What can be done if the screw does not grip and strips out of the pilot hole?
A. The structural integrity of some teeth are so compromised from decay that the force required for the extraction may strip the screw from the root. To minimize this, our screws are designed with a tapered screw, and also with a screw thread pattern that maximizes the grip of the threads into the tooth. And, we have designed our screws in both a “thin taper” and “thick taper” configuration. If the thin taper screw strips out, it is often possible to try again using the thick taper screw. To reduce the likelihood of a screw stripping from the root, proper clinical technique, as described more fully in our written instructions, is especially important. To summarize, first, cut the PDL and luxate the root, using periotomes to wedge back and forth as deeply as possible between the tooth and the bone (especially mesially and distally). Reduce extraction resistance further by luxating the root with elevators whenever possible. You can see this technique in the clinical video on this website
Related Questions
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