{"id":5247,"date":"2026-09-07T09:00:00","date_gmt":"2026-09-07T06:00:00","guid":{"rendered":"https:\/\/dtayseerken.com\/?p=5247"},"modified":"2026-08-14T16:32:54","modified_gmt":"2026-08-14T13:32:54","slug":"screw-retained-or-cemented-implant-crowns","status":"publish","type":"post","link":"https:\/\/dtayseerken.com\/en\/screw-retained-or-cemented-implant-crowns\/","title":{"rendered":"Screw Retained or Cemented Implants: What Is the Difference?"},"content":{"rendered":"<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_87_1 ez-toc-wrap-left counter-hierarchy ez-toc-counter ez-toc-light-blue ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title ez-toc-toggle\" style=\"cursor:pointer\">Table of Contents<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/dtayseerken.com\/en\/screw-retained-or-cemented-implant-crowns\/#Are_There_Implants_Without_Screws\" >Are There Implants Without Screws?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/dtayseerken.com\/en\/screw-retained-or-cemented-implant-crowns\/#The_Real_Distinction_Screw_Retained_Versus_Cemented\" >The Real Distinction: Screw Retained Versus Cemented<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/dtayseerken.com\/en\/screw-retained-or-cemented-implant-crowns\/#Where_Screw_Retention_Is_Strong_and_Where_It_Is_Limited\" >Where Screw Retention Is Strong and Where It Is Limited<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/dtayseerken.com\/en\/screw-retained-or-cemented-implant-crowns\/#Where_Cementation_Is_Strong_and_Where_It_Is_Limited\" >Where Cementation Is Strong and Where It Is Limited<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/dtayseerken.com\/en\/screw-retained-or-cemented-implant-crowns\/#How_the_Choice_Is_Actually_Made\" >How the Choice Is Actually Made<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/dtayseerken.com\/en\/screw-retained-or-cemented-implant-crowns\/#What_About_One-Piece_Implants\" >What About One-Piece Implants?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/dtayseerken.com\/en\/screw-retained-or-cemented-implant-crowns\/#How_We_Approach_This_at_Our_Clinic\" >How We Approach This at Our Clinic<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-8\" href=\"https:\/\/dtayseerken.com\/en\/screw-retained-or-cemented-implant-crowns\/#Conclusion\" >Conclusion<\/a><\/li><\/ul><\/nav><\/div>\n\n<p class=\"wp-block-paragraph\">Screw retained or cemented is a question that decides how your implant crown attaches to the implant beneath it, and it is one of the quieter decisions in implant dentistry. Patients rarely hear about it before treatment, yet it affects how the restoration is maintained, how easily it can be repaired and what happens to the gum around it over the years. Some patients arrive having read about implants without screws and expect a completely different technique. This article explains what that phrase really means, how the two attachment methods differ and how the choice is made.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Are_There_Implants_Without_Screws\"><\/span>Are There Implants Without Screws?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Almost every dental implant in use today has a screw-shaped body that is placed into the jawbone. The thread is not a design flourish. It increases the surface in contact with bone and provides stability from the moment the implant is seated. In that sense, the part of the implant inside the bone is always a screw.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">So where does the phrase implants without screws come from? It usually refers to one of two things. The first is a crown that is cemented onto an abutment, so no screw access hole is visible on the tooth. The second is a one-piece implant, where the body and the abutment are manufactured as a single unit. These are not the same thing, and confusing them leads patients into treatment with the wrong expectation.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">If you would like the wider picture first, our page on <a href=\"https:\/\/dtayseerken.com\/en\/what-is-a-dental-implant\/\">what a dental implant is<\/a> covers the basics, and <a href=\"https:\/\/dtayseerken.com\/en\/fixed-implant-supported-prostheses\/\">implant-supported prostheses<\/a> sets out the restoration options.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"The_Real_Distinction_Screw_Retained_Versus_Cemented\"><\/span>The Real Distinction: Screw Retained Versus Cemented<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Once the implant has integrated with the bone, a restoration is placed on top of it. There are two ways that restoration can be held in place.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>In a screw retained restoration<\/strong> the crown or bridge is fixed directly to the implant with a prosthetic screw. A small access hole sits on the chewing surface or the back of the tooth and is later sealed with a filling material. Looked at closely, the sealed area can sometimes be identified.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>In a cemented restoration<\/strong> an abutment is first attached to the implant, and the crown is bonded onto that abutment with a dental cement. No access hole appears on the tooth and the surface stays uninterrupted. This is usually the method people mean when they talk about implants without screws.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Where_Screw_Retention_Is_Strong_and_Where_It_Is_Limited\"><\/span>Where Screw Retention Is Strong and Where It Is Limited<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Screw retention has clear advantages, particularly for long-term follow-up:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Retrievability:<\/strong> The restoration can be unscrewed and removed without damage. When a check, a clean or a repair is needed, that makes a real difference.<\/li>\n\n\n\n<li><strong>No residual cement:<\/strong> Cement left below the gum line is a recognised trigger for inflammation around implants. Screw retention removes that risk entirely.<\/li>\n\n\n\n<li><strong>Works in limited vertical space:<\/strong> If there is little room to the opposing jaw, there may not be enough surface for reliable bonding. A screw solves that problem.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">It is not suitable everywhere, though. Where the implant angle would bring the access hole out through the front surface of the tooth, the aesthetic result suffers. The filling that seals the access channel can also discolour over time and may need renewing.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Where_Cementation_Is_Strong_and_Where_It_Is_Limited\"><\/span>Where Cementation Is Strong and Where It Is Limited<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Cemented restorations bring their own benefits:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>An uninterrupted aesthetic surface:<\/strong> In the front of the mouth, having no visible access hole on a tooth that shows when you smile is a genuine advantage.<\/li>\n\n\n\n<li><strong>Tolerance for angulation:<\/strong> If the implant is not in the ideal axis, the abutment can correct the angle and the crown can still be built in the right position.