These days, many people who get dental implants benefit from what is often described as same day teeth. If a dental implant is stable enough, it can be topped with a provisional dental crown or bridge the same day that the implant is placed.

Provisional restorations have come a long way in recent years (as have all cosmetic restorations). Modern provisional restorations look so good and seem to function so well that you might be forgiven for thinking that they’re as good as the final restoration. But they’re not, and if you try to use them as a final restoration, you will learn the difference. Here are some of the problems you might face.

You Must Get the Final Crown on Implant | Rochester Dentist


Provisional restorations aren’t bonded with cement that’s as strong or durable as that used for permanent cement. It’s good enough to last through the provisional period, but it isn’t intended for use long-term. So it’s no surprise that if you keep the provisional on, it is likely to become debonded. Then, if you opt to get it bonded again, it can become debonded again. Trying to keep the provisional crown as a permanent one may mean many visits to the dentist to try to fix the crown back on the implant.


Permanent crowns are designed to resist stains. They’re even better at it than natural teeth. With proper care, they can last for decades without staining at all, even if you’re a heavy coffee drinker.

Provisional crowns, on the other hand, are designed to stay white for a few weeks to a few months. Over time, they will begin to discolor.


And even as you’re working so hard to keep the crown bonded to the dental implant, it may give out. Provisional restorations aren’t much stronger than they used to be. Permanent restorations are designed to last as long as possible, so the materials have gotten stronger and stronger. But provisional restorations only have to last a few weeks to a couple months, depending on the application.

So it’s not a surprise that provisional restorations won’t be able to last for years. The longer they are in place, the more likely they are to break.

Implant Failure

Provisional restorations don’t always give your implant the function it needs to properly stay in place.

During the early stages after your implant is placed, the concern is that the implant might have too much force put on it. This can interfere with healing, so provisional crowns are often set up so they don’t put too much pressure on the implant itself.

However, after the initial healing period, the dental implant needs stimuli in the form of pressure to help maintain the bone that’s developed around the implant. A provisional crown may not give enough pressure during biting and chewing, especially if it’s been worn down because it’s weaker than a permanent crown. This can cause the dental implant to lose stability and fail. Managing a healthy bite is critical to the long-term success of your implant.

Always Replace the Provisional Crown

If you’ve gotten a dental implant and it still has the provisional crown on top, you need to have it replaced with a permanent crown. Even if you’re coming from another dentist or even another city, our expert implant dentists can match your implant with an appropriate crown that can give you the best appearance, function, and longevity for your implants.

To learn how we can help you complete your dental implant in the Detroit area, please call (248) 656-2020 today for an appointment with an implant dentist at Doolin Haddad Advanced Dentistry in Rochester.