International Journal of Dental Sciences and Research
ISSN (Print): 2333-1135 ISSN (Online): 2333-1259 Website: https://www.sciepub.com/journal/ijdsr Editor-in-chief: Marcos Roberto Tovani Palone
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International Journal of Dental Sciences and Research. 2014, 2(6), 190-196
DOI: 10.12691/ijdsr-2-6-17
Open AccessReview Article

Different Mechanical Complications of Implant Prosthodontics: Review Article

Mohamed Y.Abdelfattah1, 2,

1Prosthodontics, Faculty of Dentistry, Tanta University, Egypt

2Prosthodontics, Faculty of Dentistry, Faculty of Dentistry, Taif University, KSA

Pub. Date: December 25, 2014

Cite this paper:
Mohamed Y.Abdelfattah. Different Mechanical Complications of Implant Prosthodontics: Review Article. International Journal of Dental Sciences and Research. 2014; 2(6):190-196. doi: 10.12691/ijdsr-2-6-17

Abstract

Nowadays implant therapy is an effective and reliable treatment with a high success rate, but various mechanical Complications can occur. Thus, the scope for prevention and management needs to be emphasized. The aim of this review article is to identify the different causes of dental implant failure due to fixture and or abutment screw fractures and to describe the management and the preventive options for these failures, so trying to assist the clinicians to plan accurately the implant-supported prosthesis treatment.

Keywords:
abutment screw fracture implant fixture fracture implant failure

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References:

[1]  Satterthwaite J, Rickman L. Retrieval of a fractured abutment screw thread from an implant: a case report. Br Dent J2008; 204: 177-80.
 
[2]  Carlson B, Carlsson GE. Prosthodontic complications in osseointegrated dental implant treatment. Int J Oral Maxillofac Implants1994; 9: 90-4.
 
[3]  Brägger U, Karoussis I, Persson R, Pjetursson B, Salvi G, Lang N. Technical and biological complications/failures with single crowns and fixed partial dentures on implants: a 10-year prospective cohort study. Clin Oral Implants Res2005; 16: 326-34.
 
[4]  Adell R, Lekholm U, Rockler B, Brånemark PI. A 15-year study of osseointegrated implants in the treatment of the edentulous jaw. Int J Oral Surg1981; 10: 387-416.
 
[5]  Balshi TJ. Preventing and resolving complications with osseointegrated implants. Dent Clin North Am 1989; 33: 821-68.
 
[6]  Piattelli A, Scarano A, Piattelli M, Vaia E, Matarasso S. Hollow implants retrieved for fracture: A light and scanning electron microscope analysis of 4 cases. J Periodontol 1998; 69: 185-9.
 
[7]  Rangert B, Krogh PH, Langer B, Van Roekel N. Bending overload and implant fracture: A retrospective clinical analysis. Int J Oral Maxillofac Implants 1995; 10: 326-34.
 
[8]  Goodacre CJ, Kan JY, Rungcharassaeng K. Clinical complications of osseointegrated implants. J Prosthet Dent 1999; 81: 537-52.
 
[9]  Kronström M, Svenson B, Hellman M, Persson GR. Early implant failures in patients treated with Brånemarksystem titanium dental implants: A retrospective study. Int J Oral Maxillofac Implants 2001; 16: 201-7.
 
[10]  Flanagan D. External and occlusal trauma to dental implants and a case report. Dent Traumatol 2003; 19: 160-4.
 
[11]  Uribe R, Peñarrocha M, Sanchis JM, García O. Marginal peri-implantitis due to occlusal overload. A case report. Med Oral 2004; 9: 159-62.
 
[12]  Balshi TJ. An analysis and management of fractured implants: A clinical report. Int J Oral Maxillofac Implants 1996; 11: 660-6.
 
[13]  Eckert SE, Meraw SJ, Cal E, Ow RK. Analysis of incidence and associated factors with fractured implants: A retrospective study. Int J Oral Maxillofac Implants 2000; 15: 662-7.
 
