Endosteal vs. Subperiosteal Implants: Understanding the Difference

August 3, 2025by aestheticsmiles0

Dental implants are a reliable, long-lasting solution for missing teeth. But did you know there are different types of implants depending on your bone health and dental needs? The two main categories are endosteal implants and subperiosteal implants. In this blog, we’ll explore their differences, uses, and which might be the best choice for you.

What Are Endosteal Implants?

Endosteal implants are the most common type of dental implants used today. These implants are placed directly into the jawbone and act as artificial tooth roots. Once the implant integrates with the bone, a crown or bridge is attached on top.

Key Features:

  • Placed inside the jawbone
  • Typically made of titanium or zirconia
  • Requires sufficient bone density
  • Most commonly used in modern implant dentistry

 

What Are Subperiosteal Implants?

Subperiosteal implants are placed under the gum but on top of the jawbone. Instead of being inserted into the bone, a metal framework is custom-fitted to rest on the bone and hold the prosthetic teeth.

Key Features:

  • Placed on or above the jawbone
  • Used when bone height is insufficient
  • Ideal for patients who cannot undergo bone grafting
  • Less commonly used due to advancements in bone grafting and endosteal implants

 

Endosteal vs. Subperiosteal: Comparison Table

Feature Endosteal Implants Subperiosteal Implants
Placement Inside the jawbone On top of the jawbone, under the gum
Material Titanium or zirconia Custom metal framework
Bone requirement Requires good bone volume Used when bone height is insufficient
Stability Highly stable and long-lasting Less stable, used in specific cases
Popularity Most commonly used Rare, used in special conditions

Which Implant Type Is Right for You?

Your dentist will assess your bone density, oral health, and overall medical condition to determine the right implant type. If your jawbone is strong and healthy, endosteal implants are usually recommended. If you have insufficient bone and are not a candidate for bone grafting, subperiosteal implants may be considered.

 

Consult a Dental Implant Specialist

Only a thorough dental examination and imaging can determine which implant is right for you. Consult with a qualified implantologist who can create a personalized treatment plan based on your anatomy and goals.

Both endosteal and subperiosteal implants serve specific purposes in restoring smiles. While endosteal implants remain the gold standard for most patients, subperiosteal implants can be a life-changing alternative for those with limited bone support.

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