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Journal of Prosthetic Dentistry

A technique for the removal of a wedged implant abutment fragment or debonded titanium base

  • Geoffrey R. Johnston
    Affiliations
    Graduate student, Advanced Education in Prosthodontics Program, Division of Restorative Sciences and Prosthodontics, The Ohio State University College of Dentistry, Columbus, Ohio
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  • Faris Z. Jamjoom
    Correspondence
    Corresponding author: Dr Faris Z. Jamjoom, Division of Restorative Sciences and Prosthodontics, The Ohio State University College of Dentistry, 2045 Postle Hall, 305 W. 12th Ave, Columbus, OH 43210
    Affiliations
    Graduate student, Advanced Education in Prosthodontics Program, Division of Restorative Sciences and Prosthodontics, The Ohio State University College of Dentistry, Columbus, Ohio
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  • Damian J. Lee
    Affiliations
    Program Director and Assistant Professor, Advanced Education in Prosthodontics Program, Division of Restorative Sciences and Prosthodontics, The Ohio State University College of Dentistry, Columbus, Ohio
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      Abstract

      A technique for the retrieval of wedged implant fragments is described. The technique is suitable for fractured zirconia and metal abutments and titanium bases left behind after fracture or debonding of the custom zirconia abutment from the titanium base of an implant-supported prosthesis. This straightforward, noninvasive, technique facilitates the removal of the fragments or titanium bases without risking damage to the implant, surrounding bone, or soft tissues.
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      References

        • Ferrari M.
        • Vichi A.
        • Zarone F.
        Zirconia abutments and restorations: from laboratory to clinical investigations.
        Dent Mater. 2015; 31: e63-e76
        • Gehrke P.
        • Alius J.
        • Fischer C.
        • Erdelt K.J.
        • Beuer F.
        Retentive strength of two-piece CAD/CAM zirconia implant abutments.
        Clin Implant Dent Relat Res. 2014; 16: 920-925
        • Saponaro P.
        • Lee D.
        • McGlumphy E.
        Managing a fractured one-piece zirconia abutment with a modified plastic periodontal probe: A clinical report.
        J Prosthet Dent. 2017; 117: 587-591
        • Yilmaz B.
        • Salaita L.G.
        • Seidt J.D.
        • McGlumphy E.A.
        • Clelland N.L.
        Load to failure of different zirconia abutments 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 Feb; 95: 111-116
        • Delben J.A.
        • Barão V.A.
        • Ferreira M.B.
        • da Silva N.R.
        • Thompson V.P.
        • Assunção W.G.
        Influence of abutment-to-fixture design on reliability and failure mode of all-ceramic crown systems.
        Dent Mater. 2014; 30: 408-416
        • Conrad H.J.
        • Schulte J.K.
        • Vallee M.C.
        Fractures related to occlusal overload with single posterior implants: a clinical report.
        J Prosthet Dent. 2008; 99: 251-256
        • Kahm S.H.
        • Kim C.H.
        • Kim S.J.
        Overcoming and preventing dental implant complications: abutment fracture case report.
        J Korean Dent Sci. 2013; 6: 27-33
        • 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
        • Nedir R.
        • Bischof M.
        • Szmukler-Moncler S.
        • Belser U.C.
        • Samson J.
        Prosthetic complications with dental implants: from an up-to-8-year experience in private practice.
        Int J Oral Maxillofac Implants. 2006; 21: 919-928
        • Imakita C.
        • Shiota M.
        • Yamaguchi Y.
        • Kasugai S.
        • Wakabayashi N.
        Failure analysis of an abutment fracture on single implant restoration.
        Implant Dent. 2013; 22: 326-331
        • Lee J.H.
        • Kim D.G.
        • Park C.J.
        • Cho L.R.
        Axial displacements in external and internal implant-abutment connection.
        Clin Oral Implants Res. 2014; 25: e83-e89
        • Aguirrebeitia J.
        • Abasolo M.
        • Vallejo J.
        • Ansola R.
        Dental implants with conical implant-abutment interface: influence of the conical angle difference on the mechanical behavior of the implant.
        Int J Oral Maxillofac Implants. 2013; 28: e72-e82
        • Pintinha M.
        • Camarini E.T.
        • Sábio S.
        • Pereira J.R.
        Effect of mechanical loading on the removal torque of different types of tapered connection abutments for dental implants.
        J Prosthet Dent. 2013; 110: 383-388