Teeth first, titanium later
Peri-Implantitis
Peri-Implantitis
Gum problems around implants are called peri-implant disease. Implants do not suffer from decay (cavities), however, they can suffer from gum problems like teeth can, usually in patients with a history of gum problems, or when they are not well cared for with good oral hygiene and maintenance. The most common cause is poor oral hygiene, a history of periodontitis (gum disease) and smoking.
Causes of
Peri-Implantitis
If cleaning is poor, bacterial biofilm builds up around the implant to cause inflammation and this is known as peri-implant mucositis. This means that the gum may look red, may bleed or be sore to brush and there may be discharge which could only be noticeable with a bad taste. If it is left untreated, it can progress to cause a bigger problem called Peri-implantitis.
This means that the implant is losing bone. It is more difficult to treat compared to gum disease around teeth and can progress at a faster rate and peri-implantitis often requires periodontal surgical treatment. It is therefore essential that your gum health is stable before you have implants placed as most peri-implant diseases develop in patients who have gum disease already or have a history of it.
Approximately 1 in 5 patients with gum disease develop peri-implantitis and may need to see a specialist periodontist to treat it.
Preventing Peri-Implantitis
Gum diseases can be silent so regular check ups with your dentist will help to ensure that any problems are picked up early. Visiting a hygienist regularly and looking after your teeth, gums and implants will help prevent the onset of peri-implant diseases. If you notice any signs of inflammation around your implant, visit your dentist, hygienist or periodontist sooner rather than later as early peri-implant disease is easier to treat.
Peri-Implantitis FAQs
Symptoms of peri-implantitis include red, swollen, or bleeding gums around the implant, discomfort or pain, bad breath, discharge from the gums, and, in advanced cases, loosening of the implant.
Peri-implantitis is diagnosed through a clinical examination by a dentist or periodontist. This may include checking for inflammation, measuring pocket depth around the implant, and taking X-rays to assess bone loss.
Yes, peri-implantitis can be treated, especially when caught early. Treatment options include professional cleaning to remove plaque and bacteria, non-surgical procedures like deep cleaning or surgical procedures to repair or regenerate lost bone.
Yes, if left untreated, peri-implantitis can lead to the loss of bone supporting the implant, which may result in the implant becoming loose or failing completely.