What if implant-based prosthodontics would have a standard screw head?

The management of a loosened screw of an implant-based restoration - whether or not documentation of the respective implant system is available - is a common and challenging complication in dental practice simply due to the fact that the right screw driver must be available. This short communication highlights the need for technical standardization of certain components in implant prosthodontics. For example, screw head geometries, show a wide range between the systems and manufacturers, and make it necessary to provide matching screw drivers. Subsequently, prosthetic maintenance becomes less time and cost effective. Comparisons to the consumer electronics industry are drawn, where standardization improves usability and sustainability. It suggests that voluntary cooperation within the industry could create a unified standard. Standardization would facilitate clinical workflows in particular when complications occur, enhance patient safety, reduce costs, and improve long-term outcomes of implant-based restorations.

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Publication Details

Journal
International Journal of Implant Dentistry
Published
2025-10-02
DOI
https://doi.org/10.1186/s40729-025-00651-5
Primary Topic
Dental Implant Techniques and Outcomes
Type
article
Field-Weighted Citation Impact
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article

What if implant-based prosthodontics would have a standard screw head?

Florian Beuer, Stefano Pieralli, Michael Naumann
International Journal of Implant Dentistry
Dental Implant Techniques and Outcomes
article

What if implant-based prosthodontics would have a standard screw head?

Florian Beuer, Stefano Pieralli, Michael Naumann
article en

Abstract

The management of a loosened screw of an implant-based restoration - whether or not documentation of the respective implant system is available - is a common and challenging complication in dental practice simply due to the fact that the right screw driver must be available. This short communication highlights the need for technical standardization of certain components in implant prosthodontics. For example, screw head geometries, show a wide range between the systems and manufacturers, and make it necessary to provide matching screw drivers. Subsequently, prosthetic maintenance becomes less time and cost effective. Comparisons to the consumer electronics industry are drawn, where standardization improves usability and sustainability. It suggests that voluntary cooperation within the industry could create a unified standard. Standardization would facilitate clinical workflows in particular when complications occur, enhance patient safety, reduce costs, and improve long-term outcomes of implant-based restorations.

International Journal of Implant DentistryVol. 11(1)
Dürr Dental (Germany) (DE), Charité - Universitätsmedizin Berlin (DE)
Openalex Percentile: Top 62%
Dental Implant Techniques and Outcomes
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What if implant-based prosthodontics would have a standard screw head? — Florian Beuer, Stefano Pieralli, et al. · International Journal of Implant Dentistry (2025) | TGRS Research Map | TGRS