Crown on a tooth implant
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At the Kiadent Author Prosthetics Dental Clinic, we quickly and efficiently install a crown on an implant. This is a reliable method that allows you to restore a lost tooth for a long term.
Make an appointment at our clinic for a consultation with the best implantologists in Odessa.
Crown on an Implant – What It Is and How It Looks
This is a dental crown that is installed on an implant to replace a severely damaged or missing tooth. The new tooth looks like a natural one.
The shape, color, and material of the new visible part of the tooth are determined at the preparation stage for implantation. After installing the implant, the doctor takes an impression and creates a 3D model of the future crown. He takes into account the structure of adjacent units and the position of the post so that the construction fits exactly into the dental row.
Chewing function is restored, tooth shifting towards the missing tooth is prevented, there is no load on the lateral teeth (as when using a bridge), and bone atrophy does not occur.
Prices for Dental Crowns on an Implant
Full list of services for a crown on an implant
Temporary crown on implant + abutment
Ceramic on implant (implant cost not included)
Metal-ceramic crown on implant
Zirconia on implant (implant cost not included)
Types of Crowns by Material
Zirconia
Zirconium dioxide is a biocompatible material that combines strength and aesthetics, suitable for restoring front and side teeth.
Pros:
- Does not cause allergies.
- Durability (20 years).
- Does not change color throughout its service life.
Cons:
- Price.
Ceramic
- Ceramic is a biocompatible and safe material. Ceramic is close in appearance to natural teeth. Serves up to 15 years.
Pros:
- High aesthetics—suitable for restoring front teeth.
- Do not lose color, shine over time.
Cons:
- Less strong, cannot withstand heavy chewing loads.
- Higher cost.
E-max
- E-max ceramic imitates natural enamel. High aesthetics are achieved in the smile zone.
Pros:
- Durability (from 15 years) and biocompatibility.
- Tight fit to soft tissues.
Cons:
- Not suitable for molars.
- Cost.
Metal-Ceramic
Metal-ceramic is the most common but already outdated material for making crowns in modern dentistry. The metal frame is covered with ceramic. They last up to 12 years.
Pros:
- Strength—well withstands chewing loads.
- Low cost, excellent "price-quality" ratio.
Cons:
- Not recommended for front teeth, less aesthetic due to metal translucency.
- With bruxism, chips or cracks may appear.
Which Crown Is Better on an Implant?
The choice depends on where the titanium root is installed and how much you can allocate for prosthetics.
Metal-ceramic—suitable for restoring molars, withstands heavy chewing loads. Less aesthetic but more attractive in price.
Ceramic—preferable for front teeth. Looks natural, like your own teeth. But less strong, expensive.
Zirconia—is an opportunity to install reliable and aesthetic constructions both in the front and lateral parts of the jaw. The only downside is the high price.
Steps of Installing a Dental Crown on an Implant
1. Step. Preparation
After examining the patient's oral cavity and diagnostics, the doctor draws up a plan for implant implantation and creating a model of the orthopedic construction. Chooses the implantation method (with immediate loading or delayed).
2. Step. Implant and abutment installation
After performing local anesthesia, the doctor makes an incision in the gum, prepares a bed for the artificial root. Implants it, fixes the abutment or healing abutment.
3. Step. Fixation of the temporary crown
The orthopedic construction is fixed with cement to the abutment or attached to the inserted implant with a screw.
In one-stage implantation, a temporary dental prosthesis is installed on the same day or on the 3rd-7th day. It is made according to pre-taken impressions and computer modeling.
In two-stage—no temporary construction is installed, the permanent one is fixed after 3-5 months.
4. Step. Installation of the permanent crown
When the implant has fully fused with the bone tissue (3-5 months), the doctor again takes impressions to create a model of the permanent construction. After a few days, the finished crown is fixed.
Methods of Fixing a Crown on a Dental Implant
We install the visible part of the new tooth on the artificial root in two ways:
Cementation
The abutment (connector) is attached to the installed implant with a screw. Then the crown is fixed to the abutment using adhesive—dental cement. It hardens, securely holding it in place. The entire installation process takes place directly in the patient's mouth.
Screw Retention
A through hole is made in the crown. It is connected to the abutment with a screw outside the patient's oral cavity. The finished construction is fixed on the implanted implant. The through hole on the occlusal surface is sealed with composite material (filling).
Why the screw method is better:
- Precision of installation—you can control the tightening force, avoid deformation of the dental prosthesis.
- Sealing—tight fit to the implant reduces the risk of bacteria and dental plaque getting between them.
- Ease of maintenance—the doctor can unscrew the construction for replacement without discomfort for the patient. With cement fixation, it is more difficult to remove—it will have to be ground down for a long time.
Comparison of Crowns on Implants with Regular Ones
Crown on your own tooth | Crown on implant |
---|---|
Purpose | |
Covers, protects a tooth that was damaged by caries or injury | Replaces the upper part of a tooth that cannot be restored |
Before installation | |
The tooth is prepared | An abutment is fixed on the artificial root |
When it can be installed | |
Healthy, properly treated canals | Anywhere in the absence of a tooth and presence of an implant |
Effectiveness of tooth treatment | |
If inflammation occurs, the dental prosthesis is removed, roots are retreated | With proper care, the implant fuses with bone tissue without developing inflammation (implant is a stable base, not subject to destruction) |
Service life | |
7-10 years | 10 years or more |
Cost | |
Average | High |
Surgical intervention | |
No | Yes |
Degree of reliability | |
High if roots are healthy | Very high (titanium root is implanted into the jawbone) |
Final result | |
10-14 days | 2-6 months (permanent crown) |
Questions and Answers
- How soon are crowns placed on implants?
The timing of installation depends on the patient's individual situation and the treatment plan developed by the implantologist. If circumstances allow for a protocol with immediate loading, the crown can be fixed on the day of implant placement or on the 3rd-7th day. The classical method involves installing the orthopedic construction 3-5 months after the operation, when the titanium root has completely fused with the jawbone.
- Are two crowns installed on one implant?
No, one implant is used for one crown. A second cannot be placed, as it would lack a strong support and be suspended. Bridge prostheses can be fixed on two implants.
- Why immediately after implantation?
A temporary crown is installed immediately after the fixation of the artificial root in case of choosing the immediate loading protocol. This allows the patient to restore the functionality and aesthetics of the dental arch, returning to a full normal life. In addition, this way the implant is protected from loads and movements. After full osseointegration, the temporary construction is replaced with a permanent one.
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Changed: 24 Nov, 2024
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