Stubbs Dental Implant Center Blog

Is It Possible to Get Dental Implants with Gum Disease?

Written by Stubbs Dental Implant Center | Feb 6, 2025 4:31:05 PM

Gum disease is the leading cause of tooth loss among adults. According to the Centers for Disease Control and Prevention (CDC), nearly 47% of adults aged 30 and older and 70% of adults 65 and older have some form of periodontal disease. If you’re dealing with gum disease and missing teeth, you might wonder whether dental implants are still an option for you.

The good news is that many patients with gum disease can still get dental implants. However, the severity of your condition will determine the necessary treatments before implant placement.

In this article, we’ll cover how gum disease affects implants, available treatment options, and how to care for your implants to ensure long-term success.

Understanding Periodontal Disease

Gum disease, also known as periodontal disease, is a progressive infection that affects the gums and bone supporting the teeth. It ranges in severity from mild gingivitis to advanced periodontitis, which can lead to tooth loss.

Symptoms of Periodontitis:

  • Red, swollen, or bleeding gums
  • Persistent bad breath
  • Receding gums
  • Loose or shifting teeth
  • Pain when chewing

Periodontal disease is caused by bacteria accumulating in plaque, leading to inflammation and bone loss over time. If left untreated, it can severely impact your oral health and overall well-being.

Can You Get Dental Implants with Gum Disease?

The short answer is: it depends. While gum disease does not automatically disqualify you from getting dental implants, it must be treated before the procedure. Dental implants require a strong, healthy foundation to support them, and untreated periodontitis can lead to implant failure.

Factors That Determine Eligibility for Dental Implants:

  1. Stage of Gum Disease: Mild to moderate cases may require deep cleaning and periodontal therapy, while severe cases might necessitate bone grafting.
  2. Bone Density: Since periodontitis can cause bone loss, a bone graft may be necessary to ensure enough support for the implant.
  3. Commitment to Oral Hygiene: Successful implants require excellent oral care, especially for patients with a history of gum disease.

Treatment Steps Before Dental Implants

If you have gum disease but want dental implants, your dentist will recommend a series of treatments to prepare your mouth for the procedure.

  1. Comprehensive Periodontal Evaluation
    • Your dentist will assess the severity of your gum disease, measure bone levels, and determine if treatment is required before implant placement.

  2. Gum Disease Treatment
    • Depending on the extent of periodontitis, treatments may include:

      • Scaling and root planing: Deep cleaning to remove bacteria and tartar buildup

      • Laser therapy: Non-invasive treatment to remove infected tissue

      • Antibiotic therapy: Prescription antibiotics to control infection

  3. Bone Augmentation Procedures (If Needed)
    • If periodontitis has caused bone loss, a bone graft may be performed to regenerate lost bone and create a stable foundation for implants.
    • Options include autografts (your own bone), allografts (donor bone), or synthetic bone substitutes. 
  4. Healing and Monitoring
    • After gum therapy and/or bone grafting, your dentist will monitor healing to ensure your mouth is ready for implant placement.

All-on-X Solution for Patients with Gum Disease

For patients who have lost most or all of their teeth due to gum disease, the All-on-X dental implant procedure is a game-changer.

The All-on-X is a full-arch restoration solution where a set of prosthetic teeth is anchored to the jaw using four to six strategically placed dental implants. It provides a permanent, stable, and natural-looking replacement for missing teeth.

Benefits of All-on-X for Gum Disease Patients:

  • Minimally invasive: Uses fewer implants to support a full arch of teeth.

  • Stronger bite: Restores chewing function, allowing you to eat comfortably.

  • Prevents bone loss: Implants stimulate bone growth and prevent further deterioration.

  • Improves confidence: Offers a natural and aesthetically pleasing smile.

Caring for Dental Implants After Gum Disease

Once you receive dental implants, maintaining excellent oral hygiene is crucial to prevent peri-implantitis, a condition similar to gum disease that affects implants. Peri-implantitis occurs when bacteria accumulate around the implant, leading to inflammation, bone loss, and, in severe cases, implant failure.

Preventing Peri-Implantitis:

  • Brush and floss daily using a soft-bristled toothbrush and non-abrasive toothpaste to keep bacteria at bay.
  • Use an antimicrobial mouthwash to reduce bacteria and prevent infections.

  • Visit your dentist regularly for professional cleanings and check-ups.
  • Avoid smoking and excessive alcohol consumption, which can hinder healing and increase the risk of infection.
  • Maintain a balanced diet to support overall oral health and implant longevity.
Take the Next Step Toward a Healthy Smile

If you’ve been struggling with gum disease and missing teeth, dental implants, such as the All-on-X, can provide a life-changing solution. While periodontal disease requires treatment before implant placement, modern dentistry offers advanced options to restore your smile.

Find out if dental implants are right for you! Schedule a complimentary consultation today to discuss your options and take the first step toward a healthier, more confident smile!