Many people lose teeth because of gum disease, and the same disease can threaten an implant. Treating the gums is usually the first step in any implant plan, and it is one that cannot be skipped.
What gum disease is
Gum disease starts with plaque causing gum inflammation, called gingivitis, which is reversible. If it continues it can damage the bone that supports teeth, called periodontitis, and teeth become loose.
Why it matters for implants
Bacteria from untreated gum disease can infect the area around an implant. The same kind of inflammation around an implant, called peri-implantitis, can lead to bone loss and failure of the implant.
What treatment involves
A dentist or hygienist cleans below the gum line, sometimes in several visits, and you learn a better cleaning routine. After the gums are stable, the implant plan can go on. Some cases need gum surgery.
Risk factors
Smoking, diabetes, poor oral hygiene and a family history raise the risk. If you smoke, stopping before and after surgery improves healing.
Long-term care
After implants, regular check-ups and cleaning are what keep them healthy. Ask the clinic what a maintenance schedule looks like and who will provide it where you live.
The short version
Healthy gums come first. A plan that skips gum treatment in someone with gum disease is a poor plan.
General information, not medical advice. A qualified dentist decides what suits you after examining you.