What Is an Implant Crown and Why Would It Need Replacement?

An implant crown is the visible portion of a dental implant restoration that resembles a natural tooth. It sits atop the implant abutment, which connects to the titanium implant post embedded in your jawbone. While the titanium implant itself can last a lifetime with proper care, the crown portion may require replacement for several reasons.

Implant crowns typically need replacement due to normal wear and tear, physical damage, or aesthetic concerns. Most dental professionals estimate that implant crowns last between 5-15 years, depending on materials used, location in the mouth, and individual habits like teeth grinding or chewing hard foods. Signs that your implant crown needs replacement include visible cracks, chips, discoloration that doesn't respond to cleaning, looseness, pain or discomfort around the implant site, or visible wear on the chewing surface.

The Implant Crown Replacement Process

Replacing an implant crown typically requires 2-3 dental visits and follows a systematic process. During your initial consultation, your dentist will examine the existing crown, take X-rays to assess the implant's condition, and discuss replacement options based on your needs and budget.

The actual replacement procedure begins with the removal of your existing crown. Unlike natural teeth, implant crowns are often secured with screws or dental cement. Your dentist will carefully remove the old crown while preserving the underlying abutment and implant. If the abutment is damaged or worn, it may also need replacement. After removal, your dentist will take new impressions of your mouth to create a perfectly fitted replacement crown. While waiting for your permanent crown (typically 1-2 weeks), a temporary crown may be placed. Once your custom crown arrives, you'll return for final placement, where your dentist will check the fit, make any necessary adjustments, and permanently attach the new crown to your implant.

Material Options for Replacement Crowns

When replacing your implant crown, you'll need to choose from several material options, each with distinct advantages and considerations:

Porcelain-Fused-to-Metal (PFM): These crowns combine the strength of a metal base with the natural appearance of porcelain. They're durable and relatively affordable, though they may show a metal line near the gumline over time.

All-Ceramic or All-Porcelain: These crowns provide the most natural-looking results and are ideal for front teeth. Colgate notes that all-ceramic crowns are metal-free and excellent for patients with metal allergies, though they may not be as strong as other options for back teeth.

Zirconia: These crowns offer exceptional durability while maintaining a natural appearance. Dental Economics reports that zirconia crowns resist chipping and cracking better than traditional porcelain options, making them suitable for patients who grind their teeth.

Provider Comparison for Implant Crown Replacement

When seeking implant crown replacement, you have several provider options to consider:

Provider TypeAdvantagesConsiderations
General DentistLower cost, existing relationshipMay refer complex cases
ProsthodontistSpecialized in restorationsHigher fees
Dental School ClinicReduced costsLonger appointment times

Nobel Biocare, a leading implant manufacturer, offers a network of certified dentists specifically trained in their implant systems. Similarly, Straumann provides specialized components that may be important if your original implant used their system. For complex cases or if you're unsatisfied with your current provider, American Academy of Implant Dentistry can help you locate a qualified implant specialist in your area.

Cost Factors and Maintenance

The cost of replacing an implant crown varies significantly based on several factors. Material choice substantially impacts price, with porcelain-fused-to-metal crowns typically ranging lower than all-ceramic or zirconia options. The complexity of your case also affects cost—straightforward replacements are less expensive than those requiring abutment replacement or addressing complications.

Provider type influences pricing as well, with specialists like prosthodontists generally charging more than general dentists. Careington and other dental discount plans may offer reduced rates on implant crown replacements. Some dental insurance plans provide partial coverage for implant crown replacement, particularly if the replacement is necessary due to fracture rather than purely cosmetic reasons.

Once your crown is replaced, proper maintenance becomes crucial for longevity. Brush twice daily with a soft-bristled toothbrush, floss carefully around the implant, and use antimicrobial mouth rinses as recommended by your dentist. Waterpik water flossers can be particularly effective for cleaning around implants. Schedule regular dental checkups every six months, and consider a nightguard if you grind your teeth. With proper care, your replacement crown can provide many years of functional, aesthetic service.

Conclusion

Replacing your dental implant crown is a common procedure that can restore function and appearance to your dental restoration. By understanding the process, materials, and provider options, you can make informed decisions about your dental health. Remember that while implant crowns don't last forever, choosing quality materials and providers, followed by diligent maintenance, can significantly extend the lifespan of your replacement crown. Consult with dental professionals to determine the best replacement option for your specific situation, and don't delay replacement if you notice damage or wear to prevent more complex issues from developing.

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This content was written by AI and reviewed by a human for quality and compliance.