Can You Get Dental Implants With Periodontal Disease?

What is periodontal disease?

Periodontal disease, commonly known as gum disease, is a significant concern for many individuals considering dental implants. This condition, characterized by inflammation and infection of the gums, can lead to bone loss and is often thought to disqualify patients from receiving implants. Periodontal disease comes from the Greek words ‘peri’, meaning ‘around’, and ‘odont’, meaning ‘tooth’. However, advancements in dental care and treatment strategies have made it possible for patients with periodontal disease to still benefit from dental implants under the right circumstances.

What causes gum disease?

Gum disease is caused by a variety of factors that contribute to the build-up of plaque - a sticky film of bacteria that forms on the teeth. Here are the primary causes:

Poor Oral Hygiene: The most common cause of gum disease is inadequate brushing and flossing. Without regular cleaning, plaque can accumulate and harden into tartar, which is difficult to remove and can irritate the gum line.

Smoking and Tobacco Use: Smoking is significantly associated with the development of gum disease. Tobacco use can interfere with gum tissue cells’ functioning, making the mouth more vulnerable to infection and delaying the healing process.

Genetic Factors: Some people are genetically predisposed to gum disease, meaning they may be more likely to develop it regardless of how meticulously they care for their teeth.

Hormonal Changes: Changes in hormone levels during pregnancy, puberty, menopause, and monthly menstruation can make gums more sensitive, which can facilitate gum disease.

Medications: Some prescription and over-the-counter medications can reduce saliva flow, which has a protective effect on the mouth’s tissues. Without sufficient saliva, the mouth is vulnerable to infections such as gum disease. Additionally, some medicines can cause abnormal growth of gum tissue, making it easier for plaque to build up.‍

Illnesses: Certain diseases like diabetes, cancer, and HIV interfere with the immune system’s ability to function effectively. Particularly, diabetes increases the risk of infections, including gum disease and cavities.

Dental Restorations that Don’t Fit Properly: Ill-fitting bridges or crowns can contribute to plaque accumulation.

Poor Nutrition: A diet lacking in important nutrients can impair the body’s immune system and make it harder to fight off infection. Vitamin C deficiency, for example, is linked to gum inflammation and gum disease.

Understanding periodontal disease and its impact on implants

Periodontal disease affects the gums and the bones that support the teeth, potentially leading to tooth loss. The condition is primarily caused by bacteria from plaque buildup, and its progression can significantly compromise the integrity of the jawbone necessary for supporting dental implants. Therefore, managing this disease is crucial before considering implants.

21D’s approach to treating patients with gum disease

At 21D, we understand that many of our patients come to us with pre-existing conditions like gum disease. We believe that this should not automatically prevent you from enjoying the benefits of dental implants.

In full jaw implant reconstruction, all remaining teeth in either one or both jaws are removed, effectively eliminating the disease around the teeth. By thoroughly cleaning the underlying bone and placing the implants into healthy bone, combined with designing the prosthetic on top to be hygienic (which is critical), the likelihood of any disease returning to the underlying bone long-term is virtually eliminated.

If disease develops around the implants, it is known as peri-implantitis. This condition is slightly different from periodontal disease but can be managed easily if caught early. To determine the best course of action, we invite potential patients to undergo a free clinical assessment at our facilities. During this visit, we perform detailed scans to assess the health of your gums and jawbone. Our clinicians are equipped to advise on the suitability of implants based on these comprehensive scans.

Having periodontal disease does not necessarily exclude you from benefiting from dental implants. At 21D, we are dedicated to providing a pathway to dental implants for patients with gum disease, ensuring each step is handled with the utmost care and professionalism.

If you’re considering dental implants and have concerns about your gum health, contact us for a free clinical assessment. Let us help you take the first step towards a healthier, more confident smile.