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Cemented implant restoration: A technique for minimizing adverse biologic consequences
Guillermo Galván1, John C Kois2, Yada Chaiyabutr3
1Clinical Instructor, Kois Center, Seattle, Wash.; and Private practice, Valladolid, Spain.
The Journal of Prosthetic Dentistry
|June 30, 2015
Summary
This technique uses a 2-step process to remove excess cement from implant restorations. A custom abutment helps express cement outside the mouth, minimizing biological complications.
Area of Science:
- Dental Implantology
- Prosthodontics
- Biomaterials
Background:
- Excess cement beneath implant restorations can lead to peri-implantitis.
- Current cement removal techniques can be challenging and incomplete.
- Minimizing intraoral cement remnants is crucial for long-term implant success.
Purpose of the Study:
- To present a novel 2-step cementation technique for implant restorations.
- To effectively eliminate excess cement, thereby reducing biological complications.
- To improve the clinical management of cement excess in implant dentistry.
Main Methods:
- Fabrication of a custom acrylic resin abutment, mirroring the titanium abutment.
- Initial cementation of the restoration onto the extraoral acrylic abutment.
- Intraoral placement of the restoration onto the titanium abutment after excess cement expression.
Main Results:
- Significant reduction in excess cement expressed intraorally.
- Simplified excess cement management during the procedure.
- The technique effectively transfers excess cement to the extraoral custom abutment.
Conclusions:
- The 2-step cementation technique offers a reliable method for excess cement removal.
- This approach minimizes the risk of adverse biological consequences associated with cement remnants.
- Clinical application of this technique can enhance implant restoration outcomes.
