DOI QR코드

DOI QR Code

Overcoming and Preventing Dental Implant Complications: Abutment Fracture Case Report

  • Kahm, Se Hoon (Department of Dentistry, Jeju National University Hospital) ;
  • Kim, Chang-Hyun (Department of Oral and Maxillofacial Surgery, The Catholic University of Korea Seoul St. Mary's Hospital) ;
  • Kim, Sung-Joon (Department of Dentistry, School of Medicine, Jeju National University)
  • Received : 2013.05.20
  • Accepted : 2013.06.07
  • Published : 2013.06.30

Abstract

The introduction of osseointegrated dental implants in dentistry brought about a new era in everyday dental practice. For the past 50 years, prosthetic restoration with implant-supported prosthesis has developed into a viable and predictable treatment option. Alongside the increasing use of dental implants is the occurrence of many complications during implant placement (surgery), in the mechanical or prosthetic problem, and in the biological aspect. In particular, abutment or screw fracture as one of the mechanical complications can put the dentist in a tight spot in a clinical situation. It is hard to remove the fractured abutment and screw to restore it properly. Therefore, it is very important that clinicians consider possible complications in advance and make an appropriate treatment plan. We discuss cases of abutment fracture and mechanical/prosthetic complications together with the causes and solutions.

Keywords

References

  1. Brånemark PI, Adell R, Breine U, Hansson BO, Lindstrom J, Ohlsson A. Intra-osseous anchorage of dental prostheses. I. Experimental studies. Scand J Plast Reconstr Surg. 1969; 3: 81-100. https://doi.org/10.3109/02844316909036699
  2. Albrektsson T, Zarb G, Worthington P, Eriksson AR. The long-term effi cacy of currently used dental implants: a review and proposed criteria of success. Int J Oral Maxillofac Implants. 1986; 1: 11-25.
  3. Hong SH. Problems and complications of dental implant prosthesis. J Korean Dental Assoc. 2002; 403: 948-51.
  4. Tarnow DP, Emtiaz S, Classi A. Immediate loading of threaded implants at stage 1 surgery in edentulous arches: ten consecutive case reports with 1- to 5-year data. Int J Oral Maxillofac Implants. 1997; 12: 319-24.
  5. Degidi M, Piattelli A. 7-year follow-up of 93 immediately loaded titanium dental implants. J Oral Implantol. 2005; 31: 25-31. https://doi.org/10.1563/0-730.1
  6. Zitzmann NU, Berglundh T. Definition and prevalence of peri-implant diseases. J Clin Periodontol. 2008; 35(8 Suppl): 286-91. https://doi.org/10.1111/j.1600-051X.2008.01274.x
  7. Lee HJ, Yeo DS, Lim SY, An KM, Sohn DS. Complications associated with dental implant surgery; case report. J Korean Oral Maxillofac Surg. 2007; 33: 173-80.
  8. Schwarz MS. Mechanical complications of dental implants. Clin Oral Implants Res. 2000; 11 Suppl 1:156-8. https://doi.org/10.1034/j.1600-0501.2000.011S1156.x
  9. Berglundh T, Persson L, Klinge B. A systematic review of the incidence of biological and technical complications in implant dentistry reported in prospective longitudinal studies of at least 5 years. J Clin Periodontol. 2002; 29 Suppl 3: 197-212. https://doi.org/10.1034/j.1600-051X.29.s3.12.x
  10. Lang NP, Wilson TG, Corbet EF. Biological complications with dental implants: their prevention, diagnosis and treatment. Clin Oral Implants Res. 2000; 11 Suppl 1: 146-55. https://doi.org/10.1034/j.1600-0501.2000.011S1146.x
  11. Brägger U, Karoussis I, Persson R, Pjetursson B, Salvi G, Lang N. Technical and biological complications/failures with single crowns and fixed partial dentures on implants: a 10-year prospective cohort study. Clin Oral Implants Res. 2005; 16: 326-34. https://doi.org/10.1111/j.1600-0501.2005.01105.x
  12. Taylor TD. Prosthodontic problems and limitations associated with osseointegration. J Prosthet Dent. 1998; 79: 74-8. https://doi.org/10.1016/S0022-3913(98)70197-0
  13. Goodacre CJ, Bernal G, Rungcharassaeng K, Kan JY. Clinical complications with implants and implant prostheses. J Prosthet Dent. 2003; 90: 121-32. https://doi.org/10.1016/S0022-3913(03)00212-9
  14. Morgan MJ, James DF, Pilliar RM. Fractures of the fi xture component of an osseointegrated implant. Int J Oral Maxillofac Implants. 1993; 8: 409-14.
  15. Byrne D, Jacobs S, O'Connell B, Houston F, Claffey N. Preloads generated with repeated tightening in three types of screws used in dental implant assemblies. J Prosthodont. 2006; 15: 164-71. https://doi.org/10.1111/j.1532-849X.2006.00096.x
  16. Jaarda MJ, Razzoog ME, Gratton DG. Effect of preload torque on the ultimate tensile strength of implant prosthetic retaining screws. Implant Dent. 1994; 3: 17-21. https://doi.org/10.1097/00008505-199404000-00002
  17. Park SH, Wang HL. Implant reversible complications: classification and treatments. Implant Dent. 2005; 14: 211-20. https://doi.org/10.1097/01.id.0000173334.60107.1a
  18. Mericske-Stern R. Prosthetic considerations. Australian Dent J. 2008; 53: S49-S59. https://doi.org/10.1111/j.1834-7819.2008.00042.x

Cited by

  1. A technique for the removal of a wedged implant abutment fragment or debonded titanium base 2017, https://doi.org/10.1016/j.prosdent.2017.02.018
  2. Technique to retrieve implant abutment fragments vol.114, pp.4, 2015, https://doi.org/10.1016/j.prosdent.2014.04.033