Cement Overflow: The Number One Biological Complication in Implant Dentistry
A significant implant complication is cement extrusion into the peri-implant tissues at the time of crown cementation.
Dr. Suzanne Caudry
Periodontist
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Background
A significant implant complication is cement extrusion into the peri-implant tissues at the time of crown cementation. The presence of excess cement can act as a foreign body and will result in suppuration and bone loss.
Natural teeth have a sulcus that will extrude excess cement — dental implants do not have this sulcus. In sites with very deep soft tissue, give special consideration to placement of the crown margins. A CAD/CAM fabricated Atlantis abutment will make this much easier.
Quick tip
The fabrication of a putty analog of the implant abutment can be used to extrude excess cement prior to insertion making removal of excess cement much simpler. Once inserted, be sure to remove all excess cement.
