Removal of a fractured locator abutment screw fragment.

نویسندگان

  • Ilser Turkyilmaz
  • Matthew Joseph Vierra
  • Neset Volkan Asar
چکیده

BACKGROUND Although, dental implants have been a predictable option to support several types of restorations, mechanical problems are not uncommon. Retaining and abutment screw loosenings/fractures are one of the most common technical problems. AIM To present a step-by-step technique in order to remove a broken locater abutment screw fragment. MATERIALS AND METHODS A 56-year-old, edentulous man with a fractured locator abutment screw in an implant was referred to our clinic from a private practice. His dentist placed a narrow platform locator abutment onto a regular platform implant and the fracture occurred. Attempts to remove the fractured fragment using a periodontal probe and a manual screw removal driver were unsuccessful. RESULTS This clinical report presents a situation in which a fractured locater abutment screw fragment was successfully removed using an implant repair kit. CONCLUSION A fractured locater abutment screw fragment was successfully removed using an implant repair kit including drills, drill guides and tapping instruments. To avoid similar complications, it is recommended to use appropriate manufacturer specified torque values in conjunction with compatible restorative components. CLINICAL SIGNIFICANCE Retaining and abutment screw loosenings/fractures are one of the most common mechanical problems associated with the implant components. This clinical report showed how to remove a broken screw fragment using proper armamentarium and technique, which might help clinicians eliminate similar problems.

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

A Simple and Cost Effective Method used for Removal of a Fractured Implant Abutment Screw: A Case Report.

The success of dental implants is based primarily on the extent of osseointegration. The failure of dental implants is not only due to biological factors, such as unsuccessful osseointegration or the presence of peri-implantitis, but may also result from technical complications. Fracture of the implant abutment screw can be a serious problem, as the fragment remaining inside the implant may pre...

متن کامل

Abutment fracture and the technique Used to Remove the fracture portion of the Abutmet: Case Report

Abstract This clinical report presents a case of abutment fracture, due to occlusal overload, occurred with an implant-supported restoration on right mandibular first molar of a female patient. After 6 months of prosthetic reconstruction implants, the patient returned to the clinic due to the loss of implant crown. The fractured fragment of the abutment with the screw protec...

متن کامل

Effect of Abutment Connection Type and Cyclic Loading on Removal Torque Value

Background and Aim: Maintaining the primary torque of the abutment screw is a common problem related to implant-supported restorations; a failure in this respect often leads to screw loosening. The abutment screw plays a critical role in the long-term stability of restorations. This study aimed to assess the effect of two abutment connection types with and without cyclic loading on removal torq...

متن کامل

Hollow Abutment Screw Design for Easy Retrieval in Case of Screw Fracture in Dental Implant System

The prosthetic component of dental implant is attached on the abutment which is connected to the fixture with an abutment screw. The abutment screw fracture is not frequent; however, the retrieval of the fractured screw is not easy, and it poses complications. A retrieval kit was developed which utilizes screw removal drills to make a hole on the fractured screw that provides an engaging drill ...

متن کامل

Torque Removal Evaluation of Screw in One-Piece and Two-Piece Abutments Tightened with a Handheld screwdriver

Introduction: Some clinicians use a handheld screw driver instead of a torque wrench to definitively tighten abutment screws. The aim of this study was to compare the removal torque of one-piece and two-piece abutments tightened with a handheld driver and a torque control ratchet. Methods: 40 ITI implants were placed in acrylic blocks and divided into 4 groups. In groups one and two, 10 ITI one...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:
  • The journal of contemporary dental practice

دوره 14 5  شماره 

صفحات  -

تاریخ انتشار 2013