An Uncommon Management of Fractured Narrow Implant: Clinical Case Report

Case Report

Austin J Dent. 2024; 11(1): 1177.

An Uncommon Management of Fractured Narrow Implant: Clinical Case Report

Starosta M*

Department of Dentistry, Faculty of Medicine, University of Ostrava, Czech Republic

*Corresponding author: Starosta M Department of Dentistry, Faculty of Medicine, University of Ostrava, 703 00 Ostrava, Czech Republic. Email: martin.starosta@osu.cz, mstarosta@seznam.cz

Received: December 26, 2023 Accepted: January 19, 2024 Published: January 26, 2024

Abstract

In most cases, a fracture of the implant is an indication for its removal. However, if the fragments do not completely separate, the implant can be preserved. In this case report, we describe the use of a reinforcement ring without the need to remove the entire implant.

Keywords: Dental implant fracture; Treatment failure; Reinforcement ring

Case Presentation

In January 2018, an 18-year-old woman was referred for a consultation for implantation. The main problem was agenesis of the upper lateral incisors. At that time, she was already finalizing orthodontic treatment with opening the gaps in the area where the implant was to be placed. The interdistal distance in both areas was borderline (6,5 mm). The overall health was without problems. After completing clinical and diagnostic evaluations, an optimal treatment plan was formulated to place 2 narrow implants in the area of the maxillary left and right agenetic lateral incisors to support a fixed partial dentures (Figure 1). In May 2018, the Bioniq 2.9 x 14 mm implants (Lasak co, CZ) were implanted in the respective areas. Healing was uneventful and prosthetic rehabilitation was completed in September. All-ceramic screw - retained crowns were used for the rehabilitation. The fixation screws of the crowns were tightened to 20 N/cm, according to the manufacturer's instructions. The prosthetic restoration was satisfactory both functionally and aesthetically. The patient was instructed on hygiene around the implants and scheduled for a follow-up appointment in one year (Figure 2,3 & 4).