title: Keeping implant screws tight: the solution.
abstract: Retrievability is the major advantage of screw-retained implant restorations compared to cement retention; however, implant screw loosening continues to be a frequently cited disadvantage of this technique. This paper describes the factors involved in maintaining a stable screw joint assembly by maximizing preload on the retaining screw while minimizing joint-separating forces. Practical clinical solutions to minimize this clinical problem are suggested. Readers are cautioned to address both the occlusal and biomechanical etiologies of screw loosening.
authors.affiliation: Restorative and Prosthetic Dentistry, Ohio State College of Dentistry.
authors.forename: E A
authors.initials: EA
authors.lastname: McGlumphy
mesh_terms: D001863:Bone Screws; D015921:Dental Implants; D017268:Dental Prosthesis Retention / Q000295:instrumentation*; D003799:Dental Stress Analysis; D006801:Humans
chemical_list: D015921:Dental Implants