This disease can lead to implant failure as a result of bone loss. It is estimated that it can take several months to several years before a dentist will discover that a patient is suffering from a peri-implant disease.

It is crucial that proper cementation techniques are followed to ensure these restorations last and that the patient does not create further damage.

The first step in creating the ideal situation is to ensure the implant is placed in the best possible position as determined by the treatment plan. The abutment margin's placement is important and should be placed either slightly below or just at the tissue level. This will make the clean-up of residual cement easier.

When cementing, the appropriate cement must be used as well as the appropriate cementation technique. Because it is weak, soft tissue adhesion between the soft tissue and implant, any excess cement can cause issues.

The clean-up of excess cement is crucial to the case's success since it is the excess cement that has been shown to cause peri-implant disease. Removing this excess cement can be difficult.

In addition to leaving residual cement at the implant site and possibly causing peri-implantitis, cement-retained restorations are more challenging to retrieve.

Because the data shows the connection between cement-retained restorations and peri-implantitis, the use of cement-retained restorations in the rehabilitation of implant cases is recommended in the following situations:

• In cases where the access hole is undesirable, such as the facial of the restoration or if the occlusal of the crown is too narrow.
• When margins are placed either just at or above the tissue