A member asked:

How can you get dental implants if you have periodontal disease?

22 doctors weighed in across 10 answers

Not the same: Implants and natural teeth are different. There is no periodontal ligament in an implant. The highly polished titanium is usually resistant to inflammation that is associated with periodontal disease. That said you do need to keep implants clean and free of plaque.

Answered 9/21/2013

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Implants: Not every patient with periodontist is excluded from implants. I would recommend at least two to three professional options.

Answered 8/31/2013

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Dr. Marielaina Perrone answered

Specializes in Cosmetic Dentistry

Need to control...: Your periodontal disease before considering dental implants. A good at home and in office dental hygiene regimen is a good start. Further treatmenr may be needed like periodontal surgery to get your condition under control.

Answered 8/26/2013

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Dr. Ryan Mendro answered

Specializes in Dentistry - Periodontics

Yes, if controlled: I would not advise dental implants if you have active periodontal disease, called periodontitis. The same bacteria that cause periodontal disease and destroy the bone around teeth can destroy the bone around implants as well. However, if your periodontal disease is currently well controlled, studies have shown that you may be a candidate for dental implants.

Answered 7/5/2015

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Dr. I. Jay Freedman answered

Specializes in Dentistry

Treat perio disease : Periodontal disease has various degrees of severity, but if you treat the teeth that have a good prognosis, maintain excellent home care and a rigorous recare schedule with your dentist, you can put your periodontal disease into remission. Than you can proceed to replace your missing teeth with dental implants, but you will always have to maintain that stellar level of oral hygiene!

Answered 12/9/2013

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Dr. Kayvon Javid answered

Specializes in Dentistry

Get rid of it: First get rid of your periodontal disease and then get your implants. You may need some bone grafting procedures done as well.

Answered 12/9/2013

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Dr. Andres Carbunaru answered

Specializes in Dentistry - Prosthodontics

Different system: The implants behave complitly different than a tooth, the surface texture and the way it attach to the bone allow us to minimize the risk of periodontal ( or periimplatitis) disese around an implant. It is very rare to find that disease in implants.

Answered 9/1/2013

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Dr. Rod Zimmerman answered

Specializes in Dentistry

1st tx gum disease: If you have active periodontal disease, this is necessary to tx first. Once gum disease is treated and stabilized, the patient can then be treatment planned to replace missing teeth with dental implants.

Answered 12/20/2013

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Implants: It is important to treat the periodontal disease first and then the implants so any infections do not compromise the healing of the implants.

Answered 6/21/2014

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Dr. John Thaler answered

Specializes in Prosthodontics

Shouldn't: You must first eliminate the disease. Often we will do this at the time of full arch extractions and implant placement. Get healthy, then get implants.Good Luck.

Answered 1/28/2015

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