Implant Crown and Bridge

At Bluesky dental lab, we offer three distinct implant crown retention methods to address diverse clinical scenarios and patient requirements.

Screw-Retained 

• Complete Retrievability – Easy removal for maintenance, repairs, or component replacement without damaging restoration, providing long-term treatment flexibility
• Eliminates Cement Complications – No cement washout, excess cement retention, or peri-implant tissue irritation that can lead to peri-implantitis and implant failure
• Rapid Turnaround – Five working day delivery with streamlined digital workflows enables predictable treatment scheduling and efficient case completion
• Enhanced Hygiene Access – Removable design allows thorough cleaning of implant components and surrounding tissues, supporting long-term implant health
• Simplified Delivery Protocol – Straightforward seating procedure reduces chair time and clinical complexity compared to cement cleanup requirements

Overview
The choice between screw-retained and cement-retained restorations depends on specific clinical factors, including implant positioning, available restorative space, aesthetic demands, and retrievability considerations. Both retention methods have similar complication rates of 3-5%, but each has distinct advantages for different clinical scenarios.

When to Use Cement-Retained Implants
Choose cement-retained restorations when working in high-aesthetic anterior cases where implant angulation would place the screw access hole on the facial surface, creating cosmetic compromise, or when maximum esthetic demands require seamless appearance. Cement-retained cases require careful cement cleanup to prevent bacterial colonization and tissue inflammation that can jeopardize implant success.

When to Use Screw-Retained Implants
Select screw-retained restorations when implant positioning allows the access channel to exit through the cingulum anteriorly or central groove posteriorly, when restorative space is limited (requiring less space than cement-retained options), or when retrievability is important for future maintenance and repairs. Screw-retained options are advantageous in posterior applications and eliminate the risk of residual cement complications that can lead to peri-implantitis and implant failure.

When to Use Screwmentable Crowns
Choose screwmentable crowns when you need precise seating control and occlusal adjustment capabilities of cement-retained restorations while maintaining the retrievability and hygiene benefits of screw retention. This hybrid approach is ideal for complex bite relationships, challenging implant angulation, or when you need to verify perfect abutment fit before crown placement, all while avoiding intraoral cement complications and their associated risks.