<\/li>\n\n\n\n<li><strong>Easier occlusal shaping:<\/strong> Because the chewing surface stays whole, contact points can be refined more freely.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">The limitations deserve attention. If cement pushed below the gum is not fully removed, inflammation around the implant can develop over time. We describe how that process unfolds on our page about <a href=\"https:\/\/dtayseerken.com\/en\/peri-implantitis-treatment\/\">peri-implantitis<\/a>. And when a cemented restoration has to come off, the procedure cannot always be carried out without damage.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"How_the_Choice_Is_Actually_Made\"><\/span>How the Choice Is Actually Made<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">This is not a matter of preference, it is the outcome of planning. We look at the following points:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Implant angulation and where the access hole would emerge:<\/strong> If it comes out on the back surface, screw retention is straightforward. If it would emerge at the front, we either use an angulated screw channel or move to cementation.<\/li>\n\n\n\n<li><strong>How visible the area is:<\/strong> For teeth in the smile line, appearance carries more weight.<\/li>\n\n\n\n<li><strong>Gum level:<\/strong> If the abutment margin sits deep below the gum, removing excess cement becomes difficult, and screw retention is the safer route.<\/li>\n\n\n\n<li><strong>Single tooth or bridge:<\/strong> On longer bridges carried by several implants, retrievability matters more, and screw retention usually wins.<\/li>\n\n\n\n<li><strong>Bite forces and the opposing arch:<\/strong> In patients who clench or grind, being able to unscrew and inspect the restoration is valuable.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">The other factors that shape the outcome of implant treatment are covered in our article on <a href=\"https:\/\/dtayseerken.com\/en\/what-factors-increase-success-in-implant-treatment\/\">what increases success in implant treatment<\/a>.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"What_About_One-Piece_Implants\"><\/span>What About One-Piece Implants?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Implants where the body and abutment are manufactured as a single unit also exist. Because there is no junction between implant and abutment, they behave differently in terms of bacterial leakage at that interface. On the other hand the restoration direction is fixed from the outset, so no angle correction is possible and they cannot be used in every case.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">These designs are still screwed into the jawbone, which means they are not screwless either. Suitability depends on bone volume, the position of the gap and the restoration that is planned on top.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"How_We_Approach_This_at_Our_Clinic\"><\/span>How We Approach This at Our Clinic<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">At our clinic in the Oba district of Alanya, implant planning starts with a three-dimensional scan. We decide the angle of placement not only by looking at the bone, but by thinking about the restoration that will sit on top. That approach keeps the access hole away from the visible surface from the very beginning and keeps both options open.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">When we work in the front of the mouth we consider an angulated screw channel. It redirects the access opening towards the back of the tooth and preserves both retrievability and appearance. Where we do choose cementation, we keep the abutment margin close to the gum line and treat the removal of excess cement as a separate, deliberate step rather than an afterthought.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">For patients travelling from abroad with a limited stay, we build the plan around that from the start. Practical details about reaching us, appointment sequencing and follow-up are gathered in our guide to <a href=\"https:\/\/dtayseerken.com\/en\/dentist-alanya\/\">finding a dentist in Alanya<\/a>. Daily care after treatment shapes the long-term result regardless of which attachment method was used, a subject we cover in <a href=\"https:\/\/dtayseerken.com\/en\/how-should-you-care-for-your-mouth-after-implant-treatment\/\">oral care after implant treatment<\/a>.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Conclusion\"><\/span>Conclusion<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">An implant without screws is not what the name suggests. The phrase almost always describes a cemented restoration with no visible access hole, not an implant that lacks a thread. The part sitting in the bone is screw-shaped in both approaches. Screw retention offers a practical long-term solution thanks to retrievability and the absence of cement risk, while cementation comes into its own in the aesthetic zone and where angle correction is needed. The right choice follows from the position of the implant, the gum level and the restoration that is planned. At Ay\u015fe Erken Dental Clinic we make this decision during planning rather than at the end of treatment, and we explain the reasoning to the patient. If you would like to know which attachment method suits your own case, you are welcome to <a href=\"https:\/\/dtayseerken.com\/en\/contact\/\">get in touch with us<\/a>.<\/p>\n\n","protected":false},"excerpt":{"rendered":"<p>Screw retained or cemented is a question that decides how your implant crown attaches to the implant beneath it, and it is one of the quieter decisions in implant dentistry. Patients rarely hear about it before treatment, yet it affects how the restoration is maintained, how easily it can be repaired and what happens to&#8230;<\/p>\n","protected":false},"author":2,"featured_media":5480,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_joinchat":[],"footnotes":""},"categories":[33],"tags":[],"class_list":["post-5247","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-library"],"_links":{"self":[{"href":"https:\/\/dtayseerken.com\/en\/wp-json\/wp\/v2\/posts\/5247","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/dtayseerken.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/dtayseerken.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/dtayseerken.com\/en\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/dtayseerken.com\/en\/wp-json\/wp\/v2\/comments?post=5247"}],"version-history":[{"count":0,"href":"https:\/\/dtayseerken.com\/en\/wp-json\/wp\/v2\/posts\/5247\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/dtayseerken.com\/en\/wp-json\/wp\/v2\/media\/5480"}],"wp:attachment":[{"href":"https:\/\/dtayseerken.com\/en\/wp-json\/wp\/v2\/media?parent=5247"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/dtayseerken.com\/en\/wp-json\/wp\/v2\/categories?post=5247"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/dtayseerken.com\/en\/wp-json\/wp\/v2\/tags?post=5247"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}