Screw-retained vs cement-retained implant crowns — which is better for you?
Patients researching implants often find the term 'screwless implant'. Every implant uses an internal connection; the real choice is how the visible crown is attached to it, and both methods are well established.
An implant crown is either screwed onto the implant through a small access hole that is then sealed, or cemented onto an abutment with no visible screw access — the type patients often call a 'screwless' implant crown. Screw-retained crowns are easier to remove and repair; cement-retained crowns can be preferred where the screw hole would show.
Key facts
- Both are long-established methods
- Screw-retained = retrievable, no cement
- Cement-retained = no visible access hole
- Choice depends on angle, space and aesthetics
Screw-retained crowns
The crown and abutment are one unit fixed with a screw. The access hole is covered with tooth-coloured filling. Because there is no cement, there is no risk of excess cement under the gum, and the crown can be removed for cleaning or repair.
Cement-retained crowns
The crown is cemented onto an abutment like a conventional crown. With no access hole, the biting surface can look completely natural, which is useful when implant angles would place the hole on a visible surface.
How your dentist decides
Implant angle, the space available, how visible the tooth is, bite forces and how easily the restoration may need to be serviced in the future.
The implant crown is the visible part of an implant tooth. It is designed to match the shape, shade and translucency of the neighbouring teeth, and is connected to the implant either with a screw or cement.
Prepared by the Manhal Medical Center editorial team · Updated: 2026-10-04 · Treating specialist: Dr. Manhal Helfawee
This page is general information and does not replace a consultation. Suitability, risks and results vary between patients.
Your specialist
Dr. Manhal Helfawee
Medical Director · Dentist & Implant Dentistry
Implants, full-arch rehabilitation and cosmetic restorative dentistry.
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Questions patients ask
Patients visit us from Al Safa, Al Wasl, Jumeirah, Umm Suqeim, Al Quoz, City Walk, Business Bay, Downtown Dubai and Al Barsha — and from Sharjah and the wider UAE.
Is a 'screwless' implant really without a screw?
The implant always has an internal screw connection; 'screwless' usually refers to a cemented crown with no visible screw hole.
Which lasts longer?
Both can last many years; screw-retained crowns are easier to maintain if a repair is ever needed.
Can excess cement cause problems?
Residual cement under the gum can contribute to inflammation, which is why careful technique and X-ray checks matter.
Can a loose screw-retained crown be fixed?
Usually yes — the screw is re-tightened or replaced without making a new crown.
Where can I get screw retained vs cement retained implant crown in Dubai?
At Manhal Medical Center, Building 101, Street 22A, Al Safa 1, Dubai, UAE, with Dr. Manhal Helfawee (Medical Director · Dentist & Implant Dentistry). Book by phone, WhatsApp or the form on this page.
Which doctor should I see?
Dr. Manhal Helfawee (Medical Director · Dentist & Implant Dentistry) at Manhal Medical Center.
How do I book an appointment?
Use the form on this page, call +971 4 328 4560, or WhatsApp +971 52 987 2411. Our team will match you with the right doctor.
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