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Peri-implantitis – Symptoms, Causes, Treatment Options & Cost

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Key Takeaways:

  • Pathological conditions that surround dental implants are known as peri-implantitis.
  • Swollen gums and continuous bleeding are common symptoms of peri-implantitis.
  • Early detection of peri-implantitis symptoms may help stop the need for surgical treatment.

Dental implants are great for replacing missing or damaged teeth. There are also problems or health challenges associated with dental implants.

The most common dental health problem associated with dental implants is Peri-implantitis. When left untreated for a long time, peri-implantitis can erode the bone structure supporting the implants. At this stage, major surgery is the key to oral health restoration.

This article will teach you what you need to know about peri-implantitis, its symptoms, causes, and treatment options. Keep reading!

What Is Peri-implantitis?

Peri-implantitis is an inflammatory condition affecting the oral tissues. If you have a dental implant, you risk this disease. Peri-implantitis causes soft tissue inflammation and a gradual reduction and destruction of the bone surrounding the dental implant. 

The peri-implant disease occurs in two stages – peri-implant mucositis and peri-implantitis

The peri-implant mucositis is the earliest stage of peri-implant disease. It does not affect the supporting bone, but the soft tissues surrounding the dental implants get concerned. Peri-mucositis, when not treated, progresses into peri-implantitis. 

At the peri-implantitis stage, the supporting one becomes affected alongside the soft tissues surrounding the dental implants. When this goes untreated for a long time, the dental implant fails due to loss of bone. 

Therefore, close attention is paid to implants to determine which peri-implant stage disease is onto it. 

Causes of Peri-implantitis

There is a chance that peri-implantitis will occur in all individuals with dental implants. Bacteria play a significant role in the cause of peri-implantitis though it is not the main cause. 

An implant can never be attached to the gum as natural teeth would. This implies that there exists little space between the implant and the gum. 

So, the gum around the implant is loose. 

The loose nature of the gum around the implant causes bacteria to amass and inflame the surrounding tissue. This inflammation leads to peri-implantitis, which results in bone loss. 

However, some of the causing factors that increase your risk of developing peri-implantitis include: 

  • An earlier diagnosis of periodontal disease. 
  • Improper oral hygiene
  • Bruxism (grinding of your teeth)
  • Tobacco use or heavy smoking
  • An improperly placed dental implant

Peri-implantitis Symptoms

There is no doubt that the symptoms of peri-implantitis are similar to that of gum disease. Detecting symptoms early would save you the stress of having surgical treatment later. 

Some of the common signs and symptoms of peri-implantitis include:

  • Bleeding in the mouth
  • A loose implant and slight movement of the dental implant
  • Swollen gums and lymph nodes
  • Difficulty in chewing
  • Bad breath 
  • Edema (puffiness caused by excess fluid trapped in the body’s tissue). 
  • Pus in the mouth
  • Pain or fever
  • Redness and swelling of the soft tissue
  • Tender gums

Diagnosis of Peri-implantitis Syndrome

Your dentist can diagnose peri-implantitis syndrome during a clinical examination. The dentist will take radiographs of your mouth. 

There will also be checking periodontal probing depths, bleeding on probing (BOP), exudate, mobility, and occlusion. Your dentist may also check the bacteria profile of the area surrounding the implant to confirm the disease progression. 

During probing, your periodontist will use a probe to measure the depths of your pockets. There is an indication of peri-implant disease when the pockets are deeper than 4mm. 

For your peri-implantitis, your dentist takes a baseline radiograph. If your radiograph indicates 2mm of bone loss or more, it strongly shows peri-implantitis. 

Treatment of Peri-implantitis

There are many treatment options out there for you if you have peri-implantitis. However, the severity of your condition determines the option your dentist recommends. 

In most cases, your dentist may choose to combine several treatments to get you what you need. 

Some of the available treatment options include:

1. Mechanical Debridement

Mechanical debridement is the professional removal of plaque and tartar. It is an ineffective and inefficient means of treating peri-implantitis because it doesn’t remove all the bacteria. 

Mechanical debridement is often merged with antiseptic, antibiotics, and surgical procedures. To remove calculus, your dentist will use Ultrasonic Scalers with carbon/resin fibre curettes or a non-metallic tip. 

