Considering Dental Implants? What You Should Know

Dental implants have revolutionized tooth replacement, offering a permanent solution for individuals experiencing tooth loss or damage. These advanced dental prosthetics provide a natural-looking and functional alternative to traditional dentures or bridges, helping patients restore both their smile and confidence.

Considering Dental Implants? What You Should Know

When considering options for replacing missing teeth, traditional dental implants often come to mind. However, advancements in dental technology have introduced variations, including methods that aim to simplify the process. Exploring these different approaches can provide clarity on the choices available for restoring your smile and oral function.

What Are Screwless Dental Implants?

Screwless dental implants refer to a concept in implant dentistry where the prosthetic crown or bridge is attached to the implant post without a visible screw access hole on the biting surface. While the implant itself is typically anchored into the jawbone using a threaded screw-like fixture, the connection point for the final restoration often uses cementation or a friction-fit mechanism. This design aims to create a more natural appearance and can sometimes simplify the restorative phase by eliminating the need to fill a screw channel.

The increasing popularity of screwless implant restorations stems from several perceived advantages. One primary benefit is the aesthetic outcome; without a visible screw access hole, the crown or bridge can mimic the natural tooth more closely, especially in highly visible areas of the mouth. Additionally, some dental professionals and patients prefer this method to avoid potential issues associated with screw loosening or fracture, although these are relatively uncommon with properly placed and maintained traditional screw-retained restorations. The absence of a screw channel also means the biting surface is entirely uninterrupted, potentially offering a smoother feel.

How Do Screwless Implants Work?

The process for screwless implants begins similarly to traditional implants, with a titanium post surgically placed into the jawbone. This post then undergoes osseointegration, a healing period where it fuses with the bone. Once stable, an abutment is attached to the implant. For screwless restorations, the final crown or bridge is then typically cemented onto this abutment. Unlike screw-retained restorations where the crown is directly screwed into the implant or abutment and a small access hole is later filled, cement-retained restorations rely on a strong dental cement to secure the crown in place. Another approach involves friction-fit abutments where the components fit together very precisely, creating a strong, stable connection without screws or cement, allowing for retrievability.

The Key Benefits of Screwless Dental Implants

Screwless dental implant restorations offer several advantages that appeal to both patients and clinicians. Aesthetically, the absence of a screw access hole on the occlusal (biting) or lingual (tongue side) surface can result in a more natural-looking restoration, particularly for front teeth. This can be a significant factor for individuals prioritizing the visual appeal of their smile. From a functional perspective, some prefer the uninterrupted surface of a cemented or friction-fit crown, as it eliminates the need for composite material filling a screw channel, which can sometimes wear down or discolour over time. These restorations also tend to have a passive fit, which can reduce stress on the implant components.

Comparing Screwless and Traditional Dental Implants

When evaluating tooth replacement options, understanding the differences between screwless and traditional (screw-retained) dental implants is crucial. Both methods provide effective, long-lasting solutions for missing teeth, but they differ in their restorative attachment mechanisms and associated considerations. Traditional screw-retained implants offer excellent retrievability, meaning the crown can be easily removed by a dentist if maintenance or repair is needed. Screwless options, while offering aesthetic benefits and sometimes a simpler restorative workflow, might pose challenges if the restoration needs to be removed without damaging it. The choice between these methods often depends on factors such as the implant’s location, bite forces, aesthetic priorities, and the dentist’s preference and experience.

— Dental Implant Cost Estimates in the UK —

Understanding the potential costs associated with dental implants is an important part of the decision-making process. Prices can vary significantly based on the complexity of the case, the number of implants required, the materials used, the specific clinic, and the location within the United Kingdom. It is common for the overall cost to include the implant post, abutment, and the final crown or bridge, alongside diagnostic scans and surgical fees. Additional procedures, such as bone grafting or sinus lifts, if needed, will also add to the total expenditure.

Product/Service Provider (Example) Cost Estimation (per implant)
Single Dental Implant Local Private Clinic £2,000 - £4,000
Implant-supported Bridge Regional Dental Centre £4,000 - £10,000 (for 3-4 units)
Full Arch Implants Specialist Clinic £10,000 - £25,000+ (per arch)

Prices, rates, or cost estimates mentioned in this article are based on the latest available information but may change over time. Independent research is advised before making financial decisions.


Choosing dental implants is a significant decision for oral health and quality of life. Both screwless and traditional dental implant approaches offer robust solutions for replacing missing teeth, each with distinct advantages. Consulting with a qualified dental professional is essential to assess individual needs, discuss suitable treatment options, and understand the full scope of the procedure and its associated considerations.