Duration: 3 minutes, 11 seconds

Author: Dr. Sascha A. Jovanovic

Removing a Broken Abutment Screw: A Step-by-Step Guide


Dealing with a broken abutment screw can be a frustrating experience for anyone who has undergone dental implant surgery. However, with the right tools and technique, you can successfully remove the broken screw and restore your implant. In this article, we will walk you through the step-by-step process of removing a broken abutment screw and replacing it with a new one. Let’s dive in!

1. Assess the Situation

The first and most crucial step is to carefully examine the broken abutment screw. Assess the angle and depth of the break to determine the appropriate course of action. Gathering the right tools for the job is equally important.

2. Gather the Tools

In order to remove the broken abutment screw, you will need two essential tools: an abutment screw retrieval and an abutment screw drill. The retrieval tool is specifically designed to extract broken screws, while the drill helps create a space for the new screw.

3. Prepare the Area

Before proceeding, ensure that the surrounding area is clean and free from debris. This will prevent any contamination during the removal process and ensure a smooth transition to the new abutment screw.

4. Use the Abutment Screw Retrieval Tool

Insert the retrieval tool carefully into the implant site and engage it with the broken abutment screw. With steady pressure and a twisting motion, begin to unscrew the broken piece from the implant body. Be patient and gentle to avoid causing any damage.

5. Clean the Implant Site

After successfully removing the broken abutment screw, thoroughly clean the implant site using an antimicrobial solution. This will help eliminate any bacteria or debris, ensuring optimal healing and the success of the replacement process.

6. Prepare the New Screw

Before inserting the new abutment screw, ensure it is of the appropriate size and compatible with your implant. Clean the screw and apply a thin layer of anti-seize solution to facilitate easier insertion.

7. Insert and Hand-Tighten the New Screw

Carefully place the new abutment screw into the implant site and begin threading by hand. Ensure a snug fit but avoid overtightening. This step sets the foundation for the final torquing process.

8. Torque the Screw to 35 Newton

The last step in the process is torquing the new abutment screw to the recommended level of 35 Newton. Use a torque driver device calibrated to the appropriate setting and tighten the screw accordingly. This ensures proper stability and longevity of the restoration.


Dealing with a broken abutment screw can be nerve-wracking, but with the right tools and technique, it is a manageable task. We have provided a step-by-step guide to help you remove the broken screw and replace it with a new one. Remember to exercise patience, caution, and follow proper hygiene practices throughout the process. If you are uncertain or uncomfortable, it is always recommended to consult a dental professional for assistance. Now, confidently take charge of your dental implant’s well-being and restore your smile!

Frequently Asked Questions

1. Can I remove a broken abutment screw on my own?

While it is possible to remove a broken abutment screw on your own, it is recommended to seek professional assistance, such as a dental implant specialist, to minimize the risk of complications.

2. What if the broken abutment screw cannot be removed with the retrieval tool?

If the retrieval tool does not work, it is crucial to consult a dental professional who can explore alternative methods, such as using a specialized drill or considering other treatment options.

3. How long does the replacement process take?

The duration of the replacement process depends on various factors, including the complexity of the case and the patient’s unique circumstances. It is best to consult your dental professional for an accurate estimate.

4. Are there any risks involved in removing a broken abutment screw?

When performed by an experienced professional, the risk of complications during the removal process is generally low. However, there is always a small possibility of damaging the implant or surrounding structures.

5. Can I use the same abutment screw for the replacement?

In most cases, it is recommended to use a new abutment screw for the replacement to ensure optimal fit, hygiene, and longevity of the restoration. Consult your dental professional for personalized guidance.

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