Implants · single question
A patient has a screw-retained implant prosthesis that repeatedly loosens. Most appropriate management?
Show answer and explanation
Correct answer: D. Periodically tighten abutment screws to proper torque
Management involves periodically tightening the abutment screws to manufacturer-recommended torque and evaluating occlusion and fit.
- A. ❌ Replacing the fixture is not indicated for screw loosening at the abutment level.
- B. ❌ Converting to cement-retained is a more invasive change; try proper screw maintenance first.
- C. ❌ Antibiotics do not address the mechanical problem of screw loosening.
- D. ✅ CORRECT – Tighten abutment screws to proper torque using a torque wrench.