Tooth loss affects nearly 178 million Americans, with over 40 million missing all of their teeth in at least one jaw, according to the American College of Prosthodontists1. Dental implants are among the most effective solutions available—but not all implants are the same. There are 4 types of dental implants, each suited for different clinical needs and patient goals.
At Montana Center for Implants and Dentures, we work closely with patients to recommend the best implant type for their unique anatomy, oral health, and lifestyle. In this guide, we’ll outline the different types of dental implants, discuss how each works, their pros and cons, and what to expect during the healing process. We’ll also examine alternatives to dental implants for those considering other treatment options.
1. Endosteal Implants
Overview
Endosteal implants are the most commonly used type of implant today. These are titanium or zirconia posts that are surgically embedded into the jawbone to serve as artificial roots.
Clinical Use
- Ideal for patients with sufficient healthy jawbone
- Suitable for single tooth, multiple teeth, or full arch replacements
- Compatible with crowns, bridges, or implant-supported dentures
Key Stats
- Success rate: Over 95% over a 10-year period, according to a systematic review by the National Institutes of Health2.
- Longevity: With proper care, implants can last 20+ years.
Process
After a 3D scan and comprehensive exam, the implant is surgically inserted into the jawbone. A healing period of several months allows the bone to grow around the implant in a process known as osseointegration. Once healed, an abutment and final crown are placed.
Recovery
- Initial healing: 1–2 weeks
- Osseointegration: 3–6 months
- Post-op symptoms: mild swelling, bruising, and tenderness that typically resolves within a few days
2. Subperiosteal Implants
Overview
Subperiosteal implants are placed on top of the jawbone but under the gum tissue. A metal framework holds prosthetic teeth in place and is ideal for patients with insufficient bone who want to avoid bone grafting.
Clinical Use
- For patients with bone atrophy
- Best suited for individuals who cannot undergo more invasive procedures
Key Stats
- Though less common today, subperiosteal implants were widely used before modern bone grafting techniques. In selected cases, they still provide excellent support for prosthetics where grafting is not possible.
Process
After imaging and impressions, a custom-fitted metal frame is created. During surgery, it is positioned under the gumline and above the jawbone. Posts protrude through the gums to anchor the restoration.
Recovery
- Shorter recovery time than traditional implants
- Mild gum irritation common during healing
- Final prosthetics placed after about 4–6 weeks
3. Zygomatic Implants
Overview
Zygomatic implants are longer and are anchored in the zygomatic (cheek) bone rather than the maxilla (upper jaw). This makes them ideal for patients with severe bone loss in the upper jaw.
Clinical Use
- Severe atrophy of the upper jaw
- Patients who cannot undergo sinus lifts or bone grafts
- Often used in full-arch “teeth-in-a-day” cases
Key Stats
- According to the Journal of Oral Implantology, zygomatic implants have a 96% success rate over 12 years3.
- They allow patients to bypass 6–9 months of bone graft healing time.
Process
Using CT scans and virtual surgical planning, the implants are placed at an angle through the upper jaw and into the cheekbone. They are often paired with immediate-load prosthetics.
Recovery
- More invasive, with potential for increased swelling and bruising
- Healing period: 4–6 months before final restorations
- Temporary prosthetics are usually placed the same day
4. Mini Dental Implants (MDIs)
Overview
Mini implants are smaller in diameter (typically under 3mm) and are used for patients with limited bone or for securing dentures.
Clinical Use
- Stabilizing lower dentures
- Replacing small teeth
- Patients who are not candidates for traditional implants
Key Stats
- Mini implants are less expensive, often 30–50% cheaper than standard implants4.
- Healing time is significantly reduced; many patients return to normal function within days.
Process
Placed using a minimally invasive technique, MDIs are screwed into the jawbone without the need for major incisions. They often support immediate denture placement.
Recovery
- Healing time: 2 days to 2 weeks
- Little to no downtime
- Minor soreness that resolves quickly
Summary Comparison of the 4 Types of Dental Implants
| Implant Type | Bone Requirement | Ideal Use Case | Typical Healing Time | Notes |
|---|---|---|---|---|
| Endosteal | Moderate to High | Most patients | 3–6 months | Standard option with high success |
| Subperiosteal | Low | Patients avoiding bone grafts | 4–6 weeks | Custom frame rests on bone |
| Zygomatic | Very Low | Severe upper jaw bone loss | 4–6 months | Anchors into cheekbone |
| Mini Dental Implants | Low | Denture stabilization | Few days to 2 weeks | Affordable and quick recovery |
Alternatives to Dental Implants
While implants are highly effective, not everyone is a candidate. Factors such as severe systemic illness, cost limitations, or personal preferences may lead patients to consider alternatives to dental implants:
1. Removable Dentures
- Suitable for full or partial tooth loss
- Cost-effective
- Less stability and comfort than implant-supported restorations
2. Traditional Dental Bridges
- Anchored to adjacent teeth
- Faster than implant healing
- Requires filing down healthy teeth
3. Resin-Bonded Bridges
- Often used for front teeth
- Conservative but less durable
- Not recommended for high-bite pressure areas
4. Snap-In Dentures
- Attach to mini implants or locator abutments
- More secure than traditional dentures
- Removable for cleaning
Why Implant Type Matters
The success of an implant doesn’t rely on materials alone—it depends on surgical planning, bone quality, and patient care during healing. At Montana Center for Implants and Dentures, we conduct in-depth evaluations including CBCT scans, jaw analysis, and bone mapping to select the implant type with the highest long-term predictability.
We tailor treatment to:
- Preserve as much of your natural anatomy as possible
- Avoid unnecessary procedures (like grafting) when possible
- Minimize downtime and reduce complications
- Ensure long-term comfort and function
Healing Expectations
Recovery times vary, but here are general phases you can expect across the 4 types of dental implants:
Week 1:
- Swelling and discomfort peak at 48 hours, then decline
- Soft diet recommended
- Prescription or over-the-counter pain medication as needed
Weeks 2–6:
- Gum tissues begin to regenerate
- Sutures (if used) dissolve or are removed
- Follow-up visits to check progress
Months 2–6:
- Bone integration occurs (except for subperiosteal implants)
- Final crown, bridge, or denture is placed
- Normal function restored
Final Thoughts
Dental implants are not just about replacing teeth—they are about preserving bone, restoring natural function, and improving quality of life. Knowing the 4 types of dental implants—endosteal, subperiosteal, zygomatic, and mini—helps patients and providers make choices based on structure, stability, and long-term goals.
At Montana Center for Implants and Dentures, we bring advanced surgical training and personalized planning to every case. We’ll walk you through the different types of dental implants, explain any alternatives to dental implants, and make sure you understand the steps involved from consultation to recovery.
Ready to explore your dental implant options?
Contact Montana Center for Implants and Dentures today to schedule your personalized implant consultation.
