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Peri-implant Carcinoma
Clinical Case Report
Clinical Case Report
Biological complications caused by undetected cement residue have been receiving much attention. Excess cement might be responsible not only for rapidly developing of peri-implantitis, but also for delayed or chronic manifestations of the disease many years after cementation (Wilson 2009; Linkevicius and coworkers 2013). Invitro and clinical studies have shown that it is very difficult or even impossible to completely clean up excess cement at subgingival margins, so popular in cemented restorations (Agar and coworkers 1997; Linkevicius and coworkers 2011, 2012). Possible outcomes of biological complications due to excess cement range from temporary inflammation of the peri-implant soft tissues without any serious esthetic and functional consequences all the way to implant loss. This report describes a case of peri-implantitis caused by residual cement; as well as the management and quite unusual resolution of the complication. The patient presented in 2009 with a draining sinus tract, tenderness on chewing, and tissue contact above the implant-supported restoration. The implant had been restored approximately three years before.
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