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Explore›Clinical Mistakes›Cementation errors (moisture contamination / excess cement not removed)

Cementation errors (moisture contamination / excess cement not removed)

AreaProsthodontics

What it is

Two very common cementation failures: 1. Moisture contamination during bonding/cementation (saliva/blood/gingival crevicular fluid or hemostatic agents on tooth/restoration surfaces) → compromises adhesion and seal 2. Residual (unremoved) excess cement, especially subgingivally around implant crowns or deep margins → acts as a plaque-retentive irritant and is strongly associated with peri-implant inflammation/disease

Why it happens

Moisture contamination: • Inadequate isolation (no rubber dam/poor retraction) + sulcular fluid/bleeding at margins • Hemostatic agents contaminating dentin and not being cleaned effectively before resin cementation Residual excess cement: • Cement expressed into the sulcus (common with subgingival margins); complete removal is unpredictable, especially around implants • Using too much cement or not using strategies to minimize cement volume and improve retrievability/cleanup

The full clinical mistake entry includes

  • How to avoid it — the prevention protocol
  • The clinical tip experienced clinicians use
  • The documented reference behind the mistake
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More clinical mistakes

Inadequate tooth reduction (insufficient clearance)Over-reduction / unnecessary loss of tooth structurePoor finish line design (unclear/irregular margins)Ignoring ferrule requirements (especially endo-treated teeth)Inadequate soft-tissue management (no retraction/hemostasis) before impression/scanImpression defects at margins (drag, voids, pulls)Tray/material errors causing distortion (flexible tray, poor handling)No proper provisionalization (tissue collapse, sensitivity, drifting)Open margins on delivery (not detected/accepted)Open proximal contacts (food impaction)Overcontoured crown emergence profile (plaque trap)Occlusal high points left unadjusted

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