It is important to note that many advances are being made with both cement-retained and screw-retained restorations to help mitigate the disadvantages associated with each of these restorations. For example, in the case of screw-retained restorations, setting the proper foundation, planning, and ultimately placing these restorations can open up more opportunities to use this modality and take advantage of being able to retrieve them when necessary. Also, with the introduction of angulated screw channels, the ability to use screw-retained restorations has expanded. The biggest problem with cement-retained restorations is the difficulty in removing all of the residual cement from the implant site. Custom abutments can be designed with supragingival margins to create an easier cement removal process to help with this problem.
As in almost all restorative procedures, the importance of proper planning plays a big part in the overall success of the case. Understanding the advantages and limitations of each restorative option can help in determining the best way to proceed. In implant cases, understanding the differences between screw-retained and cement-retained restorations plays a big part in ensuring a successful outcome. Most importantly, staying on top of new developments, techniques, and materials is essential in providing patients with the very best options available. The Burbank Dental Lab implant team is available to offer support and help in planning these cases and recommending the best retention method for a specific case.