A dental implant is designed to feel like your own tooth, so changes in the surrounding tissue can be unsettling. You might wonder whether this is normal or a sign of something more serious beneath the gum line. A dental implant surgeon in Surrey can help catch early inflammation before it progresses to peri-implantitis and affects the bone anchoring your implant. Early evaluation can help determine how far the inflammation has progressed.
In this guide, New England Oral & Cosmetic Facial Surgery explains what peri-implantitis is, how to recognize it, and how to treat it before it threatens your implant.
What Is Peri-Implantitis?
Peri-implantitis is a plaque-associated inflammatory condition that damages the surrounding soft tissue and supporting bone around a dental implant. It typically starts as peri-implant mucositis, a milder stage in which inflammation around dental implants affects only the gum tissue, before spreading deeper if left untreated. Because implants don’t have the same nerve sensitivity as natural teeth, this damage can progress before you feel any pain.
Understanding the anatomy of your teeth helps explain an important difference between natural teeth and implants. Natural teeth are connected to the surrounding bone by a periodontal ligament, while dental implants are not. As a result, the tissues around implants respond differently when plaque-related inflammation develops.
What Causes This Problem Around Your Implant?
Several factors can increase the risk of problems around an implant:
- Plaque buildup: Bacteria along the implant surface irritate the gum tissue and start the inflammatory cycle.
- Smoking: Tobacco use limits blood flow to the gums, which slows healing and raises infection risk.
- Uncontrolled diabetes: High blood sugar weakens the body’s ability to fight off bacterial infection.
- Leftover cement: Residue from attaching the crown can get trapped beneath the gum line and trigger irritation.
Any one of these factors can affect implant health over time.
Recognizing the Signs of Trouble
Spotting peri-implantitis early starts with recognizing changes and warning signs such as:
- Bleeding around implants: Gums that bleed easily when you brush or floss can signal active inflammation.
- Pus or bad breath: Discharge around the implant suggests an ongoing dental implant infection.
- Implant looseness: A wobbly or shifting implant often signals bone loss around implants.
- Gum recession: Shrinking gum tissue exposes the implant surface and speeds up further damage.
If you notice any of these signs, have your implant checked soon.
When To See a Dental Professional
Do not wait for pain before scheduling a visit, since peri-implantitis can progress with few early symptoms. Contact a dental professional promptly if any of these symptoms persist or worsen.
How Is the Condition Diagnosed?
Your oral surgeon or dentist may measure pocket depth around your implant with a small probe and check for bleeding. Deeper pockets combined with bleeding can indicate progressing inflammation around the implant site. Dental X-rays can then show whether supporting bone has been lost, while additional imaging may be used when clinically necessary.
What Are the Treatment Options?
Treatment depends on how far the condition has progressed, but most peri-implant disease treatment plans start with non-surgical care. Your dentist may clean bacteria and tartar off the implant surface with ultrasonic instruments, sometimes paired with an antimicrobial rinse. In some cases, antibiotics may also be considered.
If bone loss is more advanced, surgical treatment may become necessary. This can involve lifting the gum tissue to clean the implant surface directly, followed, when appropriate, by regenerative treatment such as bone grafting. Other cases may require different surgical approaches.
How Can You Prevent Problems Around Your Implant?
Good oral hygiene remains the best defence, so brush and floss around the implant as carefully as you would a natural tooth. Regular checkups let your dental team monitor bone levels and catch early inflammation.
An interdental brush or a water flosser can also reach areas around the implant that a regular toothbrush tends to miss. Routine visits also help your provider spot grinding habits or loose restorations that stress the implant.
Protecting Your Implant with New England Oral & Cosmetic Facial Surgery
We understand how stressful it can feel when something seems wrong with your implant. Recognizing peri-implantitis early gives you the best shot at saving it.
Our team provides thorough evaluation and treatment for peri-implant complications and can also help you understand the healing stages after implant placement. We perform procedures in our in-office surgical suite and coordinate closely with your restorative dentist to keep treatment on schedule.
If you are in Surrey, BC, and still have questions about peri-implantitis, call New England Oral & Cosmetic Facial Surgery at (604) 507-0514 to schedule a consultation.









