The effect of excess cement on peri-implantitis: A literature review

Authors

DOI:

https://doi.org/10.33448/rsd-v13i2.44967

Keywords:

Dental implants; Dental cements; Peri-implantitis.

Abstract

Peri-implantitis (PI) is a major dental implantology challenge. Excess cement (EC) significantly impacts PI onset and progression. This review clarifies unremoved EC's effects on peri-implant tissue. A literature search from 2012 to 2024 was conducted. Eleven studies examining EC's impact on peri-implant health were included. Investigated parameters were cement type, implant diameter, EC duration, and oral microbiota-cement interaction. Studies show EC as a key PI risk, with better outcomes post-removal. Larger implant diameters correlated with higher EC risks. EC retention duration directly affected PI severity. Different cements, like methacrylate-based cement (MeC) and zinc oxide and eugenol-based cement (ZOEC), varied in affecting PI. ZOEC notably mitigated PI risks and lacked in EC cases. Early PI detection and prompt removal are crucial. Choosing ZOEC cement can significantly reduce PI risks. Dentists should use minimal cement for implant restorations. Developing standard research methods is key to validate findings and guide practice.

References

Ayyadanveettil, P., Thavakkara, V., Koodakkadavath, S., & Thavakkal, A. (2021). Influence of collar height of definitive restoration and type of luting cement on the amount of residual cement in implant restorations: A clinical study. Journal of Prosthetic Dentistry, 1–7. https://doi.org/10.1016/j.prosdent.2021.03.032

Burbano, M., Wilson, T., Valderrama, P., Blansett, J., Wadhwani, C., Choudhary, P., Rodriguez, L., & Rodrigues, D. (2015). Characterization of Cement Particles Found in Peri-implantitis–Affected Human Biopsy Specimens. The International Journal of Oral & Maxillofacial Implants, 30(5), 1168–1173. https://doi.org/10.11607/jomi.4074

Chee, W. W. L., Duncan, J., Afshar, M., & Moshaverinia, A. (2013). Evaluation of the amount of excess cement around the margins of cement-retained dental implant restorations: The effect of the cement application method. Journal of Prosthetic Dentistry, 109(4), 216–221. https://doi.org/10.1016/S0022-3913(13)60047-5

Fiorellini, J., Luan, K., Chang, Y.-C., Kim, D., & Sarmiento, H. (2019). Peri-implant Mucosal Tissues and Inflammation: Clinical Implications. The International Journal of Oral & Maxillofacial Implants, 34, s25–s33. https://doi.org/10.11607/jomi.19suppl.g2

Frisch, E., Ratka-Krüger, P., Weigl, P., & Woelber, J. (2016). Extraoral Cementation Technique to Minimize Cement-Associated Peri-implant Marginal Bone Loss: Can a Thin Layer of Zinc Oxide Cement Provide Sufficient Retention? The International Journal of Prosthodontics, 29(4), 360–362. https://doi.org/10.11607/ijp.4599

Korsch, M., Marten, S. M., Walther, W., Vital, M., Pieper, D. H., & Dötsch, A. (2018). Impact of dental cement on the peri-implant biofilm-microbial comparison of two different cements in an in vivo observational study. Clinical Implant Dentistry and Related Research, 20(5), 806–813. https://doi.org/10.1111/CID.12650

Korsch, M., Obst, U., & Walther, W. (2014). Cement-associated peri-implantitis: a retrospective clinical observational study of fixed implant-supported restorations using a methacrylate cement. Clinical Oral Implants Research, 25(7), 797–802. https://doi.org/10.1111/CLR.12173

Korsch, M., Robra, B. P., & Walther, W. (2015a). Predictors of excess cement and tissue response to fixed implant-supported dentures after cementation. Clinical Implant Dentistry and Related Research, 17(S1), e45–e53. https://doi.org/10.1111/cid.12122

Korsch, M., Robra, B.-P., & Walther, W. (2015b). Cement-Associated Signs of Inflammation: Retrospective Analysis of the Effect of Excess Cement on Peri-implant Tissue. The International Journal of Prosthodontics, 28(1), 11–18. https://doi.org/10.11607/ijp.4043

Korsch, M., & Walther, W. (2015). Peri-Implantitis Associated with Type of Cement: A Retrospective Analysis of Different Types of Cement and Their Clinical Correlation to the Peri-Implant Tissue. Clinical Implant Dentistry and Related Research, 17, e434–e443. https://doi.org/10.1111/cid.12265

Korsch, M., Walther, W., & Bartols, A. (2017). Cement-associated peri-implant mucositis. A 1-year follow-up after excess cement removal on the peri-implant tissue of dental implants. Clinical Implant Dentistry and Related Research, 19(3), 523–529. https://doi.org/10.1111/cid.12470

Korsch, M., Walther, W., Marten, S. M., & Obst, U. (2014). Microbial analysis of biofilms on cement surfaces: An investigation in cement-associated peri-implantitis. Journal of Applied Biomaterials and Functional Materials, 12(2), 70–80. https://doi.org/10.5301/jabfm.5000206

Kotsakis, G. A., Zhang, L., Gaillard, P., Raedel, M., Walter, M. H., & Konstantinidis, I. K. (2016). Investigation of the Association Between Cement Retention and Prevalent Peri-Implant Diseases: A Cross-Sectional Study. Journal of Periodontology, 87(3), 212–220. https://doi.org/10.1902/jop.2015.150450

