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Buffalo, NY
A 56-year-old male asked:

Implants and perio looks like i might have to have implants my guy will not do it untill i get my perio under control what is he looking for and how long will that take to do

4 doctor answers4 doctors weighed in
Dr. G Funari
Dr. G Funarianswered
Oral and Maxillofacial Surgery 45 years experience
Periodontal : Periodontal disease is basically an inflammatory condition where the result is a net bone loss around the teeth. It is due to an inability to clean the food debris and bacteria from the teeth. In order for implants to be successful, a process of integration must occur. This is where the bone in the jaw grows into the threads of the implant locking it tightly to the bone. Active periodontal disease will prevent this from occurring. Also, if you do not maintain the health of the gum and bone around the implant it will loosen and fail. That is why control of periodontal disease is so important. Treatment of periodontal disease can vary depending on the amount and location of the affected areas. Usually treatment starts with a deep cleaning around the roots of the teeth. Once inflammation is controlled, then the areas will be reassessed to see if anything can be done to improve your ability to clean around the teeth. Finally, if there is insufficient bone to support an implant, a bone grafting procedure will be required. All of this can take months to complete.
Dr. Jonathan Scharf
Cosmetic Dentistry 49 years experience
Your : Your doc is giving you good advise. Implants must have a healthy environment in order to have the best chance for success. Periodontal disease implies that there is an environment with a significant level of unhealthy bacteria which must be controlled prior to implant placement. This can take a varied amount of time depending on the degree of periodontal disease that you have. It's worth taking the time to deal with this, not only for the implants, but for all of your other teeth that you would like to keep as well as your general health.
Dr. Peiman Soleymani
Specializes in Periodontics
Periodontal : Periodontal disease is a bacterial infection of the supporting structures (bone, ligament and gum) of the teeth. This same disease around implants is called peri-implantitis. Research shows that an untreated site can infect other areas in the same oral cavity and the same goes for bacterial transfer from natural teeth to dental implants which are made of titanium and mimic natural teeth and act and feell like them. Your dentist is on the right track to want to restore gum and bone health before a new tooth is introduced into the jaw. This way not only you have treated your teeth from being lost from gum disease, you also prevent the new implanted teeth from going the same route. Depending on the complexity and how committed you are, the treatment and the dental implant treatment can take months to complete. After all that work is completed it is recommended highly to stay on a very frequent (every 3 months) professional cleaning regimen called periodontal maintenance with your history of gum issue. Good luck. Dr. Soleymani healthy smiles healthy lives.
Dr. Alan Zweig
Prosthodontics 45 years experience
He : He is looking to control the disease that exists in your mouth, so that the implants can be placed in a healthy environment. How long it takes to do is dependent on how bad your condition is, how frequently you get treatment, and how compliant you are with the home care instructions you are given.

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Last updated Oct 4, 2016

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