Dental implant fractures - aetiology, treatment and case report

J Clin Diagn Res. 2014 Mar;8(3):300-4. doi: 10.7860/JCDR/2014/8074.4158. Epub 2014 Mar 15.

Abstract

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.

Keywords: Bone reabsorption; Dental Implantation; Treatment failure.

Publication types

  • Review