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Removal of Tapered Connection Abutment Fracture: A Case Report

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초록

Various types of removal kits have been offered by several companies to address implant prosthetic complications, but complications are not easy to resolve. In particular, the fracture of the internal tapered abutment is difficult to remove with conventional tools if the abutment and the seal inside the fixture are rigid. This clinical report reported a case of abutment fracture in internal taper connection type fixture. A 63-year-old male patient presented with a broken implant restoration that was connected into an internal taper type implant. To retrieve the remnant of the broken abutment in the fixture, multiple instruments were applied to break conical seal. The broken abutment was barely removed with rotary diamond instrument, damaging the internal taper connection area of the fixture. Though there was no cold welding was reported, conical tight seal generated by applied preload make difficult to removal abutment without screw.

Abstract

Various types of removal kits have been offered by several companies to address implant prosthetic complications, but complications are not easy to resolve. In particular, the fracture of the internal tapered abutment is difficult to remove with conventional tools if the abutment and the seal inside the fixture are rigid. This clinical report reported a case of abutment fracture in internal taper connection type fixture. A 63-year-old male patient presented with a broken implant restoration that was connected into an internal taper type implant. To retrieve the remnant of the broken abutment in the fixture, multiple instruments were applied to break conical seal. The broken abutment was barely removed with rotary diamond instrument, damaging the internal taper connection area of the fixture. Though there was no cold welding was reported, conical tight seal generated by applied preload make difficult to removal abutment without screw.

참고문헌 (8)

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  4. Sadid-Zadeh R, "Prosthetic failure in implant dentistry", Dent Clin North Am, 59(1), pp.195~214 (2015)
  5. Zembic A, "Systematic review of the survival rate and incidence of biologic, technical, and esthetic complications of single implant abutments supporting fixed prostheses", Int J Oral Maxillofac Implants, 29(Suppl), pp.99~116 (2014)
  6. Sutter F, "The New Restorative Concept of the ITI Dental Implant System: Design and Engineering", Int J Periodontics Restorative Dent, 13(5), pp.409~431 (1993)
  7. Norton MR, "Assessment of cold welding properties of the internal conical interface of two commercially available implant systems", J Prosthet Dent, 81(2), pp.159~166 (1999)
  8. Pintinha M, "Effect of mechanical loading on the removal torque of different types of tapered connection abutments for dental implants", J Prosthet Dent, 110(5), pp.383~388 (2013)

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