Cemented implant restoration: A technique for minimizing adverse biologic consequences

The purpose of this technique was to eliminate excess cement from the implant restoration by using a 2-step cementation process. A custom acrylic resin abutment, a duplicate of the titanium abutment, is fabricated before the restoration is cemented. At cementation, cement is placed inside the restoration, which is placed onto the acrylic resin abutment outside the mouth. The majority of the excess cement from inside the restoration is expressed onto the acrylic resin abutment. The restoration is then placed on the titanium abutment inside the mouth. The result is a minimum amount of excess cement expressed intraorally. This technique minimizes the adverse biological consequences of leaving excess cement beneath implant-supported restorations.