I will preface this by saying I have placed 2,000 implants and never had one crack. One year ago I placed Implant Direct 3.7×8 mm implants in the #4 and 5 spots in a 65 year old 4’8, 140 lb Cambodian woman. Only reason mentioning this is from the tendency that I have seen in my pt demographic of this type to be Class 3. She is class 3 and I did a Mx reconstruction with the anteriors being in a class 3 “stretch” to achieve anterior incisal coupling. As you would expect classic canine disclusion could not be achieved. The occlusion was meticulously adjusted to produce a group function. She is a bruxer. She was given a flat plane occlusal splint. She has cracked both implants. The implants are of different lots. When I try to back them out the cracked portions spread and the grip of the internal hex is lost. Can anyone give me suggestion on methods and/or devices to remove these implants?
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