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In implant-supported prostheses, the most frequently reported mechanical complications after implant restoration are loosening or fracture of abutments or screws. Such complications have serious consequences, and the removal of fractured abutments or screws is difficult. There are various methods to remove fractured abutment screws in implants with screwed-in connections. However, no approach has been reported to retrieve solid abutments in implants with a locking-taper implant-abutment connection, which are rarely observed in clinical settings. This study presents the case of a 62-year-old male patient with a fractured abutment in an upper-right second premolar implant. Abutment fracture is a common mechanical complication after dental implantation. Parafunctional habits and occlusal overloading may generate excessive occlusal forces, which increase the risk of mechanical complications. This report presents a series of emergency procedures for removing a fractured solid abutment and fabricating a new prosthesis to restore the edentulous area. In this retrospective analysis, the author deeply considers the whole treatment, through which the deficiencies of the treatment are noted and corresponding future directions are discussed. This case report presents a convenient approach to remove a solid abutment in a sudden emergency, discusses the possible reasons for solid abutment fractures, designs a new rescue kit for easy retrieval of such abutments and summarizes a valid solution for removing fractured solid abutments.
This article was published in the following journal.
Name: The Journal of oral implantology
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A bracelet or necklace worn by an individual that alerts emergency personnel of medical information for that individual which could affect their condition or treatment.
Branch of EMERGENCY MEDICINE dealing with the emergency care of children.
The branch of medicine concerned with the evaluation and initial treatment of urgent and emergent medical problems, such as those caused by accidents, trauma, sudden illness, poisoning, or disasters. Emergency medical care can be provided at the hospital or at sites outside the medical facility.
Procedures to repair or stabilize vertebral fractures, especially compression fractures by injecting BONE CEMENTS into the fractured VERTEBRAE.
Paramedical personnel trained to provide basic emergency care and life support under the supervision of physicians and/or nurses. These services may be carried out at the site of the emergency, in the ambulance, or in a health care institution.
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Dentistry is the study, management and treatment of diseases and conditions affecting the mouth, jaw, teeth and their supporting tissues (Oxford Medical Dictionary) The work of a dentist ranges from regular patient check-up to orthodontics and surgery....