Effect of Adding Fluorescent Agent with Dental Cement for the Detection of Cement Residues and to Avoid Peri-implant Disease

Emerging nanomaterial technologies offer promising strategies to enhance the diagnostic and therapeutic properties of conventional dental cements. During the implant cementation procedure, undetected and retained cement remnants can cause inflammation and bone loss. While techniques exist to minimize residue, studies on dental cement transparency are limited. This chapter evaluates the pH, fluoride release, and detection capability of conventional Glass Ionomer Cement (GIC)Glass Ionomer Cement (GIC) and Carbon Quantum Dots-integrated GIC (GIC-CD)Carbon Quantum Dots-integrated GIC (GIC-CQD). An in vitro study was conducted with cement pellets (4 mm diameter, 6 mm height) to analyze pH and fluoride release. Twenty-four 3D-printed implant models were prepared, with twelve crowns luted using GIC and twelve with GIC-CQD. Images of implant surfaces were analyzed for excess cement distribution using statistical analysis. Implants cemented with GIC-CQD had significantly more cement remnants than those with conventional GIC (p = 0.018). Regardless of cement type, excess cement was most prevalent on the distal (mean = 0.047) and mesial (mean = 0.048) surfaces. GIC-CQD improved the visibility of remnants, particularly those smaller than 2 mm. A slightly higher pH in GIC-CQD suggests a potential buffering effect, enhancing biocompatibility. Increased fluoride release from GIC-CQD may offer prolonged protection against demineralization. GIC-CD enhances cement remnant detection with increased fluoride release and potential buffering benefits. The integration of Carbon Quantum Dots into Glass Ionomer Cement (GIC-CQD) simplifies the detection of excess cement remnants, potentially reducing the risk of peri-implant complications. Furthermore, its increased fluoride release may contribute to improved oral health by providing prolonged protection against demineralization.