Endosteal vs Subperiosteal Implants

If you're considering dental implants, start by understanding the difference between endosteal and subperiosteal implants. Both are a great way to replace missing teeth, but they each have different pros and cons to consider. If you would like to know more about endosteal vs subperiosteal implants, keep reading.

Endosteal Procedures

Endosteal implants sit inside the jawbone like natural tooth roots. The dentist inserts a titanium artificial root inside the jawbone. Over time, the jawbone fuses to the artificial titanium root. After the area heals, the dentist makes an incision to expose the implant to attach the abutment and crown, bridge, or denture plate.

Because they use the jawbone for direct support, you need a strong jawbone for endosteal implants. For this reason, your dentist may recommend a bone graft if you have a weak jawbone. Your jawbone may be weak from tooth loss and/or gum disease. Depending on how long you've been missing teeth, you may also need a sinus lift to reposition your sinus.

Subperiosteal Procedure

With a subperiosteal implant, the dentist makes an incision in the gum tissue and places a small framing device. The dentist then replaces the gum tissue with sutures and waits for the area to heal. After the area is fully healed, the dentist inserts posts that connect the framing device to the crown, bridge, or denture plate. For this procedure, you don't usually need a bone graft.

Benefits of Endosteal Implants

Endosteal implants are the most durable tooth replacement option because the jawbone fuses to the implant. This creates a strong hold in the same way ligaments secure natural teeth. In many cases, your endosteal implant can last the rest of your life. However, you may need to replace the crown, bridge, or dental plate at some point.

You'll also need to continue to care for your oral health to prevent gum disease, which can impact the implant by exposing the titanium root and/or causing it to fail. As long as you care for the implant, however, it can actually help keep your jawbone strong and prevent future atrophy.

Benefits of Subperiosteal Implants

Subperiosteal implants have a handful of smaller benefits. First, the procedure is less invasive because the dentist doesn't drill into the jawbone. Similarly, this means you probably won't need a bone graft or sinus lift. Above all, however, subperiosteal implants are much more affordable than endosteal implants.

Dental implants can replace one tooth, multiple teeth, or all your teeth. While subperiosteal implants are more affordable, they are not as durable as endosteal implants. If you would like to make a dental implant procedure appointment, contact a dental office today.