Gum Problem Around Dental Implant

Gum Problem Around Dental Implant

Gum Problem Around Dental Implant

A gum problem around and implant can be the beginning of the end for the implant.

Gum On Implants VS. Teeth

Because dental implants are not teeth they behave differently than natural teeth.  Dental implants need extra thick gums.  They also need as much gum as possible around them.  This may be more important than the bone foundation!

In this video I described 2 types of gum tissue that we all have.  There is a proportion of “good gum” that is attached and strong, versus loose gum that is found closer to our lips.

Symptoms Of Gum Problems Around Implants

If you are experiencing redness, receding gumline, tenderness, pain, bleeding, pockets, inflammation around your implant there is likely a gum problem.  These are the common symptoms of a gum problem around dental implants. Of course brushing it very well will help but if the gum is not healthy it likely needs to be surgically corrected.  

Gum grafting can correct some of the problems.

This video is really important so take a few minutes to watch it!

Ramsey A. Amin, D.D.S.
Diplomate of the American Board of Oral Implantology /Implant Dentistry
Fellow-American Academy of Implant Dentistry
Burbank, California

Video transcription:

Hello, I’m Dr. Ramsey Amin. The topic today is gum problem. I have a gum problem around my dental implant. That’s something we see a lot of, and we’ll begin to see more of over time, not because dental implants are bad, but sometimes they’re not treatment planned appropriately, and sometimes, genetically, our gums are little thin. So, we might have enough bone, and that’s oftentimes the focus, bone, bone, bone. You don’t have enough bone, but the reality is it’s the gum that provides the life and longevity to dental implants, so let’s get into this topic a little deeper. If you’re having a gun problem with your implant, it’s probably red. It probably hurts. It probably bleeds. It probably is inflamed and just looks a little funny or just kind of tender when you brush. Those are things that aren’t normal.

There’s two types of gums to have around our mouth. I’ll kind of show you my own teeth here. We have the light pink gum that’s right near the surface of our teeth, and that’s really durable. It’s kind of like the surface of our… the skin of our hand or palm. It’s very dense. You can beat it up, and it can take a lot. The other type of skin is the one under our lip, really low, like down in here, this pink stuff with all the veins in it, and it moves around a lot. That gum is more like the skin around our eyelid. It’s very, very tender and very thin. So, we have two types of gum in our mouth, that thick, attached, keratinized gingiva we call it. That’s the thick stuff. Then, we have the thin, mobile gum tissue that allows our lip to move and to make these motions. I know I kind of look funny doing this, but I want to get the point across.

Really, if your implant doesn’t have enough of this good gum around it… Of course, it has to have bone, but if it has this good gum around it, it can often make up for not enough bone around an implant and really hold it stable over time. So, a gum problem can be remedied by a gum graft if it’s done soon enough. Sometimes I do them before the implant. I actually add gum through some way. I can borrow gum from the inside and transfer it to the outside, or I can rotate some of the fat from our cheek and bring that in.

Or, sometimes it’s done before the implant. Sometimes it’s done during the implant. Sometimes we have to do it after the implant, although we’d like to do it before as much as possible so that we don’t have a problem. The sooner it gets done, the better. Once you begin to lose bone around the implant, the success of a gum graft, bringing back that good skin, is less successful, and that skin or that gum comes from the roof of our mouth over here, usually on the side, on the upper right, our left side, or right behind our wisdom teeth on the upper. It’s called a tuberosity. It’s got a lot of dense gum, like this hand skin.

So, that could be transplanted, basically placed underneath there, stitched in place. It’s a very delicate and precise procedure, especially around an implant done with very, very fine suturing we call microsurgical. Some of these I call oral plastic surgery procedures, and they will help bring back maybe a tooth that looks too long, or it doesn’t have the gum on either side. Not all teeth are correctable this way. Sometimes I wish that we could correct all of them. In fact, I see 35% of what I do our revisions and redo procedures, so I’m kind of sometimes the last guy people see when there’s really a big problem. Obviously, if we can do it right the first time, but some people genetically just have very thin gum. They don’t have any of that good skin. They just has really nothing at all, and they’re maybe not a great dental implant candidate, or at least they need to go through more procedures to get a good, solid, long-lasting result.

Sure, anybody can put an implant in, and anybody can make the teeth, or do an All on 4, or whatever, but longevity to these procedures. I have cases that are 20 years old at this point, and I’m proud of them, and it’s because they’ve undergone a really good treatment plan, really good execution as well. If you have a gum problem, the bottom line is treat it early. Probably have a gum graft using your own gum as opposed to a synthetic or cadaver type of gum. It’s called AlloDerm.

