Crown over Dental Implant

Understanding the Benefits and Considerations of Dental Implant Crowns

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Crowns over Dental Implants: a comprehensive guide

When faced with the challenge of replacing a missing tooth, the pinnacle of restorative dental options isthe crown over an implant. With a myriad of dental solutions at your fingertips, selecting the ideal fit foryour needs may seem daunting. At Smiles of Boca, we understand the significance of this decision.That’s why we’ve crafted this informative article to guide, enlighten, and empower you with knowledgeabout the various crown over implant types and their appropriate applications. Our goal is to equip youwith the necessary insights to make the best choice for your unique smile

What is a crown over a dental implant?

A crown over a dental implant is a restorative dental solution used to replace a missing tooth. It beginswith a dental implant, which is a titanium post surgically placed into the jawbone, acting as a sturdyanchor, and mimicking the root of a natural tooth. Once the implantintegrates with the bone,acrownisthenattachedto the dental implant through a component known as an abutment.This abutment servesas a connecting piece between the implant and the crown.Thecustom-made crown—designed tomatch the color, shape, and size of your natural teeth—istheneither cemented onto the abutment orattached with a special screw. This connection is designed to be strong and durable, allowing the crownto function likea natural tooth when chewing and speaking.

Types of crown over dental implant

Crowns over dental implants can be categorized both by how they attach to the implant and by thematerials fromwhich they are made.When it comes to attaching crowns over dental implants, there areprimarily two methods of retention: cement-retained and screw-retained.

Cement-retained crowns are indicated forcaseswhere the implant’s angulationdoes not allow forascrew-retained crowndue to the visibility of the access hole. The advantages of cement-retained crownsarea more straightforward fabrication and placement process.Disadvantages include the risk ofcement-induced inflammation if excess cement is notthoroughly removed, and less predictableretrievability which may complicate future maintenance or adjustments.

Screw-retained crowns are typically indicated for situationswherethe implant placement allows directaccess for the screw, orwhenease of retrievability is a priority. The advantages include straightforwardremoval if repairs are needed, the absence of cement which eliminates the risk of peri-implantitis due toresidual cement, and a precise fit that can be beneficial for the long-term health of the implant.The disadvantagescan include aesthetic limitations due to the visibility of the screw hole, and therequirement for precise implant placement to ensure the screw hole is not visible and to allow forproper crown alignment, which may not always be achievable.

Material-wise, crowns can be crafted from a variety of substances, including all-ceramic, porcelain fusedto metal (PFM), zirconia, and even gold or metal alloys, chosen based on factors like the desiredaesthetic, the strength required,and biocompatibility with the patient’s body.

Ultimately, the choice ofimplant crownis basedon the specific needs and circumstances ofeachpatient,including the number and position of implants, the health of the surrounding tissues, thepatient’s preference, aesthetics,ease of maintenance,and the need for a fixed versus retrievablesolution

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The process of getting a dental crown over an implant

Once a dental implant has osseointegrated(‘fused’)with the bone, theprocess of fitting a crown overthe implant typically involves three key steps:

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Preparation

After osseointegration is confirmed, the dentist conducts a thorough examination to assess the health ofthe implant site and the surrounding gum tissue. This step ensures that the area is ready for the nextphase of the restoration. Any necessary adjustments tothesiteor adjacent teethare made, and thehealing abutment is removedto prepare for an accurate impression or scan

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Impression or Scan

An impression coping or scanbodyis attached onto the implant. This component ensures that theimpression or digital scan taken provides an exact record of the implant’s location in relation to theadjacent teeth and surrounding tissues. This detailed record is essential for the dental laboratory tocreate a crown that will fitperfectlyperfectly onto the abutment and aligns correctly with the bite andadjacent teeth, ensuring proper functionality

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Delivery

Once the crown/abutment fixtureis fabricated, the patient returns for the delivery appointment. Thedentistinserts the abutment and crownto verify the fit, appearance, and bite. Any minor adjustmentsare made at this stage. When everything is confirmed to be satisfactory, the crown ispermanentlyattached to theimplant, either by cementing it or securing it with a screwonto the abutment,completing the restoration process. The patient leaves with a fully functional and aesthetic toothreplacement

Minor sensitivity orinflammation around the gum tissue may be present, which typically subsidesshortly after the procedure. Care instructions will be provided on how to clean and maintain the implantand crown effectively. A follow-up visit might be scheduled to monitor thenew crown and address anyconcerns that may arise after a period of everyday use. Normal eating, speaking, and oral hygienepractices can be resumed immediately, allowing for the immediate enjoyment of the benefits of arestored smile.

Comparing Crowns: Implant vs. Tooth

A crown over an implant and a crown over a natural tooth both serve the purpose of restoring adamaged or missing tooth, but they differ fundamentally in application and structure. A crownover animplant replaces an entire missing tooth, starting with a titanium post that integrates with the jawbone,acting as a new root, whereas a crown over a tooth is placed over an existing, typically damaged toothto restore its shape, size, and function. The former is an option when the tooth is completely missing,providing the added benefit of preventing jawbone loss and not requiring support from neighboringteeth. In contrast, the latter is used when the tooth’s structure is compromised but the rootsystem isintact. Both offer aesthetic and functional restoration, but the crown over an implant offers a longevityand stability that is as close to a natural tooth as possible

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The cost of a crown over implant

The cost of a crown over an implant can vary widelybased on various factors, including geographiclocation, the dentist’s expertise, the materials used, and specific patient needs. Generally, patientsmight expect the crown and abutment to range anywhere from approximately $1,000 to $3,000 ormore,excluding the cost of the implant surgery and any temporary restorations that may be requiredduring the treatment process. The wide range accounts for factors like the type of material used for thecrown(ceramic, porcelain, zirconia, etc.)andthe complexity of the case.For example, acrown on animplant in the back of the mouth typically involves less complexity compared to one in the front teeth.This is because front teeth crowns require greater consideration for aesthetics, speech, and function.

