Gum Loss Around My Implant: Why Did This Happen?

Hi Sandy,

Gum loss around an implant could have a number of causes. If it occurred in this short period of time, the condition of the bone or the condition of the surrounding tissues would be the most likely reasons.

First the condition of the bone must be adequate to hold the implant. It should be placed at the level of bone or bone loss will occur with subsequent loss of gums.

Second, there must be adequate bone on both sides of the implant or that outside bone may atrophy. For instance, the implant may be placed too far towards the outside, leaving insufficient bone and gum support.

Another reason is inadequate periodontal support around the implant. There are two types of gums in the mouth-the attached and the unattached gingival. The attached gingival is firmly bound to the underlying bone with connective tissue. The unattached gingival is freely movable. If there is an insufficient amount of attached gingival around the implant (or teeth!), gum loss and recession occur.

Other factors would be an inherently thin gums when starting the procedure, gums that may have not been completely healthy initially, poor home care, over brushing, surgical or food trauma, occlusal trauma (bad bite), or wear from an existing prosthesis.

Moving forward depends on the cause, amount of gum loss, and esthetic requirements. Sometimes the implant has to be removed and the procedure needs to be redone several months later. If the bone was adequate and not a factor, surgically augmenting the gums with a tissue graft would be a solution. Performing a gum graft could both restore the stability and esthetics of the area.

Disclaimer: The information provided here is for educational and informational purposes ONLY. It is not medical advice. The use of the Web Site is at your own risk. >>Read More