Advertisement
Journal of Prosthetic Dentistry

Managing a fractured one-piece zirconia abutment with a modified plastic periodontal probe: A clinical report

Published:November 08, 2016DOI:https://doi.org/10.1016/j.prosdent.2016.08.020

      Abstract

      This clinical report describes the management of a fractured 1-piece zirconia stock abutment from an implant with an internal connection using a modified plastic periodontal probe. This minimally invasive approach allows for the retrieval of fractured prosthetic components without causing irreversible damage to the implant’s platform or its internal threads and does not require special equipment or costly instruments.
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Journal of Prosthetic Dentistry
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Stimmelmayr M.
        • Sagerer S.
        • Erdelt K.
        • Beuer F.
        In vitro fatigue and fracture strength testing of one-piece zirconia implant abutments and zirconia implant abutments connected to titanium cores.
        Int J Oral Maxillofac Implants. 2013; 28: 488-493
        • Leutert C.R.
        • Stawarczyk B.
        • Truninger T.C.
        • Hammerle C.H.
        • Sailer I.
        Bending moments and types of failure of zirconia and titanium abutments with internal implant-abutment connections: a laboratory study.
        Int J Oral Maxillofac Implants. 2012; 27: 505-512
        • Sailer I.
        • Sailer T.
        • Stawarczyk B.
        • Jung R.E.
        • Hammerle C.H.
        In vitro of the influence of the type of connection on the fracture load of zirconia abutments with internal and external implant-abutment connections.
        Int J Oral Maxillofac Implants. 2009; 24: 850-858
        • Albosefi A.
        • Finkelman M.
        • Zandparsa R.
        An in vitro comparison of fracture load of zirconia custom abutments with internal connection and different angulations and thickness: part I.
        J Prosthodont. 2014; 23 (296-301)
        • Prisco R.
        • Santagata M.
        • Vigolo P.
        Effect of aging and porcelain sintering on rotational freedom of internal-hex one -piece zirconia abutments.
        Int J Oral Maxillofac Implants. 2013; 28: 1003-1008
        • Jung R.E.
        • Holderegger C.
        • Sailer I.
        • Khraisat A.
        • Suter A.
        • Hämmerle C.H.
        The effect of all-ceramic and porcelain-fused-to-metal restorations on marginal peri-implant soft tissue color: a randomized controlled clinical trial.
        Int J Periodontics Restorative Dent. 2008; 28: 357-365
        • Truninger T.C.
        • Stawarczyk B.
        • Leutert C.R.
        • Sailer T.
        • Hammerle C.H.
        • Sailer I.
        Bending moments of zirconia and titanium abutments with internal and external implant-abutment connections after aging and chewing simulation.
        Clin Oral Impl Res. 2012; 23: 12-18
        • Gehrke P.
        • Johansson D.
        • Fischer C.
        • Stawarczyk B.
        • Beuer F.
        In vitro fatigue and fracture resistance of one-and two-piece CAD/CAM zirconia implant abutments.
        J Oral Maxillofac Implants. 2015; 30: 546-554
        • Cosgarea R.
        • Gasparik C.
        • Dudea D.
        • Culic B.
        • Dannewitz B.
        • Sculean A.
        Peri-implant soft tissue colour around titanium and zirconia abutments: a prospective randomized controlled clinical study.
        Clin Oral Implants Res. 2015; 26: 537-544
        • Kim J.S.
        • Raigrodski A.J.
        • Flinn B.D.
        • Rubenstein J.E.
        • Chung K.H.
        • Mancl L.A.
        In vitro assessment of three types of zirconia implant abutments under static load.
        J Prosthet Dent. 2013; 109: 255-263
        • Sailer I.
        • Zembic A.
        • Jung R.E.
        • Hämmerle C.H.
        • Mattiola A.
        Single-tooth implant reconstructions: esthetic factors influencing the decision between titanium and zirconia abutments in anterior regions.
        Eur J Esthet Dent. 2007; 2: 296-310
        • Lops D.
        • Bressan E.
        • Chiapasco M.
        • Rossi A.
        • Romeo E.
        Zirconia and titanium implant abutments for single-tooth implant prosthesis after 5 years of function in posterior regions.
        Int J Oral Maxillofac Implants. 2013; 28: 281-287
        • Fürhauser R.
        • Florescu D.
        • Benesch T.
        • Haas R.
        • Mailath G.
        • Watzek G.
        Evaluation of soft tissue around single-tooth implant crowns: the pink esthetic score.
        Clin Oral Implants Res. 2005; 16: 639-644
        • Phillips K.
        • Kois J.C.
        Aesthetic peri-implant site development. The restorative connection.
        Dent Clin North Am. 1998; 42: 57-70
        • Linkevicius T.
        • Vaitelis J.
        The effect of zirconia or titanium as abutment material on soft peri-implant tissues: a systematic review and meta-analysis.
