Considerations and techniques for removal of osseointegrated implants. 2022

Akanksha Srivastava
Assistant Professor, Division of Plastic Surgery, Department of Surgery, College of Medicine, University of Illinois at Chicago, Chicago, Ill; Maxillofacial Prosthodontist, Craniofacial Center, University of Illinois Health, Chicago, Ill. Electronic address: akanksha.srivastava@mail.mcgill.ca.

Implant-supported restorations have become a successful, predictable, and mostly a first-choice strategy for replacement of missing teeth. However, complications such as implant fracture, malpositioned or poorly angled implants, and peri-implantitis persist in implant dentistry. Management of these complications may necessitate removal of an osseointegrated implant. Traditionally, implant removal has been a surgically invasive procedure; however, minimally invasive explantation techniques have evolved substantially over the last few years. This digital presentation describes various scenarios where osseointegrated implants require explantation, decision-making considerations, and techniques for removal of osseointegrated implants.

UI MeSH Term Description Entries
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000077280 Bone-Anchored Prosthesis A prosthesis designed to attach directly to the bone via fixtures implanted into the bone rather than a socket. Bone Anchored Devices,Bone-Anchored Amputation Prosthesis,Bone-Anchored Implants,Intraosseous Transcutaneous Amputation Prosthesis,Osseo-Anchored Prosthesis,Osseo-Integrated Implants,Osseointegrated Implants,Amputation Prostheses, Bone-Anchored,Amputation Prosthesis, Bone-Anchored,Bone Anchored Amputation Prosthesis,Bone Anchored Device,Bone Anchored Implants,Bone Anchored Prosthesis,Bone-Anchored Amputation Prostheses,Bone-Anchored Implant,Bone-Anchored Prostheses,Device, Bone Anchored,Implant, Bone-Anchored,Implant, Osseo-Integrated,Implant, Osseointegrated,Osseo Anchored Prosthesis,Osseo Integrated Implants,Osseo-Anchored Prostheses,Osseo-Integrated Implant,Osseointegrated Implant,Prostheses, Bone-Anchored,Prostheses, Osseo-Anchored,Prosthesis, Bone-Anchored,Prosthesis, Bone-Anchored Amputation,Prosthesis, Osseo-Anchored
D000848 Anodontia Congenital absence of the teeth. It may involve all (total anodontia) or only some of the teeth (partial anodontia, hypodontia), or six or more of the teeth (oligodontia) and both the deciduous and the permanent dentition, or only teeth of the permanent dentition. Dental Agenesis, Familial,Familial Dental Agenesis,Familial Tooth Agenesis,Hypodontia,Oligodontia,Partial Anodontia,Total Anodontia,Hypodontia Oligodontia 1,Tooth Agenesis, Familial,Tooth Agenesis, Selective, 1,Agenesis, Familial Dental,Agenesis, Familial Tooth,Anodontia, Partial,Anodontia, Total,Familial Dental Ageneses,Familial Tooth Ageneses,Oligodontia 1, Hypodontia,Oligodontias,Partial Anodontias,Total Anodontias
D016388 Tooth Loss The failure to retain teeth as a result of disease or injury. Loss, Tooth
D057873 Peri-Implantitis An inflammatory process with loss of supporting bone in the tissues surrounding functioning DENTAL IMPLANTS. Periimplantitis,Peri Implantitis,Peri-Implantitides,Periimplantitides
D020878 Device Removal Removal of an implanted therapeutic or prosthetic device. Device Removals,Removal, Device,Removals, Device

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