A Diagnostic and Treatment Algorithm for Fractured Implant Screw Retrieval
A Diagnostic and Treatment Algorithm for Fractured Implant Screw Retrieval: Organizing for a Safe Recovery to Preserve Implant Integrity.
Implant Mechanical Rescue (IMR) is simply the process of recovering or rescuing a case which has suffered a mechanical failure in the supporting implant hardware. Failure can occur for various reasons but if it does, it can involve retrieving fractured screws or abutments, or other components. Additionally, if possible, the central question of ‘why did it fail’, needs to be forensically determined so future repeat failure can be avoided.
Our main goals are:
(A) to help patients who are in need of qualified care for implant mechanical failure; and (B) to help dentists successfully diagnose the problem and treat the situation, or refer to a qualified dentist. (Dentists may experience difficulty with implant mechanical failure in their own cases or in new cases presented upon referral.)
Implant Mechanical Rescue (IMR) is simply the process of recovering or rescuing a case which has suffered a mechanical failure in the supporting implant hardware. Failure can occur for various reasons but if it does, it can involve retrieving fractured screws or abutments, or other components. Additionally, if possible, the central question of ‘why’ did it fail, needs to be forensically determined so future repeat failure can be avoided.
Our main goals are (A) to help dentists who have experienced difficulty with implant mechanical failure, either in their own cases or presented upon referral, to successfully diagnose the problem and treat the situation to the level expertise or refer to a qualified dentist and (B) patients who are in need of qualified care.
Component system failure can potentially be caused by one or more scenarios including contact between teeth (occlusal design), patient based failure, a random event, implant manufacture defects, or accuracy in design of the case. Our team is trained to assist you in gathering information up front in order to help determine if the implant, screw or abutment is broken and what attempts were already made to resolve the problem. Dr. Mastrovich has experience with over 1500 cases that support his efforts to decrease failure and increase success.
With over 1500 cases successfully performed since 2009, on over 38 implant systems, Dr. Mastrovich is sought after for guest lectures and training. He has lectured to dental study clubs, as well as the larger groups of several hundred dentists to more than a thousand each of the times he has spoken at the Academy of OsseoIntegration. For both dental professionals and patients, Dr. Mastrovich has the ability to present his cutting-edge findings, algorithms and techniques in an accessible and understandable format with relatable examples and case studies.
Our goal is to establish a network of dental practices that have committed the effort to position themselves so they can be a “center of referral” for these cases and be highly predictable in the outcomes by utilizing appropriate tooling, microscope visualization, and access to certain precision tooling when needed. Additionally, only the practices involved will be reporting their cases to a common database for statistical analysis of what field, venues, and recovery system used. If many practices are reporting, the database could be large enough to have statistically meaningful data.
A Diagnostic and Treatment Algorithm for Fractured Implant Screw Retrieval: Organizing for a Safe Recovery to Preserve Implant Integrity.
Obtaining the Hand Instruments routinely used for diagnosis in retrieving mobile fractured screw fragments in Implant Mechanical Rescue.
View case studies where microsurgical principles are essential to four Type II and Type IV fractured abutment screw complicated recoveries.
Mastrovich Implant Mechanical Rescue Dentistry shares Stability Challenges with TiBase Abutments in Dental Implant Restorations.
I saw Dr. Mastrovich to examine an implant where the abutment with the crown had loosened and had come out. He looked at the implant under a microscope and could see exactly what the problem was and how to fix it. He cleaned out the inside of the implant. He took multiple pictures that will be sent to my dentist for follow-up treatment. Dr. Mastrovich and his office staff are very friendly and helpful. It was a pleasant experience to go there. Thank you, Dr. Mastrovich!
Masterful Mastrovich. Three separate dentists worked on removing a broken screw in an implant before they gave up and recommended that I see Dr Mastrovich. With his experience and special equipments and the ultra sharp and large magnification, Dr Mastrovich patiently and skillfully was able to extract the broken screw without damaging the microscopic tiny threads and all the while safeguarding the original implant. He is very ably assisted by Laurie and Valeri. Minimum pain, minimum discomfort. By the way, Dr Mastrovich machine-tooIs his own tools when necessary. So, if you have any mechanical problem with dental implants, Dr Charlie Mastrovich is the person to see.
It was my good fortune to be referred to Dr. Mastrovich for expert retrieval of the fractured abutment fragment left in my mouth after a 13 year old implant failed. I have never experienced a more organized and professional practice from the superb and caring staff to the esteemed Dr. Mastrovih himself. I wish all of my medical professionals were as thorough and expert as Dr. Mastrovich and his team.
They were super kind to me and my daughter. I really appreciate their kind support and words.
From pre-appointment screening to actual appointment, my experience was amazing! Between the warm blanket while the procedure was happening and the continuous sharing of information, I could not have been in better hands. Dental work isn’t fun, but being treated with utter kindness and respect makes it a vastly more tolerable experience. I’d give 10 stars if I could!!!
Amazing staff! Everyone was so patient and kind. I appreciated everyone there. This is coming from someone who has issues with dentists. I highly recommend.