They say dental implants are 90%+ successful. even with perio cleanings & home care, is this still true since no gingival attachment to implant?

Yes: The success of implants has as much to do with the selection process for patients as the procedure itself. Strong, healthy bone prior to surgery will yield very favorable results with integration of bone( iow the implant forms the best attachment to healing bone.) a qualified implant surgeon will certainly go over the pros/ cons beforehand. Implants are cutting edge technology and rightfully so.

Absolutely: Yes, it's true. This was not the case years ago when i first started in dentistry and the success rate was 20-50%. Better techniques, materials, protocols and selection criteria have stood the test of time over the last 20 years. It's a different attachment mechanism and for the most part less prone to failure in patients who, due to poor oral hygiene have lost teeth.

Higher than 90%: In the hands of a gifted surgeon, the success rate can be in the high 95+ percentile. Advancements in technology with proper case selection is the key. Right clinician with the right case= high success. Gingiva does not enter into the attachment equation, only bone or osseo-integration is how stability is garnered.

Epithelial cuff: Even there is no gingival attachment to the implant, there is an epithelial cuff that form a tight band above the implant crest. If the abutment used is zirconia, this epithelial cuff is very healthy and strong. Dental implant could be easily done and last a life time in a good occlusal scheme.

Yes: Implants, properly placed, restored and cared for are nearly 100% predictable and successful.

Yes: Implants fuse to the bone. The gingival or attached tissue protect both the implant and underlying bone.

Yes: Over 90% successful as long as you are non smoker, no history of periodontal disease, non smoker, non diabetic / well controlled diabetic, excellent at home care. Surgery and restoration has to be perfect.

Better with gingiva: Survival rates of dental implants are not uniformly 90%. Those with a healthy cuff of attached gingiva do better over time.

Case selection: Dental implants are fast becoming the standard for tooth replacement. While the overall success rate is extremely high the most important factor is case selection. Not ever individual or every missing tooth site is appropriate for implant placement. Check with your dentist to make sure both you and the site are good implant candidates.

Yes : Dental implants are a great treatment modality with very high success rate (^95%). However, it depends on the experience of the clinician. If he / she does this on a daily basis vs. Someone that does this every few months. Common sense tells you that you want a seasoned expert. There is a psuedo gingival cuff around the implant that seals the implant bone interface.

Yes: Hygiene is veryimportant as well as a presurgical evauation of bone and an indepth review of your medical history.

Yes: Absolutely true. Regular home care and professional maintenance are required for optimum health -- just like teeth -- except no decay to worry about. However, it is critical that the bite (occlusion ) be checked and adjusted as needed at every recall visit. No shock absorbers in the implant system like the periodontal ligament in tooth system.

Yes: Actually, implants themselves have a success rate in excess of 95%. While there is no gum attachment, there is a strong bone attachment and with proper maintenance can last a lifetime.

Yes: Dental implants are ankylosed and fused to the jaw bone and the crowns are emerged from the implants surrounded by your gums. There are no periodontal ligaments around the implants but you do still need to keep them clean by regular brushing and flossing since harmful bacteria and plaque can still cause inflammation of the gums(peri implantitis ) and subsequent damage to surrounding structure.

Yes: The "connection" between gums and implants is different from the connection between gums and natural teeth, but they both require daily home care and professional cleanings also.

Yes: If not taken care of properly you can develop "peri=implantitus" and lose the bone surrounding your implant. A natural tooth and an implant are attached to your bone differently but both need to be kept clean. Implants however can't decay..