Stuck/demaged cover screw

[DRVelich]

Hi everyone,
I need help regarding a patient with a stucked in cover screw whith a broken screwdriver tip in the screw head. I would appriciate any ideas how I could either remove the cover screw or use the implant for it’s purpose. Implant type: AlphaBio SPI (3.3/13). Site: Lower rirgth 2.
Many thanks

        

[site_admin]

If nothing else works maybe could remove the implant with a trephine. Then decide whether to put a new implant immediately or wait for the wound to heal and then place new implant.

If you post some images that would help.

Regards,

Dr. Veerendra Darakh

 

 

        

For one to one consultations on dental practice growth and practice management please contact : todaysmedicalmarketing@gmail.com

[Anonymous]

Hi Dr Norbert ,

There are 2 ways to go about it , and you’ll need magnification for both of them.
1. Under a microscope , use an ultrasonic handpiece with an endodontic file removal tip. Tips are available from Acteon ET 25 in their endo kit , or from Dentsply as well. Use the tip to gradually ultrasonic the #ed screw head . Once out , the screw channel will be free to engage again.

2. If the 1st step does not work, then create a straight channel with a round or cylindrical bur on the cover screw , pretty much similar to how its on a regular hardware screw. Bend the end of a wax carver and flatten the tip with a bit to engage the above created channel and rotate the cover screw out. You will need magnification to do this and a lot of patience as well., but it will work.

Regards

        

[DRVelich]

Dear Dr.Varun Malhotra,

Many thanks for your advice!

Norbert Velich

        

[Author]

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