Crowns on implants: zirconia or metal-ceramic

The crown on an implant is the visible part that imitates the tooth, fitted once the implant has integrated. The most common types are zirconia (a white, metal-free, highly aesthetic ceramic) and metal-ceramic (very strong, with a long track record). Zirconia is usually preferred in the visible area for its aesthetics, while metal-ceramic is a robust option with good value for money.

What a crown on an implant is

An implant has two parts: the titanium screw that integrates into the bone and the crown that goes on top. The crown is the part you see and chew with, and it is custom-made to match the colour and shape of the rest of your teeth.

Zirconia crowns

Zirconia is a high-strength, metal-free white ceramic. Its great advantage is aesthetics: it leaves no grey shadow at the gum line and reproduces the translucency of a natural tooth very well, which makes it a favourite for the front area (the most visible). It is also biocompatible and accumulates little plaque.

Metal-ceramic crowns

This is a crown with a metal core covered in ceramic. It has a very long track record and offers excellent strength, which makes it a very reliable option, especially in areas under heavy chewing load. Its cost is usually somewhat lower than zirconia.

Which one for each area

As a general guide, for the front teeth (where aesthetics rule) zirconia is usually the first choice, while for the back teeth (where strength rules) both zirconia and metal-ceramic work very well. The final choice is made together with the specialist, weighing aesthetics, function and budget.

How it is fitted and cared for

The crown is fitted once the implant has integrated with the bone, either screwed or cemented onto it. Its care is the same as a natural tooth: brushing, cleaning between teeth and check-ups to prevent peri-implantitis. With good maintenance, the implant-plus-crown set lasts for many years, as we explain in how long a dental implant lasts.

Frequently asked questions

Can you tell it is a crown?

Done well, no. It is custom-made in colour and shape to blend in with your teeth; zirconia stands out for its naturalness in the visible area.

Can the crown be replaced?

Yes. If it wears down or gets damaged over the years, the crown can be renewed without touching the implant, as long as the implant is well integrated.

Which one is more expensive?

Zirconia usually costs somewhat more than metal-ceramic, justified by its aesthetics and properties. The specialist will guide you according to your case.

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