Fractured implant: Remove or bury?

You remove the Implant,Bone Graft the area 3 months go ahead with the 3 units

Remove, graft, replace

Definitely you have to remove implant.it causes sever bone resorption.At least 10 patients with fractured implants came to our department.all of them happened in a narrow implant with the regular abutment.

Definitely remove using an implant removal kit, graft if required and then reassess for implant or bridge discussing pros and cons of each.

When in doubt, take it out. Best long-term solution is to remove implant and graft. Cross the restorative bridge when you get to it.

Also assess mouth for signs of parafunction. If so provide a Michigan splint / protective mouthguard. Best of luck.

Since the fracture is at the platform level, where most removal kits need to do the job, I think you should remove it using a trephine with the smallest diameter according to the implant, then graft and if everything goes right, explain the patient that an implant is still a best option Good luck

The anterior abutment is a virgin tooth. Please do not cut away all that perfectly healthy enamel. Give the patient the options of 1) do nothing, 2) RPD, 3) implant. Remember; First do no harm!

Great comments and thank you for the feedback. It would seem like an obvious choice to remove, graft and re-evaluate for new implant or fixed case. However, removal of the implant will require significant bone removal and likely sinus involvement. If the healing cap is removed, keratinized tissue forms over the implant would it be that risky to leave it in place and preserve the bone that is there now? I appreciate your insight.

If you for any reason absolutely will not do a new implant then you can grind the cervical part of the implant so the remaining part of the implant is submerged then the implant will be buried and the bone will cover it. It can always be removed in future. Good luck

I have personally seen these internal hex implants fracture like this. This is usually from over tightening the abutment screw or healing abutment; as the internal limit for the screw depth does not provide a stop. It's sad that these implant platforms flake off like the petals of a flower and give you no choice but to remove an integrated titanium fixture. If you polish the platform and leave it the patient will always have a little drainage tract over the implant platform where bacterial film stays and you will eventually witness bone loss there. The good news is that the removed bone will grow back and a different brand of implant is still the best choice for a predictable definitive restoration.

How about using electrocautery for implant removal which saves bone as compared to trephines. But sinus is right there, don't know whether it's a good choice. Any comments on use of electrocautery and its effects on bone.

It is wise to to determine the cause of the incident and to contact the implant company for more discussion. The broken implant should be removed, removal of the implant carries the risk of sinus involvement and bone lose around it and this should be explained to the patient. What are the causes for the patient's decision not to have a new implant ? . Usually patients treated with dental implant do not accept an alternative ? Good luck

Remove the implant and graft-assess molars periodontal state....r-graphically appears with significant distal bone loss and possibly gr II/III furcation involvement. If confirmed ext molar and graft. Re-eval site in 3-4months for sinus graft and the placement of 2-3 implants splinted per opposing dentition and paraf(x). In my opinion a 4 unit fpd is rarely an adequate tx option especially on a canine-otherwise romove implant and leave it.

Hi If patient can accept an other implant, (even after years), remove and graft If patient refuse an other implant, just covet it and bridge or not bridge Before removing the implant, try to use it and cut it like a root with cemented abutment and crown, I did it several times, it works...

Remove it graft, it is an important site, the molar is iffy.