Dental implants are a long-term solution for replacing missing teeth. They can restore function and support oral health. While there are several variations, all dental implants serve the same basic purpose: to hold artificial teeth securely in place. Understanding the different types of dental implants can help a patient and their dentist choose the most appropriate option for their needs.
In total, there are three primary types of dental implants offered in Poolesville: endosteal, subperiosteal, and zygomatic. Each one is suited for specific situations, depending on the patient’s bone structure, the location of the missing teeth, and overall oral health.
The Three Main Types of Dental Implants
1. Endosteal Implants

Endosteal implants are the most common type of dental implant. These implants go directly into the jawbone, where they serve as artificial roots for replacement teeth.
To place an endosteal implant, the dentist drills a small hole into the top of the jawbone. Then, they insert a titanium post that later supports a crown, bridge, or denture. Over time, the bone heals around the post in a process called osseointegration. This creates a secure base that functions like a natural tooth root.
Situations where endosteal implants work best are as follows:
- When the patient has enough healthy bone in the jaw
- When a single tooth or several teeth are missing
- When the patient does not have significant bone loss
Because this type of implant depends on bone density, it may not be suitable for patients with thin or weakened jawbones unless bone grafting is completed first. Bone grafting adds volume to the area and creates a stable foundation for the implant.

2. Subperiosteal Implants
Subperiosteal implants are placed under the gum tissue but above the jawbone. Instead of being inserted into the bone, these dental implants rest on top of the jaw and use a metal frame to support artificial teeth.
This option offers a solution when bone density is low or bone grafting is not possible or desired. The implant frame sits on the top of the jawbone, and posts from the frame extend through the gum to hold replacement teeth.
Subperiosteal implants are less common today than endosteal implants, but they may still be recommended in certain cases. For example, they are useful when the patient has lost too much bone and does not want to undergo bone grafting procedures.
Subperiosteal implants may be considered when:
- The patient lacks sufficient bone height for traditional implants
- Bone grafting is not an option
- Support is needed over a wide area
These implants do not offer the same level of stability as endosteal options but can still provide effective support for replacement teeth in cases where other methods are not viable.
3. Zygomatic Implants

Zygomatic implants are the least commonly used type of implant. This option is more complex and requires specialized training and experience from the dentist.
Unlike endosteal and subperiosteal options, zygomatic implants anchor into the zygomatic bone, also known as the cheekbone. This approach bypasses the upper jaw entirely, making it ideal when the bone in the top of the jawbone is too thin or damaged to hold an implant.
Zygomatic implants are used in situations such as:
- Severe bone loss in the upper jaw
- Upper jaw cannot support traditional implants
- Past bone grafting procedures have failed
Because zygomatic implants are longer and placed at an angle into the cheekbone, the procedure is more invasive. However, they often eliminate the need for bone grafting or sinus lifts. This makes them an effective option for people who want new teeth but are not candidates for other types of dental implants.
Choosing the Right Type of Implant
The decision of which type of implant to use depends on a range of factors, including:
- The number of missing teeth
- The location of the gaps
- Bone density and overall condition of the jawbone
- The patient’s general oral health
- Prior surgeries or treatments
Your Poolesville dentist will evaluate the bone structure using imaging tools like X-rays or 3D scans. These tools help in determining whether an endosteal implant is possible or whether an alternative approach, like subperiosteal or zygomatic implantation, is necessary.

Benefits of Dental Implants
Regardless of the type of implant used, dental implants offer several clear advantages over other tooth replacement options. They restore the ability to chew and speak in a natural and comfortable way. They also help prevent further bone loss in the jaw, which often occurs after missing teeth are not replaced. By preserving the jaw structure, dental implants improve bite alignment and reduce the likelihood that remaining teeth will shift out of place.
In addition, implants provide long-lasting support for artificial teeth. Because they are secured in the bone, they feel stable and reliable. Unlike dentures, dental implants do not need adhesives and are not removed for cleaning. They offer a fixed solution that fits into the patient’s daily routine. When placed early, implants can also maintain the strength and shape of the jawbone, supporting long-term oral health.
Finding the Right Dental Implant for Your Needs
There are three main types of dental implants: endosteal, subperiosteal, and zygomatic. Each serves a specific role based on the patient’s anatomy and treatment goals. Endosteal implants are the most widely used and highly reliable. Subperiosteal implants offer a solution for those with low bone density who cannot undergo bone grafting. Zygomatic implants provide an alternative for people with severe bone loss in the top of the jawbone.
Understanding the types of dental implants can help patients make educated decisions. A consultation with a qualified dentist is the first step toward choosing the right solution for replacing missing teeth and maintaining oral health.