[14]  Jemt T, Lekholm U. Oral implant treatment in posterior partially edentulous jaws: A 5-year follow-up report. Int J Oral Maxillofac Implants 1993; 8: 635-40.
 
[15]  Naert I, Quirynen M, van Steenberghe D, Darius P. A study of 589 consecutive implants supporting complete fixed prostheses. Part II: Prosthetic aspects. J Prosthet Dent 1992; 68: 949-56.
 
[16]  Gunne J, Jemt T, Lindén B. Implant treatment in partially edentulous patients: A report on prostheses after 3 years. Int J Prosthodont 1994; 7: 143-8.
 
[17]  Lekhom U, van Steenberghe D, Herrmann I, Bolender C, Folmer T, Gunne J, et al. Osseo integrated implants in the treatment of partially edentulous jaws: A prospective 5-year multicenter study. Int J Oral Maxillofac Implant 1994; 9: 627-35.
 
[18]  Pylant T, Triplett RG, Key MC, Brunsvold MA. A retrospective evaluation of endosseous titanium implants in the partially edentulous patient. Int J Oral Maxillofac Implants 1992; 7: 195-202.
 
[19]  Piattelli A, Scarano A, Piattelli M. Histologic observations on 230 retrieved dental implants: 8 years’ experience (1989-1996). J Periodontol 1998; 69: 178-84.
 
[20]  Kwon K, Sim K, Cha J, Kim E, Lee J. Clinical and scanning electron microscopic analysis of fractured dental implants: A retrospective clinical analysis. J Korean Assoc Oral Maxillofac Surg 2012; 38: 371-8.
 
[21]  Muroff FI. Removal and replacement of a fractured dental implant: Case report. Implant Dent 2003; 12: 206-10.
 
[22]  Gargallo Albiol J, Satorres-Nieto M, Puyuelo Capablo JL, Sánchez Garcés MA, Pi Urgell J, Gay Escoda C. Endosseous dental implant fractures: An analysis of 21 cases. Med Oral Patol Oral Cir Bucal 2008; 13: E124-8.
 
[23]  Morgan MJ, James DF, Pilliar RM. Fractures of the fixture component of an osseointegrated implant. Int J Oral Maxillofac Implants 1993; 8: 409-14.
 
[24]  Sánchez-Pérez A, Moya-Villaescusa MJ, Jornet-Garcia A, Gomez S. Etiology, risk factors and management of implant fractures. Med Oral Patol Oral Cir Bucal 2010; 15: 504-8.
 
[25]  Jemt T. Failures and complications in 391 consecutively inserted fixed prostheses supported by Branemark implants in edentulous jaws: A study of treatment from the time of prosthesis placement to the first annual checkup. Int J Oral Maxillofac Implants 1991; 6: 270-6.
 
[26]  Gealh WC, Mazzo V, Barbi F, Camarini ET. Osseo integrated implants fracture: Causes and treatment. J Oral Implantol 2010; 37: 499-503.
 
[27]  Santos MD, Pfeifer AB, Silva MR, Sendyk CL, Sendyk WR. Fracture of abutment screw supporting a cemented implant-retained prosthesis with external hexagon connection: A case report with sem evaluation. J Appl Oral Sci 2007; 15: 148-51.
 
[28]  Mc Glumphy EA, Mendel DA, Holloway JA. Implant screw mechanics. Dent Clin North Am 1998; 42: 71-89.
 
[29]  Sailer I, Sailer T, Stawarczyk B, Jung RE, Hämmerle CH. In vitro study of the influence of the type of connection on the fracture load of zirconia abutments with internal and external implant-abutment connections. Int J Oral Maxillofac Implants 2009; 24: 850-8.
 
[30]  Da Silva EF, Pellizzer EP, QuinelliMazaro JV, Garcia Júnior IR. Influence of the connector and implant design on the implant-tooth-connected prostheses. Clin Implant Dent Relat Res 2010; 12: 254-62.
 
[31]  Khraisat A, Stegaroiu R, Nomura S, Miyakawa O. Fatigue resistance of two implant/abutment joint designs. J Prosthet Dent 2002; 88: 604-10.
 
