Peri Implantitis

Southern California Center for Oral & Facial Surgery -  - Board-Certified Oral and Maxillofacial Surgeon

Southern California Center for Oral & Facial Surgery

Board-Certified Oral and Maxillofacial Surgeon located in Tarzana, CA

Although dental implants are a superior way to replace missing teeth, the procedure isn’t without complications. If you develop pain and swelling around an implant site, contact oral and maxillofacial surgeon Dr. Jay Reznick for treatment. He can help resolve the condition known as peri-implantitis and save your bone and implant at the Southern California Center for Oral & Facial Surgery. Call his Tarzana, California office or use the online booking agent to make an appointment and learn about your treatment options.

Peri Implantitis Q & A

What is peri-implantitis?

For a dental implant to successfully replace a tooth, you must have an adequate amount of bone to support the metal post foundation. With peri-implantitis, you lose bone around a placed dental implant. This bone loss can happen very early after having the prosthetic tooth of the implant installed, or it can happen over the course of several years.

What are the symptoms of peri-implantitis?

In many cases, you’re unaware the bone degradation is happening. That's why it’s essential to visit the dentist for professional cleanings and oral exams regularly.

Dr. Reznick can identify peri-implantitis before it becomes severe. Signs that he looks for include:

  • Pain around the implant site, usually present when the infection is acute
  • Swelling and redness of surrounding soft tissue
  • Bleeding or the presence of pus at the site when probed
  • Recession of the gum around the implant so you see the metal abutment

Dr. Reznick may also see a progressive loss of the supporting bone evident on X-rays, even if you feel no outward symptoms.

Why does peri-implantitis occur?

Implant surgery is usually immensely successful, but several factors can complicate your outcome and put you at risk of peri-implantitis. These include:

  • Smoking, which causes constriction of blood vessels and leads to bone loss
  • Diabetes, osteoporosis, or a compromised immune system
  • A history of gum disease
  • Poor oral hygiene habits
  • Grinding your teeth

A defect with the implant can sometimes be to blame as well. A loose abutment screw or extra cement at the site can also cause peri-implantitis.

How is peri-implantitis treated?

Dr. Reznick aims to stop bone loss around the implant and maintain its integrity. He cleans the area thoroughly to get rid of any infection and usually prescribes antibiotics to fight the infection. He may also apply special antibacterials to the implants.

You may also need surgery to correct the implant or provide a bone graft to strengthen the bone. The success of this corrective surgery depends on the extent of bone loss.

In some severe cases of peri-implantitis, Dr. Reznick may remove the existing implant and replace it with an entirely new one.