Journal of the Korean Association of Oral and Maxillofacial Surgeons

  • 제49권1호
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  • Pages.43-48
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  • 2023
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  • 2234-7550(pISSN)
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  • 2234-5930(eISSN)
대한구강악안면외과학회 (The Korean Association of Oral and Maxillofacial Surgeons)
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Energy-dispersive X-ray spectroscopic investigation of a fractured non-submerged dental implant associated with abutment fracture

  • Truc Thi Hoang Nguyen (Department of Oral and Maxillofacial Surgery, Dental Research Institute, School of Dentistry, Seoul National University) ;
  • Mi Young Eo (Department of Oral and Maxillofacial Surgery, Dental Research Institute, School of Dentistry, Seoul National University) ;
  • Kezia Rachellea Mustakim (Department of Oral and Maxillofacial Surgery, Dental Research Institute, School of Dentistry, Seoul National University) ;
  • Mi Hyun Seo (Department of Oral and Maxillofacial Surgery, Dental Research Institute, School of Dentistry, Seoul National University) ;
  • Hoon Myoung (Department of Oral and Maxillofacial Surgery, Dental Research Institute, School of Dentistry, Seoul National University) ;
  • Soung Min Kim (Department of Oral and Maxillofacial Surgery, Dental Research Institute, School of Dentistry, Seoul National University)
  • 투고 : 2021.04.26
  • 심사 : 2021.06.09
  • 발행 : 2023.02.28
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초록

The biocompatibility and durability of implant fixtures are major concerns for dentists and patients. Mechanical complications of the implant include abutment screw loosening, screw fracture, loss of implant prostheses, and implant fracture. This case report aims to describe management of a case of fixture damage that occurred after screw fracture in a tissue level, internal connection implant and microscopic evaluation of the fractured fixture. A trephine bur was used to remove the fixture, and the socket was grafted using allogeneic bone material. The failed implant was examined by scanning electron microscopy (SEM) and energy dispersive X-ray spectroscopy (EDS), which revealed a fractured fixture with both normal and irregular bone patterns. The SEM and EDS results give an enlightenment of the failed fixture surface micromorphology with microfracture and contaminated chemical compositions. Noticeably, the significantly high level of gold (Au) on the implant surface and the trace amounts of Au and titanium (Ti) in the bone tissue were recorded, which might have resulted from instability and micro-movement of the implant-abutment connection over an extended period of time. Further study with larger number of patient and different types of implants is needed for further conclusion.

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과제정보

This research was supported by Basic Science Research Program through the National Research Foundation of Korea (NRF) funded by the Ministry of Education (2021R1I1A1A01058939).

참고문헌

  1. Albrektsson T, Zarb G, Worthington P, Eriksson AR. The long-term efficacy of currently used dental implants: a review and proposed criteria of success. Int J Oral Maxillofac Implants 1986;1:11-25.
  2. 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; discussion 232-3. https://doi.org/10.1034/j.1600-051x.29.s3.12.x
  3. Rangert B, Krogh PH, Langer B, Van Roekel N. Bending overload and implant fracture: a retrospective clinical analysis. Int J Oral Maxillofac Implants 1995;10:326-34.
  4. Balshi TJ. An analysis and management of fractured implants: a clinical report. Int J Oral Maxillofac Implants 1996;11:660-6.
  5. Singh A, Singh A, Vivek R, Chaturvedi TP, Chauhan P, Gupta S. SEM analysis and management of fracture dental implant. Case Rep Dent 2013;2013:270385. https://doi.org/10.1155/2013/270385
  6. Sanchez-Perez A, Moya-Villaescusa MJ, Jornet-Garcia A, Gomez S. Etiology, risk factors and management of implant fractures. Med Oral Patol Oral Cir Bucal 2010;15:e504-8. https://doi.org/10.4317/medoral.15.e504
  7. Wee K, Lee BA. Implant fracture after screw fracture in a tissue-level implant: a case report. Implantology 2019;23:229-34. https://doi.org/10.32542/implantology.2019020
  8. Delgado-Ruiz R, Romanos G. Potential causes of titanium particle and ion release in implant dentistry: a systematic review. Int J Mol Sci 2018;19:3585. https://doi.org/10.3390/ijms19113585
  9. Hellsing M. Comparative surface analysis of four dental implant systems. J Dent Assoc S Afr 1997;52:399-402.
  10. Sawase T, Hai K, Yoshida K, Baba K, Hatada R, Atsuta M. Spectroscopic studies of three osseointegrated implants. J Dent 1998;26:119-24. https://doi.org/10.1016/s0300-5712(96)00080-2
  11. Shibli JA, Marcantonio E, d'Avila S, Guastaldi AC, Marcantonio E Jr. Analysis of failed commercially pure titanium dental implants: a scanning electron microscopy and energy-dispersive spectrometer x-ray study. J Periodontol 2005;76:1092-9. https://doi.org/10.1902/jop.2005.76.7.1092
  12. Romeed SA, Malik R, Dunne SM. Marginal bone loss influence on the biomechanics of single implant crowns. J Craniofac Surg 2013;24:1459-65. https://doi.org/10.1097/SCS.0b013e3182902db0
  13. Jimbo R, Halldin A, Janda M, Wennerberg A, Vandeweghe S. Vertical fracture and marginal bone loss of internal-connection implants: a finite element analysis. Int J Oral Maxillofac Implants 2013;28:e171-6. https://doi.org/10.11607/jomi.3052
  14. Shemtov-Yona K, Rittel D. Identification of failure mechanisms in retrieved fractured dental implants. Eng Fail Anal 2014;38:58-65. https://doi.org/10.1016/j.engfailanal.2014.01.002
  15. Apaza-Bedoya K, Tarce M, Benfatti CAM, Henriques B, Mathew MT, Teughels W, et al. Synergistic interactions between corrosion and wear at titanium-based dental implant connections: a scoping review. J Periodontal Res 2017;52:946-54. https://doi.org/10.1111/jre.12469