In the dynamic world of dental implantology, the choice between screw-retained and cement-retained dental implant crowns plays a crucial role in determining the success and longevity of a patient’s new smile. DenScore, your trusted health navigation companion, is here to guide you through the intricacies of these two crown attachment methods. In this blog, we will delve into the key differences between screw-retained and cement-retained crowns, exploring their respective pros and cons.

Understanding the Basics:

Before we dive into the comparison, let’s establish a foundational understanding of both types of dental implant crowns.

  1. Screw-Retained Crowns:

   – In this method, the crown is secured onto the implant using a screw.

   – The crown has a small access hole that allows for the screw to be tightened, providing stability.

   – This type of crown is easily removable for maintenance or in case of any issues.

  1. Cement-Retained Crowns:

   – Cement-retained crowns, on the other hand, are affixed to the implant by dental cement.

   – The crown is cemented onto the abutment, creating a permanent bond.

   – There is no visible screw access hole in cement-retained crowns, offering a seamless appearance.

Distinguishing Features:

  1. Aesthetics:

   – Screw-Retained: The presence of a small access hole for the screw may slightly compromise aesthetics, but advancements in design have minimized its visibility.

   – Cement-Retained: Known for a more aesthetically pleasing appearance due to the absence of visible screws.

  1. Retrievability:

   – Screw-Retained: Easily removable for maintenance, repairs, or in the case of complications.

   – Cement-Retained: More challenging to retrieve and may require the crown to be cut off, potentially causing damage.

  1. Stability:

   – Screw-Retained: Offers excellent stability, and the screw can be retightened if needed.

   – Cement-Retained: Provides a strong and stable fit but lacks the adjustability of screw-retained crowns.

  1. Maintenance:

   – Screw-Retained: Simplifies maintenance and repairs as the crown can be easily removed.

   – Cement-Retained: Requires more effort for maintenance, and removal can be a complex procedure.

Pros and Cons:

Screw-Retained Crowns:


   – Easy retrievability for maintenance or in case of complications.

   – Adjustability allows for tightening of the screw if needed.

   – Zero risk of peri-implantitis from cement getting stuck under the gums because the implant crown is secured by tightening a screw instead of using cement.


   – The potential for aesthetics to be slightly compromised if the dentist doesn’t block out the darkness from the screw when filling the access hole.

   – Requires more technical expertise during placement.

Cement-Retained Crowns:


   – Aesthetically superior with no visible access hole.

   – Offers a permanent and strong bond.

   – Simpler placement procedure compared to screw-retained crowns.


   – Difficult retrievability may lead to challenges in maintenance or repairs.

   – Elevated risk of peri-implantitis from cement getting stuck under the gums, which could lead to gum inflammation or implant failure.


As you embark on your journey to a dazzling DenScore smile through dental implant crowns, understanding the nuances between screw-retained and cement-retained options is crucial. Each method comes with its unique set of advantages and considerations. While screw-retained crowns offer ease of retrievability and adjustability, cement-retained crowns shine in aesthetics and simplicity of placement. Your choice should align with your individual needs, preferences, and the guidance of your dental professional. DenScore stands by you, ensuring that your path to a radiant smile is navigated with precision and care.

DenScore: Your Trusted Dental Navigator for Personalized Solutions

Understand all aspects of dental care with DenScore. Utilize our free online dental navigation tool to get answers if you have questions about pain in your mouth, cosmetic dental procedures, replacement of missing teeth and more. Our care navigators can also assist you in finding the right dentist or dental insurance to ensure you will be able to stay on top of your oral health.

Written By: Kushagra Goel

Medically Reviewed By: Dr. Gita Yitta