Choosing a Screw or Cement to Attach an Implant Crown
By Art Dentistry Center
December 15, 2016
Category: Dental Procedures
Tags: dental implants   crowns  
ChoosingaScreworCementtoAttachanImplantCrown

If you've lost a tooth, you have a number of options for replacing it. Perhaps the best choice in terms of lifelikeness and durability is a dental implant.

All implants have the same basic architecture: a titanium metal post imbedded in the jawbone to replace the root; and an abutment, a metal collar that links the post with a lifelike porcelain crown. But implants can vary in how the crown attaches to the abutment and post — either cemented to the abutment or screwed through the abutment to the post.

Either method will permanently secure the crown to the implant. But there are advantages and disadvantages for each.

A screw-retained crown may better facilitate any future repair that might be needed. For a skilled dentist it's a simple matter of removing the screw and then the crown from the abutment. There's less risk of damage to the implant during repairs or crown replacement. Many dentists also prefer screws for crowns placed at the same time they're installing the implant post (a procedure called immediate loading).

The screw access hole, however, could pose a cosmetic problem. Although we can cover it over with tooth-colored filling, it may still be noticeable and unattractive especially for a tooth visible when you smile (in the smile zone). There's also the possibility the porcelain around the access hole could chip.

By contrast, cemented crowns have a smooth, unbroken surface and are aesthetically ideal for smile zone teeth. But the cement could interact poorly with gum and bone tissue in some patients, causing inflammation and possible bone loss.

And unlike screw-retained crowns, cemented crowns are difficult to remove for implant repair. We may have to drill through the crown to access the screw between the abutment and the post, and then repair it cosmetically if we use the same crown. Again, the final result may not be quite as visually appealing.

In the end, it will depend on the implant's location, how your body reacts to the cement or your dentist's preference. In either case, though, you'll have a tooth replacement that's functional, life-like and able to endure for many years to come.

If you would like more information on dental implants, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “How Crowns Attach to Implants.”

Comments:






OFFICE HOURS
Monday: 09:00 AM - 5:00 PM
Tuesday: 09:00 AM - 8:00 PM
Wednesday: 09:00 AM - 5:00 PM
Thursday: 09:00 AM - 6:00 PM
Friday: Closed
Saturday: 9:00 AM - 3:00 PM
Sunday: Closed

  • High quality service, super friendly and professional staff.

    ***** By Rany K. on 12/15/2017

 

  • Best dentist I've ever had
    Dr. Channo does great work. He's courteous and fast. Never an issue with his work and his staff is amazing. If you're looking for a dentist or not happy with you're current one, go see Dr. Chano. You won't be disappointed. Never a billing issue with the insurance company like I had at multiple other places in the past.

    ***** By Michael M. on 11/13/2017

 

  • A very good experience!! Terrific staff and very helpful!

    ***** By Bernie K. on 09/02/2017

 

  • Great Dentist
    All went very well! Doc Channo is awesome and painless! For that matter his staff is also Awesome!!!

    ***** By Stan C. on 05/20/2017

 

  • Always professional, efficient and top quality
    In my 9th year as a patient at Art Dentistry Center, I can honestly say that the professionalism, efficiency and expertise continue to be the best. I had x-rays and a cleaning done this morning. Thorough, all questions answered and out the door. My dental hygiene is really good at 62 because of what they have taught me.

    ***** By Nancy S. on 05/02/2017

 

  • Professional, Very kind
    Took my daughter in because a tooth was bothering her. The dentist staff were extremely friendly and took care of everything quickly. I already have more appointments scheduled!

    ***** By Andrea B. on 04/04/2017

 

  • So far I have gotten my teeth cleaned twice and I just recently had 4 fillings done, and I have had nothing but the best service ever. Their receptionist is sweet, my dental hygienist is great, and my dentist is understanding. When I had to get my teeth filled, I was supposed to only have 3 of them done on one side at one appointment and then do the last one on a different day. I arrived at the office as nervous as ever because I absolutely hate the Novocain shot. The dentist offered anxiety medication, but I didn't have a ride home. He then stated that my cavities weren't very deep and could do them without the Novocain. I went with that option and didn't feel any pain at all!! I'm so happy he offered to let me go without the Novocain because no other dentist has done that for me. I actually opted to get the 4th tooth done right then and there to get it all over with. I love this dentist office and will recommend them to everyone!

    ***** By Sarah R. on 09/01/2016

 

  • Excellent Rating- I love this dentist! Fantastic staff with excellent environment and service! I wish they accepted Meridian Insurance!!! 

    ***** By Cynthia R. on 08/03/2016 (Published on RateABiz)

 

  • High quality service, professional Doctor and staff
    I recommend Dr Channo, he's professional and very pleasant.

     

    ***** By Aslan S on 06/28/2016 (Published on RateABiz)

 

  • "Art Dentistry Center gives my family and me more reasons to smile."

     

    - The Johnson Family.

 

 

 

  • I have always received a professional and very good service on my dental needs when visiting Art Dental. Very nice staff and service.

     

    - Jeff H

 

Contact Us