Chips or wear on the biting surface
Repeated damage may suggest the material or design does not suit your bite. The size and location of chips, and any history of clenching, guide what to try next.

Once a new implant crown is on the table, the design choices begin: material, shape, how it attaches and how easy it will be to keep clean. For households in Puslinch, we assess the existing crown and its support first, then help you weigh designs with long-term upkeep in mind.
Most conversations about a new implant crown start with how it will look. A better question is how it will live in your mouth for years: how it handles your bite, how easily you can floss around it and whether it can be removed for a check without being destroyed. Those features matter just as much as the shade.
Before any design talk, though, the dentist has to confirm that a new crown is the right answer. The crown is a separate piece on the implant system and can be renewed while the implant stays put, but chips, looseness, cleaning trouble and appearance concerns may come from the crown, the connection, the gum or the implant’s position. Some can be handled with a smaller repair.
Share how the current crown has behaved, any repairs it has had and the things you would most like to change. If a remake is advised, we will outline what would be renewed, what would remain and how each design option fits your situation.

The faults of your existing crown are clues for designing a better one. If it was made at another office, any notes on the material and attachment method are helpful.
Repeated damage may suggest the material or design does not suit your bite. The size and location of chips, and any history of clenching, guide what to try next.
Movement calls for a look at the connection first. Changing the crown alone may not solve it, and the implant beneath may also need assessing.
Food trapping and an awkward contour are common reasons for redesign. The implant position and gum can still limit what a new shape can do.
If the crown moves or comes off, phone before chewing on it. Keep any piece in a container, and avoid glue or home cement.
A thoughtfully designed replacement can bring a material that suits your chewing forces, a contour that floss slips around easily, contacts that keep food out, a closer colour and an attachment method that allows later access.
Design cannot overcome an unsuitable foundation. The implant, connection and gum need to be in good condition for the new crown, and anything that wore out the old one should be understood. It is fair to ask which concerns the redesign will fix and which call for separate care.
Patient information: Cambridge University Hospitals — maintenance of implant restorations
There is little point redesigning a crown if a part underneath is the real issue. Ask whether the crown itself is unsuitable or a connection piece needs attention.
Tell us how you clean, where food used to collect and how the bite felt. Note anything you would want kept from the old crown.
Some attachment methods allow the crown to be removed for checks more easily. Ask how each option affects future maintenance and repair, especially if you want fewer trips.
Your implant system and existing attachment shape the options available. Ask how removal will be done, how the gap is covered, what records are needed and whether any tests come first.
Bring any implant documents and describe the crown’s fitting date, repairs and retightening. We also discuss your health, habits and recent work on teeth nearby.
The dentist looks at the crown, contacts, connection and gum. Imaging may be used to make sure the implant and bone are suitable for new work.
We compare design options and explain what changes and what stays, along with shade, fees, the number of visits, removal and temporary arrangements.
We test the fit on the components, the contacts with neighbouring teeth, the gum margin and your bite. You practise cleaning around it before leaving and receive a review plan.
Even on the same implant, a replacement can feel new. Follow your fitting instructions and pay close attention to how flossing and chewing feel over the first weeks.
Hitting first or snagging on food means an adjustment is due. It will not wear into place reliably, and filing at home can damage it.
Your new crown may suit a particular floss, interdental brush or water flosser. Ask for a demonstration and mention any area that remains awkward.
Maintenance visits check the connection, implant and tissue. Report movement, chips, persistent bleeding or signs that echo the earlier problem.
These answers address the design decisions behind a replacement implant crown. The best option depends on your bite, the site and what the examination finds.
Visit our Bronte Street practice to have your existing implant crown assessed and, if a remake is right, to discuss the design. We will explain the options in plain terms and help you choose.
Bring any notes on your current crown’s material or attachment, implant records and repair history.