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Implant Restorations

The final step in implant placement is the final restoration (the Abutment Crown). Placing the crown is done only after the implant has fully integrated with the jawbone.

Creating the crown

Every dental implant restoration has the same structure: a titanium metal Implant that mimics the root and an abutment that connects the implant to the porcelain crown. The crown is the only visible part of the implant restoration since the implant post is embedded inside the jaw. Connecting the crown restoration to the implant is a simple procedure.

The choices of crown material and color matching are the basic mechanical and artistic elements that must work together to create a stunning crown restoration for the dental implant, which matches the adjacent natural teeth.

Attaching the crown restoration

The dentist can choose between screw-retained or cement-retained crowns. Both methods are effective for securing the crown, but there are benefits and drawbacks for each.

Screw retained crown is bonded to the abutment in a lab. This makes the abutment and crown one unit. It is then secured to the implant via screws torqued to a particular force. (Preferred method)

Cement retained crown, the abutment is first torqued to the implant and then the crown is cemented to the abutment.

In the end, the choice depends on the implant’s location and the dentist’s preference.


Implant supported dentures are a method of tooth replacement that uses dental implants to anchor the full-arch restoration securely in place. All-on-4 is a specific implant denture technique that can offer many advantages over traditional dentures. All-on-4 restores the form and function of your smile with beautiful results. All-on-4 can be done for an Upper arch or lower arch or full mouth restoration.

All-on-4 provides unique benefits compared to traditional dentures.

  • No slippage or shifting
  • Improved comfort on the gums
  • No messy pastes or adhesives
  • Easy maintenance
  • Natural-looking results

All-on-4 allows patients to speak and chew with confidence, knowing that their dentures are securely held in place. Patients with insufficient jawbone density who are not good candidates for a full set of single-tooth implants, All-on-4 can provide many of the same benefits without the need for bone grafting.

Whether you choose All-on-4 implant dentures to replace missing teeth or to replace traditional dentures, once the decision is made Dr. James Miller will take molds (impressions) of your mouth and they are sent to a specialty lab for creation of the custom implant denture(s), a temporary denture is made to be worn during healing and integration of the implants. Call us for a consult to see if you are a candidate.

The process of the All-on-4 procedure is completed by an Oral Surgeon or Periodontist who will place usually four dental implants using a customized surgical guide. Most often two dental implants are placed on either side of the front of the mouth; two additional implants are placed on either side of the back of the mouth, angled toward the rear. This positioning is used to optimize stability.

Healing and integration of the implants into the jawbone will take several months. While healing, a temporary denture may be worn. Once integration and healing are achieved your permanent All-on-4 implant denture(s) will be custom made for a natural appearance.

The All-on-4 dental implant procedure is customized to suit the needs and goals of each individual patient therefore, there is no set cost for the procedure. The cost depends on how many arches are replaced, the number of implants placed, materials used for the restoration, and the overall complexity of the procedure.

Call for a consultation with Dr. James Miller to see if you are a candidate.

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