Screw retention is the gold standard for full-arch restorations like All-on-4 because it ensures predictable retrievability and biological safety. Unlike cemented alternatives, these bridges allow dentists to easily unscrew the prosthesis for professional deep cleaning, repairs, or addressing minor complications without damaging the underlying implants.
- Biological safety: Eliminates excess cement residue, which is a leading cause of peri-implantitis inflammation.
- Predictable maintenance: Allows non-destructive removal for routine hygiene or tightening components like Multi-Unit Abutments.
- Vertical efficiency: Functions effectively with only 4–6 mm of space, accommodating patients with limited clearance.
- Mechanical stability: Provides the necessary structural strength and passive fit required for long-span distal cantilevers.
Bookimed Expert Insight: Data from top Turkish clinics shows a shift toward screw-retained protocols specifically for international patients. Dr. Ufuk Zeren at Ata Health Center, who trained at the original Malo Clinic, emphasizes that this choice allows your local dentist back home to perform maintenance easily. Choosing screw-retained over cement-retained can save you $1,500 to $3,100 in future replacement costs if adjustments are needed.
Patient Consensus: Patients value the ability to have their bridge professionally cleaned and adjusted without a full redo. Many report that while the small composite-filled access holes are visible upon close inspection, the long-term hygiene benefits and peace of mind outweigh aesthetic concerns.