2. Antiseptic

Your dentist may choose to use antiseptic treatment alongside mechanical debridement. They will give you a daily rinse that should last three to four weeks. 

The sole aim of the daily rinse is to improve the mucosal condition, probing pocket depth, and clinical attachment level. Teeth staining is a side effect of the antiseptic treatment. 

3. Antibiotic Treatment

Your dental care provider will provide you with an antibiotic treatment to eliminate the pathogens in the biofilm. An antibiotic that targets gram-negative anaerobic bacteria is administered to ensure the infection is addressed during the final ten days of treatment.

Your dental care provider can also treat your peri-implantitis using surgical treatment. Surgical treatment is best when the infection seems under control. During the process, the tooth implant infection treatment can remodel the soft tissue surrounding the implant and repair missing bone.

Dental Implant X-ray

Peri-implantitis Treatment Cost

The cost of peri-implantitis treatment depends on how many treatments your dental care provider deems fit. The most expensive treatment is the Laser Peri-Implantitis Treatment (LAPIP). LAPIP involves the use of laser treatment to help the infected dental implants. 

The Laser Peri-implantitis Treatment costs about $3000. The cost is cheaper than replacing the entire dental implant. 

It is best to discuss with your dentist the treatment option suitable for you and the cost. 

Risk Factors

Various risk factors lead to a higher chance of having peri-implantitis disease. Some of the high-risk factors include :

  • Lack of maintenance
  • Diabetes
  • Periodontitis (a gum disease that damages the gum and destroys your jawbone)
  • Improper brushing and flossing
  • Systematic diseases such as cardiovascular disease and rheumatoid arthritis. 
  • Genetics factor. 

faqs

How Common Is Peri-implantitis?

Peri-implantitis is the most common oral health problem that probe people with dental implants. About 28 per cent of people with dental implants develop this oral health issue. 

Is Peri-implantitis An Emergency?

Yes, peri-implantitis is an emergency because it destroys the gums and surrounding tissues around the implant once it gets worse. So, it is better to detect early and treatment commenced on time. 

Can Peri-implantitis Go Away On Its Own?

Peri-implantitis cannot go away on its own. The disease is not curable; it can only be managed. 

Can Peri-implantitis Be Cured?

No, it can’t be cured. Peri-implantitis can only be managed and controlled through antiseptics, antibiotics, and surgical treatments. 

Is Peri-implantitis Painful?

There could be mild pain when chewing and a slight sensitivity felt around the areas surrounding the dental implants. 

Conclusion

After your dental care provider has successfully treated your peri-implantitis disease, you may still be at high risk of developing the disease again. Your best option is to reduce your risk of developing the disease. 

The first step is to develop good oral hygiene habits and clean the areas surrounding the dental implants with utmost care and precaution. Brushing and flossing twice a day, alongside avoiding smoking, will also go a long way to reducing your risk of developing the disease. 

You must also maintain your regular visit to your dental care provider. Regular periodontal examinations are necessary to evaluate your oral health and determine the state of your dental implants. 
Ensure you visit a professional dental clinic like My Implant Dentist to ensure your implants are healthy. Our top dental are always ready to assist you.

Written By: Dr Kent Tan
Edited By: Dr Zaheer Kadwa
Reviewed By: Dr Ealin Lee

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Dr. Kent Tan - Author Bio

Dr Kent Tan is the top dental implant and cosmetic treatment expert. On average, he performs 500 to 1000 dental implants yearly, making him one of the most experienced dental implant surgeons in Perth, Western Australia.

Dr Kent is a certified Invisalign provider and has helped many patients achieve straighter teeth with a transparent braces system. In addition, he is skilled in performing a wide range of cosmetic dental treatments such as teeth whitening, dental veneers and bonding.

Dr Kent graduated from the University of Queensland and then went on to lecture in dental implants. He furthered his qualifications by graduating from the Master Clinician Programme in Implant Dentistry in Los Angeles, USA. This additional education allows him to provide his patients with the best possible care.

