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

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.