Those are other options, not quite as good. They’re better for teeth. Gum grafting around teeth is much easier, does not require as much technical expertise. Gum grafting around implants is definitely a very specialized methods, and techniques, and tunneling. We don’t always open the gum. We just make a tunnel and put it through in that direction. So, again, give some consideration to that. If you’re having a gum problem, treat it early. Feel free to ask them questions on this post over here, and I’ll try to get to them as soon as I can, but certainly get yourself taken care of.

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Monica D.
Monica D.
December 29, 2020.
There aren't enough words (and I have a lot of words) to tell you how grateful I am to have found Dr. Ramsey Amin and his wonderful staff. I had an enormous amount of bone loss and I was hopeless after being treated by a different doctor for two years. I had multiple procedures such as gum graft, extractions, and a sinus lift. After all of that, the doctor released me and told me he could not help me any longer. He sent me to a large teaching hospital - who also had no idea how to help me. I was terrified and embarrassed. I had been missing teeth due to those procedures since 2017. That sent me out on a journey of meeting with no less than five different dentist/oral surgeons. Most of them shamed me for the bone loss and wondered what I had done to cause this. In reality, I had done nothing. The bone loss is my body's immune system fighting me, as well as hereditary traits. In fact not only was I having difficulty being able to have implants, I also had so much bone loss that I was also not a candidate for dentures. I researched "what to do when you have bone loss and can't get implants" and I found Dr. Amin's website. Then I researched him, read his reviews, watched every one of his You Tube videos. I called and got an appointment, and kept going to consultations with other providers. I had long since stopped smiling and being social. Missing teeth and the shaming was affecting my life so adversely. When I met with Dr. Amin for my consultation he was ready. He had all of my records and had already reviewed my scans. But more than that, he genuinely wanted to get to know about my life. He was/is authentic, kind and extremely professional with so much success and experience in difficult cases like mine. He worked up a treatment plan & I came back two weeks later to discuss my options...and the journey began. I have had three procedures under IV sedation, no pain, no narcotics needed for aftercare. Dr. Amin is a consumate, experienced oral surgeon who cares about your health & understands your fears. He communicates every step of the way and will provide you with all the information you need to make a decision to improve your health. I am still working toward my end goal, and we had to zig from traditional implants and zag to zygomatic implants instead...which is the reason I chose him in the first place. If there was nothing else that could be done to get me healthy & smiling again, I knew he would have that option to help me. And of course 2020, the year of CV-19. Don't worry, Dr. Amin & his staff follow all health & safety protocols. This review is long, because it is important you know my journey, so you might understand how fortunate I feel to be healing. I'm torn, because this place is like a great restaurant, I want to shout from the rooftops how great it is, how great he is. And at the same time, I want to keep this all to myself. I come 75 miles each way to see him. I know people travel from all over the world for his expertise. Do yourself a favor, have a consultation. You won't regret it. Dr. Amin is amazing and so is his staff.
Jennifer B.
Jennifer B.
December 18, 2020.
I cannot speak highly enough of Dr. Amin and his professional staff. I have to start off and say that I am absolutely TERRIFIED of the dentist due to several past experiences. I found myself putting this off for YEARS until I was referred over to Dr. Amin. I was petrified on my first visit... but he along with his WONDERFUL staff made me feel so calm and at ease. I had quite a bit of work that needed to be done, but we found the perfect plan that worked out for me, and I couldn't be happier. Words cannot express my gratitude to each and every staff member that made me feel safe and comfortable. Dr. Amin was always so attentive in asking if I was ever in pain... and I never was. These are truly remarkable individuals, and I'm so lucky to have a dentist that I can trust. I ABSOLUTELY LOVE each and every one of you! Thank you,
D M.
D M.
December 17, 2020.
I cannot say enough positive things about Dr. Amin and his staff. I originally found them on Yelp about two years ago. I needed an implant, front tooth of all places, and was extremely nervous not only about surgery but about how it would turn out. Let me just say I just adore the staff. Everyone is crazy friendly and the whole office has a very positive vibe. The staff is adorable and always has me smiling by the time I leave. They are all thorough and on-point about what they do, and I truly appreciate it. They are quick to respond to my emails no matter the question, and their appointment reminders are great too. Dr. Amin is very thorough and reassuring, and answered any questions my husband or I had. My regular dentist had questions about the procedure and Dr. Amin's office even reached out to them at my request (my dentist said they never received a call, but Dr. Amin's staff had date, time and notes - love the thoroughness!). After surgery the Dr. called to leave me a message about how it went. Very minimal pain during healing, never any pain during any visits. It took a few tries to get everything just right for the permanent crown (color, etc), but the end result is beyond fantastic! At one point during healing I thought I was experiencing some looseness or wiggling but unfortunately couldn't make it to the office. When I was finally able to make it in the Dr. was so relieved, bless his heart. Luckily it was just a false alarm and everything checked out ok. They're a bit further out from me, but I wanted the best. I sure found it! I wish they were my regular dentist, and I'm looking forward to seeing them again for my check-up which was delayed due to COVID.
