Can Dental Implants be Done with Gum Disease?
Disclaimer: Not medical or professional advice. Always seek the advice of your physician.
Periodontitis is the most common cause of premature tooth loss. The disease disrupts the nutrition of periodontal tissues and leads to bone resorption. Approximately 20% of patients aged 35 to 45 visit dental clinics to treat inflammation of periodontal tissues.
The Dangers of Periodontitis
- inflammation of dental ligamentous apparatus and bone tissue around the tooth
- the formation of deep periodontal pockets
- exposed tooth roots
- accumulation of large amounts of dental plaque
- bad breath caused by decaying food debris and plaque stuck in periodontal pockets
- formation of dental cysts around teeth roots
- impaired teeth aesthetics due to missing teeth, changes in teeth color, and the appearance of gaps between teeth
- tooth mobility
- tooth loss
Although these factors may affect the process of placing dental implants, the presence of periodontitis does not always eliminate the possibility of getting dental implants.
Why are Traditional Tooth Replacement Options Not Suitable for Periodontal Patients?
Traditional methods for replacing missing teeth include removable dentures and bridges supported by natural teeth. However, they tend to put unequal pressure on the ligaments and gums, complicating the clinical course of periodontitis.
Since dental implants are screwed into the jaw bone, they do not need to be secured by periodontal ligaments. The surface of the neck part of special implants prevents the accumulation of microbes. Thus, dental implantation is the only effective way to restore missing teeth for patients with periodontitis.
Important! Teeth adjacent to the dental implant should not be affected by periodontitis. The infection can eventually lead to the failure of the dental implant. Therefore, prosthetic treatment can only be performed after periodontal remission is achieved.
Types of Dental Implants Used for Patients with Periodontal Disease
- All-on-6 with immediate loading. This type allows the dental prosthesis to be fixed on 6 implants. The dental implant planning process is based on the results of CT and is characterized by high accuracy. Using six implants ensures a more even distribution of the chewing forces.
- All-on-4 with zygomatic implants. This dental implant technique uses a combination of two regular and two long implants installed into the zygomatic bone, which is resistant to atrophy.
- Individual basal implants. They are recommended for patients with moderate to severe periodontitis. Basal implants can be used for the restoration of several teeth and the entire jaw.
How is Tooth Implantation Done with Periodontal Disease?
- Before the dental implant procedure, it is important to treat tooth decay and clean periodontal pockets. Dental implant placement cannot be performed during the active phase of periodontal disease.
- Extraction of mobile or severely damaged teeth.
- Implant placement.
- Placement of the permanent denture.
Dental implants can last a lifetime since the artificial tooth roots are placed in the strongest and most stable part of the bone. Implant crowns usually require replacement after 5-10 years, depending on the material. Following the dentist's recommendations can help implants remain intact forever.
How to Look after Dental Implants?
- Just like the natural teeth, your dental implants should be carefully cleaned every day, removing plaque from interdental spaces and chewing surfaces. Visit your dentist for a regular examination and professional cleaning.
- Avoid smoking, alcohol consumption, hard work, and strenuous activities during the healing stage.
- It is important to carefully follow medical recommendations, take your medications as prescribed, and carry out surface treatments and rinses. Combining these procedures will help your dental implants heal faster and prolong their lifespan!
Keep in mind that only doctors can make a decision about performing dental implant placement for patients with gum disease. They thoroughly check your general health, teeth, gums, and dental x-rays.