Crown & Abutment

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The information contained in or made available through this site cannot replace or substitute for the services of trained professionals in the medical field. You should consult a physician in all matters relating to your health, particularly concerning any symptoms that may require diagnosis or medical attention.

About Crown & Abutment

Most dental implant systems require the attachment of an abutment (retainer) to the implant. This is the “nub” on which the implant’s dental crown, bridge or denture is secured.

Dental Implant

The titanium, threaded implant that is placed in the jaw bone. Many patients believe the implant is the entire process. This is a common misunderstanding and is what leads to the confusion about cost. Some offices only place the implant in bone (periodontists, oral surgeons and endodontists). So, when contacting those offices they will only be able to provide a patient with the surgical cost, not the abutment and implant crown.

Abutment

An implant abutment is the intermediate piece that holds the implant crown to the implant. Nearly 100% of the time an abutment is necessary. They are made of titanium or ceramic. Only when a one-piece implant (implant and abutment together) is used can the abutment be avoided. In most instances this is ill advised as this technique dramatically limits the restorative options for the crown and future use of the implant if the patients losses additional teeth.

Implant Crown

This is the only part of the process that the patient is interested in, from the start. The replacement for the missing tooth is the actual implant crown. It is the last piece of the implant process. It can be made of porcelain, porcelain fused to metal or all metal depending on the area of the mouth and the functional demands of the patient. People who grind or clench their teeth are at much higher risk for porcelain fracture. Therefore, in non-cosmetic areas of the mouth it may be recommended that the implant crown be all metal.

Before the Implant Surgery

To find out whether dental implants are the best option for your smile, visit a qualified dental implant dentist. Your dentist will likely take x-rays and assess your overall health, dental health, bone structure, and gum tissue to ensure that your mouth can support dental implants. If you qualify for a dental implant, impressions may also be taken to calculate the exact place where the dental implant will be positioned in the gums. Be sure to discuss local anesthesia and sedation dentistry options with your dentist to make your teeth implants procedure more relaxed.

During the Dental Implant Crown & Abutment Surgery

After the initial consultation, the next step in the dental implant procedure is the dental implant placement. During the next appointment, your dentist will carefully position a dental implant, or titanium metal rod, at the position where the tooth root is missing. This rod is usually surrounded and covered with gum tissue to allow it time to fuse with the jawbone over several months in a process called osseointegration. The dental implant is made of materials that work naturally with the body, and the bond between the jawbone and dental implant creates an important, sturdy anchor that replicates the strength of a natural tooth root.

After the dental implant has fused with the jawbone to create a sturdy anchor, an abutment, a small piece of metal that screws onto the dental implant, is attached. A dental crown, or artificial tooth, is fastened securely to this abutment, completing the teeth implants procedure. In some cases, the abutment is attached at the same time that the implant is positioned. When this is the case, patients receive a temporary crown that attaches to the abutment until their permanent crown is crafted.

The final step in the dental implant procedure is placing the permanent dental crown. Your dentist will take images and impressions of your teeth so that a dental crown (artificial tooth) can be custom made to match the curvature, color, and shape of your natural teeth. Technology has become so advanced that many people can’t even tell the difference between the natural and artificial teeth. Once your dental implant has securely bonded with the jawbone, and your permanent crown is finished, your dentist will fasten your permanent dental crown to the abutment atop the dental implant.

After the Surgery

Because of the anchored support, you can expect to chew normally and follow similar hygiene care for your implant as for other teeth.

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