Peri-implant disease and cemented implant restorations: a multifactorial etiology.

As cemented implant restorations have grown in popularity, so has the incidence of peri-implant disease. The association between implant restorations, cement, and this disease, however, remains somewhat unclear. This article examines factors that may contribute to peri-implant disease, including biology, implant depth, restoration depth, and implant material properties, and considers potential causes of the disease involving residual cement. Guidance on how to prevent this problem from occurring is provided.