Endosteal vs. Subperiosteal Implants: Understanding the Difference

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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ian mcclarron
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I’m so glad I found Aesthetic Smiles and Dr Ritika. Don’t hesitate, just come and be taken care of. I lost my front teeth 50 years ago and since have had dentures and later bridges. I haven’t been able to bite for 50 years. Wow , I sure can now😃🥩. Everything is up front and there are no hidden costs. In Australia I had been quoted 5 times the cost for 4 on top and 4 on bottom. Here I have 6 on 6 plus a 7th spare fitted just in case on the bottom which was not needed in the finals . The top six includes two zirgomatic implants. Dr Ritika and her team really care and are lovely people. I will always remember the lovely nurse singing to me as she was helping.😃 On the door is written come as patients leave as friends, well they really mean that. All the very best, Ian.🌹🌹🌹🌹
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John T
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Outstanding, professional dental care. After years of dental issues and losing several teeth, I’d seen a number of dentists in Australia. One even told me I should start saving for the inevitable need for dental implants. After doing a lot of research, I narrowed it down to Aesthetic Smiles in Mumbai, India. Before I made my decision, I spoke with several real former patients, and hearing about their experiences gave me the confidence to go ahead. In June 2024, I travelled from Australia to Mumbai for treatment. I arrived with a whole range of dental problems and, just 14 days later, left with a fantastic set of temporary teeth while my All-on-6 implants healed and integrated with the bone. Right from the start, I was really impressed by the confidence, professionalism, and expertise of Dr. Arora and her team. Any worries I had about going overseas for treatment quickly disappeared. Throughout the whole process, I felt genuinely looked after and supported. I came back a year later to have my permanent teeth fitted. I now have All-on-6 implants in both my upper and lower jaws, along with a smile I haven’t had since my twenties. I couldn’t be happier with the result. The care was personal, the service was excellent, and the bedside manner was second to none. The value for money was incredible, and the results have truly changed my life. I have nothing but praise and gratitude for Dr. Arora and the whole team at Aesthetic Smiles. I wouldn’t hesitate to recommend them to anyone thinking about dental implants.
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Vickie King
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I live in Melbourne Australia. After 35 yrs of having partial dentures and suffering pain & discomfort I decided to look into Implants. I was quoted for All on 6 top & lower for an astronomical amount & told I'd also need bone grafting & sinus lift. Luckily I found Aesethic Smiles Mumbai & Dr Ritika. After a consultation with her, I was quoted an exact price (1/4 of home ) & told I can get Zygamats which eliminated the need for bone grafting & sinus lift. Also fitted tempories instead of dentures for 6 months. I received Strauman Implants & Zirconian teeth which are the best quality. I am extremely happy with every aspect of my 2 treatments.. The specialists & The nurses along with Dr Ritika are world class professionals. Don't hesitate as long as I did. I regret that. You will be taken care of from the time you arrive, picked up from the airport & each appointment picked up & returned. Thankyou Dr Ritika & Staff for your kind & caring treatment to me both visits. A big Smile from me. 😁
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Stephanie Clarke
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My name is Stephanie and I am from New Zealand. I visited Aesthetic Smiles for my dental treatment with Dr. Rikita. Before starting my treatment, I had lost all my teeth due to illness and I was facing issues with a unstable bottom plate. The biggest problem was not being able to eat solid food and I was too embarrassed to leave home without teeth. After extensive research, I chose Aesthetic Smiles because amongst others was ability to speak to the doctor herself about my situation and she was so understanding. On arrival I was amazed at their modern setup, including digital technology and in-house 3D scans, which confirmed that i had made the right decision. I underwent All-on-6 dental implant treatment, which was done in two phases. My experience during the procedure was daunting initially, but the overall process was amazing. The team and doctor were very kind, understandung and comforting while still being so professional, and it made me feel safe throughout my treatment. Now that I have my final zirconia teeth, I feel fantastic and can't stop smiling. The biggest difference I notice in my daily life is the confidence i now have. This doctor is a perfectionist resulting in the best ever outcome. I would highly recommend Aesthetic Smiles to anyone battling with teeth issues because this team is absolutely fantastic.
