Losing a tooth isn’t just about aesthetics — it affects how you eat, speak, and even how your jawbone holds up over time. That’s where dental implants come in. They’re the closest thing to real teeth, designed to look, feel, and function naturally.
But not all implants are the same. From materials to placement techniques, the right choice depends on your needs, bone health, and budget. In this guide, we’ll break down the different types of dental implants, how they work, and what you need to know before getting one.
What Are Dental Implants and How Do They Work?
A dental implant is a small post, usually made of titanium or zirconia, that replaces the tooth root of a missing tooth. It’s placed into the jawbone, where it fuses with the bone over time, creating a stable foundation for a replacement tooth (which resembles the rest of your natural teeth).
Here’s how they work: First, the implant goes into your jawbone. Over a few months, your bone fuses with it (this is called osseointegration—fancy word, but all it means is your body accepts it like a real tooth). Once it’s rock-solid, a custom-made crown is attached. The result? A tooth that looks, feels, and works just like the real deal.
How Many Types Are There?
There are many types of implants, categorized based on their material, placement, and design. Here’s a breakdown of the different types:
By Placement
1. Endosteal Implants
The most common type, endosteal implants are surgically placed into the jawbone, typically made of titanium. They require good bone density and a healing period before the final crown is attached.
- Placed directly into the jawbone.
- Usually made of titanium.
- Shaped like small screws or cylinders.
2. Subperiosteal Implants
An alternative for patients with insufficient bone who cannot undergo grafting. These implants sit on top of the jawbone but beneath the gum.
- Placed under the gum but above the jawbone.
- Suitable for patients who cannot have bone grafting.
3. Zygomatic Implants
Used in cases of severe upper jaw bone loss, these implants anchor into the cheekbone (zygoma) instead of the jawbone.
- Anchored in the cheekbone instead of the jawbone.
- Ideal for patients with significant bone loss.
By Material
1. Titanium Implants
The most common choice due to their strength, durability, and high success rate. Titanium bonds with the bone (osseointegration), making it a long-lasting solution.
- Biocompatible and integrates with the bone.
- Most widely used material.
2. Zirconia Implants
A metal-free alternative with a natural white appearance. While biocompatible and aesthetically superior, they are less flexible in design and require precise placement.
- Metal-free, ideal for those with allergies.
- White colour blends more naturally with teeth.
- Less researched than titanium but gaining popularity.
By Design
1. Single-Piece Implants
The implant and abutment are fused into one unit, removing the need for a separate connector. Often used for immediate loading but offers less flexibility in placement.
- Implant and abutment combined.
- Common in immediate loading cases.
2. Two-Piece Implants
The implant and abutment are separate, allowing for better angulation and customisation. This design is the most versatile and widely used.
- Separate implant and abutment.
- More flexibility in placement.
By Procedure Type
1. Traditional (Two-Stage) Implants
The implant is placed and left to heal for several months before the final crown is attached, ensuring stability and long-term success.
- Placed in the bone and allowed to heal before crown placement.
- Takes several months for full integration.
2. Immediate Load (Same-Day) Implants
Also known as Teeth in a Day, these implants allow a temporary crown to be fitted immediately after surgery. They require good bone density and precise placement.
- Implant and temporary crown placed in one visit.
- Best suited for patients with strong bone structure.
3. Mini Dental Implants (MDIs)
Smaller than traditional implants, MDIs are often used to stabilise dentures or replace small teeth. Mini implants require less bone and are a minimally invasive option.
- Smaller diameter than standard implants.
- Used for denture stabilisation or when bone density is low.
4. All-on-4 / All-on-6 Implants
A full-arch restoration using 4 or 6 implants, eliminating the need for individual implants for each missing tooth. A faster, stable alternative to dentures.
- Replaces an entire arch with fewer implants.
- Provides a secure, long-lasting solution.
Single vs. Multiple Implants
Missing one tooth? You’ll need a single implant—a lone titanium or zirconia post with a custom crown on top. It blends in, feels natural, and doesn’t rely on neighbouring teeth for support.
Missing several? That doesn’t mean you need an implant for every gap. Multiple implants can anchor a bridge or even a full set of teeth. Instead of replacing each tooth individually, strategic implant placement supports multiple crowns, keeping things stable and cost-effective.
For full-mouth restoration, options like All-on-4 or All-on-6 replace an entire arch using just a handful of implants. Fewer implants, faster recovery, and a smile that stays put.
