# How to remove a fractured implant?

URL: https://dloralsurgery.com/blog/how-to-remove-a-fractured-implant/

February 15, 2020

**2020** year

**16** photographs

**4** sections

In

[Clinical Cases](https://dloralsurgery.com/blog/category/clinical-cases/) [Mandible](https://dloralsurgery.com/blog/category/mandible/)

[All cases](https://dloralsurgery.com/blog/)

![How to remove a fractured implant?](https://dloralsurgery.com/fotos/2020/02/0Z0A8776-1-e1581734221386.jpg)

Quieres leer este artículo en Español? [Pincha aquí](https://www.dlcirugiaoral.com/tratamiento-del-implante-fracturado/)!

Knowing **how to remove a fractured implant** is essential in modern implantology, especially with the increasing number of implant placements. Unfortunately, some implants fail due to excessive forces they were not designed to withstand. Two common causes include poor diameter selection and inadequate prosthetic planning.

## Fractured Implant

## Causes and complications of implant fracture

When an implant is exposed to overload, it may lead to abutment loosening. If unresolved, this can progress to screw fracture or, worse, connection breakage. When the implant itself fractures, removal becomes mandatory and often very complex.

Although removal kits exist, most rely on the internal connection of the implant. If the fracture involves this part, even those systems become useless.

## Clinical case: fracture and alternative approach

Today we present a patient with a fractured implant wall and destroyed connection, located in highly cortical mandibular bone. A trephine seemed a possible option, but it would require removing a large volume of bone—5–6 mm in diameter and 10 mm deep. This would lead to a significant defect and delay the overall treatment with additional grafting.

Instead, we opted for a **bone window approach** using thin osteotomies and a microsaw.

## Bone window and Split Bone Block technique

We removed the buccal bone wall to access and extract the implant atraumatically. Then, we placed a new implant in the same site. To restore the buccal wall, we followed the **Split Bone Block technique** by Prof. Khoury: we split the bone window into two thin blades, fixed one with microscrews, and filled gaps with particulate bone.

After just 16 weeks, we performed the second-stage surgery. At that point, bone healing was excellent, and we referred the patient for the final prosthetic restoration.

🦷 Below, you’ll find all the clinical images. Hope you enjoy this case!

To solve the case in **one single surgery** and as atraumatically as possible, we choose to perform a **bone window** with very thin osteotomies.

Mandibular buccal bone wall is removed with the use of the microsaw (Creating our window approach into the mandibular medular bone where the fractured implant is located) once removed, we can *extract the fractured dental* *implant* and **place another implant** in the same site.

Finally, it will only be necessary to **adapt this removed buccal window.**  To do so, we are going to follow the Split Bone Block tehnique philosophy, proposed by *Professor Fouad Khoury.*

*Based* on **preventing long-term resorption and accelerating bone vascularization** We are going to **Split** the bone block (Bone window) into two thin bone blades, fixing one of them with two microscrews, rebuilding the bucal missing wall and filling all gaps with particulated bone.

We only wait *16 weeks* to perform the **second stage surgery** or placement of the healing cup.  At this moment you can see the **great aspect** of the bone surrounding the implant, this is when we send our patient to the referral prosthodontist to elaborate the final prosthetic restoration.  Xray of the final restoration can be seen in the last picture.

Here you have all pictures of the process, hope you like it!

![how to remove a fractured implant](https://dloralsurgery.com/fotos/2020/02/CESAR-CALLE-GARCIA_7-2-1024x782.jpg)

![how to remove a fractured implant](https://dloralsurgery.com/fotos/2020/02/0Z0A8766-1024x683.jpg)

![how to remove a fractured implant](https://dloralsurgery.com/fotos/2020/02/0Z0A8768-1024x683.jpg)

![how to remove a fractured implant](https://dloralsurgery.com/fotos/2020/02/0Z0A8773-1-1024x683.jpg)

![how to remove a fractured implant](https://dloralsurgery.com/fotos/2020/02/0Z0A8776-1024x789.jpg)

![how to remove a fractured implant](https://dloralsurgery.com/fotos/2020/02/0Z0A8780-1024x683.jpg)

![how to remove a fractured implant](https://dloralsurgery.com/fotos/2020/02/0Z0A8784-1024x683.jpg)

![how to remove a fractured implant](https://dloralsurgery.com/fotos/2020/02/0Z0A8788-1024x683.jpg)

![how to remove a fractured implant](https://dloralsurgery.com/fotos/2020/02/0Z0A8789-1024x683.jpg)

![how to remove a fractured implant](https://dloralsurgery.com/fotos/2020/02/0Z0A9106-1024x683.jpg)

![how to remove a fractured implant](https://dloralsurgery.com/fotos/2020/02/N0A9940-1024x683.jpg)

![how to remove a fractured implant](https://dloralsurgery.com/fotos/2020/02/N0A9943-1024x683.jpg)

![how to remove a fractured implant](https://dloralsurgery.com/fotos/2020/02/CESAR-CALLE-GARCIA_1-1-1024x780.jpg)

[← Previous case **Connective tissue graft for recessions in thin biotype**](https://dloralsurgery.com/blog/thin-biotype-recessions-the-magic-of-the-connective-tissue/) [Next case →**Reconstruction of vertical bone defect in the mandible**](https://dloralsurgery.com/blog/reconstruction-of-vertical-defect-located-in-the-mandible/)

By your side, in every case

## Shall we talk about a case?

We are here to help you with complex diagnoses and advanced treatments.

[Clinical cases](https://dloralsurgery.com/blog/) [Our team](https://dloralsurgery.com/team/) [Training](https://dloralsurgery.com/training/) [Online appointment](https://dloralsurgery.com/online-appointment/)