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Implant-supported prosthetics can be secured using either screw-retained or cement-retained systems. Each option has its unique benefits and is chosen based on the patient’s specific needs and clinical circumstances.
Screw-Retained Prosthetics
Screw-retained prosthetics use small screws to secure the crown, bridge, or denture to the implant.
Advantages:
• Retrievability: Easy to remove for cleaning, repairs, or adjustments.
• No Cement Residue: Eliminates the risk of cement causing irritation or infection around the implant.
• Precision: Provides excellent fit and alignment, ensuring long-term stability.
Applications:
• Cases requiring frequent adjustments or maintenance.
• Full-arch restorations, such as All-on-4 or All-on-6 systems.
• Situations where retrievability is a priority for long-term care.
Cement-Retained Prosthetics
Cement-retained prosthetics are bonded to the abutment using dental cement, providing a seamless and natural appearance.
Advantages:
• Aesthetic Appeal: No visible screw access holes, ensuring a more natural look.
• Better Force Distribution: The cement helps distribute chewing forces evenly.
• Versatility: Suitable for single-tooth restorations or situations where aesthetics are critical.
Applications:
• Front teeth or highly visible areas.
• Patients seeking a more natural appearance without visible screws.
Comparison
Feature | Screw-Retained | Cement-Retained |
Retrievability | Easy to remove | Requires cutting/replacement |
Aesthetic Appearance | May have visible screws | Seamless, natural look |
Risk of Cement Residue | None | Possible risk |
Maintenance | Convenient for long-term care | May require invasive procedures |
How Dent Health Istanbul Decides
At Dent Health Istanbul, the choice between screw-retained and cement-retained prosthetics depends on:
• The location of the implant (aesthetic zone or functional zone).
• The patient’s lifestyle and preferences.
• The complexity of the restoration.
Example Case
A patient requiring All-on-4 treatment chose screw-retained prosthetics for easy maintenance and longevity. For another patient with a single front tooth implant, a cement-retained crown was selected for its seamless aesthetics.
Why Proper Selection Matters
Choosing the appropriate system ensures:
• Long-term stability and durability.
• Aesthetic satisfaction.
• Reduced risk of complications, such as loosening or irritation.
Dent Health Istanbul’s expertise ensures each patient receives the best solution tailored to their individual needs and goals.