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Journal of Prosthetic Dentistry

Retrieval of a fractured implant abutment screw using a microtube extraction device: A dental technique

  • Kan Zeng
    Affiliations
    Graduate student, State Key Laboratory of Oral Diseases, Department of Prosthodontics, National Clinical Research Center for Oral Diseases, West China Hospital of Stomatology, Sichuan University, Chengdu, PR China
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  • Yunmei Dong
    Affiliations
    Pre-Doctoral student, State Key Laboratory of Oral Diseases, Department of Prosthodontics, National Clinical Research Center for Oral Diseases, West China Hospital of Stomatology, Sichuan University, Chengdu, PR China
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  • Lei Li
    Correspondence
    Corresponding author: Dr Lei Li, State Key Laboratory of Oral Diseases, Department of Prosthodontics, National Clinical Research Center for Oral Diseases, West China Hospital of Stomatology, Sichuan University, No. 14, Section 3, Renmin South Rd, Chengdu 610041, PR CHINA
    Affiliations
    Associate Professor, State Key Laboratory of Oral Diseases, Department of Prosthodontics, National Clinical Research Center for Oral Diseases, West China Hospital of Stomatology, Sichuan University, Chengdu, PR China
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Published:December 21, 2022DOI:https://doi.org/10.1016/j.prosdent.2022.10.018

      Abstract

      Abutment screw fracture is a mechanical complication associated with the failure of dental implant-supported restorations. Retrieval of fractured abutment screws without damaging the internal surface of implants is challenging and can be time-consuming. Microtube extraction devices are used to remove separated endodontic instruments. This article presents a conservative method of retrieving a fractured implant abutment screw using a microtube device.
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      References

        • Chochlidakis K.
        • Ercoli C.
        • Einarsdottir E.
        • et al.
        Implant survival and biologic complications of implant fixed complete dental prostheses: an up to 5-year retrospective study.
        J Prosthet Dent. 2022; 128: 375-381
        • Yi Y.
        • Heo S.J.
        • Koak J.Y.
        • Kim S.K.
        Mechanical complications of implant-supported restorations with internal conical connection implants: a 14-year retrospective study.
        J Prosthet Dent. 1 September 2021; ([Epub ahead of print])https://doi.org/10.1016/j.prosdent.2021.06.053
        • Raju S.
        • Nair V.V.
        • Karunakaran H.K.
        • Manjuran N.G.
        Management of perishing implants with abutment screw fracture - a systematic review.
        J Indian Prosthodont Soc. 2021; 21: 229-239
        • Katsavochristou A.
        • Koumoulis D.
        Incidence of abutment screw failure of single or splinted implant prostheses: a review and update on current clinical status.
        J Oral Rehabil. 2019; 46: 776-786
        • Yi Y.
        • Heo S.J.
        • Koak J.Y.
        • Kim S.K.
        Alternative approach to salvaging an implant with a fractured screw fragment: a clinical report.
        J Prosthet Dent. 2021; 125: 18-21
        • Wefelmeier M.
        • Eveslage M.
        • Bürklein S.
        • et al.
        Removing fractured endodontic instruments with a modified tube technique using a light-curing composite.
        J Endod. 2015; 41: 733-736
        • Mizumoto R.M.
        • Jamjoom F.Z.
        • Yilmaz B.
        A risk-based decision making tree for managing fractured abutment and prosthetic screws: a systematic review.
        J Prosthet Dent. 2018; 119: 552-559
        • Chen W.C.
        • Chang Y.C.
        Removal of fractured implant screw under the microscope and transformation of cemented-type crown into screw-retained crown simultaneously: a clinical report.
        J Dent Sci. 2022; 17: 613-614
        • Chen J.H.
        • Cho S.H.
        An accessory technique for the intraoral removal of a fractured implant abutment screw.
        J Prosthet Dent. 2018; 120: 812-815
        • Gooty J.R.
        • Palakuru S.K.
        • Guntakalla V.R.
        • Nera M.
        Noninvasive method for retrieval of broken dental implant abutment screw.
        Contemp Clin Dent. 2014; 5: 264-267
        • 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
        • Kurt M.
        • Güler A.U.
        • Duran İ.
        A technique for removal of a fractured implant abutment screw.
        J Oral Implantol. 2013; 39: 723-725
        • Carneiro T.D.A.P.N.
        • Prudente M.S.
        • Pessoa R.S.E.
        • Mendonça G.
        • das Neves F.D.
        A conservative approach to retrieve a fractured abutment screw - case report.
        J Prosthodont Res. 2016; 60: 138-142
        • Yoon J.H.
        • Lee H.
        • Kim M.Y.
        Safe removal of a broken abutment screw with customized drill guide and rotary instrument: a clinical report.
        J Prosthodont. 2016; 25: 170-173
        • Shah K.
        • Lee D.J.
        An alternative approach for the management of fractured implant abutment screws on a mandibular implant-retained overdenture: a clinical report.
        J Prosthet Dent. 2016; 115: 402-405
        • Flanagan D.
        Management of a fractured implant abutment screw.
        J Oral Implantol. 2016; 42: 508-511