How to Fix a Broken Dental Implant Screw – A Case Report-Burbank Dentist Ramsey Amin, DDS Explains

How to Fix a Broken Dental Implant Screw – A Case Report-Burbank Dentist Ramsey Amin, DDS Explains

How to Fix a Broken Dental Implant Screw – A Case Report-Burbank Dentist Ramsey Amin, DDS Explains

In the last 11 years of placing dental implants in Los Angeles I have only ever had to remove a broken screw on old implants placed 25-30 years ago. Dental implant abutment screws really don’t break anymore!

They used to break when cheap dental implants were used that had an “external hex” as opposed to an “internal connection.”  A dental implant is a screw within a screw.  The implant itself looks like a screw and then the implant abutment usually connects to the implant by a screw.  These screws are about 1.25mm with an allen hex on the end, and they are made of medical-grade titanium. It is the silver one in the picture. The green piece is not relevant.

Internal connection implants like I use take the force off the screw and place it on the connection or deeper in the implant.  The main reason for a screw to loosen or break on a well- placed implant is excessive bite force on the implant.  Keep in mind that your bite changes over time on your implant and that it can become excessive over time.

Other reasons a screw can loosen or break are:  poor quality implant, rounding out the connection by excessive force of placement, poorly casted screw seat in a screw-retained crown, or an abutment that didn’t get torqued properly.

The x-ray shows the broken screw still inside this implant.  That tiny piece is not easy to get out as it needs to be backed out about seven revolutions.  It is like trying to take out an eyeglass screw and the Phillips head is broken off.

Careful technique, patience, and a slow drill in reverse can grab the screw out.  Most dentists that are involved in implants have never done this.

This case happens to be an implant held in by a screw with a metal biting surface rather than a traditional white cemented crown. Many dentists often resort to extracting the entire implant over a broken screw…yikes!
Ramsey A. Amin, D.D.S.

Diplomate of the American Board of Oral

Implantology /Implant Dentistry

Fellow of the American Academy of Implant Dentistry
Burbank, California
Voted Best Dentist in Burbank -2006, 2008, 2010, 2011 www.burbankdentalimplants.com

27 Comments

  1. SUE BAKER

    I have full denture implants (8 screws). If an implant screw is NOT broken, does it ever need to be replaced as a maintenance process? thank you.

    February 16, 2020 at 4:14 pm Reply
    1. Ramsey Amin

      No. If the implant itself is fine then you are ok 👌

      February 19, 2020 at 5:52 am Reply
  2. Allen George

    The last two (yes two) dental implants I’ve had, have had the abutment screw turn loose of the implant. Both were crowned. One came loose and the dentist could not (or did not know how)remove it. The other simply came out altogether crown attached. This is after only (3 weeks for #1) and 2 days for #2. What gives? (pun intended) Could she be using defective abutments? And if so what should I look for?

    July 19, 2018 at 12:23 am Reply
    1. RamseyAminDDS

      hmm….this is very odd. Very difficult for me to answer without actually seeing you and an x-ray but something is wrong here. You may want to have a second opinion so that you don’t end up breaking the implant platform. I can count on one hand in the last 20 years of doing this how many times I have had a screw come loose.

      sorry for your troubles… This is not normal

      July 22, 2018 at 5:12 am Reply
  3. Julie Young

    My dental implant screw came out for 2 days before I could have it replaced. It was quite painful, but my surgeon said the implant was solid as a rock. Within a few hours I had more pain and swelling. The next day even more pain and swelling- couldn’t close my lips all the way… the pain is throbbing and severe, even after taking motrin around the clock and ice compresses. They didn’t clean my mouth or the implant hole out before they replaced the screw… I even asked about it and was told it wasn’t necessary. It’s the weekend of course, so the on call dentist put me on amoxicillin which I have been on for 24hrs now with not any real change in the pain or swelling. Will this get better soon, or may I need IV antibiotics? Please help, I am in so much pain and so miserable! 🙁

    July 23, 2016 at 9:46 pm Reply
    1. RamseyAminDDS

      Strange. Should get better in another 24 hours.

