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Feature

Screw-Retained Implant Crown

Cement-Retained Implant Crown

Retention Method

    Mechanically cement at the lab

  Clinician cement in the mouth

Indications

   Posterior crowns, multi-unit bridges, functional restorations

  Anterior crowns, esthetic restorations, high-visibility zones

Esthetics

   Screw access hole visible (usually covered)

  No visible screw access, more seamless esthetics

Retrievability

   Easy to remove and replace due to screw access

  Difficult to retrieve without damaging the crown or abutment

Material Compatibility

   Compatible with zirconia, E.max, PFM

  Compatible with zirconia, E.max, PFM, and ceramics

Procedure Complexity

   Moderate; requires precise screw tightening

  Requires proper cementation techniques and no excess cement

Long-Term Stability

   Excellent stability, minimal risk of loosening with proper torque

  Reliable stability if cemented correctly, risk of cement washout

Ideal For

   Functional and long-lasting posterior restorations, bruxers

  Highly esthetic anterior restorations, where appearance is crucial

Cementation Risk

   No cement-related complications

  Risk of excess cement causing peri-implantitis if not managed properly

Cost

   Generally more affordable

  Slightly more expensive due to technique and cementation requirements