Serveur d'exploration sur le patient édenté

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Restoration: Implant with Devastated Platform through Metal Post

Identifieur interne : 001B40 ( Pmc/Curation ); précédent : 001B39; suivant : 001B41

Restoration: Implant with Devastated Platform through Metal Post

Auteurs : Luna Salinas Tatiana [Équateur] ; Del Valle Lovato Juan [Équateur]

Source :

RBID : PMC:5327777

Abstract

Case Presentation. Implant prostheses are a successful treatment for replacing missing teeth. However, this treatment modality can have biological and mechanical complications causing serious problems for the dentist, as demonstrated in this clinical case. The patient presented with a fractured screw and a severely damaged implant hex connection that corresponded to the second premolar, upper left, stating that she unsuccessfully tried to remove the prosthetic screw, which was most likely to have been loose. After clinical and radiographic review, it was decided to remove small fragments of the fractured prosthetic screw inside the implant head. Removal by conventional methods was unsuccessful but was eventually achieved through use of a bur. Then it was possible to make a cast post (gold-palladium) and develop a fixed prosthesis (silver-palladium), which were attached with luting cement. A cast post (gold-palladium) was made and a fixed prosthesis was developed (silver-palladium), which were attached with luting cement, the same ones that can present mechanical complications such as fractures between the third and fourth thread of the implant, loosening of the abutment, and/or the prosthetic screw in individual crowns, most frequently in partially edentulous patients, mainly in the premolar and molar regions of the maxilla. Conclusion. Therefore the present technique used in this case is very simple, noninvasive, and useful to readers.


