Broken abutment retrival with modified crown remover

• Published in: International dental journal 2024-10, Vol.74, p.S372-S373
• Main Authors: Cubuk, Ozan, Bursa, Muhammet Çağlar, Kökat, Ali Murat
• Format: Article
• Language: English
• ISSN: 0020-6539
• DOI: 10.1016/j.identj.2024.07.504

Dental implants and implant supported protheses for replacement of missing teeth are widely used solution in modern dentistry. Although this treatment has advanced technical procedure and high success rate, there may be complications in some cases. Fracture of implant abutment is not a common but one of the challenging complications. When this complication occurs the broken implant parts must be retrieved to contiue prosthodontic stages. 45-year old woman patient came our clinic with the complaint of iher mplant-supported crown's mobility. When we removed the crown we figured out that the mobility caused by a broken abutment. After the inspection with radiographic evaluation, photograph and intra-oral scanning we figured out there were a cold welded and broken part of abutment inside of the implant. The aim of the present study is to describe a simple technique to retrieve the remaining part of a broken abutment. A planned noninvasive technique eliminates the explantation of the implant and further surgical approaches. There is still a lack of relevant (such as; specialized removers) equipment on the market which are developed by the implant companies and strict protocols to deal with these kind of complications. This case report describes the technique of using an modified crown remover for the removal of the fractured screw fragment as a noninvasive method without damaging the internal hex of implants.