An analysis and management of fractured implants: a
Prosthodontics Intermedica, Institute for Facial Esthetics, Fort Washington,
Pennsylvania 19034, USA.
An analysis of 4,045 implants placed in function during a 5-year period yielded eight
fractured implants (0.2%). All fractures had associated marginal bone loss. The
majority (six of eight) were supporting posterior prostheses. Parafunctional habits
were diagnosed in all patients with fractured implants. Most patients presented with
loosening or fracture of prosthetic gold screws or abutment screws prior to fracture.
This study reports on the treatment of fractured implants accomplished by refacing the
fractured titanium and adapting new abutments or replacing the entire implant with
subsequent prosthesis refabrication.
Int J Oral Maxillofac Implants. 1996 Sep-Oct;11(5):660-6.