Linkevicius, T., Puisys, A., Vindasiute, E., Linkeviciene, L., & Apse, P. (2013). Does residual cement around implant-supported restorations cause peri-implant disease? A retrospective case analysis. Clinical Oral Implants Research, 24(11), 1179–1184. https://doi.org/10.1111/j.1600-0501.2012.02570.x

Linkevicius, T., Vindasiute, E., Puisys, A., Linkeviciene, L., Maslova, N., & Puriene, A. (2013). The influence of the cementation margin position on the amount of undetected cement. A prospective clinical study. Clinical Oral Implants Research, 24(1), 71–76. https://doi.org/10.1111/j.1600-0501.2012.02453.x

Page, M. J., McKenzie, J. E., Bossuyt, P. M., Boutron, I., Hoffmann, T. C., Mulrow, C. D., Shamseer, L., Tetzlaff, J. M., Akl, E. A., Brennan, S. E., Chou, R., Glanville, J., Grimshaw, J. M., Hróbjartsson, A., Lalu, M. M., Li, T., Loder, E. W., Mayo-Wilson, E., McDonald, S., & Moher, D. (2021). The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ, n71. https://doi.org/10.1136/bmj.n71

Quaranta, A., Lim, Z. W., Tang, J., Perrotti, V., & Leichter, J. (2017). The Impact of Residual Subgingival Cement on Biological Complications Around Dental Implants: A Systematic Review. In Implant Dentistry. 26(3), 465–474. Lippincott Williams and Wilkins. https://doi.org/10.1097/ID.0000000000000593

Reda, R., Zanza, A., Cicconetti, A., Bhandi, S., Guarnieri, R., Testarelli, L., & Di Nardo, D. (2022). A Systematic Review of Cementation Techniques to Minimize Cement Excess in Cement-Retained Implant Restorations. Methods and Protocols, 5(1). https://doi.org/10.3390/MPS5010009

Rohr, N., Märtin, S., & Fischer, J. (2018). Correlations between fracture load of zirconia implant supported single crowns and mechanical properties of restorative material and cement. Dental Materials Journal, 37(2), 222–228. https://doi.org/10.4012/dmj.2017-111

Romanos, G. (2019). A Simplified Technique to Control Excess Cement Material Underneath Cement-Retained Implant Restorations: Technical Note. The International Journal of Oral & Maxillofacial Implants, 34(2), e17–e19. https://doi.org/10.11607/jomi.7492

Rotim, Ž., Pelivan, I., Sabol, I., Sušić, M., Ćatić, A., & Bošnjak, A. P. (2021). The effect of local and systemic factors on dental implant failure-analysis of 670 patients with 1260 implants. Acta Clin Croat, 60(3), 2021. https://doi.org/10.20471/acc.2021.60.03.05

Santiago Garzón, Hernan, Alfonso C, Tocora C, Castro J, Cifuentes J, Cuellar J, T. N. (2018). relationship between dental cement materials of implant - supported crowns with peri-implantitis development in humans: a sistematic review of literature. Journal of Long-Term Effects of Medical Implants, 28(3), 223–232.

Terra, E., Berardini, M., & Trisi, P. (2019). Nonsurgical Management of Peri-implant Bone Loss Induced by Residual Cement: Retrospective Analysis of Six Cases. The International Journal of Periodontics & Restorative Dentistry, 39(1), 89–94. https://doi.org/10.11607/PRD.3075

Wadhwani, C., & Piñeyro, A. (2009). Technique for controlling the cement for an implant crown. Journal of Prosthetic Dentistry, 102(1), 57–58. https://doi.org/10.1016/S0022-3913(09)60102-5

Wilson, T. G. (2019). A New Minimally Invasive Approach for Treating Peri-Implantitis. Clinical Advances in Periodontics, 9(2), 59–63. https://doi.org/10.1002/cap.10052

Zandim-Barcelos, D. L., Carvalho, G. G. De, Sapata, V. M., Villar, C. C., Hämmerle, C., & Romito, G. A. (2019). Implant-based factor as possible risk for peri-implantitis. Brazilian Oral Research, 33. https://doi.org/10.1590/1807-3107BOR-2019.VOL33.0067

Zaugg, L. K., Zehnder, I., Rohr, N., Fischer, J., & Zitzmann, N. U. (2018). The effects of crown venting or pre-cementing of CAD/CAM-constructed all-ceramic crowns luted on YTZ implants on marginal cement excess. Clinical Oral Implants Research, 29(1), 82–90. https://doi.org/10.1111/clr.13071

Zeinabadi, Z., Nami, M., Naserkhaki, M., & Tavakolizadeh, S. (2020). Effect of Cement Type and Cementation Technique on the Retention of Implant-Supported Restorations. Journal of Long-Term Effects of Medical Implants, 30(1), 61–67. https://doi.org/10.1615/JLONGTERMEFFMEDIMPLANTS.2020035290

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Published

15/02/2024

How to Cite

MINIM, P. R. .; BENAVENTE, K. A. S. .; RISCHMOLLER, J. E. A. .; PORTO, V. C. .; SANTIAGO JUNIOR, J. F. . The effect of excess cement on peri-implantitis: A literature review. Research, Society and Development, [S. l.], v. 13, n. 2, p. e5713244967, 2024. DOI: 10.33448/rsd-v13i2.44967. Disponível em: https://www.rsdjournal.org/index.php/rsd/article/view/44967. Acesso em: 12 may. 2024.

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Review Article