Online Continuing Education / Course Details

ADA Credits: 2 | AGD Credits: 2 | Cost: $29.00

Removal of Failed Integrated Implants Using Minimally Invasive Techniques

Categories: Implant Dentistry

Author(s): Kibong Kim, Sang-Choon Cho, Stuart Froum

Course Type: elearning

Target Audience: Dental Assistants, Dentists


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Educational Objectives

The overall goal of this article is to provide the reader with information on the frequency of use of the various implant removal techniques at one clinical teaching center. Information is  provided on each of the removal techniques, with emphasis on the indications, effectiveness, limitations and complications of each technique when removing a hopeless but still integrated implant.

On completing this article, the reader will be able to do the following:

1. List the etiologies of failed implants

2. Describe the counter-ratchet and reverse screw techniques that can be utilized for minimally invasive implant removal

3. Review the indications and use of piezo tips and high-speed burs for implant removal

4. Review the use of trephine burs for implant removal and the technique that should be used

5. List and describe the considerations and limitations in selecting an implant removal technique


Failure of osseointegrated implants can occur due to several etiologies, including implant fracture, implant malpositioning and peri-implantitis. Techniques available for the removal of failed implants include counter-ratchet techniques; reverse screw techniques; and the use of piezo tips, high-speed burs and trephines for bone removal around implants. The removal of failed, nonmobile implants requires careful consideration of the least invasive technique that can be used in a given situation as well as the post-removal site. 

ADA Credits: 2 | AGD Credits: 2 | Cost: $29.00

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