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Cement vs Screw Retention: How to Increase Implant Success | Safe Distance Learning Webinar Series
May 13, 2020 @ 2:00 pm
The definition of success for dental implants has evolved over the years, but the basic tenants remain the same – to ensure long term integration, maintain bone levels and an absence of peri-implant disease. Although most clinicians are aware of risk factors involved in implant failure few deem the restorative technique as a major culprit.
Through the years many have debated the pros and cons to screw and cement retained options for dental implant restorations. A wealth of evidence is now mounting that residual cement may play a critical role in peri-implant disease. Cement remnants have been thought to undertake their deleterious effects through a number of mechanisms of action including microbial activity and immune reaction.
The possible etiology of restorative driven peri-implant disease and the little knowledge that exists in the dental industry about the type, quantity and the route by which bone loss takes place around implants will be examined.
Dr Walton will focus on the importance of screw retention and the appropriate prosthetic planning which must be performed to ensure it can be delivered successfully. We will also discuss alternative options when screw retention does not seem possible including angulated screw channel (ASC) abutments and techniques for reducing excess cement.
Dr. Philip Walton
Dr. Walton completed his Master’s degree in Periodontology at the Harvard School of Dental Medicine. His practice includes conventional periodontal therapy for tooth maintenance, periodontal plastics as well as advanced regenerative techniques and implant rehabilitation. His current area of focus lies in immediate implant placement and temporization for both single, multiple and full arch reconstruction. Dr. Walton is a Fellow of the Royal College of Canada and a US Board Certified Diplomate of Periodontics and Implantology. He maintains an affiliation to the University of Toronto, and Harvard as a clinical instructor, international research fellow, admissions committee member and active alumnus.
Dr. Walton is an active member of the American Academy of Periodontology, the Ontario Dental Association, and Canadian Dental Association. He also continues to contribute to philanthropic dental and community initiatives.