Screwless Dental Implants: Types, Problems & Prices

What are Screwless Dental Implants?

Screwless dental implants, also known as subperiosteal or juxtaosseous implants, represent an innovative solution for the replacement of missing teeth.

These implants are placed under the gingival tissue, resting on the maxillary or mandibular bone without the need to drill it.

This approach is less invasive than traditional implants and is especially useful for patients with low bone mass, thus avoiding the need for bone grafting.

Limitations and Considerations

Although they have many benefits, there are also some limitations. Subperiosteal implants may shift over time and their initial stability may be lower compared to traditional implants. In addition, not all patients are ideal candidates for this type of implant, so a thorough evaluation by the dentist is essential.

Types of Screwless Dental Implants

Screwless Fixed Dental Implants

Screwless fixed dental implants are a permanent and stable solution for those seeking a natural appearance and functionality similar to natural teeth. These implants are especially suitable for patients with significant bone loss, as they do not require drilling the bone to insert screws, which facilitates the process and reduces recovery time.

Subperiosteal or Juxtaosseous Implants

Subperiosteal or juxtaosseous implants are placed under the gingival tissue but on the maxillary or mandibular bone, avoiding the need to drill the bone. This type of implant is ideal for patients with insufficient bone height to support traditional implants.

Features and Benefits:

  • Less invasive: Implant placement is less invasive, resulting in a simpler procedure and faster recovery.
  • Stability and Aesthetics: They offer excellent stability and superior aesthetic appearance, as there are no visible components that can affect the patient’s smile.
  • Rapid Recovery: By not perforating the bone, postoperative discomfort is less and recovery is faster, allowing the patient to resume daily activities in less time.

Placement Process:

  1. Initial Evaluation: A detailed evaluation of the patient’s oral health is performed through radiographic examinations and planning of the procedure.
  2. Implant Placement: The implant is placed on the maxillary or mandibular bone, followed by the fixation of the customized dental prosthesis.
  3. Healing: During the healing period, the implant integrates with the bone (osseointegration), ensuring a solid base for the definitive dental prosthesis.

Conclusion: Subperiosteal or juxtaosseous implants are a modern and effective option for dental restoration in patients with bone limitations. They offer numerous advantages in terms of esthetics, stability and comfort, representing an attractive alternative in the field of dentistry.

To determine if this type of implant is right for you, it is essential to consult with a specialized dental professional.

Dental Microimplants

Micro dental implants, also known as mini implants, are a smaller version of traditional dental implants. They have a smaller diameter and require less bone mass, making them suitable for patients with bone limitations.

Features and Benefits:

  • Smaller size: Its smaller size facilitates placement in small spaces and in patients with insufficient bone mass.
  • Less Invasive: The procedure to place micro-implants is less invasive, resulting in faster recovery and less postoperative discomfort.
  • Stability: Despite their size, micro-implants provide a stable base for the dental prosthesis, improving masticatory function and prosthesis stability.

Conclusion: Dental microimplants are an excellent option for patients with bone limitations or those who require a less invasive procedure. They offer an effective and stable solution for tooth replacement, improving both dental function and esthetics.

Types of implants according to the connection:

These types of implants refer to the way the prosthesis is connected to the dental implant, providing different advantages depending on the design.

External Connection Implants

These implants use an external connection to hold the prosthesis, providing greater strength and stability without the need for visible screws. This connection allows a better distribution of chewing forces.

Tapered Connection Implants

The tapered connection between the implant and prosthesis provides optimal distribution of chewing forces, eliminating the need for retention screws. This tapered design provides greater stability and reduces the risk of loosening of the prosthesis.

Internal Connection Implants

These implants secure the prosthesis through an internal connection, promoting superior stability and improved force distribution. The internal interconnection is especially useful in cases where esthetics is a primary concern, as it eliminates the visibility of any attachment components.

Screwless Dental Implants: Pricing

The price of screwless dental implants can vary significantly depending on several factors such as the clinic, geographic location and complexity of the case. These implants tend to be more expensive than traditional implants due to the advanced technology and materials used in their manufacture.

Factors Influencing Price

  1. Dentist’s experience:

    • Professionals with more experience and specialization tend to charge more, but they can also offer better results and reduce the risk of complications.

  2. Materials used:

    • High-quality materials may increase the price of the implant, but they also improve its durability and esthetics. The choice of materials such as titanium or zirconia can influence the final price.

  3. Clinic Location:

    • Clinics located in metropolitan or high-demand areas may have higher prices due to operating expenses and the standard of living in the area.

Approximate Prices

In Spain, the average price of a conventional single dental implant in 2024 is around 1,550 euros. Screwless implants may have a slightly higher price due to the specific techniques and materials required for their placement. It is essential to obtain a detailed estimate before proceeding with treatment in order to have a clear idea of the costs involved.

Who is a candidate for this type of implant?

Screwless dental implants are ideal for patients with significant bone loss or those seeking a less invasive alternative to traditional implants. Good candidates typically have good bone quality, good oral and general health, and are non-smokers or willing to quit smoking. A thorough evaluation by a dental professional is essential to determine if you are a suitable candidate.

How long does the procedure take?

The procedure to place screwless dental implants usually lasts between 1 and 2 hours, depending on the complexity of the case. If additional procedures such as bone grafting are needed, the duration may be longer. Recovery time is usually shorter compared to traditional implants due to the minimally invasive nature of the surgery.

Comparison between Screw-retained and Screwless Dental Implants

Dental Implants with Screw

Advantages

  • Durability and Stability: They offer a solid fixation in the bone, providing greater stability and longevity.
  • Flexibility: Suitable for a wide variety of cases.
  • Reduced Risk of Displacement: Screw fixation ensures that the implant remains in place.

Disadvantages

  • Invasive procedure: Requires drilling into the bone, which may increase recovery time.
  • Requires Sufficient Bone: May require additional procedures such as bone grafting.

Screwless Dental Implants

Advantages

  • Less Invasive: No bone drilling is required, which facilitates recovery.
  • Low Bone Option: Ideal for those with insufficient bone mass.

Disadvantages

  • Lower Initial Stability: The lack of direct fixation to the bone may make them less stable initially.
  • Increased Risk of Displacement: There is an increased risk of implant movement or displacement.

Conclusion

Although screwless dental implants are a less invasive option, screw-retained implants are generally better because of their greater durability and stability. 

At Implantarex, we offer dental implants with screw for 890€ all inclusive, which covers:

  • Study and X-rays
  • Detailed postoperative follow-up
  • Titanium implant
  • 100% customized dental crown
  • Connecting pillar
  • Continuity of care by the same doctor throughout the process

For more information about our services, visit our dental implant clinics at:

For more details about screw-retained dental implants, please see our page on dental implants with screw.

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