Abstract : Performance of the counter-torque technique in the explantation of nonmobile dental implants
The application of the counter-torque technique has been proposed as a conservative and atraumatic alternative for the explantation of nonmobile dental implants. The objective of this report is to assess the performance of this technique in a large number of patients.
Three hundred and fifty-five patients were treated for the explantation of 749 nonmobile dental implants. The explantations were performed by the application of counter-torque to break the bone-implant interface. Successful implant explantation was achieved in 98.4% of the implants. The frequency of complications was 1.3%, most commonly related to the appearance of fissure lines at the implant neck.
The counter-torque technique has a high success rate but is not exempt from complications, although at a very low rate.
Serial posts:
- Abstract : Performance of the counter-torque technique in the explantation of nonmobile dental implants
- Background : Performance of the counter-torque technique in the explantation of nonmobile dental implants
- Methods : Performance of the counter-torque technique in the explantation of nonmobile dental implants
- Results : Performance of the counter-torque technique in the explantation of nonmobile dental implants [1]
- Results : Performance of the counter-torque technique in the explantation of nonmobile dental implants [2]
- Discussion : Performance of the counter-torque technique in the explantation of nonmobile dental implants
- Conclusions : Performance of the counter-torque technique in the explantation of nonmobile dental implants
- Availability of data and materials : Performance of the counter-torque technique in the explantation of nonmobile dental implants
- References : Performance of the counter-torque technique in the explantation of nonmobile dental implants
- Acknowledgements : Performance of the counter-torque technique in the explantation of nonmobile dental implants
- Funding : Performance of the counter-torque technique in the explantation of nonmobile dental implants
- Author information : Performance of the counter-torque technique in the explantation of nonmobile dental implants
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- About this article : Performance of the counter-torque technique in the explantation of nonmobile dental implants
- Table 1 Description of the implants fractured during the explantation : Performance of the counter-torque technique in the explantation of nonmobile dental implants
- Fig. 1. Frequency distribution of the location of the explanted dental implant : Performance of the counter-torque technique in the explantation of nonmobile dental implant
- Fig. 2. The cause of implant removal : Performance of the counter-torque technique in the explantation of nonmobile dental implant
- Fig. 3. Panoramic radiograph showing excessive marginal bone loss affecting all the dental implants in the mandible supporting fixed prostheses (a). Clinical image showing the advanced bone destruction around the implants at the incisors and left premolar regions (b). Clinical image showing the preservation of the pre-existing bone upon implant removal with the counter-torque regions (c). Panoramic radiograph showing the maintenance at this stage of 3 implants to support the provisional prosthesis in the mandible (d) : Performance of the counter-torque technique in the explantation of nonmobile dental implant
- Fig. 4. Implant placement surgery after 4 months of healing (a). Immediate loading of the new implants and the explanation of the implant at the left first molar (b). Panoramic radiograph showing the case finished with 12 months of follow-up (c). Clinical image showing the definitive screw-retained prostheses (d) : Performance of the counter-torque technique in the explantation of nonmobile dental implant