It’s important to note that these estimates do not include the initial implant placement or anyprovisional crowns that may be used as a temporary solution while the implant integrates with thebone. When considering the entire process, including the implant surgery, the abutment, and the crown,the total cost can range from $3,000 to $6,000 or more per implant.It’s also worth noting thatnowadays, most insurance companies cover a portion of implant costs, significantly reducing out-of-pocket expenses.

These figures are general estimates.Given the customized nature of dental work, the final cost can onlybe determined following a detailed consultation and treatment planning with a dental professional

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Choose Excellence with Smiles of Boca

At Smiles of Boca, weunderstand that choosing a dental care provider is a significant decision, and weare committed to making that choice an easy one for you. Our practice, led by the highly skilled Dr.Rafael Morales, stands out for its exceptional blend of cutting-edge technology, personalized care, and awarm, welcoming environment. We take pride in our meticulous attention to detail and our unwaveringcommitment to patient satisfaction. Each treatment plan is crafted to meet your unique needs, ensuringnot just a beautifulsmile, but also long-term oral health. Choosing Smiles of Boca means choosing ateam that values your comfort and wellbeing, making us not just your dental care provider, but apartner in your journey to optimal dental health

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Before and After

Before and After: Transformative Crown over Implant Restorations

Experience a remarkable smile transformation with crown over implant restorations. Before, gaps and missing teeth might have affected your confidence, but after this procedure, witness the remarkable change as a custom crown is securely placed over a dental implant. Not only does it seamlessly fill the void left by a missing tooth, but it also enhances your smile’s appearance and functionality. The ‘before’ may have held insecurities, but the ‘after’ reveals a confident and natural-looking smile that can positively impact your overall well-being.

Frequently Asked Questions about crown over implant

What is the typical lifespan of a dental implant crown?

The typical lifespan of a dental implant crown can vary depending on several factors including thematerial of the crown, the location of the implant in themouth, the patient’s oral hygiene habits, andtheir overall health. Generally, a well-maintained dental implant crown can last anywhere from 10 to 15years or even longer. However, with excellent oral hygiene and regular dental check-ups, some implantcrowns can last a lifetime. It’s important to note that while the crown itself may need replacement aftera number of years due to wear and tear, the implant in the jaw can last for decades or a lifetime withproper care. Regular dental visits are crucial formonitoring the condition of both the crown and theimplant

Can dental implants and crowns be used for multiple missing teeth?

Yes, dental implants and crowns can be used to replace multiple missing teeth. When several adjacentteeth are missing, a series of individual implants and crowns may be placed, each replacing a singletooth. Alternatively, a dental bridge supported by implants can be used. For patients missing all theirteeth, implant-supported full dentures or bridgescan be an option, where several implants are placed inthe jawbone to support a full arch of teeth

Are there any dietary restrictions after getting a crown over an implant?

Yes, after getting a crown over an implant, it’sgenerally advised to avoid hard and chewy foods for ashort period to allow for healing and to protect the new crown. Soft foods and liquids are recommendedinitially, gradually reintroducing regular foods as comfort and confidence with the implant increase

How do I know if I’m a good candidate for a dental implant crown?

You’re likely a good candidate for a dental implant crown if you have one or more missing teeth,sufficient jawbone density to support an implant, good oral health, and no health conditions that impairbone healing. A detailed evaluation by a dentist, including dental x-rays or scans, is necessary to confirmyour suitability

What is the maintenance routine for a crown over an implant?

The maintenance routine for a crown over an implant includes regular brushing and flossing, just likenatural teeth, along with routine dental check-ups and cleanings. Avoiding hard foods that coulddamage the crown is also recommended

Is the procedure for placing a crown over an implant painful?

The procedure for placing a crown over an implant is typically not painful. Local anesthesia is used tonumb the area, ensuring comfort during the procedure. Some mild discomfort or swelling may beexperienced after the anesthesia wears off, but this can usually be managed with over-the-counter painmedication.

How long does it take to complete the entire crown over implant procedure?

Theactualfabrication and delivery of an abutment andcrown over implantgenerally takesonly 2-4weeks. Thisdoes notinclude the timeit takesfor the implant to integrate with the jawbone(osseointegration), which can take 3-6 months. The exact timeline can vary basedon individual healingand treatment specifics

What are the risks or potential complications associated with crown over implant procedures?

Possible complications specifically associated with the crown over an implant include improper fit of thecrown, which can affect bite and comfort, chipping or breaking of the crown material, and potentialissues with the crown becoming loose over time.

For cement-retained crowns, a potential complication is excess cement left beneath the gum line, whichcan lead to inflammation or infection. For screw-retained crowns, there’s a risk of the screw looseningover time, which may require adjustment or re-tightening by a dentist. Regular dental visits areimportant for monitoring and addressing these issues

Can I replace an old bridge or dentures with dental implant crowns?

Yes, old bridges or dentures can often be replaced with dental implant crowns. This option provides amore stable and long-lasting solution. A dental evaluation is necessary to determine suitability based onbone density and overall oral health

How does a crown over an implant compare i n terms of strength and feel to a natural tooth?

A dental implant and crown will never fully replace a natural tooth in terms of natural sensation,proprioception (the ability to sense the position and movement of the tooth), and the exactbiologicalresponse and interaction with the surrounding oral tissues. However, acrown over an implantisdesigned toclosely mimicthe strength and feel of a natural tooth. It’s designed to bear similar chewingforces and offers a comparableoverallexperience, making it a highly effective and comfortable toothreplacement option