Can I get dental implants if I have gum disease or periodontal disease?

dental implants gum diseaseYes. gum disease is a disease of the connection between teeth and the jaw bone. This connection is called the periodontal ligament or “PDL.” Once the teeth are removed, the disease will go away since there is no longer a PDL. If the teeth are not removed, bone will continue to be lost. I can become difficult if not impossible to get dental implants once periodontal disease progresses and precious  bone is gone.

Localized Periodontal Disease vs Full Mouth Gum Disease

Periodontal disease usually will either severely damage all the teeth or just some of the teeth. The damage is done by way of severe bone loss to the point teeth get loose and fall out. The disease in the case of localized gum disease, is usually limited to the very front teeth and the first and second molars. In these cases it is usually best to remove the teeth and replace them with small permanent implant bridges. For the case of full mouth gum disease, it is best to remove all the natural teeth and replace them with full mouth implants. Full mouth implant options are generally two kinds:

  1. full mouth dental implants such as All on 4 implants. Or it is possible to replace all the teeth with individual implants and small implant bridges.
  2. Implant dentures or false teeth with implants

Your teeth play a vital role in your general well being. Our prime goal is to save your natural teeth at all costs. However, gum disease and periodontal disease weakens your teeth if proper cleaning and tooth brushing is not maintained. Teeth are held in position with the help of special natural fibers or ligaments. These periodontal ligaments surround your teeth from all sides and help in chewing & biting food. When gum disease starts, it can be cured with the help of simple cleaning of teeth at the dental office but if it progresses and involves periodontal ligaments to the extent that bone around teeth comes under danger, it is wiser to remove diseased teeth and place dental implants.

What are dental implants?

Dental implants are the only tooth replacement options which have the capability to be directly lodged or inserted into your jawbones around natural teeth. Dental implants do not make any connection with the periodontal ligaments as is the case in natural teeth. Dental implants directly involve bone within and around the tooth socket. It is best to remove diseased teeth with compromised periodontal ligaments as soon as possible and place dental implants for getting best results.

Dental Implants are the latest innovation for dental replacement when compared with dental bridges and dentures. These are the permanent root replacement of the lost teeth roots. The artificial crown portion is fabricated and matched to adjacent teeth for giving the same structural, functional as well as natural looking effect.

What is the importance of socket bone in the future success of dental implants?

dental implants periodontal diseaseHealthy socket bone is of prime importance for getting successful dental implants as replacement of your lost natural teeth. It is the socket bone which will cover the dental implant and hold it for life. It is the socket bone which will make a biological connection and grows inside the spaces around dental implants. No periodontal ligaments are present around dental implants. Socket bone preservation will ensure future success of dental implant as well restoration of your smiles, eating, chewing, biting and all functions of teeth.

Should I go for immediate removal of periodontally diseased teeth?

If your dental health care provider examines your teeth and tells you that periodontal disease has progressed to the extent that its outcome is hopeless, then you should definitely opt for removal of such teeth. This is very important as diseased periodontal ligaments will start to damage the bone tissues around the diseased teeth and it will become difficult to get successful dental implants in future.

How should I get my diseased teeth removed for successful dental implants in future?

You should choose an expert dental implant surgeon with experience of dealing such cases. It is very important to save socket bone during removal of these hopeless teeth. Your implant surgeon should be careful and should have the knowledge to deal this situation.

How long should I wait for placement of dental implants after removal of periodontally compromised teeth?

It is best to go for immediate placement of dental implants after removal of diseased teeth. No time should be wasted for preserving maximum quantity of socket bone for success of dental implants. However, if your implant surgeon feels that it is necessary to give some time for healing of disease, you must follow his instructions. Possible for implants after periodontal disease? Can someone with gum disease get implants?

What problems can I face if I didn’t go for or delay replacement of lost natural teeth with dental implants?

  1. Problems with eating, drinking, speech & basic functions of teeth,
  2. Loss of confidence at work,
  3. Loss of self-esteem,
  4. Shifting and tilting of teeth in empty tooth socket spaces created by lost teeth causing difficulty of replacement in future,
  5. Food impaction in empty spaces causing gum and bone diseases,
  6. Over-eruption & elongation of opposing teeth causing poor appearance and eventually loosening and mobility of teeth,
  7. Problems in normal tooth contacts and bite,
  8. Loss of jawbone.

What will happen if my jaw bone gets damaged due to periodontal disease? Will I lose the chance to get dental implants in future?

Healthy socket bone in your jaws in necessary for the success of dental implants and it should be preserved at all costs by removing diseased teeth as early as possible. If periodontal disease progresses and damages jaw bone, you need to get an additional artificial bone grafting therapy for the restoration of healthy socket bone. Your implant surgeon will thoroughly examine the condition, height and quantity of bone and will decide whether there is need for placement of artificial bone before dental implants or not. dental implants after periodontal disease.

Is there any age limit for getting successful dental implant therapy?

You can opt for successful dental implants for the replacement of lost natural teeth at any time in your life provided,

  • You are not suffering from serious systemic diseases affecting your socket bones and natural healing processes such as Diabetes Mellitus, bone diseases or bleeding problems,
  • You are having good quality, height and quantity of jawbone around empty tooth socket,
  • You have health gums and no unresolved periodontal disease,
  • You have got a well-trained and highly skilled dental implant surgeon available in your area with vast experience of doing dental implant surgeries with metal free implants.

Which materials should be preferred for dental implants?

You should go for the best materials when you decide to get dental implants for replacing your diseased teeth. Metal free titanium and zirconium dental implants will ensure lifetime restoration of your diseased teeth and lost tooth functions.

What will be the whole procedure for the placement of dental implants in empty tooth sockets?

dental implant procedure:

  • Complete medical and dental history recording and comprehensive examination of your mouth,
  • Dental x rays will be taken for checking enough quantity, quality and height of socket bone necessary for the implant to make a strong connection,
  • Dental x rays are also important to check whether any blood vessel or nerve is in its way or not. Implant path needs to be altered in these conditions for avoiding permanent numbness in future.

How much time will it take to place dental implant?

It will take approximately 30-60 minutes for the placement of dental implant in empty tooth socket due to latest sophisticated implant kits available now. The procedure is not only cost-effective but it also saves your precious time.

What is the estimated life of an implant?

Dental implants can last for lifetime if good oral hygiene conditions are maintained through regular tooth brushing and mouth rinsing.


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