Dental implants are a safe and long-lasting solution, but they aren't «forever with no care». Like a natural tooth, they need hygiene and check-ups. Dr Paola Vella, our surgery and implant specialist at Somriures Dental Gavà, explains how to spot an infection early and what to do.
Mucositis and peri-implantitis: the two stages
Infections around an implant almost always start with a build-up of bacterial plaque, just like gum problems around natural teeth:
- Peri-implant mucositis: inflammation affects only the gum around the implant. It's the initial stage and is reversible if treated in time.
- Peri-implantitis: the infection progresses and starts to destroy the bone holding the implant. If untreated, the implant can be lost.
Warning signs
- Swelling and redness of the gum around the implant.
- Bleeding when brushing, flossing or spontaneously.
- Persistent pain or discomfort in the area.
- Pus or a bad taste around the implant.
- Gum recession: the metal part of the implant starts to show.
- Movement: if you notice the implant or crown moving, come to the clinic as soon as possible.
Peri-implantitis often progresses without pain, which is why regular check-ups matter so much: we measure the gum around the implant and, if needed, take an X-ray to check the bone.
What increases the risk of infection?
- Poor hygiene around the implant.
- Smoking: one of the main risk factors.
- A history of periodontitis (gum disease).
- Uncontrolled diabetes.
- Skipping check-ups and maintenance cleanings.
How is it treated?
Treatment depends on the stage:
- Mucositis: professional cleaning of the area, better home hygiene and sometimes antiseptic mouthwashes such as chlorhexidine for a limited time.
- Early peri-implantitis: deep cleaning of the implant surface below the gum and infection control.
- Advanced peri-implantitis: surgery may be needed to clean the implant and, in some cases, regenerate lost bone.
The earlier it's detected, the simpler the treatment and the better the chances of saving the implant.
How to prevent implant infection
- Brush at least twice a day, taking special care where the crown meets the gum.
- Use interdental brushes or a water flosser to clean around the implant.
- Come to the check-ups and cleanings we recommend (usually every 6 months).
- If you smoke, try to stop or cut down as much as possible.
- If you clench your teeth at night, ask us about a protective night guard.
Frequently asked questions
Can an infected implant be saved?
In many cases yes, especially if it's caught at the mucositis or early peri-implantitis stage.
Is it normal for the gum around my implant to bleed?
No. A healthy gum around an implant doesn't bleed. If it does, book a check-up.
Can an infection appear years later?
Yes. Peri-implantitis can appear years after the implant was placed, which is why maintenance is for life.
If you notice any of these symptoms, don't wait. We see patients from all over Baix Llobregat, including Viladecans and Castelldefels. More about dental implants in Gavà.
