. H. L., Zuim, P. R. J., & Alves Claro, A. P. R. (2009). Frequency of parafunctional habits. Cross-sectional study in dental students. Revista Odontológica de Araçatuba, 30(1), 59–62.

Bakke, M. (2006). Bite Force and Occlusion. Seminars in Orthodontics, 12(2), 120–126.

Black, G. V. (1908). Operative Dentistry. Chicago: Medico Dental.

Bortolleto, P. P. B., Moreira, A. P. S. M., & Madureira, P. R. (2013). Análise dos hábitos parafuncionais e associação com Disfunção das Articulações Temporomandibulares. Revista Da Associacao Paulista de Cirurgioes Dentistas, 67(3), 216–221.

Cavalcante, J. G. de S., Araujo, H. T., Santos, N. E. B. dos, Silva, T. R. G., Santos, S. C. A. V. dos, Leitão, A. K. A., Picanço, P. R. B., & Feitosa, V. P. (2020). Correlation between parafunctional habits and temporomandibular dysfunction: systematic review. Brazilian Journal of Development, 6(12), 103664–103673.

Demarco, F. F., Corrêa, M. B., Cenci, M. S., Moraes, R. R., & Opdam, N. J. M. (2012). Longevity of posterior composite restorations: not only a matter of materials. Dental Materials, 28(1), 87–101.

Demarco, F. F., Collares, K., Coelho-De-Souza, F. H., Correa, M. B., Cenci, M. S., Moraes, R. R., & Opdam, N. J. (2015). Anterior composite restorations: A systematic review on long-term survival and reasons for failure. Dental Materials, 31(10), 1214–1224.

Demarco, F. F., Collares, K., Correa, M. B., Cenci, M. S., Moraes, R. R., & Opdam, N. J. (2017). Should my composite restorations last forever? Why are they failing? Brazilian Oral Research, 31, 92–99.

Friedman Rubin, P., Erez, A., Peretz, B., Birenboim-Wilensky, R., & Winocur, E. (2017). Prevalence of bruxism and temporomandibular disorders among orphans in southeast Uganda: A gender and age comparison. Cranio - Journal of Craniomandibular Practice, 36(4), 243–249.

Gavish, A., Halachmi, E., Winocur, E., & Gazit, E. (2000). Oral habits and their association with signs and symptoms of temporomandibular disorders in adolescent girls. Journal of Oral Rehabilitation, 27(1), 22–32.

Hamburger, J. T., Opdam, N. J. M., Bronkhorst, E. M., & Huysmans, M. C. D. N. J. M. (2014). Indirect restorations for severe tooth wear: fracture risk and layer thickness. Journal of Dentistry, 42(4), 413–418.

Heymann, H. O., Sturdevant, J. R., Bayne, S., Wilder, A. D., Sluder, T. B., & Brunson, W. D. (1991). Examining tooth flexure effects on cervical restorations: a two-year clinical study. The Journal of the American Dental Association, 122(6), 41–47.

Ichim, I., Li, Q., Loughran, J., Swain, M. V., & Kieser, J. (2007). Restoration of non-carious cervical lesions. Part I. Modelling of restorative fracture. Dental Materials, 23(12), 1553–1561.

Laske, M., Opdam, N. J. M., Bronkhorst, E. M., Braspenning, J. C. C., & Huysmans, M. C. D. N. J. M. (2019). Risk Factors for Dental Restoration Survival: A Practice-Based Study. Journal of Dental Research, 98(4), 414–422.

Macfarlane, T. V., Blinkhorn, A. S., Davies, R. M., & Worthington, H. V. (2003). Association between local mechanical factors and orofacial pain: Survey in the community. Journal of Dentistry, 31(8), 535–542.

Melchior, M. de O., Mazzetto, M. O., & de Felício, C. M. (2012). Temporomandibular disorders and parafunctional oral habits: An anamnestic study. Dental Press Journal of Orthodontics, 17(2), 83–89.

Namgung, C., Rho, Y. J., Jin, B. H., Lim, B. S., & Cho, B. H. (2013). A retrospective clinical study of cervical restorations: Longevity and failure-prognostic variables. Operative Dentistry, 38(4), 376–385.

Opdam, N. J. M., Van De Sande, F. H., Bronkhorst, E., Cenci, M. S., Bottenberg, P., Pallesen, U., Gaengler, P., Lindberg, A., Huysmans, M. C. D. N. J. M., & Van Dijken, J. W. (2014). Longevity of posterior composite restorations: A systematic review and meta-analysis. Journal of Dental Research, 93(10), 943–949.

Pedrini, D., Sonoda, C. K., Poi, W. R., Panzarini, S. R., Castro, J. C. M., & Brandini, D. A. (2009). Razões para substituição de restaurações em clínica integrada. Pesquisa Brasileira Em Odontopediatria e Clinica Integrada, 9(2), 211–215.

Ribeiro, M. D. F., & Pazinatto, F. B. (2016). Critérios clínicos para decisão entre substituição ou reparo de restaurações em resina composta – revisão de literatura. Revista Brasileira de Odontologia, 73(3), 223.

Smales, R. J., & Berekally, T. L. (2007). Long-term survival of direct and indirect restorations placed for the treatment of advanced tooth wear. The European Journal of Prosthodontics and Restorative Dentistry, 15(1), 2–6.

van Dijken, J. W. V., & Pallesen, U. (2010). Fracture frequency and longevity of fractured resin composite, polyacid-modified resin composite, and resin-modified glass ionomer cement class IV restorations: An up to 14 years of follow-up. Clinical Oral Investigations, 14(2), 217–222.

Winocur, E., Littner, D., Adams, I., & Gavish, A. (2006). Oral habits and their association with signs and symptoms of temporomandibular disorders in adolescents: a gender comparison. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology and Endodontology, 102(4), 482–487.




How to Cite

TOMISAKI, E. T.; COSTA, M. B. .; SILVA, D. C. M. S. .; HOEPPNER, M. G. .; CARDOSO, S. de A. . Parafunctional habits and their relationship with fractures of composite resin restorations. Research, Society and Development, [S. l.], v. 10, n. 9, p. e48410918087, 2021. DOI: 10.33448/rsd-v10i9.18087. Disponível em: Acesso em: 26 sep. 2021.



Health Sciences