Retrieving a “frozen” over‐torqued altered dental implant healing abutment: A dental technique

This report describes a method for retrieval of an over-torqued and altered dental healing abutment using a conservative approach with readily available armamentarium. The previously unretrievable prosthetic component had been modified to support an implant crown prosthesis which required replacement. Conventional reverse torque using a prosthetic driver was unsuccessful in removal of the abutment due to damage within the prosthetic channel of the healing abutment. The approach outlined utilized an off-label use of refrigerant spray and #13 Ash extraction forceps for application of reverse torque onto the abutment. The result was a conservative solution for management of an over-torqued and damaged healing abutment using readily available armamentarium.

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Publication Details

Journal
Journal of Prosthodontics
Published
2025-03-20
DOI
https://doi.org/10.1111/jopr.14045
Primary Topic
Dental Implant Techniques and Outcomes
Type
article
Field-Weighted Citation Impact
0.00
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article

Retrieving a “frozen” over‐torqued altered dental implant healing abutment: A dental technique

Patricia H. Swanson, Kenneth S. Kurtz, Amin Nasehi, Delgado‐Ruiz Rafael
Journal of Prosthodontics
Dental Implant Techniques and Outcomes
article

Retrieving a “frozen” over‐torqued altered dental implant healing abutment: A dental technique

Patricia H. Swanson, Kenneth S. Kurtz, Amin Nasehi, Delgado‐Ruiz Rafael
article en

Abstract

This report describes a method for retrieval of an over-torqued and altered dental healing abutment using a conservative approach with readily available armamentarium. The previously unretrievable prosthetic component had been modified to support an implant crown prosthesis which required replacement. Conventional reverse torque using a prosthetic driver was unsuccessful in removal of the abutment due to damage within the prosthetic channel of the healing abutment. The approach outlined utilized an off-label use of refrigerant spray and #13 Ash extraction forceps for application of reverse torque onto the abutment. The result was a conservative solution for management of an over-torqued and damaged healing abutment using readily available armamentarium.

Journal of Prosthodontics
State University of New York (US), Stony Brook University (US)
Openalex Percentile: Top 93%
Dental Implant Techniques and Outcomes
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