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Doctor insights on: Dental Implants Gum Recession

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Dr. Theodore Davantzis Dr. Davantzis
Dentistry
36 years in practice
New York University College of Dentistry
1

1
The tooth next to my dental implant is loose and clicking and there is gum recession. My dentist said that it will tighten back up. Second opinions?

The tooth next to my dental implant is loose and clicking and there is gum recession. My dentist said that it will tighten back up. Second opinions?

More info needed...: Radiographs, history of implant placement and periodontal status, as well as the reason your dentist feels the tooth is loose. If you want a meaningful second opinion, see a periodontist in your community for a consultation.

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Dr. Harinder Gill
5 Doctors shared insights

Implant (Definition)

An implant is a medical device manufactured to replace a missing biological structure, support a damaged biological structure, or enhance an existing biological structure. Medical implants are man-made devices, in contrast to a transplant, which is ...Read more


Dr. Robert Mokbel Dr. Mokbel
Dentistry
38 years in practice
University of London, United Medical and Dental Schools of Guy's and St. Thomas's Hospitals
2

2
What degree of post-op pain can I expect from bone grafting for future dental implant? Like bone/gum grafting of 3 front lower teeth due to recession?

What degree of post-op pain can I expect from bone grafting for future dental implant? Like bone/gum grafting of 3 front lower teeth due to recession?

Same as any surgery: After surgery pain and swelling will vary from one person to another, nevertheless, you should be able to control the pain with pain killers and anti inflammatory medication that your surgeon will be prescribing. The pain if any should taper off after the first 24 hours. You should just avoid the area from food and brushing for a couple of weeks and you will do very well. Go for it.

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Dr. Lokesh Rao Dr. Rao
Dentistry
9 years in practice
New York University College of Dentistry
3

3
I do not get it with dental implants. Does the crown lay on top of the gum that encircles the abutment that is smaller in circumference? Hurts?

I do not get it with dental implants. Does the crown lay on top of the gum that encircles the abutment that is smaller in circumference? Hurts?

Nope.: The implant is the replacement for the root. The abutment is a connecting piece that is fixated within the implant. The crown sits on the abutment as a it would on the natural tooth that was prepared to receive a crown.

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Dr. Kevin Owoc Dr. Owoc
Dentistry - Prosthodontics
15 years in practice
Oregon Health & Science University School of Medicine
4

4
What can be done to take the bottom gum swelling away after dental implants?

What can be done to take the bottom gum swelling away after dental implants?

Ice, Tylenol (acetaminophen): Surgery will produce swelling in every case. For your home care, I would recommend using ice during the first 24 hrs only. You may also use tylenol (acetaminophen) to ease the swelling. Finally, if you speak to your doctor, a short dose of steroids is often very beneficial. Keep smiling!

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Dr. John Thaler Dr. Thaler
Dentistry - Prosthodontics
37 years in practice
University of Health Sciences Lahore, Lahore Medical and Dental College
5

5
Is a healing cap the same as a healing abutment that protrudes through the gum? Just had 2 dental implants. Want to get a better understanding.

Is a healing cap the same as a healing abutment that protrudes through the gum? Just had 2 dental implants. Want to get a better understanding.

NO: Healing cap refers to a thin-topped screw which protects the top of the implant from debris/ ingrowth of tissue/bone. We have been using these from the inception of the root-form implant in the 60's.Later we learned that we could eliminate a surgical step by placing a healing abutment instead. This transverses the tissue and protrudes to a selected height, preserving access to the implant. Good Luck

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Dr. Debra Rosenblatt Dr. Rosenblatt
Dentistry
34 years in practice
Mount Sinai School of Medicine
6

6
Hi just had a dental implant about 5 days ago to my front tooth in the top. I had to get a temporary tooth, now the gum is a little swolen behind it?

Hi just had a dental implant about 5 days ago to my front tooth in the top. I had to get a temporary tooth, now the gum is a little swolen behind it?

Call DDS: It appears that you had an immediate loaded implant with the placement of the provisional. Have the dentist check that the tooth is out of occlusion completely, so that you do not place any stress on it.

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Dr. Dominick Curalli Dr. Curalli
Dentistry
16 years in practice
University of Washington School of Dentistry
7

7
I just got a dental implant crown and there is a gap in my gum. Will the gums grow and fill in that gap?

I just got a dental implant crown and there is a gap in my gum. Will the gums grow and fill in that gap?

No: In order to fill in the gap, the implant crown will need to be altered or you could have a gum graft. If the gap is not noticeable when you smile, you may not do anything. If it bothers you, go back to your dentist to see what they can do.

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Dr. Dinh Bui Dr. Bui
Dentistry
19 years in practice
University of North Texas Health Science Center at Fort Worth Texas College of Osteopathic Medicine
8

8
If I get a dental implant and decide for no aparrent reason to take it off, will the gum tissue repair by itself?

If I get a dental implant and decide for no aparrent reason to take it off, will the gum tissue repair by itself?

WHY? Don't do it.: If you decided to not use your implant, then do not restore it. Just sleep your implant, it will preserve your bone. Do not remove it unless there is a sign of infection. Removing the implant, even if it was placed in a bad location will cause bone loss. It only should be done if you attempt to replace it with another implant in the right location. Gum will heal after implant removed but why?

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Dr. James Vito Dr. Vito
Dentistry - Prosthodontics
33 years in practice
University of Pennsylvania School of Dental Medicine
9

9
If you got all your teeth pulled out 4 or 5 yrs ago can you still get dental implants even if your gum's have shrunk alot?

If you got all your teeth pulled out 4 or 5 yrs ago can you still get dental implants even if your gum's have shrunk alot?