[32]  Maeda Y, Satoh T, Sogo M. In vitro differences of stress concentrations for internal and external hex implant-abutment connections: A short communication. J Oral Rehabil 2006; 33: 75-8.
 
[33]  Steinebrunner L, Wolfart S, Ludwig K, Kern M. Implant-abutment interface design affects fatigue and fracture strength of implants. Clin Oral Implants Res 2008; 19: 1276-84.
 
[34]  Balfour A, O’Brien GR. Comparative study of anti rotational single tooth abutments. J Prosthet Dent 1995; 73: 36-43.
 
[35]  Möllersten L, Lockwandt D, Lindén LA. Comparison of strength and failure mode of seven implant systems: An in vitro test. J Prosthet Dent 1997; 78: 582-91.
 
[36]  Cho SC, Small PN, Elian N, Tarnow D. Screw loosening for standard and wide diameter implants in partially edentulous cases: 3- to 7-year longitudinal data. Implant Dent 2004; 13: 245-50.
 
[37]  Shetty M, Krishna Prasad D, Shetty NH, Jaiman R. Implant abutment connection: Biomechanical Perspectives. NUJHS 2014; 4: 47-53.
 
[38]  Weinberg LA. The biomechanics of force distribution in implant-supported prostheses. Int J Oral Maxillofac Implants 1993; 8: 19-31.
 
[39]  Scholander S. A retrospective evaluation of 259 single-tooth replacements by the use of Branemark implants. Int J Prosthodont 1999; 12: 483-91.
 
[40]  Jörnéus L, Jemt T, Carlsson L. Loads and designs of screw joints for single crowns supported by osseointegrated implants. Int J Oral Maxillofac Implants 1992; 7: 353-9.
 
[41]  Mc Glumphy EA, Mendel DA, Holloway JA. Implant screw mechanics. Dent Clin North Am 1998; 42: 71-89.
 
[42]  Al Jabbari Y, Fournelle R, Ziebert G, Toth J, Iacopino A. Mechanical behavior and failure analysis of prosthetic retaining screws after long-term use in vivo. Part 2: Metallurgical and micro hardness analysis. J Prosthodont 2008; 17: 181-91.
 
[43]  Martin WC, Woody RD, Miller BH, Miller AW. Implant abutment screw rotations and preloads for four different screw materials and surfaces. J Prosthet Dent 2001; 86: 24-32.
 
[44]  AlJabbari Y, Fournelle R, Ziebert G, Toth J, Iacopino AM. Mechanical behavior and failure analysis of prosthetic retaining screws after long-term use in vivo. Part 1: Characterization of adhesive wear and structure of retaining screws. J Prosthodont 2008; 17: 168-80.
 
[45]  Misch C. Principles for abutment and prosthetic screws and screw-retained components and prostheses. In: Misch CE, editor. Dental Implant Prosthetics. San Luis. Elsevier Mosby; 2014. 2nd. ed. p. 730.
 
[46]  Khraisat A, Abu-Hammad O, Al-Kayed AM, Dar-Odeh N. Stability of the implant/abutment joint in a single-tooth external-hexagon implant system: clinical and mechanical review. Clin Implant Dent Relat Res 2004; 6: 222-9.
 
[47]  Burguete RL, Johns RB, King T, Patterson EA. Tightening characteristics for screwed joints in osseointegrated dental implants. J Prosthet Dent 1994; 71: 592-9.
 
[48]  Haack JE, Sakaguchi RL, Sun T, Coffey JP. Elongation and preload stress in dental implant abutment screws. Int J Oral Maxillofac Implants1995; 10: 529-36.
 
[49]  Lang JA, May KB, Wang RF. The effect of the use of a counter-torque device on the abutment-implant complex. J Prosthet Dent 1999; 81: 411-7.
 
[50]  Satwalekar P, Chander KS, Reddy BA, Sandeep N, Sandeep N, Satwalekar T. A simple and cost effective method used for removal of a fractured implant abutment screw: a case report. J Int Oral Health 2013; 5: 120-3.
 
