What are the 3 types of dental implants? There are three main types of dental implants, each designed to fit different needs and bone conditions. The options are endosteal, subperiosteal, and zygomatic implants.
The type of implant you choose can affect how your teeth feel, how you chew, and even how long your smile lasts.
Dental implants aren’t just cosmetic. They’re a long-term investment in your oral health. And yes, it can feel overwhelming with all the options. That’s why here at Pacific Dental and Implant Solutions, we make it easy for you by walking you through everything you need to know about implants and beyond. Let’s break it down in plain terms, so you know exactly what you’re getting and why.
What are Dental Implants?
Before we dive into the types of dental implants, a quick refresher. Dental implants replace missing teeth in a way that’s stable, long-lasting, and natural. Unlike dentures that can slip or bridges that wear down surrounding teeth, implants fuse with your jawbone. That fusion – called osseointegration – gives them strength and stability.
Key points:
- Replace missing teeth without affecting neighboring teeth
- Preserve jawbone and facial structure
- Restore chewing, speaking, and smiling naturally
- Can last decades with proper care
Knowing this helps you appreciate why the type of implant matters. Not all implants are created equal. Now to get into the question…what are the 3 types of dental implants?
What are the 3 Types of Dental Implants and Why Does it Matter?
1. Endosteal Implants
Endosteal implants are the most common and what most people think of when they hear “dental implants.” They’re placed directly into the jawbone and act like an artificial root.
Here’s the breakdown:
- Usually screw-shaped, but sometimes cylinders or blades
- Require healthy jawbone to anchor properly
- Can support single crowns, bridges, or full dentures
- Highly reliable with decades of research backing them
These are my go-to for most patients. They integrate with the bone beautifully, and once healed, they feel and function like natural teeth.
Pros:
- Very durable and predictable
- High success rate
- Can replace one tooth or several
Cons:
- Requires sufficient jawbone
- May need bone grafting if jawbone is thin
2. Subperiosteal Implants
Subperiosteal implants are a bit different. Instead of going into the bone, they sit on top of the jawbone, underneath the gum tissue. They’re held in place by a metal framework.
You might need these if:
- Your jawbone isn’t thick enough for endosteal implants
- You want to avoid bone grafting
- You need a solution that works with existing bone structure
Subperiosteal implants are less common today but still a good option for certain patients.
Pros:
- Avoids bone graft surgery
- Can be faster in some cases
- Works when jawbone is compromised
Cons:
- Less commonly used, so fewer dentists place them
- May require more maintenance than endosteal implants
We usually recommend these when traditional implants aren’t possible. They’re not the first choice, but for the right patient, they’re effective.
3. Zygomatic Implants
Zygomatic implants are rare and usually reserved for complex cases. Instead of anchoring in the jawbone, they attach to the cheekbone (zygoma).
They’re mostly used when:
- The upper jaw has severe bone loss
- Other implants aren’t viable without extensive grafting
- Patients want full-arch restoration without multiple surgeries
These are longer posts and require a skilled surgeon. Not everyone needs them, but for the right person, they can make all the difference.
Pros:
- Bypasses the need for bone grafts or sinus lifts
- Can restore an entire upper arch of teeth
- Provides stability in cases of severe bone loss
Cons:
- More complex procedure
- Longer surgery and recovery
- Only a few dentists are trained to place them
How to Decide Which Dental Implant Is Right
Choosing an implant isn’t random. It depends on your:
- Jawbone health and density
- Number of teeth you’re replacing
- Overall health and habits
- Goals for function and appearance
We always start with a consultation and 3D imaging. That helps me see exactly what’s possible and which type will give you the safest, most reliable outcome.
Recovery and Healing
Recovery times vary slightly depending on the implant type:
- Endosteal: Usually minor swelling for a few days. Bone integration takes 3–6 months.
- Subperiosteal: Healing can be similar but may involve longer gum recovery.
- Zygomatic: More intensive surgery, so recovery can be a bit longer.
Pain is usually manageable with over-the-counter medication. Following instructions – soft foods, gentle brushing, and avoiding stress on the implant – is crucial.
Cost Considerations for Dental Implants
Not all implants cost the same. Here’s a rough idea:
- Endosteal: Usually the most affordable of the three, but still a premium procedure
- Subperiosteal: Can be more expensive due to custom frameworks
- Zygomatic: Often the highest cost because of complexity and specialized skill
Other factors add to the price: materials, imaging, grafting, and follow-ups. Implants are an investment, but they’re designed to last decades.
Benefits of the Dental Implant Types Beyond Function
Dental implants aren’t just about chewing. They also:
- Prevent jawbone loss
- Keep your face looking natural
- Restore confidence in your smile
- Avoid the slipping and discomfort of dentures
Patients often tell me that after implants, they forget they’re not their original teeth. That’s the goal: stability and comfort that feel natural.
Common Questions
Do implants hurt?
Not really. Local anesthesia makes the procedure comfortable. A bit of swelling or soreness is normal, but manageable.
Who qualifies for implants?
Not everyone immediately. Bone density, gum health, and overall health matter. But preparatory procedures often make implants possible.
How long do implants last?
With proper care, they can last decades. Regular checkups, good oral hygiene, and avoiding damaging habits are key.
Are implants better than dentures?
Almost always. They stay in place, preserve bone, and look natural. Dentures can work in some cases but have limitations.
Maintaining Your Implants
Even after placement, care is important:
- Brush and floss daily
- Avoid overly hard foods
- Regular dental checkups
- Follow your dentist’s advice
Ongoing maintenance ensures your implants remain safe, functional, and long-lasting.
So Which Dental Implant is Right for You
So, what are the 3 types of dental implants?
- Endosteal: Standard implants in the jawbone
- Subperiosteal: Sit on top of the jawbone
- Zygomatic: Anchor into the cheekbone for complex cases
Each type has its place. The right one depends on your jaw, health, and goals.
At Pacific Dental and Implant Solutions, we are to go-to dental implant dentist office on Oahu and we guide patients through every step – exam, type selection, placement, and care. Knowing your options helps you feel confident, informed, and ready for a smile that lasts.
Dental implants are a long-term investment, but the right type, placed well, is safe, effective, and life-changing.