Screw-Retained vs Cement-Retained Dental Implant: Which is Best?
When deciding on dental implants, your dentist will often discuss two main attachment methods for your dental implant crown: screw-retained and cement-retained. Both offer similar end results but differ significantly in ease of maintenance, aesthetics, durability, and cost. In this article, we’ll compare these two dental implant crown attachment options to help you make an informed decision for your smile.
If you have any further questions about whether screw-retained or cement-retained dental implants are the right choice for you, please contact us.
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What is a Screw-Retained Dental Implant?
A screw-retained dental implant is a crown or bridge secured directly to the implant post using a small prosthetic screw through a screw hole located on the top of the implant crown. This connection is easily accessible for adjustments, maintenance, or repairs by your dentist.
Pros of Screw-Retained Dental Implants:
Easy Maintenance: Easily removable for maintenance or repairs without damaging the crown or dental implant.
Reduced Risk of Cement-Related Issues: No cement used, reducing risks of gum irritation, inflammation and peri-implantitis.
Predictable Retrieval: Crown can be removed safely for cleaning or adjustments.
Cons of Screw-Retained Dental Implants:
Non-ideal screw hole location: In highly aesthetic cases involving anterior dental implants, the prosthetic screw hole may be visible on on the front face of the crown. Therefore, screw-retained implant crowns would be undesirable
What is a Cement-Retained Dental Implant?
A cement-retained implant involves attaching a crown or bridge to an abutment (connector) using a resin dental cement. The crown looks completely natural, as the cemented area is hidden under the gum line.
Pros of Cement-Retained Dental Implants:
Enhanced Aesthetics: No visible screw access hole, providing a more natural appearance.
Lower Initial Cost: Typically lower in initial cost compared to screw-retained implants.
Cons of Cement-Retained Dental Implants:
Difficult retrieval if adjustments or repairs are needed.
Risk of excess cement causing gum irritation or even bone loss if not cleaned properly (peri-implantitis).
Less predictable maintenance compared to screw-retained implants.
Screw-Retained vs Cement-Retained: Summary of Key Factors to Consider
| Feature | Screw-Retained Implants | Cement-Retained Implants |
|---|---|---|
| Maintenance | Easy and predictable | Difficult, potential damage during removal |
| Aesthetics | Good in most cases, but can be problematic in aesthetic cases if the screw access hole is visible | Excellent, completely natural appearance |
| Gum and Bone Health | Minimal risk, no cement used | Higher risk if excess cement is not completely removed |
| Adjustments or Repairs | Easily retrievable | Difficult retrieval process |
Who Should Choose Screw-Retained Implants?
Screw-retained dental implant crowns are generally the preferred means of dental implant crown insertion. It is highly valuable if you:
- Prioritize ease of future maintenance.
- Have concerns about potential cement irritation.
- Prefer long-term predictability, even if initially more expensive.
Who Should Choose Cement-Retained Implants?
Cement-retained implants may suit you better if you:
- Prioritize aesthetics, especially in highly visible areas and the screw access hole would otherwise be visible with screw-retained dental implant crowns.
Making the Best Decision for Your Smile
Ultimately, the choice between screw-retained and cement-retained implants depends on your dental health, aesthetic preferences, budget, and long-term care goals. The dental professionals at Atlas Dental in Toronto can guide you through this decision by assessing your individual situation and helping you choose the implant solution that best meets your needs.
At Atlas Dental, we have experience placing and restoring both screw-retained and cement-retained implants. If you have questions or would like to schedule a consultation, contact us today! Let us help you restore your smile with the implant option that’s best for your oral health and lifestyle.
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