Other Procedures You May Need
When getting dental implants, some patients may require additional procedures to ensure success, especially if they have bone loss or gum health concerns. Here are some common procedures that may be done alongside or before implant placement:
- Bone Grafting: bone grafting is necessary when the jawbone doesn't have enough bone density or volume to support implants. This procedure involves adding bone material to strengthen the implant site.
- Sinus Lift (Sinus Augmentation): a sinus lift is performed when placing implants in the upper jaw, especially if the natural bone is too thin or the sinus cavity is too close. The procedure involves lifting the sinus membrane and adding bone material.
- Ridge Expansion: when the jawbone is too narrow to support an implant, a ridge expansion may be performed. This involves carefully widening the ridge (the part of the jaw where teeth sit) by making small adjustments to the bone.
- Soft Tissue (Gum) Grafting: if there is insufficient gum tissue around the implant area, a gum graft may be performed. Tissue is taken from another part of the mouth and placed in the affected area.
- Tooth Extraction: before placing an implant, any remaining damaged or decayed teeth in the affected area may need to be extracted.
Related article: Alternatives to Dental Implants: The Best Ways to Replace Missing Teeth.
Types of Dental Implants: Cost
Implants aren’t one-size-fits-all, and neither is the price. Here’s what makes the difference:
- Material – Titanium is the standard, but zirconia (metal-free) tends to cost more.
- Number of Implants – A single implant costs less than a full-arch replacement.
- Procedure Complexity – Need a bone graft or sinus lift? That adds to the cost.
- Implant Brand & Technology – Premium brands with advanced tech often come at a higher price.
- Location & Dentist Experience – An expert in a top clinic might charge more, but you’re paying for precision and long-term success.
In the UK, the cost of a single dental implant typically ranges from £1,800 to £3,000. This price usually includes the implant, abutment, and crown.
For more extensive procedures, such as the All-on-4 technique—which replaces a full arch of teeth using four implants—costs can start from £10,000 per jaw.
Keep in mind, these figures can vary based on factors like the clinic's location, the dentist's expertise, and any additional treatments you might need. It's always a good idea to consult with your dentist for a tailored quote based on your specific needs.
If you'd like more detailed information about the costs, we've written an article about it here.
Which Factors Affect the Success Rate of Implants?
Dental implants have a 95%+ success rate, but a few things can make or break that number:
- Bone Health – Weak or insufficient bone? You may need a bone graft before getting implants.
- Oral Hygiene – Implants don’t decay, but gums still need care. Poor hygiene = higher risk of failure.
- Smoking & Alcohol – Both slow healing and increase the chance of implant rejection.
- Overall Health – Conditions like diabetes or osteoporosis can impact healing.
- Bite & Grinding – If you clench or grind your teeth, you might need a nightguard to protect your implants.
The key? Good planning, proper dental care, and an experienced dentist. Get that right, and your implants can last a lifetime.
Conclusion
Dental implants are a long-term, natural-looking solution for missing teeth, offering stability, function, and confidence. With different types available, the right choice depends on bone health, budget, and personal needs. The key to success? A skilled dentist, proper planning, and good aftercare.
If you’re considering implants, book a consultation at Dental & Wellness London to find the best option for you.
FAQs
Which Type of Implant Is the Best?
The best type depends on your needs. Endosteal implants are the most common and offer long-term stability. Subperiosteal implants work for those with less bone, while zygomatic implants are for severe bone loss in the upper jaw. A consultation with an experienced implant dentist will determine the best option for you.
What Are the Three Types of Dental Implants?
Dental implants are categorized by placement:
- Endosteal Implants – Placed directly into the jawbone, most common type.
- Subperiosteal Implants – Sit on top of the jawbone under the gum, used when bone density is low.
- Zygomatic Implants – Anchored in the cheekbone for cases of severe bone loss.
Which Has the Highest Success Rate?
Endosteal implants have the highest success rate, exceeding 95% over 10+ years. Success depends on bone health, oral hygiene, and the expertise of the dentist performing the procedure.
Which Dentist Does Implants?
Dental implants are placed by implantologists, oral surgeons, periodontists, and prosthodontists. General dentists with advanced implant training can also perform the procedure. Choose a professional with experience in implantology for the best results.
Dr. Vishal Patel
I’m a dentist with a passion for creating beautiful, natural-looking smiles. With a Master’s in Aesthetics and Restorative Dentistry, I’ve honed my skills in treatments like Invisalign, clear aligners, fixed braces, veneers, bonding, and teeth whitening. Combining precision with a keen eye for detail, I aim to help patients achieve smiles they can feel proud of, using techniques that are tailored to each individual.
