A screw-retained implant prosthesis is attached to the implant or abutment using a fixation screw. It is highly valued in implant dentistry due to its excellent retrievability, allowing easy removal for maintenance, repair, or hygiene without damaging the prosthesis. The absence of luting cement eliminates the risk of cement-induced peri-implantitis, making it a biologically safe option. It also allows better control over passive fit and is especially advantageous in long-span and full-arch implant restorations.
A cement-retained implant prosthesis is secured to an abutment using dental cement. It is widely used because of its superior esthetics, as there is no visible screw access opening. The technique is simple and familiar to clinicians, similar to conventional crown cementation, and allows easy correction of minor implant angulation discrepancies. Cement-retained restorations also provide improved occlusal control and are well suited for single-tooth replacements, particularly in the esthetic zone.
Choose Screw-Retained When:
• Full-arch prosthesis
• Limited interocclusal space
• Posterior region
• Need for retrievability
• History of peri-implantitis
Choose Cement-Retained When:
• Single tooth in esthetic zone
• Favorable gingival margin
• Implant angulation prevents screw access
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