      July 25, 2016 at 5:33 am Reply
  4. David Patton

    Dr. Amin,
    What does it cost to tighten a screw on a screw retained crown dental implant?

    March 31, 2016 at 12:11 am Reply
    1. RamseyAminDDS

      There is usually a bigger problem when a screw is becoming loose. There are a plethora of issues that may be happening like the stripped screw, a stripped internal hex on the implant itself, poor material on the implant, a heavy bite, a cast Gold abutment, or a over contoured restoration.

      Screw loosening is very uncommon and if it remains loose for a long time you may end up losing everything altogether. We need to see somebody very quickly. Cost can be variable because sometimes something that seems extremely simple ends up being highly complex.

      I hope everything works out for you.

      Very Respectfully,

      Ramsey A. Amin, D.D.S.
      Diplomate of the American Board of Oral Implantology /Implant Dentistry
      Fellow-American Academy of Implant Dentistry

      April 4, 2016 at 9:35 pm Reply
  5. Muhammad

    Thank you for your response. I am planning to call you Tuesday (tomorrow) to discuss. After that I will fly down to your office for extraction of this broken screw.

    January 19, 2015 at 4:29 pm Reply
    1. Ramsey Amin DDS

      when you speak to my staff, email them an x-ray so I can see it first.
      😉
      Dr. Amin

      January 22, 2015 at 12:03 am Reply
  6. Muhammad

    I have broken strausman’s implant screw. It was broken while my dentist was delivering crown about 2 months ago in Hawaii. I have moved to North CA and went to implant specialist for broken screw removal. The specialist Doctor could not remove the broken screw yesterday. He said too much torque was used which broke off the screw. He tried reverse drill no luck said screw is too tight. Reverse drilling was dental tech’s idea, not the doctor’s and I am not sure if reverse drill method was done properly. Now I am scheduled next Friday to remove the implant surgically, bone graft and 5 months later start all over with new implant with a price tag of over $4100.
    I am not sure what to do need information in making this decision. I am not sure if this is the proper route. Any ideas Dr. Amin? I would appreciate any help.

    January 17, 2015 at 4:55 pm Reply
    1. Ramsey Amin DDS

      Hi Mohammed,

      Wow, that is not a typical story. Broken screws are not impossible to remove but they are difficult. I would assume that the head broke off and only the threaded portion is there. It should be able to be removed. It is very rare to break a screw on the insertion. I have never done that. Screw removal requires a lot of patience.

      I would try at least 1 more time with another dentist before removing the implant. Let me know if you end up in Burbank! It may cost less than a new implant!

      Types of Tooth Implants – Burbank Expert Explains the Differences
      What Dental Implant Screwdriver Fits My Tooth?

      Respectfully,

      Ramsey Amin DDS

      January 18, 2015 at 10:22 pm Reply
  7. koriko

    How much does it cost to fix broken abuntment screw ?

    December 19, 2014 at 6:51 am Reply
    1. Ramsey Amin DDS

      Hello koriko,

      Fixing a broken dental implant abutment screw is highly variable in cost.

      This is due to the fact that a single abutment screw may take 1 minute to remove or it may take 2 hours to remove. Also removing the broken abutment screw may require sacrificing your existing dental implant crown and abutment. This would require you to remake a brand-new abutment and crown. The angulation that the dental implant was originally placed in is going to be a big determining factor on the ability to retrieve and replace a broken abutment screw.

      Burbank Dental Implant Dentist Discusses Best Angle of Surgical Dental Implant Placement

      Very Respectfully,

      Ramsey A. Amin, D.D.S.
      Diplomate of the American Board of Oral Implantology /Implant Dentistry
      Fellow-American Academy of Implant Dentistry

      December 30, 2014 at 6:24 am Reply
  8. raymond rittenhouse

    I had denist specialist in Columbus ohio he tried reveris drill he tried a pick to unscrew the pin denist said he could turn the pin about a haft turn I think he mest uwhat do youp the threades and could not get it out and charged me 450 dollars for nothing what do you think

    May 12, 2013 at 2:43 am Reply
    1. Ramsey Amin DDS

      Hi Raymond,

      Ugh..broken screws are no fun. Have him try to re-thread the implant for a new screw once you get it out. Screw removal is not for the inexperienced dentist. Maybe find someone else.
      Sorry!

