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Updated: May 6, 2026

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Published on: February 10, 2014
Management of Broken Screw Inside Implant Screw Channel: A Case Report
Sabrin Ali Azim1, Hafsa Ali Aldrissi2, Lovely M Annamma3
1Department of Diagnostic and Surgical Dental Sciences, Gulf Medical University, Ajman, UAE.
Rationale:
This case report outlines a novel prosthodontic approach for managing a broken screw inside an implant screw channel, emphasising the importance of innovative solutions in implant dentistry.
Patient Concerns:
A 57-year-old male patient sought restoration for implant-supported crowns (#46 and #47). A broken screw inside the implant screw channel posed a significant concern for both the patient and the dental team.
Treatment:
Utilising an impression pickup technique of the inner surface of the implant body, a custom titanium abutment was fabricated in the laboratory and restoration was successfully replaced. A follow-up of 6 months was performed, ensuring optimal function and patient satisfaction.
Outcome:
The custom titanium abutment with a zirconia crown was placed, leading to a successful restoration. The patient reported no discomfort, demonstrating improved function and aesthetics.
Takeaway Lesson:
This case highlights the effectiveness of tailored prosthodontic interventions in addressing complex implant-related complications.
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