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<p>The management of a loosened screw of an implant-based restoration – whether or not documentation of the respective implant system is available – is a common and challenging complication in dental practice simply due to the fact that the right screw driver must be available. This short communication highlights the need for technical standardization of certain components in implant prosthodontics. For example, screw head geometries, show a wide range between the systems and manufacturers, and make it necessary to provide matching screw drivers. Subsequently, prosthetic maintenance becomes less time and cost effective. Comparisons to the consumer electronics industry are drawn, where standardization improves usability and sustainability. It suggests that voluntary cooperation within the industry could create a unified standard. Standardization would facilitate clinical workflows in particular when complications occur, enhance patient safety, reduce costs, and improve long-term outcomes of implant-based restorations.</p>

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What if implant-based prosthodontics would have a standard screw head?

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年10月2日

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  • Stefano Pieralli,
  • Florian Beuer,
  • Michael Naumann

摘要

The management of a loosened screw of an implant-based restoration – whether or not documentation of the respective implant system is available – is a common and challenging complication in dental practice simply due to the fact that the right screw driver must be available. This short communication highlights the need for technical standardization of certain components in implant prosthodontics. For example, screw head geometries, show a wide range between the systems and manufacturers, and make it necessary to provide matching screw drivers. Subsequently, prosthetic maintenance becomes less time and cost effective. Comparisons to the consumer electronics industry are drawn, where standardization improves usability and sustainability. It suggests that voluntary cooperation within the industry could create a unified standard. Standardization would facilitate clinical workflows in particular when complications occur, enhance patient safety, reduce costs, and improve long-term outcomes of implant-based restorations.