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A 62-year-old male asked:

I do not get it with dental implants. does the crown lay on top of the gum that encircles the abutment that is smaller in circumference? hurts?

4 doctor answers6 doctors weighed in
Dr. Theodore Davantzis
Dentistry 41 years experience
Yes, it does: Don't your specialists and restorative dentists explain anything? Any problem you are having regarding your treatment should be addressed by your providers.
Dr. Paul Grin
Pain Management 37 years experience
Subgingival Crown: For an aesthetic implant restoration, the margin of the crown over the abutment needs to be 1 to 2 mm below the gingiva. The goal is to develop a harmonious and aesthetic emergence profile.
Dr. John Thaler
Prosthodontics 42 years experience
No Pain: The crown on the implant or abutment (depends on situation and implant) is not painful. The crown can be screw-retained or cemented. Screw-retained eliminated the abutment and the crown fits directly to the implant (usually below the edge of tissue) and is held in place with the screw. If abutment on the implant (screwed in place), then crown usually cemented, similar to crown on tooth. Good Luck.
Dr. Lokesh Rao
Dentistry 14 years experience
Nope.: The implant is the replacement for the root. The abutment is a connecting piece that is fixated within the implant. The crown sits on the abutment as a it would on the natural tooth that was prepared to receive a crown.

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Last updated Dec 20, 2016

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