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Predictors of Excess Cement and Tissue Response to Fixed Implant-Supported Dentures after Cementation
Background The cementation of fixed implant‐supported restorations involves the risk of excess cement remaining in the peri‐implant tissue that may cause a peri‐implant tissue response with attachment loss. Purpose The aim was to study the peri‐implant tissue response after cementation and to detect...
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Published in: | Clinical implant dentistry and related research 2015-01, Vol.17 (S1), p.e45-e53 |
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creator | Korsch, Michael Robra, Bernt-Peter Walther, Winfried |
description | Background
The cementation of fixed implant‐supported restorations involves the risk of excess cement remaining in the peri‐implant tissue that may cause a peri‐implant tissue response with attachment loss.
Purpose
The aim was to study the peri‐implant tissue response after cementation and to detect potential predictors of excess cement.
Material and Methods
Clinical complications after cementation in several index cases led to a recall of all patients treated with a special methacrylate cement (one hundred five patients with one hundred eighty‐eight implants) and systematic reevaluation of 71 patients (68%) with one hundred twenty‐six implants (67%). In all cases, suprastructures including abutments were removed, and findings were documented.
Results
Implant diameter was significantly associated with the frequency of excess cement. Implant location or system had no significant effect. Excess cement in turn was associated with bleeding on probing, suppuration, and peri‐implant attachment loss. In the absence of excess cement 58.8% of implants had no peri‐implant attachment loss versus 37.3% when excess cement was present. With increasing retention time of the methacrylate cement, more peri‐implant attachment loss was detected. However, the latter association was not significant.
Conclusion
Larger diameters are significantly associated with excess cement in peri‐implant tissue. Consequences of excess cement may be increased bleeding on probing, suppuration, and possibly peri‐implant attachment loss. |
doi_str_mv | 10.1111/cid.12122 |
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The cementation of fixed implant‐supported restorations involves the risk of excess cement remaining in the peri‐implant tissue that may cause a peri‐implant tissue response with attachment loss.
Purpose
The aim was to study the peri‐implant tissue response after cementation and to detect potential predictors of excess cement.
Material and Methods
Clinical complications after cementation in several index cases led to a recall of all patients treated with a special methacrylate cement (one hundred five patients with one hundred eighty‐eight implants) and systematic reevaluation of 71 patients (68%) with one hundred twenty‐six implants (67%). In all cases, suprastructures including abutments were removed, and findings were documented.
Results
Implant diameter was significantly associated with the frequency of excess cement. Implant location or system had no significant effect. Excess cement in turn was associated with bleeding on probing, suppuration, and peri‐implant attachment loss. In the absence of excess cement 58.8% of implants had no peri‐implant attachment loss versus 37.3% when excess cement was present. With increasing retention time of the methacrylate cement, more peri‐implant attachment loss was detected. However, the latter association was not significant.
Conclusion
Larger diameters are significantly associated with excess cement in peri‐implant tissue. Consequences of excess cement may be increased bleeding on probing, suppuration, and possibly peri‐implant attachment loss.</description><identifier>ISSN: 1523-0899</identifier><identifier>EISSN: 1708-8208</identifier><identifier>DOI: 10.1111/cid.12122</identifier><identifier>PMID: 23879821</identifier><language>eng</language><publisher>United States: Blackwell Publishing Ltd</publisher><subject>Adult ; Aged ; Aged, 80 and over ; cement-retained dentures ; Cementation ; Crowns ; Dental Cements - adverse effects ; Dental Cements - chemistry ; Dental Implants ; Dental Prosthesis Design ; Dental Prosthesis, Implant-Supported ; Dentistry ; Denture, Partial ; excess cement ; Female ; Humans ; implants ; Male ; Middle Aged ; peri-implantitis ; Periodontal Attachment Loss - chemically induced ; Periodontal Index ; Suppuration - chemically induced</subject><ispartof>Clinical implant dentistry and related research, 2015-01, Vol.17 (S1), p.e45-e53</ispartof><rights>2013 Wiley Periodicals, Inc.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5382-f20d351a93862bbc8a5bbf88fc21cc693fe569af0d4503cea1a6546b8a69b4493</citedby><cites>FETCH-LOGICAL-c5382-f20d351a93862bbc8a5bbf88fc21cc693fe569af0d4503cea1a6546b8a69b4493</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fcid.12122$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fcid.12122$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>315,786,790,27957,27958,50923,51032</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23879821$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Korsch, Michael</creatorcontrib><creatorcontrib>Robra, Bernt-Peter</creatorcontrib><creatorcontrib>Walther, Winfried</creatorcontrib><title>Predictors of Excess Cement and Tissue Response to Fixed Implant-Supported Dentures after Cementation</title><title>Clinical implant dentistry and related research</title><addtitle>Clinical Implant Dentistry and Related Research</addtitle><description>Background
The cementation of fixed implant‐supported restorations involves the risk of excess cement remaining in the peri‐implant tissue that may cause a peri‐implant tissue response with attachment loss.
