Olympia Karacosta, DDS, DMD, is an associate professor in the Department of Comprehensive Care at Tufts University in Boston. Originally working in private practice in Athens, Greece, she currently practices at Warshauer & Samtamania in Boston’s Back Bay. Karacosta is an affiliate member of the European Academy of Esthetic Dentistry and a Fellow of the International Team for Implantology for which she has served as the communications officer since 2022. Passionate about esthetic dentistry, Karacosta provides continuing education courses on esthetic dentistry and presents at dental meetings on esthetic and implant dentistry.
Few topics spark more debate than whether to use a screw- or cement-retained restoration. Both approaches are clinically viable but understanding when and why to choose screw retention can dramatically influence long-term outcomes and…