Url:
DOI: 10.1155/2017/3150656
PubMed: 28286678
PubMed Central: 5327777

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Links to Exploration step

PMC:5327777

Le document en format XML

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<title xml:lang="en">Restoration: Implant with Devastated Platform through Metal Post</title>
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<name sortKey="Tatiana, Luna Salinas" sort="Tatiana, Luna Salinas" uniqKey="Tatiana L" first="Luna Salinas" last="Tatiana">Luna Salinas Tatiana</name>
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<nlm:aff id="I1">Central University of Ecuador Dental School, Quito, Ecuador</nlm:aff>
<country xml:lang="fr">Équateur</country>
<wicri:regionArea>Central University of Ecuador Dental School, Quito</wicri:regionArea>
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<name sortKey="Juan, Del Valle Lovato" sort="Juan, Del Valle Lovato" uniqKey="Juan D" first="Del Valle Lovato" last="Juan">Del Valle Lovato Juan</name>
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<nlm:aff id="I1">Central University of Ecuador Dental School, Quito, Ecuador</nlm:aff>
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<italic>Case Presentation. </italic>
Implant prostheses are a successful treatment for replacing missing teeth. However, this treatment modality can have biological and mechanical complications causing serious problems for the dentist, as demonstrated in this clinical case. The patient presented with a fractured screw and a severely damaged implant hex connection that corresponded to the second premolar, upper left, stating that she unsuccessfully tried to remove the prosthetic screw, which was most likely to have been loose. After clinical and radiographic review, it was decided to remove small fragments of the fractured prosthetic screw inside the implant head. Removal by conventional methods was unsuccessful but was eventually achieved through use of a bur. Then it was possible to make a cast post (gold-palladium) and develop a fixed prosthesis (silver-palladium), which were attached with luting cement. A cast post (gold-palladium) was made and a fixed prosthesis was developed (silver-palladium), which were attached with luting cement, the same ones that can present mechanical complications such as fractures between the third and fourth thread of the implant, loosening of the abutment, and/or the prosthetic screw in individual crowns, most frequently in partially edentulous patients, mainly in the premolar and molar regions of the maxilla.
<italic> Conclusion</italic>
. Therefore the present technique used in this case is very simple, noninvasive, and useful to readers.</p>
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<pmc article-type="case-report">
<pmc-dir>properties open_access</pmc-dir>
<front>
<journal-meta>
<journal-id journal-id-type="nlm-ta">Case Rep Dent</journal-id>
<journal-id journal-id-type="iso-abbrev">Case Rep Dent</journal-id>
<journal-id journal-id-type="publisher-id">CRID</journal-id>
<journal-title-group>
<journal-title>Case Reports in Dentistry</journal-title>
</journal-title-group>
<issn pub-type="ppub">2090-6447</issn>
<issn pub-type="epub">2090-6455</issn>
<publisher>
<publisher-name>Hindawi Publishing Corporation</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="pmid">28286678</article-id>
<article-id pub-id-type="pmc">5327777</article-id>
<article-id pub-id-type="doi">10.1155/2017/3150656</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Case Report</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Restoration: Implant with Devastated Platform through Metal Post</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<contrib-id contrib-id-type="orcid" authenticated="false">http://orcid.org/0000-0001-9499-5325</contrib-id>
<name>
<surname>Tatiana</surname>
<given-names>Luna Salinas</given-names>
</name>
<xref ref-type="aff" rid="I1"></xref>
<xref ref-type="corresp" rid="cor1">
<sup>*</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Juan</surname>
<given-names>Del Valle Lovato</given-names>
</name>
<xref ref-type="aff" rid="I1"></xref>
</contrib>
</contrib-group>
<aff id="I1">Central University of Ecuador Dental School, Quito, Ecuador</aff>
<author-notes>
<corresp id="cor1">*Luna Salinas Tatiana:
<email>taty_bel_moon@hotmail.com</email>
</corresp>
<fn fn-type="other">
<p>Academic Editor: Miguel Peñarrocha</p>
</fn>
</author-notes>
<pub-date pub-type="ppub">
<year>2017</year>
</pub-date>
<pub-date pub-type="epub">
<day>13</day>
<month>2</month>
<year>2017</year>
</pub-date>
<volume>2017</volume>
<elocation-id>3150656</elocation-id>
<history>
<date date-type="received">
<day>8</day>
<month>10</month>
<year>2016</year>
</date>
<date date-type="rev-recd">
<day>20</day>
<month>12</month>
<year>2016</year>
</date>
<date date-type="accepted">
<day>22</day>
<month>1</month>
<year>2017</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright © 2017 Luna Salinas Tatiana and Del Valle Lovato Juan.</copyright-statement>
<copyright-year>2017</copyright-year>
<license xlink:href="https://creativecommons.org/licenses/by/4.0/">
<license-p>This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p>
</license>
</permissions>
<abstract>
<p>
<italic>Case Presentation. </italic>
Implant prostheses are a successful treatment for replacing missing teeth. However, this treatment modality can have biological and mechanical complications causing serious problems for the dentist, as demonstrated in this clinical case. The patient presented with a fractured screw and a severely damaged implant hex connection that corresponded to the second premolar, upper left, stating that she unsuccessfully tried to remove the prosthetic screw, which was most likely to have been loose. After clinical and radiographic review, it was decided to remove small fragments of the fractured prosthetic screw inside the implant head. Removal by conventional methods was unsuccessful but was eventually achieved through use of a bur. Then it was possible to make a cast post (gold-palladium) and develop a fixed prosthesis (silver-palladium), which were attached with luting cement. A cast post (gold-palladium) was made and a fixed prosthesis was developed (silver-palladium), which were attached with luting cement, the same ones that can present mechanical complications such as fractures between the third and fourth thread of the implant, loosening of the abutment, and/or the prosthetic screw in individual crowns, most frequently in partially edentulous patients, mainly in the premolar and molar regions of the maxilla.
<italic> Conclusion</italic>
. Therefore the present technique used in this case is very simple, noninvasive, and useful to readers.</p>
</abstract>
</article-meta>
</front>
<floats-group>
<fig id="fig1" orientation="portrait" position="float">
<label>Figure 1</label>
<caption>
<p>Panoramic radiograph. Implant (2.5) with fracture screw and hex devastated platform.</p>
</caption>
<graphic xlink:href="CRID2017-3150656.001"></graphic>
</fig>
<fig id="fig2" orientation="portrait" position="float">
<label>Figure 2</label>
<caption>
<p>Removal of fracture fragment: (a) radiograph; (b) fissure bur was used to remove the fractured screw; (c) occlusal view.</p>
</caption>
<graphic xlink:href="CRID2017-3150656.002"></graphic>
</fig>
<fig id="fig3" orientation="portrait" position="float">
<label>Figure 3</label>
<caption>
<p>DuraLay post.</p>
</caption>
<graphic xlink:href="CRID2017-3150656.003"></graphic>
</fig>
<fig id="fig4" orientation="portrait" position="float">
<label>Figure 4</label>
<caption>
<p>Sealing and adaptation were made: (a) radiographic control and (b) disclosing wax verifications.</p>
</caption>
<graphic xlink:href="CRID2017-3150656.004"></graphic>
</fig>
<fig id="fig5" orientation="portrait" position="float">
<label>Figure 5</label>
<caption>
<p>Post cement.</p>
</caption>
<graphic xlink:href="CRID2017-3150656.005"></graphic>
</fig>
<fig id="fig6" orientation="portrait" position="float">
<label>Figure 6</label>
<caption>
<p>Dental impression.</p>
</caption>
<graphic xlink:href="CRID2017-3150656.006"></graphic>
</fig>
<fig id="fig7" orientation="portrait" position="float">
<label>Figure 7</label>
<caption>
<p>Framework sealing and adaptation of metal crown.</p>
</caption>
<graphic xlink:href="CRID2017-3150656.007"></graphic>
</fig>
<fig id="fig8" orientation="portrait" position="float">
<label>Figure 8</label>
<caption>
<p>Crown cement and occlusal adjustment.</p>
</caption>
<graphic xlink:href="CRID2017-3150656.008"></graphic>
</fig>
<fig id="fig9" orientation="portrait" position="float">
<label>Figure 9</label>
<caption>
<p>Intraoral radiograph at the 1-year follow-up.</p>
</caption>
<graphic xlink:href="CRID2017-3150656.009"></graphic>
</fig>
</floats-group>
</pmc>
</record>

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