Restorative Dentistry

Implant Crowns

IN EVERETT, WA

The final, custom-crafted tooth that completes your implant.

The part you actually see

An implant has two halves. The post integrated into the bone does the anchoring; the crown attached to it does the chewing and the smiling. The crown is what is matched to your other teeth in shape, shade and translucency.

We fabricate implant crowns to match the teeth either side rather than to a standard shade — including the small irregularities that make a tooth read as real rather than manufactured.

An implant does not move the way a natural tooth does. A real tooth sits in a ligament that lets it give slightly under load and share force with its neighbours; an implant is fused to bone and gives nothing. That is why the bite on an implant crown is adjusted with more care than on an ordinary crown — set too high, it takes more force than it should every time you close.

Shade matching a single implant crown between two natural teeth is the hardest cosmetic task in restorative dentistry, because it has to be right against a direct comparison. We match to the teeth either side rather than to a shade tab, and build in the small irregularities — a faint line, a slightly translucent edge — that keep it from reading as too perfect.

What makes an implant crown different

  • It attaches to the implant post, not to the teeth either side.
  • It cannot decay — but the gum and bone holding the implant still can be lost.
  • It needs contouring that lets you clean right around the gum margin.
  • It is matched to the neighbouring teeth individually rather than to a standard shade.

What to expect

Fitted once the implant has fully integrated with the bone.

  1. 1 Impressions Once integration is confirmed, we take precise impressions of the implant position and the surrounding teeth.
  2. 2 Fabrication Your crown is made to match adjacent teeth in shade, shape and surface texture.
  3. 3 Fit and adjust We seat the crown, refine the bite carefully, and check the contacts with the neighbouring teeth.

Caring for an implant crown

Treat it as a natural tooth: brush twice daily and clean between the teeth, paying particular attention to the gum margin. Report any looseness, clicking or discomfort promptly — a small adjustment early prevents a larger problem.

Common questions about implant crowns

When is the crown fitted after the implant is placed?
Once the implant has integrated with the bone, typically three to six months after placement. Where a tooth is visible at the front, a temporary is provided in the meantime so you are never without it.
Can an implant crown come loose?
Occasionally the screw retaining it loosens, which is usually a simple fix if reported early. Looseness can also signal a problem with the implant itself, so tell us promptly rather than waiting for the next check-up.
Will it look like my other teeth?
That is the aim, and it is the part we spend the most time on. Shade, translucency, surface texture and the way the gum sits around it all matter — a technically sound crown that is a shade too bright is still the wrong crown.
How do I clean around an implant crown?
Exactly as you would a natural tooth, with particular attention to the gum margin. Floss, interdental brushes or a water flosser all work; we will show you which suits the contour of yours.
What if I grind my teeth?
Tell us before the crown is made. Grinding transmits heavy force to an implant that has no ligament to absorb it, so we design accordingly and will usually recommend a nightguard to protect the work.

Questions about implant crowns?

We'll walk you through the options, the costs, and what to expect.

Madison Street Dental Clinic serves Everett and the surrounding communities of Marysville, Mukilteo, Mill Creek, Lake Stevens, Snohomish, Lynnwood and Bothell.

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