PURPOSE: This study aimed to investigate the etiology, clinical manifestations, and treatment options of dental implants fractures through a literature review and to relate a clinical report. METHODS: A literature review was performed using the Medline database and this paper describes a case demonstrating the management of implant fracture. Twenty two articles were selected in the present literature review. RESULTS: Nowadays the use of dental implants to rehabilitate completely and partially edentulous patients became the best treatment option; however, this treatment is suitable to failure. The fracture of implant body is a possible complication. The fracture of implant body is a late complication and is related to the failure in implant design or material, non-passive fitting of the prosthetic crown and overloading. Clinically, prosthesis instability and spontaneous bleeding are observed. Three options of treatment have been indicated: complete removal of implant fragment, maintenance of implant fragment, and surface preparation of the fragment with insertion of a new abutment. CONCLUSION: The literature indicates the complete removal of the fragment as the best treatment option.
PURPOSE: This study aimed to investigate the etiology, clinical manifestations, and treatment options of dental implants fractures through a literature review and to relate a clinical report. METHODS: A literature review was performed using the Medline database and this paper describes a case demonstrating the management of implant fracture. Twenty two articles were selected in the present literature review. RESULTS: Nowadays the use of dental implants to rehabilitate completely and partially edentulouspatients became the best treatment option; however, this treatment is suitable to failure. The fracture of implant body is a possible complication. The fracture of implant body is a late complication and is related to the failure in implant design or material, non-passive fitting of the prosthetic crown and overloading. Clinically, prosthesis instability and spontaneous bleeding are observed. Three options of treatment have been indicated: complete removal of implant fragment, maintenance of implant fragment, and surface preparation of the fragment with insertion of a new abutment. CONCLUSION: The literature indicates the complete removal of the fragment as the best treatment option.
Entities:
Keywords:
Bone reabsorption; Dental Implantation; Treatment failure
Authors: Marcelo Coelho Goiato; Mariana Vilela Sônego; Emily Vivianne Freitas da Silva; Stefan Fiuza de Carvalho Dekon; Rodrigo Antonio de Medeiros; Karina Helga Turcio de Carvalho; Daniela Micheline Dos Santos Journal: Int J Surg Case Rep Date: 2015-01-10