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http://dx.doi.org/10.14368/jdras.2015.31.1.60

Removal of fractured implant screws: case report  

Kim, Tae-Su (Department of Prosthodontics, Seoul St. Mary's Hospital, The Catholic University of Korea)
Lee, Jae-Hyun (Department of Prosthodontics, Seoul St. Mary's Hospital, The Catholic University of Korea)
Lee, Won-Sup (Department of Prosthodontics, Seoul St. Mary's Hospital, The Catholic University of Korea)
Lee, Su-Young (Department of Prosthodontics, Seoul St. Mary's Hospital, The Catholic University of Korea)
Publication Information
Journal of Dental Rehabilitation and Applied Science / v.31, no.1, 2015 , pp. 60-66 More about this Journal
Abstract
Screw loosening and screw fracture of abutment is one of most frequent mechanical complications in implant restoration. Fractured fragments in implant restoration like abutment and screw should be completely removed and the procedure needs minimal damage to the fixture of implant. In some cases, it could fail to remove fractured fragments and cause a lot of damage to the fixture of implant. These situations could render implant unusable at the worst. This article describes three different situations and simple techniques for successful removal of fractured fragments without damage of implants. The procedures used are described in this clinical report.
Keywords
dental implant; screw frature; abutment fracture; screw removal; screw loosening;
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1 Theoharidou A, Petridis HP, Tzannas K, Garefis P. Abutment screw loosening in single-implant restorations: a systematic review. Int J Oral Maxillofac Implants 2008;23:681-90.
2 Al Jabbari YS, Fournelle R, Ziebert G, Toth J, Iacopino AM. Mechanical behavior and failure analysis of prosthetic retaining screws after long-term use in vivo. Part 1: Characterization of adhesive wear and structure of retaining screws. J Prosthodont 2008;17:168-80.   DOI   ScienceOn
3 Al Jabbari Y, Fournelle R, Ziebert G, Toth J, Iacopino A. Mechanical behavior and failure analysis of prosthetic retaining screws after long-term use in vivo. Part 2: Metallurgical and microhardness analysis. J Prosthodont 2008;17:181-91.   DOI   ScienceOn
4 Al Jabbari YS, Fournelle R, Ziebert G, Toth J, Iacopino AM. Mechanical behavior and failure analysis of prosthetic retaining screws after long-term use in vivo. Part 3: Preload and tensile fracture load testing. J Prosthodont 2008;17:192-200.   DOI   ScienceOn
5 Al Jabbari YS, Fournelle R, Ziebert G, Toth J, Iacopino AM. Mechanical behavior and failure analysis of prosthetic retaining screws after long-term use in vivo. Part 4: Failure analysis of 10 fractured retaining screws retrieved from three patients. J Prosthodont 2008;17:201-10.   DOI   ScienceOn
6 Williamson RT, Robinson FG. Retrieval technique for fractured implant screws. J Prosthet Dent 2001;86:549-50.   DOI   ScienceOn
7 Maalhagh-Fard A, Jacobs LC. Retrieval of a stripped abutment screw: a clinical report. J Prosthet Dent 2010;104:212-5.
8 Satterthwaite J, Rickman L. Retrieval of a fractured abutment screw thread from an implant: a case report. Br Dent J 2008;204:177-80.   DOI   ScienceOn
9 Nergiz I, Schmage P, Shahin R. Removal of a fractured implant abutment screw: a clinical report. J Prosthet Dent 2004;91:513-7.   DOI   ScienceOn
10 Walia MS, Arora S, Luthra R, Walia PK. Removal of fractured dental implant screw using a new technique: a case report. J Oral Implantol 2012;38:747-50.   DOI   ScienceOn
11 Taira Y, Sawase T. A modified technique for removing a failed abutment screw from an implant with a custom guide tube. J Oral Implantol 2012;38:165-9.   DOI   ScienceOn
12 Kurt M, Guler AU, Duran I. A technique for removal of a fractured implant abutment screw. J Oral Implantol 2013;39:723-5.   DOI   ScienceOn
13 Yilmaz B, McGlumphy E. A technique to retrieve fractured implant screws. J Prosthet Dent 2011;105:137-8.   DOI   ScienceOn
14 Pow EH, Wat PY. A technique for salvaging an implant- supported crown with a fractured abutment screw. J Prosthet Dent 2006;95:169-70.   DOI   ScienceOn
15 Bakaeen LG, Winkler S, Neff PA. The effect of implant diameter, restoration design, and occlusal table variations on screw loosening of posterior single-tooth implant restorations. J Oral Implantol 2001;27:63-72.   DOI
16 Tzenakis GK, Nagy WW, Fournelle RA, Dhuru VB. The effect of repeated torque and salivary contamination on the preload of slotted gold implant prosthetic screws. J Prosthet Dent 2002;88:183-91.   DOI   ScienceOn
17 Sailer I, Muhlemann S, Zwahlen M, Hammerle CH, Schneider D. Cemented and screw-retained implant reconstructions: a systematic review of the survival and complication rates. Clin Oral Implants Res 2012;23 Suppl 6:163-201.   DOI   ScienceOn
18 Pjetursson BE, Tan K, Lang NP, Bragger U, Egger M, Zwahlen M. A systematic review of the survival and complication rates of fixed partial dentures (FPDs) after an observation period of at least 5 years. Clin Oral Implants Res 2004;15:625-42.   DOI   ScienceOn
19 Pjetursson BE, Thoma D, Jung R, Zwahlen M, Zembic A. A systematic review of the survival and complication rates of implant-supported fixed dental prostheses (FDPs) after a mean observation period of at least 5 years. Clin Oral Implants Res 2012;23 Suppl 6:22-38.
20 Carlson B, Carlsson GE. Prosthodontic complications in osseointegrated dental implant treatment. Int J Oral Maxillofac Implants 1994;9:90-4.