What Are the Three Types of Dental Implants?

If you’re considering replacing missing teeth, you’ll quickly come across a key question: which type of implant is right for me? In dentistry, “dental implants” isn’t a one-size-fits-all term—there are three main categories your clinician will consider: endosteal, subperiosteal, and zygomatic implants. Each is designed for different jaw conditions and clinical goals. This guide explains what those terms mean in plain English, when each type is recommended, how treatment works, and what to expect along the way.

If you’d like tailored advice or a second opinion, you can book a consultation for dental implants with our experienced team.

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1) Endosteal implants (the most common choice)

What they are: Endosteal implants are small, screw-shaped titanium posts placed directly into the jawbone. They act as artificial tooth roots that support a crown, bridge, or full arch of teeth.

Who they suit: Patients with good bone density and volume in the jaw. If you’ve been missing teeth for a long time, your dentist may suggest bone grafting first to rebuild the foundation.

Why clinicians like them:

• Long track record and predictable outcomes
  
• Excellent chewing function and natural aesthetics
  
• Versatile: suitable for single teeth, multiple teeth, or complete arches
  

Process overview:

1. Assessment and 3D imaging
   
2. Placement of the implant into the bone
   
3. Osseointegration (healing phase) where bone bonds to the implant
   
4. Attachment of an abutment and placement of a bespoke crown/bridge/denture
   

Timeframes: The full journey often spans a few months to allow for healing, although immediate-load options may be possible in carefully selected cases.

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2) Subperiosteal implants (above the bone, below the gum)

What they are: A custom metal framework sits on top of your jawbone but under the gums, with posts that protrude through the gums to support replacement teeth.

Who they suit: Patients with low bone height or volume who may not be candidates for bone grafting or who prefer to avoid grafting.

Pros and considerations:

• Avoids bone grafting in some cases
  
• Shorter surgical time, but not suitable for everyone
  
• Long-term outcomes depend on gum health and meticulous aftercare

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3) Zygomatic implants (a solution for severe bone loss)

What they are: Longer implants anchored into the zygomatic (cheek) bone rather than the upper jaw. These can bypass areas of severe bone loss in the upper jaw.

Who they suit: Patients with advanced bone resorption in the upper jaw who are not ideal candidates for conventional bone grafting or sinus lifts.

Why they help:

• May enable full-arch restoration without extensive grafting
  
• Can shorten total treatment time for suitable cases
  

Note: Zygomatic implants are highly specialised. Your case should be planned by a clinician with specific training and experience.

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Which Implant Type is Best for Me?

Your dentist will weigh up:

• Bone quantity and quality (seen on 3D scans)
  
• Number of teeth to replace and bite forces
  
• Gum health and general medical history
  
• Aesthetic goals and timeline
  

For many, endosteal implants remain the gold standard. When bone is limited, subperiosteal or zygomatic approaches can be considered. Where implants aren’t right, modern prosthetic options still deliver excellent outcomes through cosmetic dentistry or restorative care via general dentistry.

Treatment Journey and Healing

• Consultation & planning: Clinical exam, scans, and a personalised plan
  
• Surgery: Most patients are surprised how manageable this feels with local anaesthetic and gentle techniques
  
• Healing & osseointegration: Typically a few months for endosteal implants
  
• Restoration: High-quality crown/bridge/denture fitted for natural function and appearance
  
• Aftercare: Good oral hygiene, professional maintenance, and healthy lifestyle habits are key. Your gums must be healthy—ask about gum treatments if you have bleeding or tenderness.
  

Alternatives and Complementary Options

• Temporary solutions: Transitional dentures or provisional bridges during healing
  
• Full-arch solutions: A small number of implants can anchor a complete arch of teeth for stability and confidence
  
• Aesthetic enhancements: Where symmetry or edge shape needs refining, composite bonding can perfect the smile after implant work
  
• See all treatments: Explore our services for a wider view of what’s possible.
  

Costs and Finance

Every case is unique. Your clinician will discuss fees at consultation and outline any staged payments. Where applicable, 0% or low-interest finance may be available; we’ll explain your options transparently.

Final Word

Dental implants—endosteal, subperiosteal, or zygomatic—offer life-changing stability and confidence. With thorough planning, precision placement, and careful aftercare, you can expect comfortable chewing, clear speech, and a smile that looks and feels like your own.