Fracture of Osseointegrated Dental Implants: A Comprehensive Review
Öz
Abtract
Aim: Dental implants constitute functional and aesthetic solutions for edentulous patients. Despite their high success rates, complications may occur. Implant fracture is a severe complication since it usually results in loss of the implant. This comprehensive review study aims to present the causes and treatment options for implant fractures.
Methods: A literature review was carried out utilizing electronic databases and international scientific journals. Of the articles included, most were reviews of the literature, some reviews of the literature combined with case reports, cohort studies, and case reports. A meta-analysis was also included in the sample.
Results: Many factors have been implicated to cause dental implant fractures, including faulty design or production, ill-fitting restorations, loading protocols, bruxism or heavy occlusal forces, design of the restoration, implant location and diameter, metal fatigue, and bone loss around the implant. In the literature, three different treatment options are mentioned: complete extraction of the fractured implant, removal of the coronal portion of the fractured implant, and either placement of a new prosthetic post or leaving the remaining apical part dormant in the bone.
Conclusions: As implant treatment becomes popular, dentists are more likely to encounter and treat implant fractures. This is a frustrating complication for the patient and the dentist because it usually leads to the loss of the implant and the restoration. Therefore, it is suggested that clinicians study the possible causes of implant fractures and plan the treatment properly to prevent fractures and apply the best individualized treatment option should it occur.
Anahtar Kelimeler
dental implants, peri-implant fracture, implant removal, peri-implantitis
Kaynakça
- 1. Tagger Green N, Machtei EE, Horwitz J, Peled M. Fracture of dental implants: literature review and report of a case. Implant Dent. 2002;11:137-43.
- 2. Gealh WC, Mazzo V, Barbi F, Camarini ET. Osseointegrated implant fracture: causes and treatment. J Oral Implantol. 2011;37:499-503.
- 3. Virdee P, Bishop K. A review of the aetiology and management of fractured dental implants and a case report. Br Dent J. 2007;203:461-6.
- 4. Mendonca G, Mendonca DB, Fernandes-Neto AJ, Neves FD. Management of fractured dental implants: a case report. Implant Dent. 2009;18:10-6.
- 5. Karoussis IK, Salvi GE, Heitz-Mayfield LJ, et al. Long-term implant prognosis in patients with and without a history of chronic periodontitis: a 10-year prospective cohort study of the ITI Dental Implant System. Clin Oral Implants Res. 2003;14:329-39.
- 6. Buser D, Weber HP, Lang NP. Tissue integration of non-submerged implants. 1-year results of a prospective study with 100 ITI hollow-cylinder and hollow-screw implants. Clin Oral Implants Res. 1990;1:33-40.
- 7. Mombelli A, Lang NP. Clinical parameters for the evaluation of dental implants. Periodontol 2000. 1994;4:81-6.
- 8. Albrektsson T, Isidor F. Consensus Report of Session IV. In: Lang NP, Karring T, editors. Proceedings of the First European Workshop on Periodontology. London: Quintessence Publishing; 1994. p. 365-9.
- 9. Albrektsson T, Zarb G, Worthington P, Eriksson AR. The long-term efficacy of currently used dental implants: a review and proposed criteria of success. Int J Oral Maxillofac Implants. 1986;1:11-25.
- 10. Stoichkov B, Kirov D. Analysis of the causes of dental implant fracture: A retrospective clinical study. Quintessence Int. 2018;49:279-86.