Dealing with Broken Dental Implant Screws: What You Need to Know

Q: Dealing with Broken Dental Implant Screws: What You Need to Know

Dear Ms. <br>Kristy： Hello! (The dental implant screw has broken in the implant) and it is difficult to manage! Special instruments are needed to safely remove it! It is best to have it handled at a medical center!

The dental implant screw has broken inside the implant?

Hello Dr.
Huang, I had a dental implant procedure about two to three years ago, and everything went smoothly without any discomfort during this time.
However, in September of this year, I suddenly experienced pain in the implant, and upon touching it, it felt loose.
On September 22, I returned to the clinic, and the doctor informed me that the screw had loosened.
He quickly addressed the issue and advised me to avoid hard foods.
Last weekend, I felt the implant was loose again, so I returned on December 1.
The doctor worked on it for an hour and informed me that the screw had broken inside, which he said was difficult to manage and asked me to schedule another visit.
After researching online, I realized this could be a significant issue, as the procedure might potentially harm the sinus cavity.
During the hour-long process, I was quite uncomfortable, and the doctor also ground down the adjacent teeth.
I am very concerned about returning to this doctor for further treatment, fearing improper handling.
I would like to ask you, Dr.
Huang, is it possible to safely remove the broken screw without damaging the implant, or is it common to have to remove the entire implant? Additionally, are there specialists who specifically handle such issues? I am hesitant to return to the clinic for further treatment.
Thank you!

kristy, 40~49 year old female. Ask Date: 2020/12/02

Dr. Huang Tingfang reply Dentistry

Dear Ms.
Kristy: Hello! (The dental implant screw has broken in the implant) and it is difficult to manage! Special instruments are needed to safely remove it! It is best to have it handled at a medical center!

Reply Date: 2020/12/02

More Info

Dealing with broken dental implant screws can be a concerning issue, especially when it involves complications such as screw loosening or fracture. It’s understandable that you feel anxious about the situation, particularly after experiencing discomfort and the need for additional procedures. Let's break down the situation and address your concerns.

Firstly, it’s important to understand that dental implants consist of several components, including the implant itself, an abutment, and a screw that holds everything together. Over time, various factors such as excessive force, improper occlusion (bite alignment), or even the natural wear and tear of materials can lead to screw loosening or breakage. When you first noticed pain and looseness in your implant, it was wise to return to your dentist for evaluation.

Regarding the broken screw, it is indeed a challenging situation. If the screw has fractured within the implant, the dentist may need to use specialized tools to retrieve the broken piece. In some cases, it is possible to remove the broken screw without damaging the implant itself, but this depends on several factors, including the location of the fracture and the condition of the surrounding bone and tissue. If the screw is deeply embedded or if there is significant risk of damaging the implant or surrounding structures (like the sinus cavity), the dentist may recommend removing the entire implant.

It’s crucial to consult with a dentist who has experience in dealing with complex implant cases. An oral surgeon or a prosthodontist specializing in implant dentistry would be well-equipped to handle such issues. They can provide a thorough evaluation and discuss the best course of action, which may include advanced imaging techniques to assess the situation more accurately.

If you are concerned about the procedure and the potential for complications, it’s perfectly reasonable to seek a second opinion. A different dentist or specialist may offer alternative solutions or reassurance regarding the safety of the procedure. It’s essential to feel comfortable and confident in your dental care provider, especially when facing a procedure that may involve risks.

In terms of post-treatment care, once the broken screw is addressed, it’s vital to follow your dentist’s instructions closely. This may include avoiding hard foods, maintaining excellent oral hygiene, and attending follow-up appointments to monitor the implant's stability and health. Regular check-ups can help catch any issues early and ensure the longevity of your dental implant.

Lastly, if you experience any unusual symptoms such as swelling, persistent pain, or changes in the implant's position, do not hesitate to contact your dentist immediately. Early intervention can often prevent more significant complications down the line.

In summary, while dealing with a broken dental implant screw can be daunting, there are experienced professionals who can help you navigate this situation. Seeking a second opinion from a specialist can provide you with the reassurance and expertise needed to address the issue effectively. Remember, your comfort and health are paramount, and it’s essential to advocate for your dental care.

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