A tooth screw is a common way to describe the metal implant that holds a new tooth. Many patients ask whether a tooth screw is the right choice for them. This article covers the basics, how it works, benefits and risks, alternatives, recovery, and questions to ask your dentist so you can decide with confidence.
What Is a Tooth Screw?
A tooth screw refers to the implant body — a threaded post placed into the jawbone that anchors a crown or prosthesis. It’s different from temporary posts used during treatment and from the abutment or crown that attaches later. The screw is the stable foundation that fuses to bone for long-term support.
How a Tooth Screw Works
The components
The system has three parts: the implant body (the screw), the abutment (connects screw to crown), and the final crown or prosthesis. Implants are commonly titanium or zirconia for strength and biocompatibility so the body accepts the metal and bone bonds well.
The placement process
Typical steps include an exam and 3D imaging, surgical placement of the tooth screw into bone, a healing period for osseointegration, then attachment of the abutment and crown. Some practices use same-day milling and digital workflows to shorten steps.
Advantages of Choosing a Tooth Screw
Tooth screws give stable chewing, protect nearby teeth, and preserve jawbone by transmitting normal forces to bone. They look and feel natural and often last decades with good care. Modern imaging and same-day lab tech can speed treatment and improve fit and accuracy.
Limitations and Risks of a Tooth Screw
Limitations include the need for sufficient bone volume, possible infection or implant failure, longer healing than some options, and higher upfront cost. Smoking, uncontrolled diabetes, or poor oral hygiene raise risks. Advanced imaging and experienced placement reduce complications.
Who Is a Good Candidate for a Tooth Screw?
Ideal candidates are healthy adults missing one or more teeth, with enough bone and good oral hygiene. Patients with bone loss may need grafting or a sinus lift before implant placement. Those who need a quick, low-cost fix might consider a temporary bridge or partial denture instead.
Alternatives to a Tooth Screw
Alternatives include implant-supported bridges, traditional fixed bridges, removable partial dentures, and full-arch solutions like All-on-4. Bridges are faster but rely on adjacent teeth; dentures are less invasive but less stable; full-arch implants restore many teeth at once.
Modern Technology That Improves Tooth Screw Outcomes
Harmon Dental Center uses tools that make tooth screw treatments faster and more predictable: on-site full-mouth lab, Primescan® digital impressions, Primemill® chairside milling, CBCT 3D imaging, in-house 3D printers, and a fully equipped surgical suite for safe implant placement. These technologies improve planning, guide placement, and allow precise same-day restorations.
Recovery and Aftercare for a Tooth Screw
Healing often takes several weeks to months for full integration. Expect mild swelling and soft-food diet early on. Keep the site clean, avoid tobacco, and follow your dentist’s instructions. Watch for prolonged pain, fever, or loose implants and report issues promptly.
Questions to Ask Your Dentist About a Tooth Screw
– Am I a good candidate? – Will I need bone grafting? – What materials do you use? – Can I see before/after photos? – What is the timeline and cost? – What are my alternatives? – How do you handle complications?
Deciding If a Tooth Screw Is Right For You
Use the checklist above to weigh pros and cons and schedule a consultation. Dr. Bradley Harmon brings years of implant training and a patient-first approach, and Harmon Dental Center’s advanced tech can help determine the best plan. Call to discuss whether a tooth screw in Louisville is the right solution for your smile.
