Management of Broken Screw Inside Implant Screw Channel: A Case Report

Area of Science:

• Prosthodontics
• Implant Dentistry
• Materials Science

Background:

• Managing fractured screws within implant screw channels presents a significant challenge in implant dentistry.
• This case report details a novel prosthodontic approach to address this complication.
• Innovative solutions are crucial for successful implant restoration outcomes.

Observation:

• A 57-year-old male patient presented with implant-supported crowns (#46 and #47) requiring restoration.
• A fractured screw within the implant screw channel complicated the treatment process.
• The patient experienced significant concern regarding the implant restoration.

Findings:

• A custom titanium abutment was fabricated using an impression pickup technique of the internal implant surface.
• The custom abutment facilitated the successful restoration of the implant-supported crowns.
• A zirconia crown was placed on the custom titanium abutment.

Implications:

• This prosthodontic intervention effectively resolved a complex implant-related complication.
• The successful 6-month follow-up demonstrated optimal function and high patient satisfaction.
• Tailored prosthodontic solutions are vital for managing challenging cases in implant dentistry.