Can You Get Dental Implants with Gum Disease?

Dental implants have transformed modern dentistry, offering a durable and natural-looking solution for missing teeth. They provide not only functional benefits, such as improved chewing and speaking, but also enhance the appearance of your smile. However, for dental implants to succeed, they require a healthy and stable foundation  which includes both the jawbone and gum tissue.

This raises an important question: can you still get dental implants if you have gum disease? Gum disease, which ranges from mild gingivitis to more severe periodontitis, affects the health of the gums and underlying bone structure. Given that dental implants are anchored in the jawbone, it’s natural to wonder whether gum disease might compromise their success.

In this blog, we will explore the relationship between gum disease and dental implants, how to treat gum disease before implant placement, and the options available for patients with compromised gum health. If you are considering dental implants but have concerns about your gum health, this comprehensive guide will provide you with the clarity you need.

Understanding Gum Disease

Gum disease, also known as periodontal disease, is a common condition that affects the tissues surrounding and supporting the teeth. It progresses in stages:

• Gingivitis – The earliest stage of gum disease, caused by plaque buildup on the teeth. Symptoms include red, swollen gums that may bleed when brushing or flossing. Gingivitis is reversible with proper oral hygiene and professional cleaning.
• Periodontitis – If left untreated, gingivitis can advance to periodontitis, where the infection spreads below the gum line and begins to affect the underlying bone. This can lead to gum recession, loosening of teeth, and eventually tooth loss.

Causes of Gum Disease

Gum disease can develop due to several factors, including:

Symptoms of Gum Disease

Recognising the early signs of gum disease is crucial for timely intervention. Common symptoms include:

• Red, swollen, or tender gums
• Bleeding when brushing or flossing
• Receding gums, making teeth appear longer
• Persistent bad breath (halitosis)
• Loose or shifting teeth
  

  

Impact of Gum Disease on Dental Implants

Why Healthy Gums Matter for Dental Implants

For dental implants Wimbledon to succeed, they require a stable foundation in the jawbone and healthy gum tissue. The implant is surgically placed into the jawbone, where it integrates with the bone through a process called osseointegration. Healthy gums provide a protective barrier that helps to prevent infection and supports the implant structure.

Challenges Posed by Gum Disease

If gum disease is present, several complications may arise:

• Bone Loss – Advanced periodontitis can cause deterioration of the jawbone, reducing the amount of bone available to support an implant.
• Peri-implantitis – A condition similar to gum disease that affects the soft tissue and bone surrounding the implant. It can lead to implant failure if left untreated.
• Increased Risk of Infection – The presence of bacteria and inflammation increases the risk of postoperative complications and implant rejection.

Can You Get Dental Implants with Gum Disease?

Factors Influencing Eligibility

The possibility of receiving dental implants with gum disease depends on several factors:

1. Severity of Gum Disease – Mild gingivitis can often be treated successfully before implant placement. Severe periodontitis, however, may require more extensive treatment.
2. Bone Density and Strength – Sufficient bone volume is essential for implant stability. If bone loss has occurred, bone grafting may be necessary.
3. Overall Oral Health – Other factors, such as the presence of tooth decay or poor oral hygiene, can affect implant success.

Possible Outcomes

• Successful Integration – If gum disease is treated effectively, implants can integrate successfully with the jawbone.
• Increased Risk of Failure – Untreated gum disease increases the risk of implant rejection and long-term complications.

Preparing for Dental Implants if You Have Gum Disease

Step 1: Treating Gum Disease

Before proceeding with dental implants, it’s essential to address gum disease through professional treatment, which may include:

• Scaling and Root Planing – Deep cleaning to remove plaque and tartar below the gum line.
• Antibiotic Therapy – Prescription medication to control bacterial infection.
• Improved Oral Hygiene – Brushing twice daily, flossing, and using an antibacterial mouthwash.

Step 2: Bone Grafting (if needed)

If gum disease has caused bone loss, bone grafting may be required to rebuild the jawbone. This involves placing a bone graft material that stimulates bone growth, creating a stronger foundation for the implant.

Step 3: Evaluating Overall Oral Health

A Wimbledon orthodontist will assess your oral health, including gum health and bone density, to determine the best course of action for implant placement.

Types of Dental Implants Suitable for Patients with Gum Disease

1. Traditional Implants

• Most common type
• Requires sufficient bone density
• High success rate with healthy gums

2. All-on-4 Implants

• Suitable for patients with moderate bone loss
• Uses four implants to support a full arch of teeth
• Reduced need for bone grafting

3. Zygomatic Implants

• Anchored in the cheekbone
• Suitable for patients with severe bone loss
• More complex surgical procedure

Aftercare and Maintenance of Dental Implants

Oral Hygiene Tips

• Brush twice daily using a soft-bristled toothbrush.
• Floss carefully around the implant to remove plaque.
• Use an antibacterial mouthwash to reduce bacteria.

Regular Dental Check-ups

• Schedule check-ups every six months with your Wimbledon orthodontist.
• Professional cleaning helps maintain gum health and prevent peri-implantitis.

Risks and Complications

Potential Complications

• Infection – Poor oral hygiene increases the risk of bacterial infection.
• Implant Rejection – The body may reject the implant if the bone fails to integrate properly.
• Gum Recession – Loss of gum tissue can expose the implant, affecting its stability.

How to Minimise Risks

• Follow your dentist’s post-operative care instructions.
• Maintain good oral hygiene and avoid smoking.
• Report any signs of discomfort or infection promptly.

Conclusion

While gum disease presents challenges to dental implant success, it does not necessarily mean you cannot receive implants. With proper treatment of gum disease, bone grafting (if necessary), and ongoing maintenance, dental implants can provide a durable and long-lasting solution for missing teeth. Consulting with a qualified Wimbledon orthodontist ensures that your treatment plan is tailored to your unique needs and oral health status.

At The Dental Lounges, we specialise in providing expert care for dental implants and gum health. If you are considering dental implants but are concerned about gum disease, contact us today to explore your options.