A member asked:

Gums cannot attach itself to any part of a dental implant but a gum can attach to a tooth root. yes or no?

20 doctors weighed in across 11 answers
Dr. Brett Noorda answered

Specializes in Dentistry

True: The gums bind themselves to the roots of the teeth via "the gingival attachment." it creates a physical seal that prevents food and fluid from penetrating between the gums and teeth to the bone. Gums do not bind to implant surfaces. They do, however, still create a seal against the implant by the formation of circular fibers that cinch them tight. The seal is not as impenetrable, but is effective.

Answered 11/10/2015

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Yes and yes: Some studies have shown that gum tissue can attach to titanium and zirconium, but not well.

Answered 4/8/2013

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Dr. Dinh Bui answered

Yes: Even though the gum does not attach to any part of a dental implant, healthy gum usually forms a tight epithelial cuff around the neck of the dental implant (the transmucosa part) and provide a good barrier to bacterial colonization of the cervical section of the implant. Gum can attached to the tooth root via junctional epithelium and is vital to our periodontal health.

Answered 9/24/2013

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Correct: That is true. Gums can attach to a tooth root but not to any part of a dental implant. The most important gum is called attached gingiva or tight gums which should surround the dental implant or the tooth. Consult with your dentist to determine this.

Answered 4/8/2013

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True: However if add bone bone area the gum will attach to that.

Answered 10/4/2016

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Yes: Gums attach to teeth via the periodontal ligament and sharpeys fibers. Implants do not have a periodontal ligament. The gingeva grows around the implant but underneath, the implant is retained by bone growth into the implant, called ossteointegration.

Answered 4/8/2013

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Dr. Brian Dorfman answered

Specializes in Oral and Maxillofacial Surgery

No, Not True: Gum tissue will attach gently to an implant surface via a junctional epithelium. This attachment is very weak and is easily broken with a probe at the dentists office which is why it will bleed and then in turn cause recession. There are a few implants that actually have a true connective tissue attachment shown histologically under the microscope.

Answered 10/3/2015

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Root: Gums attach to tooth roots, and have a tight seal around implants.

Answered 4/8/2013

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Correct: The way the gum attaches to an implant is different that the way it attaches to a tooth. With a tooth the attachment is very tight. The attachment to the implant is very loose. In both situations to maintain gum health you need to practice good oral hygiene.

Answered 7/4/2015

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Not true: The gum attachment seen with a dental implant is what is termed a long junctional epithelial attachment. This is a very very weak attachment, and can easily be severed with probing. Therefore, we always see pocketing with dental implants, but these are not considered 'true' pockets because it is not considered a true attachment. Keep smiling !

Answered 12/9/2013

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Dr. I. Jay Freedman answered

Specializes in Dentistry

Yes and No: You are correct in your understanding that gum ( i assume grafted) can re-create an attachment to a natural tooth's root surface if it is properly treated. For the most part, you are correct about gum tissue not attaching to an implant, but new implant designs and surface coatings are being created to encourage an implant gum connection. Some research is showing positive results in that direction.

Answered 12/10/2013

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