Purpose
The aim was to study the peri‐implant tissue response after cementation and to detect potential predictors of excess cement.
Material and Methods
Clinical complications after cementation in several index cases led to a recall of all patients treated with a special methacrylate cement (one hundred five patients with one hundred eighty‐eight implants) and systematic reevaluation of 71 patients (68%) with one hundred twenty‐six implants (67%). In all cases, suprastructures including abutments were removed, and findings were documented.
Results
Implant diameter was significantly associated with the frequency of excess cement. Implant location or system had no significant effect. Excess cement in turn was associated with bleeding on probing, suppuration, and peri‐implant attachment loss. In the absence of excess cement 58.8% of implants had no peri‐implant attachment loss versus 37.3% when excess cement was present. With increasing retention time of the methacrylate cement, more peri‐implant attachment loss was detected. However, the latter association was not significant.
Conclusion
Larger diameters are significantly associated with excess cement in peri‐implant tissue. Consequences of excess cement may be increased bleeding on probing, suppuration, and possibly peri‐implant attachment loss.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>cement-retained dentures</subject><subject>Cementation</subject><subject>Crowns</subject><subject>Dental Cements - adverse effects</subject><subject>Dental Cements - chemistry</subject><subject>Dental Implants</subject><subject>Dental Prosthesis Design</subject><subject>Dental Prosthesis, Implant-Supported</subject><subject>Dentistry</subject><subject>Denture, Partial</subject><subject>excess cement</subject><subject>Female</subject><subject>Humans</subject><subject>implants</subject><subject>Male</subject><subject>Middle Aged</subject><subject>peri-implantitis</subject><subject>Periodontal Attachment Loss - chemically induced</subject><subject>Periodontal Index</subject><subject>Suppuration - chemically induced</subject><issn>1523-0899</issn><issn>1708-8208</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><recordid>eNp1kM1u1DAUhS0EoqWw4AWQl7BI65_YcZaQ_o1atUCLkNhYjnMtGSZxajti-va4nWl33I2vrO98ujoIvafkkJY5sn44pIwy9gLt04aoSjGiXpZdMF4R1bZ76E1KvwlhlEr6Gu0xrppWMbqP4GuEwdscYsLB4ZONhZRwByNMGZtpwLc-pQXwd0hzmBLgHPCp38CAV-O8NlOubpZ5DjGXn-OSWSIkbFyGuJOY7MP0Fr1yZp3g3e49QD9OT2678-ry-mzVfb6srOCKVY6RgQtqWq4k63urjOh7p5SzjForW-5AyNY4MtSCcAuGGilq2Ssj276uW36APm69cwx3C6SsR58srMuhEJakqRSsZoQpWtBPW9TGkFIEp-foRxPvNSX6oVVdWtWPrRb2w0679CMMz-RTjQU42gJ__Rru_2_S3er4SVltEz5l2DwnTPyjZcMboX9enekvF-JX8410-ob_A08okKw</recordid><startdate>201501</startdate><enddate>201501</enddate><creator>Korsch, Michael</creator><creator>Robra, Bernt-Peter</creator><creator>Walther, Winfried</creator><general>Blackwell Publishing Ltd</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201501</creationdate><title>Predictors of Excess Cement and Tissue Response to Fixed Implant-Supported Dentures after Cementation</title><author>Korsch, Michael ; Robra, Bernt-Peter ; Walther, Winfried</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5382-f20d351a93862bbc8a5bbf88fc21cc693fe569af0d4503cea1a6546b8a69b4493</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>cement-retained dentures</topic><topic>Cementation</topic><topic>Crowns</topic><topic>Dental Cements - adverse effects</topic><topic>Dental Cements - chemistry</topic><topic>Dental Implants</topic><topic>Dental Prosthesis Design</topic><topic>Dental Prosthesis, Implant-Supported</topic><topic>Dentistry</topic><topic>Denture, Partial</topic><topic>excess