Subperiosteal Implants: A Smart Solution for Patients with Bone Loss


Dental implants are widely regarded as the most effective and long-lasting way to replace missing teeth. With several types of implants available today, choosing the right one can significantly improve your oral health and overall satisfaction. One such type is the subperiosteal implant, especially useful for those with insufficient jawbone. If you’ve been told that you’re not eligible for traditional implants due to bone loss, continue reading to explore whether this option is ideal for you.

What Is a Subperiosteal Implant?

A subperiosteal implant is a type of dental implant that rests on top of the jawbone but underneath the gum tissue. Unlike endosteal implants, which are surgically placed directly into the bone, subperiosteal implants sit above the bone, secured under the periosteum — the thin layer of connective tissue covering the bone.

This implant consists of a custom-designed metal framework that conforms to the shape of your jaw. Posts attached to this frame extend through the gums, providing anchor points for artificial teeth like crowns or bridges.

When Are Subperiosteal Implants Recommended?

Subperiosteal implants are an excellent choice for:

  • Individuals with inadequate jawbone density

  • Patients who wish to avoid bone grafting procedures

  • Those with bone loss from long-term denture use or periodontal disease

  • Older adults or individuals with health conditions that limit invasive surgery

If bone grafting isn’t an option for you, subperiosteal implants offer a promising alternative to achieve a stable tooth replacement.

Benefits of Subperiosteal Implants

Subperiosteal implants come with several advantages:

  • No Bone Grafting Needed: Perfect for patients with severe bone resorption, these implants eliminate the need for additional bone augmentation procedures.

  • Custom Fit and Comfort: Advanced digital imaging like CT scans allows for precise design and a snug fit, improving long-term comfort and stability.

  • Faster Recovery: Since there’s no drilling into the jawbone, healing time is generally shorter compared to endosteal implants.

  • Minimally Invasive: The less intensive procedure makes it suitable for medically compromised or elderly patients.

Drawbacks to Consider

While effective, subperiosteal implants also come with certain limitations:

  • Lower Longevity: They have a slightly lower success rate over the long term when compared to endosteal implants.

  • Gum Sensitivity: Because the frame sits beneath the gum, some patients may experience irritation or inflammation.

  • Higher Costs: These implants tend to be more expensive due to their customized fabrication and the advanced imaging techniques involved.

Alternatives to Subperiosteal Implants

If you're considering other tooth replacement options, here are a few viable alternatives:

  • Endosteal Implants – Ideal for those with healthy jawbones; the most commonly used and successful type.

  • Zygomatic Implants – Anchored in the cheekbone, suitable for those with upper jawbone loss.

  • All-on-4 Implants – A full-arch solution supported by just four implants, often avoiding bone grafting.

  • Removable Dentures – Non-invasive and affordable but lack the stability of implant-supported options.

Final Thoughts

If you've been told that your jawbone isn’t suitable for traditional implants, don’t be discouraged. Subperiosteal implants offer a reliable and advanced alternative that avoids the need for extensive bone surgeries. With proper planning, precision technology, and regular oral care, they can restore both your function and smile.

Consult the experienced implantologists at Surya Dental Care to evaluate your oral condition and determine the most suitable implant option tailored for your needs.

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