Removal tool broke in failed implant: suggestions?
I attempted to remove this failed implant using a removal tool which fractured. As you can see in the radiograph part of the tool is still in the implant. How do you recommend that I proceed?
![]implantxray](https://osseonews.nyc3.cdn.digitaloceanspaces.com/wp-content/uploads/2015/05/implantxray.jpeg)
8 Comments on Removal tool broke in failed implant: suggestions?
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Wally
5/26/2015
What brand & size of tool broken?
CRS
5/26/2015
You might want to trephine it out or use a piezo to drill it out, heating the implant with a laser will also allow it to be removed.
Peter Hunt
5/26/2015
It would be interesting to know why the implant needs to be removed in the first place. It seems to have a good amount of bone around it at the present time.
One of the best ways to remove an implant is to cut out a buccal window of bone using a piezo-saw, It's fast and does not overheat the bone. Quite often the labial bone can be levered off of the implant, If not just attach a healing cap to extend the implant out of the bone, then take a concave tip osteotome and place it on the lingual of the healing cap, next tap hard on the osteotome out to the labial. The implant will angle out and can easily be removed.
Generally it's possible to replace the implant immediately and the labial bone portion can be replaced or the region can be regenerated relatively simply.
Andrey
5/26/2015
At my opinion, you can remove this implant by ratchet with handle driver. You can take out implantat to anticlockwise movement with big tork (about 200-400 N). After this you can plant immedianely the next size implantat. Augmentation may be availiable.
Maja
5/28/2015
andrey read carrefully : a part of the broken removal tool is still in the implant ....so how can you remove it by ratchet with handle driver???
Laz Singer
5/27/2015
I have had succest trephinating implants out with the new Salvin kit. Your tool probably broke because you should have trephinated down 2/3 of the way or more first. You can't twist out a fully integraated implant, i have also used the Biolase to acrefully and slowly though around the implant.
Stanley
5/27/2015
The Salvin Kit is the exact same thing as the MCT fixture removal and the fractured screw removal kits. This kit includes trephines as per your comment above. The idea of using trephines for 1/2 or 1/3 down and then using specialized reverse threaded screws, comes from Froum, and it is called the combination technique ( “Techniques to Remove a Failed Integrated Implantâ€, Compendium September 2011, Volume 32, No. 7, Pages 22-30). A great discussion and a real case where the doctor eventually used the MCT Kit can be found here:
Is this Implant Restorable?
Maja
5/28/2015
Why do you remove the implant???
