Volume 27, Issue 135, May 2023

A modified approach for removal of damaged implant abutments: A clinical report

Sowmya S¹, Shyla Dureja^2♦, Putta Sai Pranathi³, Ganesh S⁴, Raghavendra Swamy KN⁵, Nagabhushana Doggalli⁶

¹Assistant Professor, Department of Prosthodontics, JSS Dental College and Hospital, JSSAHER, Bannimantap, Mysuru, Karnataka-570015, India
²Post-Graduate Student (MDS), Department of Prosthodontics, JSS Dental College and Hospital, JSSAHER, Bannimantap, Mysuru, Karnataka-570015, India
³Clinician, Sri Sai Super Speciality Dental Hospital, Hyderabad, Telangana-500038, India
⁴Reader, Department of Prosthodontics, JSS Dental College and Hospital, JSSAHER, Bannimantap, Mysuru, Karnataka- 570015, India
⁵Professor and HOD, Department of Prosthodontics, JSS Dental College and Hospital, JSSAHER, Bannimantap, Mysuru, Karnataka- 570015, India
⁶Department of Oral Medicine and Radiology, JSS Dental College and Hospital, JSSAHER, Bannimantap, Mysuru, Karnataka- 570015, India

^♦Corresponding author
Post-Graduate Student (MDS), Department of Prosthodontics, JSS Dental College and Hospital, JSSAHER, Bannimantap, Mysuru, Karnataka- 570015, India
ORCID: 0000-0002-0867-7636

ABSTRACT

Dental implants have currently become an extremely popular prosthodontic treatment option for restoring function and aesthetics, owing to their effectiveness, longevity, dependability and esthetic outcome. Among the various prosthetic rehabilitation modalities for completely edentulous cases, implant-supported overdentures have a very good prognosis. Over time in use, implant-related complications like abutment damage may arise. Damaged abutments may lose their external hexagonal structure, making it challenging to engage the drivers. This makes their removal complicated and technique sensitive. The rotary devices that are used have many drawbacks that might harm the implant's internal threads during implant abutment removal. This article describes a novel method for removing a damaged mandibular overdenture abutment using an ultrasonic scaler wrench without jeopardising the implant. This conservative management was found to be simple, cost-effective and time-efficient, with no additional required equipment.

Keywords: Implant, Abutment, Abutment removal, Implant Complications

Medical Science, 2023, 27, e215ms2991

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DOI: https://doi.org/10.54905/disssi/v27i135/e215ms2991

Published: 02 May 2023