Your smile is a reflection of your confidence and happiness. It should be cared for with dedication. Dental implants, a marvel of modern dentistry, can revive that confidence by replacing missing teeth. That said, even though dental implants are generally successful and long-lasting, a condition called peri-implantitis can sometimes undo the valuable work of dental implants.

In this comprehensive guide, Dr. Suzanne Caudry and her dream team staff offer a dive deep into the world of peri-implantitis. Continue reading for answers to your most pressing questions.

What Is Peri-Implantitis?

Peri-implantitis is a condition that afflicts the area around dental implants. It's essentially a type of gum disease that, if not addressed, can lead to the loss of both the implant and the supporting bone. While dental implants are celebrated for their reliability, peri-implantitis serves as a reminder that maintaining oral health is vital.

Understanding the Origins: How Does Peri-Implantitis Occur?

To grasp peri-implantitis, you must first be familiar with periodontitis. Periodontitis is a chronic inflammatory condition affecting the tissues surrounding natural teeth, such as gums and bone. Peri-implantitis, on the other hand, is specific to dental implant sites. It shares many similarities with periodontitis, both in terms of its progression and causes.

Peri-implantitis begins when harmful bacteria form a biofilm (also known as "a community") around the implant. This biofilm can initiate an inflammatory response in the surrounding gum tissues. As the inflammation persists, it can progress to peri-implantitis, leading to bone loss and potential implant failure.

Why Jaw Bone Loss is a Big Problem

The bone in your jaw serves as the foundation that anchors the implant securely in place. When peri-implantitis strikes and bone loss occurs, it can have several adverse effects:

Implant Instability

Bone loss weakens the foundation of the implant, potentially leading to implant mobility. An unstable implant can cause discomfort, affect your ability to chew properly, and, in severe cases, lead to implant failure.

Aesthetic Consequences

Dental implants not only restore function but also enhance the appearance of your smile. When bone loss occurs around an implant, it can create an unsightly gap between the implant crown and the gumline, compromising the aesthetics of your smile.

Compromised Chewing Ability

The gradual bone loss can affect your ability to bite and chew effectively. This can lead to dietary restrictions and decreased nutritional intake, potentially impacting your overall health.

Speech Difficulties

Changes in the position of dental implants due to bone loss can sometimes affect speech, leading to speech difficulties or alterations.

Increased Risk of Further Bone Loss

Once peri-implantitis-induced bone loss begins, it can create a self-perpetuating cycle. The loss of bone may lead to increased pressure and stress on the remaining bone, potentially causing additional bone loss.

The Risk Factors: Who Is Vulnerable to Oral Health Problems?

Understanding the risk factors associated with peri-implantitis is crucial to its prevention. While anyone with dental implants can be susceptible, some factors can increase the risk:

Poor Oral Hygiene Practices

Neglecting regular brushing, flossing, and dental check-ups can create an environment conducive to the development of peri-implantitis. Proper oral hygiene is your first line of defense.


Smoking, particularly tobacco, is a known risk factor for peri-implantitis. The chemicals in tobacco products can impede healing and contribute to inflammation.

History of Periodontitis

If you've had periodontal disease in the past, you may be more prone to peri-implantitis. Periodontitis can leave residual effects that increase susceptibility.

Systemic Diseases

Certain systemic conditions, such as diabetes and immunosuppressive disorders, can compromise your body's ability to fight infections, making you more vulnerable to peri-implantitis.

Dental Factors

The design and quality of the implant, as well as the expertise of the implant surgeon, can influence the risk of peri-implantitis. This is why it always pays to seek out the expertise of true professionals, like those at the facilities of Dr. Caudry.

Treatment Options for Peri-Implantitis

The good news is that peri-implantitis can often be managed, especially when detected early. Treatment options may include:

Non-Surgical Approaches

Scaling and root planing is a common treatment approach for these oral health problems. This deep cleaning procedure removes bacterial deposits and promotes healing. This treatment may be offered in conjunction with local or systemic antibiotics, which can help combat infection.

A more recent development in implantology is laser technology, which can be used to target bacteria and promote tissue regeneration.

Surgical Approaches for Dental Issues

In more advanced cases, flag surgery may be needed to access and clean the infected area. Your dentist might also suggest bone restoration procedures to restore lost bone.

After treatment, consistent follow-up and maintenance appointments with your dentist are crucial to monitor healing and prevent recurrence. A little bit of proactive care always goes a long, long way in fighting off oral issues.

Preventing Peri-Implantitis: Your Best Defense

Preventing peri-implantitis is undoubtedly preferable to treating it. Here are some proactive steps to safeguard your dental implants:

Maintain Impeccable Oral Hygiene

Brush your teeth, including implant-supported ones, at least twice a day. Floss daily and use an antimicrobial mouthwash to reduce bacterial load.

Regular Dental Check-ups

Schedule regular check-ups with your dentist, who can monitor the health of your implants and catch issues early.

Manage Systemic Conditions

If you have diabetes or other systemic conditions, work closely with your healthcare provider to manage them effectively.

Choose an Experienced Implant Surgeon

Peri-implantitis, while a potential concern, should not deter you from enjoying the benefits of dental implants. When getting dental implants, choose a reputable and experienced implant surgeon who uses high-quality materials. Your choice of oral surgeon will go a long way in making sure you reap the benefits of your dental implants for years-even decades-to come.

Learn More About Oral Hygiene Today

Do you have more questions? Bring them to us. By understanding the causes, risks, and prevention strategies related to oral health issues, you can take proactive steps to ensure the longevity of your dental implants and enjoy your confident smile for years to come.

Remember, prevention is the key, but if you suspect any issues, consult Dr. Caudry or another professional promptly. We can be reached at +1 (416) 928-3444.