Possible: The best solution is to have a ct scan which will give a 3 dimensional picture of your jaw. This way you can be evaluated prior to any surgery as to whether you have enough bone for successful dental implant placement. If not then you have to consider bone grafting to rebuild the bone prior to dental implant placement.

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Dr. Mary David Dr. David
Obstetrics & Gynecology
2017 years in practice
East Tennessee State University James H. Quillen College of Medicine
10

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How severe does gum disease have to be for someone not to be able to get dental implants? In most cases, are patients healthy enough get implants?

How severe does gum disease have to be for someone not to be able to get dental implants? In most cases, are patients healthy enough get implants?

Most are: Most patients are healthy enough to get dental implants. Treatment of gum disease can help. See your dentist or oral surgeon for specific evaluation and a discussion of the risks, benefits, and alternatives in your particular case. Hope this helps.

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Dr. Paul Grin Dr. Grin
Pain Management
32 years in practice
UCLA School of Dentistry
11

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A dental implant healing cap is normally submerged under the gum. Mine shows a very small visible cap above the gum. Is this called a 1 stage implant?

A dental implant healing cap is normally submerged under the gum. Mine shows a very small visible cap above the gum. Is this called a 1 stage implant?

Yes, it is normal: The healing cap looks like a small metal cylinder that sits above your gums. If concerned, see your surgeon/dentist for post-op eval.

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Dr. Sam Shahoveisi Dr. Shahoveisi
Dentistry
17 years in practice
Temple University School of Medicine
12

12
For the long run, what happens to the gums surrounding veneers and dental implants?

For the long run, what happens to the gums surrounding veneers and dental implants?

If done right. ..: If done properly they will act just like regular teeth. A veneer or restoration that has an open margin (not flushed with the tooth) or an overhang (a step) will be a constant irritant and will cause inflammation chronically; however a properly done veneer or implant will be no different than normal teeth and should be taken care of very much the same bu brushing and flossing.

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Dr. Brian Dorfman Dr. Dorfman
Surgery - Oral & Maxillofacial
15 years in practice
University of Sheffield Medical School, Faculty of Medicine and Dentistry
13

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

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.

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Dr. Ronald Achong Dr. Achong
Surgery - Oral & Maxillofacial
14 years in practice
Louisiana State University School of Medicine in New Orleans
14

14
Dental implant: what system is available that uses flap surgery that can then be sewn directly up around & against the implant vs. An open gum wound?

Dental implant: what system is available that uses flap surgery that can then be sewn directly up around & against the implant vs. An open gum wound?

All systems: Nowadays, the dental implants systems are advanced where the gum flap can be sutured around the implant. Sometimes, a flap may not be required. The more important issue is that the dental implant heals well in the jaw bone and functions well.

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Dr. Gary Sandler Dr. Sandler
Dentistry
50 years in practice
New York University College of Dentistry
15

15
I had dental implants (3) put in a week ago and my gums are just now swelling hugely and like a blister.

I had dental implants (3) put in a week ago and my gums are just now swelling hugely and like a blister.

See surgeon asap: It sounds like the area might have become infected. It's important that you call and see your surgeon immediately as this might affect the successful integration of the implant and needs to be evaluated and addressed as soon as possible.

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Dr. Meng Syn Dr. Syn
Dentistry
34 years in practice
Northwestern University Feinberg School of Medicine
16

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I have 2 small sized healing caps above dental implants via periodontist. At 3 months, who cuts and trims the gum for abutment? General dds??

Dr. Meng Syn Dr. Syn
1 doctor agreed:
I have 2 small sized healing caps above dental implants via periodontist. At 3 months, who cuts and trims the gum for abutment? General dds??

The periodontist: The healing cuffs must be fully healed and exposed prior to removing them to take impressions. They are replaced after the impression and removed several weeks later when the implant abutment is torqued into place and the crown is cemented to the abutment.

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Dr. Gary Sandler Dr. Sandler
Dentistry
50 years in practice
New York University College of Dentistry
17

17
Dental implants are now ready for their crowns. Will restorative dentist have to do gum surgery by slicing into my gums with a scapel to place?

Dental implants are now ready for their crowns. Will restorative dentist have to do gum surgery by slicing into my gums with a scapel to place?

Second stage Implant: That depends upon how close to the surface the implant healing cap is. Sometimes it is already exposed and readily accessible, sometimes it is just at or below the surface and some minor exposure is needed and sometimes it is well below the surface and requires a minor surgical exposure. Nothing compared to the original surgery. Ask the dentist treating you.

Dr. Kenneth Grossman Dr. Grossman
Dentistry - Endodontics
40 years in practice
University of Maryland School of Medicine
18

18
What could be causing extreme tooth sensitivity around a dental implant (and the teeth/gums surrounding it)?

What could be causing extreme tooth sensitivity around a dental implant (and the teeth/gums surrounding it)?

Several things: Either ann adjacent tooth has a root canal or gum problem, or it could possibly be a problem w/ the implant itself. Get the area evaluated by the dr. Who placed the implant. A proper diagnosis is needed.

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Dr. Paul Grin Dr. Grin
Pain Management
32 years in practice
UCLA School of Dentistry
19
Dr. Justin Nelson Dr. Nelson
Dentistry - Pediatric
12 years in practice
Oregon Health & Science University School of Dentistry
20

20
I'd rather not have my gums cut along the jaw line to be fully exposed to have a dental implant. Does Nobel BioCare solve this to some extent?

I'd rather not have my gums cut along the jaw line to be fully exposed to have a dental implant. Does Nobel BioCare solve this to some extent?

Yes: With the use of CBTs, soft tissue lasers and surgical stents the need for full flaps is certain cases is not needed and Nobel BioCare has created a system to help with that. Now you can do this with other systems as well so Nobel BioCare is not the end-all by any means and a skilled dentist/clinician can certainly help you with your questions and concerns

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