Implantology.  2019 Dec;23(4):196-204. 10.32542/implantology.2019016.

Removal of Dental Implants using Electrocautery: A Preliminary Report

• Park SJ
• Kang SH

• KMID: 2469473
• DOI: http://doi.org/10.32542/implantology.2019016

Abstract

PURPOSE
We introduce a technique using a monopolar electrocautery unit to eliminate failed dental implant fixtures. The goal of this research was to establish a protocol of electrocautery settings when removing dental implants.
MATERIALS AND METHODS
The study was conducted on fresh pork ribs. Implantium implants sized Ø4.5 × 10 mm were used. They (n = 45) were categorized into three groups according to the monopolar electric cautery power (coagulation mode) and adapted time as follows: 30 watt and 20 second (n = 15), 40 watt and 40 second (n = 15), and control group (n = 15). The torque in the removal of the implant fixtures, after monopolar electro cauterization directly inside the implant fixture, was also measured.
RESULTS
The mean torque [unit; N·mm] during removal of the dental implant fixtures with an Elcomed implant engine, after monopolar electrocauterization directly inside the implant fixture, for each group was 296 in the 30 watt and 20 second group and 184 in the 40 watt and 40 second group. The mean torque of removal of the dental implant fixtures was 279 N·mm in the control group. The mean torque was significantly lower in the 40 watt and 40 second group than in the other groups (p = 0.006).
CONCLUSION
This method employs the principle of thermo-necrosis of the surrounding bone and weakening of the bone-implant interface. Monopolar electrocautery can be considered as an alternative method for the removal of failed or poorly positioned dental implants without the need of grinding the bony tissue surrounding the implant fixture.

Keyword

Dental implant; Electrocautery

MeSH Terms

Bone-Implant Interface
Cautery
Dental Implants*
Electrocoagulation*
Methods
Red Meat
Ribs
Torque
Dental Implants