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Implantology

Subperiosteal Implants — the Solution When Bone Is Lacking (2026 Guide)

What is a subperiosteal implant?

A subperiosteal implant is an implant solution placed under the gum, onto the jawbone (not into the bone like a classic implant). It is an individually made titanium or zirconia framework that fits the shape of your jaw and supports fixed teeth.

The key difference: a classic implant = an artificial root in the bone; a subperiosteal implant = a framework on the bone, beneath the gum. That is why it is suitable even when classic implants are not possible.

When are subperiosteal implants suitable?

  • Severe loss of jawbone — when there is not enough bone for classic implants
  • When bone augmentation is not possible or the patient does not want it
  • Patients who want fixed teeth instead of a removable denture
  • When a classic approach would require several years of treatment (augmentation + waiting + implants)
  • Older patients who want a fast solution without extensive bone reconstruction

Subperiosteal vs. classic implants — a comparison

| Criterion | Subperiosteal implant | Classic implant | |----------|----------------------|-----------------| | Placement | On the bone, beneath the gum | In the jawbone | | Bone requirement | Even with severe bone loss | Sufficient bone required | | Bone augmentation | Not required | Often required (sinus lift) | | Fixed teeth | Often immediately after the procedure | After 3–6 months of osseointegration | | Time to the final solution | Shorter | Longer (if augmentation is needed) |

How does the procedure work?

  1. 3D CBCT scan — a precise image of the jawbone
  2. Individual fabrication of the framework — to your anatomy (digital planning)
  3. Surgical placement — the framework is placed on the bone beneath the gum
  4. Fixed teeth — often immediately or shortly after the procedure

Advantages of subperiosteal implants

  • A solution even with severe bone loss
  • Without lengthy bone augmentation
  • Fixed, stable teeth — normal chewing
  • A natural aesthetic result
  • A substantially better quality of life than a removable denture

Frequently asked questions

Is the procedure painful?

The procedure is carried out under local anaesthetic (sedation if needed). During the procedure you feel no pain, only pressure. After the procedure there is mild swelling for a few days.

How long do subperiosteal implants last?

With proper care, 15+ years.

Do I get fixed teeth straight away?

In many cases yes — this is one of the main advantages over classic implants.

How much does it cost?

The price depends on the scope. You will receive the specific price at the consultation.

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