A New Wave in Dental Implants: Why Screwless Systems Are Becoming the Go-To Choice

In the UK, clinicians and patients are increasingly interested in screwless dental implant options that rely on engineered friction or conometric retention rather than tiny screws or conventional cement. This shift is driven by a desire to minimise common complications such as screw loosening, reduce excess cement risk, and simplify maintenance over the life of the restoration. While not suitable for every case, these systems offer a practical alternative that many practices are exploring for single-tooth and full-arch solutions.

What Are Screwless Dental Implants?

Screwless implant restorations use mechanical friction or taper-fit connections to secure the crown, bridge, or full-arch prosthesis to the implant abutment. Instead of a retaining screw or traditional dental cement, the parts “lock” together via precisely matched geometries. Examples include Morse-taper and conometric concepts where a small cone-shaped interface creates a tight, stable connection. Well-known systems employing these ideas include Bicon’s locking-taper design and conometric approaches such as Acuris by Dentsply Sirona. The goal is a reliable, retrievable restoration without the drawbacks associated with screws or residual cement.

Why Are Screwless Implants Becoming a Popular Choice?

Interest has grown because screwless connections can mitigate several everyday issues. Screw loosening can be frustrating for both patients and clinicians; friction-fit designs remove that specific failure mode. By avoiding conventional cement, they also sidestep the risk of excess cement left below the gumline. In hygiene terms, clinicians often find inspections and maintenance more straightforward when there are no screw access holes in the biting surface. For full-arch cases, some systems aim to offer a fixed feel while allowing planned maintenance or component replacement with specialised tools.

How Do Screwless Implants Work?

Most screwless systems use precision-engineered cones (often a Morse taper) that create a secure, friction-based “press fit.” When seated, the crown or prosthesis is stabilised by the taper angle and contact area. For single units, this can feel very similar to a conventional crown, but its retention comes from the interface rather than a screw or cement. For full-arch prostheses, systems like LOCATOR F-Tx from Zest Dental Solutions use specialised abutments and retention elements designed to provide fixed stability with retrievability using specific instruments. Removal, when needed, typically requires a controlled technique to protect components and soft tissues.

Are Screwless Implants Suitable for Everyone?

Case selection is essential. Adequate bone volume and quality, good oral hygiene, and stable bite forces remain core requirements for any implant restoration. Patients with heavy parafunction (for example, bruxism) may still be better served by screw-retained solutions depending on clinician judgment. Restorative space is another consideration: friction-fit parts and attachment components require sufficient vertical room. Angulation can also matter; some conometric systems have limitations if implants are placed at challenging angles. As with all implant care, clinician experience, diagnostic planning, and careful follow-up are critical to long-term success.

Comparing Screwless Dental Implants Prices

Costs vary across UK private clinics and depend on diagnostic needs, brand components, laboratory fees, and the clinician’s expertise. As a general guide, a single-tooth screwless restoration typically falls within the same ballpark as a screw-retained crown, while full-arch solutions can range more widely. The figures below are typical estimates for local services in your area and may differ between regions and clinics. Prices are estimates and may change over time.

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.

Beyond these ranges, diagnostics (consultation, CBCT scans), provisional restorations, bone or soft-tissue grafting, and maintenance visits can add to overall spend. Some clinics bundle fees; others itemise each stage. Patients in the UK often compare quotes from several providers and review what is included, such as follow-up hygiene reviews, night guards for bite protection, and component warranties.

Practical Pros and Cons

Advantages of screwless approaches include avoiding screw loosening, eliminating the risk of cement residue, and preserving the biting surface without screw access holes. Potential trade-offs include technique sensitivity, the need for compatible components and instruments, and possible limitations when correcting challenging implant angulations. In full-arch cases, clinicians weigh retrievability and hygiene access carefully, ensuring that the design supports routine cleaning and long-term maintenance plans.

Care and Maintenance in the UK

After fitting, your dentist will schedule periodic reviews to check tissue health, occlusion, and component wear. Home care includes interdental cleaning and low-abrasive toothpaste, with tailored advice if you have a full-arch prosthesis. Many UK practices coordinate with dental hygienists for ongoing support. If a crown or bridge ever needs removal, trained teams use dedicated tools to detach the friction-fit safely, inspect components, and reseat the restoration.

In summary, screwless implant restorations offer a credible, well-engineered alternative to screw- or cement-retained designs. With appropriate case selection and meticulous planning, they can simplify maintenance and address common mechanical concerns. As with any implant treatment, outcomes depend on careful diagnosis, clinician experience, and consistent long-term care.

This article is for informational purposes only and should not be considered medical advice. Please consult a qualified healthcare professional for personalized guidance and treatment.