Restoring Dental Implants is extremely challenging. Understanding options related to crown retention, confirming fit of components and maintain the implant crown are all new concepts.
The following academies: AAP, AO & AARD have stated that excess cement can lead to peri-implant disease and that it is considered a major risk factor.
Many techniques and products have been developed specifically for cement retained implant restorations, some are potentially detrimental to implants, with dentists not fully aware of the issues and implications of using an inappropriate material or method.
To date no protocol exists for cementing implant retained super-structures.
Many alternative restorative techniques are inappropriate.
The goal is to examine these from a scientific based perspective and present up-to-date and as of yet unpublished research data that will be used to develop a suitable protocol for clinical practice.
Computation design- the first of its kind is helping solve this problem. Dr. Wadhwani is the only person with this data!
This lecture explores many of the problems encountered with cement selection, application techniques and gives clinical guidelines based on research projects currently being undertaken.
- Understanding the science behind best practices.
- Soft tissue health: All implant disease essentially starts in the soft tissue.
- Defining the detection of cement selection- understand what you need from a cement material - be aware - be safe.
- Bone Loss: Is it real or not real?
- Preventing failures and understanding detection techniques for evaluating excess cement extrusion.
- Developing a “gestalt” (wholeness approach) cementation protocol for implant restorations.
- Cementation V’s screw retained: How do you know the abutments fits?
- Occlusion and Implants