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Dental Implants: Gum Recession and Dental Implants Risks and Difficulties

Dental implant with implant supported crown

Dental implants are an effective way to replace broken or decaying teeth permanently, but like any procedure, risks are involved. Your medical history and the condition of your gums can lead to issues like inflammation and nerve damage.

The right dental implant specialist will have the experience to avoid common issues. They will prepare you for what’s ahead and help you determine if you are a suitable implant candidate.

Gum Recession

Individuals typically experience some amount of gum recession over time, but more serious cases can be caused by:

  • Periodontal Disease: Periodontal disease is a gum tissue infection that can lead to recession.
  • Tobacco Products: People who use tobacco products are at higher risk of periodontal disease and related gum recession.
  • Teeth Grinding: Teeth grinding puts stress on the teeth, gums, and joints and can cause gums to recede.
  • Poor Dental Hygiene: Individuals who don’t care for their teeth are prone to recession-related dental issues. Using excessive force when brushing and flossing can also cause gums to recede.
  • Tooth Loss: Missing teeth are linked to bone loss which reduces jaw and gum line support and leads to recession.

Gum Recession Before Dental Implants

People with gum recession may not be good candidates for implants. The condition is typically linked to a lack of gum tissue. There may not be enough tissues for teeth to anchor to.

It is possible to use bone grafts to deal with this issue. Artificial or borrowed tissue is used to fortify the area and prepare it for implantation. However, it will add to costs and prolong the implant process.

Gum Recession After Dental Implants

Recession may also occur after surgery. A 2000 NIH study found that a 1 mm recession can occur within a year after an abutment connection with 80% of the recession happening in the first three months.

A second study, published in 2022, compared implant patients with and without periodontitis and related gum recession. Patients were examined 20 years after implantation. Researchers found that both sets of patients faired equally well with their implants. However, those with periodontitis who did not follow the recommended periodontal care (SPC) program were at higher risk of complications.

A third study, published in Clinical Trials, examined how periodontal care impacts implant success. However, the results of the study have not yet been published.

Common Causes of Dental Implant Problems

Periodontitis and related behaviors like smoking and teeth grinding can lead to poor dental implant outcomes. You may also face issues if you:

  • Have low bone density due to aging
  • Smoke which may interfere with the healing process
  • Have a medical condition such as diabetes, leukemia, cancer, or an autoimmune disorder
  • Take blood thinners which may increase bleeding during the procedure
  • Are undergoing radiation therapy

People with these conditions are more likely to encounter issues during or after surgery such as an infection near the implant or Inflammation that destroys the tissue around the implant.

Issues can also occur due to poor implantation techniques. For example, you may experience.

  • Damage to the surrounding teeth during implantation
  • Injury to the surrounding tissues and areas during implantation such as sinus perforation or a fractured jawbone
  • Inadequate function caused by a poor bite setting
  • Loose screws
  • Looseness in the implant body (typically related to an infection or delayed healing)
  • Nerve damage
  • Difficulty cleaning around the implant leading to poor oral hygiene

How to Prevent Implant Issues

Several pre- and post-implantation healthy lifestyle habits will ensure implant success. For example, you may consider:

  • Avoiding tobacco products
  • Following a healthy diet
  • Following a healthy oral care routine including brushing, flossing, and regular dental visits
  • Properly caring for your implants
  • Avoiding teeth grinding- you may wear a nightguard at night to reduce damage
  • If you detect any issues with your implant, talk to your provider right away.

You can also do research before the surgery to ensure a better outcome. 

  • Choose the right provider- Look at reviews and recommendations to ensure your provider has a history of successful implant surgeries.
  • Talk About Your Medical History: Discuss your medical history with your provider. Mention past and present medical conditions and lifestyle habits that may impact your surgery’s success.
  • Discuss the Product: Find out what brand and model of dental implant your provider uses and research to ensure it meets your standards.

How to Care for Dental Implants

Studies reveal that patients who follow care recommendations will have better success rates with their implants. Provider advice may vary, but most will suggest the following care habits.

  • Use a soft-bristle toothbrush and low-abrasive toothpaste to clean your teeth twice a day.
  • Use a nylon-coated interdental brush to clean hard-to-reach places
  • Floss daily with unwaxed tape or implant-specific floss
  • Use an oral irrigator

Additionally, it is normal to feel pain during the healing period which typically lasts a couple of weeks. These are not necessarily signs of a complication and can be treated at home with the following methods:

  • Use a 1:1 solution of 3% hydrogen peroxide and water or an antibacterial mouthwash to keep the site clean
  • Avoid hard, sticky foods that can irritate your mouth
  • Use over the counter doctor recommended products to reduce pain
  • Use a cold compress or ice pack to reduce swelling

Choose the Right Implant Specialist in Los Angeles, CA

Choosing the right implant specialist is essential. An experienced provider will perform the surgery with skill minimizing the risk of complications. They will go through your medical history to ensure you are a good candidate for implantation and instruct you on suitable care considering your conditions.

Several specialists perform implant surgery, but few rival the talents of Dr. Choi. He has extensive experience helping patients through successful implant surgeries that improve their quality of life. He is known for his compassionate manner and gentle touch.

Dental implants can pose risks and difficulties, but the proper care and the right specialist will ensure a smooth process. Contact Dr. Choi at Tarzana’s 32ology to book your consultation today. Get started on your journey to improved oral health.

 

SCHEDULE AN APPOINTMENT

 

Dr. Choi – Dental Implant Specialist in Los Angeles, CA.

32ology Dental Studio  – Multi Specialty Dental Center

18740 Ventura Blvd., Ste 108 Tarzana CA 91356

(818) 776-1236

Serving : Tarzana | Sherman Oaks | Encino | Woodland Hills | West Hills | Reseda