Akademik Veri Yönetim Sistemi
Genel Tıp Dergisi, cilt.35, sa.3, ss.512-518, 2025 (Scopus)
Aim: Dental implants constitute functional and aesthetic solutions for edentulous patients. Despite their high success rates, complications may occur. Implant fracture is a severe complication since it usually results in loss of the implant. This comprehensive review study aims to present the causes and treatment options for implant fractures.
Methods: A literature review was carried out utilizing electronic databases and international scientific journals. Of the articles included, most were reviews of the literature, some reviews of the literature combined with case reports, cohort studies, and case reports. A meta-analysis was also included in the sample.
Results: Many factors have been implicated to cause dental implant fractures, including faulty design or production, ill-fitting restorations, loading protocols, bruxism or heavy occlusal forces, design of the restoration, implant location and diameter, metal fatigue, and bone loss around the implant. In the literature, three different treatment options are mentioned: complete extraction of the fractured implant, removal of the coronal portion of the fractured implant, and either placement of a new prosthetic post or leaving the remaining apical part dormant in the bone.
Conclusions: As implant treatment becomes popular, dentists are more likely to encounter and treat implant fractures. This is a frustrating complication for the patient and the dentist because it usually leads to the loss of the implant and the restoration. Therefore, it is suggested that clinicians study the possible causes of implant fractures and plan the treatment properly to prevent fractures and apply the best individualized treatment option should it occur.