What is the difference between a dental implant and a crown, Cincinnati? A dental implant is generally done when your natural tooth is missing or needs to be pulled, either due to accident, rot or gum disease. The implant becomes the support system for the new tooth, essentially acting as the root. A restoration mold of the implant is taken, and an implant crown is then applied. It is usually held down by a connector, generally a screw that is installed in the jawbone. A crown, on the other hand, is secured and bonded to a decayed but intact tooth. It’s less invasive and more economical. If the crown is in a visible area of the mouth, it will be fashioned to match the color of the rest of the tooth, even matching any discoloration so that it is not noticeable.