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Novel Diagnostics in Revision Arthroplasty: Implant Sonication and Multiplex Polymerase Chain Reaction

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Techniques to remove a failed integrated implant.

Stuart Froum¹, Takuto Yamanaka, Sang-Choon Cho

¹Department of Periodontology and Implant Dentistry, New York University College of Dentistry, New York, New York, USA.

Compendium of Continuing Education in Dentistry (Jamesburg, N.J. : 1995)

|September 14, 2011

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This review evaluates techniques for removing failed dental implants, discussing limitations and complications. A decision tree aids clinicians in selecting minimally invasive removal methods based on clinical factors.

Area of Science:

Dental implantology
Oral surgery
Biomaterials science

Background:

Dental implants can fail due to various reasons, including mechanical complications, peri-implantitis, or poor osseointegration.
Nonmobile implants present a challenge for removal, requiring specific techniques to minimize further damage.

Purpose of the Study:

To identify and evaluate techniques for removing failed, fractured, or peri-implantitis-affected nonmobile dental implants.
To discuss the limitations and potential complications associated with different implant removal procedures.

Main Methods:

A comprehensive literature and clinical review was conducted.
Analysis of various implant removal techniques, considering factors like implant design and bone integration.

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Main Results:

Several techniques for nonmobile implant removal were identified and assessed.
Limitations and complications associated with each technique were documented.

Conclusions:

A decision tree is proposed to guide clinicians in selecting the most appropriate minimally invasive technique.
The choice of technique depends on clinical factors such as anatomy, implant design, and bone quality.