      Ramsey A. Amin, D.D.S.
      Diplomate of the American Board of Oral Implantology /Implant Dentistry
      Fellow-American Academy of Implant Dentistry

      May 16, 2013 at 3:19 am Reply
      1. Michael Durand

        I have an lower complete over denture on 4 implants. One morning I noticed my denture was loose. I tried scheduling an emergency visit that day, however I was unsuccessful. By the end of the day the denture came out. All 4 screws broke off in the implants . Help

        September 3, 2020 at 5:27 am Reply
        1. Ramsey Amin

          Yikes! I am guessing the it looks like this with multi-unit abutments? Hopefully some new screws will get this fixed!

          September 6, 2020 at 8:15 pm Reply
  9. Drhayatzrein

    I have an urgent problem and I need really a solution ,I have a broken screw in an implant I have placed and it’s not coming out what should I do.i tried many solutions but nothing seems to work,thankd

    October 31, 2012 at 12:43 pm Reply
    1. RamseyAminDDS

      Hi Doctor,

      What have you tried already? Please describe your technique in detail.

      Ramsey A. Amin, D.D.S.
      Diplomate of the American Board of Oral Implantology /Implant Dentistry
      Fellow-American Academy of Implant Dentistry
      Burbank, California

      November 29, 2012 at 4:36 am Reply
  10. Bohn

    Wow, great information, thanks! You are a real expert! More dentists need to be as highly trained as you!

    March 6, 2012 at 11:05 am Reply
    1. Thank you!

      Ramsey A. Amin, D.D.S., D.A.B.O.I.
      Diplomate of the American Board of Oral Implantology /Implant Dentistry
      Fellow-American Academy of Implant Dentistry

      March 11, 2012 at 5:26 am Reply
      1. Wale

        Hello Doc,
        Interesting article. Just had my first ( hopefully only) fractured abutment screw in 15 years. Been wondering how to get it out. Surgery was done only 2 years ago. Many thanks for the blog. I’ll come back to let you know if I have any joy. Wish me luck .

        May 26, 2012 at 7:13 pm Reply
        1. Hi Wale,

          Yes, please keep me posted. It is not easy to remove broken dental implant abutment screws!
          Ramsey A. Amin, D.D.S.
          Diplomate of the American Board of Oral Implantology /Implant Dentistry
          Fellow-American Academy of Implant Dentistry

          June 4, 2012 at 4:59 am Reply
  11. Andrew

    Hello,
    Thank you so much for your great blog. Keep it up.

    February 15, 2012 at 5:25 am Reply
  12. Ray

    I didn’t know there was a way to fix those. Nice. Great information.

    February 13, 2012 at 4:31 pm Reply
  13. Roger N.

    I’m sure this will be very helpful to any people with the issue. Good post!

