Can You Replace a Dental Implant Crown?

Yes, dental implant crowns are replaceable if they become damaged or worn over time. Cracks, discoloration, and wear are some of the most common reasons an implant crown will need to be replaced.

Other reasons for dental implant replacement could be improper fit or positioning of the crown, a loose crown, an infection in the surrounding gum tissue, or gum recession. Some people may just want to upgrade to a more aesthetically pleasing prosthetic tooth. 

If you are considering replacing a dental implant crown, you should be familiar with the signs that an implant crown needs replacing and the crown replacement process. From there, you can consult with a trusted dentist and decide on the best course of action.

Why Do Dental Implant Crowns Need to Be Replaced?

The crown on a dental implant may need to be replaced for several reasons, including natural wear and tear over time. Below are some of the most common reasons implant crowns need to be replaced:

Wear and Tear: Just like natural teeth, dental crowns are prone to wear and tear. If you notice that you are having a harder time chewing or that your crown's appearance has changed, it may be time for a replacement.

Injury: A fall or a direct blow may cause a crown to become chipped or broken. While it is often possible to treat the fracture without removing the crown, replacement may sometimes be the only option.

Infections or Changes in Gum Health: A dental implant itself will not develop any cavities, but the periodontal soft tissue surrounding the crown can become infected and pull away from the implant. Advanced gum disease or gum recession could necessitate the removal and replacement of a dental implant crown in conjunction with gum disease treatment and/or a gum graft. Removing and replacing the entire dental implant might be necessary in severe cases of gum disease or gum recession.

Cosmetic Reasons: As time passes, your implant crown may change color or shape. In this case, you might choose to replace your implant crown with a more aesthetically pleasing one that improves your smile and boosts your self-esteem.

Implant Failure: A dental implant may fail in rare cases due to infection or poor positioning. In this case, dental implant removal may be necessary. A new crown should be placed only after the new implant has integrated successfully with the jawbone and the gum has healed completely around the abutment.

The Dental Implant Crown Replacement Procedure

The procedure for changing a dental implant crown will differ depending on whether you have a cement-retained or screw-retained crown. 

Cement-Retained Crowns

To replace a cement-retained implant crown, the dentist may need to drill through or slice off the crown to gain access to the abutment. Once the crown is taken off, the dentist will take or order X-rays and evaluate the state of the abutment, implant, and the surrounding gum tissue and bone to determine whether or not periodontal treatments, a new implant, or a new abutment are also needed.

To replace the cement-retained implant crown, the abutment will be replaced (if necessary) and photographs of the site will be taken to fabricate a new crown that fits perfectly with the adjacent natural teeth. After the new crown is completed, it will either be cemented or screwed onto the abutment. It’s important to decide on the new crown type carefully with your dentist as cement-retained and screw-retained crowns come with different advantages and risks.

Screw-Retained Implant Crowns

The dentist will use a special device, such as an implant removal tool or a torque wrench, to loosen and unscrew the crown. Once the crown has been removed, the dentist will evaluate the condition of the abutment, implant, and surrounding gum and bone to see if any additional treatments are needed. Finally, the dentist will take photos of the area and a new crown will be fabricated and screwed onto the abutment.

Frequently Asked Questions

1. What Is the Average Lifespan of Dental Implant Crowns?

Dental implant crowns can last 10 to 15 years with adequate care and maintenance. Regular dental check-ups are necessary to monitor their status as well as maintaining good oral health habits at home.

2. Does the Crown Replacement Procedure Hurt?

Patients have reported feeling little or no discomfort during the procedure, especially with the use of local anesthesia. Most of the time, mild pain and discomfort after the procedure can be alleviated with over-the-counter drugs. 

3. How Long Is the Recovery Period after Implant Crown Replacement?

Recovery from implant crown replacement is quick. However, if you also require a replacement dental implant, the recovery period will be longer. Dental implants typically need a 3-6 month healing period before crown placement.

4. How Can You Extend the Lifespan of a Dental Implant Crown?

Good oral hygiene, regular dental appointments, and refraining from eating hard foods or using your teeth as a tool will assist in extending the lifespan of your crown.

Can A Dental Implant Crown Be Replaced? Absolutely!

Replacing an implant crown is a fairly straightforward process. It includes removing the old crown that has been chipped, flattened, or stained over time and placing a new crown. Whether you receive a cement-retained or screw-retained implant crown, replacing a damaged crown will help you maintain good oral health and potentially improve your smile aesthetics.

Current dental technology is capable of fabricating beautiful crowns made from durable dental materials such as porcelain. This contributes to a seamless and aesthetically pleasing integration of your new dental crown into your smile.