Removal of broken screws on implant abutment by digital guide plate: A case report and literature review

• Published in: Journal of applied biomaterials & functional materials Vol. 21; p. 22808000231186226
• Main Authors: Huang, Honglan, Zhang, Zhisheng, Lin, Pingting, Xiang, Yan, Xu, Yuchen, Chen, Yayun, Hong, Yanru, Cheng, Qianhuang, Yin, Lu
• Format: Journal Article
• Language: English
• Published: London, England SAGE Publications 01.01.2023; Sage Publications Ltd; SAGE Publishing
• Subjects: Case reports; Dental prosthetics; Literature reviews; Plates; Screws; Teeth; Three dimensional printing; resin-matrix ceramics; post and core; T-ScanIII system; implant restoration; occlusion test; Digital guide plate
• ISSN: 2280-8000; 2280-8000
• DOI: 10.1177/22808000231186226

Implant restoration is currently the most mainstream method for repairing missing teeth. With the increasing number of plantings, various planting complications begin to be paid attention to. Among them, there are many reports of disability phenomena such as loose and broken abutment screws and broken top screws, which cause the implant to fail or fail to function. In recent years, with the development of computer-aided software and its application in the field of oral treatment, digital guide plates based on 3D printing of oral CBCT scanning data are widely used in oral implants. Therefore, we explore the application prospect of post-core crown restoration after removing broken screws from the implant abutment with a digital guide plate. We reported a case of upper right first molar implant abutment screws broken, which were removed by a digital guide plate and customized turning bur. The resin-matrix ceramics crown post core was prepared, and then the occlusal force was tested by the T-ScanIII system. It provides a reference for the application of digital guide plates in special cases such as broken screws of implant abutment.