    January 27, 2012 at 6:38 am Reply

Write a Comment

Monica D.
Monica D.
December 29, 2020.
There aren't enough words (and I have a lot of words) to tell you how grateful I am to have found Dr. Ramsey Amin and his wonderful staff. I had an enormous amount of bone loss and I was hopeless after being treated by a different doctor for two years. I had multiple procedures such as gum graft, extractions, and a sinus lift. After all of that, the doctor released me and told me he could not help me any longer. He sent me to a large teaching hospital - who also had no idea how to help me. I was terrified and embarrassed. I had been missing teeth due to those procedures since 2017. That sent me out on a journey of meeting with no less than five different dentist/oral surgeons. Most of them shamed me for the bone loss and wondered what I had done to cause this. In reality, I had done nothing. The bone loss is my body's immune system fighting me, as well as hereditary traits. In fact not only was I having difficulty being able to have implants, I also had so much bone loss that I was also not a candidate for dentures. I researched "what to do when you have bone loss and can't get implants" and I found Dr. Amin's website. Then I researched him, read his reviews, watched every one of his You Tube videos. I called and got an appointment, and kept going to consultations with other providers. I had long since stopped smiling and being social. Missing teeth and the shaming was affecting my life so adversely. When I met with Dr. Amin for my consultation he was ready. He had all of my records and had already reviewed my scans. But more than that, he genuinely wanted to get to know about my life. He was/is authentic, kind and extremely professional with so much success and experience in difficult cases like mine. He worked up a treatment plan & I came back two weeks later to discuss my options...and the journey began. I have had three procedures under IV sedation, no pain, no narcotics needed for aftercare. Dr. Amin is a consumate, experienced oral surgeon who cares about your health & understands your fears. He communicates every step of the way and will provide you with all the information you need to make a decision to improve your health. I am still working toward my end goal, and we had to zig from traditional implants and zag to zygomatic implants instead...which is the reason I chose him in the first place. If there was nothing else that could be done to get me healthy & smiling again, I knew he would have that option to help me. And of course 2020, the year of CV-19. Don't worry, Dr. Amin & his staff follow all health & safety protocols. This review is long, because it is important you know my journey, so you might understand how fortunate I feel to be healing. I'm torn, because this place is like a great restaurant, I want to shout from the rooftops how great it is, how great he is. And at the same time, I want to keep this all to myself. I come 75 miles each way to see him. I know people travel from all over the world for his expertise. Do yourself a favor, have a consultation. You won't regret it. Dr. Amin is amazing and so is his staff.
Jennifer B.
Jennifer B.
December 18, 2020.
I cannot speak highly enough of Dr. Amin and his professional staff. I have to start off and say that I am absolutely TERRIFIED of the dentist due to several past experiences. I found myself putting this off for YEARS until I was referred over to Dr. Amin. I was petrified on my first visit... but he along with his WONDERFUL staff made me feel so calm and at ease. I had quite a bit of work that needed to be done, but we found the perfect plan that worked out for me, and I couldn't be happier. Words cannot express my gratitude to each and every staff member that made me feel safe and comfortable. Dr. Amin was always so attentive in asking if I was ever in pain... and I never was. These are truly remarkable individuals, and I'm so lucky to have a dentist that I can trust. I ABSOLUTELY LOVE each and every one of you! Thank you,
D M.
D M.
December 17, 2020.
I cannot say enough positive things about Dr. Amin and his staff. I originally found them on Yelp about two years ago. I needed an implant, front tooth of all places, and was extremely nervous not only about surgery but about how it would turn out. Let me just say I just adore the staff. Everyone is crazy friendly and the whole office has a very positive vibe. The staff is adorable and always has me smiling by the time I leave. They are all thorough and on-point about what they do, and I truly appreciate it. They are quick to respond to my emails no matter the question, and their appointment reminders are great too. Dr. Amin is very thorough and reassuring, and answered any questions my husband or I had. My regular dentist had questions about the procedure and Dr. Amin's office even reached out to them at my request (my dentist said they never received a call, but Dr. Amin's staff had date, time and notes - love the thoroughness!). After surgery the Dr. called to leave me a message about how it went. Very minimal pain during healing, never any pain during any visits. It took a few tries to get everything just right for the permanent crown (color, etc), but the end result is beyond fantastic! At one point during healing I thought I was experiencing some looseness or wiggling but unfortunately couldn't make it to the office. When I was finally able to make it in the Dr. was so relieved, bless his heart. Luckily it was just a false alarm and everything checked out ok. They're a bit further out from me, but I wanted the best. I sure found it! I wish they were my regular dentist, and I'm looking forward to seeing them again for my check-up which was delayed due to COVID.
