Why Screwless Dental Implants Are Taking Over UK Clinics

Dental implant procedures have traditionally relied on screw-retained systems, but a growing number of UK clinics are now adopting screwless alternatives. These cement-retained restorations represent a shift in how dental professionals approach implant placement and restoration, offering distinct advantages in specific clinical situations.

What are screwless implant restorations?

Screwless dental implants, more accurately termed cement-retained implants, secure the prosthetic crown or bridge to the abutment using dental cement rather than a screw mechanism. The implant fixture itself still integrates into the jawbone through osseointegration, but the visible restoration attaches differently. In this system, the abutment connects to the implant, and the crown bonds to the abutment with specialized dental cement. This eliminates the access hole typically required in screw-retained systems, where a screw passes through the crown to secure it to the implant. The cemented approach provides a seamless aesthetic finish and can be particularly advantageous in anterior (front) teeth where appearance is paramount. The technique has been used in implant dentistry for decades but has seen refinements in materials and methods that make it increasingly viable for various clinical scenarios.

Why are screwless options gaining popularity?

Several factors contribute to the rising adoption of cement-retained implant systems across UK dental practices. Aesthetically, these restorations offer superior outcomes in visible areas because they eliminate the screw access hole that must be filled in traditional systems. Even with tooth-colored filling materials, screw access channels can sometimes be detectable, particularly under certain lighting conditions. Cement-retained crowns provide uninterrupted porcelain surfaces that more closely mimic natural tooth structure. Additionally, these systems often allow for better control of the crown contours and emergence profile, as the dentist is not constrained by screw access positioning. From a technical perspective, cement retention can compensate for minor angulation discrepancies between the implant position and the ideal crown orientation. When implants are placed at slight angles due to bone anatomy, cement-retained restorations offer more flexibility in achieving proper alignment without complex angled abutments. Many practitioners also find the cementation process familiar and straightforward, as it mirrors techniques used in traditional crown and bridge work.

How do screwless systems work in practice?

The clinical workflow for cement-retained implant restorations follows a systematic process. After the implant has integrated with the bone during the healing period, typically three to six months, the dentist attaches an abutment to the implant fixture. This abutment can be stock (prefabricated) or custom-made to suit the specific case requirements. Impressions are then taken, either of the abutment directly or using an impression coping, to create an accurate model for the dental laboratory. The laboratory fabricates a crown that fits precisely over the abutment, with margins designed to sit at or slightly below the gum line. During the final appointment, the dentist trials the crown for fit, contacts, and aesthetics before cementing it permanently or semi-permanently to the abutment. Cement selection is critical, with options ranging from temporary cements that allow future retrievability to permanent cements that provide maximum retention. The choice depends on factors including the patient’s oral hygiene, the risk of future complications, and the specific clinical situation. Excess cement must be meticulously removed during placement, as residual cement beneath the gums can contribute to peri-implant inflammation and potential implant complications.

Comparing screwless implant prices in the UK

The cost of cement-retained implant restorations in the UK varies based on location, clinic reputation, materials used, and case complexity. Understanding the financial investment involved helps patients plan appropriately for treatment. Generally, a single cement-retained implant crown ranges from £1,500 to £3,000, though prices in central London and premium practices may exceed this range. This typically includes the implant fixture, abutment, and final crown, though some clinics itemize these components separately. Multiple implant restorations or full-arch rehabilitations cost considerably more, with prices scaling based on the number of implants required. Custom abutments, which may be necessary for optimal aesthetics or complex cases, can add £200 to £500 to the overall cost. It is important to note that cement-retained systems do not inherently cost more or less than screw-retained alternatives; pricing primarily reflects the implant system used, the materials chosen for the restoration, and the expertise of the treating clinician.

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.

Are screwless approaches suitable for everyone?

While cement-retained implant systems offer numerous advantages, they are not universally appropriate for all patients or clinical situations. Suitability depends on several factors that dentists evaluate during treatment planning. Patients with excellent oral hygiene and low risk of future complications are often good candidates, as the permanent nature of cementation is less concerning when the likelihood of needing to remove the restoration is minimal. Conversely, individuals with a history of peri-implantitis or those requiring frequent maintenance may benefit more from screw-retained systems that allow easier access for cleaning or restoration removal. Anatomical considerations also play a role; when implants are positioned with favorable angulation and adequate interocclusal space, cement retention works well. However, in cases with limited vertical space or significant angulation challenges, screw-retained options might prove more practical. The location of the restoration influences the decision as well, with anterior teeth often favoring cement retention for aesthetic reasons, while posterior teeth may be restored with either method based on other clinical factors. Ultimately, the choice between cement-retained and screw-retained systems should be made collaboratively between patient and dentist, weighing the specific advantages and limitations of each approach in the context of individual circumstances.

Screwless dental implant systems represent a valuable option within the spectrum of implant restoration techniques available in UK clinics. Their growing popularity reflects both technological refinements and a deeper understanding of when these approaches offer optimal outcomes. By considering the aesthetic benefits, clinical applications, cost implications, and individual suitability factors, patients can work with their dental professionals to select the restoration method that best serves their long-term oral health and functional needs. As with all dental treatments, thorough consultation and personalized treatment planning remain essential to achieving successful, lasting results.

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.