Dental Implant Fractures – Aetiology, Treatment and Case Report
Dr. Marcelo Coelho Goiato,
Professor, Department of Dental Matherials and Prosthodontics, AraÃ§atuba Dental School,
SÃ£o Paulo State University, AraÃ§atuba, Sao Paulo, Brazil.
Phone: (18) 3636-3287, Fax: (18) 3636-3246, E-mail: firstname.lastname@example.org
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.