cement</topic><topic>Female</topic><topic>Humans</topic><topic>implants</topic><topic>Male</topic><topic>Middle Aged</topic><topic>peri-implantitis</topic><topic>Periodontal Attachment Loss - chemically induced</topic><topic>Periodontal Index</topic><topic>Suppuration - chemically induced</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Korsch, Michael</creatorcontrib><creatorcontrib>Robra, Bernt-Peter</creatorcontrib><creatorcontrib>Walther, Winfried</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Clinical implant dentistry and related research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Korsch, Michael</au><au>Robra, Bernt-Peter</au><au>Walther, Winfried</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Predictors of Excess Cement and Tissue Response to Fixed Implant-Supported Dentures after Cementation</atitle><jtitle>Clinical implant dentistry and related research</jtitle><addtitle>Clinical Implant Dentistry and Related Research</addtitle><date>2015-01</date><risdate>2015</risdate><volume>17</volume><issue>S1</issue><spage>e45</spage><epage>e53</epage><pages>e45-e53</pages><issn>1523-0899</issn><eissn>1708-8208</eissn><notes>istex:6E0B4C3507D6932DE4AB49A5F33512E2E9CBB1E5</notes><notes>ArticleID:CID12122</notes><notes>ark:/67375/WNG-BK5Z7Q0C-S</notes><notes>ObjectType-Article-1</notes><notes>SourceType-Scholarly Journals-1</notes><notes>ObjectType-Feature-2</notes><notes>content type line 23</notes><abstract>Background
The cementation of fixed implant‐supported restorations involves the risk of excess cement remaining in the peri‐implant tissue that may cause a peri‐implant tissue response with attachment loss.
Purpose
The aim was to study the peri‐implant tissue response after cementation and to detect potential predictors of excess cement.
Material and Methods
Clinical complications after cementation in several index cases led to a recall of all patients treated with a special methacrylate cement (one hundred five patients with one hundred eighty‐eight implants) and systematic reevaluation of 71 patients (68%) with one hundred twenty‐six implants (67%). In all cases, suprastructures including abutments were removed, and findings were documented.
Results
Implant diameter was significantly associated with the frequency of excess cement. Implant location or system had no significant effect. Excess cement in turn was associated with bleeding on probing, suppuration, and peri‐implant attachment loss. In the absence of excess cement 58.8% of implants had no peri‐implant attachment loss versus 37.3% when excess cement was present. With increasing retention time of the methacrylate cement, more peri‐implant attachment loss was detected. However, the latter association was not significant.
Conclusion
Larger diameters are significantly associated with excess cement in peri‐implant tissue. Consequences of excess cement may be increased bleeding on probing, suppuration, and possibly peri‐implant attachment loss.</abstract><cop>United States</cop><pub>Blackwell Publishing Ltd</pub><pmid>23879821</pmid><doi>10.1111/cid.12122</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Adult Aged Aged, 80 and over cement-retained dentures Cementation Crowns Dental Cements - adverse effects Dental Cements - chemistry Dental Implants Dental Prosthesis Design Dental Prosthesis, Implant-Supported Dentistry Denture, Partial excess cement Female Humans implants Male Middle Aged peri-implantitis Periodontal Attachment Loss - chemically induced Periodontal Index Suppuration - chemically induced |
title | Predictors of Excess Cement and Tissue Response to Fixed Implant-Supported Dentures after Cementation |
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