A Cavitron Is Not a Microscope: Why Precision Matters in Implant Rescue Cases
Cavitron is not a substitute for a microscope in implant rescue. Learn why precision and magnification matter most.

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.
Cavitron is not a substitute for a microscope in implant rescue. Learn why precision and magnification matter most.
Read Dr. Mastrovich’s New Publication in Implant Dentistry: A Microsurgical Approach to Implant Mechanical Rescue in the AAP Journal.
Implant Mechanical Rescue (IMR) retrieves broken implant screws and abutment fragments. Learn what IMR is—and what it isn’t.
What every patient should know about what steps to take when their dental implant screw or abutment breaks.

Dr. Mastrovich and his team were recommended to me after a titanium screw broke off partway into an implant. They successfully removed the end of the screw and inspected the inside of the implant with a microscope to make sure there were no defects in the thread. They were very helpful and clear with e-mail communications between myself and several other doctors leading up to the appointment.
You don’t want a dental problem, but if you have one, you want Dr. Mastrovich and his office on your side. When my implant fell out and my dental surgeon said the screw broke in half, I knew it would be expensive and time-consuming. ….but it wasn’t. Dr. Mastrovich knew exactly what it was and what the solution was. I’m not even worried about the cost, I just wanted to know it was diagnosed correctly. He saw things the dentist and dental surgeon both didn’t. His explanation really helps you to understand what’s going on and why it happened.
Dr. Mastrovich and his staff are amazing. I was referred to them by my dentist for removal of a stubborn loose crown on an implant. The communication prior to my visit was wonderful, and their friendly helpful attitude so appreciated. He works magic with his special equipment. I am so thankful, and recommend him and his staff highly.
Even without any prior expertise, I was able to understand everything thanks to the very detailed explanations provided; the entire staff was incredibly kind. In particular, Dr. Mastrovich explained things in such great detail that it really helped me understand.
Dr. Mastrovich is more than a highly skilled practioner- he is a wonderful human being who puts his patient first and is willing to go the extra mile to help them. Valerie is understanding, compassionate and always responsive to the patient’s needs. From start to finish we felt cared for and in the best of hands.
A dental implant with a broken screw can cause immense distress—a situation that a general dentist typically cannot handle. Fortunately, I found Dr. Mastrovich through Gemini, and even more fortunately, his clinic was not far from my home. Today, Dr. Mastrovich professionally removed the broken screw and abutment, while also carefully explaining the implant’s structure and the cause of the failure. On my way home, I felt incredibly relieved and comforted; being treated with such warmth is a wonderful thing—something of immense importance to a patient facing a difficult problem. Once again, thank you to Dr. Mastrovich, Valerie and Laurie.