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Smile Designs

13 September 2021

Dental implants gum disease

Did you know you are still susceptible to gum disease even if you have dental implants?

Implants aren’t a quick fix – once they are in you need to take care of your teeth just like you would your normal teeth, there is a lot of work that goes into maintaining them after your treatment and your gums are still susceptible to gum disease.

What is periodontal (gum) disease?

Periodontal diseases are mainly the result of infections and inflammation of the gums and bone that surround and support the teeth. In its early stage, called gingivitis, the gums can become swollen and red, and they may bleed.

In some cases, the disease will progress to a more severe form of gum disease known as periodontitis, this is now irreversible. This is where the gum next to the plaque peels away from the tooth, forming a ‘gum pocket’. The bone beneath this pocket is eaten away over time.

This bone supports your teeth, so this destructive process can result in the loosening of the teeth and eventually even their loss.

It can be caused by the following factors:

· Genetics

· Crooked or crowded teeth, braces and bridges

· Grinding or clenching your teeth

· Heavy smoking and/or drinking

· Medications

· Diseases

· Poor Nutrition

· Stress

· Hormones

What is Peri-mucositis?

Peri-implant mucositis is an inflammatory lesion of the soft tissues surrounding an implant in the absence of loss of supporting bone or continuing marginal bone loss.

Bleeding and sore gums are a sign of irritation and inflammation, it is common when a buildup of plaque and bacteria is left at your gumline. They may bleed when you brush, or when using your interdental brushes but please do not be alarmed and do not stop brushing.

You need to DO the following:

· Ensure you are cleaning thoroughly and removing any plaque

· Using an antibacterial mouthwash for no more than 7 days to help reduce bleeding

· If problems persist, contact us on 01423 536979

· Keep coming to see us for your checkups


What is Peri-Implantitis (Gum Disease around Implants)

Peri-implantitis is a site-specific infectious disease that causes an inflammatory process in soft tissues, and bone loss around an implant in function. Peri-implantitis is caused primarily by the bacteria and food particles that gradually accumulate around dental implants and gum lines. Careful and consistent dental care is needed in order to minimize and eliminate harmful pathogens, which are found in plaque and tartar.

It can be caused by the following factors:

· Poor oral hygiene

· Periodontal and other oral diseases

· Lack of attached periodontal tissues around implants

· Poor quality of the bone into which the implant has been placed

· Excessive, uncontrolled occlusal loads

· Heavy smoking and/or drinking

· Poorly produced implants

· Certain types of host factors, such as diabetes

· Dental implant infection signs include:

· Bad taste/bad breath that does not go away.

· Pus or bleeding of the gums or implant area.

· Pain or fever

Dealing with this can be lengthy so prevention is key, at your maintenance visits these are the conditions we will be looking for so do not worry we will constantly be monitoring your implants throughout their life span.

The upside to dental implants is they function just like your natural tooth. The downside is, they can become diseased just like a natural tooth.

With a proper oral health routine, your dental implant can last. After all, implants are a long-term investment in your smile, your health and your wellbeing, so it's best to protect your investment!

Gum disease prevention

Whether you have implants, veneers, crowns a denture or your natural teeth it is important to look after your teeth and gums and to keep up with good oral hygiene

· Brush your teeth for a minimum of 2 minutes before you go to bed on a night time and 1 other occasion during the day

· Use a toothpaste that has the correct amount of fluoride in it – adults should be using around 1,350-1,500ppm fluoride in their toothpaste

· Floss your teeth every time you brush using floss or interdental brushes before brushing

· Stop smoking

· Visit your dentist every 6 months for your regular appointments

· Mouthwash

· Mouthwashes cannot remove existing plaque only regular toothbrushing and flossing can do this

· If your dentist has prescribed you a chlorhexidine mouthwash rinse your mouth thoroughly between brushing your teeth and using a chlorhexidine mouthwash as some ingredients in toothpaste can prevent the mouthwash from working and should not use a chlorhexidine mouthwash for longer than 4 weeks.

We hope this information has been informative and helpful in understanding a little more about gum disease and its impact on dental implants.

For more information about dental implants contact Smile Designs Implant Studio on 01423 536979 or complete our enquiry form

And for more information about gum disease and prevention click here.