This case was referred to me by a local periodontist for broken implant screw evaluation and retrieval. The patient was already informed by her previous dentist to have a new dental implant placed surgically in the same area. She wanted a second opinion and to know if the implant fixture could be saved. Microscopic examination revealed a classification "type 3" level screw fracture. The fragment showed mobility and was located below the first threads of the implant fixture. I pre-soaked the area with tarter and stain solution. This step was followed by testing the fragment for mobility. Confirmation of fragment mobility was made and the broken implant screw fragment was successfully removed without any trauma to the implant fixture. SUCCESS!!! The patient can now have a new abutment and bridge without having the need to go through any surgery.
