Restoring implants involves the use of high precision parts that have a low tolerance for error.
Many dentists choose to restore dental implants using a screw-in system of installation because they perceive it to be simple and they want to avoid using cement because they think it is problematic.
In actuality, the screw-in system is far from simple. It has inherent problems that render patients susceptible to misfit joints and treatment related cantilevers that increase mechanical loads on these misfit joints and can block access to care.
The screw-in system has the dentist making prosthesis-design compromises because it is based on a limited selection of premade stock parts needed to treat a wide variety of tissue configuration conditions.
The current screw-in system is fraught with deficiencies.
Intra-oral cementation, on the other hand, can reduce or eliminate several risk factors for complications related to the screw-in technique, but it has been plagued by complications related to open and overhanging margins and residual subgingival cement.
What is the answer? Is it just “Pick your Poison” and accept that 67% of your patients will develop Peri-implant disease?
Learn about the alternative on May 21.