[Prosthetics]  Fractured Screw


I have a Hiossen 5.0x11.5 implant. Pt just came in complaining of loose crown and some (mild-moderate) pain when chewing.

Xrays shows fractured screw in the bottom 1/3 of the screw.  Would I be able to retrieve the broken screw with ESR kit?

by Yohan Mun at Wed, Aug 29, 2018 9:25 AM

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Ho-Young Chung Replied at Wed, Aug 29, 2018 1:00 PM

try water and explore first rotating it CC.  If that doesn't work, try 1/2 round bur on slow speed on CC but be careful.  ESR has a small round bur I believe.  Obviously be careful not to damage internal walls of implant.  I'm guessing this is due to occlusal trauma as there is no molar occlusion on this side.  

Ho-Young Chung