Melissa E.
Melissa E.
December 9, 2020.
I found Dr. Amin a few years back after I hadn't been to a dentist in a decade. Many traumatic dental experiences in childhood have made me so phobic that even getting a cleaning was a knee-knocking, heart-pounding trial. But finally I couldn't put off some things any longer. During my first anesthesia session, Dr. Amin replaced five old metal fillings, and during the second he did three more plus a crown. I was completely comfortable, and never felt a thing. Because they were extra-long sessions, I did sleep for about 12 hours after, but the next day I felt just fine. This past week, my back top tooth cracked in half and fell out of my mouth, and a couple days later the crown on the remainder of the tooth fell out too! Despite being nervous about Covid 19, I had to get it taken care of, so I called and quizzed the staff about precautions, which turned out to be even above and beyond what I would have expected. So yesterday I went for the tooth extraction and plug. After they put on the blood pressure cuff and put in the IV, I gradually got a little tired and closed my eyes. I sat there for about 10 minutes and thought Gee, I wonder if they're going to get started any time soon, and a minute later Dr. Amin said "Wake up, you're all done!" That was a short session, and I didn't have the kind of fatigue I did my first time. I stayed up most of the evening. Today, everything is good! I'm taking my antibiotic and eating soft foods, and there is surprisingly little pain now that the numbness has worn off. The tooth site and my cheek are a little sore, and the corner of my mouth, and I have a very slight headache, but nothing to any great level--I'm not even taking the acetaminophen. I feel good, and wide awake. Thanks to everyone at the office for a comfortable and professional job! I really REALLY appreciate you for giving me painless dental experiences!
Tanya S.
Tanya S.
December 3, 2020.
What can I say about Dr. Amin he is the best! I'm so grateful for him. He has literally changed my life and given me the confidence to smile more. I had major restorative dental work done and everything went smoothly. Dr. Amin is very compassionate and he really cares about his patients he made me feel comfortable and cared for. He is very knowledgeable and has a great sense of humor. His office is very clean and they take the patients health and safety very serious. His staff is also amazing they made me feel very welcomed and important. I'm so happy I did my research and found Dr. Amin.  Thank you Dr. Amin and team.
Sheila S.
Sheila S.
November 6, 2020.
Two implants done! Finished all procedures and I couldn't be happier. It's the first time in years I looked forward to going to the dentist. Even during Covid life the staff and Dr. Amin took care of me. There is a possibility I may move to Long Beach but I would still travel to keep Dr. Amin as my dentist.
Allison S.
Allison S.
November 4, 2020.
I could not ask for a more caring, exceptionally knowledgeable dental care provider. He's not just a dentist, but someone who looks after your immediate dental needs and helps you plan and prepare for the future.
Julia R.
Julia R.
October 8, 2020.
I've been going to Dr. Amin since I turned 16 and have been going since. Before going to Dr. Amin's dental office, I had 4 crowns that I was not happy with and dealt with it until finally I asked Dr. Amin and because I  feel comfortable and because I trust him with his work I recently had my crowns fixed and worked on by  Dr. Amin and have never loved my smile the way I do now, I can actually enjoy my pictures, I can enjoy my smile from either angle and that really mattered to me. Thank you so much Dr. Amin still and will be in love with MY smile
Aaron D.
Aaron D.
October 6, 2020.
I've been coming to Dr. Ramsey for about five years and I have to say, he is by far the best dentist I've had - ever. The staff is professional and kind, the office is exceptionally well maintained, and Dr. Ramsey is careful and extremely knowledgeable about current developments and research in dentistry. I recently had a dental implant which was a long process but well worth it. I required a sinus lift as well as a bone graft. The surgery went off without a hitch, I was comfortable and the healing process was quick and without complication. Highly recommend!!
Flo O.
Flo O.
September 21, 2020.
This is my 1st review of Dr. Amin, and in my over 17 years of being with him, my experiences with Dr. Amin and his staff have always been positive.  I don't recall a bad experience with the several implant procedures i have had.  They run an efficient office.  I like that they are proactive and reach out to their patients to remind us of routine care needed.  Dr. Amin's bedside care is impeccable.  They are also technologically up to date in terms of sending out texts as reminders, ability to incorporate any appointment into your mobile phone.  That is certainly a plus.  Keep up the great care!!!