Screwless vs Traditional Implants: Which Is Better for You?

Choosing between screwless and traditional dental implants can feel overwhelming. Both options offer reliable solutions for replacing missing teeth, but they differ in design, placement technique, and long-term maintenance. Understanding how each type works, their respective benefits, and what factors influence cost can help you make an informed decision that aligns with your dental health needs and budget.

Screwless vs Traditional Implants: Which Is Better for You?

Modern dentistry has evolved to offer various implant solutions designed to restore function and aesthetics after tooth loss. Two primary approaches dominate the field: screwless implants, often called cement-retained implants, and traditional screw-retained implants. Each method has distinct characteristics that may suit different clinical situations and patient preferences. Exploring the mechanics, advantages, and financial considerations of both can guide you toward the most appropriate choice for your circumstances.

How Screwless Implants Work

Screwless implants, also known as cement-retained implants, involve a two-part system where the implant post is surgically placed into the jawbone, and once osseointegration occurs, a custom crown is cemented onto an abutment attached to the post. Unlike screw-retained systems, there is no access hole on the crown’s surface, as the restoration is permanently bonded with dental cement. This design creates a seamless appearance and eliminates the risk of screw loosening over time. The cementation process is similar to traditional crown placement, making it a familiar technique for many dental professionals. However, retrievability can be more challenging if adjustments or repairs are needed, as removing a cemented crown may require cutting through the restoration.

Advantages of Screwless Dental Implants

Screwless implants offer several notable benefits. The absence of a screw access hole on the crown’s occlusal surface results in superior aesthetics, particularly for front teeth where appearance is paramount. The cemented design also allows for greater flexibility in angulation, making it easier to achieve optimal crown positioning even when the implant is placed at a less-than-ideal angle. Additionally, the cementation technique can provide better occlusal contact and more natural chewing forces distribution. Some patients and dentists prefer this method for posterior teeth where the bulk of chewing occurs, as the solid crown structure without a screw channel may offer enhanced durability under heavy bite forces. Maintenance is straightforward, as there are no screws to monitor or tighten during follow-up visits.

Screwless vs Traditional (Screw-Retained) Implants

Traditional screw-retained implants feature a crown that is secured directly to the implant abutment with a small screw. An access hole on the crown’s surface is filled with composite resin to conceal the screw head. This design offers significant advantages in retrievability, allowing dentists to easily remove the crown for adjustments, repairs, or replacement without damaging the restoration. Screw-retained implants are often preferred in cases where future modifications are anticipated or when implant angulation is favorable. However, the screw access hole can sometimes be visible, particularly on anterior teeth, and there is a risk of screw loosening over time, which may require periodic tightening. Cement-retained implants eliminate these concerns but sacrifice the ease of removal. The choice between the two often depends on clinical factors such as implant position, angulation, occlusion, and the dentist’s experience with each technique. Both methods have high success rates when properly executed, and neither is universally superior in all situations.


Cost Of Screwless Dental Implant in Ireland

The cost of dental implants in Ireland varies based on several factors, including the complexity of the case, the type of implant system used, and the dental practice’s location and expertise. Screwless implants typically fall within a similar price range as traditional screw-retained implants, as the primary cost drivers are the implant post, abutment, and crown fabrication rather than the retention method. Understanding the financial landscape can help you budget appropriately and explore available options.

Provider Type Service Offered Cost Estimation (EUR)
General Dental Practice Single screwless implant with crown €2,000 - €3,500
Specialist Implant Clinic Single screwless implant with crown €2,500 - €4,000
University Dental Hospital Single screwless implant with crown €1,800 - €3,000
Private Cosmetic Dentistry Single screwless implant with crown €3,000 - €5,000

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.

Additional procedures such as bone grafting, sinus lifts, or extractions can increase the overall investment. Some dental practices offer payment plans or financing options to make treatment more accessible. It is advisable to obtain detailed treatment plans and cost breakdowns from multiple providers before proceeding. Dental insurance in Ireland typically does not cover implants, as they are often classified as cosmetic procedures, though exceptions may exist for medically necessary cases.


Factors Influencing Your Choice

Several considerations should guide your decision between screwless and traditional implants. Aesthetic priorities may favor screwless implants for front teeth, while the need for future adjustability might make screw-retained implants more practical. Your dentist’s expertise and preference also play a role, as proficiency with a particular technique can influence outcomes. Implant angulation and position within the jaw affect which retention method is feasible. Discussing your specific case with a qualified implant dentist will help identify the most suitable approach. Long-term maintenance preferences, such as ease of repair versus permanence, should also factor into your decision.

Both screwless and traditional implants represent advanced solutions for tooth replacement, each with unique strengths. By understanding how they work, their respective advantages, and the financial investment involved, you can collaborate effectively with your dental team to select the option that best meets your needs. Prioritizing quality care, thorough consultation, and realistic expectations will contribute to a successful implant experience and lasting oral health.


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.