
Case Summary 🔎
Patient Information
Age/Gender: 54-year-old male
Systemic Condition: No underlying systemic disease
Clinical Findings
Tooth Site: #37
Diagnosis: Peri-implantitis
Radiographic Findings: Approximately half of the alveolar bone has resorbed around the third-party implant fixture (Brand “O”).
Treatment Plan
Due to progressive peri-implantitis and significant bone resorption, the implant was planned for removal.
The All-in-One Remover Kit was selected to ensure atraumatic fixture removal with minimal bone loss.
Procedure Details
The following components from the All-in-One Remover Kit were utilized:
Remover Hex Driver
1.2 Hex Screw
Fixture Remover
A removal torque of 200N/cm was applied in a controlled, counterclockwise direction for fixture removal.
The fixture was extracted successfully without alveolar bone damage, thereby preserving bone integrity.
Conclusion
Using the All-in-One Remover Kit, the implant was removed precisely and atraumatically, preserving bone integrity and ensuring no structural compromise. Despite the high removal torque requirement (200N/cm), the procedure was completed smoothly without causing alveolar bone damage.
Case Presentation
1️⃣ Pre-Op
Pre-Op Periapical Radiograph
As the prosthesis was removed, the #35 fixture was also taken out, leaving only the abutment at #37.
The panoramic radiograph confirmed the need for implant removal at #37 due to peri-implantitis, showing that approximately half of the alveolar bone around the third-party fixture (Brand 'O') had been resorbed.
New implants were placed at #35 and #36, followed by the surgical removal of the implant at #37.
2️⃣Product Used
[All-in-One Remover Kit]
Fixture Remover Postitioner • Fixture Remover Hex • Extend Adapter & Hex Driver • Fixture Remover


3️⃣ Surgery - Fixture Removal
The appropriate Fixture Remover Positioner and Fixture Remover Hex were selected and assembled.
These components were then connected to the Extend Adapter & Hex Driver.
The assembled unit was connected to the fixture and tightened to 80 N/cm using a torque ratchet.
Then, the Extend Adapter & Hex Driver were removed, and the Fixture Remover was connected to the fixture at the removal site.
The Fixture Remover was turned counterclockwise to lock, then gradually tightened to 200N/cm. Upon reaching 200N/cm, a 5-minute rest was taken before repeating the tightening process until the fixture was removed.
The implant was removed precisely and atraumatically, preserving bone integrity. The surgical site was closed with two sutures.

4️⃣ Post-Op
Following #37 fixture removal, no additional treatment is planned as the site will be maintained in its current state.
Before & After