Removal of Dental Implant with Electrosurgery: Thoughts on this Technique?
I had read a post in the British Dental Journal regarding a technique to remove non-restorable osseointegrated implants by the electrosurgery technique. I am wondering if anybody has experience using this technique and also does that have affect on subsequent implant placement. Â What effect does this have on the surrounding bone? Â Do you use a conventional electrosurgical unit or do you have to use a bipolar electrode?
11 Comments on Removal of Dental Implant with Electrosurgery: Thoughts on this Technique?
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Peter Fairbairn
5/31/2012
No Need just use the Neo-biotech kit , easy works well and low trauma to the patient.
Peter
Gregori M. Kurtzman, DDS,
6/5/2012
There have been documented cases of implant removal using electrosurgery and subsequent osseous and soft tissue loss a distance from the site. One case resulted in loss of the entire premaxilla. Safer and easier methods are available which include counter rotation which works well in the maxilla, in the mandible sometimes tephination is required.
Jaime Ramos
6/5/2012
Hi Peter ,
Do you have their contacts ?
Thanks
Jaime
Bruce GKnecht
6/5/2012
Yep! This does work. I have done it accidently when I was uncovering an implant. The healing cap was placed, and one week later the patient called saying she felt pain in the implant area; low and behold,the entire implant was loose. I removed it, went back and placed another a week later. Luckily, the necrosis of the bone was only around the implant.
Baker vinci
6/12/2012
And how do you know that? Bv
Mike S
6/5/2012
Trephines or well-cooled burs allow bone harvesting.
Depth of bone kill via e-surge varies by time, frequency, intensity and probably several uncontrollable factors resulting in unpredictability. You might get an implant you can unscrew or massive bone loss and ONJ.
We located a minimal amount of data a few years ago and decided to be conventional instead of taking the risks.
peter fairbairn
6/6/2012
Hi Jamie , google Neo-biotech for a local dealer , it is amazing no post-op issues just screw the implant back out after breaking the integration ( usually from 250 NM to 350 Nm of reverse torque ) no messy threpnining .
In the UK can rent a kit from Swallow Dental.
Peter
Gregori M. Kurtzman, DDS,
6/6/2012
Most implants can fracture in the neck at 100Ncm or so has this happened with this device?
Baker vinci
6/12/2012
I have had a 3.5 Nobel implant fracture, with slightly greater than 35ncm. That reverse torque, would scare me! Bv
peter fairbairn
6/8/2012
Of all the dentists I know that have used it there have been no reported fractures due to the way it works , I could post a case.
Sure makes patients happy and yes is a bit spooky when you have 250 nm reverse torque and the integration suddenly breaks.
Peter
Baker vinci
6/9/2012
I think the suggestion of burning the bone to remove an implant, is a bit reckless. Until we know how long it takes those osteoblast and osteoclast to find themselves back in the region of desiccated bone, I would stick to sharp ( cooled ), rotary instrumentation. Bv
