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Gum health and implant maintenance

Peri-Implantitis and Periodontal Treatment Brisbane

Gum disease around teeth and inflammation around implants are related problems with a shared cause. This guide covers periodontal stabilisation before implant treatment, and the assessment and management of peri-implant mucositis and peri-implantitis afterwards.

Review

Implant health assessment

  • Bleeding and pocket check
  • X-ray or CBCT if indicated
  • Cleaning access review
  • Maintenance planning
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Why periodontal health comes first

Active gum disease can affect teeth, bone, and implant planning. Stabilising periodontal disease helps clarify which teeth can be maintained and which replacement options are suitable.

Periodontal assessment and implant maintenance at the Bulimba clinic

Non-surgical care

Coordinated by our Periodontal Lead Mr Dennis Han, detailed cleaning, home-care coaching, risk-factor control, and review of gum pockets are often the first steps.

Surgical periodontal care

Some deep or persistent defects may need surgical access, regenerative therapy, or referral depending on the tooth, defect shape, and prognosis.

Implant planning

Implants need healthy surrounding tissues. Gum disease history can increase maintenance needs and must be included in the long-term plan.

Signs that need review

Implants cannot decay, but the gum and bone around them can become inflamed. Bleeding, swelling, pus, increasing pocket depth, bad taste, looseness, or visible gum changes should be assessed.

Peri-implant mucositis

This is inflammation in the gum around an implant without confirmed supporting bone loss. It may be reversible with professional and home care.

Peri-implantitis

This involves inflammation plus bone loss around an implant. Treatment may include decontamination, cleaning, surgical access, grafting, or referral depending on severity.

Maintenance

Long-term care at our clinic is coordinated by Mr Dennis Han, focusing on cleaning access, professional reviews, implant-safe scaling, and checking for early signs of inflammation.

Patient resource

Geistlich professional material describes regenerative treatment concepts for contained bone defects after implant surface decontamination. Patient treatment still depends on diagnosis and defect shape.

Open local patient PDF

Geistlich logo Source material hosted locally with Geistlich branding retained.

Questions to ask

Can peri-implantitis be reversed?

Mucositis may improve with timely care. Peri-implantitis with bone loss is more complex and may require ongoing management rather than a single appointment.

Will the implant need removal?

Not always. Removal depends on mobility, bone loss pattern, infection control, implant position, prosthesis design, and your broader health risks.

Can bone be regenerated around an implant?

In selected contained defects, regenerative procedures may be considered after decontamination. Some defects are not suitable for grafting.

How can I reduce risk?

Daily cleaning, professional maintenance, managing gum disease, not smoking, stable diabetes control, and checking bite forces can reduce risk.

Do I need gum disease treated before implants?

Usually yes. Active periodontal disease should be assessed and stabilised before implant treatment is planned.

Can teeth be saved instead of replaced?

Sometimes. Periodontal assessment helps compare tooth retention, grafting, extraction, bridge, denture, and implant options.

How often is periodontal maintenance needed?

Maintenance intervals depend on pocketing, bleeding, plaque control, smoking, diabetes, previous bone loss, and whether implants are present.

What are the risks of delaying gum care?

Untreated gum disease can lead to further bone loss, tooth mobility, infection, tooth loss, and higher risk around implants.

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