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Shane Economidis
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Such a great level of care and dentistry work done Dr Ritika and her whole crew create a great experience thank you again it has been life changing cheers and thank you again.
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Chris Hawkins
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Dr Ritika has done an excellent job, Really pleased with my smile the work she does goes above and beyond. Highly recommended 🤩
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Matt Attwater
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Hello, my name is Matt (68 yrs) from Wodonga, Australia and just completed all on 6, top and bottom, full dental implants after the deterioration and removal of damaged teeth over a number of years during my earlier life. I have now returned from Mumbai, after my 2nd visit, a very happy man with my new permanent teeth, a nice bright smile and being able to chew and eat all normal food again!! All this thanks to Dr. Ritika and her wonderful team at Aesthetic Smiles. I can honestly say that my experience was as smooth as anyone could wish for. Except for some initial bruising during my first visit that disappeared after a week, the whole process for me was pain free. Financially the cost compared to Australia enables international patients to have top of the tree A1 treatment that will be life-changing. The manner in which Dr.Ritika and her team puts you at ease is remarkable. All questions or concerns are clearly explained to allay any worries or wonderings. The clinic itself has all the latest equipment and technology that allows you to get instant feed-back and allows Dr. Ritika to outline a clear, precise and highly professional individual dental plan on your first visit. During both of my visits (July 2025 &Jan. 2026) I was picked up and dropped off at the airport and picked up and dropped off at my motel for every appointment to Dr. Ritika’s clinic. This service does take away any travel stress you might have around Mumbai. A very important aspect of the process is that during your treatment, there will be other patients there at the same time going through the same process as you are. I found this so helpful and reassuring to have other patients to talk to, especially back at the motel over breakfast or tea. I stayed at the Sea Princess Hotel ( recommended by Dr. Ritika) for both my visits and so did many of the other Australian patients. The Sea Princess has a wonderful international breakfast buffet that I highly recommend!!!! I have no hesitation in recommending Dr. Ritika and her wonderful and joyful team for anyone considering dental implants treatment. You will receive outstanding professional treatment in a highly up to date equipped clinic that will leave you with a huge smile that importantly is affordable. Good luck Matt P.S. A huge thankyou to Stacee who was so helpful with travel advice, visa help, hotel advice and things to do in Mumbai. Much appreciated! Cheers, Matt
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Pia Bishop
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I realised my teeth were nearing the end of their usable life. I made the decision to find a reputable dental implant centre. I couldn't afford to have it done in Australia so I looked elsewhere. After much research, Aesthetic Smiles were the stand out. They put me on their Facebook page with others that were travelling to Mumbai at the same time. That really put my mind at rest to a point. You don't really know till you get there. I spoke to Ritika (the dentist) over the phone & she talked to me about the procedure. Once there, a driver picked me up from the airport & the next day, I had my first visit. It wasn't nearly as scary as I thought. After the first week I got my temps which actually looked great. Six months later, I was back for my permanent beautiful teeth. Ritika & the staff were so professional & friendly. I was put at ease straight away & I have nothing but praise for them all. Ritika is a miracle worker & I can smile again. Thank you so much. 😁
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Nicky Leman
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My Aesthetic Smiles Journey 😁 After what felt like forever researching clinics in Thailand, Vietnam, Turkey, Bali, and India (yes, I went deep down the dental rabbit hole!), I finally found Aesthetic Smiles — and from my first chat with Dr. Ritika, I knew she was the one I could trust with my smile. Dr. Ritika is a world-class professional — warm, genuine, and patient. She explained everything clearly and made me feel completely confident. Every step — from extractions to implants, fittings to follow-ups — was handled with care, precision, and kindness. I was given a fully inclusive price upfront, which did not change. It even covered airport pick-up/drop-off and hotel transfers for every appointment. Other clinics only gave indicative quotes, but not on Dr. Ritika’s watch! She confirmed my price before I even flew over, after reviewing my X-rays. Huge thanks to Dr. Ritika, I couldn’t be happier. The results speak for themselves — and I can finally say it, I love my smile! 😄✨