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A Systematic Review of Screw versus Cement-Retained Fixed Implant Supported Reconstructions
Mohamed Tharwat Hamed1, Hisham Abdullah Mously2, Saeed Khalid Alamoudi3
1Department of Oral & Maxillofacial Prosthodontics, King Abdulaziz University Faculty of Dentistry, Jeddah, Saudi Arabia, Department of Fixed Prosthodontics, Cairo University Faculty of Dentistry, Cairo, Egypt.
This systematic review found no significant difference in complications between screw-retained and cement-retained dental implants. However, screw-retained reconstructions showed fewer biological and technological issues, suggesting improved long-term stability.
Area of Science:
- Dental Implantology
- Prosthodontics
Background:
- Dental implants are a standard restorative procedure.
- The choice between screw and cement retention is a key clinical decision.
Purpose of the Study:
- To compare the efficacy of screw-retained versus cement-retained dental implant reconstructions.
- To review existing literature on the complications and success rates of both methods.
Main Methods:
- A systematic review of electronic literature was performed.
- Keywords included "Screw versus Cement Retained Fixed Implant Supported Reconstructions" and "Dental Implant."
- Twelve studies met the inclusion criteria.
Main Results:
- No significant difference in overall complications was observed between screw-retained and cement-retained implant restorations.
- Both cement-retained and screw-retained restorations are associated with potential complications leading to implant failure.
- Treatment selection should consider patient-specific factors and tooth condition.
Conclusions:
- Screw-retained implant-supported reconstructions demonstrated fewer biological and technological complications.
- Optimal tooth retention and function are achieved when implant procedures are selected based on treatment efficiency and patient criteria.
