Journal of Oral Health and Community Dentistry

Register      Login

VOLUME 15 , ISSUE 1 ( January-April, 2021 ) > List of Articles


Implant Management after Loose Cover Screw Causes Purulent Exudate in a Partially Dentate Patient

Aristotle J Lyssikatos, Jennifer Pumarejo

Keywords : Cover screw, Dental implant, Fistula, Osseointegration

Citation Information : Lyssikatos AJ, Pumarejo J. Implant Management after Loose Cover Screw Causes Purulent Exudate in a Partially Dentate Patient. J Oral Health Comm Dent 2021; 15 (1):30-32.

DOI: 10.5005/jp-journals-10062-0089

License: CC BY-NC 4.0

Published Online: 01-04-2021

Copyright Statement:  Copyright © 2021; The Author(s).


Dental Implants are becoming standard of care to replace missing teeth; however, the ability to manage complications must coincide with this new treatment modality. Our case was a 40-year-old male who was in good general health and wanted to replace his missing tooth with a dental implant. After the successful dental implant surgery, the patient returned for other dental treatment and we noticed a fistula in the area of the dental implant. A radiograph was taken and revealed that the cover screw of the dental implant had loosened causing the fistula. The decision was made to open the site, debride the area, and check osseointegration. We concluded that the body of the implant osseointegrated and we progressed directly to our stage two procedure, thus relieving the complication.

  1. Dental implants market is determined to touch US $6.5 Billion by 2024. MarketWatch May 14, 2019.
  2. Friedman M. How successful are dental implants? WebMD. March 17, 2019.
  3. Annibali S, Ripari M, La Monaca G, et al. Local complications in dental implant surgery: prevention and treatment. Oral Implantol (Rome) 2008;1(1):21–33. Epub 2008 Jun 16. PMID: 23285333. PMCID: PMC3476500.
  4. Gomez de-Diego R, Mang-de la Rosa Mdel R, Romero-Pérez MJ, et al. Indication and contraindications of dental implants in medically compromised patients: update. Med Oral Patol Oral Cir Bucal 2014 Sep;19(5):e483–e489. DOI: 10.4317/medoral.19565.
  5. Swami V, Vijayaraghavan V, Swami V. Current trends to measure implant stability. The Journal of Indian Prosthodontic Society. 2016;16(2):124–130. DOI: 10.4103/0972-4052.176539.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.