[51]  Winkler S, Ring K, Ring JD, Boberick KG. Implant screw mechanics and the settling effect: An over view. J Oral Implantol 2003; 29: 242-5.
 
[52]  Sakaguchi RL, Borgersen SE. Nonlinear contact analysis of preload in dental implant screws. Int J Oral Maxillofac Implants 1995; 10: 295-302.
 
[53]  Shigley IE, Mischkc CR. Standard Handbook of Machine Design. 1st.ed. New York: McGraw Hill; 1986. p. 23-26.
 
[54]  Bickford JH. An Introduction to the Design and Behavior of Bolted Joints, Revised and Expanded. New York1997: 3rd Edition, Kindle Edition.Taylor& Francis Group. P: 175-286.
 
[55]  Wiskott HW, Nicholls JI, Belser UC. Stress fatigue: Basic principles and prosthodontic implications. Int J Prosthodont 1995; 8: 105-16.
 
[56]  Jung RE, Pjetursson BE, Glauser R, Zembic A, Zwahlen M, Lang NP. A systematic review of the 5-year survival and complication rates of implant-supported single crowns. Clin Oral Implants Res 2008; 19: 119-30.
 
[57]  Becker W, Becker BE. Replacement of maxillary and mandibular molars with single endosseous implant restorations: A retrospective study. J Prosthet Dent 1995; 74: 51-5.
 
[58]  Fugazzotto PA, Kirsch A, Ackermann KL, Neuendorff G. Implant/Tooth connected restorations utilizing screw -fixed attachements: A survey of 3,096 sites in function for 3 to 14 years. Int J Oral Maxillofac Implants1999; 14: 819-23.
 
[59]  Begona Ormeachea M, Millstein P, Hirayama H. Tube angulation effect on radiographic analysis of the implant-abutment interface. Int J Oral Maxillofac Implants 1999; 14: 77-85.
 
[60]  Bakaeen LG, Winkler S, Neff PA. The effect of implant diameter, restoration design, and occlusal table variations on screw loosening of posterior single-tooth implant restorations. J Oral Implantol 2001; 27: 63-72.
 
[61]  Siamos G, Winkler S, Boberick KG. Relationship between implant preload and screw loosening on implant-supported prostheses. J Oral Implantol 2002; 28: 67-73.
 
[62]  Breeding LC, Dixon DL, Nelson EW, Tietge JD. Torque required to loosen single-tooth implant abutment screws before and after simulated function. Int J Prosthodont 1993: 6: 435-9.
 
[63]  Patel RD, Kan JY, Jonsson LB, Rungcharassaeng K. The use of a dental surgical microscope to aid retrieval of a fractured implant abutment screw: a clinical report. J Prosthodont 2010; 19: 630-3.
 
[64]  Murat Kurt, Ahmet Umut Güler, İbrahim Duran, A Technique for Removal of a Fractured Implant Abutment Screw, Journal of Oral Implantology. 2013; 39(6): 723-725.
 
[65]  Satwalekar P, Chander KS, Reddy BA, Sandeep N, Sandeep N, Satwalekar T. A simple and cost effective method used for removal of a fractured implant abutment screw: a case report. J Int Oral Health 2013; 5: 120-3.
 
[66]  Fauvell SA, Gialanella G, Penna KJ. The Lumen Technique. Retrieval of broken gold screws in dental implants. NY State Dent J 2006; 72: 43.
 
[67]  Reyhanian A, Parker S, Moshonov J, Fuhrman N. The use of Er: YAG in laser-assisted broken abutment screw treatment. Case report_Er: YAG. Lasers 2010; 3: 6-11.
 
[68]  Bhandari S, Aggarwal N, Bakshi S. Ultrasonic oscillations for conservative retrieval of a rare fracture of implant healing abutment. J Oral Implantol 2013; 39: 475-8.
 
[69]  Barbosa JM, Ascenso J, Hirata R, Caramês J. The cotton driver: an alternative technique for removing fractured screw fragments. J Prosthet Dent 2014; 112: 1601-2.
 
