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Dental implant fractures - aetiology, treatment and case report
Coelho Goiato Marcelo1, Marcela Filié Haddad2, Humberto Gennari Filho1
1Professor, Department of Dental Matherials and Prosthodontics, Araçatuba Dental School, São Paulo State University , Araçatuba, Sao Paulo, Brazil .
Purpose:
This study aimed to investigate the etiology, clinical manifestations, and treatment options of dental implants fractures through a literature review and to relate a clinical report.
Methods:
A literature review was performed using the Medline database and this paper describes a case demonstrating the management of implant fracture. Twenty two articles were selected in the present literature review.
Results:
Nowadays the use of dental implants to rehabilitate completely and partially edentulous patients became the best treatment option; however, this treatment is suitable to failure. The fracture of implant body is a possible complication. The fracture of implant body is a late complication and is related to the failure in implant design or material, non-passive fitting of the prosthetic crown and overloading. Clinically, prosthesis instability and spontaneous bleeding are observed. Three options of treatment have been indicated: complete removal of implant fragment, maintenance of implant fragment, and surface preparation of the fragment with insertion of a new abutment.
Conclusion:
The literature indicates the complete removal of the fragment as the best treatment option.
