Computer-guided implant removal: A clinical report

Abstract

Occasionally, osseointegrated dental implants must be removed because of complications such as malpositioning or screw fracture. This is most often accomplished with a surgical handpiece and trephine. However, a flap is often required to access and visualize the implants. This paper presents a treatment in which computer planning and a 3-dimensional-printed, custom fabricated, surgical guide was used to assist in implant removal. This technique simplified the procedure, allowed conservative removal of peri-implant bone, and permitted subsequent immediate implant replacement.