Screw-Retained Crowns

What are Screw-Retained Crowns?
Screw-retained crowns are a type of dental restoration that is attached to a dental implant using a small screw. This method is often preferred in cases where easy removal is necessary in the future, such as when adjustments or repairs are required. Unlike cemented crowns, screw-retained crowns do not require any dental cement, which reduces the risk of excess cement causing issues around the gumline.
Benefits of Screw-Retained Crowns
- Easy Removal: If the crown ever needs to be removed, whether for maintenance or adjustments, it can be easily unscrewed without the risk of damaging the surrounding tissue.
- Improved Precision: The screw attachment allows for a more precise fit, ensuring that the crown aligns perfectly with the implant and the adjacent teeth.
- No Risk of Cement Problems: One of the biggest advantages of screw-retained crowns is that they eliminate the risks associated with excess cement, which can potentially cause gum irritation or infection.
- Durability: Screw-retained crowns are highly durable and are designed to provide long-term stability and functionality.
The Process for Placing Screw-Retained Crowns
Screw-retained crowns are typically placed after the implant has fully integrated with the bone (a process called osseointegration, which can take several months). During the procedure:
- Your dentist will carefully attach the crown to the implant using a small screw.
- The screw is tightened, securing the crown firmly in place.
- The bite is checked to ensure that the crown aligns properly with your other teeth, providing both aesthetic and functional benefits.
After placement, you may experience minimal discomfort, but the procedure is generally straightforward with little recovery time needed.
What Makes Screw-Retained Crowns Unique?
While cemented crowns are fixed with dental cement, screw-retained crowns are attached with a titanium or gold screw, making them a reversible solution. This can be particularly helpful for patients who may need adjustments or repairs in the future.
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Frequently Asked Questions (FAQs)
The main difference lies in how they are secured to the implant. A screw-retained crown is fastened with a small screw, whereas a cemented crown is bonded using dental cement. Screw-retained crowns are easier to remove for adjustments or repairs, while cemented crowns are more permanent.
Yes, screw-retained crowns are just as durable as cemented crowns and are designed to withstand the normal wear and tear of chewing and biting. The main advantage is that they can be removed easily if necessary.
Once the crown is securely placed and adjusted, you can eat normally. However, it’s advisable to avoid sticky or hard foods immediately after placement to ensure the crown remains stable while the healing process continues.
Screw-retained crowns are typically no more uncomfortable than any other type of dental restoration. Local anesthesia is used during the placement procedure to ensure comfort. After the procedure, any discomfort is usually minimal and can be managed with over-the-counter pain relievers.
With proper care, screw-retained crowns can last 10-15 years or longer. Regular brushing, flossing, and routine dental check-ups are essential to maintaining the health of the crown and surrounding tissues.