[70]  Ow RK, Ho KH. Retrieval of the resilient element in an osseointegrated implant system. J Prosthet Dent 1992; 68: 93-5.
 
[71]  Biller H. Removing broken abutment screws from internally threaded implants. J Prosthet Dent 1993; 69: 344.
 
[72]  Lau YH, and Pang IC.A modified instrument for removing a fractured abutment screw. J Prosthet Dent 1994; 71: 542.
 
[73]  Rosen H. Salvaging endosseous implants with fractured abutment screws. Implant Dent 1995; 4: 174-6.
 
[74]  Luterbacher S, Fourmousis I, Lang NP, Brägger U. Fractured prosthetic abutments in osseointegrated implants: a technical complication to cope with. Clin Oral Implants Res 2000; 11: 163-70.
 
[75]  Williamson RT, Robinson FG. Retrieval technique for fractured implant screws. J Prosthet Dent 2001; 86: 549-50.
 
[76]  Nergiz I, Schmage P, Shahin R. Removal of a fractured implant abutment screw: a clinical report. J Prosthet Dent 2004 Jun; 91: 513-7.
 
[77]  Yilmaz B, McGlumphy E. A technique to retrieve fractured implant screws. J Prosthet Dent 2011; 105: 137-8.
 
[78]  Taira Y, Sawase T. A modified technique for removing a failed abutment screw from an implant with a custom guide tube. J Oral Implantol 2012; 38: 165-9.
 
[79]  Gooty JR, Palakuru SK, Guntakalla VR, Nera M. Noninvasive method for retrieval of broken dental implant abutment screw. Contemp Clin Dent 2014; 5: 264-7.
 
[80]  Walia MS, Arora S, Luthra R, Walia PK. Removal of fractured dental implant screw using a new technique: a case report. J Oral Implantol 2012; 38: 747-50.
 
[81]  Imam AY, Moshaverinia A, Chee WW, McGlumphy EA. A technique for retrieving fractured implant screws. J Prosthet Dent 2014; 111: 81-3.
 
[82]  Pipko DJ, Kukunas S, Ismail YH. Retrofitting a cast dowel-core on salvaged dental implants. J Prosthodont 2004; 13: 52-4.
 
[83]  Pow EH, Wat PY. A technique for salvaging an implant-supported crown with a fractured abutment screw. J Prosthet Dent 2006; 95: 169-70.
 
[84]  Santos MD, Pfeifer AB, Silva MR, Sendyk CL, Sendyk WR. Fracture of abutment screw supporting a cemented implant-retained prosthesis with external hexagon connection: a case report with sem evaluation. J Appl Oral Sci 2007; 15: 148-51.
 
[85]  Maalhagh-Fard A, Jacobs LC. Retrieval of a stripped abutment screw: a clinical report. J Prosthet Dent 2010; 104: 212-5.
 
[86]  Imam AY, Yilmaz B, Özçelik TB, McGlumphy E. Salvaging an angled implant abutment with damaged internal threads: a clinical report. J Prosthet Dent 2013; 109: 287-90.
 
[87]  Yilmaz B, McGlumphy E. A technique to salvage a single implant-supported fixed dental prosthesis having a nonretrievable implant screw fragment. J Oral Implantol 2013; 39: 81-3.
 
[88]  Canpolat C, Ozkurt-Kayahan Z, Kazazo_glu E. Management of a fractured implant abutment screw: a clinical report. J Prosthodont 2014; 23: 402-5.
 
[89]  Gupta V, Prithviraj DR, Muley N. A new restorative technique for the perishing implant due to abutment screw fracture. J Oral Implantol 2014; 40: 755-7.
 
[90]  Harshakumar K, Bhatia S, Ravichandran R, Joy PT. Salvaging an implant with abutment screw fracture by a custom titanium post and core supported prosthesis-a novel technique. Int J Sci Study 2014; 2: 36-9.
 
[91]  Mardinger O, Oubaid S, Manor Y, Nissan J, Chaushu G. Factors affecting the decision to replace failed implants: a retrospective study. J Periodontol 2008; 79: 2262-6.