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논문 기본 정보

자료유형
학술저널
저자정보
Truc Thi Hoang Nguyen (Seoul National University) Mi Young Eo (Seoul National University) Kezia Rachellea Mustakim (Seoul National University) Mi Hyun Seo (Seoul National University) Hoon Myoung (Seoul National University) Soung Min Kim (Seoul National University)
저널정보
대한구강악안면외과학회 대한구강악안면외과학회지 대한구강악안면외과학회지 제49권 제1호
발행연도
2023.2
수록면
43 - 48 (6page)
DOI
10.5125/jkaoms.2023.49.1.43

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The biocompatibility and durability of implant fixtures are major concerns for dentists and patients. Mechanical complications of the implant include abutment screw loosening, screw fracture, loss of implant prostheses, and implant fracture. This case report aims to describe management of a case of fixture damage that occurred after screw fracture in a tissue level, internal connection implant and microscopic evaluation of the fractured fixture. A trephine bur was used to remove the fixture, and the socket was grafted using allogeneic bone material. The failed implant was examined by scanning electron microscopy (SEM) and energy dispersive X-ray spectroscopy (EDS), which revealed a fractured fixture with both normal and irregular bone patterns. The SEM and EDS results give an enlightenment of the failed fixture surface micromorphology with microfracture and contaminated chemi-cal compositions. Noticeably, the significantly high level of gold (Au) on the implant surface and the trace amounts of Au and titanium (Ti) in the bone tissue were recorded, which might have resulted from instability and micro-movement of the implant-abutment connection over an extended period of time. Further study with larger number of patient and different types of implants is needed for further conclusion.

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