Managing Dental Implants and Periodontal Disease?

dental implants periodontal and gum diseaseYes. periodontal disease is characterized by loss of tooth supporting gum and bone tissue. It is an autoimmune disease of unknown or misunderstood origin, but it is genetic and in most cases, when severe, it cannot be prevented or stopped. The doom is loss of all teeth and jaw bone. 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. It can become difficult if not impossible to get dental implants once periodontal disease progresses and precious bone is lost.

Sometimes with gum disease the best course of action is to replace all your teeth with dental implants before the disease takes all your jaw bone.

Can Dental Implants Help with Gum and Periodontal Disease Video:

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.

With Severe Gum Disease Removing Teeth and Replacing with Implants Prevents Further Bone Loss

In these cases of server gum and periodontal disease, it is usually best to remove the teeth and replace them with permanent implant teeth. For the case of full mouth gum disease, it is best to remove all the natural teeth and replace them with full mouth implants before loss of valuable bone occurs. 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 is better zirconia or titanium dental implants?

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

dental implants work gum 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 implants and 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. Teeth clenching can contribute to gum disease. How to stop jaw clenching?

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.

What is Periodontal Disease?

Periodontal Disease is the most prevalent chronic disease in the world. Periodontal Disease also called Gum Disease is the leading cause of tooth loss. Gum disease starts when normal oral bacteria forms on teeth where the gum line meets teeth. In response to bacteria accumulating at the gum line, the gums become inflamed. The initial phase of the disease characterized by swollen gums is called Gingivitis. During “Gingivitis” the bacterial accumulations are above the gum line. Gingivitis progresses to Periodontitis when bacteria eat away the gum attachment to the teeth and move down below the gum line where they wreck havoc and eat away tooth-supporting bone. So there you have it, Periodontal Disease is that simple or is it?

Gum Disease is Complex and Autoimmune

Periodontal Disease is not simple, but rather it is more of a complex Autoimmune disease. When bacteria colonize (aka “Plaque” or “Tartar”) below the gum line they release Toxins and cause bone and gum inflammation. The bacteria and toxins also can enter into the blood stream through the thinner tissue below the gum line and cause or contribute to other systemic disease. During Gum disease progress, the immune system begins to turn against the teeth. The immune system initiates an attack on the teeth where the bone is resorbed from around the teeth and the teeth eventually get loose and fall out. Sometimes the disease attacks all the teeth, but often it is just some of the teeth. Periodontal disease does not affect all people all people the same way. In fact, some individuals with poor oral hygiene may get only a mild form of Gingivitis that never progresses to irreversible periodontitis. Periodontal disease, like many other autoimmune diseases, has a genetic component, as certain individuals are more likely to get it than others.

Factors Known to Make Periodontal Disease Worse:

  • Tobacco Use
  • Genetics
  • Stress
  • Medications
  • Clenching and Grinding of Teeth
  • Diabetes
  • Poor Nutrition

Periodontal Health and Diet:

Diet is important in controlling periodontal disease because bacteria in your mouth use sugars for energy and reproduction. When oral hygiene is poor and the diet is high in sugar, there will be lots of growth of disease progressing bacteria. Stress is also a major factor. Stress + Sugar = lower acidity in the mouth and an increase in Gum Disease.

The human body needs vitamins and minerals to help regulate our metabolism. A diet high in fiber and fruits and vegetables will help reverse periodontal disease naturally. Essential Fatty Acids and Proteins provide the energy to help build vital cells. To reverse gum disease naturally, we to discipline ourselves to maintain healthier eating habits (stay away from processed foods) and keep stress to a minimum.

Vitamins and Supplements for Gum Disease:

Vitamin C

Vitamin C is an important vitamin for healthy gums. it appears to fight bacteria and promote the formation of new healthy gum tissue. Vitamin C also reduces inflammation and infection during the progression of periodontal disease. Vegetable high in Vitamin C include Oranges, Grapefruit, Tomatoes, Broccoli, Cauliflower, Cantaloupe, Strawberries and Asparagus. Recommended daily dose of 1000mg 3x per day


  1. CoQ10 @30mg 3x per day
  2. Vitamin A @10,000 I.U.
  3. Vitamin E @400mg 1x per day


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