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Advantages and Disadvantages of Subperiosteal Dental Implants
When considering dental implant solutions, patients need to understand all the treatment options available. While endosteal implants are the most commonly used, some individuals may not be suitable for them due to insufficient bone support. In such cases, subperiosteal dental implants present an alternative option. This type of implant sits on top of the jawbone but beneath the gum tissue, supported by a specially designed metal framework. Although not as widely used today as conventional implants, they can still be a viable solution for patients with advanced bone loss and in specific clinical cases.This article explores the advantages and disadvantages of subperiosteal dental implants, their suitability, and how they compare to more traditional treatments.
What Are Subperiosteal Dental Implants?
Subperiosteal implants are not surgically inserted into the jawbone like conventional implants. Instead, they rest on top of the bone and are secured under the gum tissue. A metal framework supports the prosthetic teeth, with small posts that protrude through the gums, acting as anchor points for artificial teeth.This approach was initially developed for patients who had insufficient bone density for traditional implants and did not wish to undergo bone grafting. With the rise of advanced surgical techniques, including bone grafts and zygomatic implants, the application of this type has reduced. However, subperiosteal dental implants Liverpool and other UK cities still offer advantages for those unable or unwilling to undergo complex procedures.
Who Might Benefit from Subperiosteal Implants?
There are specific groups of patients who could benefit significantly from this type of implant. These implants are particularly well-suited for:
- Patients with significant bone loss in the jaw who cannot support traditional endosteal implants.
- Individuals who prefer not to undergo bone grafting, sinus lifts, or other invasive augmentation procedures.
- People who need a faster solution for functional and aesthetic tooth replacement.
Dentists may also suggest this solution in cases where oral health or general health issues make more invasive implant surgeries unsuitable. For patients searching for alternatives to Dental Implant Liverpool procedures involving extensive bone work, subperiosteal implants may prove advantageous.
Advantages of Subperiosteal Dental Implants
The main benefit of this type of implant is its ability to provide a viable alternative when bone conditions or patient preferences limit other treatment choices. Some of the most significant advantages include:
- Suitable for severe bone loss: Patients with limited jawbone volume may still benefit without requiring grafting.
- Shorter treatment times: Unlike traditional implants that may take months of healing after bone grafting, subperiosteal implants often allow quicker restoration.
- Less invasive: No drilling into the bone is necessary, which reduces overall surgical trauma.
These features make them particularly appealing for some patients who find Dental Implant Liverpool procedures involving bone grafting unappealing or too invasive.
Disadvantages of Subperiosteal Dental Implants
Despite their benefits, this older technique also has some clear limitations. Patients considering their options should also weigh the disadvantages:
- Reduced long-term stability: Compared with endosteal implants anchored directly into bone, stability over decades may be weaker.
- Higher risk of complications: The implant may loosen or irritate the soft tissue over time.
- Not as commonly recommended: Many professionals prefer modern implant techniques for most patients.
While this type remains an option in certain cases, many individuals in need of subperiosteal dental implants are usually considered only if bone grafting or alternatives are not possible.
Comparison: Subperiosteal vs Endosteal Implants
To better understand how this type fits into modern implantology, the following table compares the two main implant approaches:
|
Feature |
Subperiosteal Implants |
Endosteal Implants |
|
Placement |
On top of the bone, under the gum |
Inserted directly into the jawbone |
|
Stability |
Moderate, supported by framework |
High, supported by bone integration |
|
Healing Time |
Shorter, fewer stages |
Longer may involve grafts and healing |
|
Suitability |
Severe bone loss without grafts |
Patients with adequate bone volume |
|
Long-Term Success |
Lower success rates reported |
Higher long-term success |
This comparison highlights why dental implant Liverpool treatments tend to prioritise endosteal implants. However, not all patients qualify, making subperiosteal options still relevant.
Factors to Consider Before Choosing
Before making any decision, a dentist will evaluate the bone condition, general oral health, medical history, and patient expectations. Patients should support their decision-making with a full consultation, imaging, and tailored recommendations.
Key considerations include:
- The likelihood of long-term success with each implant type.
- The potential need for future additional work, maintenance, or repairs.
- Lifestyle habits such as smoking or diet, which may impact implant health.
This type of assessment ensures that patients, whether considering subperiosteal dental implants in Liverpool or other implant treatments, select the most suitable solution for their needs.
Benefits of Discussing Alternatives
It is important not to see subperiosteal implants as the only choice. Clinics today offer advanced treatments like zygomatic dental implants or bone augmentation procedures, which can often restore the opportunity for traditional implants. By carefully weighing each option, patients can achieve a natural, long-lasting smile without compromising on quality of care.
Practical Advantages in Daily Life
For patients who do proceed with this type of implant, the practical benefits are immediate. They can enjoy stable prosthetics without waiting months for grafted bone to heal, allowing them to eat comfortably and smile with confidence. Functionality and aesthetics often improve significantly in a shorter time frame.
Common day-to-day advantages include:
- Enhanced self-esteem thanks to restored smile.
- Ability to chew foods more easily compared with dentures.
- Fewer adjustments compared with removable prosthetics.
These immediate improvements often weigh heavily in patient decisions, especially when considering convenience alongside traditional implant outcomes.
Are Subperiosteal Implants Still Relevant Today?
Although less common in today’s practice, subperiosteal implants continue to provide solutions in cases where traditional implant placement is not possible. They are no longer a first-line recommendation, but they remain valuable in very specific cases. A dentist will only suggest them after careful evaluation and ruling out other long-term alternatives.
Conclusion
Subperiosteal implants are a practical alternative in specific cases of bone loss where bone grafting or traditional implants are not possible. While they offer unique benefits such as quicker treatment and suitability for patients with insufficient bone, they come with limitations, including reduced long-term stability. Careful consultation is therefore essential. At Smilo Dental Implants Liverpool, patients receive personalised implant treatment planning that takes into account both functional and cosmetic goals for lasting results.

