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Effects of Mechanical Methods Used in Peri-implantitis Treatment on Implant Surface Decontamination and Roughness

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Restoration: Implant with Devastated Platform through Metal Post.

Luna Salinas Tatiana¹, Del Valle Lovato Juan¹

¹Central University of Ecuador Dental School, Quito, Ecuador.

Case Reports in Dentistry

|March 14, 2017

Summary

A fractured implant screw was successfully removed using a bur, enabling the restoration of a damaged dental implant. This simple, noninvasive technique offers a viable solution for complex implant complications.

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Area of Science:

Dental Implantology
Prosthodontics

Background:

Implant prostheses are a common and successful treatment for missing teeth.
Mechanical complications, such as fractured screws and damaged connections, can arise.
These complications pose significant challenges for dental practitioners.

Observation:

A patient presented with a fractured prosthetic screw and a damaged implant hex connection in the upper left second premolar.
Initial attempts at screw removal using conventional methods were unsuccessful.
Fragments of the fractured screw were lodged within the implant head.

Findings:

A novel technique utilizing a bur successfully removed the fractured screw fragments.
A cast post (gold-palladium) and a fixed prosthesis (silver-palladium) were fabricated.

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The restored prosthesis was attached using luting cement.

Implications:

This case demonstrates a simple and noninvasive method for managing fractured implant screws.
The technique can be applied to restore dental implants with severe mechanical complications.
Effective management of such complications is crucial for successful long-term implant outcomes.