Full porcelain dental implant crowns can be made of many materials. All porcelain dental implant crowns can be zirconia, feldspathic, leucite, alumina, lithium disilicate (E.max) or several other types. Most of my Burbank patients usually tell me they thought there was only one type of porcelain around. It can also change the cost of your treatment.
It is really important to choose the right porcelain for your dental implant crown. How the crown is made is AS IMPORTANT AS THE SURGERY! I make it a point to let my patients know there is a difference and this choice has to be made carefully. It can make or break the outcome of your implant.
Here is a front tooth dental implant that I did recently in my Burbank office (photos taken same day the crown was delivered)
- What is your Bite Classification?
- Do you grind your teeth?
- Do you have a metal or zirconia (white) abutment?
- Location in the mouth (back vs. front)
- Past history of fractured or chipped porcelain?
- Cosmetic outcome of the porcelain dental implant crown?
- Expected longevity of the porcelain dental implant crown?
- Translucency and opalescence of your adjacent teeth?
- Mixtures of other porcelain work in the area or bridges?
- Gum tissue thickness or thinness?
- What kind of teeth are opposing the new porcelain dental implant crowns?
If you grind your teeth, consider using the strongest material around. Consider even using gold instead of porcelain for your dental implant crown if it is all the way in the back and strength is the number one factor.
If you have a cross bite or a class three bite, then stronger porcelains would be the choice.
In the front of the mouth the color of the abutment (custom or prefabricated) plays a huge role on the choice of dental implant crown porcelains. Typically if a white custom abutment is made, the real crown and be made with zirconia or E.max. If the abutment is titanium metal, the color of the metal may bleed through making the porcelain dental implant crown look dark. Thin gums only exacerbate this non-cosmetic outcome.
There are many other factors besides these ten, but this should get you started in your research to find the right dentist to make your porcelain dental implant crown.
Beware of the lowest priced dental implant porcelain crowns…they have to cut corners somewhere!
Ramsey A. Amin, D.D.S.
Diplomate of the American Board of Oral Implantology /Implant Dentistry
Fellow of the American Academy of Implant Dentistry