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Peri-Implantitis: Here’s What You Need To Know

Feb 29, 2024   |   221 Views

Dental implants are a long-term solution for the replacement of missing teeth. According to an estimate, about 3 million people in the US have dental implants as a replacement for missing or damaged teeth. In most cases, dental implants are stable and do not cause any issues. However, the presence of certain risk factors may lead to peri-implantitis, which is one of the major reasons for implant failure. Lack of early treatment can cause severe complications, affecting your gum and bone health. In this blog, we will discuss the common causes, symptoms, and treatment options of peri-implantitis.

What Is Peri-Implantitis And How Is It Caused?

Peri-implantitis is an inflammatory disease that affects the gums and bone around a dental implant. Once these tissues become infected, the inflammatory reaction worsens over time, leading to severe pain and discomfort.

It can be caused by a multitude of factors, but the most common cause is poor oral hygiene. Lack of proper cleanliness can increase the risk of inflammation and infection around the implant site. Other common causes include:

  • Smoking: Chronic smokers are at high risk of this disease because smoking reduces blood flow and increases the risk of gum infections.
  • Poor Implant Placement: Mispositioned implants in areas with inadequate bone support are at an increased risk of peri-implant infection.
  • Diabetes: Uncontrolled or chronic diabetes can increase the risk of this disease because it affects the blood flow and healing abilities.
  • Immune Suppression: People with a weakened immune system due to diseases or medications may develop this infection more rapidly.
  • Heavy Bite Forces Or Teeth Clenching: Excessive forces on the implant tooth due to harsh chewing, grinding or clenching teeth can weaken your gums and bone.

What Are The Common Signs and Symptoms of Peri-Implantitis?

In its initial stages, peri-implantitis may not present with any signs or noticeable symptoms. As the infection progresses, it affects your gums, periodontal tissues, and the bone structure around an implant. Some common symptoms include:

  • Swelling or redness of gums around the dental implant
  • Pus discharge near the implant site
  • Pain or discomfort
  • Tender gums
  • Implant mobility
  • A foul taste in the mouth
  • Deep pocketing around the implant
  • Bone loss

Is Peri-Implantitis Reversible?

The treatment and management of this disease depend on the severity of your condition. If diagnosed at an early stage, it can be reserved to a certain extent, and your health can be optimized. At this stage, a deep cleaning (scaling and root planing) can help preserve the tissues around the implant site.

However, most cases of peri-implantitis are diagnosed when the disease has already progressed past the reversible stage. In that case, your periodontist will evaluate the implant site to devise a treatment plan accordingly.

What Are The Treatment Options For Peri-Implantitis?

The treatment of this disease involves non-surgical and surgical measures, depending on the complexity of the condition. The goal of treatment is to decontaminate the tissues around the implant and limit the spread of progression.

Non-invasive options include deep cleaning and antimicrobial therapy. An advanced treatment option is the use of a Waterlase Laser that effectively treats the affected areas without the need for incisions or sutures. If the disease is too widespread, surgical options may be considered to maintain your oral health.They include gum grafting, placement of growth factors and bone grafting. We will devise a comprehensive plan to address your needs.

Summing Up

If you want to learn more about peri-implantitis treatment, you can schedule a consultation with our expert periodontists at Sugar Land Periodontics and Implant Dentistry. Dr. Hiru Mathur and her professional team will work with you to determine the best solutions for your oral health. Call us at (979) 553-7252 to schedule an appointment.


Dr. Hiru Mathur

Dr. Hiru Mathur

Dr. Hiru Mathur, a board certified Periodontist since 1999, brings expertise in Periodontal & Implant Surgery. As an Assistant Clinical Professor at the University of Texas, Houston, she remains devoted to refining clinical skills. A star ambassador for Asian American Family Services, Dr. Mathur is committed to community well-being. She proudly aligns with esteemed organizations such as the American Dental Association, American Academy of Periodontology, and more.

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