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Dr. Angela Berkovich, DMD

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Implant crowns: the tooth your implant carries

An implant has three parts: the post in the bone, the abutment (the connector that joins them) and the crown you see and chew with; once the bone has healed around the post, the crown is designed, made and fitted to match your other teeth. Our dental lab is next door, so your dentist and the technician work on your case together.

In short

What is an implant crown?

An implant crown is the tooth-shaped restoration attached to a dental implant through the abutment. It is placed once the jawbone has fused to the implant, and it is either screwed to the abutment or cemented onto it. In a review of studies both had similar survival, with fewer complications for screw-retained crowns.

From the office of Dr. Angela Berkovich, DMD, Deerfield Beach · (954) 427-3000

Last updated

Parts
Implant post, abutment, and the crown1,2
Placed after
The bone fuses to the implant, over three to nine months1
Attachment
Screw-retained or cemented; 5-year survival 95.55% vs 96.03%3
Survival in studies
Implant crowns: 96.3% at 5 years, 89.4% at 10 years4
A common problem
Screw loosening (8.8% at 5 years)4

From healed implant to finished tooth

  1. Healing

    The jawbone fuses to the implant over several months. A temporary tooth may be worn in the meantime.1,5

  2. Abutment

    The connector is attached to the implant. It can be temporary or final, and placing it may need a minor second procedure.1,2

  3. Records

    A digital scan or impression records the implant position and the teeth around it.6

  4. Design and lab work

    The crown is shaped and shaded to match your teeth by the technician in the dental lab next door.7

  5. Fit

    The crown is checked for bite and contacts, then screwed or cemented to the abutment.3

Implant crown or a crown on your own tooth?

They look alike. What holds them, and how they are cared for, differ.

Implant crown or a crown on your own tooth?
AspectCrown on an implantCrown on a natural tooth
What holds itAn implant post and abutment in the bone1,8Your own tooth, reshaped to fit under it
Before it goes onMonths of healing after the implant is placed1,8Usually two visits, with a temporary crown between
LifespanHigh survival at 10 years in studies (see the facts above)4,85 to 15 years on average
Can it decay?No natural tooth underneath to decay; the gum and bone around the implant need care1,9The tooth underneath can decay at the edge
Common problemsScrew loosening and other technical problems4,10Decay and nerve problems in the tooth

When a different restoration makes more sense

  • If several teeth in a row are missing, a bridge on implants can replace them with fewer implants.1,2
  • If the neighboring teeth already need crowns, a tooth-supported bridge may make sense instead of an implant.11
  • If you are missing many teeth, an implant-supported denture may replace a whole arch.12

Questions patients ask

Screw-retained or cemented: which is better?

Both work. A review of studies found no significant difference in survival between the two, and fewer technical and biologic complications overall with screw-retained crowns, which can also be removed for repair. We go through which one suits your implant before the crown is made.3

How long do implant crowns last?

The implant itself can outlast the crown on it: Cleveland Clinic says the crown lasts around 15 years, and the systematic review in the facts above gives the share still in place at 10 years. Brushing and flossing around the implant, regular cleanings, and a night guard if you grind all help it last.1,4

Can an implant crown come loose?

It can. Screw loosening is the common technical problem with implant crowns (the facts above give how often), and a loose crown is usually re-tightened or re-cemented. Tell us if your crown feels loose or moves, so it can be checked.4

Does insurance cover the implant crown?

Some dental plans cover the crown on the abutment even when they don't cover the implant itself. Coverage depends on the plan, its annual limits, and whether it is a medical or dental plan, so the office checks your benefits before the crown is made.13,14

Who you'll see

Dr. Angela Berkovich, DMD

Dr. Angela Berkovich, DMD

Dentist, trained at Oregon Health & Science University School of Dentistry

Dr. Berkovich designs implant crowns with the technician in the dental lab next door, so shade and shape are matched to your own teeth.

Medical content reviewed by Dr. Angela Berkovich, DMD on .

Office: 1348 E Hillsboro Blvd Suite A, Deerfield Beach, FL 33441. (954) 427-3000

About Dr. Berkovich

Sources

  1. Cleveland Clinic: Dental implants
  2. American Association of Oral and Maxillofacial Surgeons: What are the components of a dental implant restoration?
  3. PubMed: Wittneben et al. 2014, screw- versus cement-retained implant restorations: systematic review
  4. PubMed: Jung et al. 2012, survival and complications of implant-supported single crowns: systematic review
  5. American Association of Oral and Maxillofacial Surgeons: How much are dental implants?
  6. Cleveland Clinic: Dental Impressions: Purpose & Procedure
  7. PubMed: Small 1998, communication between dentist and dental laboratory
  8. Cleveland Clinic: Dental Crowns: Types, Procedure & Care
  9. PubMed: Morimoto et al. 2016, survival of ceramic laminate veneers: systematic review and meta-analysis
  10. PubMed: Pjetursson et al. 2007, survival of tooth- and implant-supported fixed restorations: systematic review
  11. Cleveland Clinic: Dental Bridges: Types & Who Needs Them
  12. Cleveland Clinic: Implant Supported Dentures: Process, Benefits & Care
  13. American Association of Oral and Maxillofacial Surgeons: Does insurance cover dental implants?
  14. Dr. Angela Berkovich, DMD: Payment options (this website)

General information, not a diagnosis or a promise of results. Individual results vary, and whether a treatment suits you depends on your exam.

Talk it through at a consultation

Bring your questions and any X-rays you already have. We'll look at your teeth and explain whether this treatment is a reasonable option for you, and what else could be.

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