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
- 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
Implant crown or a crown on your own tooth?
They look alike. What holds them, and how they are cared for, differ.
| Aspect | Crown on an implant | Crown on a natural tooth |
|---|---|---|
| What holds it | An implant post and abutment in the bone1,8 | Your own tooth, reshaped to fit under it |
| Before it goes on | Months of healing after the implant is placed1,8 | Usually two visits, with a temporary crown between |
| Lifespan | High survival at 10 years in studies (see the facts above)4,8 | 5 to 15 years on average |
| Can it decay? | No natural tooth underneath to decay; the gum and bone around the implant need care1,9 | The tooth underneath can decay at the edge |
| Common problems | Screw loosening and other technical problems4,10 | Decay and nerve problems in the tooth |
When a different restoration makes more sense
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
Who you'll see

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. BerkovichSources
- Cleveland Clinic: Dental implants
- American Association of Oral and Maxillofacial Surgeons: What are the components of a dental implant restoration?
- PubMed: Wittneben et al. 2014, screw- versus cement-retained implant restorations: systematic review
- PubMed: Jung et al. 2012, survival and complications of implant-supported single crowns: systematic review
- American Association of Oral and Maxillofacial Surgeons: How much are dental implants?
- Cleveland Clinic: Dental Impressions: Purpose & Procedure
- PubMed: Small 1998, communication between dentist and dental laboratory
- Cleveland Clinic: Dental Crowns: Types, Procedure & Care
- PubMed: Morimoto et al. 2016, survival of ceramic laminate veneers: systematic review and meta-analysis
- PubMed: Pjetursson et al. 2007, survival of tooth- and implant-supported fixed restorations: systematic review
- Cleveland Clinic: Dental Bridges: Types & Who Needs Them
- Cleveland Clinic: Implant Supported Dentures: Process, Benefits & Care
- American Association of Oral and Maxillofacial Surgeons: Does insurance cover dental implants?
- 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.
