Dental Implants, Abutments and Crowns

Many times people will say that they would like an “Implant”.   After a further discussion patients will assume that by saying that will allow them to start chewing on that “implant” when the procedure is complete. That’s not the case.

There are several steps that must take place to achieve acceptable results with the placement of a dental implant.  When we speak of an implant procedure there are three basic items to consider.  I like to compare these basic items to the following;  root, tooth and crown.

The first comparison or analogy to make is that of a natural tooth.  Many times I will state that we are going to “build” a new tooth where we are missing a tooth.

First we need to have a foundation or “root” to start with, similar to the base or root of a natural tooth.  I compare the implant to the root of a tooth. So when it is placed in the bone one has the “root” similar to that of a natural tooth root.  One can’t see the root of their natural tooth and therefore a patient can’t visualize the implant either when in place within the socket of bone.  So if we now have a root we need a “tooth” to go above the gumline on the implant (root).

The “tooth” would be called an abutment.  An abutment is a prosthetic attachment that is placed immediately on the top of the implant and will be seen within the mouth much like a natural tooth.  That will be the second of the three parts needed to complete the entire procedure.

The third and final part is that of the crown that goes on the abutment or “tooth”.  The crown or cap on an implant is very similar to a crown that is attached to a natural tooth.   The crown on an implant can be secured with a screw into the abutment or cemented.

So, in summary, we have three items to consider when discussing an “implant” procedure within the mouth.  First is the “root”, second is the “tooth/abutment” and the third is the crown or cap.

Usually, a surgeon will place the implant and a general dentist will place the abutment and crown.  Although, a single dentist may complete the entire procedure.  So remember when we speak of an implant that one consider all three portions and not just the “root” or implant that is placed into the bone of the patient.

Contact our office for more information.

Dallas Dental Office News Update, By Dallas Texas Dentist, William H. Miller
Woodhill Medical Park, 8305 Walnut Hill Lane, Suite 235, Dallas, Texas, 75231
Phone: (214) 692-1050