Premier® Implant Cement™
Security for the patient, retrievability for the dentist
Premier® Implant Cement™ (PIC) is a unique elastomeric implant resin cement designed to provide secure retention when desired and retrievability when needed. PIC was created specifically for implants to flex under force, absorb shock, and resist breaking down under daily occlusal stresses. This innovative formula creates a tight marginal seal that will not wash out. The unique melding of the strength and durability in this resin cement provides for a long-lasting hold, while the mechanical (not chemical) retention allows for future restoration removal for retreatment or adjustments.
Premier Dental Products invested a lot of time when creating PIC to make it uniquely appropriate for the implant environment. The nonfluoride formulation is safe for all alloys, including titanium, while the tight marginal seal helps to protect implants from potentially corrosive high-fluoride environments. It is easy to use, radiopaque, provides a good marginal seal that will not wash out, and is easily removed from the restoration.
As with any cement used for implants, it is imperative to remove all excess cement to prevent peri-mucositis and peri-implantitis, which can result from failure to remove all excess cement. PIC’s two-stage cure features an initial gel-phase after 2 to 2.5 minutes, which allows for easy removal of any accessible excess cement. The rigid final set takes 4 to 5 minutes intraorally, ensuring a proper marginal seal and firm retention.
When using PIC, it is strongly recommended that dentists closely follow the directions for use. After ensuring the proper fit of the restoration and rinsing and drying the abutment and interior of restoration, they should bleed the syringe, mount a new automix tip, and then bleed the syringe again. This ensures proper flow of base and catalyst.
A small bead of PIC is dispensed onto a microbrush. The microbrush should be used to place a thin layer of cement along the inside wall of the cervical third of the restoration (or up to the cervical half, depending on the amount of retention desired), making sure to completely coat the margin with cement (inset). There is then 1.5 minutes of working time at room temperature available. This approach helps to reduce the amount of excess cement expressed apically while providing the desired retrievability. As with any dental restoration, it is important to design the emergence profile of the implant restoration to make sure that all areas of the restoration margin are accessible for excess cement removal and to allow for proper hygiene maintenance.
The restoration should NOT be filled with PIC. Excess cement should be avoided. Too much cement can cause future restoration retrieval to be difficult to impossible and lead to difficulty removing the excess cement. The crown should be firmly seated and held in place until initial set (gel phase), which occurs in 2 to 2.5 minutes. The excess cement should be safely removed before the final set. It is imperative to remove all excess cement.
When cementing implant restorations, dentists want something retrievable, while patients want the security of permanent cement. PIC meets the needs of both parties; it offers secure retention with retrievability. This noneugenol temporary resin implant cement has had more than 8 years of success in the dental market and has been recommended by many top key opinion leaders.
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Premier Dental Products
The preceding material was provided by the manufacturer. The statements and opinions contained therein are solely those of the manufacturer and not of the editors, publisher, or the Editorial Board of Inside Dentistry.