Subperiosteal implants offer an alternative treatment for patients with jaw bone loss in whom conventional implants cannot be placed. This article discovers subperiosteal implant procedures, including their advantages and disadvantages over other surgical techniques.

What is a Subperiosteal implant?

Subperiosteal implants are an alternative choice for those people who do not have adequate bone density in their jaws. They are positioned just above the jawbone and beneath the gum tissue, without any need to drill into the bone.

But, how are subperiosteal implants done?

A metal frame is placed on the top of the jawbone by surgery. It is just under the gum tissue. Posts or abutments extend through the gum line; which provide the base for artificial teeth, including crowns or bridges.

When would a subperiosteal implant be recommended to a patient?

Subperiosteal implants can be used for patients who would not be the right candidates for standard dental implants. Following are the cases for which a dentist may opt for subperiosteal implant:

•  Low Density of Bone:

In a case where you have had a severe bone loss in the jawbone because of periodontal disease or trauma, which does not favor traditional implants, then this is when you can opt for subperiosteal implants.

•  Reduced Height of Bone:

When the bone of your jaw is not high enough for the support of the traditional implants, the subperiosteal implants can be a necessary choice.

What are subperiosteal implant advantages? 

Subperiosteal implants are an advantageous choice, especially for candidates ineligible for standard dental implants. The reasons are as follows:   

• Low Bone Density: These implants can be fixed over the jaw even in lower bone density conditions.   

• No Dental bone Grafting: These implants can be fixed without bone grafting, making the process less complicated and reducing the healing period. 

• Faster Healing: The subperiosteal implants are associated with faster healing because of their function compared to the traditional implants.    

• Improved Stability: The framework, which is custom-fit for you, offers stability for dental restorations. 

• Enhanced Aesthetics: Natural looking dental restorations can be supported with subperiosteal implants to enhance the appearance of your smile.   

• Versatility: The subperiosteal implants allow support for single-tooth or multi-tooth replacements and even full-arch restorations.

How to design a subperiosteal implant?

Designing a subperiosteal implant is a process that should be meticulously carried out with much consideration of different factors. Below is a general overview of the process:

1. Patient Assessment:

The patient has to undergo a thorough checkup to evaluate his or her oral condition and health in regard to jawbone density and quality.

The dentist should consider the patient’s specific needs and expectations during this treatment planning session.

2. Subperiosteal implant Design, including: 

Framework Design: The implant framework is usually made from titanium, which is a biocompatible metal that integrates with bone tissue. High resolution computer tomography must guide the design of the framework to fit the specific anatomy of the patient's jawbone.

Abutment Design: The abutments relate the implant to the artificial teeth , designed to provide optimum support and aesthetics. 

3. Subperiosteal Implant Fabrication:

It is manufactured using state-of-the-art techniques in digital production, for example, 3D printing or milling.

These frameworks are patient-specific, tailored to the individual anatomy of the jawbone.

How long do subperiosteal implants last?

Subperiosteal implants, when maintained well , may last over 20 years, though the outcome might vary for each person. Regular check-ups and professional cleanings can help maintain the procedure and ensure long term success of your subperiosteal implants.

What is the success rate of Subperiosteal implants?

Subperiosteal implant success has been variable but consistently lower than that of endosteal standard dental implants. Advanced techniques in implantation have improved success with time, though subperiosteal implants remain somewhat limited. Long-term success of subperiosteal implants will depend on the skills of the surgeon placing them, oral health of the patient, and material quality, among other things.

What is the difference between endosteal and subperiosteal implants?

Subperiosteal implants vs endosteal Implants :

• Placement: Endosteal Implants are Inserted directly into the jawbone, which is very much like a natural tooth root. Subperiosteal Implants are placed on the jawbone, under the gum tissue.

• Integration: The Endosteal implant gets fused directly with the jawbone through a process termed osseointegration. Subperiosteal Implants is a less invasive procedure and an alternative for patients who cannot undergo bone grafting. 

• Bone Density: Endosteal Implant demands sufficient bone density for the placement to be successful. Subperiosteal Implants are suitable for patients with low bone density. 

• Aesthetics : Endosteal Implant normally assumes a more natural appearance. The Subperiosteal implant may not be as aesthetically attractive as endosteal implants—for example, if not properly installed by the dentist.  

• Long-Term Stability: Generally, an Endosteal Implant has long-term stability and durability. Subperiosteal Implants may be associated with greater possible problems and need adjustments in the future. 

• Advantages: Endosteal Implants are extremely stable, long-lasting, and a very natural-looking and -feeling product. Subperiosteal Implant is a less invasive procedure and an alternative for patients who cannot undergo bone grafting.

Subperiosteal implants vs endosteal Implants 

Subperiosteal implant disadvantages

Although subperiosteal implants can help those who do not have sufficient bone density, there are certain disadvantages:

• Stability : Subperiosteal implants are relatively less stable compared to endosteal implants. They can move and feel less secure over time.

• Aesthetic : Sometimes there may be visible metal frameworks, making the gum and tooth appearance less attractive.

• A higher risk of infection is the result of placing the implant under the gum tissue.

• Available Long-Term Data: There is less long-term data available regarding the longevity and success of subperiosteal implants compared to traditional implants.

• Comparatively More Complex Surgery: The surgical procedure for placing subperiosteal implants is more complex than for traditional implants.

Subperiosteal implant cost in Turkey

Subperiosteal implants cost in Turkey might differ based on the particular clinic, the expertise of the surgeon, and the complexity of the treatment. In a general comparison, though , subperiosteal implants in Turkey are more cost-effective than in many Western countries.

The best practice would be to gather quotes from a few clinics to have an exact estimate.  

Why a subperiosteal implant at Autora Clinic in Turkey? 

Subperiosteal implant procedures at Autora Clinic in Istanbul are met with a comprehensive approach by a highly skilled team of professionals; such expert application guarantees excellent care and high-quality results. Don't hesitate to contact us for a free consultation.