PDF: Implant Cementation, step by step

One cause of local tissue inflammation associated with dental implants that has recently come to light is dental cement. Cements have been directly linked with peri-implant diseases and have been blamed for bone loss and implant failure.

implant-cementation


One aspect of the disease process that is especially concerning is the time between restoring the implant and the disease process – on average three years pass before dentists discover a problem, with a range of four months to beyond nine years.

Dentists should be made aware of the differences between implants and teeth. Because their peri-implant biology is not the same, the appropriate cementation techniques, suitable cement selections, and even the procedures for the clean-up of excess cement are different.

This article will briefly highlight these issues and offer solutions to overcome the attendant problems.

Peri-implant biology
Many clinicians consider implants to be similar to teeth, but they differ in many important ways. A weak adhesion exists between soft tissue connective tissues and implant surfaces, for example, whereas teeth have a more robustly developed attachment system. 

The clinician should be aware of the fact that the weaker soft tissue adhesion seen with implants is more susceptible to complications caused by excess cement and the hydrostatic force of cement being pushed into the tissues during crown placement.


Related topics
PDF: Immediate implants placed into infected sockets: a case report with 3-year follow-up
PDF: Patient with Down syndrome and implant therapy: a case report

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