Cement sepsis – Wheaton dental implant
Cement sepsis causes possible loss of dental implant
I’ve spoken about this topic many times before and covered the techniques required to avoid it. If the problem is discovered early I can save the implant without much issue at all, like I did here. Today I saw a case of cement sepsis caused by poor cement selection (some sort of resin), no custom abutment, and poor crown contours. Unfortunately for this patient, it was not discovered early in the process and thus the dental implant may be lost.
I had to remove the crown. This is not very difficult, typically. After removing, I confirmed my suspicion of cement sepsis on the dental implant.
The infection was cleaned and area grafted. Time will tell if we caught this issue in time. If you have a dental implant that is causing you problems or a dental implant with pain, do not wait! If you are looking for a Wheaton dentist, then give us a call!
Strange the clinician decide to do a cement retained crown and also all metal crown. The implant seems to be placed at the correct position. Easily could have had a screw retained crown fabricated even with a stock abutment for a posterior crown would have been ideal. its been over 5 years. Did the graft you place take? or did the patient end up losing the implant. i was taught once biofilm forms on implant you cannot graft the area, is that correct?? I have seen plenty of implants losing 50% bone and still stable, but pt suffers peri-implantitis with inflammation and sometimes with constant exudate from the sulcus.
Can’t recall if lost or not. I think we replaced the implant.