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Periodontists and dental implants Periodontics

Periodontists place dental implants and manage the bone and gum that hold them. The AAP lists complex implant cases, such as several implants, limited jawbone or the upper back jaw near the sinus, as reasons to see a periodontist. The general dentist usually makes the crown.

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Why does the gum and bone matter for an implant?

An implant needs enough bone to bond to and a healthy band of gum to seal around it. Periodontists plan both: bone grafting, sinus lifts and soft tissue grafts before or with the implant.

What about infection around implants?

The 2017 World Workshop defined peri-implant health, mucositis and peri-implantitis. Patients with a history of periodontitis carry more risk, which is why maintenance with a periodontist continues after the implant.

Questions

Should a periodontist or a general dentist place my implant?

Simple single implants are placed by many trained dentists. Limited bone, the sinus area, several implants or a history of gum disease favor a periodontist.

Sources

  1. AAP, what is a periodontist
  2. Berglundh T et al. Peri-implant diseases and conditions, 2017 World Workshop. J Periodontol 2018

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