        Clin Oral Implants Res. 2015; 26: 139-147
        • Wohlwend A.
        • Studer S.
        • Schaere P.
        Zirconia oxide abutments.
        Quintessence Dent Tech. 1996; 22: 364-381
        • Waltimo A.
        • Kemppainen P.
        • Könönen M.
        Maximal contraction force and endurance of human jaw-closing muscles in isometric clenching.
        Scand J Dent Res. 1993; 101: 416-421
        • Ferrario V.F.
        • Sforza C.
        • Serrao G.
        • Dellavia C.
        • Tartaglia G.M.
        Single tooth bite forces in healthy young adults.
        J Oral Rehabil. 2004; 31: 18-22
        • Yilmaz B.
        • Salaita L.G.
        • Seidt J.D.
        • McGlumphy E.A.
        • Clelland N.L.
        Load to failure of different zirconia abutmetns for an internal hexagon implant.
        J Prosthet Dent. 2015; 114: 373-377
        • Att W.
        • Kurun S.
        • Gerds T.
        • Strub J.R.
        Fracture resistance of single tooth implant supported all ceramic restorations: An in vitro study.
        J Prosthet Dent. 2006; 95: 111-116
        • Carrillo de Albornoz A.
        • Vignoletti F.
        • Ferrantino L.
        • Cardenas E.
        • De Sanctis M.
        • Sanz M.
        A randomized trial on the aesthetic outcomes of implant-supported restorations with zirconia or titanium abutments.
        J Clin Periodontol. 2014; 41: 1161-1169
        • Passos S.P.
        • Linke B.
        • Larjava H.
        • French D.
        Performance of zirconia abutments for implant-supported single-tooth crowns in esthetic areas: a retrospective study up to 12-year follow-up.
        Clin Oral Implants Res. 2016; 27: 47-54
        • Thulasidas S.
        • Givan D.
        • Lemons J.
        • O’Neal S.
        • Ramp L.
        • Liu P.
        Influence of implant angulation on the fracture resistance of zirconia abutments.
        J Prosthodont. 2015; 24: 127-135
        • Saidin S.
        • Abdul Kadir M.R.
        • Sulaiman E.
        • Abu Kasim N.H.
        Effects of different implant-abutment connections on micromotion and stress distribution: prediction of microgap formation.
        J Dent. 2012; 40: 467-474
        • Lee J.H.
        • Park J.H.
        • Park C.J.
        • Cho L.R.
        Technique to retrieve implant abutment fragments.
        J Prosthet Dent. 2015; 114: 486-489
        • Shah K.
        • Lee D.J.
        An alternative approach for the management of fractured abutment screws on a mandibular implant-retained overdenture: a clinical report.
        J Prosthet Dent. 2016; 115: 402-405
        • Yilmaz B.
        • McGlumphy E.A.
        A technique to salvage a single implant-supported fixed dental prosthesis having a non-retrievable implant screw fragment.
        J Oral Impl. 2013; 39: 81-83
        • Joda T.
        • Bragger U.
        Management of a complication with a fractured zirconia implant in the esthetic zone.
        Int J Oral Maxillofac Implants. 2015; 30: 21-23
        • Imam A.Y.
        • Moshaverinia A.
        • Chee W.W.
        • McGlumphy E.A.
        A technique for retrieving fractured implant screws.
        J Prosthet Dent. 2014; 111: 81-83
        • Canpolat C.
        • Ozkurt-Kayahan Z.
        • Kazazoğlu E.
        Management of a fractured implant abutment screw: a clinical report.
        J Prosthodont. 2014; 23: 402-405
        • Zembic A.
        • Kim S.
        • Zwahlen M.
        • Kelly J.R.
        Systematic review of the survival rate and incidence of biologic, technical, and esthetic complications of single implant abutments supporting fixed prostheses.
        Int J Oral Maxillofac Implants. 2014; 29: 99-116
        • Degidi M.
        • Artese L.
        • Scarano A.
        • Perrotti V.
        • Gehrke P.
        • Piattelli A.
        Inflammatory infiltrate, microvessel density, nitric oxide synthase expression, vascular endothelial growth factor expression, and proliferative activity in peri-implant soft tissues around titanium and zirconium oxide healing caps.
        J Periodontol. 2006; 77: 73-80
        • Rimondini L.
        • Cerroni L.
        • Carrassi A.
        • Torricelli P.
        Bacterial colonization of zirconia ceramic surfaces: an in vitro and in vivo study.
        Int J Oral Maxillofac Implants. 2002; 17: 793-798
        • Zembic A.
        • Philipp A.O.
        • Hämmerle C.H.
        • Wohlwend A.
        • Sailer I.
        Eleven-year follow-up of a prospective study of zirconia implant abutments supporting single all-ceramic crowns in anterior and premolar regions.
        Clin Implant Dent Relat Res. 2015; 17: 417-426
        • Klotz M.W.
        • Taylor T.D.
        • Goldberg A.J.
        Wear at the titanium-zirconia implant-abutment interface: a pilot study.
        Int J Oral Maxillofac Implants. 2011; 26: 970-975