How Do Screwless Dental Implants Work?

July 31, 2025

Screwless Dental Implants

An In-Depth Guide for Patients at Lasting Smiles (Irvine, Las Vegas & Pasadena)

What Are Screwless Dental Implants?

Screwless dental implants, also known as cement-retained implants, are a modern alternative to traditional screw-retained systems. Instead of using a visible screw to attach the crown to the implant post, these implants rely on a precision-fit abutment bonded with dental cement for a clean, seamless finish.

They follow the same surgical process as traditional implants—including placement, osseointegration, and final restoration—but with adhesive bonding rather than screw retention.

Learn more about dental implants and our advanced procedures at Lasting Smiles.


Traditional Screw‑Retained vs. Screwless (Cement-Retained)

FeatureScrew-Retained ImplantScrewless (Cement-Retained)
Crown attachmentScrewed into abutmentBonded with dental cement
Aesthetic outcomeVisible access holeSeamless, natural appearance
AdjustmentEasy screw removalRequires professional removal
Risk of looseningPossible screw looseningRisk of cement residue inflammation
Ideal usePosterior/back teethFront esthetic zones and natural lines

How the Screwless Method Works in 3 Key Steps

1. Implant Placement

A titanium or zirconia post is surgically inserted into the jawbone. Over 3–6 months, the implant integrates with the bone (osseointegration), creating a stable base for your new teeth. Learn more about implant placement at Lasting Smiles.

2. Abutment Positioning

A pre-fabricated or custom abutment is attached above the gum line. The fit must be exact to ensure optimal support for the final crown.

3. Cementing the Crown

Instead of using a screw, special dental cement is applied to bond the crown directly to the abutment. This eliminates visible screw holes and creates a more natural look—especially in the front of the mouth.


Benefits of Screwless Dental Implants

A. Natural Esthetics

Screwless crowns eliminate the screw access hole, providing a more lifelike, beautiful result. This makes them ideal for visible areas like the front teeth. See examples in our smile gallery.

B. Reduced Mechanical Issues

Because there are no screws, there’s less risk of loosening or screw-related complications over time.

C. Fewer Dental Visits

Cemented crowns streamline the restoration process, often requiring fewer visits compared to screw-retained restorations.

D. Ideal for Soft Tissue Zones

When gum aesthetics are important, a cemented crown offers a smooth emergence profile and less interruption to natural gum lines.


Considerations & Risks with Screwless Implants

  • Cement Residue Risks Improper cement cleanup can cause inflammation or gum irritation. At Lasting Smiles, we use advanced techniques and digital workflows to prevent this.
  • Crown Removal Cement-retained crowns must be carefully removed by a professional if adjustments or repairs are needed.
  • Posterior Load Limits Back teeth that take heavy chewing forces may benefit more from screw-retained options for extra security.

Why Choose Screwless Implants at Lasting Smiles

At Lasting Smiles — with offices in Irvine, Las Vegas, and Pasadena — we offer both screw-retained and screwless dental implants based on your individual needs.

Our advantages include:

  • 3D imaging and digital planning
  • Custom abutments and crown design
  • Sedation dentistry for comfort
  • Skilled implant specialists with years of experience

Is Screwless Implant Right for You?

Screwless implants may be ideal if you:

  • Want a clean, screw-free aesthetic
  • Have good bone and gum health
  • Need front-tooth replacement
  • Prefer fewer mechanical components

We’ll help you decide the best fit during your free consultation at Lasting Smiles.


Patient Journey: What to Expect

  1. Initial Exam & 3D Scanning
  2. Custom Treatment Plan tailored for your smile
  3. Implant Surgery & Healing Phase with comfort options like IV sedation
  4. Abutment and Crown Placement
  5. Long-Term Maintenance and regular checkups

Explore more about our implant process here.


Aftercare and Maintenance

Once placed, screwless implants function like your natural teeth. Daily brushing, flossing, and professional cleanings are key. We’ll show you how to care for your restoration and preserve the surrounding gum health.


Final Thoughts

Screwless dental implants offer excellent esthetics, reduced mechanical risks, and streamlined treatment timelines—making them an attractive option for many patients.

Whether you’re exploring single tooth replacement, All-on-4 full mouth restoration, or snap-on dentures, the experts at Lasting Smiles are here to help you smile confidently.


Ready to Get Started?

Visit our offices in:

Schedule your consultation today and explore your options for screwless dental implants!


Share

Recent Articles