Melissa E.
Melissa E.
December 9, 2020.
I found Dr. Amin a few years back after I hadn't been to a dentist in a decade. Many traumatic dental experiences in childhood have made me so phobic that even getting a cleaning was a knee-knocking, heart-pounding trial. But finally I couldn't put off some things any longer. During my first anesthesia session, Dr. Amin replaced five old metal fillings, and during the second he did three more plus a crown. I was completely comfortable, and never felt a thing. Because they were extra-long sessions, I did sleep for about 12 hours after, but the next day I felt just fine. This past week, my back top tooth cracked in half and fell out of my mouth, and a couple days later the crown on the remainder of the tooth fell out too! Despite being nervous about Covid 19, I had to get it taken care of, so I called and quizzed the staff about precautions, which turned out to be even above and beyond what I would have expected. So yesterday I went for the tooth extraction and plug. After they put on the blood pressure cuff and put in the IV, I gradually got a little tired and closed my eyes. I sat there for about 10 minutes and thought Gee, I wonder if they're going to get started any time soon, and a minute later Dr. Amin said "Wake up, you're all done!" That was a short session, and I didn't have the kind of fatigue I did my first time. I stayed up most of the evening. Today, everything is good! I'm taking my antibiotic and eating soft foods, and there is surprisingly little pain now that the numbness has worn off. The tooth site and my cheek are a little sore, and the corner of my mouth, and I have a very slight headache, but nothing to any great level--I'm not even taking the acetaminophen. I feel good, and wide awake. Thanks to everyone at the office for a comfortable and professional job! I really REALLY appreciate you for giving me painless dental experiences!
Tanya S.
Tanya S.
December 3, 2020.
What can I say about Dr. Amin he is the best! I'm so grateful for him. He has literally changed my life and given me the confidence to smile more. I had major restorative dental work done and everything went smoothly. Dr. Amin is very compassionate and he really cares about his patients he made me feel comfortable and cared for. He is very knowledgeable and has a great sense of humor. His office is very clean and they take the patients health and safety very serious. His staff is also amazing they made me feel very welcomed and important. I'm so happy I did my research and found Dr. Amin.  Thank you Dr. Amin and team.
Sheila S.
Sheila S.
November 6, 2020.
Two implants done! Finished all procedures and I couldn't be happier. It's the first time in years I looked forward to going to the dentist. Even during Covid life the staff and Dr. Amin took care of me. There is a possibility I may move to Long Beach but I would still travel to keep Dr. Amin as my dentist.
Allison S.
Allison S.
November 4, 2020.
I could not ask for a more caring, exceptionally knowledgeable dental care provider. He's not just a dentist, but someone who looks after your immediate dental needs and helps you plan and prepare for the future.
Julia R.
Julia R.
October 8, 2020.
I've been going to Dr. Amin since I turned 16 and have been going since. Before going to Dr. Amin's dental office, I had 4 crowns that I was not happy with and dealt with it until finally I asked Dr. Amin and because I  feel comfortable and because I trust him with his work I recently had my crowns fixed and worked on by  Dr. Amin and have never loved my smile the way I do now, I can actually enjoy my pictures, I can enjoy my smile from either angle and that really mattered to me. Thank you so much Dr. Amin still and will be in love with MY smile
Aaron D.
Aaron D.
October 6, 2020.
I've been coming to Dr. Ramsey for about five years and I have to say, he is by far the best dentist I've had - ever. The staff is professional and kind, the office is exceptionally well maintained, and Dr. Ramsey is careful and extremely knowledgeable about current developments and research in dentistry. I recently had a dental implant which was a long process but well worth it. I required a sinus lift as well as a bone graft. The surgery went off without a hitch, I was comfortable and the healing process was quick and without complication. Highly recommend!!
Flo O.
Flo O.
September 21, 2020.
This is my 1st review of Dr. Amin, and in my over 17 years of being with him, my experiences with Dr. Amin and his staff have always been positive.  I don't recall a bad experience with the several implant procedures i have had.  They run an efficient office.  I like that they are proactive and reach out to their patients to remind us of routine care needed.  Dr. Amin's bedside care is impeccable.  They are also technologically up to date in terms of sending out texts as reminders, ability to incorporate any appointment into your mobile phone.  That is certainly a plus.  Keep up the great care!!!