Tooth loss is a fairly common dental concern, with about 50% of the population missing at least one natural permanent tooth. A variety of factors including genetics, geographic location, socioeconomic status, age, oral hygiene practices, and more influences this. The good news is that there are lots of options for tooth replacement from dentures to dental bridges to dental implants. According to the American Dental Association, dental implants provide endosteal Implant vs subperiosteal Implant services the most durable, natural-looking results. Many patients at Delight Dental Smiles choose dental implants for this reason.

There are two primary types of dental implants:

  • Endosteal
  • Subperiosteal

Each offers its advantages and disadvantages. In this article, we’ll explore these two options in terms of design, placement, and other factors. This information can help you decide whether endosteal Implant or subperiosteal Implant, which is better.

What Are Endosteal Dental Implants?

Endosteal implants are the most common. These implants are surgically placed into the jawbone, acting as an artificial tooth root. After implantation, the jawbone heals around and fuses with the implant through a process known as osseointegration. These implants are typically made of titanium and can provide a stable foundation for a single dental crown, a dental bridge, or a full denture arch.

What Are Subperiosteal Dental Implants?

Endosteal dental implants require adequate jawbone density, which means patients with significant jawbone loss do not qualify. Subperiosteal dental implants offer these patients a viable alternative. These implants are placed under the gum but above the jawbone. A horseshoe-shaped metal framework is positioned on top of the jawbone and the prosthetic tooth or teeth are attached to it.

Quick Comparison

To help you better understand the differences between these two options, let’s take a closer look:

Factor Endosteal Implants Subperiosteal Implants
Placement In the jawbone Under the gum, above the jawbone
Suitability Best for patients with adequate bone density Best for patients who have significant jawbone deterioration
Procedure Complexity Typically straightforward May require more intricate oral surgery
Healing Time Longer healing time due to osseointegration Shorter healing time due to lack of osseointegration
Stability Highly stable due to osseointegration Not as stable because it sits on top of the jawbone
Cost Average of $1,000 to $3,000 per implant Average of $2,000 to $5,000 per implant
Versatility Suitable for a variety of restorations Limited versatility, primarily for specific cases

Factors Used to Determine the Best Choice

When trying to decide which option is best for you, it’s important to consider the following factors:

Bone Health

The condition of your jawbone is a critical factor when determining which type of implant is best. Endosteal dental implants require a healthy, robust jawbone for successful integration, while subperiosteal dental implants can be used for patients who have bone density issues including jawbone loss.

Procedure Complexity

The complexity of the procedure is also an important consideration. The procedure for endosteal dental implants is typically more straightforward, while the procedure for subperiosteal dental implants often requires a more intricate surgical approach.

Healing Time

Endosteal dental implants typically take up to 6 months or more for full healing due to osseointegration. This process isn’t required for subperiosteal dental implants, which means healing is often quicker.


Stability is critical for the success of dental implants. Since the jawbone heals around and fuses with endosteal implants, they offer a higher level of stability. While subperiosteal implants are not inserted into the jawbone, they do depend on the condition of the jawbone for stability.


For many patients, dental implant cost is a critical factor. Endosteal implants are usually less expensive than subperiosteal dental implants. However, it’s important to note that either way, dental insurance may cover a portion of the procedure. Our office staff  at Delight dental smiles Hollywood, FL will work with your provider. If insurance is not an option, we also offer financing options to help make the procedure more affordable.

Which is Better?Endosteal Implants vs Subperiosteal Implants

The choice between these two dental implant types depends on several factors including bone health, procedure complexity, healing time, stability, and cost. While the most common choice is endosteal implants, subperiosteal implants are ideal for patients with certain anatomical challenges. Both options have their advantages and disadvantages.

Before making your choice between endosteal Implant vs subperiosteal Implant, schedule your consultation with the team at Delight Dental Smiles. Dr. Arianna Rodriguez and the team will work with you to determine your needs and expectations. They will work with you to help you make an informed decision to improve your oral health and give you a confident smile.

Dental Implant FAQs

If you have any questions or concerns, feel free to bring them up. We will be glad to address them to give you the peace of mind you seek. Below are a few of the most common questions that we’ve answered:

Which implants are best?

The choice between these two implant options depends on your situation. The dental team will use factors such as bone health, cost, expectations, and more. This information can help decide which one is best for you.

What is the success rate of endosteal dental implants?

Endosteal dental implants typically have a 95%+ success rate. However, this depends on factors including oral and overall health, oral hygiene and lifestyle habits, adherence to aftercare instructions, and more.

What are the complications of subperiosteal dental implants?

There are a few complications associated with subperiosteal dental implants, including discomfort and issues with stability. It’s critical to carefully follow aftercare instructions and attend regular check-ups to monitor for issues and address them before they escalate.

What metal is used in dental implants?

Titanium is the most commonly used metal in dental implants because it is highly biocompatible and fuses well with the jawbone.