Implantology is increasingly used in the treatment of edentulism. As the number of implanted dental implants grows, so does the number of complications. Diabetes, smoking, poor oral hygiene, and bruxism are just some of the risk factors that cause complications. Complications can be divided into biological and mechanical, depending on the nature of the complication. Biological complications include issues with osseointegration and peri-implantitis, while mechanical complications are related to the implant itself, the abutment, the screw, or the prosthetic work on the implant. Since bruxism is a multifactorial disease affecting a significant part of the population, implantology treatment for such patients is almost inevitable. Although there is no scientific evidence that categorizes bruxism as a contraindication for implantology treatment, caution is required when placing implants in these patients. Complications caused by bruxism are associated with high occlusal forces that bruxism can generate. The dentist should be aware of the risks and explain them to the patient. By correctly choosing the occlusal scheme, the number of implants, the design of the implants, and the prosthetic replacement, along with regular check-ups and bruxism therapy, the number of complications can be reduced to lower levels.