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Mark TaylorMark Taylor
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Rob SmithRob Smith
12:33 24 Feb 24
I was at a really low point in my life, had an accident 2 years ago which broke 3 of my teeth and a bridge in between my 2 front top teeth. From that moment I became extremely conscious of going out,socialising and found my self withdrawn and depressed as I didn't know what to do.Then a friend told me about My Implant Dentist. I plucked up the courage and went for my first consultation at Mindarie Quinns dental practice with Dr Zaheer who explained all my options and advised all on 4 top and bottom.Not only Dr Zaheer but all the staff and doctors at both Mindarie and South Perth were amazing and extremely professional and made the whole process seemless.Having the treatment has given me back confidence and enabled me to socalise and do things with my family and friends that I couldn't do before.I would like to thank Dr Zaheer and all the team at My Implant Dentist for everything they have done for me and recommended them to everyone I speak to.I just can't stop smiling!!!
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From start to Finnish i felt very comfortable. The whole experience for me was more than just new teeth.For me it was a journey of self discovery that changed my whole life.I found that everyone that I encountered was very professional &friendly &made my experience so pleasant.They deserve more than 5 stars.Thank you so much🥰
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My experience with My Implant Dentist has been excellent from start to finish. The staff at the front desk were incredibly kind and helpful. The medical treatments throughout were professional and pain free. I would definitely recommend them to anyone considering this service
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So grateful to have found this place. I needed a wisdom tooth out. They were able to x-ray and fit me in promptly. Extremely high quality and professional service at an affordable price! I feel lucky to have found an honest and helpful Dentist especially in today's economy. Lovely staff all round. I will be coming here from now on.Thanks again :)
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From the moment I walked in the door My Implant dentist were very caring and professional. As a dental nurse myself I knew I would be a very hard case as other specialists said they could not help me. After my first consultation with Dr Kent he was confident that he could help me and I was provided with a clear plan for my top and bottom all on four procedure. My new teeth are perfect and so natural looking. He has made the impossible possible for me. I can smile and eat the foods I love again and this has changed my life. Thank you so much to all staff and especially Dr Kent Tan who I can say is the best implant dentist in Perth.
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I can’t thank the team and dentists at My Implant dentist enough! From the girls working the front desk to the dental nurses assisting the dentist’s, Dr Kent Tan and Dr Ealin. I had the All on four implants and I can’t explain how much this has transformed my life in such a great way.I will always be thankful to be able to have this treatment!Thank you from the bottom of my heart.
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My implant Dentist Mooorooka is an amazing team. The receptionist staff are very welcoming and super lovely to talk to. The dentists are very experienced and knowledgeable. The assistants are very lovely. The service 10/10. Highly recommend!
moonira Bassamoonira Bassa
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00:27 18 Nov 23
The receptionist team have been very helpful, helped me organise early super release for my implant treatment. Dr Zaheer is an amazing implant dentist, discussed with me on what type of surgery I needed and have also treated the surgery on me. Dr Reza is very kind. The dental assistants are very friendly. Highly recommend My Implant Dentist Brisbane
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I picked up”Moorooka Dental Care” contact details from the web. I rang for a few questions and the happy voice of Frances had calmed my anxiety down quickly!Dr Kadwa greeted me from the front bench, took me in for the X-ray, dental assessment, carefully explaining the procedure, answered my questions and quoted for the works. He offered to breakdown work items to suit with my needs. The quote was surprisingly very compatible with my previous quote from overseas. (I know I am going to have my dental treatment in the safe zone, most medical advances in Australia).The implant work went smoothly, so smooth that the team had to remind me “Done!”, well beyond my imagination.When he saw me off with the aftercare instructions, I could feel his professional manners with caring characters. I know he has done a few thousand implants but I still received the care of his first. Thanks Zaheer!I requested X-ray images, Fatimatu responded promptly with friendly chatting.I also would like to thank Dr Linh Trần who was in the operation team at the treatment and follow up cares.
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Moorooka dental have been a pleasure to deal with. I did a bit of research into dental implants and most companies had hidden fees. I booked a consult and was contacted within a few hrs to get me in and get the ball rolling. I choose to go with he implants using my super. They helped me to do all the paperwork to release the money. Definitely a good dental clinic.
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